|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE
|
Professional
|
Both
|
$3,279.00
|
|
|
Service Code
|
HCPCS 45400
|
| Min. Negotiated Rate |
$719.30 |
| Max. Negotiated Rate |
$2,758.78 |
| Rate for Payer: Aetna Commercial |
$1,491.51
|
| Rate for Payer: Aetna Medicare |
$1,157.59
|
| Rate for Payer: BCBS Complete |
$755.26
|
| Rate for Payer: BCBS MAPPO |
$1,113.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,758.78
|
| Rate for Payer: BCN Commercial |
$1,640.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,113.07
|
| Rate for Payer: Cash Price |
$2,623.20
|
| Rate for Payer: Cash Price |
$2,623.20
|
| Rate for Payer: Cofinity Commercial |
$1,602.82
|
| Rate for Payer: Cofinity Commercial |
$1,491.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,113.07
|
| Rate for Payer: Mclaren Medicaid |
$719.30
|
| Rate for Payer: Meridian Medicaid |
$755.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,168.72
|
| Rate for Payer: PACE SWMI |
$1,113.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,113.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,974.41
|
| Rate for Payer: Priority Health Medicare |
$1,113.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,974.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,113.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,113.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,146.46
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ
|
Professional
|
Both
|
$4,572.00
|
|
|
Service Code
|
HCPCS 45402
|
| Min. Negotiated Rate |
$961.70 |
| Max. Negotiated Rate |
$3,200.40 |
| Rate for Payer: Aetna Commercial |
$2,003.47
|
| Rate for Payer: Aetna Medicare |
$1,554.94
|
| Rate for Payer: BCBS Complete |
$1,009.78
|
| Rate for Payer: BCBS MAPPO |
$1,495.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,142.26
|
| Rate for Payer: BCN Commercial |
$2,197.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,495.13
|
| Rate for Payer: Cash Price |
$3,657.60
|
| Rate for Payer: Cash Price |
$3,657.60
|
| Rate for Payer: Cofinity Commercial |
$2,152.99
|
| Rate for Payer: Cofinity Commercial |
$2,003.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,495.13
|
| Rate for Payer: Mclaren Medicaid |
$961.70
|
| Rate for Payer: Meridian Medicaid |
$1,009.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,569.89
|
| Rate for Payer: PACE SWMI |
$1,495.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,495.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$961.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,200.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,644.12
|
| Rate for Payer: Priority Health Medicare |
$1,495.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,644.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,495.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,495.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,539.98
|
|
|
PR LAPAROSCOPY RADICAL NEPHRECTOMY
|
Professional
|
Both
|
$4,009.00
|
|
|
Service Code
|
HCPCS 50545
|
| Min. Negotiated Rate |
$24.83 |
| Max. Negotiated Rate |
$2,806.30 |
| Rate for Payer: Aetna Commercial |
$1,745.18
|
| Rate for Payer: Aetna Medicare |
$1,354.46
|
| Rate for Payer: BCBS Complete |
$885.87
|
| Rate for Payer: BCBS MAPPO |
$1,302.37
|
| Rate for Payer: BCBS Trust/PPO |
$24.83
|
| Rate for Payer: BCN Commercial |
$1,915.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,302.37
|
| Rate for Payer: Cash Price |
$3,207.20
|
| Rate for Payer: Cash Price |
$3,207.20
|
| Rate for Payer: Cofinity Commercial |
$1,875.41
|
| Rate for Payer: Cofinity Commercial |
$1,745.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,302.37
|
| Rate for Payer: Mclaren Medicaid |
$843.69
|
| Rate for Payer: Meridian Medicaid |
$885.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,367.49
|
| Rate for Payer: PACE SWMI |
$1,302.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,302.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$843.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,806.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,117.66
|
| Rate for Payer: Priority Health Medicare |
$1,302.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,117.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,302.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,302.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,341.44
|
|
|
PR LAPAROSCOPY SALPINGOSTOMY
|
Professional
|
Both
|
$3,056.00
|
|
|
Service Code
|
HCPCS 58673
|
| Min. Negotiated Rate |
$94.66 |
| Max. Negotiated Rate |
$2,139.20 |
| Rate for Payer: Aetna Commercial |
$1,058.25
|
| Rate for Payer: Aetna Medicare |
$821.33
|
| Rate for Payer: BCBS Complete |
$533.85
|
| Rate for Payer: BCBS MAPPO |
$789.74
|
| Rate for Payer: BCBS Trust/PPO |
$94.66
|
| Rate for Payer: BCN Commercial |
$1,162.57
|
| Rate for Payer: BCN Medicare Advantage |
$789.74
|
| Rate for Payer: Cash Price |
$2,444.80
|
| Rate for Payer: Cash Price |
$2,444.80
|
| Rate for Payer: Cofinity Commercial |
$1,058.25
|
| Rate for Payer: Cofinity Commercial |
$1,137.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$789.74
|
| Rate for Payer: Mclaren Medicaid |
$508.43
|
| Rate for Payer: Meridian Medicaid |
$533.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$829.23
|
| Rate for Payer: PACE SWMI |
$789.74
|
| Rate for Payer: PHP Medicare Advantage |
$789.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,139.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,126.28
|
| Rate for Payer: Priority Health Medicare |
$789.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,126.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$789.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$789.74
|
| Rate for Payer: UHC Medicare Advantage |
$813.43
|
|
|
PR LAPAROSCOPY SLING OPERATION STRESS INCONT
|
Professional
|
Both
|
$1,690.00
|
|
|
Service Code
|
HCPCS 51992
|
| Min. Negotiated Rate |
$533.78 |
| Max. Negotiated Rate |
$1,505.66 |
| Rate for Payer: Aetna Commercial |
$1,101.90
|
| Rate for Payer: Aetna Medicare |
$855.20
|
| Rate for Payer: BCBS Complete |
$560.47
|
| Rate for Payer: BCBS MAPPO |
$822.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.66
|
| Rate for Payer: BCN Commercial |
$1,210.95
|
| Rate for Payer: BCN Medicare Advantage |
$822.31
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,184.13
|
| Rate for Payer: Cofinity Commercial |
$1,101.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.31
|
| Rate for Payer: Mclaren Medicaid |
$533.78
|
| Rate for Payer: Meridian Medicaid |
$560.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$863.43
|
| Rate for Payer: PACE SWMI |
$822.31
|
| Rate for Payer: PHP Medicare Advantage |
$822.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$533.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,183.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,339.00
|
| Rate for Payer: Priority Health Medicare |
$822.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,339.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$822.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$822.31
|
| Rate for Payer: UHC Medicare Advantage |
$846.98
|
|
|
PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS
|
Professional
|
Both
|
$1,045.00
|
|
|
Service Code
|
HCPCS 44203
|
| Min. Negotiated Rate |
$151.66 |
| Max. Negotiated Rate |
$1,325.50 |
| Rate for Payer: Aetna Commercial |
$322.08
|
| Rate for Payer: Aetna Medicare |
$249.97
|
| Rate for Payer: BCBS Complete |
$159.24
|
| Rate for Payer: BCBS MAPPO |
$240.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,325.50
|
| Rate for Payer: BCN Commercial |
$349.89
|
| Rate for Payer: BCN Medicare Advantage |
$240.36
|
| Rate for Payer: Cash Price |
$836.00
|
| Rate for Payer: Cash Price |
$836.00
|
| Rate for Payer: Cofinity Commercial |
$346.12
|
| Rate for Payer: Cofinity Commercial |
$322.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.36
|
| Rate for Payer: Mclaren Medicaid |
$151.66
|
| Rate for Payer: Meridian Medicaid |
$159.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$252.38
|
| Rate for Payer: PACE SWMI |
$240.36
|
| Rate for Payer: PHP Medicare Advantage |
$240.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.98
|
| Rate for Payer: Priority Health Medicare |
$240.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$420.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.36
|
| Rate for Payer: UHC Medicare Advantage |
$247.57
|
|
|
PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 58541
|
| Min. Negotiated Rate |
$187.02 |
| Max. Negotiated Rate |
$1,389.50 |
| Rate for Payer: Aetna Commercial |
$970.12
|
| Rate for Payer: Aetna Medicare |
$752.93
|
| Rate for Payer: BCBS Complete |
$492.92
|
| Rate for Payer: BCBS MAPPO |
$723.97
|
| Rate for Payer: BCBS Trust/PPO |
$187.02
|
| Rate for Payer: BCN Commercial |
$1,070.70
|
| Rate for Payer: BCN Medicare Advantage |
$723.97
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cofinity Commercial |
$1,042.52
|
| Rate for Payer: Cofinity Commercial |
$970.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$723.97
|
| Rate for Payer: Mclaren Medicaid |
$469.45
|
| Rate for Payer: Meridian Medicaid |
$492.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$760.17
|
| Rate for Payer: PACE SWMI |
$723.97
|
| Rate for Payer: PHP Medicare Advantage |
$723.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,037.27
|
| Rate for Payer: Priority Health Medicare |
$723.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,037.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$723.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$723.97
|
| Rate for Payer: UHC Medicare Advantage |
$745.69
|
|
|
PR LAPAROSCOPY SURG ABLATION RENAL CYSTS
|
Professional
|
Both
|
$1,727.00
|
|
|
Service Code
|
HCPCS 50541
|
| Min. Negotiated Rate |
$581.28 |
| Max. Negotiated Rate |
$2,280.67 |
| Rate for Payer: Aetna Commercial |
$1,200.99
|
| Rate for Payer: Aetna Medicare |
$932.11
|
| Rate for Payer: BCBS Complete |
$610.34
|
| Rate for Payer: BCBS MAPPO |
$896.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.67
|
| Rate for Payer: BCN Commercial |
$1,319.92
|
| Rate for Payer: BCN Medicare Advantage |
$896.26
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,290.61
|
| Rate for Payer: Cofinity Commercial |
$1,200.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$896.26
|
| Rate for Payer: Mclaren Medicaid |
$581.28
|
| Rate for Payer: Meridian Medicaid |
$610.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$941.07
|
| Rate for Payer: PACE SWMI |
$896.26
|
| Rate for Payer: PHP Medicare Advantage |
$896.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$581.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,208.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,459.50
|
| Rate for Payer: Priority Health Medicare |
$896.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,459.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$896.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$896.26
|
| Rate for Payer: UHC Medicare Advantage |
$923.15
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
OP
|
$2,952.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$701.10 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$2,509.20
|
| Rate for Payer: Aetna Medicare |
$767.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$922.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$922.50
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$738.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,295.18
|
| Rate for Payer: BCN Commercial |
$2,295.18
|
| Rate for Payer: BCN Medicare Advantage |
$738.00
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$2,538.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,361.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.00
|
| Rate for Payer: Healthscope Commercial |
$2,656.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,214.00
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$774.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$848.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,509.20
|
| Rate for Payer: PACE Senior Care Partners |
$701.10
|
| Rate for Payer: PACE SWMI |
$738.00
|
| Rate for Payer: PHP Commercial |
$2,509.20
|
| Rate for Payer: PHP Medicare Advantage |
$738.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,568.24
|
| Rate for Payer: Priority Health Medicare |
$738.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,800.42
|
| Rate for Payer: Railroad Medicare Medicare |
$738.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,597.76
|
| Rate for Payer: UHC Core |
$2,464.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$738.00
|
| Rate for Payer: UHC Medicare Advantage |
$760.14
|
| Rate for Payer: VA VA |
$738.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,214.00
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
IP
|
$2,952.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,800.42 |
| Max. Negotiated Rate |
$2,656.80 |
| Rate for Payer: Aetna Commercial |
$2,509.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,281.31
|
| Rate for Payer: BCN Commercial |
$2,281.31
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$2,538.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,361.60
|
| Rate for Payer: Healthscope Commercial |
$2,656.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,214.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,509.20
|
| Rate for Payer: PHP Commercial |
$2,509.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,568.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,800.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,597.76
|
| Rate for Payer: UHC Core |
$2,464.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,214.00
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$2,952.00
|
|
|
Service Code
|
HCPCS 47562
|
| Hospital Charge Code |
47562
|
| Min. Negotiated Rate |
$424.30 |
| Max. Negotiated Rate |
$2,066.40 |
| Rate for Payer: Aetna Commercial |
$878.92
|
| Rate for Payer: Aetna Medicare |
$682.15
|
| Rate for Payer: BCBS Complete |
$445.52
|
| Rate for Payer: BCBS MAPPO |
$655.91
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$655.91
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.91
|
| Rate for Payer: Mclaren Medicaid |
$424.30
|
| Rate for Payer: Meridian Medicaid |
$445.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$688.71
|
| Rate for Payer: PACE SWMI |
$655.91
|
| Rate for Payer: PHP Medicare Advantage |
$655.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.83
|
| Rate for Payer: Priority Health Medicare |
$655.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,161.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$655.91
|
| Rate for Payer: UHC Medicare Advantage |
$675.59
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$2,952.00
|
|
|
Service Code
|
HCPCS 47562
|
| Min. Negotiated Rate |
$424.30 |
| Max. Negotiated Rate |
$2,066.40 |
| Rate for Payer: Aetna Commercial |
$878.92
|
| Rate for Payer: Aetna Medicare |
$682.15
|
| Rate for Payer: BCBS Complete |
$445.52
|
| Rate for Payer: BCBS MAPPO |
$655.91
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$655.91
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.91
|
| Rate for Payer: Mclaren Medicaid |
$424.30
|
| Rate for Payer: Meridian Medicaid |
$445.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$688.71
|
| Rate for Payer: PACE SWMI |
$655.91
|
| Rate for Payer: PHP Medicare Advantage |
$655.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.83
|
| Rate for Payer: Priority Health Medicare |
$655.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,161.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$655.91
|
| Rate for Payer: UHC Medicare Advantage |
$675.59
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,708.00
|
|
|
Service Code
|
HCPCS 44188
|
| Min. Negotiated Rate |
$772.76 |
| Max. Negotiated Rate |
$2,127.29 |
| Rate for Payer: Aetna Commercial |
$1,605.82
|
| Rate for Payer: Aetna Medicare |
$1,246.30
|
| Rate for Payer: BCBS Complete |
$811.40
|
| Rate for Payer: BCBS MAPPO |
$1,198.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,113.13
|
| Rate for Payer: BCN Commercial |
$1,768.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,198.37
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$1,725.65
|
| Rate for Payer: Cofinity Commercial |
$1,605.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,198.37
|
| Rate for Payer: Mclaren Medicaid |
$772.76
|
| Rate for Payer: Meridian Medicaid |
$811.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,258.29
|
| Rate for Payer: PACE SWMI |
$1,198.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,198.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$772.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,127.29
|
| Rate for Payer: Priority Health Medicare |
$1,198.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,127.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,198.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,198.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,234.32
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
OP
|
$2,708.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$643.15 |
| Max. Negotiated Rate |
$2,437.20 |
| Rate for Payer: Aetna Commercial |
$2,301.80
|
| Rate for Payer: Aetna Medicare |
$704.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$846.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$846.25
|
| Rate for Payer: BCBS Complete |
$1,083.20
|
| Rate for Payer: BCBS MAPPO |
$677.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,105.47
|
| Rate for Payer: BCN Commercial |
$2,105.47
|
| Rate for Payer: BCN Medicare Advantage |
$677.00
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$2,328.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,166.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$677.00
|
| Rate for Payer: Healthscope Commercial |
$2,437.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,031.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$710.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$778.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,301.80
|
| Rate for Payer: PACE Senior Care Partners |
$643.15
|
| Rate for Payer: PACE SWMI |
$677.00
|
| Rate for Payer: PHP Commercial |
$2,301.80
|
| Rate for Payer: PHP Medicare Advantage |
$677.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,355.96
|
| Rate for Payer: Priority Health Medicare |
$677.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,651.61
|
| Rate for Payer: Railroad Medicare Medicare |
$677.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,383.04
|
| Rate for Payer: UHC Core |
$2,261.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$677.00
|
| Rate for Payer: UHC Medicare Advantage |
$697.31
|
| Rate for Payer: VA VA |
$677.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,031.00
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
IP
|
$2,708.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,651.61 |
| Max. Negotiated Rate |
$2,437.20 |
| Rate for Payer: Aetna Commercial |
$2,301.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,092.74
|
| Rate for Payer: BCN Commercial |
$2,092.74
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$2,328.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,166.40
|
| Rate for Payer: Healthscope Commercial |
$2,437.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,031.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,301.80
|
| Rate for Payer: PHP Commercial |
$2,301.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,355.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,651.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,383.04
|
| Rate for Payer: UHC Core |
$2,261.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,031.00
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,708.00
|
|
|
Service Code
|
HCPCS 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$772.76 |
| Max. Negotiated Rate |
$2,127.29 |
| Rate for Payer: Aetna Commercial |
$1,605.82
|
| Rate for Payer: Aetna Medicare |
$1,246.30
|
| Rate for Payer: BCBS Complete |
$811.40
|
| Rate for Payer: BCBS MAPPO |
$1,198.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,113.13
|
| Rate for Payer: BCN Commercial |
$1,768.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,198.37
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$1,605.82
|
| Rate for Payer: Cofinity Commercial |
$1,725.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,198.37
|
| Rate for Payer: Mclaren Medicaid |
$772.76
|
| Rate for Payer: Meridian Medicaid |
$811.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,258.29
|
| Rate for Payer: PACE SWMI |
$1,198.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,198.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$772.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,127.29
|
| Rate for Payer: Priority Health Medicare |
$1,198.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,127.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,198.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,198.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,234.32
|
|
|
PR LAPAROSCOPY SURGICAL JEJUNOSTOMY
|
Professional
|
Both
|
$1,959.00
|
|
|
Service Code
|
HCPCS 44186
|
| Min. Negotiated Rate |
$417.91 |
| Max. Negotiated Rate |
$1,371.30 |
| Rate for Payer: Aetna Commercial |
$866.67
|
| Rate for Payer: Aetna Medicare |
$672.64
|
| Rate for Payer: BCBS Complete |
$438.81
|
| Rate for Payer: BCBS MAPPO |
$646.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,287.47
|
| Rate for Payer: BCN Commercial |
$951.95
|
| Rate for Payer: BCN Medicare Advantage |
$646.77
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cofinity Commercial |
$931.35
|
| Rate for Payer: Cofinity Commercial |
$866.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$646.77
|
| Rate for Payer: Mclaren Medicaid |
$417.91
|
| Rate for Payer: Meridian Medicaid |
$438.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$679.11
|
| Rate for Payer: PACE SWMI |
$646.77
|
| Rate for Payer: PHP Medicare Advantage |
$646.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,371.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.37
|
| Rate for Payer: Priority Health Medicare |
$646.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,145.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$646.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$646.77
|
| Rate for Payer: UHC Medicare Advantage |
$666.17
|
|
|
PR LAPAROSCOPY SURGICAL ORCHIECTOMY
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 54690
|
| Min. Negotiated Rate |
$417.48 |
| Max. Negotiated Rate |
$2,517.35 |
| Rate for Payer: Aetna Commercial |
$857.67
|
| Rate for Payer: Aetna Medicare |
$665.65
|
| Rate for Payer: BCBS Complete |
$438.35
|
| Rate for Payer: BCBS MAPPO |
$640.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,517.35
|
| Rate for Payer: BCN Commercial |
$945.10
|
| Rate for Payer: BCN Medicare Advantage |
$640.05
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$857.67
|
| Rate for Payer: Cofinity Commercial |
$921.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$640.05
|
| Rate for Payer: Mclaren Medicaid |
$417.48
|
| Rate for Payer: Meridian Medicaid |
$438.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$672.05
|
| Rate for Payer: PACE SWMI |
$640.05
|
| Rate for Payer: PHP Medicare Advantage |
$640.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$910.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,045.05
|
| Rate for Payer: Priority Health Medicare |
$640.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,045.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$640.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$640.05
|
| Rate for Payer: UHC Medicare Advantage |
$659.25
|
|
|
PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE
|
Professional
|
Both
|
$2,964.00
|
|
|
Service Code
|
HCPCS 44187
|
| Min. Negotiated Rate |
$693.95 |
| Max. Negotiated Rate |
$2,074.80 |
| Rate for Payer: Aetna Commercial |
$1,439.15
|
| Rate for Payer: Aetna Medicare |
$1,116.95
|
| Rate for Payer: BCBS Complete |
$728.65
|
| Rate for Payer: BCBS MAPPO |
$1,073.99
|
| Rate for Payer: BCBS Trust/PPO |
$828.90
|
| Rate for Payer: BCN Commercial |
$1,587.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,073.99
|
| Rate for Payer: Cash Price |
$2,371.20
|
| Rate for Payer: Cash Price |
$2,371.20
|
| Rate for Payer: Cofinity Commercial |
$1,439.15
|
| Rate for Payer: Cofinity Commercial |
$1,546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,073.99
|
| Rate for Payer: Mclaren Medicaid |
$693.95
|
| Rate for Payer: Meridian Medicaid |
$728.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,127.69
|
| Rate for Payer: PACE SWMI |
$1,073.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,073.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$693.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,074.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,910.33
|
| Rate for Payer: Priority Health Medicare |
$1,073.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,910.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,073.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,073.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.21
|
|
|
PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY
|
Professional
|
Both
|
$2,796.00
|
|
|
Service Code
|
HCPCS 50543
|
| Min. Negotiated Rate |
$942.95 |
| Max. Negotiated Rate |
$3,176.67 |
| Rate for Payer: Aetna Commercial |
$1,946.50
|
| Rate for Payer: Aetna Medicare |
$1,510.71
|
| Rate for Payer: BCBS Complete |
$990.10
|
| Rate for Payer: BCBS MAPPO |
$1,452.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,176.67
|
| Rate for Payer: BCN Commercial |
$2,139.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,452.61
|
| Rate for Payer: Cash Price |
$2,236.80
|
| Rate for Payer: Cash Price |
$2,236.80
|
| Rate for Payer: Cofinity Commercial |
$2,091.76
|
| Rate for Payer: Cofinity Commercial |
$1,946.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,452.61
|
| Rate for Payer: Mclaren Medicaid |
$942.95
|
| Rate for Payer: Meridian Medicaid |
$990.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,525.24
|
| Rate for Payer: PACE SWMI |
$1,452.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,452.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$942.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,365.68
|
| Rate for Payer: Priority Health Medicare |
$1,452.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,365.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,452.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,452.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,496.19
|
|
|
PR LAPAROSCOPY SURG PYELOPLASTY
|
Professional
|
Both
|
$2,350.00
|
|
|
Service Code
|
HCPCS 50544
|
| Min. Negotiated Rate |
$784.05 |
| Max. Negotiated Rate |
$2,666.86 |
| Rate for Payer: Aetna Commercial |
$1,624.09
|
| Rate for Payer: Aetna Medicare |
$1,260.49
|
| Rate for Payer: BCBS Complete |
$823.25
|
| Rate for Payer: BCBS MAPPO |
$1,212.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,666.86
|
| Rate for Payer: BCN Commercial |
$1,782.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,212.01
|
| Rate for Payer: Cash Price |
$1,880.00
|
| Rate for Payer: Cash Price |
$1,880.00
|
| Rate for Payer: Cofinity Commercial |
$1,745.29
|
| Rate for Payer: Cofinity Commercial |
$1,624.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,212.01
|
| Rate for Payer: Mclaren Medicaid |
$784.05
|
| Rate for Payer: Meridian Medicaid |
$823.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,272.61
|
| Rate for Payer: PACE SWMI |
$1,212.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,212.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$784.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,645.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,970.69
|
| Rate for Payer: Priority Health Medicare |
$1,212.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,970.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,212.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,212.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,248.37
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
IP
|
$1,530.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$933.15 |
| Max. Negotiated Rate |
$1,377.00 |
| Rate for Payer: Aetna Commercial |
$1,300.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,182.38
|
| Rate for Payer: BCN Commercial |
$1,182.38
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$1,315.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.00
|
| Rate for Payer: Healthscope Commercial |
$1,377.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,147.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,300.50
|
| Rate for Payer: PHP Commercial |
$1,300.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,331.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$933.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,346.40
|
| Rate for Payer: UHC Core |
$1,277.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,147.50
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
OP
|
$1,530.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$363.38 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$1,300.50
|
| Rate for Payer: Aetna Medicare |
$397.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$478.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$478.12
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$382.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,189.58
|
| Rate for Payer: BCN Commercial |
$1,189.58
|
| Rate for Payer: BCN Medicare Advantage |
$382.50
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$1,315.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$382.50
|
| Rate for Payer: Healthscope Commercial |
$1,377.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,147.50
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$401.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$439.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,300.50
|
| Rate for Payer: PACE Senior Care Partners |
$363.38
|
| Rate for Payer: PACE SWMI |
$382.50
|
| Rate for Payer: PHP Commercial |
$1,300.50
|
| Rate for Payer: PHP Medicare Advantage |
$382.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,331.10
|
| Rate for Payer: Priority Health Medicare |
$382.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$933.15
|
| Rate for Payer: Railroad Medicare Medicare |
$382.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,346.40
|
| Rate for Payer: UHC Core |
$1,277.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$382.50
|
| Rate for Payer: UHC Medicare Advantage |
$393.98
|
| Rate for Payer: VA VA |
$382.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,147.50
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 49650
|
| Min. Negotiated Rate |
$279.46 |
| Max. Negotiated Rate |
$4,463.08 |
| Rate for Payer: Aetna Commercial |
$575.17
|
| Rate for Payer: Aetna Medicare |
$446.40
|
| Rate for Payer: BCBS Complete |
$293.43
|
| Rate for Payer: BCBS MAPPO |
$429.23
|
| Rate for Payer: BCBS Trust/PPO |
$4,463.08
|
| Rate for Payer: BCN Commercial |
$635.28
|
| Rate for Payer: BCN Medicare Advantage |
$429.23
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$618.09
|
| Rate for Payer: Cofinity Commercial |
$575.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.23
|
| Rate for Payer: Mclaren Medicaid |
$279.46
|
| Rate for Payer: Meridian Medicaid |
$293.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$450.69
|
| Rate for Payer: PACE SWMI |
$429.23
|
| Rate for Payer: PHP Medicare Advantage |
$429.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$764.36
|
| Rate for Payer: Priority Health Medicare |
$429.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$764.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$429.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$429.23
|
| Rate for Payer: UHC Medicare Advantage |
$442.11
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 49650
|
| Hospital Charge Code |
49650
|
| Min. Negotiated Rate |
$279.46 |
| Max. Negotiated Rate |
$4,463.08 |
| Rate for Payer: Aetna Commercial |
$575.17
|
| Rate for Payer: Aetna Medicare |
$446.40
|
| Rate for Payer: BCBS Complete |
$293.43
|
| Rate for Payer: BCBS MAPPO |
$429.23
|
| Rate for Payer: BCBS Trust/PPO |
$4,463.08
|
| Rate for Payer: BCN Commercial |
$635.28
|
| Rate for Payer: BCN Medicare Advantage |
$429.23
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$618.09
|
| Rate for Payer: Cofinity Commercial |
$575.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.23
|
| Rate for Payer: Mclaren Medicaid |
$279.46
|
| Rate for Payer: Meridian Medicaid |
$293.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$450.69
|
| Rate for Payer: PACE SWMI |
$429.23
|
| Rate for Payer: PHP Medicare Advantage |
$429.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$764.36
|
| Rate for Payer: Priority Health Medicare |
$429.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$764.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$429.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$429.23
|
| Rate for Payer: UHC Medicare Advantage |
$442.11
|
|
