|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
IP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$763.75 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: BCBS Trust/PPO |
$959.15
|
| Rate for Payer: BCN Commercial |
$908.04
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: Nomi Health Commercial |
$963.50
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,022.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.00
|
| Rate for Payer: UHC Core |
$981.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Min. Negotiated Rate |
$207.68 |
| Max. Negotiated Rate |
$1,151.69 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: BCBS Complete |
$218.06
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.69
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Mclaren Medicaid |
$207.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Meridian Medicaid |
$218.06
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO |
$491.04
|
| Rate for Payer: Priority Health Medicare |
$308.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$491.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Exchange |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
| Rate for Payer: UHCCP Medicaid |
$207.68
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Hospital Charge Code |
25075
|
| Min. Negotiated Rate |
$207.68 |
| Max. Negotiated Rate |
$1,151.69 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: BCBS Complete |
$218.06
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.69
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Mclaren Medicaid |
$207.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Meridian Medicaid |
$218.06
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO |
$491.04
|
| Rate for Payer: Priority Health Medicare |
$308.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$491.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Exchange |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
| Rate for Payer: UHCCP Medicaid |
$207.68
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 27634
|
| Min. Negotiated Rate |
$434.73 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$867.14
|
| Rate for Payer: Aetna Medicare |
$673.00
|
| Rate for Payer: BCBS Complete |
$456.47
|
| Rate for Payer: BCBS MAPPO |
$647.12
|
| Rate for Payer: BCBS Trust/PPO |
$745.43
|
| Rate for Payer: BCN Commercial |
$992.02
|
| Rate for Payer: BCN Medicare Advantage |
$647.12
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cofinity Commercial |
$931.85
|
| Rate for Payer: Cofinity Commercial |
$867.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.12
|
| Rate for Payer: Mclaren Medicaid |
$434.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.48
|
| Rate for Payer: Meridian Medicaid |
$456.47
|
| Rate for Payer: Nomi Health Commercial |
$776.54
|
| Rate for Payer: PACE SWMI |
$647.12
|
| Rate for Payer: PHP Medicare Advantage |
$647.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,035.03
|
| Rate for Payer: Priority Health Medicare |
$653.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,035.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.12
|
| Rate for Payer: UHC Exchange |
$647.12
|
| Rate for Payer: UHC Medicare Advantage |
$647.12
|
| Rate for Payer: UHCCP Medicaid |
$434.73
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 27619
|
| Min. Negotiated Rate |
$303.53 |
| Max. Negotiated Rate |
$1,538.94 |
| Rate for Payer: Aetna Commercial |
$602.52
|
| Rate for Payer: Aetna Medicare |
$467.63
|
| Rate for Payer: BCBS Complete |
$318.71
|
| Rate for Payer: BCBS MAPPO |
$449.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,538.94
|
| Rate for Payer: BCN Commercial |
$687.08
|
| Rate for Payer: BCN Medicare Advantage |
$449.64
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$647.48
|
| Rate for Payer: Cofinity Commercial |
$602.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.64
|
| Rate for Payer: Mclaren Medicaid |
$303.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$472.12
|
| Rate for Payer: Meridian Medicaid |
$318.71
|
| Rate for Payer: Nomi Health Commercial |
$539.57
|
| Rate for Payer: PACE SWMI |
$449.64
|
| Rate for Payer: PHP Medicare Advantage |
$449.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health HMO/PPO |
$727.16
|
| Rate for Payer: Priority Health Medicare |
$454.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$727.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$449.64
|
| Rate for Payer: UHC Exchange |
$449.64
|
| Rate for Payer: UHC Medicare Advantage |
$449.64
|
| Rate for Payer: UHCCP Medicaid |
$303.53
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Min. Negotiated Rate |
$199.79 |
| Max. Negotiated Rate |
$1,125.81 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: BCBS Complete |
$209.78
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.81
|
| Rate for Payer: BCN Commercial |
$718.36
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Mclaren Medicaid |
$199.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Meridian Medicaid |
$209.78
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$199.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$474.26
|
| Rate for Payer: Priority Health Medicare |
$297.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$474.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Exchange |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
| Rate for Payer: UHCCP Medicaid |
$199.79
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
IP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$704.60 |
| Max. Negotiated Rate |
$975.60 |
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: BCBS Trust/PPO |
$884.87
|
| Rate for Payer: BCN Commercial |
$837.72
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: Nomi Health Commercial |
$888.88
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$943.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$726.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.92
|
| Rate for Payer: UHC Core |
$905.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$199.79 |
| Max. Negotiated Rate |
$1,125.81 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: BCBS Complete |
$209.78
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.81
|
| Rate for Payer: BCN Commercial |
$718.36
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Mclaren Medicaid |
$199.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Meridian Medicaid |
$209.78
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$199.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$474.26
|
| Rate for Payer: Priority Health Medicare |
$297.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$474.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Exchange |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
| Rate for Payer: UHCCP Medicaid |
$199.79
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
OP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$257.45 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: Aetna Medicare |
$281.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$338.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$338.75
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$271.00
|
| Rate for Payer: BCBS Trust/PPO |
$891.16
|
| Rate for Payer: BCN Commercial |
$842.81
|
| Rate for Payer: BCN Medicare Advantage |
$271.00
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.00
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$284.55
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$311.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: Nomi Health Commercial |
$888.88
|
| Rate for Payer: PACE Senior Care Partners |
$257.45
|
| Rate for Payer: PACE SWMI |
$271.00
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: PHP Medicare Advantage |
$271.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$943.08
|
| Rate for Payer: Priority Health Medicare |
$273.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$726.28
|
| Rate for Payer: Railroad Medicare Medicare |
$271.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.92
|
| Rate for Payer: UHC Core |
$905.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$271.00
|
| Rate for Payer: UHC Exchange |
$271.00
|
| Rate for Payer: UHC Medicare Advantage |
$271.00
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$271.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$806.00
|
|
|
Service Code
|
HCPCS 21555
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$640.16 |
| Rate for Payer: Aetna Commercial |
$396.44
|
| Rate for Payer: Aetna Medicare |
$307.68
|
| Rate for Payer: BCBS Complete |
$210.68
|
| Rate for Payer: BCBS MAPPO |
$295.85
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$640.16
|
| Rate for Payer: BCN Medicare Advantage |
$295.85
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$426.02
|
| Rate for Payer: Cofinity Commercial |
$396.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.85
|
| Rate for Payer: Mclaren Medicaid |
$200.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.64
|
| Rate for Payer: Meridian Medicaid |
$210.68
|
| Rate for Payer: Nomi Health Commercial |
$355.02
|
| Rate for Payer: PACE SWMI |
$295.85
|
| Rate for Payer: PHP Medicare Advantage |
$295.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health HMO/PPO |
$475.28
|
| Rate for Payer: Priority Health Medicare |
$298.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.85
|
| Rate for Payer: UHC Exchange |
$295.85
|
| Rate for Payer: UHC Medicare Advantage |
$295.85
|
| Rate for Payer: UHCCP Medicaid |
$200.65
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Facility
|
OP
|
$806.00
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
21555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$191.42 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$685.10
|
| Rate for Payer: Aetna Medicare |
$209.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$251.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$251.88
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$201.50
|
| Rate for Payer: BCBS Trust/PPO |
$662.61
|
| Rate for Payer: BCN Commercial |
$626.66
|
| Rate for Payer: BCN Medicare Advantage |
$201.50
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$693.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$644.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.50
|
| Rate for Payer: Healthscope Commercial |
$725.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$604.50
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.58
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$231.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$685.10
|
| Rate for Payer: Nomi Health Commercial |
$660.92
|
| Rate for Payer: PACE Senior Care Partners |
$191.42
|
| Rate for Payer: PACE SWMI |
$201.50
|
| Rate for Payer: PHP Commercial |
$685.10
|
| Rate for Payer: PHP Medicare Advantage |
$201.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health HMO/PPO |
$701.22
|
| Rate for Payer: Priority Health Medicare |
$203.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$540.02
|
| Rate for Payer: Railroad Medicare Medicare |
$201.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$709.28
|
| Rate for Payer: UHC Core |
$673.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$201.50
|
| Rate for Payer: UHC Exchange |
$201.50
|
| Rate for Payer: UHC Medicare Advantage |
$201.50
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$201.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$604.50
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Facility
|
IP
|
$806.00
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
21555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$523.90 |
| Max. Negotiated Rate |
$725.40 |
| Rate for Payer: Aetna Commercial |
$685.10
|
| Rate for Payer: BCBS Trust/PPO |
$657.94
|
| Rate for Payer: BCN Commercial |
$622.88
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$693.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$644.80
|
| Rate for Payer: Healthscope Commercial |
$725.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$604.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$685.10
|
| Rate for Payer: Nomi Health Commercial |
$660.92
|
| Rate for Payer: PHP Commercial |
$685.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health HMO/PPO |
$701.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$540.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$709.28
|
| Rate for Payer: UHC Core |
$673.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$604.50
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$806.00
|
|
|
Service Code
|
HCPCS 21555
|
| Hospital Charge Code |
21555
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$640.16 |
| Rate for Payer: Aetna Commercial |
$396.44
|
| Rate for Payer: Aetna Medicare |
$307.68
|
| Rate for Payer: BCBS Complete |
$210.68
|
| Rate for Payer: BCBS MAPPO |
$295.85
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$640.16
|
| Rate for Payer: BCN Medicare Advantage |
$295.85
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$426.02
|
| Rate for Payer: Cofinity Commercial |
$396.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.85
|
| Rate for Payer: Mclaren Medicaid |
$200.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.64
|
| Rate for Payer: Meridian Medicaid |
$210.68
|
| Rate for Payer: Nomi Health Commercial |
$355.02
|
| Rate for Payer: PACE SWMI |
$295.85
|
| Rate for Payer: PHP Medicare Advantage |
$295.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health HMO/PPO |
$475.28
|
| Rate for Payer: Priority Health Medicare |
$298.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.85
|
| Rate for Payer: UHC Exchange |
$295.85
|
| Rate for Payer: UHC Medicare Advantage |
$295.85
|
| Rate for Payer: UHCCP Medicaid |
$200.65
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,144.00
|
|
|
Service Code
|
HCPCS 21554
|
| Hospital Charge Code |
21554
|
| Min. Negotiated Rate |
$240.88 |
| Max. Negotiated Rate |
$1,393.60 |
| Rate for Payer: Aetna Commercial |
$948.14
|
| Rate for Payer: Aetna Medicare |
$735.87
|
| Rate for Payer: BCBS Complete |
$497.40
|
| Rate for Payer: BCBS MAPPO |
$707.57
|
| Rate for Payer: BCBS Trust/PPO |
$240.88
|
| Rate for Payer: BCN Commercial |
$1,072.16
|
| Rate for Payer: BCN Medicare Advantage |
$707.57
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$948.14
|
| Rate for Payer: Cofinity Commercial |
$1,018.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.57
|
| Rate for Payer: Mclaren Medicaid |
$473.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$742.95
|
| Rate for Payer: Meridian Medicaid |
$497.40
|
| Rate for Payer: Nomi Health Commercial |
$849.08
|
| Rate for Payer: PACE SWMI |
$707.57
|
| Rate for Payer: PHP Medicare Advantage |
$707.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$473.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,124.58
|
| Rate for Payer: Priority Health Medicare |
$714.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,124.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.57
|
| Rate for Payer: UHC Exchange |
$707.57
|
| Rate for Payer: UHC Medicare Advantage |
$707.57
|
| Rate for Payer: UHCCP Medicaid |
$473.71
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
OP
|
$2,144.00
|
|
|
Service Code
|
CPT 21554
|
| Hospital Charge Code |
21554
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$509.20 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$1,822.40
|
| Rate for Payer: Aetna Medicare |
$557.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$670.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$670.00
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$536.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,762.58
|
| Rate for Payer: BCN Commercial |
$1,666.96
|
| Rate for Payer: BCN Medicare Advantage |
$536.00
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$1,843.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,715.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$536.00
|
| Rate for Payer: Healthscope Commercial |
$1,929.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,608.00
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.80
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$616.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,822.40
|
| Rate for Payer: Nomi Health Commercial |
$1,758.08
|
| Rate for Payer: PACE Senior Care Partners |
$509.20
|
| Rate for Payer: PACE SWMI |
$536.00
|
| Rate for Payer: PHP Commercial |
$1,822.40
|
| Rate for Payer: PHP Medicare Advantage |
$536.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,865.28
|
| Rate for Payer: Priority Health Medicare |
$541.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,436.48
|
| Rate for Payer: Railroad Medicare Medicare |
$536.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,886.72
|
| Rate for Payer: UHC Core |
$1,790.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$536.00
|
| Rate for Payer: UHC Exchange |
$536.00
|
| Rate for Payer: UHC Medicare Advantage |
$536.00
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$536.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,608.00
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
IP
|
$2,144.00
|
|
|
Service Code
|
CPT 21554
|
| Hospital Charge Code |
21554
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,393.60 |
| Max. Negotiated Rate |
$1,929.60 |
| Rate for Payer: Aetna Commercial |
$1,822.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,750.15
|
| Rate for Payer: BCN Commercial |
$1,656.88
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$1,843.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,715.20
|
| Rate for Payer: Healthscope Commercial |
$1,929.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,608.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,822.40
|
| Rate for Payer: Nomi Health Commercial |
$1,758.08
|
| Rate for Payer: PHP Commercial |
$1,822.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,865.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,436.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,886.72
|
| Rate for Payer: UHC Core |
$1,790.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,608.00
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,144.00
|
|
|
Service Code
|
HCPCS 21554
|
| Min. Negotiated Rate |
$240.88 |
| Max. Negotiated Rate |
$1,393.60 |
| Rate for Payer: Aetna Commercial |
$948.14
|
| Rate for Payer: Aetna Medicare |
$735.87
|
| Rate for Payer: BCBS Complete |
$497.40
|
| Rate for Payer: BCBS MAPPO |
$707.57
|
| Rate for Payer: BCBS Trust/PPO |
$240.88
|
| Rate for Payer: BCN Commercial |
$1,072.16
|
| Rate for Payer: BCN Medicare Advantage |
$707.57
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$948.14
|
| Rate for Payer: Cofinity Commercial |
$1,018.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.57
|
| Rate for Payer: Mclaren Medicaid |
$473.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$742.95
|
| Rate for Payer: Meridian Medicaid |
$497.40
|
| Rate for Payer: Nomi Health Commercial |
$849.08
|
| Rate for Payer: PACE SWMI |
$707.57
|
| Rate for Payer: PHP Medicare Advantage |
$707.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$473.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,124.58
|
| Rate for Payer: Priority Health Medicare |
$714.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,124.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.57
|
| Rate for Payer: UHC Exchange |
$707.57
|
| Rate for Payer: UHC Medicare Advantage |
$707.57
|
| Rate for Payer: UHCCP Medicaid |
$473.71
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
IP
|
$1,269.00
|
|
|
Service Code
|
CPT 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$824.85 |
| Max. Negotiated Rate |
$1,142.10 |
| Rate for Payer: Aetna Commercial |
$1,078.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,035.88
|
| Rate for Payer: BCN Commercial |
$980.68
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$1,091.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,015.20
|
| Rate for Payer: Healthscope Commercial |
$1,142.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$951.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,078.65
|
| Rate for Payer: Nomi Health Commercial |
$1,040.58
|
| Rate for Payer: PHP Commercial |
$1,078.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,104.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$850.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,116.72
|
| Rate for Payer: UHC Core |
$1,059.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$951.75
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,269.00
|
|
|
Service Code
|
HCPCS 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$399.80 |
| Max. Negotiated Rate |
$4,154.02 |
| Rate for Payer: Aetna Commercial |
$797.45
|
| Rate for Payer: Aetna Medicare |
$618.91
|
| Rate for Payer: BCBS Complete |
$419.79
|
| Rate for Payer: BCBS MAPPO |
$595.11
|
| Rate for Payer: BCBS Trust/PPO |
$4,154.02
|
| Rate for Payer: BCN Commercial |
$899.16
|
| Rate for Payer: BCN Medicare Advantage |
$595.11
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$856.96
|
| Rate for Payer: Cofinity Commercial |
$797.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$595.11
|
| Rate for Payer: Mclaren Medicaid |
$399.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$624.87
|
| Rate for Payer: Meridian Medicaid |
$419.79
|
| Rate for Payer: Nomi Health Commercial |
$714.13
|
| Rate for Payer: PACE SWMI |
$595.11
|
| Rate for Payer: PHP Medicare Advantage |
$595.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health HMO/PPO |
$944.96
|
| Rate for Payer: Priority Health Medicare |
$601.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$595.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$595.11
|
| Rate for Payer: UHC Exchange |
$595.11
|
| Rate for Payer: UHC Medicare Advantage |
$595.11
|
| Rate for Payer: UHCCP Medicaid |
$399.80
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
OP
|
$1,269.00
|
|
|
Service Code
|
CPT 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$301.39 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$1,078.65
|
| Rate for Payer: Aetna Medicare |
$329.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$396.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$396.56
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$317.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.24
|
| Rate for Payer: BCN Commercial |
$986.65
|
| Rate for Payer: BCN Medicare Advantage |
$317.25
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$1,091.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,015.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.25
|
| Rate for Payer: Healthscope Commercial |
$1,142.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$951.75
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.11
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$364.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,078.65
|
| Rate for Payer: Nomi Health Commercial |
$1,040.58
|
| Rate for Payer: PACE Senior Care Partners |
$301.39
|
| Rate for Payer: PACE SWMI |
$317.25
|
| Rate for Payer: PHP Commercial |
$1,078.65
|
| Rate for Payer: PHP Medicare Advantage |
$317.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,104.03
|
| Rate for Payer: Priority Health Medicare |
$320.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$850.23
|
| Rate for Payer: Railroad Medicare Medicare |
$317.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,116.72
|
| Rate for Payer: UHC Core |
$1,059.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.25
|
| Rate for Payer: UHC Exchange |
$317.25
|
| Rate for Payer: UHC Medicare Advantage |
$317.25
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$317.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$951.75
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,269.00
|
|
|
Service Code
|
HCPCS 27048
|
| Min. Negotiated Rate |
$399.80 |
| Max. Negotiated Rate |
$4,154.02 |
| Rate for Payer: Aetna Commercial |
$797.45
|
| Rate for Payer: Aetna Medicare |
$618.91
|
| Rate for Payer: BCBS Complete |
$419.79
|
| Rate for Payer: BCBS MAPPO |
$595.11
|
| Rate for Payer: BCBS Trust/PPO |
$4,154.02
|
| Rate for Payer: BCN Commercial |
$899.16
|
| Rate for Payer: BCN Medicare Advantage |
$595.11
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$856.96
|
| Rate for Payer: Cofinity Commercial |
$797.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$595.11
|
| Rate for Payer: Mclaren Medicaid |
$399.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$624.87
|
| Rate for Payer: Meridian Medicaid |
$419.79
|
| Rate for Payer: Nomi Health Commercial |
$714.13
|
| Rate for Payer: PACE SWMI |
$595.11
|
| Rate for Payer: PHP Medicare Advantage |
$595.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health HMO/PPO |
$944.96
|
| Rate for Payer: Priority Health Medicare |
$601.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$595.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$595.11
|
| Rate for Payer: UHC Exchange |
$595.11
|
| Rate for Payer: UHC Medicare Advantage |
$595.11
|
| Rate for Payer: UHCCP Medicaid |
$399.80
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>
|
Professional
|
Both
|
$1,399.00
|
|
|
Service Code
|
HCPCS 27045
|
| Min. Negotiated Rate |
$137.89 |
| Max. Negotiated Rate |
$1,127.63 |
| Rate for Payer: Aetna Commercial |
$952.49
|
| Rate for Payer: Aetna Medicare |
$739.24
|
| Rate for Payer: BCBS Complete |
$499.86
|
| Rate for Payer: BCBS MAPPO |
$710.81
|
| Rate for Payer: BCBS Trust/PPO |
$137.89
|
| Rate for Payer: BCN Commercial |
$1,079.00
|
| Rate for Payer: BCN Medicare Advantage |
$710.81
|
| Rate for Payer: Cash Price |
$1,119.20
|
| Rate for Payer: Cash Price |
$1,119.20
|
| Rate for Payer: Cofinity Commercial |
$952.49
|
| Rate for Payer: Cofinity Commercial |
$1,023.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$710.81
|
| Rate for Payer: Mclaren Medicaid |
$476.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$746.35
|
| Rate for Payer: Meridian Medicaid |
$499.86
|
| Rate for Payer: Nomi Health Commercial |
$852.97
|
| Rate for Payer: PACE SWMI |
$710.81
|
| Rate for Payer: PHP Medicare Advantage |
$710.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$909.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,127.63
|
| Rate for Payer: Priority Health Medicare |
$717.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,127.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$710.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$710.81
|
| Rate for Payer: UHC Exchange |
$710.81
|
| Rate for Payer: UHC Medicare Advantage |
$710.81
|
| Rate for Payer: UHCCP Medicaid |
$476.06
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM
|
Professional
|
Both
|
$804.00
|
|
|
Service Code
|
HCPCS 27047
|
| Min. Negotiated Rate |
$235.58 |
| Max. Negotiated Rate |
$3,876.14 |
| Rate for Payer: Aetna Commercial |
$468.28
|
| Rate for Payer: Aetna Medicare |
$363.44
|
| Rate for Payer: BCBS Complete |
$247.36
|
| Rate for Payer: BCBS MAPPO |
$349.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,876.14
|
| Rate for Payer: BCN Commercial |
$728.62
|
| Rate for Payer: BCN Medicare Advantage |
$349.46
|
| Rate for Payer: Cash Price |
$643.20
|
| Rate for Payer: Cash Price |
$643.20
|
| Rate for Payer: Cofinity Commercial |
$503.22
|
| Rate for Payer: Cofinity Commercial |
$468.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.46
|
| Rate for Payer: Mclaren Medicaid |
$235.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$366.93
|
| Rate for Payer: Meridian Medicaid |
$247.36
|
| Rate for Payer: Nomi Health Commercial |
$419.35
|
| Rate for Payer: PACE SWMI |
$349.46
|
| Rate for Payer: PHP Medicare Advantage |
$349.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$235.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.60
|
| Rate for Payer: Priority Health HMO/PPO |
$560.26
|
| Rate for Payer: Priority Health Medicare |
$352.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$560.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$349.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.46
|
| Rate for Payer: UHC Exchange |
$349.46
|
| Rate for Payer: UHC Medicare Advantage |
$349.46
|
| Rate for Payer: UHCCP Medicaid |
$235.58
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Facility
|
IP
|
$1,587.00
|
|
|
Service Code
|
CPT 23073
|
| Hospital Charge Code |
23073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,031.55 |
| Max. Negotiated Rate |
$1,428.30 |
| Rate for Payer: Aetna Commercial |
$1,348.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,295.47
|
| Rate for Payer: BCN Commercial |
$1,226.43
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cofinity Commercial |
$1,364.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,269.60
|
| Rate for Payer: Healthscope Commercial |
$1,428.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,190.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,348.95
|
| Rate for Payer: Nomi Health Commercial |
$1,301.34
|
| Rate for Payer: PHP Commercial |
$1,348.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,380.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,063.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,396.56
|
| Rate for Payer: UHC Core |
$1,325.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,190.25
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Professional
|
Both
|
$1,587.00
|
|
|
Service Code
|
HCPCS 23073
|
| Min. Negotiated Rate |
$453.05 |
| Max. Negotiated Rate |
$1,073.70 |
| Rate for Payer: Aetna Commercial |
$904.39
|
| Rate for Payer: Aetna Medicare |
$701.92
|
| Rate for Payer: BCBS Complete |
$475.70
|
| Rate for Payer: BCBS MAPPO |
$674.92
|
| Rate for Payer: BCBS Trust/PPO |
$464.38
|
| Rate for Payer: BCN Commercial |
$1,023.29
|
| Rate for Payer: BCN Medicare Advantage |
$674.92
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cash Price |
$1,269.60
|
| Rate for Payer: Cofinity Commercial |
$971.88
|
| Rate for Payer: Cofinity Commercial |
$904.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.92
|
| Rate for Payer: Mclaren Medicaid |
$453.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.67
|
| Rate for Payer: Meridian Medicaid |
$475.70
|
| Rate for Payer: Nomi Health Commercial |
$809.90
|
| Rate for Payer: PACE SWMI |
$674.92
|
| Rate for Payer: PHP Medicare Advantage |
$674.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,073.70
|
| Rate for Payer: Priority Health Medicare |
$681.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,073.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$674.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$674.92
|
| Rate for Payer: UHC Exchange |
$674.92
|
| Rate for Payer: UHC Medicare Advantage |
$674.92
|
| Rate for Payer: UHCCP Medicaid |
$453.05
|
|
