|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Professional
|
Both
|
$1,587.00
|
|
|
Service Code
|
HCPCS 23073
|
| Hospital Charge Code |
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
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>
|
Facility
|
OP
|
$1,587.00
|
|
|
Service Code
|
CPT 23073
|
| Hospital Charge Code |
23073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$376.91 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$1,348.95
|
| Rate for Payer: Aetna Medicare |
$412.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$495.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$495.94
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$396.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,304.67
|
| Rate for Payer: BCN Commercial |
$1,233.89
|
| Rate for Payer: BCN Medicare Advantage |
$396.75
|
| Rate for Payer: Cash Price |
$1,269.60
|
| 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: Health Alliance Plan Medicare Advantage |
$396.75
|
| Rate for Payer: Healthscope Commercial |
$1,428.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,190.25
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.59
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$456.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,348.95
|
| Rate for Payer: Nomi Health Commercial |
$1,301.34
|
| Rate for Payer: PACE Senior Care Partners |
$376.91
|
| Rate for Payer: PACE SWMI |
$396.75
|
| Rate for Payer: PHP Commercial |
$1,348.95
|
| Rate for Payer: PHP Medicare Advantage |
$396.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| 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 Medicare |
$400.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,063.29
|
| Rate for Payer: Railroad Medicare Medicare |
$396.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,396.56
|
| Rate for Payer: UHC Core |
$1,325.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.75
|
| Rate for Payer: UHC Exchange |
$396.75
|
| Rate for Payer: UHC Medicare Advantage |
$396.75
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$396.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,190.25
|
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>
|
Professional
|
Both
|
$3,276.00
|
|
|
Service Code
|
HCPCS 27339
|
| Min. Negotiated Rate |
$490.33 |
| Max. Negotiated Rate |
$2,129.40 |
| Rate for Payer: Aetna Commercial |
$980.08
|
| Rate for Payer: Aetna Medicare |
$760.66
|
| Rate for Payer: BCBS Complete |
$514.85
|
| Rate for Payer: BCBS MAPPO |
$731.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,596.52
|
| Rate for Payer: BCN Commercial |
$1,104.90
|
| Rate for Payer: BCN Medicare Advantage |
$731.40
|
| Rate for Payer: Cash Price |
$2,620.80
|
| Rate for Payer: Cash Price |
$2,620.80
|
| Rate for Payer: Cofinity Commercial |
$980.08
|
| Rate for Payer: Cofinity Commercial |
$1,053.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.40
|
| Rate for Payer: Mclaren Medicaid |
$490.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$767.97
|
| Rate for Payer: Meridian Medicaid |
$514.85
|
| Rate for Payer: Nomi Health Commercial |
$877.68
|
| Rate for Payer: PACE SWMI |
$731.40
|
| Rate for Payer: PHP Medicare Advantage |
$731.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,129.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,163.77
|
| Rate for Payer: Priority Health Medicare |
$738.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,163.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$731.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.40
|
| Rate for Payer: UHC Exchange |
$731.40
|
| Rate for Payer: UHC Medicare Advantage |
$731.40
|
| Rate for Payer: UHCCP Medicaid |
$490.33
|
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM
|
Professional
|
Both
|
$1,748.00
|
|
|
Service Code
|
HCPCS 27328
|
| Min. Negotiated Rate |
$405.77 |
| Max. Negotiated Rate |
$1,529.96 |
| Rate for Payer: Aetna Commercial |
$808.73
|
| Rate for Payer: Aetna Medicare |
$627.67
|
| Rate for Payer: BCBS Complete |
$426.06
|
| Rate for Payer: BCBS MAPPO |
$603.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,529.96
|
| Rate for Payer: BCN Commercial |
$917.25
|
| Rate for Payer: BCN Medicare Advantage |
$603.53
|
| Rate for Payer: Cash Price |
$1,398.40
|
| Rate for Payer: Cash Price |
$1,398.40
|
| Rate for Payer: Cofinity Commercial |
$869.08
|
| Rate for Payer: Cofinity Commercial |
$808.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.53
|
| Rate for Payer: Mclaren Medicaid |
$405.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.71
|
| Rate for Payer: Meridian Medicaid |
$426.06
|
| Rate for Payer: Nomi Health Commercial |
$724.24
|
| Rate for Payer: PACE SWMI |
$603.53
|
| Rate for Payer: PHP Medicare Advantage |
$603.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,136.20
|
| Rate for Payer: Priority Health HMO/PPO |
$963.79
|
| Rate for Payer: Priority Health Medicare |
$609.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$963.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$603.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$603.53
|
| Rate for Payer: UHC Exchange |
$603.53
|
| Rate for Payer: UHC Medicare Advantage |
$603.53
|
| Rate for Payer: UHCCP Medicaid |
$405.77
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
OP
|
$1,557.00
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
24071
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$369.79 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$1,323.45
|
| Rate for Payer: Aetna Medicare |
$404.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$486.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$486.56
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$389.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,280.01
|
| Rate for Payer: BCN Commercial |
$1,210.57
|
| Rate for Payer: BCN Medicare Advantage |
$389.25
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$1,339.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.25
|
| Rate for Payer: Healthscope Commercial |
$1,401.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.75
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$408.71
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$447.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,323.45
|
| Rate for Payer: Nomi Health Commercial |
$1,276.74
|
| Rate for Payer: PACE Senior Care Partners |
$369.79
|
| Rate for Payer: PACE SWMI |
$389.25
|
| Rate for Payer: PHP Commercial |
$1,323.45
|
| Rate for Payer: PHP Medicare Advantage |
$389.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,354.59
|
| Rate for Payer: Priority Health Medicare |
$393.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,043.19
|
| Rate for Payer: Railroad Medicare Medicare |
$389.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,370.16
|
| Rate for Payer: UHC Core |
$1,300.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.25
|
| Rate for Payer: UHC Exchange |
$389.25
|
| Rate for Payer: UHC Medicare Advantage |
$389.25
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$389.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.75
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Facility
|
IP
|
$1,557.00
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
24071
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,012.05 |
| Max. Negotiated Rate |
$1,401.30 |
| Rate for Payer: Aetna Commercial |
$1,323.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,270.98
|
| Rate for Payer: BCN Commercial |
$1,203.25
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$1,339.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.60
|
| Rate for Payer: Healthscope Commercial |
$1,401.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,167.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,323.45
|
| Rate for Payer: Nomi Health Commercial |
$1,276.74
|
| Rate for Payer: PHP Commercial |
$1,323.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,354.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,043.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,370.16
|
| Rate for Payer: UHC Core |
$1,300.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,167.75
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Professional
|
Both
|
$1,557.00
|
|
|
Service Code
|
HCPCS 24071
|
| Min. Negotiated Rate |
$173.81 |
| Max. Negotiated Rate |
$1,012.05 |
| Rate for Payer: Aetna Commercial |
$527.45
|
| Rate for Payer: Aetna Medicare |
$409.36
|
| Rate for Payer: BCBS Complete |
$278.00
|
| Rate for Payer: BCBS MAPPO |
$393.62
|
| Rate for Payer: BCBS Trust/PPO |
$173.81
|
| Rate for Payer: BCN Commercial |
$596.19
|
| Rate for Payer: BCN Medicare Advantage |
$393.62
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$566.81
|
| Rate for Payer: Cofinity Commercial |
$527.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.62
|
| Rate for Payer: Mclaren Medicaid |
$264.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.30
|
| Rate for Payer: Meridian Medicaid |
$278.00
|
| Rate for Payer: Nomi Health Commercial |
$472.34
|
| Rate for Payer: PACE SWMI |
$393.62
|
| Rate for Payer: PHP Medicare Advantage |
$393.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health HMO/PPO |
$626.91
|
| Rate for Payer: Priority Health Medicare |
$397.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$626.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.62
|
| Rate for Payer: UHC Exchange |
$393.62
|
| Rate for Payer: UHC Medicare Advantage |
$393.62
|
| Rate for Payer: UHCCP Medicaid |
$264.76
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>
|
Professional
|
Both
|
$1,557.00
|
|
|
Service Code
|
HCPCS 24071
|
| Hospital Charge Code |
24071
|
| Min. Negotiated Rate |
$173.81 |
| Max. Negotiated Rate |
$1,012.05 |
| Rate for Payer: Aetna Commercial |
$527.45
|
| Rate for Payer: Aetna Medicare |
$409.36
|
| Rate for Payer: BCBS Complete |
$278.00
|
| Rate for Payer: BCBS MAPPO |
$393.62
|
| Rate for Payer: BCBS Trust/PPO |
$173.81
|
| Rate for Payer: BCN Commercial |
$596.19
|
| Rate for Payer: BCN Medicare Advantage |
$393.62
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cofinity Commercial |
$566.81
|
| Rate for Payer: Cofinity Commercial |
$527.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.62
|
| Rate for Payer: Mclaren Medicaid |
$264.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.30
|
| Rate for Payer: Meridian Medicaid |
$278.00
|
| Rate for Payer: Nomi Health Commercial |
$472.34
|
| Rate for Payer: PACE SWMI |
$393.62
|
| Rate for Payer: PHP Medicare Advantage |
$393.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.05
|
| Rate for Payer: Priority Health HMO/PPO |
$626.91
|
| Rate for Payer: Priority Health Medicare |
$397.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$626.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.62
|
| Rate for Payer: UHC Exchange |
$393.62
|
| Rate for Payer: UHC Medicare Advantage |
$393.62
|
| Rate for Payer: UHCCP Medicaid |
$264.76
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
OP
|
$1,297.00
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
24075
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$308.04 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$1,102.45
|
| Rate for Payer: Aetna Medicare |
$337.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$405.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$405.31
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$324.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,066.26
|
| Rate for Payer: BCN Commercial |
$1,008.42
|
| Rate for Payer: BCN Medicare Advantage |
$324.25
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,115.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,037.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.25
|
| Rate for Payer: Healthscope Commercial |
$1,167.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$972.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$340.46
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$372.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,102.45
|
| Rate for Payer: Nomi Health Commercial |
$1,063.54
|
| Rate for Payer: PACE Senior Care Partners |
$308.04
|
| Rate for Payer: PACE SWMI |
$324.25
|
| Rate for Payer: PHP Commercial |
$1,102.45
|
| Rate for Payer: PHP Medicare Advantage |
$324.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,128.39
|
| Rate for Payer: Priority Health Medicare |
$327.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$868.99
|
| Rate for Payer: Railroad Medicare Medicare |
$324.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,141.36
|
| Rate for Payer: UHC Core |
$1,083.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$324.25
|
| Rate for Payer: UHC Exchange |
$324.25
|
| Rate for Payer: UHC Medicare Advantage |
$324.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$324.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$972.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Facility
|
IP
|
$1,297.00
|
|
|
Service Code
|
CPT 24075
|
| Hospital Charge Code |
24075
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$843.05 |
| Max. Negotiated Rate |
$1,167.30 |
| Rate for Payer: Aetna Commercial |
$1,102.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.74
|
| Rate for Payer: BCN Commercial |
$1,002.32
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,115.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,037.60
|
| Rate for Payer: Healthscope Commercial |
$1,167.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$972.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,102.45
|
| Rate for Payer: Nomi Health Commercial |
$1,063.54
|
| Rate for Payer: PHP Commercial |
$1,102.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,128.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$868.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,141.36
|
| Rate for Payer: UHC Core |
$1,083.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$972.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 24075
|
| Hospital Charge Code |
24075
|
| Min. Negotiated Rate |
$116.31 |
| Max. Negotiated Rate |
$843.05 |
| Rate for Payer: Aetna Commercial |
$427.14
|
| Rate for Payer: Aetna Medicare |
$331.51
|
| Rate for Payer: BCBS Complete |
$227.01
|
| Rate for Payer: BCBS MAPPO |
$318.76
|
| Rate for Payer: BCBS Trust/PPO |
$116.31
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$318.76
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$459.01
|
| Rate for Payer: Cofinity Commercial |
$427.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.76
|
| Rate for Payer: Mclaren Medicaid |
$216.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$334.70
|
| Rate for Payer: Meridian Medicaid |
$227.01
|
| Rate for Payer: Nomi Health Commercial |
$382.51
|
| Rate for Payer: PACE SWMI |
$318.76
|
| Rate for Payer: PHP Medicare Advantage |
$318.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health HMO/PPO |
$511.41
|
| Rate for Payer: Priority Health Medicare |
$321.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$511.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.76
|
| Rate for Payer: UHC Exchange |
$318.76
|
| Rate for Payer: UHC Medicare Advantage |
$318.76
|
| Rate for Payer: UHCCP Medicaid |
$216.20
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 24075
|
| Min. Negotiated Rate |
$116.31 |
| Max. Negotiated Rate |
$843.05 |
| Rate for Payer: Aetna Commercial |
$427.14
|
| Rate for Payer: Aetna Medicare |
$331.51
|
| Rate for Payer: BCBS Complete |
$227.01
|
| Rate for Payer: BCBS MAPPO |
$318.76
|
| Rate for Payer: BCBS Trust/PPO |
$116.31
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$318.76
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$459.01
|
| Rate for Payer: Cofinity Commercial |
$427.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.76
|
| Rate for Payer: Mclaren Medicaid |
$216.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$334.70
|
| Rate for Payer: Meridian Medicaid |
$227.01
|
| Rate for Payer: Nomi Health Commercial |
$382.51
|
| Rate for Payer: PACE SWMI |
$318.76
|
| Rate for Payer: PHP Medicare Advantage |
$318.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health HMO/PPO |
$511.41
|
| Rate for Payer: Priority Health Medicare |
$321.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$511.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.76
|
| Rate for Payer: UHC Exchange |
$318.76
|
| Rate for Payer: UHC Medicare Advantage |
$318.76
|
| Rate for Payer: UHCCP Medicaid |
$216.20
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Professional
|
Both
|
$1,693.00
|
|
|
Service Code
|
HCPCS 24073
|
| Min. Negotiated Rate |
$293.21 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Commercial |
$900.84
|
| Rate for Payer: Aetna Medicare |
$699.16
|
| Rate for Payer: BCBS Complete |
$473.69
|
| Rate for Payer: BCBS MAPPO |
$672.27
|
| Rate for Payer: BCBS Trust/PPO |
$293.21
|
| Rate for Payer: BCN Commercial |
$1,017.43
|
| Rate for Payer: BCN Medicare Advantage |
$672.27
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$968.07
|
| Rate for Payer: Cofinity Commercial |
$900.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.27
|
| Rate for Payer: Mclaren Medicaid |
$451.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$705.88
|
| Rate for Payer: Meridian Medicaid |
$473.69
|
| Rate for Payer: Nomi Health Commercial |
$806.72
|
| Rate for Payer: PACE SWMI |
$672.27
|
| Rate for Payer: PHP Medicare Advantage |
$672.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$451.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,067.59
|
| Rate for Payer: Priority Health Medicare |
$678.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,067.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$672.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$672.27
|
| Rate for Payer: UHC Exchange |
$672.27
|
| Rate for Payer: UHC Medicare Advantage |
$672.27
|
| Rate for Payer: UHCCP Medicaid |
$451.13
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Professional
|
Both
|
$1,693.00
|
|
|
Service Code
|
HCPCS 24073
|
| Hospital Charge Code |
24073
|
| Min. Negotiated Rate |
$293.21 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Commercial |
$900.84
|
| Rate for Payer: Aetna Medicare |
$699.16
|
| Rate for Payer: BCBS Complete |
$473.69
|
| Rate for Payer: BCBS MAPPO |
$672.27
|
| Rate for Payer: BCBS Trust/PPO |
$293.21
|
| Rate for Payer: BCN Commercial |
$1,017.43
|
| Rate for Payer: BCN Medicare Advantage |
$672.27
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$968.07
|
| Rate for Payer: Cofinity Commercial |
$900.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.27
|
| Rate for Payer: Mclaren Medicaid |
$451.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$705.88
|
| Rate for Payer: Meridian Medicaid |
$473.69
|
| Rate for Payer: Nomi Health Commercial |
$806.72
|
| Rate for Payer: PACE SWMI |
$672.27
|
| Rate for Payer: PHP Medicare Advantage |
$672.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$451.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,067.59
|
| Rate for Payer: Priority Health Medicare |
$678.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,067.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$672.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$672.27
|
| Rate for Payer: UHC Exchange |
$672.27
|
| Rate for Payer: UHC Medicare Advantage |
$672.27
|
| Rate for Payer: UHCCP Medicaid |
$451.13
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Facility
|
IP
|
$1,693.00
|
|
|
Service Code
|
CPT 24073
|
| Hospital Charge Code |
24073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,100.45 |
| Max. Negotiated Rate |
$1,523.70 |
| Rate for Payer: Aetna Commercial |
$1,439.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,382.00
|
| Rate for Payer: BCN Commercial |
$1,308.35
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$1,455.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,354.40
|
| Rate for Payer: Healthscope Commercial |
$1,523.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,269.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,439.05
|
| Rate for Payer: Nomi Health Commercial |
$1,388.26
|
| Rate for Payer: PHP Commercial |
$1,439.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,472.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,134.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,489.84
|
| Rate for Payer: UHC Core |
$1,413.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,269.75
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>
|
Facility
|
OP
|
$1,693.00
|
|
|
Service Code
|
CPT 24073
|
| Hospital Charge Code |
24073
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$402.09 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$1,439.05
|
| Rate for Payer: Aetna Medicare |
$440.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$529.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$529.06
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$423.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,391.82
|
| Rate for Payer: BCN Commercial |
$1,316.31
|
| Rate for Payer: BCN Medicare Advantage |
$423.25
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Cofinity Commercial |
$1,455.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,354.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$423.25
|
| Rate for Payer: Healthscope Commercial |
$1,523.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,269.75
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$444.41
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$486.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,439.05
|
| Rate for Payer: Nomi Health Commercial |
$1,388.26
|
| Rate for Payer: PACE Senior Care Partners |
$402.09
|
| Rate for Payer: PACE SWMI |
$423.25
|
| Rate for Payer: PHP Commercial |
$1,439.05
|
| Rate for Payer: PHP Medicare Advantage |
$423.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,472.91
|
| Rate for Payer: Priority Health Medicare |
$427.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,134.31
|
| Rate for Payer: Railroad Medicare Medicare |
$423.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,489.84
|
| Rate for Payer: UHC Core |
$1,413.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$423.25
|
| Rate for Payer: UHC Exchange |
$423.25
|
| Rate for Payer: UHC Medicare Advantage |
$423.25
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$423.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,269.75
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 24076
|
| Hospital Charge Code |
24076
|
| Min. Negotiated Rate |
$293.21 |
| Max. Negotiated Rate |
$846.74 |
| Rate for Payer: Aetna Commercial |
$709.45
|
| Rate for Payer: Aetna Medicare |
$550.62
|
| Rate for Payer: BCBS Complete |
$375.73
|
| Rate for Payer: BCBS MAPPO |
$529.44
|
| Rate for Payer: BCBS Trust/PPO |
$293.21
|
| Rate for Payer: BCN Commercial |
$806.80
|
| Rate for Payer: BCN Medicare Advantage |
$529.44
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$762.39
|
| Rate for Payer: Cofinity Commercial |
$709.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$529.44
|
| Rate for Payer: Mclaren Medicaid |
$357.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.91
|
| Rate for Payer: Meridian Medicaid |
$375.73
|
| Rate for Payer: Nomi Health Commercial |
$635.33
|
| Rate for Payer: PACE SWMI |
$529.44
|
| Rate for Payer: PHP Medicare Advantage |
$529.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$357.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO |
$846.74
|
| Rate for Payer: Priority Health Medicare |
$534.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$846.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$529.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$529.44
|
| Rate for Payer: UHC Exchange |
$529.44
|
| Rate for Payer: UHC Medicare Advantage |
$529.44
|
| Rate for Payer: UHCCP Medicaid |
$357.84
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
OP
|
$1,155.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
24076
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$274.31 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$981.75
|
| Rate for Payer: Aetna Medicare |
$300.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$360.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$360.94
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$288.75
|
| Rate for Payer: BCBS Trust/PPO |
$949.53
|
| Rate for Payer: BCN Commercial |
$898.01
|
| Rate for Payer: BCN Medicare Advantage |
$288.75
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$993.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$924.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$288.75
|
| Rate for Payer: Healthscope Commercial |
$1,039.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$866.25
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$303.19
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$332.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$981.75
|
| Rate for Payer: Nomi Health Commercial |
$947.10
|
| Rate for Payer: PACE Senior Care Partners |
$274.31
|
| Rate for Payer: PACE SWMI |
$288.75
|
| Rate for Payer: PHP Commercial |
$981.75
|
| Rate for Payer: PHP Medicare Advantage |
$288.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,004.85
|
| Rate for Payer: Priority Health Medicare |
$291.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$773.85
|
| Rate for Payer: Railroad Medicare Medicare |
$288.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,016.40
|
| Rate for Payer: UHC Core |
$964.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$288.75
|
| Rate for Payer: UHC Exchange |
$288.75
|
| Rate for Payer: UHC Medicare Advantage |
$288.75
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$288.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$866.25
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 24076
|
| Min. Negotiated Rate |
$293.21 |
| Max. Negotiated Rate |
$846.74 |
| Rate for Payer: Aetna Commercial |
$709.45
|
| Rate for Payer: Aetna Medicare |
$550.62
|
| Rate for Payer: BCBS Complete |
$375.73
|
| Rate for Payer: BCBS MAPPO |
$529.44
|
| Rate for Payer: BCBS Trust/PPO |
$293.21
|
| Rate for Payer: BCN Commercial |
$806.80
|
| Rate for Payer: BCN Medicare Advantage |
$529.44
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$762.39
|
| Rate for Payer: Cofinity Commercial |
$709.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$529.44
|
| Rate for Payer: Mclaren Medicaid |
$357.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.91
|
| Rate for Payer: Meridian Medicaid |
$375.73
|
| Rate for Payer: Nomi Health Commercial |
$635.33
|
| Rate for Payer: PACE SWMI |
$529.44
|
| Rate for Payer: PHP Medicare Advantage |
$529.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$357.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO |
$846.74
|
| Rate for Payer: Priority Health Medicare |
$534.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$846.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$529.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$529.44
|
| Rate for Payer: UHC Exchange |
$529.44
|
| Rate for Payer: UHC Medicare Advantage |
$529.44
|
| Rate for Payer: UHCCP Medicaid |
$357.84
|
|
|
PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM
|
Facility
|
IP
|
$1,155.00
|
|
|
Service Code
|
CPT 24076
|
| Hospital Charge Code |
24076
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$750.75 |
| Max. Negotiated Rate |
$1,039.50 |
| Rate for Payer: Aetna Commercial |
$981.75
|
| Rate for Payer: BCBS Trust/PPO |
$942.83
|
| Rate for Payer: BCN Commercial |
$892.58
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$993.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$924.00
|
| Rate for Payer: Healthscope Commercial |
$1,039.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$866.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$981.75
|
| Rate for Payer: Nomi Health Commercial |
$947.10
|
| Rate for Payer: PHP Commercial |
$981.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,004.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$773.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,016.40
|
| Rate for Payer: UHC Core |
$964.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$866.25
|
|
|
PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM
|
Facility
|
IP
|
$1,089.00
|
|
|
Service Code
|
CPT 26115
|
| Hospital Charge Code |
26115
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$707.85 |
| Max. Negotiated Rate |
$980.10 |
| Rate for Payer: Aetna Commercial |
$925.65
|
| Rate for Payer: BCBS Trust/PPO |
$888.95
|
| Rate for Payer: BCN Commercial |
$841.58
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cofinity Commercial |
$936.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$871.20
|
| Rate for Payer: Healthscope Commercial |
$980.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$816.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$925.65
|
| Rate for Payer: Nomi Health Commercial |
$892.98
|
| Rate for Payer: PHP Commercial |
$925.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.85
|
| Rate for Payer: Priority Health HMO/PPO |
$947.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$729.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.32
|
| Rate for Payer: UHC Core |
$909.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$816.75
|
|
|
PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM
|
Professional
|
Both
|
$1,089.00
|
|
|
Service Code
|
HCPCS 26115
|
| Min. Negotiated Rate |
$108.67 |
| Max. Negotiated Rate |
$814.14 |
| Rate for Payer: Aetna Commercial |
$431.57
|
| Rate for Payer: Aetna Medicare |
$334.95
|
| Rate for Payer: BCBS Complete |
$231.03
|
| Rate for Payer: BCBS MAPPO |
$322.07
|
| Rate for Payer: BCBS Trust/PPO |
$108.67
|
| Rate for Payer: BCN Commercial |
$814.14
|
| Rate for Payer: BCN Medicare Advantage |
$322.07
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cofinity Commercial |
$463.78
|
| Rate for Payer: Cofinity Commercial |
$431.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.07
|
| Rate for Payer: Mclaren Medicaid |
$220.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.17
|
| Rate for Payer: Meridian Medicaid |
$231.03
|
| Rate for Payer: Nomi Health Commercial |
$386.48
|
| Rate for Payer: PACE SWMI |
$322.07
|
| Rate for Payer: PHP Medicare Advantage |
$322.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.85
|
| Rate for Payer: Priority Health HMO/PPO |
$519.03
|
| Rate for Payer: Priority Health Medicare |
$325.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$519.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.07
|
| Rate for Payer: UHC Exchange |
$322.07
|
| Rate for Payer: UHC Medicare Advantage |
$322.07
|
| Rate for Payer: UHCCP Medicaid |
$220.03
|
|
|
PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM
|
Professional
|
Both
|
$1,089.00
|
|
|
Service Code
|
HCPCS 26115
|
| Hospital Charge Code |
26115
|
| Min. Negotiated Rate |
$108.67 |
| Max. Negotiated Rate |
$814.14 |
| Rate for Payer: Aetna Commercial |
$431.57
|
| Rate for Payer: Aetna Medicare |
$334.95
|
| Rate for Payer: BCBS Complete |
$231.03
|
| Rate for Payer: BCBS MAPPO |
$322.07
|
| Rate for Payer: BCBS Trust/PPO |
$108.67
|
| Rate for Payer: BCN Commercial |
$814.14
|
| Rate for Payer: BCN Medicare Advantage |
$322.07
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cofinity Commercial |
$463.78
|
| Rate for Payer: Cofinity Commercial |
$431.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.07
|
| Rate for Payer: Mclaren Medicaid |
$220.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.17
|
| Rate for Payer: Meridian Medicaid |
$231.03
|
| Rate for Payer: Nomi Health Commercial |
$386.48
|
| Rate for Payer: PACE SWMI |
$322.07
|
| Rate for Payer: PHP Medicare Advantage |
$322.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.85
|
| Rate for Payer: Priority Health HMO/PPO |
$519.03
|
| Rate for Payer: Priority Health Medicare |
$325.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$519.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.07
|
| Rate for Payer: UHC Exchange |
$322.07
|
| Rate for Payer: UHC Medicare Advantage |
$322.07
|
| Rate for Payer: UHCCP Medicaid |
$220.03
|
|
|
PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM
|
Facility
|
OP
|
$1,089.00
|
|
|
Service Code
|
CPT 26115
|
| Hospital Charge Code |
26115
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$258.64 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$925.65
|
| Rate for Payer: Aetna Medicare |
$283.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$340.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$340.31
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$272.25
|
| Rate for Payer: BCBS Trust/PPO |
$895.27
|
| Rate for Payer: BCN Commercial |
$846.70
|
| Rate for Payer: BCN Medicare Advantage |
$272.25
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cofinity Commercial |
$936.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$871.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.25
|
| Rate for Payer: Healthscope Commercial |
$980.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$816.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.86
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$313.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$925.65
|
| Rate for Payer: Nomi Health Commercial |
$892.98
|
| Rate for Payer: PACE Senior Care Partners |
$258.64
|
| Rate for Payer: PACE SWMI |
$272.25
|
| Rate for Payer: PHP Commercial |
$925.65
|
| Rate for Payer: PHP Medicare Advantage |
$272.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.85
|
| Rate for Payer: Priority Health HMO/PPO |
$947.43
|
| Rate for Payer: Priority Health Medicare |
$274.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$729.63
|
| Rate for Payer: Railroad Medicare Medicare |
$272.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.32
|
| Rate for Payer: UHC Core |
$909.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$272.25
|
| Rate for Payer: UHC Exchange |
$272.25
|
| Rate for Payer: UHC Medicare Advantage |
$272.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$272.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$816.75
|
|
|
PR EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM
|
Professional
|
Both
|
$1,680.00
|
|
|
Service Code
|
HCPCS 26116
|
| Min. Negotiated Rate |
$149.00 |
| Max. Negotiated Rate |
$1,092.00 |
| Rate for Payer: Aetna Commercial |
$681.97
|
| Rate for Payer: Aetna Medicare |
$529.29
|
| Rate for Payer: BCBS Complete |
$363.44
|
| Rate for Payer: BCBS MAPPO |
$508.93
|
| Rate for Payer: BCBS Trust/PPO |
$149.00
|
| Rate for Payer: BCN Commercial |
$776.51
|
| Rate for Payer: BCN Medicare Advantage |
$508.93
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cofinity Commercial |
$732.86
|
| Rate for Payer: Cofinity Commercial |
$681.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$508.93
|
| Rate for Payer: Mclaren Medicaid |
$346.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$534.38
|
| Rate for Payer: Meridian Medicaid |
$363.44
|
| Rate for Payer: Nomi Health Commercial |
$610.72
|
| Rate for Payer: PACE SWMI |
$508.93
|
| Rate for Payer: PHP Medicare Advantage |
$508.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$346.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.00
|
| Rate for Payer: Priority Health HMO/PPO |
$816.71
|
| Rate for Payer: Priority Health Medicare |
$514.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$816.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$508.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$508.93
|
| Rate for Payer: UHC Exchange |
$508.93
|
| Rate for Payer: UHC Medicare Advantage |
$508.93
|
| Rate for Payer: UHCCP Medicaid |
$346.13
|
|
