|
PR COLON CA SCRN; BARIUM ENEMA
|
Professional
|
Both
|
$399.00
|
|
|
Service Code
|
HCPCS G0120
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$1,971.09 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$199.50
|
| Rate for Payer: BCBS Complete |
$159.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,971.09
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.35
|
| Rate for Payer: Priority Health HMO/PPO |
$105.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.01
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
OP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$281.44 |
| Max. Negotiated Rate |
$1,066.50 |
| Rate for Payer: Aetna Commercial |
$1,007.25
|
| Rate for Payer: Aetna Medicare |
$308.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.31
|
| Rate for Payer: BCBS Complete |
$678.18
|
| Rate for Payer: BCBS MAPPO |
$296.25
|
| Rate for Payer: BCBS Trust/PPO |
$974.19
|
| Rate for Payer: BCN Commercial |
$921.34
|
| Rate for Payer: BCN Medicare Advantage |
$296.25
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,019.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.25
|
| Rate for Payer: Healthscope Commercial |
$1,066.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$888.75
|
| Rate for Payer: Mclaren Medicaid |
$645.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.06
|
| Rate for Payer: Meridian Medicaid |
$678.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$340.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$971.70
|
| Rate for Payer: PACE Senior Care Partners |
$281.44
|
| Rate for Payer: PACE SWMI |
$296.25
|
| Rate for Payer: PHP Commercial |
$1,007.25
|
| Rate for Payer: PHP Medicare Advantage |
$296.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,030.95
|
| Rate for Payer: Priority Health Medicare |
$299.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$793.95
|
| Rate for Payer: Railroad Medicare Medicare |
$296.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,042.80
|
| Rate for Payer: UHC Core |
$989.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.25
|
| Rate for Payer: UHC Exchange |
$296.25
|
| Rate for Payer: UHC Medicare Advantage |
$296.25
|
| Rate for Payer: UHCCP Medicaid |
$645.84
|
| Rate for Payer: VA VA |
$296.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$888.75
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna Medicare |
$181.89
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$174.89
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$251.84
|
| Rate for Payer: Cofinity Commercial |
$234.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.89
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.63
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.87
|
| Rate for Payer: PACE SWMI |
$174.89
|
| Rate for Payer: PHP Medicare Advantage |
$174.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$176.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.89
|
| Rate for Payer: UHC Exchange |
$174.89
|
| Rate for Payer: UHC Medicare Advantage |
$174.89
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna Medicare |
$181.89
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$174.89
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$251.84
|
| Rate for Payer: Cofinity Commercial |
$234.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.89
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.63
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.87
|
| Rate for Payer: PACE SWMI |
$174.89
|
| Rate for Payer: PHP Medicare Advantage |
$174.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$176.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.89
|
| Rate for Payer: UHC Exchange |
$174.89
|
| Rate for Payer: UHC Medicare Advantage |
$174.89
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
IP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$770.25 |
| Max. Negotiated Rate |
$1,066.50 |
| Rate for Payer: Aetna Commercial |
$1,007.25
|
| Rate for Payer: BCBS Trust/PPO |
$967.32
|
| Rate for Payer: BCN Commercial |
$915.77
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,019.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Healthscope Commercial |
$1,066.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$888.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$971.70
|
| Rate for Payer: PHP Commercial |
$1,007.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,030.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$793.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,042.80
|
| Rate for Payer: UHC Core |
$989.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$888.75
|
|
|
PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 91117
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$917.13 |
| Rate for Payer: Aetna Commercial |
$170.39
|
| Rate for Payer: Aetna Medicare |
$132.25
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS MAPPO |
$127.16
|
| Rate for Payer: BCBS Trust/PPO |
$917.13
|
| Rate for Payer: BCN Commercial |
$195.47
|
| Rate for Payer: BCN Medicare Advantage |
$127.16
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cofinity Commercial |
$183.11
|
| Rate for Payer: Cofinity Commercial |
$170.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.16
|
| Rate for Payer: Mclaren Medicaid |
$85.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.52
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Nomi Health Commercial |
$152.59
|
| Rate for Payer: PACE SWMI |
$127.16
|
| Rate for Payer: PHP Medicare Advantage |
$127.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.00
|
| Rate for Payer: Priority Health HMO/PPO |
$181.84
|
| Rate for Payer: Priority Health Medicare |
$128.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.16
|
| Rate for Payer: UHC Exchange |
$127.16
|
| Rate for Payer: UHC Medicare Advantage |
$127.16
|
| Rate for Payer: UHCCP Medicaid |
$85.84
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Hospital Charge Code |
45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
OP
|
$1,513.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$359.34 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: Aetna Medicare |
$393.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$472.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$472.81
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: BCBS MAPPO |
$378.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,243.84
|
| Rate for Payer: BCN Commercial |
$1,176.36
|
| Rate for Payer: BCN Medicare Advantage |
$378.25
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.25
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$434.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$1,240.66
|
| Rate for Payer: PACE Senior Care Partners |
$359.34
|
| Rate for Payer: PACE SWMI |
$378.25
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: PHP Medicare Advantage |
$378.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,316.31
|
| Rate for Payer: Priority Health Medicare |
$382.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,013.71
|
| Rate for Payer: Railroad Medicare Medicare |
$378.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,331.44
|
| Rate for Payer: UHC Core |
$1,263.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.25
|
| Rate for Payer: UHC Exchange |
$378.25
|
| Rate for Payer: UHC Medicare Advantage |
$378.25
|
| Rate for Payer: VA VA |
$378.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
IP
|
$1,513.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$983.45 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,235.06
|
| Rate for Payer: BCN Commercial |
$1,169.25
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$1,240.66
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,316.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,013.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,331.44
|
| Rate for Payer: UHC Core |
$1,263.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
OP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$311.84 |
| Max. Negotiated Rate |
$1,181.70 |
| Rate for Payer: Aetna Commercial |
$1,116.05
|
| Rate for Payer: Aetna Medicare |
$341.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$410.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$410.31
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$328.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.42
|
| Rate for Payer: BCN Commercial |
$1,020.86
|
| Rate for Payer: BCN Medicare Advantage |
$328.25
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,129.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.25
|
| Rate for Payer: Healthscope Commercial |
$1,181.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.75
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$344.66
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$377.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: Nomi Health Commercial |
$1,076.66
|
| Rate for Payer: PACE Senior Care Partners |
$311.84
|
| Rate for Payer: PACE SWMI |
$328.25
|
| Rate for Payer: PHP Commercial |
$1,116.05
|
| Rate for Payer: PHP Medicare Advantage |
$328.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,142.31
|
| Rate for Payer: Priority Health Medicare |
$331.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$879.71
|
| Rate for Payer: Railroad Medicare Medicare |
$328.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,155.44
|
| Rate for Payer: UHC Core |
$1,096.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$328.25
|
| Rate for Payer: UHC Exchange |
$328.25
|
| Rate for Payer: UHC Medicare Advantage |
$328.25
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$328.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.75
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$298.58
|
| Rate for Payer: Aetna Medicare |
$231.73
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS MAPPO |
$222.82
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$222.82
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$320.86
|
| Rate for Payer: Cofinity Commercial |
$298.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.82
|
| Rate for Payer: Mclaren Medicaid |
$148.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.96
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Nomi Health Commercial |
$267.38
|
| Rate for Payer: PACE SWMI |
$222.82
|
| Rate for Payer: PHP Medicare Advantage |
$222.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO |
$414.64
|
| Rate for Payer: Priority Health Medicare |
$225.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$414.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.82
|
| Rate for Payer: UHC Exchange |
$222.82
|
| Rate for Payer: UHC Medicare Advantage |
$222.82
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
IP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$853.45 |
| Max. Negotiated Rate |
$1,181.70 |
| Rate for Payer: Aetna Commercial |
$1,116.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,071.80
|
| Rate for Payer: BCN Commercial |
$1,014.69
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,129.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Healthscope Commercial |
$1,181.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: Nomi Health Commercial |
$1,076.66
|
| Rate for Payer: PHP Commercial |
$1,116.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,142.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$879.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,155.44
|
| Rate for Payer: UHC Core |
$1,096.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.75
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$298.58
|
| Rate for Payer: Aetna Medicare |
$231.73
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS MAPPO |
$222.82
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$222.82
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$320.86
|
| Rate for Payer: Cofinity Commercial |
$298.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.82
|
| Rate for Payer: Mclaren Medicaid |
$148.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.96
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Nomi Health Commercial |
$267.38
|
| Rate for Payer: PACE SWMI |
$222.82
|
| Rate for Payer: PHP Medicare Advantage |
$222.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO |
$414.64
|
| Rate for Payer: Priority Health Medicare |
$225.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$414.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.82
|
| Rate for Payer: UHC Exchange |
$222.82
|
| Rate for Payer: UHC Medicare Advantage |
$222.82
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
IP
|
$812.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$527.80 |
| Max. Negotiated Rate |
$730.80 |
| Rate for Payer: Aetna Commercial |
$690.20
|
| Rate for Payer: BCBS Trust/PPO |
$662.84
|
| Rate for Payer: BCN Commercial |
$627.51
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$698.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$649.60
|
| Rate for Payer: Healthscope Commercial |
$730.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$690.20
|
| Rate for Payer: Nomi Health Commercial |
$665.84
|
| Rate for Payer: PHP Commercial |
$690.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO |
$706.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$544.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$714.56
|
| Rate for Payer: UHC Core |
$678.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.00
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$812.00
|
|
|
Service Code
|
HCPCS 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$158.05 |
| Max. Negotiated Rate |
$527.80 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: BCBS Complete |
$165.95
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Mclaren Medicaid |
$158.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$165.95
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO |
$442.08
|
| Rate for Payer: Priority Health Medicare |
$239.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$442.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$237.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Exchange |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$158.05
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$812.00
|
|
|
Service Code
|
HCPCS 45393
|
| Min. Negotiated Rate |
$158.05 |
| Max. Negotiated Rate |
$527.80 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: BCBS Complete |
$165.95
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Mclaren Medicaid |
$158.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$165.95
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO |
$442.08
|
| Rate for Payer: Priority Health Medicare |
$239.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$442.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$237.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Exchange |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$158.05
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
OP
|
$812.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$192.85 |
| Max. Negotiated Rate |
$877.06 |
| Rate for Payer: Aetna Commercial |
$690.20
|
| Rate for Payer: Aetna Medicare |
$211.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$253.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$253.75
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$203.00
|
| Rate for Payer: BCBS Trust/PPO |
$667.55
|
| Rate for Payer: BCN Commercial |
$631.33
|
| Rate for Payer: BCN Medicare Advantage |
$203.00
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$698.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$649.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.00
|
| Rate for Payer: Healthscope Commercial |
$730.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.00
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$213.15
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$233.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$690.20
|
| Rate for Payer: Nomi Health Commercial |
$665.84
|
| Rate for Payer: PACE Senior Care Partners |
$192.85
|
| Rate for Payer: PACE SWMI |
$203.00
|
| Rate for Payer: PHP Commercial |
$690.20
|
| Rate for Payer: PHP Medicare Advantage |
$203.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO |
$706.44
|
| Rate for Payer: Priority Health Medicare |
$205.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$544.04
|
| Rate for Payer: Railroad Medicare Medicare |
$203.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$714.56
|
| Rate for Payer: UHC Core |
$678.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$203.00
|
| Rate for Payer: UHC Exchange |
$203.00
|
| Rate for Payer: UHC Medicare Advantage |
$203.00
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$203.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.00
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
IP
|
$1,584.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$1,029.60 |
| Max. Negotiated Rate |
$1,425.60 |
| Rate for Payer: Aetna Commercial |
$1,346.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,293.02
|
| Rate for Payer: BCN Commercial |
$1,224.12
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,362.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,267.20
|
| Rate for Payer: Healthscope Commercial |
$1,425.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,188.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,346.40
|
| Rate for Payer: Nomi Health Commercial |
$1,298.88
|
| Rate for Payer: PHP Commercial |
$1,346.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,378.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,061.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,393.92
|
| Rate for Payer: UHC Core |
$1,322.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,188.00
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,584.00
|
|
|
Service Code
|
HCPCS 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$3,627.94 |
| Rate for Payer: Aetna Commercial |
$341.47
|
| Rate for Payer: Aetna Medicare |
$265.02
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$254.83
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$254.83
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$366.96
|
| Rate for Payer: Cofinity Commercial |
$341.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.83
|
| Rate for Payer: Mclaren Medicaid |
$170.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.57
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Nomi Health Commercial |
$305.80
|
| Rate for Payer: PACE SWMI |
$254.83
|
| Rate for Payer: PHP Medicare Advantage |
$254.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO |
$475.48
|
| Rate for Payer: Priority Health Medicare |
$257.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.83
|
| Rate for Payer: UHC Exchange |
$254.83
|
| Rate for Payer: UHC Medicare Advantage |
$254.83
|
| Rate for Payer: UHCCP Medicaid |
$170.19
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
OP
|
$1,584.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$376.20 |
| Max. Negotiated Rate |
$1,425.60 |
| Rate for Payer: Aetna Commercial |
$1,346.40
|
| Rate for Payer: Aetna Medicare |
$411.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$495.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$495.00
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$396.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,302.21
|
| Rate for Payer: BCN Commercial |
$1,231.56
|
| Rate for Payer: BCN Medicare Advantage |
$396.00
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,362.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,267.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.00
|
| Rate for Payer: Healthscope Commercial |
$1,425.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,188.00
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.80
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$455.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,346.40
|
| Rate for Payer: Nomi Health Commercial |
$1,298.88
|
| Rate for Payer: PACE Senior Care Partners |
$376.20
|
| Rate for Payer: PACE SWMI |
$396.00
|
| Rate for Payer: PHP Commercial |
$1,346.40
|
| Rate for Payer: PHP Medicare Advantage |
$396.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,378.08
|
| Rate for Payer: Priority Health Medicare |
$399.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,061.28
|
| Rate for Payer: Railroad Medicare Medicare |
$396.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,393.92
|
| Rate for Payer: UHC Core |
$1,322.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.00
|
| Rate for Payer: UHC Exchange |
$396.00
|
| Rate for Payer: UHC Medicare Advantage |
$396.00
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$396.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,188.00
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,584.00
|
|
|
Service Code
|
HCPCS 45388
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$3,627.94 |
| Rate for Payer: Aetna Commercial |
$341.47
|
| Rate for Payer: Aetna Medicare |
$265.02
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$254.83
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$254.83
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$366.96
|
| Rate for Payer: Cofinity Commercial |
$341.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.83
|
| Rate for Payer: Mclaren Medicaid |
$170.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.57
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Nomi Health Commercial |
$305.80
|
| Rate for Payer: PACE SWMI |
$254.83
|
| Rate for Payer: PHP Medicare Advantage |
$254.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO |
$475.48
|
| Rate for Payer: Priority Health Medicare |
$257.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.83
|
| Rate for Payer: UHC Exchange |
$254.83
|
| Rate for Payer: UHC Medicare Advantage |
$254.83
|
| Rate for Payer: UHCCP Medicaid |
$170.19
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
45378
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$664.30 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$176.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Exchange |
$174.51
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45378
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$664.30 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$176.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Exchange |
$174.51
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
OP
|
$1,022.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$242.72 |
| Max. Negotiated Rate |
$919.80 |
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna Medicare |
$265.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$319.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$319.38
|
| Rate for Payer: BCBS Complete |
$678.18
|
| Rate for Payer: BCBS MAPPO |
$255.50
|
| Rate for Payer: BCBS Trust/PPO |
$840.19
|
| Rate for Payer: BCN Commercial |
$794.60
|
| Rate for Payer: BCN Medicare Advantage |
$255.50
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$255.50
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$766.50
|
| Rate for Payer: Mclaren Medicaid |
$645.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$268.28
|
| Rate for Payer: Meridian Medicaid |
$678.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: Nomi Health Commercial |
$838.04
|
| Rate for Payer: PACE Senior Care Partners |
$242.72
|
| Rate for Payer: PACE SWMI |
$255.50
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: PHP Medicare Advantage |
$255.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO |
$889.14
|
| Rate for Payer: Priority Health Medicare |
$258.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$684.74
|
| Rate for Payer: Railroad Medicare Medicare |
$255.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$899.36
|
| Rate for Payer: UHC Core |
$853.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$255.50
|
| Rate for Payer: UHC Exchange |
$255.50
|
| Rate for Payer: UHC Medicare Advantage |
$255.50
|
| Rate for Payer: UHCCP Medicaid |
$645.84
|
| Rate for Payer: VA VA |
$255.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$766.50
|
|
