|
PR RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,534.00
|
|
|
Service Code
|
HCPCS 49596
|
| Min. Negotiated Rate |
$651.78 |
| Max. Negotiated Rate |
$1,865.43 |
| Rate for Payer: Aetna Commercial |
$1,370.20
|
| Rate for Payer: Aetna Medicare |
$1,063.44
|
| Rate for Payer: BCBS Complete |
$684.37
|
| Rate for Payer: BCBS MAPPO |
$1,022.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,865.43
|
| Rate for Payer: BCN Commercial |
$1,490.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,022.54
|
| Rate for Payer: Cash Price |
$1,227.20
|
| Rate for Payer: Cash Price |
$1,227.20
|
| Rate for Payer: Cofinity Commercial |
$1,472.46
|
| Rate for Payer: Cofinity Commercial |
$1,370.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,022.54
|
| Rate for Payer: Mclaren Medicaid |
$651.78
|
| Rate for Payer: Meridian Medicaid |
$684.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,073.67
|
| Rate for Payer: PACE SWMI |
$1,022.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,022.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$651.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,073.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,793.32
|
| Rate for Payer: Priority Health Medicare |
$1,022.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,793.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,022.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,022.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,053.22
|
|
|
PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,555.00
|
|
|
Service Code
|
HCPCS 49595
|
| Min. Negotiated Rate |
$491.39 |
| Max. Negotiated Rate |
$1,350.58 |
| Rate for Payer: Aetna Commercial |
$1,031.49
|
| Rate for Payer: Aetna Medicare |
$800.56
|
| Rate for Payer: BCBS Complete |
$515.96
|
| Rate for Payer: BCBS MAPPO |
$769.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$1,122.50
|
| Rate for Payer: BCN Medicare Advantage |
$769.77
|
| Rate for Payer: Cash Price |
$1,244.00
|
| Rate for Payer: Cash Price |
$1,244.00
|
| Rate for Payer: Cofinity Commercial |
$1,108.47
|
| Rate for Payer: Cofinity Commercial |
$1,031.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$769.77
|
| Rate for Payer: Mclaren Medicaid |
$491.39
|
| Rate for Payer: Meridian Medicaid |
$515.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$808.26
|
| Rate for Payer: PACE SWMI |
$769.77
|
| Rate for Payer: PHP Medicare Advantage |
$769.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$491.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,088.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,350.58
|
| Rate for Payer: Priority Health Medicare |
$769.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,350.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$769.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$769.77
|
| Rate for Payer: UHC Medicare Advantage |
$792.86
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,819.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,109.41 |
| Max. Negotiated Rate |
$1,637.10 |
| Rate for Payer: Aetna Commercial |
$1,546.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,405.72
|
| Rate for Payer: BCN Commercial |
$1,405.72
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cofinity Commercial |
$1,564.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,455.20
|
| Rate for Payer: Healthscope Commercial |
$1,637.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,364.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,546.15
|
| Rate for Payer: PHP Commercial |
$1,546.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,582.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,109.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,600.72
|
| Rate for Payer: UHC Core |
$1,518.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,364.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,819.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
49594
|
| Min. Negotiated Rate |
$475.42 |
| Max. Negotiated Rate |
$2,889.80 |
| Rate for Payer: Aetna Commercial |
$999.48
|
| Rate for Payer: Aetna Medicare |
$775.72
|
| Rate for Payer: BCBS Complete |
$499.19
|
| Rate for Payer: BCBS MAPPO |
$745.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.80
|
| Rate for Payer: BCN Commercial |
$1,087.31
|
| Rate for Payer: BCN Medicare Advantage |
$745.88
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cofinity Commercial |
$999.48
|
| Rate for Payer: Cofinity Commercial |
$1,074.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.88
|
| Rate for Payer: Mclaren Medicaid |
$475.42
|
| Rate for Payer: Meridian Medicaid |
$499.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$783.17
|
| Rate for Payer: PACE SWMI |
$745.88
|
| Rate for Payer: PHP Medicare Advantage |
$745.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,308.24
|
| Rate for Payer: Priority Health Medicare |
$745.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,308.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$745.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$745.88
|
| Rate for Payer: UHC Medicare Advantage |
$768.26
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,819.00
|
|
|
Service Code
|
HCPCS 49594
|
| Min. Negotiated Rate |
$475.42 |
| Max. Negotiated Rate |
$2,889.80 |
| Rate for Payer: Aetna Commercial |
$999.48
|
| Rate for Payer: Aetna Medicare |
$775.72
|
| Rate for Payer: BCBS Complete |
$499.19
|
| Rate for Payer: BCBS MAPPO |
$745.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.80
|
| Rate for Payer: BCN Commercial |
$1,087.31
|
| Rate for Payer: BCN Medicare Advantage |
$745.88
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cofinity Commercial |
$1,074.07
|
| Rate for Payer: Cofinity Commercial |
$999.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.88
|
| Rate for Payer: Mclaren Medicaid |
$475.42
|
| Rate for Payer: Meridian Medicaid |
$499.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$783.17
|
| Rate for Payer: PACE SWMI |
$745.88
|
| Rate for Payer: PHP Medicare Advantage |
$745.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,308.24
|
| Rate for Payer: Priority Health Medicare |
$745.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,308.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$745.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$745.88
|
| Rate for Payer: UHC Medicare Advantage |
$768.26
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,819.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$432.01 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$1,546.15
|
| Rate for Payer: Aetna Medicare |
$472.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$568.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$568.44
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$454.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,414.27
|
| Rate for Payer: BCN Commercial |
$1,414.27
|
| Rate for Payer: BCN Medicare Advantage |
$454.75
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cofinity Commercial |
$1,564.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,455.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$454.75
|
| Rate for Payer: Healthscope Commercial |
$1,637.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,364.25
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$477.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$522.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,546.15
|
| Rate for Payer: PACE Senior Care Partners |
$432.01
|
| Rate for Payer: PACE SWMI |
$454.75
|
| Rate for Payer: PHP Commercial |
$1,546.15
|
| Rate for Payer: PHP Medicare Advantage |
$454.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,582.53
|
| Rate for Payer: Priority Health Medicare |
$454.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,109.41
|
| Rate for Payer: Railroad Medicare Medicare |
$454.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,600.72
|
| Rate for Payer: UHC Core |
$1,518.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$454.75
|
| Rate for Payer: UHC Medicare Advantage |
$468.39
|
| Rate for Payer: VA VA |
$454.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,364.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,395.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$850.81 |
| Max. Negotiated Rate |
$1,255.50 |
| Rate for Payer: Aetna Commercial |
$1,185.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,078.06
|
| Rate for Payer: BCN Commercial |
$1,078.06
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$1,199.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.00
|
| Rate for Payer: Healthscope Commercial |
$1,255.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,046.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,185.75
|
| Rate for Payer: PHP Commercial |
$1,185.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,213.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$850.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,227.60
|
| Rate for Payer: UHC Core |
$1,164.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,046.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,395.00
|
|
|
Service Code
|
HCPCS 49593
|
| Min. Negotiated Rate |
$365.30 |
| Max. Negotiated Rate |
$2,206.18 |
| Rate for Payer: Aetna Commercial |
$767.02
|
| Rate for Payer: Aetna Medicare |
$595.30
|
| Rate for Payer: BCBS Complete |
$383.56
|
| Rate for Payer: BCBS MAPPO |
$572.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$572.40
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$767.02
|
| Rate for Payer: Cofinity Commercial |
$824.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.40
|
| Rate for Payer: Mclaren Medicaid |
$365.30
|
| Rate for Payer: Meridian Medicaid |
$383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.02
|
| Rate for Payer: PACE SWMI |
$572.40
|
| Rate for Payer: PHP Medicare Advantage |
$572.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,004.84
|
| Rate for Payer: Priority Health Medicare |
$572.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,004.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$572.40
|
| Rate for Payer: UHC Medicare Advantage |
$589.57
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,395.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$331.31 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$1,185.75
|
| Rate for Payer: Aetna Medicare |
$362.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.94
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$348.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.61
|
| Rate for Payer: BCN Commercial |
$1,084.61
|
| Rate for Payer: BCN Medicare Advantage |
$348.75
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$1,199.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.75
|
| Rate for Payer: Healthscope Commercial |
$1,255.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,046.25
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$366.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$401.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,185.75
|
| Rate for Payer: PACE Senior Care Partners |
$331.31
|
| Rate for Payer: PACE SWMI |
$348.75
|
| Rate for Payer: PHP Commercial |
$1,185.75
|
| Rate for Payer: PHP Medicare Advantage |
$348.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,213.65
|
| Rate for Payer: Priority Health Medicare |
$348.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$850.81
|
| Rate for Payer: Railroad Medicare Medicare |
$348.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,227.60
|
| Rate for Payer: UHC Core |
$1,164.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.75
|
| Rate for Payer: UHC Medicare Advantage |
$359.21
|
| Rate for Payer: VA VA |
$348.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,046.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,395.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$365.30 |
| Max. Negotiated Rate |
$2,206.18 |
| Rate for Payer: Aetna Commercial |
$767.02
|
| Rate for Payer: Aetna Medicare |
$595.30
|
| Rate for Payer: BCBS Complete |
$383.56
|
| Rate for Payer: BCBS MAPPO |
$572.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$572.40
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$767.02
|
| Rate for Payer: Cofinity Commercial |
$824.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.40
|
| Rate for Payer: Mclaren Medicaid |
$365.30
|
| Rate for Payer: Meridian Medicaid |
$383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.02
|
| Rate for Payer: PACE SWMI |
$572.40
|
| Rate for Payer: PHP Medicare Advantage |
$572.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,004.84
|
| Rate for Payer: Priority Health Medicare |
$572.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,004.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$572.40
|
| Rate for Payer: UHC Medicare Advantage |
$589.57
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,159.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$706.87 |
| Max. Negotiated Rate |
$1,043.10 |
| Rate for Payer: Aetna Commercial |
$985.15
|
| Rate for Payer: BCBS Trust/PPO |
$895.68
|
| Rate for Payer: BCN Commercial |
$895.68
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$996.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.20
|
| Rate for Payer: Healthscope Commercial |
$1,043.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$869.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$985.15
|
| Rate for Payer: PHP Commercial |
$985.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,008.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$706.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,019.92
|
| Rate for Payer: UHC Core |
$967.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$869.25
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,159.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$275.26 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$985.15
|
| Rate for Payer: Aetna Medicare |
$301.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$362.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$362.19
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$289.75
|
| Rate for Payer: BCBS Trust/PPO |
$901.12
|
| Rate for Payer: BCN Commercial |
$901.12
|
| Rate for Payer: BCN Medicare Advantage |
$289.75
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$996.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$289.75
|
| Rate for Payer: Healthscope Commercial |
$1,043.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$869.25
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$304.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$333.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$985.15
|
| Rate for Payer: PACE Senior Care Partners |
$275.26
|
| Rate for Payer: PACE SWMI |
$289.75
|
| Rate for Payer: PHP Commercial |
$985.15
|
| Rate for Payer: PHP Medicare Advantage |
$289.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,008.33
|
| Rate for Payer: Priority Health Medicare |
$289.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$706.87
|
| Rate for Payer: Railroad Medicare Medicare |
$289.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,019.92
|
| Rate for Payer: UHC Core |
$967.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$289.75
|
| Rate for Payer: UHC Medicare Advantage |
$298.44
|
| Rate for Payer: VA VA |
$289.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$869.25
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,159.00
|
|
|
Service Code
|
HCPCS 49592
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$2,151.77 |
| Rate for Payer: Aetna Commercial |
$636.78
|
| Rate for Payer: Aetna Medicare |
$494.22
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$475.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$475.21
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$636.78
|
| Rate for Payer: Cofinity Commercial |
$684.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.21
|
| Rate for Payer: Mclaren Medicaid |
$303.31
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$498.97
|
| Rate for Payer: PACE SWMI |
$475.21
|
| Rate for Payer: PHP Medicare Advantage |
$475.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.33
|
| Rate for Payer: Priority Health Medicare |
$475.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$475.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$475.21
|
| Rate for Payer: UHC Medicare Advantage |
$489.47
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,159.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$2,151.77 |
| Rate for Payer: Aetna Commercial |
$636.78
|
| Rate for Payer: Aetna Medicare |
$494.22
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$475.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$475.21
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$684.30
|
| Rate for Payer: Cofinity Commercial |
$636.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.21
|
| Rate for Payer: Mclaren Medicaid |
$303.31
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$498.97
|
| Rate for Payer: PACE SWMI |
$475.21
|
| Rate for Payer: PHP Medicare Advantage |
$475.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.33
|
| Rate for Payer: Priority Health Medicare |
$475.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$475.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$475.21
|
| Rate for Payer: UHC Medicare Advantage |
$489.47
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 49591
|
| Min. Negotiated Rate |
$218.33 |
| Max. Negotiated Rate |
$1,842.18 |
| Rate for Payer: Aetna Commercial |
$456.90
|
| Rate for Payer: Aetna Medicare |
$354.61
|
| Rate for Payer: BCBS Complete |
$229.25
|
| Rate for Payer: BCBS MAPPO |
$340.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,842.18
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$340.97
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$491.00
|
| Rate for Payer: Cofinity Commercial |
$456.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$340.97
|
| Rate for Payer: Mclaren Medicaid |
$218.33
|
| Rate for Payer: Meridian Medicaid |
$229.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.02
|
| Rate for Payer: PACE SWMI |
$340.97
|
| Rate for Payer: PHP Medicare Advantage |
$340.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.73
|
| Rate for Payer: Priority Health Medicare |
$340.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$599.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$340.97
|
| Rate for Payer: UHC Medicare Advantage |
$351.20
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
IP
|
$852.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$519.63 |
| Max. Negotiated Rate |
$766.80 |
| Rate for Payer: Aetna Commercial |
$724.20
|
| Rate for Payer: BCBS Trust/PPO |
$658.43
|
| Rate for Payer: BCN Commercial |
$658.43
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$732.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$681.60
|
| Rate for Payer: Healthscope Commercial |
$766.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$639.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$724.20
|
| Rate for Payer: PHP Commercial |
$724.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$741.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$519.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$749.76
|
| Rate for Payer: UHC Core |
$711.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$639.00
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
OP
|
$852.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$202.35 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$724.20
|
| Rate for Payer: Aetna Medicare |
$221.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266.25
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$213.00
|
| Rate for Payer: BCBS Trust/PPO |
$662.43
|
| Rate for Payer: BCN Commercial |
$662.43
|
| Rate for Payer: BCN Medicare Advantage |
$213.00
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$732.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$681.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.00
|
| Rate for Payer: Healthscope Commercial |
$766.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$639.00
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$223.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$244.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$724.20
|
| Rate for Payer: PACE Senior Care Partners |
$202.35
|
| Rate for Payer: PACE SWMI |
$213.00
|
| Rate for Payer: PHP Commercial |
$724.20
|
| Rate for Payer: PHP Medicare Advantage |
$213.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$741.24
|
| Rate for Payer: Priority Health Medicare |
$213.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$519.63
|
| Rate for Payer: Railroad Medicare Medicare |
$213.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$749.76
|
| Rate for Payer: UHC Core |
$711.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$213.00
|
| Rate for Payer: UHC Medicare Advantage |
$219.39
|
| Rate for Payer: VA VA |
$213.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$639.00
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$218.33 |
| Max. Negotiated Rate |
$1,842.18 |
| Rate for Payer: Aetna Commercial |
$456.90
|
| Rate for Payer: Aetna Medicare |
$354.61
|
| Rate for Payer: BCBS Complete |
$229.25
|
| Rate for Payer: BCBS MAPPO |
$340.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,842.18
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$340.97
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$491.00
|
| Rate for Payer: Cofinity Commercial |
$456.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$340.97
|
| Rate for Payer: Mclaren Medicaid |
$218.33
|
| Rate for Payer: Meridian Medicaid |
$229.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.02
|
| Rate for Payer: PACE SWMI |
$340.97
|
| Rate for Payer: PHP Medicare Advantage |
$340.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.73
|
| Rate for Payer: Priority Health Medicare |
$340.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$599.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$340.97
|
| Rate for Payer: UHC Medicare Advantage |
$351.20
|
|
|
PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$3,099.00
|
|
|
Service Code
|
HCPCS 49618
|
| Min. Negotiated Rate |
$789.80 |
| Max. Negotiated Rate |
$2,982.78 |
| Rate for Payer: Aetna Commercial |
$1,660.94
|
| Rate for Payer: Aetna Medicare |
$1,289.09
|
| Rate for Payer: BCBS Complete |
$829.29
|
| Rate for Payer: BCBS MAPPO |
$1,239.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,982.78
|
| Rate for Payer: BCN Commercial |
$1,806.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,239.51
|
| Rate for Payer: Cash Price |
$2,479.20
|
| Rate for Payer: Cash Price |
$2,479.20
|
| Rate for Payer: Cofinity Commercial |
$1,784.89
|
| Rate for Payer: Cofinity Commercial |
$1,660.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,239.51
|
| Rate for Payer: Mclaren Medicaid |
$789.80
|
| Rate for Payer: Meridian Medicaid |
$829.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,301.49
|
| Rate for Payer: PACE SWMI |
$1,239.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,239.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$789.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,169.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,173.15
|
| Rate for Payer: Priority Health Medicare |
$1,239.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,173.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,239.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,239.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,276.70
|
|
|
PR RPR AA HERNIA RECR > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,812.00
|
|
|
Service Code
|
HCPCS 49617
|
| Min. Negotiated Rate |
$563.81 |
| Max. Negotiated Rate |
$1,551.06 |
| Rate for Payer: Aetna Commercial |
$1,184.37
|
| Rate for Payer: Aetna Medicare |
$919.21
|
| Rate for Payer: BCBS Complete |
$592.00
|
| Rate for Payer: BCBS MAPPO |
$883.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.13
|
| Rate for Payer: BCN Commercial |
$1,289.14
|
| Rate for Payer: BCN Medicare Advantage |
$883.86
|
| Rate for Payer: Cash Price |
$1,449.60
|
| Rate for Payer: Cash Price |
$1,449.60
|
| Rate for Payer: Cofinity Commercial |
$1,272.76
|
| Rate for Payer: Cofinity Commercial |
$1,184.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$883.86
|
| Rate for Payer: Mclaren Medicaid |
$563.81
|
| Rate for Payer: Meridian Medicaid |
$592.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$928.05
|
| Rate for Payer: PACE SWMI |
$883.86
|
| Rate for Payer: PHP Medicare Advantage |
$883.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$563.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,268.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,551.06
|
| Rate for Payer: Priority Health Medicare |
$883.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,551.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$883.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$883.86
|
| Rate for Payer: UHC Medicare Advantage |
$910.38
|
|
|
PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,717.00
|
|
|
Service Code
|
HCPCS 49616
|
| Min. Negotiated Rate |
$547.20 |
| Max. Negotiated Rate |
$1,505.80 |
| Rate for Payer: Aetna Commercial |
$1,150.59
|
| Rate for Payer: Aetna Medicare |
$893.00
|
| Rate for Payer: BCBS Complete |
$574.56
|
| Rate for Payer: BCBS MAPPO |
$858.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.07
|
| Rate for Payer: BCN Commercial |
$1,251.51
|
| Rate for Payer: BCN Medicare Advantage |
$858.65
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cofinity Commercial |
$1,236.46
|
| Rate for Payer: Cofinity Commercial |
$1,150.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$858.65
|
| Rate for Payer: Mclaren Medicaid |
$547.20
|
| Rate for Payer: Meridian Medicaid |
$574.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$901.58
|
| Rate for Payer: PACE SWMI |
$858.65
|
| Rate for Payer: PHP Medicare Advantage |
$858.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$547.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,201.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,505.80
|
| Rate for Payer: Priority Health Medicare |
$858.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,505.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$858.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$858.65
|
| Rate for Payer: UHC Medicare Advantage |
$884.41
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 49615
|
| Min. Negotiated Rate |
$407.26 |
| Max. Negotiated Rate |
$1,121.27 |
| Rate for Payer: Aetna Commercial |
$855.95
|
| Rate for Payer: Aetna Medicare |
$664.32
|
| Rate for Payer: BCBS Complete |
$427.62
|
| Rate for Payer: BCBS MAPPO |
$638.77
|
| Rate for Payer: BCBS Trust/PPO |
$941.43
|
| Rate for Payer: BCN Commercial |
$931.91
|
| Rate for Payer: BCN Medicare Advantage |
$638.77
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$919.83
|
| Rate for Payer: Cofinity Commercial |
$855.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.77
|
| Rate for Payer: Mclaren Medicaid |
$407.26
|
| Rate for Payer: Meridian Medicaid |
$427.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$670.71
|
| Rate for Payer: PACE SWMI |
$638.77
|
| Rate for Payer: PHP Medicare Advantage |
$638.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,121.27
|
| Rate for Payer: Priority Health Medicare |
$638.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,121.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$638.77
|
| Rate for Payer: UHC Medicare Advantage |
$657.93
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,558.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$950.22 |
| Max. Negotiated Rate |
$1,402.20 |
| Rate for Payer: Aetna Commercial |
$1,324.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,204.02
|
| Rate for Payer: BCN Commercial |
$1,204.02
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$1,339.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,246.40
|
| Rate for Payer: Healthscope Commercial |
$1,402.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,168.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,324.30
|
| Rate for Payer: PHP Commercial |
$1,324.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,355.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$950.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,371.04
|
| Rate for Payer: UHC Core |
$1,300.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,168.50
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,558.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$370.02 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$1,324.30
|
| Rate for Payer: Aetna Medicare |
$405.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$486.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$486.88
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$389.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,211.34
|
| Rate for Payer: BCN Commercial |
$1,211.34
|
| Rate for Payer: BCN Medicare Advantage |
$389.50
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$1,339.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,246.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.50
|
| Rate for Payer: Healthscope Commercial |
$1,402.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,168.50
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$408.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$447.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,324.30
|
| Rate for Payer: PACE Senior Care Partners |
$370.02
|
| Rate for Payer: PACE SWMI |
$389.50
|
| Rate for Payer: PHP Commercial |
$1,324.30
|
| Rate for Payer: PHP Medicare Advantage |
$389.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,355.46
|
| Rate for Payer: Priority Health Medicare |
$389.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$950.22
|
| Rate for Payer: Railroad Medicare Medicare |
$389.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,371.04
|
| Rate for Payer: UHC Core |
$1,300.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.50
|
| Rate for Payer: UHC Medicare Advantage |
$401.18
|
| Rate for Payer: VA VA |
$389.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,168.50
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$407.26 |
| Max. Negotiated Rate |
$1,121.27 |
| Rate for Payer: Aetna Commercial |
$855.95
|
| Rate for Payer: Aetna Medicare |
$664.32
|
| Rate for Payer: BCBS Complete |
$427.62
|
| Rate for Payer: BCBS MAPPO |
$638.77
|
| Rate for Payer: BCBS Trust/PPO |
$941.43
|
| Rate for Payer: BCN Commercial |
$931.91
|
| Rate for Payer: BCN Medicare Advantage |
$638.77
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$855.95
|
| Rate for Payer: Cofinity Commercial |
$919.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.77
|
| Rate for Payer: Mclaren Medicaid |
$407.26
|
| Rate for Payer: Meridian Medicaid |
$427.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$670.71
|
| Rate for Payer: PACE SWMI |
$638.77
|
| Rate for Payer: PHP Medicare Advantage |
$638.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,121.27
|
| Rate for Payer: Priority Health Medicare |
$638.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,121.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$638.77
|
| Rate for Payer: UHC Medicare Advantage |
$657.93
|
|
