PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
IP
|
$2,102.00
|
|
Service Code
|
CPT 21554
|
Hospital Charge Code |
21554
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$1,282.01 |
Max. Negotiated Rate |
$1,891.80 |
Rate for Payer: Aetna Commercial |
$1,786.70
|
Rate for Payer: BCBS Trust/PPO |
$1,624.43
|
Rate for Payer: BCN Commercial |
$1,624.43
|
Rate for Payer: Cash Price |
$1,681.60
|
Rate for Payer: Cofinity Commercial |
$1,807.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,681.60
|
Rate for Payer: Healthscope Commercial |
$1,891.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,576.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,786.70
|
Rate for Payer: PHP Commercial |
$1,786.70
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,471.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,828.74
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,282.01
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,849.76
|
Rate for Payer: UHC Core |
$1,755.17
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,576.50
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
OP
|
$2,102.00
|
|
Service Code
|
CPT 21554
|
Hospital Charge Code |
21554
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$499.22 |
Max. Negotiated Rate |
$1,957.20 |
Rate for Payer: Aetna Commercial |
$1,786.70
|
Rate for Payer: Aetna Medicare |
$546.52
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$656.88
|
Rate for Payer: Amish Plain Church Group Commercial |
$656.88
|
Rate for Payer: BCBS Complete |
$1,957.20
|
Rate for Payer: BCBS MAPPO |
$525.50
|
Rate for Payer: BCBS Trust/PPO |
$1,634.30
|
Rate for Payer: BCN Commercial |
$1,634.30
|
Rate for Payer: BCN Medicare Advantage |
$525.50
|
Rate for Payer: Cash Price |
$1,681.60
|
Rate for Payer: Cash Price |
$1,681.60
|
Rate for Payer: Cofinity Commercial |
$1,807.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,681.60
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.50
|
Rate for Payer: Healthscope Commercial |
$1,891.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,576.50
|
Rate for Payer: Mclaren Medicaid |
$1,864.00
|
Rate for Payer: Meridian Medicaid |
$1,957.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$551.78
|
Rate for Payer: MI Amish Medical Board Commercial |
$604.32
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,786.70
|
Rate for Payer: PACE Senior Care Partners |
$499.22
|
Rate for Payer: PACE SWMI |
$525.50
|
Rate for Payer: PHP Commercial |
$1,786.70
|
Rate for Payer: PHP Medicare Advantage |
$525.50
|
Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,471.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,828.74
|
Rate for Payer: Priority Health Medicare |
$525.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,282.01
|
Rate for Payer: Railroad Medicare Medicare |
$525.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,849.76
|
Rate for Payer: UHC Core |
$1,755.17
|
Rate for Payer: UHC Dual Complete DSNP |
$525.50
|
Rate for Payer: UHC Medicare Advantage |
$541.26
|
Rate for Payer: VA VA |
$525.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,576.50
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
IP
|
$1,244.00
|
|
Service Code
|
CPT 27048
|
Hospital Charge Code |
27048
|
Min. Negotiated Rate |
$758.72 |
Max. Negotiated Rate |
$1,119.60 |
Rate for Payer: Aetna Commercial |
$1,057.40
|
Rate for Payer: BCBS Trust/PPO |
$961.36
|
Rate for Payer: BCN Commercial |
$961.36
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cofinity Commercial |
$1,069.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$995.20
|
Rate for Payer: Healthscope Commercial |
$1,119.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$933.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,057.40
|
Rate for Payer: PHP Commercial |
$1,057.40
|
Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,082.28
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$758.72
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,094.72
|
Rate for Payer: UHC Core |
$1,038.74
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$933.00
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
OP
|
$1,244.00
|
|
Service Code
|
CPT 27048
|
Hospital Charge Code |
27048
|
Min. Negotiated Rate |
$295.45 |
Max. Negotiated Rate |
$1,957.20 |
Rate for Payer: Aetna Commercial |
$1,057.40
|
Rate for Payer: Aetna Medicare |
$323.44
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$388.75
|
Rate for Payer: Amish Plain Church Group Commercial |
$388.75
|
Rate for Payer: BCBS Complete |
$1,957.20
|
Rate for Payer: BCBS MAPPO |
$311.00
|
Rate for Payer: BCBS Trust/PPO |
$967.21
|
Rate for Payer: BCN Commercial |
$967.21
|
Rate for Payer: BCN Medicare Advantage |
$311.00
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cofinity Commercial |
$1,069.84
|
Rate for Payer: Encore Health Key Benefits Commercial |
$995.20
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.00
|
Rate for Payer: Healthscope Commercial |
$1,119.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$933.00
|
Rate for Payer: Mclaren Medicaid |
$1,864.00
|
Rate for Payer: Meridian Medicaid |
$1,957.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$326.55
|
Rate for Payer: MI Amish Medical Board Commercial |
$357.65
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,057.40
|
Rate for Payer: PACE Senior Care Partners |
$295.45
|
Rate for Payer: PACE SWMI |
$311.00
|
Rate for Payer: PHP Commercial |
$1,057.40
|
Rate for Payer: PHP Medicare Advantage |
$311.00
|
Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,082.28
|
Rate for Payer: Priority Health Medicare |
$311.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$758.72
|
Rate for Payer: Railroad Medicare Medicare |
$311.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,094.72
|
Rate for Payer: UHC Core |
$1,038.74
|
Rate for Payer: UHC Dual Complete DSNP |
$311.00
|
Rate for Payer: UHC Medicare Advantage |
$320.33
|
Rate for Payer: VA VA |
$311.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$933.00
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,244.00
|
|
Service Code
|
HCPCS 27048
|
Min. Negotiated Rate |
$395.54 |
Max. Negotiated Rate |
$4,154.02 |
Rate for Payer: Aetna Commercial |
$811.69
|
Rate for Payer: Aetna Medicare |
$629.97
|
Rate for Payer: BCBS Complete |
$415.32
|
Rate for Payer: BCBS MAPPO |
$605.74
|
Rate for Payer: BCBS Trust/PPO |
$4,154.02
|
Rate for Payer: BCN Commercial |
$899.16
|
Rate for Payer: BCN Medicare Advantage |
$605.74
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cofinity Commercial |
$872.27
|
Rate for Payer: Cofinity Commercial |
$811.69
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.74
|
Rate for Payer: Mclaren Medicaid |
$395.54
|
Rate for Payer: Meridian Medicaid |
$415.32
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$636.03
|
Rate for Payer: PACE SWMI |
$605.74
|
Rate for Payer: PHP Medicare Advantage |
$605.74
|
Rate for Payer: Priority Health Choice Medicaid |
$395.54
|
Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$939.59
|
Rate for Payer: Priority Health Medicare |
$605.74
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$939.59
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$605.74
|
Rate for Payer: UHC Dual Complete DSNP |
$605.74
|
Rate for Payer: UHC Medicare Advantage |
$623.91
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,244.00
|
|
Service Code
|
HCPCS 27048
|
Hospital Charge Code |
27048
|
Min. Negotiated Rate |
$395.54 |
Max. Negotiated Rate |
$4,154.02 |
Rate for Payer: Aetna Commercial |
$811.69
|
Rate for Payer: Aetna Medicare |
$629.97
|
Rate for Payer: BCBS Complete |
$415.32
|
Rate for Payer: BCBS MAPPO |
$605.74
|
Rate for Payer: BCBS Trust/PPO |
$4,154.02
|
Rate for Payer: BCN Commercial |
$899.16
|
Rate for Payer: BCN Medicare Advantage |
$605.74
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cash Price |
$995.20
|
Rate for Payer: Cofinity Commercial |
$811.69
|
Rate for Payer: Cofinity Commercial |
$872.27
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.74
|
Rate for Payer: Mclaren Medicaid |
$395.54
|
Rate for Payer: Meridian Medicaid |
$415.32
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$636.03
|
Rate for Payer: PACE SWMI |
$605.74
|
Rate for Payer: PHP Medicare Advantage |
$605.74
|
Rate for Payer: Priority Health Choice Medicaid |
$395.54
|
Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$939.59
|
Rate for Payer: Priority Health Medicare |
$605.74
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$939.59
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$605.74
|
Rate for Payer: UHC Dual Complete DSNP |
$605.74
|
Rate for Payer: UHC Medicare Advantage |
$623.91
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>
|
Professional
|
Both
|
$1,372.00
|
|
Service Code
|
HCPCS 27045
|
Min. Negotiated Rate |
$137.89 |
Max. Negotiated Rate |
$1,127.52 |
Rate for Payer: Aetna Commercial |
$976.06
|
Rate for Payer: Aetna Medicare |
$757.54
|
Rate for Payer: BCBS Complete |
$495.61
|
Rate for Payer: BCBS MAPPO |
$728.40
|
Rate for Payer: BCBS Trust/PPO |
$137.89
|
Rate for Payer: BCN Commercial |
$1,079.00
|
Rate for Payer: BCN Medicare Advantage |
$728.40
|
Rate for Payer: Cash Price |
$1,097.60
|
Rate for Payer: Cash Price |
$1,097.60
|
Rate for Payer: Cofinity Commercial |
$976.06
|
Rate for Payer: Cofinity Commercial |
$1,048.90
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.40
|
Rate for Payer: Mclaren Medicaid |
$472.01
|
Rate for Payer: Meridian Medicaid |
$495.61
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$764.82
|
Rate for Payer: PACE SWMI |
$728.40
|
Rate for Payer: PHP Medicare Advantage |
$728.40
|
Rate for Payer: Priority Health Choice Medicaid |
$472.01
|
Rate for Payer: Priority Health Cigna Priority Health |
$960.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,127.52
|
Rate for Payer: Priority Health Medicare |
$728.40
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,127.52
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$728.40
|
Rate for Payer: UHC Dual Complete DSNP |
$728.40
|
Rate for Payer: UHC Medicare Advantage |
$750.25
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM
|
Professional
|
Both
|
$788.00
|
|
Service Code
|
HCPCS 27047
|
Min. Negotiated Rate |
$234.51 |
Max. Negotiated Rate |
$3,876.14 |
Rate for Payer: Aetna Commercial |
$476.89
|
Rate for Payer: Aetna Medicare |
$370.13
|
Rate for Payer: BCBS Complete |
$246.24
|
Rate for Payer: BCBS MAPPO |
$355.89
|
Rate for Payer: BCBS Trust/PPO |
$3,876.14
|
Rate for Payer: BCN Commercial |
$728.62
|
Rate for Payer: BCN Medicare Advantage |
$355.89
|
Rate for Payer: Cash Price |
$630.40
|
Rate for Payer: Cash Price |
$630.40
|
Rate for Payer: Cofinity Commercial |
$512.48
|
Rate for Payer: Cofinity Commercial |
$476.89
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.89
|
Rate for Payer: Mclaren Medicaid |
$234.51
|
Rate for Payer: Meridian Medicaid |
$246.24
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$373.68
|
Rate for Payer: PACE SWMI |
$355.89
|
Rate for Payer: PHP Medicare Advantage |
$355.89
|
Rate for Payer: Priority Health Choice Medicaid |
$234.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$551.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.06
|
Rate for Payer: Priority Health Medicare |
$355.89
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$554.06
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$355.89
|
Rate for Payer: UHC Dual Complete DSNP |
$355.89
|
Rate for Payer: UHC Medicare Advantage |
$366.57
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Professional
|
Both
|
$1,556.00
|
|
Service Code
|
HCPCS 23073
|
Hospital Charge Code |
23073
|
Min. Negotiated Rate |
$449.43 |
Max. Negotiated Rate |
$1,089.20 |
Rate for Payer: Aetna Commercial |
$923.96
|
Rate for Payer: Aetna Medicare |
$717.10
|
Rate for Payer: BCBS Complete |
$471.90
|
Rate for Payer: BCBS MAPPO |
$689.52
|
Rate for Payer: BCBS Trust/PPO |
$464.38
|
Rate for Payer: BCN Commercial |
$1,023.29
|
Rate for Payer: BCN Medicare Advantage |
$689.52
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cofinity Commercial |
$923.96
|
Rate for Payer: Cofinity Commercial |
$992.91
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.52
|
Rate for Payer: Mclaren Medicaid |
$449.43
|
Rate for Payer: Meridian Medicaid |
$471.90
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$724.00
|
Rate for Payer: PACE SWMI |
$689.52
|
Rate for Payer: PHP Medicare Advantage |
$689.52
|
Rate for Payer: Priority Health Choice Medicaid |
$449.43
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,089.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,069.30
|
Rate for Payer: Priority Health Medicare |
$689.52
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,069.30
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$689.52
|
Rate for Payer: UHC Dual Complete DSNP |
$689.52
|
Rate for Payer: UHC Medicare Advantage |
$710.21
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Professional
|
Both
|
$1,556.00
|
|
Service Code
|
HCPCS 23073
|
Min. Negotiated Rate |
$449.43 |
Max. Negotiated Rate |
$1,089.20 |
Rate for Payer: Aetna Commercial |
$923.96
|
Rate for Payer: Aetna Medicare |
$717.10
|
Rate for Payer: BCBS Complete |
$471.90
|
Rate for Payer: BCBS MAPPO |
$689.52
|
Rate for Payer: BCBS Trust/PPO |
$464.38
|
Rate for Payer: BCN Commercial |
$1,023.29
|
Rate for Payer: BCN Medicare Advantage |
$689.52
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cofinity Commercial |
$992.91
|
Rate for Payer: Cofinity Commercial |
$923.96
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.52
|
Rate for Payer: Mclaren Medicaid |
$449.43
|
Rate for Payer: Meridian Medicaid |
$471.90
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$724.00
|
Rate for Payer: PACE SWMI |
$689.52
|
Rate for Payer: PHP Medicare Advantage |
$689.52
|
Rate for Payer: Priority Health Choice Medicaid |
$449.43
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,089.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,069.30
|
Rate for Payer: Priority Health Medicare |
$689.52
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,069.30
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$689.52
|
Rate for Payer: UHC Dual Complete DSNP |
$689.52
|
Rate for Payer: UHC Medicare Advantage |
$710.21
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Facility
|
OP
|
$1,556.00
|
|
Service Code
|
CPT 23073
|
Hospital Charge Code |
23073
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$369.55 |
Max. Negotiated Rate |
$1,957.20 |
Rate for Payer: Aetna Commercial |
$1,322.60
|
Rate for Payer: Aetna Medicare |
$404.56
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$486.25
|
Rate for Payer: Amish Plain Church Group Commercial |
$486.25
|
Rate for Payer: BCBS Complete |
$1,957.20
|
Rate for Payer: BCBS MAPPO |
$389.00
|
Rate for Payer: BCBS Trust/PPO |
$1,209.79
|
Rate for Payer: BCN Commercial |
$1,209.79
|
Rate for Payer: BCN Medicare Advantage |
$389.00
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cofinity Commercial |
$1,338.16
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,244.80
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.00
|
Rate for Payer: Healthscope Commercial |
$1,400.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.00
|
Rate for Payer: Mclaren Medicaid |
$1,864.00
|
Rate for Payer: Meridian Medicaid |
$1,957.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$408.45
|
Rate for Payer: MI Amish Medical Board Commercial |
$447.35
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,322.60
|
Rate for Payer: PACE Senior Care Partners |
$369.55
|
Rate for Payer: PACE SWMI |
$389.00
|
Rate for Payer: PHP Commercial |
$1,322.60
|
Rate for Payer: PHP Medicare Advantage |
$389.00
|
Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,089.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,353.72
|
Rate for Payer: Priority Health Medicare |
$389.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$949.00
|
Rate for Payer: Railroad Medicare Medicare |
$389.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,369.28
|
Rate for Payer: UHC Core |
$1,299.26
|
Rate for Payer: UHC Dual Complete DSNP |
$389.00
|
Rate for Payer: UHC Medicare Advantage |
$400.67
|
Rate for Payer: VA VA |
$389.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.00
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Facility
|
IP
|
$1,556.00
|
|
Service Code
|
CPT 23073
|
Hospital Charge Code |
23073
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$949.00 |
Max. Negotiated Rate |
$1,400.40 |
Rate for Payer: Aetna Commercial |
$1,322.60
|
Rate for Payer: BCBS Trust/PPO |
$1,202.48
|
Rate for Payer: BCN Commercial |
$1,202.48
|
Rate for Payer: Cash Price |
$1,244.80
|
Rate for Payer: Cofinity Commercial |
$1,338.16
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,244.80
|
Rate for Payer: Healthscope Commercial |
$1,400.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,322.60
|
Rate for Payer: PHP Commercial |
$1,322.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,089.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,353.72
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$949.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,369.28
|
Rate for Payer: UHC Core |
$1,299.26
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.00
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>
|
Professional
|
Both
|
$3,212.00
|
|
Service Code
|
HCPCS 27339
|
Min. Negotiated Rate |
$487.13 |
Max. Negotiated Rate |
$2,248.40 |
Rate for Payer: Aetna Commercial |
$998.66
|
Rate for Payer: Aetna Medicare |
$775.08
|
Rate for Payer: BCBS Complete |
$511.49
|
Rate for Payer: BCBS MAPPO |
$745.27
|
Rate for Payer: BCBS Trust/PPO |
$1,596.52
|
Rate for Payer: BCN Commercial |
$1,104.90
|
Rate for Payer: BCN Medicare Advantage |
$745.27
|
Rate for Payer: Cash Price |
$2,569.60
|
Rate for Payer: Cash Price |
$2,569.60
|
Rate for Payer: Cofinity Commercial |
$998.66
|
Rate for Payer: Cofinity Commercial |
$1,073.19
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.27
|
Rate for Payer: Mclaren Medicaid |
$487.13
|
Rate for Payer: Meridian Medicaid |
$511.49
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$782.53
|
Rate for Payer: PACE SWMI |
$745.27
|
Rate for Payer: PHP Medicare Advantage |
$745.27
|
Rate for Payer: Priority Health Choice Medicaid |
$487.13
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,248.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,154.58
|
Rate for Payer: Priority Health Medicare |
$745.27
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,154.58
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$745.27
|
Rate for Payer: UHC Dual Complete DSNP |
$745.27
|
Rate for Payer: UHC Medicare Advantage |
$767.63
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM
|
Professional
|
Both
|
$1,714.00
|
|
Service Code
|
HCPCS 27328
|
Min. Negotiated Rate |
$403.42 |
Max. Negotiated Rate |
$1,529.96 |
Rate for Payer: Aetna Commercial |
$826.70
|
Rate for Payer: Aetna Medicare |
$641.62
|
Rate for Payer: BCBS Complete |
$423.59
|
Rate for Payer: BCBS MAPPO |
$616.94
|
Rate for Payer: BCBS Trust/PPO |
$1,529.96
|
Rate for Payer: BCN Commercial |
$917.25
|
Rate for Payer: BCN Medicare Advantage |
$616.94
|
Rate for Payer: Cash Price |
$1,371.20
|
Rate for Payer: Cash Price |
$1,371.20
|
Rate for Payer: Cofinity Commercial |
$888.39
|
Rate for Payer: Cofinity Commercial |
$826.70
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.94
|
Rate for Payer: Mclaren Medicaid |
$403.42
|
Rate for Payer: Meridian Medicaid |
$423.59
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$647.79
|
Rate for Payer: PACE SWMI |
$616.94
|
Rate for Payer: PHP Medicare Advantage |
$616.94
|
Rate for Payer: Priority Health Choice Medicaid |
$403.42
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,199.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.49
|
Rate for Payer: Priority Health Medicare |
$616.94
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$958.49
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$616.94
|
Rate for Payer: UHC Dual Complete DSNP |
$616.94
|
Rate for Payer: UHC Medicare Advantage |
$635.45
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Professional
|
Both
|
$1,526.00
|
|
Service Code
|
HCPCS 24071
|
Hospital Charge Code |
24071
|
Min. Negotiated Rate |
$173.81 |
Max. Negotiated Rate |
$1,068.20 |
Rate for Payer: Aetna Commercial |
$537.31
|
Rate for Payer: Aetna Medicare |
$417.02
|
Rate for Payer: BCBS Complete |
$275.54
|
Rate for Payer: BCBS MAPPO |
$400.98
|
Rate for Payer: BCBS Trust/PPO |
$173.81
|
Rate for Payer: BCN Commercial |
$596.19
|
Rate for Payer: BCN Medicare Advantage |
$400.98
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cofinity Commercial |
$537.31
|
Rate for Payer: Cofinity Commercial |
$577.41
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.98
|
Rate for Payer: Mclaren Medicaid |
$262.42
|
Rate for Payer: Meridian Medicaid |
$275.54
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$421.03
|
Rate for Payer: PACE SWMI |
$400.98
|
Rate for Payer: PHP Medicare Advantage |
$400.98
|
Rate for Payer: Priority Health Choice Medicaid |
$262.42
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,068.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$622.99
|
Rate for Payer: Priority Health Medicare |
$400.98
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$622.99
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$400.98
|
Rate for Payer: UHC Dual Complete DSNP |
$400.98
|
Rate for Payer: UHC Medicare Advantage |
$413.01
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$1,526.00
|
|
Service Code
|
CPT 24071
|
Hospital Charge Code |
24071
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$362.42 |
Max. Negotiated Rate |
$1,957.20 |
Rate for Payer: Aetna Commercial |
$1,297.10
|
Rate for Payer: Aetna Medicare |
$396.76
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$476.88
|
Rate for Payer: Amish Plain Church Group Commercial |
$476.88
|
Rate for Payer: BCBS Complete |
$1,957.20
|
Rate for Payer: BCBS MAPPO |
$381.50
|
Rate for Payer: BCBS Trust/PPO |
$1,186.46
|
Rate for Payer: BCN Commercial |
$1,186.46
|
Rate for Payer: BCN Medicare Advantage |
$381.50
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cofinity Commercial |
$1,312.36
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,220.80
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.50
|
Rate for Payer: Healthscope Commercial |
$1,373.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,144.50
|
Rate for Payer: Mclaren Medicaid |
$1,864.00
|
Rate for Payer: Meridian Medicaid |
$1,957.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$400.58
|
Rate for Payer: MI Amish Medical Board Commercial |
$438.72
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,297.10
|
Rate for Payer: PACE Senior Care Partners |
$362.42
|
Rate for Payer: PACE SWMI |
$381.50
|
Rate for Payer: PHP Commercial |
$1,297.10
|
Rate for Payer: PHP Medicare Advantage |
$381.50
|
Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,068.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,327.62
|
Rate for Payer: Priority Health Medicare |
$381.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$930.71
|
Rate for Payer: Railroad Medicare Medicare |
$381.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,342.88
|
Rate for Payer: UHC Core |
$1,274.21
|
Rate for Payer: UHC Dual Complete DSNP |
$381.50
|
Rate for Payer: UHC Medicare Advantage |
$392.94
|
Rate for Payer: VA VA |
$381.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,144.50
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$1,526.00
|
|
Service Code
|
CPT 24071
|
Hospital Charge Code |
24071
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$930.71 |
Max. Negotiated Rate |
$1,373.40 |
Rate for Payer: Aetna Commercial |
$1,297.10
|
Rate for Payer: BCBS Trust/PPO |
$1,179.29
|
Rate for Payer: BCN Commercial |
$1,179.29
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cofinity Commercial |
$1,312.36
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,220.80
|
Rate for Payer: Healthscope Commercial |
$1,373.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,144.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,297.10
|
Rate for Payer: PHP Commercial |
$1,297.10
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,068.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,327.62
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$930.71
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,342.88
|
Rate for Payer: UHC Core |
$1,274.21
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,144.50
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Professional
|
Both
|
$1,526.00
|
|
Service Code
|
HCPCS 24071
|
Min. Negotiated Rate |
$173.81 |
Max. Negotiated Rate |
$1,068.20 |
Rate for Payer: Aetna Commercial |
$537.31
|
Rate for Payer: Aetna Medicare |
$417.02
|
Rate for Payer: BCBS Complete |
$275.54
|
Rate for Payer: BCBS MAPPO |
$400.98
|
Rate for Payer: BCBS Trust/PPO |
$173.81
|
Rate for Payer: BCN Commercial |
$596.19
|
Rate for Payer: BCN Medicare Advantage |
$400.98
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cash Price |
$1,220.80
|
Rate for Payer: Cofinity Commercial |
$537.31
|
Rate for Payer: Cofinity Commercial |
$577.41
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.98
|
Rate for Payer: Mclaren Medicaid |
$262.42
|
Rate for Payer: Meridian Medicaid |
$275.54
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$421.03
|
Rate for Payer: PACE SWMI |
$400.98
|
Rate for Payer: PHP Medicare Advantage |
$400.98
|
Rate for Payer: Priority Health Choice Medicaid |
$262.42
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,068.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$622.99
|
Rate for Payer: Priority Health Medicare |
$400.98
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$622.99
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$400.98
|
Rate for Payer: UHC Dual Complete DSNP |
$400.98
|
Rate for Payer: UHC Medicare Advantage |
$413.01
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Professional
|
Both
|
$1,272.00
|
|
Service Code
|
HCPCS 24075
|
Min. Negotiated Rate |
$116.31 |
Max. Negotiated Rate |
$890.40 |
Rate for Payer: Aetna Commercial |
$435.82
|
Rate for Payer: Aetna Medicare |
$338.25
|
Rate for Payer: BCBS Complete |
$224.77
|
Rate for Payer: BCBS MAPPO |
$325.24
|
Rate for Payer: BCBS Trust/PPO |
$116.31
|
Rate for Payer: BCN Commercial |
$787.75
|
Rate for Payer: BCN Medicare Advantage |
$325.24
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cofinity Commercial |
$468.35
|
Rate for Payer: Cofinity Commercial |
$435.82
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.24
|
Rate for Payer: Mclaren Medicaid |
$214.07
|
Rate for Payer: Meridian Medicaid |
$224.77
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.50
|
Rate for Payer: PACE SWMI |
$325.24
|
Rate for Payer: PHP Medicare Advantage |
$325.24
|
Rate for Payer: Priority Health Choice Medicaid |
$214.07
|
Rate for Payer: Priority Health Cigna Priority Health |
$890.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.61
|
Rate for Payer: Priority Health Medicare |
$325.24
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$508.61
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$325.24
|
Rate for Payer: UHC Dual Complete DSNP |
$325.24
|
Rate for Payer: UHC Medicare Advantage |
$335.00
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$1,272.00
|
|
Service Code
|
CPT 24075
|
Hospital Charge Code |
24075
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$302.10 |
Max. Negotiated Rate |
$1,144.80 |
Rate for Payer: Aetna Commercial |
$1,081.20
|
Rate for Payer: Aetna Medicare |
$330.72
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$397.50
|
Rate for Payer: Amish Plain Church Group Commercial |
$397.50
|
Rate for Payer: BCBS Complete |
$1,116.73
|
Rate for Payer: BCBS MAPPO |
$318.00
|
Rate for Payer: BCBS Trust/PPO |
$988.98
|
Rate for Payer: BCN Commercial |
$988.98
|
Rate for Payer: BCN Medicare Advantage |
$318.00
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cofinity Commercial |
$1,093.92
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,017.60
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.00
|
Rate for Payer: Healthscope Commercial |
$1,144.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$954.00
|
Rate for Payer: Mclaren Medicaid |
$1,063.55
|
Rate for Payer: Meridian Medicaid |
$1,116.73
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$333.90
|
Rate for Payer: MI Amish Medical Board Commercial |
$365.70
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,081.20
|
Rate for Payer: PACE Senior Care Partners |
$302.10
|
Rate for Payer: PACE SWMI |
$318.00
|
Rate for Payer: PHP Commercial |
$1,081.20
|
Rate for Payer: PHP Medicare Advantage |
$318.00
|
Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
Rate for Payer: Priority Health Cigna Priority Health |
$890.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,106.64
|
Rate for Payer: Priority Health Medicare |
$318.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$775.79
|
Rate for Payer: Railroad Medicare Medicare |
$318.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,119.36
|
Rate for Payer: UHC Core |
$1,062.12
|
Rate for Payer: UHC Dual Complete DSNP |
$318.00
|
Rate for Payer: UHC Medicare Advantage |
$327.54
|
Rate for Payer: VA VA |
$318.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$954.00
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$1,272.00
|
|
Service Code
|
CPT 24075
|
Hospital Charge Code |
24075
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$775.79 |
Max. Negotiated Rate |
$1,144.80 |
Rate for Payer: Aetna Commercial |
$1,081.20
|
Rate for Payer: BCBS Trust/PPO |
$983.00
|
Rate for Payer: BCN Commercial |
$983.00
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cofinity Commercial |
$1,093.92
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,017.60
|
Rate for Payer: Healthscope Commercial |
$1,144.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$954.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,081.20
|
Rate for Payer: PHP Commercial |
$1,081.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$890.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,106.64
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$775.79
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,119.36
|
Rate for Payer: UHC Core |
$1,062.12
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$954.00
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Professional
|
Both
|
$1,272.00
|
|
Service Code
|
HCPCS 24075
|
Hospital Charge Code |
24075
|
Min. Negotiated Rate |
$116.31 |
Max. Negotiated Rate |
$890.40 |
Rate for Payer: Aetna Commercial |
$435.82
|
Rate for Payer: Aetna Medicare |
$338.25
|
Rate for Payer: BCBS Complete |
$224.77
|
Rate for Payer: BCBS MAPPO |
$325.24
|
Rate for Payer: BCBS Trust/PPO |
$116.31
|
Rate for Payer: BCN Commercial |
$787.75
|
Rate for Payer: BCN Medicare Advantage |
$325.24
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cash Price |
$1,017.60
|
Rate for Payer: Cofinity Commercial |
$468.35
|
Rate for Payer: Cofinity Commercial |
$435.82
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.24
|
Rate for Payer: Mclaren Medicaid |
$214.07
|
Rate for Payer: Meridian Medicaid |
$224.77
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.50
|
Rate for Payer: PACE SWMI |
$325.24
|
Rate for Payer: PHP Medicare Advantage |
$325.24
|
Rate for Payer: Priority Health Choice Medicaid |
$214.07
|
Rate for Payer: Priority Health Cigna Priority Health |
$890.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.61
|
Rate for Payer: Priority Health Medicare |
$325.24
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$508.61
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$325.24
|
Rate for Payer: UHC Dual Complete DSNP |
$325.24
|
Rate for Payer: UHC Medicare Advantage |
$335.00
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Professional
|
Both
|
$1,660.00
|
|
Service Code
|
HCPCS 24073
|
Min. Negotiated Rate |
$293.21 |
Max. Negotiated Rate |
$1,162.00 |
Rate for Payer: Aetna Commercial |
$918.62
|
Rate for Payer: Aetna Medicare |
$712.96
|
Rate for Payer: BCBS Complete |
$469.21
|
Rate for Payer: BCBS MAPPO |
$685.54
|
Rate for Payer: BCBS Trust/PPO |
$293.21
|
Rate for Payer: BCN Commercial |
$1,017.43
|
Rate for Payer: BCN Medicare Advantage |
$685.54
|
Rate for Payer: Cash Price |
$1,328.00
|
Rate for Payer: Cash Price |
$1,328.00
|
Rate for Payer: Cofinity Commercial |
$987.18
|
Rate for Payer: Cofinity Commercial |
$918.62
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$685.54
|
Rate for Payer: Mclaren Medicaid |
$446.87
|
Rate for Payer: Meridian Medicaid |
$469.21
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$719.82
|
Rate for Payer: PACE SWMI |
$685.54
|
Rate for Payer: PHP Medicare Advantage |
$685.54
|
Rate for Payer: Priority Health Choice Medicaid |
$446.87
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,162.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,063.17
|
Rate for Payer: Priority Health Medicare |
$685.54
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,063.17
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$685.54
|
Rate for Payer: UHC Dual Complete DSNP |
$685.54
|
Rate for Payer: UHC Medicare Advantage |
$706.11
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Facility
|
OP
|
$1,660.00
|
|
Service Code
|
CPT 24073
|
Hospital Charge Code |
24073
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$394.25 |
Max. Negotiated Rate |
$1,957.20 |
Rate for Payer: Aetna Commercial |
$1,411.00
|
Rate for Payer: Aetna Medicare |
$431.60
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$518.75
|
Rate for Payer: Amish Plain Church Group Commercial |
$518.75
|
Rate for Payer: BCBS Complete |
$1,957.20
|
Rate for Payer: BCBS MAPPO |
$415.00
|
Rate for Payer: BCBS Trust/PPO |
$1,290.65
|
Rate for Payer: BCN Commercial |
$1,290.65
|
Rate for Payer: BCN Medicare Advantage |
$415.00
|
Rate for Payer: Cash Price |
$1,328.00
|
Rate for Payer: Cash Price |
$1,328.00
|
Rate for Payer: Cofinity Commercial |
$1,427.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,328.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.00
|
Rate for Payer: Healthscope Commercial |
$1,494.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,245.00
|
Rate for Payer: Mclaren Medicaid |
$1,864.00
|
Rate for Payer: Meridian Medicaid |
$1,957.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.75
|
Rate for Payer: MI Amish Medical Board Commercial |
$477.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,411.00
|
Rate for Payer: PACE Senior Care Partners |
$394.25
|
Rate for Payer: PACE SWMI |
$415.00
|
Rate for Payer: PHP Commercial |
$1,411.00
|
Rate for Payer: PHP Medicare Advantage |
$415.00
|
Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,162.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,444.20
|
Rate for Payer: Priority Health Medicare |
$415.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,012.43
|
Rate for Payer: Railroad Medicare Medicare |
$415.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,460.80
|
Rate for Payer: UHC Core |
$1,386.10
|
Rate for Payer: UHC Dual Complete DSNP |
$415.00
|
Rate for Payer: UHC Medicare Advantage |
$427.45
|
Rate for Payer: VA VA |
$415.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,245.00
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Facility
|
IP
|
$1,660.00
|
|
Service Code
|
CPT 24073
|
Hospital Charge Code |
24073
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$1,012.43 |
Max. Negotiated Rate |
$1,494.00 |
Rate for Payer: Aetna Commercial |
$1,411.00
|
Rate for Payer: BCBS Trust/PPO |
$1,282.85
|
Rate for Payer: BCN Commercial |
$1,282.85
|
Rate for Payer: Cash Price |
$1,328.00
|
Rate for Payer: Cofinity Commercial |
$1,427.60
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,328.00
|
Rate for Payer: Healthscope Commercial |
$1,494.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,245.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,411.00
|
Rate for Payer: PHP Commercial |
$1,411.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,162.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,444.20
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,012.43
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,460.80
|
Rate for Payer: UHC Core |
$1,386.10
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,245.00
|
|