|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
IP
|
$1,287.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$784.94 |
| Max. Negotiated Rate |
$1,158.30 |
| Rate for Payer: Aetna Commercial |
$1,093.95
|
| Rate for Payer: BCBS Trust/PPO |
$994.59
|
| Rate for Payer: BCN Commercial |
$994.59
|
| Rate for Payer: Cash Price |
$1,029.60
|
| Rate for Payer: Cofinity Commercial |
$1,106.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,029.60
|
| Rate for Payer: Healthscope Commercial |
$1,158.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$965.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,093.95
|
| Rate for Payer: PHP Commercial |
$1,093.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,119.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$784.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.56
|
| Rate for Payer: UHC Core |
$1,074.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$965.25
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
IP
|
$796.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$485.48 |
| Max. Negotiated Rate |
$716.40 |
| Rate for Payer: Aetna Commercial |
$676.60
|
| Rate for Payer: BCBS Trust/PPO |
$615.15
|
| Rate for Payer: BCN Commercial |
$615.15
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cofinity Commercial |
$684.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$636.80
|
| Rate for Payer: Healthscope Commercial |
$716.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$597.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$676.60
|
| Rate for Payer: PHP Commercial |
$676.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$692.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$485.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$700.48
|
| Rate for Payer: UHC Core |
$664.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$597.00
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$796.00
|
|
|
Service Code
|
HCPCS 45393
|
| Min. Negotiated Rate |
$157.83 |
| Max. Negotiated Rate |
$557.20 |
| Rate for Payer: Aetna Commercial |
$328.62
|
| Rate for Payer: Aetna Medicare |
$255.05
|
| Rate for Payer: BCBS Complete |
$165.72
|
| Rate for Payer: BCBS MAPPO |
$245.24
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$245.24
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cofinity Commercial |
$328.62
|
| Rate for Payer: Cofinity Commercial |
$353.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.24
|
| Rate for Payer: Mclaren Medicaid |
$157.83
|
| Rate for Payer: Meridian Medicaid |
$165.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$257.50
|
| Rate for Payer: PACE SWMI |
$245.24
|
| Rate for Payer: PHP Medicare Advantage |
$245.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$433.93
|
| Rate for Payer: Priority Health Medicare |
$245.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.24
|
| Rate for Payer: UHC Medicare Advantage |
$252.60
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
OP
|
$796.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$189.05 |
| Max. Negotiated Rate |
$812.82 |
| Rate for Payer: Aetna Commercial |
$676.60
|
| Rate for Payer: Aetna Medicare |
$206.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$248.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$248.75
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$199.00
|
| Rate for Payer: BCBS Trust/PPO |
$618.89
|
| Rate for Payer: BCN Commercial |
$618.89
|
| Rate for Payer: BCN Medicare Advantage |
$199.00
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cofinity Commercial |
$684.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$636.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.00
|
| Rate for Payer: Healthscope Commercial |
$716.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$597.00
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$208.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$228.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$676.60
|
| Rate for Payer: PACE Senior Care Partners |
$189.05
|
| Rate for Payer: PACE SWMI |
$199.00
|
| Rate for Payer: PHP Commercial |
$676.60
|
| Rate for Payer: PHP Medicare Advantage |
$199.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$692.52
|
| Rate for Payer: Priority Health Medicare |
$199.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$485.48
|
| Rate for Payer: Railroad Medicare Medicare |
$199.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$700.48
|
| Rate for Payer: UHC Core |
$664.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.00
|
| Rate for Payer: UHC Medicare Advantage |
$204.97
|
| Rate for Payer: VA VA |
$199.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$597.00
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$796.00
|
|
|
Service Code
|
HCPCS 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$157.83 |
| Max. Negotiated Rate |
$557.20 |
| Rate for Payer: Aetna Commercial |
$328.62
|
| Rate for Payer: Aetna Medicare |
$255.05
|
| Rate for Payer: BCBS Complete |
$165.72
|
| Rate for Payer: BCBS MAPPO |
$245.24
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$245.24
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cofinity Commercial |
$353.15
|
| Rate for Payer: Cofinity Commercial |
$328.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.24
|
| Rate for Payer: Mclaren Medicaid |
$157.83
|
| Rate for Payer: Meridian Medicaid |
$165.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$257.50
|
| Rate for Payer: PACE SWMI |
$245.24
|
| Rate for Payer: PHP Medicare Advantage |
$245.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$433.93
|
| Rate for Payer: Priority Health Medicare |
$245.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.24
|
| Rate for Payer: UHC Medicare Advantage |
$252.60
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
IP
|
$1,553.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$947.17 |
| Max. Negotiated Rate |
$1,397.70 |
| Rate for Payer: Aetna Commercial |
$1,320.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,200.16
|
| Rate for Payer: BCN Commercial |
$1,200.16
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cofinity Commercial |
$1,335.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,242.40
|
| Rate for Payer: Healthscope Commercial |
$1,397.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,164.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,320.05
|
| Rate for Payer: PHP Commercial |
$1,320.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,087.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,351.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$947.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,366.64
|
| Rate for Payer: UHC Core |
$1,296.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,164.75
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
OP
|
$1,553.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$368.84 |
| Max. Negotiated Rate |
$1,397.70 |
| Rate for Payer: Aetna Commercial |
$1,320.05
|
| Rate for Payer: Aetna Medicare |
$403.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$485.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$485.31
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$388.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,207.46
|
| Rate for Payer: BCN Commercial |
$1,207.46
|
| Rate for Payer: BCN Medicare Advantage |
$388.25
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cofinity Commercial |
$1,335.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,242.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$388.25
|
| Rate for Payer: Healthscope Commercial |
$1,397.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,164.75
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$407.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$446.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,320.05
|
| Rate for Payer: PACE Senior Care Partners |
$368.84
|
| Rate for Payer: PACE SWMI |
$388.25
|
| Rate for Payer: PHP Commercial |
$1,320.05
|
| Rate for Payer: PHP Medicare Advantage |
$388.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,087.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,351.11
|
| Rate for Payer: Priority Health Medicare |
$388.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$947.17
|
| Rate for Payer: Railroad Medicare Medicare |
$388.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,366.64
|
| Rate for Payer: UHC Core |
$1,296.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$388.25
|
| Rate for Payer: UHC Medicare Advantage |
$399.90
|
| Rate for Payer: VA VA |
$388.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,164.75
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,553.00
|
|
|
Service Code
|
HCPCS 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$169.76 |
| Max. Negotiated Rate |
$3,627.94 |
| Rate for Payer: Aetna Commercial |
$353.38
|
| Rate for Payer: Aetna Medicare |
$274.27
|
| Rate for Payer: BCBS Complete |
$178.25
|
| Rate for Payer: BCBS MAPPO |
$263.72
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$263.72
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cofinity Commercial |
$353.38
|
| Rate for Payer: Cofinity Commercial |
$379.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.72
|
| Rate for Payer: Mclaren Medicaid |
$169.76
|
| Rate for Payer: Meridian Medicaid |
$178.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.91
|
| Rate for Payer: PACE SWMI |
$263.72
|
| Rate for Payer: PHP Medicare Advantage |
$263.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,087.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$467.43
|
| Rate for Payer: Priority Health Medicare |
$263.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$467.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.72
|
| Rate for Payer: UHC Medicare Advantage |
$271.63
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,553.00
|
|
|
Service Code
|
HCPCS 45388
|
| Min. Negotiated Rate |
$169.76 |
| Max. Negotiated Rate |
$3,627.94 |
| Rate for Payer: Aetna Commercial |
$353.38
|
| Rate for Payer: Aetna Medicare |
$274.27
|
| Rate for Payer: BCBS Complete |
$178.25
|
| Rate for Payer: BCBS MAPPO |
$263.72
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$263.72
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cofinity Commercial |
$379.76
|
| Rate for Payer: Cofinity Commercial |
$353.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.72
|
| Rate for Payer: Mclaren Medicaid |
$169.76
|
| Rate for Payer: Meridian Medicaid |
$178.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.91
|
| Rate for Payer: PACE SWMI |
$263.72
|
| Rate for Payer: PHP Medicare Advantage |
$263.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,087.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$467.43
|
| Rate for Payer: Priority Health Medicare |
$263.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$467.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.72
|
| Rate for Payer: UHC Medicare Advantage |
$271.63
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
OP
|
$1,002.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$237.98 |
| Max. Negotiated Rate |
$901.80 |
| Rate for Payer: Aetna Commercial |
$851.70
|
| Rate for Payer: Aetna Medicare |
$260.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$313.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$313.12
|
| Rate for Payer: BCBS Complete |
$629.53
|
| Rate for Payer: BCBS MAPPO |
$250.50
|
| Rate for Payer: BCBS Trust/PPO |
$779.06
|
| Rate for Payer: BCN Commercial |
$779.06
|
| Rate for Payer: BCN Medicare Advantage |
$250.50
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$861.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.50
|
| Rate for Payer: Healthscope Commercial |
$901.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$751.50
|
| Rate for Payer: Mclaren Medicaid |
$599.55
|
| Rate for Payer: Meridian Medicaid |
$629.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$263.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$288.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$851.70
|
| Rate for Payer: PACE Senior Care Partners |
$237.98
|
| Rate for Payer: PACE SWMI |
$250.50
|
| Rate for Payer: PHP Commercial |
$851.70
|
| Rate for Payer: PHP Medicare Advantage |
$250.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$871.74
|
| Rate for Payer: Priority Health Medicare |
$250.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$611.12
|
| Rate for Payer: Railroad Medicare Medicare |
$250.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$881.76
|
| Rate for Payer: UHC Core |
$836.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.50
|
| Rate for Payer: UHC Medicare Advantage |
$258.02
|
| Rate for Payer: VA VA |
$250.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$751.50
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
IP
|
$1,002.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$611.12 |
| Max. Negotiated Rate |
$901.80 |
| Rate for Payer: Aetna Commercial |
$851.70
|
| Rate for Payer: BCBS Trust/PPO |
$774.35
|
| Rate for Payer: BCN Commercial |
$774.35
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$861.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$801.60
|
| Rate for Payer: Healthscope Commercial |
$901.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$751.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$851.70
|
| Rate for Payer: PHP Commercial |
$851.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$871.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$611.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$881.76
|
| Rate for Payer: UHC Core |
$836.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$751.50
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 45378
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$701.40 |
| Rate for Payer: Aetna Commercial |
$240.53
|
| Rate for Payer: Aetna Medicare |
$186.68
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$179.50
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$179.50
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$258.48
|
| Rate for Payer: Cofinity Commercial |
$240.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.50
|
| Rate for Payer: Mclaren Medicaid |
$116.09
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.48
|
| Rate for Payer: PACE SWMI |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$179.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.68
|
| Rate for Payer: Priority Health Medicare |
$179.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$318.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.50
|
| Rate for Payer: UHC Medicare Advantage |
$184.88
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
45378
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$701.40 |
| Rate for Payer: Aetna Commercial |
$240.53
|
| Rate for Payer: Aetna Medicare |
$186.68
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$179.50
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$179.50
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$240.53
|
| Rate for Payer: Cofinity Commercial |
$258.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.50
|
| Rate for Payer: Mclaren Medicaid |
$116.09
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.48
|
| Rate for Payer: PACE SWMI |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$179.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.68
|
| Rate for Payer: Priority Health Medicare |
$179.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$318.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.50
|
| Rate for Payer: UHC Medicare Advantage |
$184.88
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 45390
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$701.40 |
| Rate for Payer: Aetna Commercial |
$432.65
|
| Rate for Payer: Aetna Medicare |
$335.78
|
| Rate for Payer: BCBS Complete |
$218.96
|
| Rate for Payer: BCBS MAPPO |
$322.87
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$322.87
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$464.93
|
| Rate for Payer: Cofinity Commercial |
$432.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.87
|
| Rate for Payer: Mclaren Medicaid |
$208.53
|
| Rate for Payer: Meridian Medicaid |
$218.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$339.01
|
| Rate for Payer: PACE SWMI |
$322.87
|
| Rate for Payer: PHP Medicare Advantage |
$322.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$572.68
|
| Rate for Payer: Priority Health Medicare |
$322.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$572.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.87
|
| Rate for Payer: UHC Medicare Advantage |
$332.56
|
|
|
PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT
|
Professional
|
Both
|
$863.00
|
|
|
Service Code
|
HCPCS 45389
|
| Min. Negotiated Rate |
$181.69 |
| Max. Negotiated Rate |
$604.10 |
| Rate for Payer: Aetna Commercial |
$378.08
|
| Rate for Payer: Aetna Medicare |
$293.44
|
| Rate for Payer: BCBS Complete |
$190.77
|
| Rate for Payer: BCBS MAPPO |
$282.15
|
| Rate for Payer: BCBS Trust/PPO |
$376.68
|
| Rate for Payer: BCN Commercial |
$415.86
|
| Rate for Payer: BCN Medicare Advantage |
$282.15
|
| Rate for Payer: Cash Price |
$690.40
|
| Rate for Payer: Cash Price |
$690.40
|
| Rate for Payer: Cofinity Commercial |
$406.30
|
| Rate for Payer: Cofinity Commercial |
$378.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.15
|
| Rate for Payer: Mclaren Medicaid |
$181.69
|
| Rate for Payer: Meridian Medicaid |
$190.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$296.26
|
| Rate for Payer: PACE SWMI |
$282.15
|
| Rate for Payer: PHP Medicare Advantage |
$282.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$500.36
|
| Rate for Payer: Priority Health Medicare |
$282.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$500.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.15
|
| Rate for Payer: UHC Medicare Advantage |
$290.61
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
IP
|
$1,169.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$712.97 |
| Max. Negotiated Rate |
$1,052.10 |
| Rate for Payer: Aetna Commercial |
$993.65
|
| Rate for Payer: BCBS Trust/PPO |
$903.40
|
| Rate for Payer: BCN Commercial |
$903.40
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$1,005.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$935.20
|
| Rate for Payer: Healthscope Commercial |
$1,052.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$876.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$993.65
|
| Rate for Payer: PHP Commercial |
$993.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,017.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$712.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,028.72
|
| Rate for Payer: UHC Core |
$976.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$876.75
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 45379
|
| Min. Negotiated Rate |
$149.74 |
| Max. Negotiated Rate |
$818.30 |
| Rate for Payer: Aetna Commercial |
$310.84
|
| Rate for Payer: Aetna Medicare |
$241.25
|
| Rate for Payer: BCBS Complete |
$157.23
|
| Rate for Payer: BCBS MAPPO |
$231.97
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$231.97
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$334.04
|
| Rate for Payer: Cofinity Commercial |
$310.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.97
|
| Rate for Payer: Mclaren Medicaid |
$149.74
|
| Rate for Payer: Meridian Medicaid |
$157.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.57
|
| Rate for Payer: PACE SWMI |
$231.97
|
| Rate for Payer: PHP Medicare Advantage |
$231.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.58
|
| Rate for Payer: Priority Health Medicare |
$231.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$411.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.97
|
| Rate for Payer: UHC Medicare Advantage |
$238.93
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$1,169.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$277.64 |
| Max. Negotiated Rate |
$1,052.10 |
| Rate for Payer: Aetna Commercial |
$993.65
|
| Rate for Payer: Aetna Medicare |
$303.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$365.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$365.31
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$292.25
|
| Rate for Payer: BCBS Trust/PPO |
$908.90
|
| Rate for Payer: BCN Commercial |
$908.90
|
| Rate for Payer: BCN Medicare Advantage |
$292.25
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$1,005.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$935.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.25
|
| Rate for Payer: Healthscope Commercial |
$1,052.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$876.75
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$306.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$336.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$993.65
|
| Rate for Payer: PACE Senior Care Partners |
$277.64
|
| Rate for Payer: PACE SWMI |
$292.25
|
| Rate for Payer: PHP Commercial |
$993.65
|
| Rate for Payer: PHP Medicare Advantage |
$292.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,017.03
|
| Rate for Payer: Priority Health Medicare |
$292.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$712.97
|
| Rate for Payer: Railroad Medicare Medicare |
$292.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,028.72
|
| Rate for Payer: UHC Core |
$976.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.25
|
| Rate for Payer: UHC Medicare Advantage |
$301.02
|
| Rate for Payer: VA VA |
$292.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$876.75
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 45379
|
| Hospital Charge Code |
45379
|
| Min. Negotiated Rate |
$149.74 |
| Max. Negotiated Rate |
$818.30 |
| Rate for Payer: Aetna Commercial |
$310.84
|
| Rate for Payer: Aetna Medicare |
$241.25
|
| Rate for Payer: BCBS Complete |
$157.23
|
| Rate for Payer: BCBS MAPPO |
$231.97
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$231.97
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$334.04
|
| Rate for Payer: Cofinity Commercial |
$310.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.97
|
| Rate for Payer: Mclaren Medicaid |
$149.74
|
| Rate for Payer: Meridian Medicaid |
$157.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.57
|
| Rate for Payer: PACE SWMI |
$231.97
|
| Rate for Payer: PHP Medicare Advantage |
$231.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.58
|
| Rate for Payer: Priority Health Medicare |
$231.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$411.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.97
|
| Rate for Payer: UHC Medicare Advantage |
$238.93
|
|
|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,193.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$3,510.17 |
| Rate for Payer: Aetna Commercial |
$315.49
|
| Rate for Payer: Aetna Medicare |
$244.86
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS MAPPO |
$235.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,324.06
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$235.44
|
| Rate for Payer: Cash Price |
$954.40
|
| Rate for Payer: Cash Price |
$954.40
|
| Rate for Payer: Cofinity Commercial |
$315.49
|
| Rate for Payer: Cofinity Commercial |
$339.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.44
|
| Rate for Payer: Mclaren Medicaid |
$152.08
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$247.21
|
| Rate for Payer: PACE SWMI |
$235.44
|
| Rate for Payer: PHP Medicare Advantage |
$235.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.05
|
| Rate for Payer: Priority Health Medicare |
$235.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.44
|
| Rate for Payer: UHC Medicare Advantage |
$242.50
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,573.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$144.84 |
| Max. Negotiated Rate |
$3,239.54 |
| Rate for Payer: Aetna Commercial |
$300.54
|
| Rate for Payer: Aetna Medicare |
$233.25
|
| Rate for Payer: BCBS Complete |
$152.08
|
| Rate for Payer: BCBS MAPPO |
$224.28
|
| Rate for Payer: BCBS Trust/PPO |
$3,239.54
|
| Rate for Payer: BCN Commercial |
$941.68
|
| Rate for Payer: BCN Medicare Advantage |
$224.28
|
| Rate for Payer: Cash Price |
$1,258.40
|
| Rate for Payer: Cash Price |
$1,258.40
|
| Rate for Payer: Cofinity Commercial |
$300.54
|
| Rate for Payer: Cofinity Commercial |
$322.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.28
|
| Rate for Payer: Mclaren Medicaid |
$144.84
|
| Rate for Payer: Meridian Medicaid |
$152.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$235.49
|
| Rate for Payer: PACE SWMI |
$224.28
|
| Rate for Payer: PHP Medicare Advantage |
$224.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,101.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.06
|
| Rate for Payer: Priority Health Medicare |
$224.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.28
|
| Rate for Payer: UHC Medicare Advantage |
$231.01
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
IP
|
$989.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$603.19 |
| Max. Negotiated Rate |
$890.10 |
| Rate for Payer: Aetna Commercial |
$840.65
|
| Rate for Payer: BCBS Trust/PPO |
$764.30
|
| Rate for Payer: BCN Commercial |
$764.30
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$850.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$791.20
|
| Rate for Payer: Healthscope Commercial |
$890.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$741.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$840.65
|
| Rate for Payer: PHP Commercial |
$840.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$860.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$603.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$870.32
|
| Rate for Payer: UHC Core |
$825.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$741.75
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$989.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$4,017.19 |
| Rate for Payer: Aetna Commercial |
$204.35
|
| Rate for Payer: Aetna Medicare |
$158.60
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$152.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$152.50
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$219.60
|
| Rate for Payer: Cofinity Commercial |
$204.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.50
|
| Rate for Payer: Mclaren Medicaid |
$98.41
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.12
|
| Rate for Payer: PACE SWMI |
$152.50
|
| Rate for Payer: PHP Medicare Advantage |
$152.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$270.47
|
| Rate for Payer: Priority Health Medicare |
$152.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.50
|
| Rate for Payer: UHC Medicare Advantage |
$157.08
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$989.00
|
|
|
Service Code
|
HCPCS 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$4,017.19 |
| Rate for Payer: Aetna Commercial |
$204.35
|
| Rate for Payer: Aetna Medicare |
$158.60
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$152.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$152.50
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$204.35
|
| Rate for Payer: Cofinity Commercial |
$219.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.50
|
| Rate for Payer: Mclaren Medicaid |
$98.41
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.12
|
| Rate for Payer: PACE SWMI |
$152.50
|
| Rate for Payer: PHP Medicare Advantage |
$152.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$270.47
|
| Rate for Payer: Priority Health Medicare |
$152.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.50
|
| Rate for Payer: UHC Medicare Advantage |
$157.08
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
OP
|
$989.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$234.89 |
| Max. Negotiated Rate |
$890.10 |
| Rate for Payer: Aetna Commercial |
$840.65
|
| Rate for Payer: Aetna Medicare |
$257.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$309.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$309.06
|
| Rate for Payer: BCBS Complete |
$629.53
|
| Rate for Payer: BCBS MAPPO |
$247.25
|
| Rate for Payer: BCBS Trust/PPO |
$768.95
|
| Rate for Payer: BCN Commercial |
$768.95
|
| Rate for Payer: BCN Medicare Advantage |
$247.25
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$850.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$791.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$247.25
|
| Rate for Payer: Healthscope Commercial |
$890.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$741.75
|
| Rate for Payer: Mclaren Medicaid |
$599.55
|
| Rate for Payer: Meridian Medicaid |
$629.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$259.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$284.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$840.65
|
| Rate for Payer: PACE Senior Care Partners |
$234.89
|
| Rate for Payer: PACE SWMI |
$247.25
|
| Rate for Payer: PHP Commercial |
$840.65
|
| Rate for Payer: PHP Medicare Advantage |
$247.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$860.43
|
| Rate for Payer: Priority Health Medicare |
$247.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$603.19
|
| Rate for Payer: Railroad Medicare Medicare |
$247.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$870.32
|
| Rate for Payer: UHC Core |
$825.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$247.25
|
| Rate for Payer: UHC Medicare Advantage |
$254.67
|
| Rate for Payer: VA VA |
$247.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$741.75
|
|
