|
HC TEMPORARY PACING WIRE
|
Facility
|
IP
|
$688.29
|
|
|
Service Code
|
HCPCS C1756
|
| Hospital Charge Code |
27200074
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$447.39 |
| Max. Negotiated Rate |
$619.46 |
| Rate for Payer: Aetna Commercial |
$585.05
|
| Rate for Payer: BCBS Trust/PPO |
$561.85
|
| Rate for Payer: BCN Commercial |
$531.91
|
| Rate for Payer: Cash Price |
$550.63
|
| Rate for Payer: Cofinity Commercial |
$591.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.63
|
| Rate for Payer: Healthscope Commercial |
$619.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.05
|
| Rate for Payer: Nomi Health Commercial |
$564.40
|
| Rate for Payer: PHP Commercial |
$585.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.39
|
| Rate for Payer: Priority Health HMO/PPO |
$598.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$461.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.70
|
| Rate for Payer: UHC Core |
$574.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.22
|
|
|
HC TE NEURO EA 15 MIN
|
Facility
|
OP
|
$106.12
|
|
|
Service Code
|
CPT 97112
|
| Hospital Charge Code |
42000021
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$95.51 |
| Rate for Payer: Aetna Commercial |
$90.20
|
| Rate for Payer: Aetna Medicare |
$27.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.16
|
| Rate for Payer: BCBS Complete |
$42.45
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCBS Trust/PPO |
$87.24
|
| Rate for Payer: BCN Commercial |
$82.51
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cofinity Commercial |
$91.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Healthscope Commercial |
$95.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.20
|
| Rate for Payer: Nomi Health Commercial |
$87.02
|
| Rate for Payer: PACE Senior Care Partners |
$25.20
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PHP Commercial |
$90.20
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.98
|
| Rate for Payer: Priority Health HMO/PPO |
$92.32
|
| Rate for Payer: Priority Health Medicare |
$26.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.10
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.39
|
| Rate for Payer: UHC Core |
$88.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.53
|
| Rate for Payer: UHC Exchange |
$26.53
|
| Rate for Payer: UHC Medicare Advantage |
$26.53
|
| Rate for Payer: VA VA |
$26.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.59
|
|
|
HC TE NEURO EA 15 MIN
|
Facility
|
IP
|
$106.12
|
|
|
Service Code
|
CPT 97112
|
| Hospital Charge Code |
42000021
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$68.98 |
| Max. Negotiated Rate |
$95.51 |
| Rate for Payer: Aetna Commercial |
$90.20
|
| Rate for Payer: BCBS Trust/PPO |
$86.63
|
| Rate for Payer: BCN Commercial |
$82.01
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cofinity Commercial |
$91.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.90
|
| Rate for Payer: Healthscope Commercial |
$95.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.20
|
| Rate for Payer: Nomi Health Commercial |
$87.02
|
| Rate for Payer: PHP Commercial |
$90.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.98
|
| Rate for Payer: Priority Health HMO/PPO |
$92.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.39
|
| Rate for Payer: UHC Core |
$88.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.59
|
|
|
HC TENOTOMY
|
Facility
|
IP
|
$2,892.68
|
|
|
Service Code
|
CPT 27605
|
| Hospital Charge Code |
36100046
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,880.24 |
| Max. Negotiated Rate |
$2,603.41 |
| Rate for Payer: Aetna Commercial |
$2,458.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,361.29
|
| Rate for Payer: BCN Commercial |
$2,235.46
|
| Rate for Payer: Cash Price |
$2,314.14
|
| Rate for Payer: Cofinity Commercial |
$2,487.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.14
|
| Rate for Payer: Healthscope Commercial |
$2,603.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,169.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,458.78
|
| Rate for Payer: Nomi Health Commercial |
$2,372.00
|
| Rate for Payer: PHP Commercial |
$2,458.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,880.24
|
| Rate for Payer: Priority Health HMO/PPO |
$2,516.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,938.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,545.56
|
| Rate for Payer: UHC Core |
$2,415.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,169.51
|
|
|
HC TENOTOMY
|
Facility
|
OP
|
$2,892.68
|
|
|
Service Code
|
CPT 27605
|
| Hospital Charge Code |
36100046
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$687.01 |
| Max. Negotiated Rate |
$2,603.41 |
| Rate for Payer: Aetna Commercial |
$2,458.78
|
| Rate for Payer: Aetna Medicare |
$752.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$903.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$903.96
|
| Rate for Payer: BCBS Complete |
$1,190.46
|
| Rate for Payer: BCBS MAPPO |
$723.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,378.07
|
| Rate for Payer: BCN Commercial |
$2,249.06
|
| Rate for Payer: BCN Medicare Advantage |
$723.17
|
| Rate for Payer: Cash Price |
$2,314.14
|
| Rate for Payer: Cash Price |
$2,314.14
|
| Rate for Payer: Cofinity Commercial |
$2,487.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$723.17
|
| Rate for Payer: Healthscope Commercial |
$2,603.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,169.51
|
| Rate for Payer: Mclaren Medicaid |
$1,133.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$759.33
|
| Rate for Payer: Meridian Medicaid |
$1,190.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$831.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,458.78
|
| Rate for Payer: Nomi Health Commercial |
$2,372.00
|
| Rate for Payer: PACE Senior Care Partners |
$687.01
|
| Rate for Payer: PACE SWMI |
$723.17
|
| Rate for Payer: PHP Commercial |
$2,458.78
|
| Rate for Payer: PHP Medicare Advantage |
$723.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,133.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,880.24
|
| Rate for Payer: Priority Health HMO/PPO |
$2,516.63
|
| Rate for Payer: Priority Health Medicare |
$730.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,938.10
|
| Rate for Payer: Railroad Medicare Medicare |
$723.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,545.56
|
| Rate for Payer: UHC Core |
$2,415.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$723.17
|
| Rate for Payer: UHC Exchange |
$723.17
|
| Rate for Payer: UHC Medicare Advantage |
$723.17
|
| Rate for Payer: UHCCP Medicaid |
$1,133.70
|
| Rate for Payer: VA VA |
$723.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,169.51
|
|
|
HC TENOTOMY ADDUCTOR OF HIP PERCUTANEOUS
|
Facility
|
OP
|
$4,277.92
|
|
| Hospital Charge Code |
36000096
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,016.01 |
| Max. Negotiated Rate |
$3,850.13 |
| Rate for Payer: Aetna Commercial |
$3,636.23
|
| Rate for Payer: Aetna Medicare |
$1,112.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,336.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,336.85
|
| Rate for Payer: BCBS Complete |
$1,711.17
|
| Rate for Payer: BCBS MAPPO |
$1,069.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,516.88
|
| Rate for Payer: BCN Commercial |
$3,326.08
|
| Rate for Payer: BCN Medicare Advantage |
$1,069.48
|
| Rate for Payer: Cash Price |
$3,422.34
|
| Rate for Payer: Cofinity Commercial |
$3,679.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,422.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,069.48
|
| Rate for Payer: Healthscope Commercial |
$3,850.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,208.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,122.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,229.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,636.23
|
| Rate for Payer: Nomi Health Commercial |
$3,507.89
|
| Rate for Payer: PACE Senior Care Partners |
$1,016.01
|
| Rate for Payer: PACE SWMI |
$1,069.48
|
| Rate for Payer: PHP Commercial |
$3,636.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,069.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,780.65
|
| Rate for Payer: Priority Health HMO/PPO |
$3,721.79
|
| Rate for Payer: Priority Health Medicare |
$1,080.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,866.21
|
| Rate for Payer: Railroad Medicare Medicare |
$1,069.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,764.57
|
| Rate for Payer: UHC Core |
$3,572.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,069.48
|
| Rate for Payer: UHC Exchange |
$1,069.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,069.48
|
| Rate for Payer: VA VA |
$1,069.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,208.44
|
|
|
HC TENOTOMY ADDUCTOR OF HIP PERCUTANEOUS
|
Facility
|
IP
|
$4,277.92
|
|
| Hospital Charge Code |
36000096
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,780.65 |
| Max. Negotiated Rate |
$3,850.13 |
| Rate for Payer: Aetna Commercial |
$3,636.23
|
| Rate for Payer: BCBS Trust/PPO |
$3,492.07
|
| Rate for Payer: BCN Commercial |
$3,305.98
|
| Rate for Payer: Cash Price |
$3,422.34
|
| Rate for Payer: Cofinity Commercial |
$3,679.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,422.34
|
| Rate for Payer: Healthscope Commercial |
$3,850.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,208.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,636.23
|
| Rate for Payer: Nomi Health Commercial |
$3,507.89
|
| Rate for Payer: PHP Commercial |
$3,636.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,780.65
|
| Rate for Payer: Priority Health HMO/PPO |
$3,721.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,866.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,764.57
|
| Rate for Payer: UHC Core |
$3,572.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,208.44
|
|
|
HC TENOTOMY ELBOW LATERAL/MEDIAL PERC
|
Facility
|
OP
|
$4,494.21
|
|
|
Service Code
|
CPT 24357
|
| Hospital Charge Code |
76100408
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,067.37 |
| Max. Negotiated Rate |
$4,044.79 |
| Rate for Payer: Aetna Commercial |
$3,820.08
|
| Rate for Payer: Aetna Medicare |
$1,168.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,404.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,404.44
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$1,123.55
|
| Rate for Payer: BCBS Trust/PPO |
$3,694.69
|
| Rate for Payer: BCN Commercial |
$3,494.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,123.55
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$3,865.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,123.55
|
| Rate for Payer: Healthscope Commercial |
$4,044.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,370.66
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,179.73
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,292.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: PACE Senior Care Partners |
$1,067.37
|
| Rate for Payer: PACE SWMI |
$1,123.55
|
| Rate for Payer: PHP Commercial |
$3,820.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,123.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: Priority Health HMO/PPO |
$3,909.96
|
| Rate for Payer: Priority Health Medicare |
$1,134.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,011.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,123.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,954.90
|
| Rate for Payer: UHC Core |
$3,752.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,123.55
|
| Rate for Payer: UHC Exchange |
$1,123.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,123.55
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$1,123.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,370.66
|
|
|
HC TENOTOMY ELBOW LATERAL/MEDIAL PERC
|
Facility
|
IP
|
$4,494.21
|
|
|
Service Code
|
CPT 24357
|
| Hospital Charge Code |
76100408
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,921.24 |
| Max. Negotiated Rate |
$4,044.79 |
| Rate for Payer: Aetna Commercial |
$3,820.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,668.62
|
| Rate for Payer: BCN Commercial |
$3,473.13
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$3,865.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Healthscope Commercial |
$4,044.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,370.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: PHP Commercial |
$3,820.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: Priority Health HMO/PPO |
$3,909.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,011.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,954.90
|
| Rate for Payer: UHC Core |
$3,752.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,370.66
|
|
|
HC TENOTOMY ELBOW LATERAL OR MEDIAL
|
Facility
|
OP
|
$4,494.21
|
|
| Hospital Charge Code |
36000093
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,067.37 |
| Max. Negotiated Rate |
$4,044.79 |
| Rate for Payer: Aetna Commercial |
$3,820.08
|
| Rate for Payer: Aetna Medicare |
$1,168.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,404.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,404.44
|
| Rate for Payer: BCBS Complete |
$1,797.68
|
| Rate for Payer: BCBS MAPPO |
$1,123.55
|
| Rate for Payer: BCBS Trust/PPO |
$3,694.69
|
| Rate for Payer: BCN Commercial |
$3,494.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,123.55
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$3,865.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,123.55
|
| Rate for Payer: Healthscope Commercial |
$4,044.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,370.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,179.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,292.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: PACE Senior Care Partners |
$1,067.37
|
| Rate for Payer: PACE SWMI |
$1,123.55
|
| Rate for Payer: PHP Commercial |
$3,820.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,123.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: Priority Health HMO/PPO |
$3,909.96
|
| Rate for Payer: Priority Health Medicare |
$1,134.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,011.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,123.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,954.90
|
| Rate for Payer: UHC Core |
$3,752.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,123.55
|
| Rate for Payer: UHC Exchange |
$1,123.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,123.55
|
| Rate for Payer: VA VA |
$1,123.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,370.66
|
|
|
HC TENOTOMY ELBOW LATERAL OR MEDIAL
|
Facility
|
IP
|
$4,494.21
|
|
| Hospital Charge Code |
36000093
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,921.24 |
| Max. Negotiated Rate |
$4,044.79 |
| Rate for Payer: Aetna Commercial |
$3,820.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,668.62
|
| Rate for Payer: BCN Commercial |
$3,473.13
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$3,865.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Healthscope Commercial |
$4,044.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,370.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: PHP Commercial |
$3,820.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: Priority Health HMO/PPO |
$3,909.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,011.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,954.90
|
| Rate for Payer: UHC Core |
$3,752.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,370.66
|
|
|
HC TENOTOMY MULTIPLE TENDONS
|
Facility
|
OP
|
$5,235.97
|
|
| Hospital Charge Code |
36000095
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,243.54 |
| Max. Negotiated Rate |
$4,712.37 |
| Rate for Payer: Aetna Commercial |
$4,450.57
|
| Rate for Payer: Aetna Medicare |
$1,361.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,636.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,636.24
|
| Rate for Payer: BCBS Complete |
$2,094.39
|
| Rate for Payer: BCBS MAPPO |
$1,308.99
|
| Rate for Payer: BCBS Trust/PPO |
$4,304.49
|
| Rate for Payer: BCN Commercial |
$4,070.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,308.99
|
| Rate for Payer: Cash Price |
$4,188.78
|
| Rate for Payer: Cofinity Commercial |
$4,502.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,188.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,308.99
|
| Rate for Payer: Healthscope Commercial |
$4,712.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,926.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,374.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,505.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,450.57
|
| Rate for Payer: Nomi Health Commercial |
$4,293.50
|
| Rate for Payer: PACE Senior Care Partners |
$1,243.54
|
| Rate for Payer: PACE SWMI |
$1,308.99
|
| Rate for Payer: PHP Commercial |
$4,450.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,308.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,403.38
|
| Rate for Payer: Priority Health HMO/PPO |
$4,555.29
|
| Rate for Payer: Priority Health Medicare |
$1,322.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,508.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,308.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,607.65
|
| Rate for Payer: UHC Core |
$4,372.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,308.99
|
| Rate for Payer: UHC Exchange |
$1,308.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,308.99
|
| Rate for Payer: VA VA |
$1,308.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,926.98
|
|
|
HC TENOTOMY MULTIPLE TENDONS
|
Facility
|
IP
|
$5,235.97
|
|
| Hospital Charge Code |
36000095
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,403.38 |
| Max. Negotiated Rate |
$4,712.37 |
| Rate for Payer: Aetna Commercial |
$4,450.57
|
| Rate for Payer: BCBS Trust/PPO |
$4,274.12
|
| Rate for Payer: BCN Commercial |
$4,046.36
|
| Rate for Payer: Cash Price |
$4,188.78
|
| Rate for Payer: Cofinity Commercial |
$4,502.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,188.78
|
| Rate for Payer: Healthscope Commercial |
$4,712.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,926.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,450.57
|
| Rate for Payer: Nomi Health Commercial |
$4,293.50
|
| Rate for Payer: PHP Commercial |
$4,450.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,403.38
|
| Rate for Payer: Priority Health HMO/PPO |
$4,555.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,508.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,607.65
|
| Rate for Payer: UHC Core |
$4,372.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,926.98
|
|
|
HC TENOTOMY PERCUTANEOUS ACHILLES TENDON
|
Facility
|
IP
|
$3,737.88
|
|
| Hospital Charge Code |
36000097
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,429.62 |
| Max. Negotiated Rate |
$3,364.09 |
| Rate for Payer: Aetna Commercial |
$3,177.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,051.23
|
| Rate for Payer: BCN Commercial |
$2,888.63
|
| Rate for Payer: Cash Price |
$2,990.30
|
| Rate for Payer: Cofinity Commercial |
$3,214.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,990.30
|
| Rate for Payer: Healthscope Commercial |
$3,364.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,803.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,177.20
|
| Rate for Payer: Nomi Health Commercial |
$3,065.06
|
| Rate for Payer: PHP Commercial |
$3,177.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,429.62
|
| Rate for Payer: Priority Health HMO/PPO |
$3,251.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,504.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,289.33
|
| Rate for Payer: UHC Core |
$3,121.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,803.41
|
|
|
HC TENOTOMY PERCUTANEOUS ACHILLES TENDON
|
Facility
|
OP
|
$3,737.88
|
|
| Hospital Charge Code |
36000097
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$887.75 |
| Max. Negotiated Rate |
$3,364.09 |
| Rate for Payer: Aetna Commercial |
$3,177.20
|
| Rate for Payer: Aetna Medicare |
$971.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,168.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,168.09
|
| Rate for Payer: BCBS Complete |
$1,495.15
|
| Rate for Payer: BCBS MAPPO |
$934.47
|
| Rate for Payer: BCBS Trust/PPO |
$3,072.91
|
| Rate for Payer: BCN Commercial |
$2,906.20
|
| Rate for Payer: BCN Medicare Advantage |
$934.47
|
| Rate for Payer: Cash Price |
$2,990.30
|
| Rate for Payer: Cofinity Commercial |
$3,214.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,990.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$934.47
|
| Rate for Payer: Healthscope Commercial |
$3,364.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,803.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$981.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,074.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,177.20
|
| Rate for Payer: Nomi Health Commercial |
$3,065.06
|
| Rate for Payer: PACE Senior Care Partners |
$887.75
|
| Rate for Payer: PACE SWMI |
$934.47
|
| Rate for Payer: PHP Commercial |
$3,177.20
|
| Rate for Payer: PHP Medicare Advantage |
$934.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,429.62
|
| Rate for Payer: Priority Health HMO/PPO |
$3,251.96
|
| Rate for Payer: Priority Health Medicare |
$943.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,504.38
|
| Rate for Payer: Railroad Medicare Medicare |
$934.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,289.33
|
| Rate for Payer: UHC Core |
$3,121.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$934.47
|
| Rate for Payer: UHC Exchange |
$934.47
|
| Rate for Payer: UHC Medicare Advantage |
$934.47
|
| Rate for Payer: VA VA |
$934.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,803.41
|
|
|
HC TENOTOMY PERCUTANEOUS ADDUCTOR OR HAMSTRING
|
Facility
|
IP
|
$3,570.03
|
|
| Hospital Charge Code |
36000094
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,320.52 |
| Max. Negotiated Rate |
$3,213.03 |
| Rate for Payer: Aetna Commercial |
$3,034.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,914.22
|
| Rate for Payer: BCN Commercial |
$2,758.92
|
| Rate for Payer: Cash Price |
$2,856.02
|
| Rate for Payer: Cofinity Commercial |
$3,070.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,856.02
|
| Rate for Payer: Healthscope Commercial |
$3,213.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,677.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,034.53
|
| Rate for Payer: Nomi Health Commercial |
$2,927.42
|
| Rate for Payer: PHP Commercial |
$3,034.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,320.52
|
| Rate for Payer: Priority Health HMO/PPO |
$3,105.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,391.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,141.63
|
| Rate for Payer: UHC Core |
$2,980.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,677.52
|
|
|
HC TENOTOMY PERCUTANEOUS ADDUCTOR OR HAMSTRING
|
Facility
|
OP
|
$3,570.03
|
|
| Hospital Charge Code |
36000094
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$847.88 |
| Max. Negotiated Rate |
$3,213.03 |
| Rate for Payer: Aetna Commercial |
$3,034.53
|
| Rate for Payer: Aetna Medicare |
$928.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,115.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,115.63
|
| Rate for Payer: BCBS Complete |
$1,428.01
|
| Rate for Payer: BCBS MAPPO |
$892.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,934.92
|
| Rate for Payer: BCN Commercial |
$2,775.70
|
| Rate for Payer: BCN Medicare Advantage |
$892.51
|
| Rate for Payer: Cash Price |
$2,856.02
|
| Rate for Payer: Cofinity Commercial |
$3,070.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,856.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$892.51
|
| Rate for Payer: Healthscope Commercial |
$3,213.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,677.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,026.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,034.53
|
| Rate for Payer: Nomi Health Commercial |
$2,927.42
|
| Rate for Payer: PACE Senior Care Partners |
$847.88
|
| Rate for Payer: PACE SWMI |
$892.51
|
| Rate for Payer: PHP Commercial |
$3,034.53
|
| Rate for Payer: PHP Medicare Advantage |
$892.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,320.52
|
| Rate for Payer: Priority Health HMO/PPO |
$3,105.93
|
| Rate for Payer: Priority Health Medicare |
$901.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,391.92
|
| Rate for Payer: Railroad Medicare Medicare |
$892.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,141.63
|
| Rate for Payer: UHC Core |
$2,980.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$892.51
|
| Rate for Payer: UHC Exchange |
$892.51
|
| Rate for Payer: UHC Medicare Advantage |
$892.51
|
| Rate for Payer: VA VA |
$892.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,677.52
|
|
|
HC TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT
|
Facility
|
OP
|
$4,590.00
|
|
|
Service Code
|
CPT 26060
|
| Hospital Charge Code |
76100424
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,090.12 |
| Max. Negotiated Rate |
$4,131.00 |
| Rate for Payer: Aetna Commercial |
$3,901.50
|
| Rate for Payer: Aetna Medicare |
$1,193.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,434.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,434.38
|
| Rate for Payer: BCBS Complete |
$1,190.46
|
| Rate for Payer: BCBS MAPPO |
$1,147.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,773.44
|
| Rate for Payer: BCN Commercial |
$3,568.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,147.50
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$3,947.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,147.50
|
| Rate for Payer: Healthscope Commercial |
$4,131.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,442.50
|
| Rate for Payer: Mclaren Medicaid |
$1,133.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,204.88
|
| Rate for Payer: Meridian Medicaid |
$1,190.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,319.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,901.50
|
| Rate for Payer: Nomi Health Commercial |
$3,763.80
|
| Rate for Payer: PACE Senior Care Partners |
$1,090.12
|
| Rate for Payer: PACE SWMI |
$1,147.50
|
| Rate for Payer: PHP Commercial |
$3,901.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,147.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,133.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO |
$3,993.30
|
| Rate for Payer: Priority Health Medicare |
$1,158.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,075.30
|
| Rate for Payer: Railroad Medicare Medicare |
$1,147.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,039.20
|
| Rate for Payer: UHC Core |
$3,832.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,147.50
|
| Rate for Payer: UHC Exchange |
$1,147.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,147.50
|
| Rate for Payer: UHCCP Medicaid |
$1,133.70
|
| Rate for Payer: VA VA |
$1,147.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,442.50
|
|
|
HC TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT
|
Facility
|
IP
|
$4,590.00
|
|
|
Service Code
|
CPT 26060
|
| Hospital Charge Code |
76100424
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,983.50 |
| Max. Negotiated Rate |
$4,131.00 |
| Rate for Payer: Aetna Commercial |
$3,901.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,746.82
|
| Rate for Payer: BCN Commercial |
$3,547.15
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$3,947.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Healthscope Commercial |
$4,131.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,442.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,901.50
|
| Rate for Payer: Nomi Health Commercial |
$3,763.80
|
| Rate for Payer: PHP Commercial |
$3,901.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO |
$3,993.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,075.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,039.20
|
| Rate for Payer: UHC Core |
$3,832.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,442.50
|
|
|
HC TENOTOMY SHOULDER AREA SINGLE TENDON
|
Facility
|
OP
|
$4,826.31
|
|
| Hospital Charge Code |
36000098
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,146.25 |
| Max. Negotiated Rate |
$4,343.68 |
| Rate for Payer: Aetna Commercial |
$4,102.36
|
| Rate for Payer: Aetna Medicare |
$1,254.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,508.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,508.22
|
| Rate for Payer: BCBS Complete |
$1,930.52
|
| Rate for Payer: BCBS MAPPO |
$1,206.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,967.71
|
| Rate for Payer: BCN Commercial |
$3,752.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,206.58
|
| Rate for Payer: Cash Price |
$3,861.05
|
| Rate for Payer: Cofinity Commercial |
$4,150.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,861.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,206.58
|
| Rate for Payer: Healthscope Commercial |
$4,343.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,619.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,266.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,387.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,102.36
|
| Rate for Payer: Nomi Health Commercial |
$3,957.57
|
| Rate for Payer: PACE Senior Care Partners |
$1,146.25
|
| Rate for Payer: PACE SWMI |
$1,206.58
|
| Rate for Payer: PHP Commercial |
$4,102.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,206.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,137.10
|
| Rate for Payer: Priority Health HMO/PPO |
$4,198.89
|
| Rate for Payer: Priority Health Medicare |
$1,218.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,233.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,206.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,247.15
|
| Rate for Payer: UHC Core |
$4,029.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,206.58
|
| Rate for Payer: UHC Exchange |
$1,206.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,206.58
|
| Rate for Payer: VA VA |
$1,206.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,619.73
|
|
|
HC TENOTOMY SHOULDER AREA SINGLE TENDON
|
Facility
|
IP
|
$4,826.31
|
|
| Hospital Charge Code |
36000098
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,137.10 |
| Max. Negotiated Rate |
$4,343.68 |
| Rate for Payer: Aetna Commercial |
$4,102.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,939.72
|
| Rate for Payer: BCN Commercial |
$3,729.77
|
| Rate for Payer: Cash Price |
$3,861.05
|
| Rate for Payer: Cofinity Commercial |
$4,150.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,861.05
|
| Rate for Payer: Healthscope Commercial |
$4,343.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,619.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,102.36
|
| Rate for Payer: Nomi Health Commercial |
$3,957.57
|
| Rate for Payer: PHP Commercial |
$4,102.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,137.10
|
| Rate for Payer: Priority Health HMO/PPO |
$4,198.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,233.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,247.15
|
| Rate for Payer: UHC Core |
$4,029.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,619.73
|
|
|
HC TENOTOMY TOE SINGLE TENDON
|
Facility
|
IP
|
$2,219.15
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
45000092
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,442.45 |
| Max. Negotiated Rate |
$1,997.24 |
| Rate for Payer: Aetna Commercial |
$1,886.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,811.49
|
| Rate for Payer: BCN Commercial |
$1,714.96
|
| Rate for Payer: Cash Price |
$1,775.32
|
| Rate for Payer: Cofinity Commercial |
$1,908.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,775.32
|
| Rate for Payer: Healthscope Commercial |
$1,997.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,664.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,886.28
|
| Rate for Payer: Nomi Health Commercial |
$1,819.70
|
| Rate for Payer: PHP Commercial |
$1,886.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,442.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,930.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,486.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,952.85
|
| Rate for Payer: UHC Core |
$1,852.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,664.36
|
|
|
HC TENOTOMY TOE SINGLE TENDON
|
Facility
|
OP
|
$2,219.15
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
45000092
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$527.05 |
| Max. Negotiated Rate |
$1,997.24 |
| Rate for Payer: Aetna Commercial |
$1,886.28
|
| Rate for Payer: Aetna Medicare |
$576.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$693.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$693.48
|
| Rate for Payer: BCBS Complete |
$1,190.46
|
| Rate for Payer: BCBS MAPPO |
$554.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,824.36
|
| Rate for Payer: BCN Commercial |
$1,725.39
|
| Rate for Payer: BCN Medicare Advantage |
$554.79
|
| Rate for Payer: Cash Price |
$1,775.32
|
| Rate for Payer: Cash Price |
$1,775.32
|
| Rate for Payer: Cofinity Commercial |
$1,908.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,775.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$554.79
|
| Rate for Payer: Healthscope Commercial |
$1,997.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,664.36
|
| Rate for Payer: Mclaren Medicaid |
$1,133.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$582.53
|
| Rate for Payer: Meridian Medicaid |
$1,190.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$638.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,886.28
|
| Rate for Payer: Nomi Health Commercial |
$1,819.70
|
| Rate for Payer: PACE Senior Care Partners |
$527.05
|
| Rate for Payer: PACE SWMI |
$554.79
|
| Rate for Payer: PHP Commercial |
$1,886.28
|
| Rate for Payer: PHP Medicare Advantage |
$554.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,133.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,442.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,930.66
|
| Rate for Payer: Priority Health Medicare |
$560.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,486.83
|
| Rate for Payer: Railroad Medicare Medicare |
$554.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,952.85
|
| Rate for Payer: UHC Core |
$1,852.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$554.79
|
| Rate for Payer: UHC Exchange |
$554.79
|
| Rate for Payer: UHC Medicare Advantage |
$554.79
|
| Rate for Payer: UHCCP Medicaid |
$1,133.70
|
| Rate for Payer: VA VA |
$554.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,664.36
|
|
|
HC TESTOSTERONE BIOAVAILABLE
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 84402
|
| Hospital Charge Code |
30100429
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.41 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$19.34
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$60.67
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$18.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$19.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.28
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.51
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$18.41
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC TESTOSTERONE BIOAVAILABLE
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 84402
|
| Hospital Charge Code |
30100429
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$63.70
|
| Rate for Payer: BCN Commercial |
$60.30
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
