PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE
|
Professional
|
Both
|
$1,520.00
|
|
Service Code
|
HCPCS 49621
|
Min. Negotiated Rate |
$472.65 |
Max. Negotiated Rate |
$3,534.33 |
Rate for Payer: Aetna Commercial |
$991.95
|
Rate for Payer: Aetna Medicare |
$769.87
|
Rate for Payer: BCBS Complete |
$496.28
|
Rate for Payer: BCBS MAPPO |
$740.26
|
Rate for Payer: BCBS Trust/PPO |
$3,534.33
|
Rate for Payer: BCN Commercial |
$1,080.46
|
Rate for Payer: BCN Medicare Advantage |
$740.26
|
Rate for Payer: Cash Price |
$1,216.00
|
Rate for Payer: Cash Price |
$1,216.00
|
Rate for Payer: Cofinity Commercial |
$1,065.97
|
Rate for Payer: Cofinity Commercial |
$991.95
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.26
|
Rate for Payer: Mclaren Medicaid |
$472.65
|
Rate for Payer: Meridian Medicaid |
$496.28
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$777.27
|
Rate for Payer: PACE SWMI |
$740.26
|
Rate for Payer: PHP Medicare Advantage |
$740.26
|
Rate for Payer: Priority Health Choice Medicaid |
$472.65
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,064.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,300.01
|
Rate for Payer: Priority Health Medicare |
$740.26
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,300.01
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$740.26
|
Rate for Payer: UHC Dual Complete DSNP |
$740.26
|
Rate for Payer: UHC Medicare Advantage |
$762.47
|
|
PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,874.00
|
|
Service Code
|
HCPCS 49622
|
Min. Negotiated Rate |
$582.77 |
Max. Negotiated Rate |
$2,705.42 |
Rate for Payer: Aetna Commercial |
$1,224.49
|
Rate for Payer: Aetna Medicare |
$950.35
|
Rate for Payer: BCBS Complete |
$611.91
|
Rate for Payer: BCBS MAPPO |
$913.80
|
Rate for Payer: BCBS Trust/PPO |
$2,705.42
|
Rate for Payer: BCN Commercial |
$1,333.11
|
Rate for Payer: BCN Medicare Advantage |
$913.80
|
Rate for Payer: Cash Price |
$1,499.20
|
Rate for Payer: Cash Price |
$1,499.20
|
Rate for Payer: Cofinity Commercial |
$1,315.87
|
Rate for Payer: Cofinity Commercial |
$1,224.49
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$913.80
|
Rate for Payer: Mclaren Medicaid |
$582.77
|
Rate for Payer: Meridian Medicaid |
$611.91
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$959.49
|
Rate for Payer: PACE SWMI |
$913.80
|
Rate for Payer: PHP Medicare Advantage |
$913.80
|
Rate for Payer: Priority Health Choice Medicaid |
$582.77
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,311.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,603.99
|
Rate for Payer: Priority Health Medicare |
$913.80
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,603.99
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$913.80
|
Rate for Payer: UHC Dual Complete DSNP |
$913.80
|
Rate for Payer: UHC Medicare Advantage |
$941.21
|
|
PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS
|
Professional
|
Both
|
$7,416.00
|
|
Service Code
|
HCPCS 33925
|
Min. Negotiated Rate |
$843.70 |
Max. Negotiated Rate |
$5,191.20 |
Rate for Payer: Aetna Commercial |
$2,265.43
|
Rate for Payer: Aetna Medicare |
$1,758.24
|
Rate for Payer: BCBS Complete |
$1,129.65
|
Rate for Payer: BCBS MAPPO |
$1,690.62
|
Rate for Payer: BCBS Trust/PPO |
$843.70
|
Rate for Payer: BCN Commercial |
$2,460.00
|
Rate for Payer: BCN Medicare Advantage |
$1,690.62
|
Rate for Payer: Cash Price |
$5,932.80
|
Rate for Payer: Cash Price |
$5,932.80
|
Rate for Payer: Cofinity Commercial |
$2,265.43
|
Rate for Payer: Cofinity Commercial |
$2,434.49
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,690.62
|
Rate for Payer: Mclaren Medicaid |
$1,075.86
|
Rate for Payer: Meridian Medicaid |
$1,129.65
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,775.15
|
Rate for Payer: PACE SWMI |
$1,690.62
|
Rate for Payer: PHP Medicare Advantage |
$1,690.62
|
Rate for Payer: Priority Health Choice Medicaid |
$1,075.86
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,191.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,677.87
|
Rate for Payer: Priority Health Medicare |
$1,690.62
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,677.87
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,690.62
|
Rate for Payer: UHC Dual Complete DSNP |
$1,690.62
|
Rate for Payer: UHC Medicare Advantage |
$1,741.34
|
|
PR RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT
|
Professional
|
Both
|
$5,761.00
|
|
Service Code
|
HCPCS 33545
|
Min. Negotiated Rate |
$1,600.75 |
Max. Negotiated Rate |
$4,766.87 |
Rate for Payer: Aetna Commercial |
$4,033.82
|
Rate for Payer: Aetna Medicare |
$3,130.72
|
Rate for Payer: BCBS Complete |
$2,005.69
|
Rate for Payer: BCBS MAPPO |
$3,010.31
|
Rate for Payer: BCBS Trust/PPO |
$1,600.75
|
Rate for Payer: BCN Commercial |
$4,379.04
|
Rate for Payer: BCN Medicare Advantage |
$3,010.31
|
Rate for Payer: Cash Price |
$4,608.80
|
Rate for Payer: Cash Price |
$4,608.80
|
Rate for Payer: Cofinity Commercial |
$4,033.82
|
Rate for Payer: Cofinity Commercial |
$4,334.85
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,010.31
|
Rate for Payer: Mclaren Medicaid |
$1,910.18
|
Rate for Payer: Meridian Medicaid |
$2,005.69
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,160.83
|
Rate for Payer: PACE SWMI |
$3,010.31
|
Rate for Payer: PHP Medicare Advantage |
$3,010.31
|
Rate for Payer: Priority Health Choice Medicaid |
$1,910.18
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,032.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,766.87
|
Rate for Payer: Priority Health Medicare |
$3,010.31
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$4,766.87
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$3,010.31
|
Rate for Payer: UHC Dual Complete DSNP |
$3,010.31
|
Rate for Payer: UHC Medicare Advantage |
$3,100.62
|
|
PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL
|
Professional
|
Both
|
$1,913.00
|
|
Service Code
|
HCPCS 27695
|
Min. Negotiated Rate |
$315.03 |
Max. Negotiated Rate |
$2,507.31 |
Rate for Payer: Aetna Commercial |
$637.44
|
Rate for Payer: Aetna Medicare |
$494.73
|
Rate for Payer: BCBS Complete |
$330.78
|
Rate for Payer: BCBS MAPPO |
$475.70
|
Rate for Payer: BCBS Trust/PPO |
$2,507.31
|
Rate for Payer: BCN Commercial |
$712.00
|
Rate for Payer: BCN Medicare Advantage |
$475.70
|
Rate for Payer: Cash Price |
$1,530.40
|
Rate for Payer: Cash Price |
$1,530.40
|
Rate for Payer: Cofinity Commercial |
$685.01
|
Rate for Payer: Cofinity Commercial |
$637.44
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.70
|
Rate for Payer: Mclaren Medicaid |
$315.03
|
Rate for Payer: Meridian Medicaid |
$330.78
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$499.48
|
Rate for Payer: PACE SWMI |
$475.70
|
Rate for Payer: PHP Medicare Advantage |
$475.70
|
Rate for Payer: Priority Health Choice Medicaid |
$315.03
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,339.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$744.02
|
Rate for Payer: Priority Health Medicare |
$475.70
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$744.02
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$475.70
|
Rate for Payer: UHC Dual Complete DSNP |
$475.70
|
Rate for Payer: UHC Medicare Advantage |
$489.97
|
|
PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT
|
Professional
|
Both
|
$1,025.00
|
|
Service Code
|
HCPCS 27652
|
Min. Negotiated Rate |
$432.82 |
Max. Negotiated Rate |
$1,373.05 |
Rate for Payer: Aetna Commercial |
$874.11
|
Rate for Payer: Aetna Medicare |
$678.41
|
Rate for Payer: BCBS Complete |
$454.46
|
Rate for Payer: BCBS MAPPO |
$652.32
|
Rate for Payer: BCBS Trust/PPO |
$1,373.05
|
Rate for Payer: BCN Commercial |
$969.54
|
Rate for Payer: BCN Medicare Advantage |
$652.32
|
Rate for Payer: Cash Price |
$820.00
|
Rate for Payer: Cash Price |
$820.00
|
Rate for Payer: Cofinity Commercial |
$939.34
|
Rate for Payer: Cofinity Commercial |
$874.11
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.32
|
Rate for Payer: Mclaren Medicaid |
$432.82
|
Rate for Payer: Meridian Medicaid |
$454.46
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$684.94
|
Rate for Payer: PACE SWMI |
$652.32
|
Rate for Payer: PHP Medicare Advantage |
$652.32
|
Rate for Payer: Priority Health Choice Medicaid |
$432.82
|
Rate for Payer: Priority Health Cigna Priority Health |
$717.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,013.13
|
Rate for Payer: Priority Health Medicare |
$652.32
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,013.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$652.32
|
Rate for Payer: UHC Dual Complete DSNP |
$652.32
|
Rate for Payer: UHC Medicare Advantage |
$671.89
|
|
PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL
|
Professional
|
Both
|
$1,866.00
|
|
Service Code
|
HCPCS 27405
|
Min. Negotiated Rate |
$438.99 |
Max. Negotiated Rate |
$1,306.20 |
Rate for Payer: Aetna Commercial |
$893.93
|
Rate for Payer: Aetna Medicare |
$693.79
|
Rate for Payer: BCBS Complete |
$460.94
|
Rate for Payer: BCBS MAPPO |
$667.11
|
Rate for Payer: BCBS Trust/PPO |
$648.75
|
Rate for Payer: BCN Commercial |
$996.90
|
Rate for Payer: BCN Medicare Advantage |
$667.11
|
Rate for Payer: Cash Price |
$1,492.80
|
Rate for Payer: Cash Price |
$1,492.80
|
Rate for Payer: Cofinity Commercial |
$960.64
|
Rate for Payer: Cofinity Commercial |
$893.93
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.11
|
Rate for Payer: Mclaren Medicaid |
$438.99
|
Rate for Payer: Meridian Medicaid |
$460.94
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$700.47
|
Rate for Payer: PACE SWMI |
$667.11
|
Rate for Payer: PHP Medicare Advantage |
$667.11
|
Rate for Payer: Priority Health Choice Medicaid |
$438.99
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,306.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.73
|
Rate for Payer: Priority Health Medicare |
$667.11
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,041.73
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$667.11
|
Rate for Payer: UHC Dual Complete DSNP |
$667.11
|
Rate for Payer: UHC Medicare Advantage |
$687.12
|
|
PR RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS
|
Professional
|
Both
|
$2,849.00
|
|
Service Code
|
HCPCS 27696
|
Min. Negotiated Rate |
$353.79 |
Max. Negotiated Rate |
$1,994.30 |
Rate for Payer: Aetna Commercial |
$723.41
|
Rate for Payer: Aetna Medicare |
$561.45
|
Rate for Payer: BCBS Complete |
$371.48
|
Rate for Payer: BCBS MAPPO |
$539.86
|
Rate for Payer: BCBS Trust/PPO |
$620.09
|
Rate for Payer: BCN Commercial |
$803.87
|
Rate for Payer: BCN Medicare Advantage |
$539.86
|
Rate for Payer: Cash Price |
$2,279.20
|
Rate for Payer: Cash Price |
$2,279.20
|
Rate for Payer: Cofinity Commercial |
$723.41
|
Rate for Payer: Cofinity Commercial |
$777.40
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$539.86
|
Rate for Payer: Mclaren Medicaid |
$353.79
|
Rate for Payer: Meridian Medicaid |
$371.48
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$566.85
|
Rate for Payer: PACE SWMI |
$539.86
|
Rate for Payer: PHP Medicare Advantage |
$539.86
|
Rate for Payer: Priority Health Choice Medicaid |
$353.79
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,994.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$840.01
|
Rate for Payer: Priority Health Medicare |
$539.86
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$840.01
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$539.86
|
Rate for Payer: UHC Dual Complete DSNP |
$539.86
|
Rate for Payer: UHC Medicare Advantage |
$556.06
|
|
PR RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL
|
Professional
|
Both
|
$2,138.00
|
|
Service Code
|
HCPCS 26548
|
Min. Negotiated Rate |
$89.28 |
Max. Negotiated Rate |
$1,496.60 |
Rate for Payer: Aetna Commercial |
$1,051.65
|
Rate for Payer: Aetna Medicare |
$816.20
|
Rate for Payer: BCBS Complete |
$543.69
|
Rate for Payer: BCBS MAPPO |
$784.81
|
Rate for Payer: BCBS Trust/PPO |
$89.28
|
Rate for Payer: BCN Commercial |
$1,189.44
|
Rate for Payer: BCN Medicare Advantage |
$784.81
|
Rate for Payer: Cash Price |
$1,710.40
|
Rate for Payer: Cash Price |
$1,710.40
|
Rate for Payer: Cofinity Commercial |
$1,051.65
|
Rate for Payer: Cofinity Commercial |
$1,130.13
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$784.81
|
Rate for Payer: Mclaren Medicaid |
$517.80
|
Rate for Payer: Meridian Medicaid |
$543.69
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$824.05
|
Rate for Payer: PACE SWMI |
$784.81
|
Rate for Payer: PHP Medicare Advantage |
$784.81
|
Rate for Payer: Priority Health Choice Medicaid |
$517.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,496.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,242.92
|
Rate for Payer: Priority Health Medicare |
$784.81
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,242.92
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$784.81
|
Rate for Payer: UHC Dual Complete DSNP |
$784.81
|
Rate for Payer: UHC Medicare Advantage |
$808.35
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,050.00
|
|
Service Code
|
HCPCS 49555
|
Hospital Charge Code |
49555
|
Min. Negotiated Rate |
$389.36 |
Max. Negotiated Rate |
$2,967.99 |
Rate for Payer: Aetna Commercial |
$807.28
|
Rate for Payer: Aetna Medicare |
$626.55
|
Rate for Payer: BCBS Complete |
$408.83
|
Rate for Payer: BCBS MAPPO |
$602.45
|
Rate for Payer: BCBS Trust/PPO |
$2,967.99
|
Rate for Payer: BCN Commercial |
$887.93
|
Rate for Payer: BCN Medicare Advantage |
$602.45
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cofinity Commercial |
$867.53
|
Rate for Payer: Cofinity Commercial |
$807.28
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.45
|
Rate for Payer: Mclaren Medicaid |
$389.36
|
Rate for Payer: Meridian Medicaid |
$408.83
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$632.57
|
Rate for Payer: PACE SWMI |
$602.45
|
Rate for Payer: PHP Medicare Advantage |
$602.45
|
Rate for Payer: Priority Health Choice Medicaid |
$389.36
|
Rate for Payer: Priority Health Cigna Priority Health |
$735.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,068.35
|
Rate for Payer: Priority Health Medicare |
$602.45
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,068.35
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$602.45
|
Rate for Payer: UHC Dual Complete DSNP |
$602.45
|
Rate for Payer: UHC Medicare Advantage |
$620.52
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,050.00
|
|
Service Code
|
HCPCS 49555
|
Min. Negotiated Rate |
$389.36 |
Max. Negotiated Rate |
$2,967.99 |
Rate for Payer: Aetna Commercial |
$807.28
|
Rate for Payer: Aetna Medicare |
$626.55
|
Rate for Payer: BCBS Complete |
$408.83
|
Rate for Payer: BCBS MAPPO |
$602.45
|
Rate for Payer: BCBS Trust/PPO |
$2,967.99
|
Rate for Payer: BCN Commercial |
$887.93
|
Rate for Payer: BCN Medicare Advantage |
$602.45
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cofinity Commercial |
$807.28
|
Rate for Payer: Cofinity Commercial |
$867.53
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.45
|
Rate for Payer: Mclaren Medicaid |
$389.36
|
Rate for Payer: Meridian Medicaid |
$408.83
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$632.57
|
Rate for Payer: PACE SWMI |
$602.45
|
Rate for Payer: PHP Medicare Advantage |
$602.45
|
Rate for Payer: Priority Health Choice Medicaid |
$389.36
|
Rate for Payer: Priority Health Cigna Priority Health |
$735.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,068.35
|
Rate for Payer: Priority Health Medicare |
$602.45
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,068.35
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$602.45
|
Rate for Payer: UHC Dual Complete DSNP |
$602.45
|
Rate for Payer: UHC Medicare Advantage |
$620.52
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Facility
|
IP
|
$1,050.00
|
|
Service Code
|
CPT 49555
|
Hospital Charge Code |
49555
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$640.40 |
Max. Negotiated Rate |
$945.00 |
Rate for Payer: Aetna Commercial |
$892.50
|
Rate for Payer: BCBS Trust/PPO |
$811.44
|
Rate for Payer: BCN Commercial |
$811.44
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cofinity Commercial |
$903.00
|
Rate for Payer: Encore Health Key Benefits Commercial |
$840.00
|
Rate for Payer: Healthscope Commercial |
$945.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$787.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$892.50
|
Rate for Payer: PHP Commercial |
$892.50
|
Rate for Payer: Priority Health Cigna Priority Health |
$735.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$640.40
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$924.00
|
Rate for Payer: UHC Core |
$876.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$787.50
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Facility
|
OP
|
$1,050.00
|
|
Service Code
|
CPT 49555
|
Hospital Charge Code |
49555
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$249.38 |
Max. Negotiated Rate |
$2,382.99 |
Rate for Payer: Aetna Commercial |
$892.50
|
Rate for Payer: Aetna Medicare |
$273.00
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$328.12
|
Rate for Payer: Amish Plain Church Group Commercial |
$328.12
|
Rate for Payer: BCBS Complete |
$2,382.99
|
Rate for Payer: BCBS MAPPO |
$262.50
|
Rate for Payer: BCBS Trust/PPO |
$816.38
|
Rate for Payer: BCN Commercial |
$816.38
|
Rate for Payer: BCN Medicare Advantage |
$262.50
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cash Price |
$840.00
|
Rate for Payer: Cofinity Commercial |
$903.00
|
Rate for Payer: Encore Health Key Benefits Commercial |
$840.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$262.50
|
Rate for Payer: Healthscope Commercial |
$945.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$787.50
|
Rate for Payer: Mclaren Medicaid |
$2,269.51
|
Rate for Payer: Meridian Medicaid |
$2,382.99
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$275.62
|
Rate for Payer: MI Amish Medical Board Commercial |
$301.88
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$892.50
|
Rate for Payer: PACE Senior Care Partners |
$249.38
|
Rate for Payer: PACE SWMI |
$262.50
|
Rate for Payer: PHP Commercial |
$892.50
|
Rate for Payer: PHP Medicare Advantage |
$262.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$735.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.50
|
Rate for Payer: Priority Health Medicare |
$262.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$640.40
|
Rate for Payer: Railroad Medicare Medicare |
$262.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$924.00
|
Rate for Payer: UHC Core |
$876.75
|
Rate for Payer: UHC Dual Complete DSNP |
$262.50
|
Rate for Payer: UHC Medicare Advantage |
$270.38
|
Rate for Payer: VA VA |
$262.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$787.50
|
|
PR RPR RECRT FEM HRNA INCARCERATED
|
Professional
|
Both
|
$1,452.00
|
|
Service Code
|
HCPCS 49557
|
Min. Negotiated Rate |
$464.34 |
Max. Negotiated Rate |
$1,663.62 |
Rate for Payer: Aetna Commercial |
$966.56
|
Rate for Payer: Aetna Medicare |
$750.16
|
Rate for Payer: BCBS Complete |
$487.56
|
Rate for Payer: BCBS MAPPO |
$721.31
|
Rate for Payer: BCBS Trust/PPO |
$1,663.62
|
Rate for Payer: BCN Commercial |
$1,060.92
|
Rate for Payer: BCN Medicare Advantage |
$721.31
|
Rate for Payer: Cash Price |
$1,161.60
|
Rate for Payer: Cash Price |
$1,161.60
|
Rate for Payer: Cofinity Commercial |
$1,038.69
|
Rate for Payer: Cofinity Commercial |
$966.56
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$721.31
|
Rate for Payer: Mclaren Medicaid |
$464.34
|
Rate for Payer: Meridian Medicaid |
$487.56
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$757.38
|
Rate for Payer: PACE SWMI |
$721.31
|
Rate for Payer: PHP Medicare Advantage |
$721.31
|
Rate for Payer: Priority Health Choice Medicaid |
$464.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,016.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,276.49
|
Rate for Payer: Priority Health Medicare |
$721.31
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,276.49
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$721.31
|
Rate for Payer: UHC Dual Complete DSNP |
$721.31
|
Rate for Payer: UHC Medicare Advantage |
$742.95
|
|
PR RPR RECRT INCAL/VNT HERNIA INCARCERATED
|
Professional
|
Both
|
$2,600.00
|
|
Service Code
|
HCPCS 49566
|
Min. Negotiated Rate |
$1,040.00 |
Max. Negotiated Rate |
$1,820.00 |
Rate for Payer: BCBS Complete |
$1,040.00
|
Rate for Payer: Cash Price |
$2,080.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,820.00
|
|
PR RPR RECRT INCAL/VNT HERNIA REDUCIBLE
|
Professional
|
Both
|
$2,250.00
|
|
Service Code
|
HCPCS 49565
|
Min. Negotiated Rate |
$900.00 |
Max. Negotiated Rate |
$1,575.00 |
Rate for Payer: BCBS Complete |
$900.00
|
Rate for Payer: Cash Price |
$1,800.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,575.00
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$1,687.00
|
|
Service Code
|
HCPCS 49520
|
Min. Negotiated Rate |
$136.83 |
Max. Negotiated Rate |
$1,180.90 |
Rate for Payer: Aetna Commercial |
$844.79
|
Rate for Payer: Aetna Medicare |
$655.66
|
Rate for Payer: BCBS Complete |
$428.06
|
Rate for Payer: BCBS MAPPO |
$630.44
|
Rate for Payer: BCBS Trust/PPO |
$136.83
|
Rate for Payer: BCN Commercial |
$928.49
|
Rate for Payer: BCN Medicare Advantage |
$630.44
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cofinity Commercial |
$844.79
|
Rate for Payer: Cofinity Commercial |
$907.83
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.44
|
Rate for Payer: Mclaren Medicaid |
$407.68
|
Rate for Payer: Meridian Medicaid |
$428.06
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.96
|
Rate for Payer: PACE SWMI |
$630.44
|
Rate for Payer: PHP Medicare Advantage |
$630.44
|
Rate for Payer: Priority Health Choice Medicaid |
$407.68
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,180.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.15
|
Rate for Payer: Priority Health Medicare |
$630.44
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,117.15
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$630.44
|
Rate for Payer: UHC Dual Complete DSNP |
$630.44
|
Rate for Payer: UHC Medicare Advantage |
$649.35
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Facility
|
OP
|
$1,687.00
|
|
Service Code
|
CPT 49520
|
Hospital Charge Code |
49520
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$400.66 |
Max. Negotiated Rate |
$2,382.99 |
Rate for Payer: Aetna Commercial |
$1,433.95
|
Rate for Payer: Aetna Medicare |
$438.62
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$527.19
|
Rate for Payer: Amish Plain Church Group Commercial |
$527.19
|
Rate for Payer: BCBS Complete |
$2,382.99
|
Rate for Payer: BCBS MAPPO |
$421.75
|
Rate for Payer: BCBS Trust/PPO |
$1,311.64
|
Rate for Payer: BCN Commercial |
$1,311.64
|
Rate for Payer: BCN Medicare Advantage |
$421.75
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cofinity Commercial |
$1,450.82
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,349.60
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.75
|
Rate for Payer: Healthscope Commercial |
$1,518.30
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,265.25
|
Rate for Payer: Mclaren Medicaid |
$2,269.51
|
Rate for Payer: Meridian Medicaid |
$2,382.99
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$442.84
|
Rate for Payer: MI Amish Medical Board Commercial |
$485.01
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,433.95
|
Rate for Payer: PACE Senior Care Partners |
$400.66
|
Rate for Payer: PACE SWMI |
$421.75
|
Rate for Payer: PHP Commercial |
$1,433.95
|
Rate for Payer: PHP Medicare Advantage |
$421.75
|
Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,180.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,467.69
|
Rate for Payer: Priority Health Medicare |
$421.75
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,028.90
|
Rate for Payer: Railroad Medicare Medicare |
$421.75
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,484.56
|
Rate for Payer: UHC Core |
$1,408.64
|
Rate for Payer: UHC Dual Complete DSNP |
$421.75
|
Rate for Payer: UHC Medicare Advantage |
$434.40
|
Rate for Payer: VA VA |
$421.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,265.25
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Facility
|
IP
|
$1,687.00
|
|
Service Code
|
CPT 49520
|
Hospital Charge Code |
49520
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$1,028.90 |
Max. Negotiated Rate |
$1,518.30 |
Rate for Payer: Aetna Commercial |
$1,433.95
|
Rate for Payer: BCBS Trust/PPO |
$1,303.71
|
Rate for Payer: BCN Commercial |
$1,303.71
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cofinity Commercial |
$1,450.82
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,349.60
|
Rate for Payer: Healthscope Commercial |
$1,518.30
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,265.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,433.95
|
Rate for Payer: PHP Commercial |
$1,433.95
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,180.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,467.69
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,028.90
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,484.56
|
Rate for Payer: UHC Core |
$1,408.64
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,265.25
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$1,687.00
|
|
Service Code
|
HCPCS 49520
|
Hospital Charge Code |
49520
|
Min. Negotiated Rate |
$136.83 |
Max. Negotiated Rate |
$1,180.90 |
Rate for Payer: Aetna Commercial |
$844.79
|
Rate for Payer: Aetna Medicare |
$655.66
|
Rate for Payer: BCBS Complete |
$428.06
|
Rate for Payer: BCBS MAPPO |
$630.44
|
Rate for Payer: BCBS Trust/PPO |
$136.83
|
Rate for Payer: BCN Commercial |
$928.49
|
Rate for Payer: BCN Medicare Advantage |
$630.44
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cash Price |
$1,349.60
|
Rate for Payer: Cofinity Commercial |
$907.83
|
Rate for Payer: Cofinity Commercial |
$844.79
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.44
|
Rate for Payer: Mclaren Medicaid |
$407.68
|
Rate for Payer: Meridian Medicaid |
$428.06
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.96
|
Rate for Payer: PACE SWMI |
$630.44
|
Rate for Payer: PHP Medicare Advantage |
$630.44
|
Rate for Payer: Priority Health Choice Medicaid |
$407.68
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,180.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.15
|
Rate for Payer: Priority Health Medicare |
$630.44
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,117.15
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$630.44
|
Rate for Payer: UHC Dual Complete DSNP |
$630.44
|
Rate for Payer: UHC Medicare Advantage |
$649.35
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$2,051.00
|
|
Service Code
|
HCPCS 49521
|
Hospital Charge Code |
49521
|
Min. Negotiated Rate |
$134.72 |
Max. Negotiated Rate |
$1,435.70 |
Rate for Payer: Aetna Commercial |
$956.92
|
Rate for Payer: Aetna Medicare |
$742.68
|
Rate for Payer: BCBS Complete |
$483.54
|
Rate for Payer: BCBS MAPPO |
$714.12
|
Rate for Payer: BCBS Trust/PPO |
$134.72
|
Rate for Payer: BCN Commercial |
$1,050.66
|
Rate for Payer: BCN Medicare Advantage |
$714.12
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cofinity Commercial |
$1,028.33
|
Rate for Payer: Cofinity Commercial |
$956.92
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.12
|
Rate for Payer: Mclaren Medicaid |
$460.51
|
Rate for Payer: Meridian Medicaid |
$483.54
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$749.83
|
Rate for Payer: PACE SWMI |
$714.12
|
Rate for Payer: PHP Medicare Advantage |
$714.12
|
Rate for Payer: Priority Health Choice Medicaid |
$460.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,435.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,264.13
|
Rate for Payer: Priority Health Medicare |
$714.12
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,264.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$714.12
|
Rate for Payer: UHC Dual Complete DSNP |
$714.12
|
Rate for Payer: UHC Medicare Advantage |
$735.54
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$2,051.00
|
|
Service Code
|
HCPCS 49521
|
Min. Negotiated Rate |
$134.72 |
Max. Negotiated Rate |
$1,435.70 |
Rate for Payer: Aetna Commercial |
$956.92
|
Rate for Payer: Aetna Medicare |
$742.68
|
Rate for Payer: BCBS Complete |
$483.54
|
Rate for Payer: BCBS MAPPO |
$714.12
|
Rate for Payer: BCBS Trust/PPO |
$134.72
|
Rate for Payer: BCN Commercial |
$1,050.66
|
Rate for Payer: BCN Medicare Advantage |
$714.12
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cofinity Commercial |
$1,028.33
|
Rate for Payer: Cofinity Commercial |
$956.92
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.12
|
Rate for Payer: Mclaren Medicaid |
$460.51
|
Rate for Payer: Meridian Medicaid |
$483.54
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$749.83
|
Rate for Payer: PACE SWMI |
$714.12
|
Rate for Payer: PHP Medicare Advantage |
$714.12
|
Rate for Payer: Priority Health Choice Medicaid |
$460.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,435.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,264.13
|
Rate for Payer: Priority Health Medicare |
$714.12
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,264.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$714.12
|
Rate for Payer: UHC Dual Complete DSNP |
$714.12
|
Rate for Payer: UHC Medicare Advantage |
$735.54
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Facility
|
OP
|
$2,051.00
|
|
Service Code
|
CPT 49521
|
Hospital Charge Code |
49521
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$487.11 |
Max. Negotiated Rate |
$5,211.10 |
Rate for Payer: Aetna Commercial |
$1,743.35
|
Rate for Payer: Aetna Medicare |
$533.26
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$640.94
|
Rate for Payer: Amish Plain Church Group Commercial |
$640.94
|
Rate for Payer: BCBS Complete |
$5,211.10
|
Rate for Payer: BCBS MAPPO |
$512.75
|
Rate for Payer: BCBS Trust/PPO |
$1,594.65
|
Rate for Payer: BCN Commercial |
$1,594.65
|
Rate for Payer: BCN Medicare Advantage |
$512.75
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cofinity Commercial |
$1,763.86
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,640.80
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$512.75
|
Rate for Payer: Healthscope Commercial |
$1,845.90
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,538.25
|
Rate for Payer: Mclaren Medicaid |
$4,962.95
|
Rate for Payer: Meridian Medicaid |
$5,211.10
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$538.39
|
Rate for Payer: MI Amish Medical Board Commercial |
$589.66
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,743.35
|
Rate for Payer: PACE Senior Care Partners |
$487.11
|
Rate for Payer: PACE SWMI |
$512.75
|
Rate for Payer: PHP Commercial |
$1,743.35
|
Rate for Payer: PHP Medicare Advantage |
$512.75
|
Rate for Payer: Priority Health Choice Medicaid |
$4,962.95
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,435.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,784.37
|
Rate for Payer: Priority Health Medicare |
$512.75
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,250.90
|
Rate for Payer: Railroad Medicare Medicare |
$512.75
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,804.88
|
Rate for Payer: UHC Core |
$1,712.58
|
Rate for Payer: UHC Dual Complete DSNP |
$512.75
|
Rate for Payer: UHC Medicare Advantage |
$528.13
|
Rate for Payer: VA VA |
$512.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,538.25
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Facility
|
IP
|
$2,051.00
|
|
Service Code
|
CPT 49521
|
Hospital Charge Code |
49521
|
Hospital Revenue Code
|
960
|
Min. Negotiated Rate |
$1,250.90 |
Max. Negotiated Rate |
$1,845.90 |
Rate for Payer: Aetna Commercial |
$1,743.35
|
Rate for Payer: BCBS Trust/PPO |
$1,585.01
|
Rate for Payer: BCN Commercial |
$1,585.01
|
Rate for Payer: Cash Price |
$1,640.80
|
Rate for Payer: Cofinity Commercial |
$1,763.86
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,640.80
|
Rate for Payer: Healthscope Commercial |
$1,845.90
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,538.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,743.35
|
Rate for Payer: PHP Commercial |
$1,743.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,435.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,784.37
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,250.90
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,804.88
|
Rate for Payer: UHC Core |
$1,712.58
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,538.25
|
|
PR RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT
|
Professional
|
Both
|
$4,381.00
|
|
Service Code
|
HCPCS 38115
|
Min. Negotiated Rate |
$710.04 |
Max. Negotiated Rate |
$3,066.70 |
Rate for Payer: Aetna Commercial |
$1,723.11
|
Rate for Payer: Aetna Medicare |
$1,337.34
|
Rate for Payer: BCBS Complete |
$865.30
|
Rate for Payer: BCBS MAPPO |
$1,285.90
|
Rate for Payer: BCBS Trust/PPO |
$710.04
|
Rate for Payer: BCN Commercial |
$1,882.38
|
Rate for Payer: BCN Medicare Advantage |
$1,285.90
|
Rate for Payer: Cash Price |
$3,504.80
|
Rate for Payer: Cash Price |
$3,504.80
|
Rate for Payer: Cofinity Commercial |
$1,851.70
|
Rate for Payer: Cofinity Commercial |
$1,723.11
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,285.90
|
Rate for Payer: Mclaren Medicaid |
$824.10
|
Rate for Payer: Meridian Medicaid |
$865.30
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,350.20
|
Rate for Payer: PACE SWMI |
$1,285.90
|
Rate for Payer: PHP Medicare Advantage |
$1,285.90
|
Rate for Payer: Priority Health Choice Medicaid |
$824.10
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,066.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,790.15
|
Rate for Payer: Priority Health Medicare |
$1,285.90
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,790.15
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,285.90
|
Rate for Payer: UHC Dual Complete DSNP |
$1,285.90
|
Rate for Payer: UHC Medicare Advantage |
$1,324.48
|
|