|
PR I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC
|
Professional
|
Both
|
$1,725.00
|
|
|
Service Code
|
HCPCS 22015
|
| Min. Negotiated Rate |
$233.52 |
| Max. Negotiated Rate |
$1,467.05 |
| Rate for Payer: Aetna Commercial |
$1,237.24
|
| Rate for Payer: Aetna Medicare |
$960.24
|
| Rate for Payer: BCBS Complete |
$650.37
|
| Rate for Payer: BCBS MAPPO |
$923.31
|
| Rate for Payer: BCBS Trust/PPO |
$233.52
|
| Rate for Payer: BCN Commercial |
$1,399.57
|
| Rate for Payer: BCN Medicare Advantage |
$923.31
|
| Rate for Payer: Cash Price |
$1,380.00
|
| Rate for Payer: Cash Price |
$1,380.00
|
| Rate for Payer: Cofinity Commercial |
$1,329.57
|
| Rate for Payer: Cofinity Commercial |
$1,237.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$923.31
|
| Rate for Payer: Mclaren Medicaid |
$619.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$969.48
|
| Rate for Payer: Meridian Medicaid |
$650.37
|
| Rate for Payer: Nomi Health Commercial |
$1,107.97
|
| Rate for Payer: PACE SWMI |
$923.31
|
| Rate for Payer: PHP Medicare Advantage |
$923.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,121.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,467.05
|
| Rate for Payer: Priority Health Medicare |
$932.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,467.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$923.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$923.31
|
| Rate for Payer: UHC Exchange |
$923.31
|
| Rate for Payer: UHC Medicare Advantage |
$923.31
|
| Rate for Payer: UHCCP Medicaid |
$619.40
|
|
|
PR I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$1,168.00
|
|
|
Service Code
|
HCPCS 21501
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$759.20 |
| Rate for Payer: Aetna Commercial |
$433.74
|
| Rate for Payer: Aetna Medicare |
$336.64
|
| Rate for Payer: BCBS Complete |
$231.70
|
| Rate for Payer: BCBS MAPPO |
$323.69
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$718.85
|
| Rate for Payer: BCN Medicare Advantage |
$323.69
|
| Rate for Payer: Cash Price |
$934.40
|
| Rate for Payer: Cash Price |
$934.40
|
| Rate for Payer: Cofinity Commercial |
$466.11
|
| Rate for Payer: Cofinity Commercial |
$433.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.69
|
| Rate for Payer: Mclaren Medicaid |
$220.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$339.87
|
| Rate for Payer: Meridian Medicaid |
$231.70
|
| Rate for Payer: Nomi Health Commercial |
$388.43
|
| Rate for Payer: PACE SWMI |
$323.69
|
| Rate for Payer: PHP Medicare Advantage |
$323.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$759.20
|
| Rate for Payer: Priority Health HMO/PPO |
$521.59
|
| Rate for Payer: Priority Health Medicare |
$326.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$521.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$323.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$323.69
|
| Rate for Payer: UHC Exchange |
$323.69
|
| Rate for Payer: UHC Medicare Advantage |
$323.69
|
| Rate for Payer: UHCCP Medicaid |
$220.67
|
|
|
PR I&D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC
|
Professional
|
Both
|
$957.00
|
|
|
Service Code
|
HCPCS 21502
|
| Min. Negotiated Rate |
$328.23 |
| Max. Negotiated Rate |
$779.06 |
| Rate for Payer: Aetna Commercial |
$658.85
|
| Rate for Payer: Aetna Medicare |
$511.35
|
| Rate for Payer: BCBS Complete |
$344.64
|
| Rate for Payer: BCBS MAPPO |
$491.68
|
| Rate for Payer: BCBS Trust/PPO |
$483.43
|
| Rate for Payer: BCN Commercial |
$742.79
|
| Rate for Payer: BCN Medicare Advantage |
$491.68
|
| Rate for Payer: Cash Price |
$765.60
|
| Rate for Payer: Cash Price |
$765.60
|
| Rate for Payer: Cofinity Commercial |
$708.02
|
| Rate for Payer: Cofinity Commercial |
$658.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.68
|
| Rate for Payer: Mclaren Medicaid |
$328.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.26
|
| Rate for Payer: Meridian Medicaid |
$344.64
|
| Rate for Payer: Nomi Health Commercial |
$590.02
|
| Rate for Payer: PACE SWMI |
$491.68
|
| Rate for Payer: PHP Medicare Advantage |
$491.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$328.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$622.05
|
| Rate for Payer: Priority Health HMO/PPO |
$779.06
|
| Rate for Payer: Priority Health Medicare |
$496.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$779.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$491.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.68
|
| Rate for Payer: UHC Exchange |
$491.68
|
| Rate for Payer: UHC Medicare Advantage |
$491.68
|
| Rate for Payer: UHCCP Medicaid |
$328.23
|
|
|
PR I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC
|
Professional
|
Both
|
$1,637.00
|
|
|
Service Code
|
HCPCS 45020
|
| Min. Negotiated Rate |
$371.26 |
| Max. Negotiated Rate |
$1,064.05 |
| Rate for Payer: Aetna Commercial |
$740.02
|
| Rate for Payer: Aetna Medicare |
$574.34
|
| Rate for Payer: BCBS Complete |
$389.82
|
| Rate for Payer: BCBS MAPPO |
$552.25
|
| Rate for Payer: BCBS Trust/PPO |
$489.21
|
| Rate for Payer: BCN Commercial |
$841.99
|
| Rate for Payer: BCN Medicare Advantage |
$552.25
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cofinity Commercial |
$795.24
|
| Rate for Payer: Cofinity Commercial |
$740.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$552.25
|
| Rate for Payer: Mclaren Medicaid |
$371.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$579.86
|
| Rate for Payer: Meridian Medicaid |
$389.82
|
| Rate for Payer: Nomi Health Commercial |
$662.70
|
| Rate for Payer: PACE SWMI |
$552.25
|
| Rate for Payer: PHP Medicare Advantage |
$552.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$371.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,064.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,021.96
|
| Rate for Payer: Priority Health Medicare |
$557.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,021.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$552.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$552.25
|
| Rate for Payer: UHC Exchange |
$552.25
|
| Rate for Payer: UHC Medicare Advantage |
$552.25
|
| Rate for Payer: UHCCP Medicaid |
$371.26
|
|
|
PR I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE
|
Professional
|
Both
|
$405.00
|
|
|
Service Code
|
HCPCS 54700
|
| Min. Negotiated Rate |
$138.02 |
| Max. Negotiated Rate |
$2,037.12 |
| Rate for Payer: Aetna Commercial |
$274.82
|
| Rate for Payer: Aetna Medicare |
$213.29
|
| Rate for Payer: BCBS Complete |
$144.92
|
| Rate for Payer: BCBS MAPPO |
$205.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,037.12
|
| Rate for Payer: BCN Commercial |
$307.87
|
| Rate for Payer: BCN Medicare Advantage |
$205.09
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$295.33
|
| Rate for Payer: Cofinity Commercial |
$274.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.09
|
| Rate for Payer: Mclaren Medicaid |
$138.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$215.34
|
| Rate for Payer: Meridian Medicaid |
$144.92
|
| Rate for Payer: Nomi Health Commercial |
$246.11
|
| Rate for Payer: PACE SWMI |
$205.09
|
| Rate for Payer: PHP Medicare Advantage |
$205.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO |
$341.39
|
| Rate for Payer: Priority Health Medicare |
$207.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$341.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.09
|
| Rate for Payer: UHC Exchange |
$205.09
|
| Rate for Payer: UHC Medicare Advantage |
$205.09
|
| Rate for Payer: UHCCP Medicaid |
$138.02
|
|
|
PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$931.00
|
|
|
Service Code
|
HCPCS 25028
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$1,068.61 |
| Rate for Payer: Aetna Commercial |
$853.47
|
| Rate for Payer: Aetna Medicare |
$662.40
|
| Rate for Payer: BCBS Complete |
$464.74
|
| Rate for Payer: BCBS MAPPO |
$636.92
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$1,026.22
|
| Rate for Payer: BCN Medicare Advantage |
$636.92
|
| Rate for Payer: Cash Price |
$744.80
|
| Rate for Payer: Cash Price |
$744.80
|
| Rate for Payer: Cofinity Commercial |
$917.16
|
| Rate for Payer: Cofinity Commercial |
$853.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$636.92
|
| Rate for Payer: Mclaren Medicaid |
$442.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$668.77
|
| Rate for Payer: Meridian Medicaid |
$464.74
|
| Rate for Payer: Nomi Health Commercial |
$764.30
|
| Rate for Payer: PACE SWMI |
$636.92
|
| Rate for Payer: PHP Medicare Advantage |
$636.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$605.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,068.61
|
| Rate for Payer: Priority Health Medicare |
$643.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,068.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$636.92
|
| Rate for Payer: UHC Exchange |
$636.92
|
| Rate for Payer: UHC Medicare Advantage |
$636.92
|
| Rate for Payer: UHCCP Medicaid |
$442.61
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Professional
|
Both
|
$269.00
|
|
|
Service Code
|
HCPCS 10140
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$199.08 |
| Rate for Payer: Aetna Commercial |
$150.63
|
| Rate for Payer: Aetna Medicare |
$116.91
|
| Rate for Payer: BCBS Complete |
$80.51
|
| Rate for Payer: BCBS MAPPO |
$112.41
|
| Rate for Payer: BCBS Trust/PPO |
$12.91
|
| Rate for Payer: BCN Commercial |
$199.08
|
| Rate for Payer: BCN Medicare Advantage |
$112.41
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$161.87
|
| Rate for Payer: Cofinity Commercial |
$150.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.41
|
| Rate for Payer: Mclaren Medicaid |
$76.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.03
|
| Rate for Payer: Meridian Medicaid |
$80.51
|
| Rate for Payer: Nomi Health Commercial |
$134.89
|
| Rate for Payer: PACE SWMI |
$112.41
|
| Rate for Payer: PHP Medicare Advantage |
$112.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO |
$161.20
|
| Rate for Payer: Priority Health Medicare |
$113.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$161.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.41
|
| Rate for Payer: UHC Exchange |
$112.41
|
| Rate for Payer: UHC Medicare Advantage |
$112.41
|
| Rate for Payer: UHCCP Medicaid |
$76.68
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Professional
|
Both
|
$269.00
|
|
|
Service Code
|
HCPCS 10140
|
| Hospital Charge Code |
10140
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$199.08 |
| Rate for Payer: Aetna Commercial |
$150.63
|
| Rate for Payer: Aetna Medicare |
$116.91
|
| Rate for Payer: BCBS Complete |
$80.51
|
| Rate for Payer: BCBS MAPPO |
$112.41
|
| Rate for Payer: BCBS Trust/PPO |
$12.91
|
| Rate for Payer: BCN Commercial |
$199.08
|
| Rate for Payer: BCN Medicare Advantage |
$112.41
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$161.87
|
| Rate for Payer: Cofinity Commercial |
$150.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.41
|
| Rate for Payer: Mclaren Medicaid |
$76.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.03
|
| Rate for Payer: Meridian Medicaid |
$80.51
|
| Rate for Payer: Nomi Health Commercial |
$134.89
|
| Rate for Payer: PACE SWMI |
$112.41
|
| Rate for Payer: PHP Medicare Advantage |
$112.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO |
$161.20
|
| Rate for Payer: Priority Health Medicare |
$113.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$161.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.41
|
| Rate for Payer: UHC Exchange |
$112.41
|
| Rate for Payer: UHC Medicare Advantage |
$112.41
|
| Rate for Payer: UHCCP Medicaid |
$76.68
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Facility
|
IP
|
$269.00
|
|
|
Service Code
|
CPT 10140
|
| Hospital Charge Code |
10140
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$174.85 |
| Max. Negotiated Rate |
$242.10 |
| Rate for Payer: Aetna Commercial |
$228.65
|
| Rate for Payer: BCBS Trust/PPO |
$219.58
|
| Rate for Payer: BCN Commercial |
$207.88
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$231.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$215.20
|
| Rate for Payer: Healthscope Commercial |
$242.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$201.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.65
|
| Rate for Payer: Nomi Health Commercial |
$220.58
|
| Rate for Payer: PHP Commercial |
$228.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO |
$234.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.72
|
| Rate for Payer: UHC Core |
$224.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$201.75
|
|
|
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
|
Facility
|
OP
|
$269.00
|
|
|
Service Code
|
CPT 10140
|
| Hospital Charge Code |
10140
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$63.89 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$228.65
|
| Rate for Payer: Aetna Medicare |
$69.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$84.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$84.06
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$67.25
|
| Rate for Payer: BCBS Trust/PPO |
$221.14
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Medicare Advantage |
$67.25
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$231.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$215.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$67.25
|
| Rate for Payer: Healthscope Commercial |
$242.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$201.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$70.61
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$77.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.65
|
| Rate for Payer: Nomi Health Commercial |
$220.58
|
| Rate for Payer: PACE Senior Care Partners |
$63.89
|
| Rate for Payer: PACE SWMI |
$67.25
|
| Rate for Payer: PHP Commercial |
$228.65
|
| Rate for Payer: PHP Medicare Advantage |
$67.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.85
|
| Rate for Payer: Priority Health HMO/PPO |
$234.03
|
| Rate for Payer: Priority Health Medicare |
$67.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.23
|
| Rate for Payer: Railroad Medicare Medicare |
$67.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.72
|
| Rate for Payer: UHC Core |
$224.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$67.25
|
| Rate for Payer: UHC Exchange |
$67.25
|
| Rate for Payer: UHC Medicare Advantage |
$67.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$67.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$201.75
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Facility
|
OP
|
$736.00
|
|
|
Service Code
|
CPT 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$174.80 |
| Max. Negotiated Rate |
$2,039.92 |
| Rate for Payer: Aetna Commercial |
$625.60
|
| Rate for Payer: Aetna Medicare |
$191.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$230.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$230.00
|
| Rate for Payer: BCBS Complete |
$2,039.92
|
| Rate for Payer: BCBS MAPPO |
$184.00
|
| Rate for Payer: BCBS Trust/PPO |
$605.07
|
| Rate for Payer: BCN Commercial |
$572.24
|
| Rate for Payer: BCN Medicare Advantage |
$184.00
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$632.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.00
|
| Rate for Payer: Healthscope Commercial |
$662.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$552.00
|
| Rate for Payer: Mclaren Medicaid |
$1,942.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.20
|
| Rate for Payer: Meridian Medicaid |
$2,039.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$211.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.60
|
| Rate for Payer: Nomi Health Commercial |
$603.52
|
| Rate for Payer: PACE Senior Care Partners |
$174.80
|
| Rate for Payer: PACE SWMI |
$184.00
|
| Rate for Payer: PHP Commercial |
$625.60
|
| Rate for Payer: PHP Medicare Advantage |
$184.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,942.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO |
$640.32
|
| Rate for Payer: Priority Health Medicare |
$185.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$493.12
|
| Rate for Payer: Railroad Medicare Medicare |
$184.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.68
|
| Rate for Payer: UHC Core |
$614.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$184.00
|
| Rate for Payer: UHC Exchange |
$184.00
|
| Rate for Payer: UHC Medicare Advantage |
$184.00
|
| Rate for Payer: UHCCP Medicaid |
$1,942.66
|
| Rate for Payer: VA VA |
$184.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$552.00
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Facility
|
IP
|
$736.00
|
|
|
Service Code
|
CPT 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$478.40 |
| Max. Negotiated Rate |
$662.40 |
| Rate for Payer: Aetna Commercial |
$625.60
|
| Rate for Payer: BCBS Trust/PPO |
$600.80
|
| Rate for Payer: BCN Commercial |
$568.78
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$632.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.80
|
| Rate for Payer: Healthscope Commercial |
$662.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$552.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.60
|
| Rate for Payer: Nomi Health Commercial |
$603.52
|
| Rate for Payer: PHP Commercial |
$625.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO |
$640.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$493.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.68
|
| Rate for Payer: UHC Core |
$614.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$552.00
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 46045
|
| Min. Negotiated Rate |
$285.42 |
| Max. Negotiated Rate |
$2,294.94 |
| Rate for Payer: Aetna Commercial |
$564.94
|
| Rate for Payer: Aetna Medicare |
$438.46
|
| Rate for Payer: BCBS Complete |
$299.69
|
| Rate for Payer: BCBS MAPPO |
$421.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.94
|
| Rate for Payer: BCN Commercial |
$644.08
|
| Rate for Payer: BCN Medicare Advantage |
$421.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$607.10
|
| Rate for Payer: Cofinity Commercial |
$564.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.60
|
| Rate for Payer: Mclaren Medicaid |
$285.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.68
|
| Rate for Payer: Meridian Medicaid |
$299.69
|
| Rate for Payer: Nomi Health Commercial |
$505.92
|
| Rate for Payer: PACE SWMI |
$421.60
|
| Rate for Payer: PHP Medicare Advantage |
$421.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO |
$794.07
|
| Rate for Payer: Priority Health Medicare |
$425.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$794.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.60
|
| Rate for Payer: UHC Exchange |
$421.60
|
| Rate for Payer: UHC Medicare Advantage |
$421.60
|
| Rate for Payer: UHCCP Medicaid |
$285.42
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$285.42 |
| Max. Negotiated Rate |
$2,294.94 |
| Rate for Payer: Aetna Commercial |
$564.94
|
| Rate for Payer: Aetna Medicare |
$438.46
|
| Rate for Payer: BCBS Complete |
$299.69
|
| Rate for Payer: BCBS MAPPO |
$421.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.94
|
| Rate for Payer: BCN Commercial |
$644.08
|
| Rate for Payer: BCN Medicare Advantage |
$421.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$607.10
|
| Rate for Payer: Cofinity Commercial |
$564.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.60
|
| Rate for Payer: Mclaren Medicaid |
$285.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.68
|
| Rate for Payer: Meridian Medicaid |
$299.69
|
| Rate for Payer: Nomi Health Commercial |
$505.92
|
| Rate for Payer: PACE SWMI |
$421.60
|
| Rate for Payer: PHP Medicare Advantage |
$421.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO |
$794.07
|
| Rate for Payer: Priority Health Medicare |
$425.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$794.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.60
|
| Rate for Payer: UHC Exchange |
$421.60
|
| Rate for Payer: UHC Medicare Advantage |
$421.60
|
| Rate for Payer: UHCCP Medicaid |
$285.42
|
|
|
PR I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON
|
Professional
|
Both
|
$2,127.00
|
|
|
Service Code
|
HCPCS 46060
|
| Min. Negotiated Rate |
$316.73 |
| Max. Negotiated Rate |
$1,438.03 |
| Rate for Payer: Aetna Commercial |
$624.80
|
| Rate for Payer: Aetna Medicare |
$484.92
|
| Rate for Payer: BCBS Complete |
$332.57
|
| Rate for Payer: BCBS MAPPO |
$466.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,438.03
|
| Rate for Payer: BCN Commercial |
$715.42
|
| Rate for Payer: BCN Medicare Advantage |
$466.27
|
| Rate for Payer: Cash Price |
$1,701.60
|
| Rate for Payer: Cash Price |
$1,701.60
|
| Rate for Payer: Cofinity Commercial |
$671.43
|
| Rate for Payer: Cofinity Commercial |
$624.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$466.27
|
| Rate for Payer: Mclaren Medicaid |
$316.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.58
|
| Rate for Payer: Meridian Medicaid |
$332.57
|
| Rate for Payer: Nomi Health Commercial |
$559.52
|
| Rate for Payer: PACE SWMI |
$466.27
|
| Rate for Payer: PHP Medicare Advantage |
$466.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$316.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.55
|
| Rate for Payer: Priority Health HMO/PPO |
$878.18
|
| Rate for Payer: Priority Health Medicare |
$470.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$878.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$466.27
|
| Rate for Payer: UHC Exchange |
$466.27
|
| Rate for Payer: UHC Medicare Advantage |
$466.27
|
| Rate for Payer: UHCCP Medicaid |
$316.73
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 46040
|
| Min. Negotiated Rate |
$278.18 |
| Max. Negotiated Rate |
$1,260.52 |
| Rate for Payer: Aetna Commercial |
$549.47
|
| Rate for Payer: Aetna Medicare |
$426.45
|
| Rate for Payer: BCBS Complete |
$292.09
|
| Rate for Payer: BCBS MAPPO |
$410.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,260.52
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$410.05
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$590.47
|
| Rate for Payer: Cofinity Commercial |
$549.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.05
|
| Rate for Payer: Mclaren Medicaid |
$278.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.55
|
| Rate for Payer: Meridian Medicaid |
$292.09
|
| Rate for Payer: Nomi Health Commercial |
$492.06
|
| Rate for Payer: PACE SWMI |
$410.05
|
| Rate for Payer: PHP Medicare Advantage |
$410.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO |
$769.61
|
| Rate for Payer: Priority Health Medicare |
$414.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$769.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.05
|
| Rate for Payer: UHC Exchange |
$410.05
|
| Rate for Payer: UHC Medicare Advantage |
$410.05
|
| Rate for Payer: UHCCP Medicaid |
$278.18
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Facility
|
IP
|
$924.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
46040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$600.60 |
| Max. Negotiated Rate |
$831.60 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: BCBS Trust/PPO |
$754.26
|
| Rate for Payer: BCN Commercial |
$714.07
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$693.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: Nomi Health Commercial |
$757.68
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO |
$803.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$619.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$813.12
|
| Rate for Payer: UHC Core |
$771.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$693.00
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
46040
|
| Min. Negotiated Rate |
$278.18 |
| Max. Negotiated Rate |
$1,260.52 |
| Rate for Payer: Aetna Commercial |
$549.47
|
| Rate for Payer: Aetna Medicare |
$426.45
|
| Rate for Payer: BCBS Complete |
$292.09
|
| Rate for Payer: BCBS MAPPO |
$410.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,260.52
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$410.05
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$590.47
|
| Rate for Payer: Cofinity Commercial |
$549.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.05
|
| Rate for Payer: Mclaren Medicaid |
$278.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.55
|
| Rate for Payer: Meridian Medicaid |
$292.09
|
| Rate for Payer: Nomi Health Commercial |
$492.06
|
| Rate for Payer: PACE SWMI |
$410.05
|
| Rate for Payer: PHP Medicare Advantage |
$410.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO |
$769.61
|
| Rate for Payer: Priority Health Medicare |
$414.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$769.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.05
|
| Rate for Payer: UHC Exchange |
$410.05
|
| Rate for Payer: UHC Medicare Advantage |
$410.05
|
| Rate for Payer: UHCCP Medicaid |
$278.18
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Facility
|
OP
|
$924.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
46040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$219.45 |
| Max. Negotiated Rate |
$877.06 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna Medicare |
$240.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$288.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$288.75
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$231.00
|
| Rate for Payer: BCBS Trust/PPO |
$759.62
|
| Rate for Payer: BCN Commercial |
$718.41
|
| Rate for Payer: BCN Medicare Advantage |
$231.00
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.00
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$693.00
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.55
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$265.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: Nomi Health Commercial |
$757.68
|
| Rate for Payer: PACE Senior Care Partners |
$219.45
|
| Rate for Payer: PACE SWMI |
$231.00
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: PHP Medicare Advantage |
$231.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO |
$803.88
|
| Rate for Payer: Priority Health Medicare |
$233.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$619.08
|
| Rate for Payer: Railroad Medicare Medicare |
$231.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$813.12
|
| Rate for Payer: UHC Core |
$771.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.00
|
| Rate for Payer: UHC Exchange |
$231.00
|
| Rate for Payer: UHC Medicare Advantage |
$231.00
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$231.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$693.00
|
|
|
PR I&D OF BARTHOLINS GLAND ABSCESS
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 56420
|
| Min. Negotiated Rate |
$70.72 |
| Max. Negotiated Rate |
$275.12 |
| Rate for Payer: Aetna Commercial |
$139.37
|
| Rate for Payer: Aetna Medicare |
$108.17
|
| Rate for Payer: BCBS Complete |
$74.26
|
| Rate for Payer: BCBS MAPPO |
$104.01
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$275.12
|
| Rate for Payer: BCN Medicare Advantage |
$104.01
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$149.77
|
| Rate for Payer: Cofinity Commercial |
$139.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.01
|
| Rate for Payer: Mclaren Medicaid |
$70.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.21
|
| Rate for Payer: Meridian Medicaid |
$74.26
|
| Rate for Payer: Nomi Health Commercial |
$124.81
|
| Rate for Payer: PACE SWMI |
$104.01
|
| Rate for Payer: PHP Medicare Advantage |
$104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.90
|
| Rate for Payer: Priority Health HMO/PPO |
$166.17
|
| Rate for Payer: Priority Health Medicare |
$105.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.01
|
| Rate for Payer: UHC Exchange |
$104.01
|
| Rate for Payer: UHC Medicare Advantage |
$104.01
|
| Rate for Payer: UHCCP Medicaid |
$70.72
|
|
|
PR I&D PELVIS/HIP JOINT AREA INFECTED BURSA
|
Professional
|
Both
|
$1,244.00
|
|
|
Service Code
|
HCPCS 26991
|
| Min. Negotiated Rate |
$341.87 |
| Max. Negotiated Rate |
$1,049.19 |
| Rate for Payer: Aetna Commercial |
$677.12
|
| Rate for Payer: Aetna Medicare |
$525.52
|
| Rate for Payer: BCBS Complete |
$358.96
|
| Rate for Payer: BCBS MAPPO |
$505.31
|
| Rate for Payer: BCBS Trust/PPO |
$758.11
|
| Rate for Payer: BCN Commercial |
$1,049.19
|
| Rate for Payer: BCN Medicare Advantage |
$505.31
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$727.65
|
| Rate for Payer: Cofinity Commercial |
$677.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$505.31
|
| Rate for Payer: Mclaren Medicaid |
$341.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$530.58
|
| Rate for Payer: Meridian Medicaid |
$358.96
|
| Rate for Payer: Nomi Health Commercial |
$606.37
|
| Rate for Payer: PACE SWMI |
$505.31
|
| Rate for Payer: PHP Medicare Advantage |
$505.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$808.60
|
| Rate for Payer: Priority Health HMO/PPO |
$817.23
|
| Rate for Payer: Priority Health Medicare |
$510.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$817.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$505.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$505.31
|
| Rate for Payer: UHC Exchange |
$505.31
|
| Rate for Payer: UHC Medicare Advantage |
$505.31
|
| Rate for Payer: UHCCP Medicaid |
$341.87
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Facility
|
OP
|
$1,513.00
|
|
|
Service Code
|
CPT 26990
|
| Hospital Charge Code |
26990
|
| Min. Negotiated Rate |
$359.34 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: Aetna Medicare |
$393.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$472.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$472.81
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$378.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,243.84
|
| Rate for Payer: BCN Commercial |
$1,176.36
|
| Rate for Payer: BCN Medicare Advantage |
$378.25
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.25
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.16
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$434.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$1,240.66
|
| Rate for Payer: PACE Senior Care Partners |
$359.34
|
| Rate for Payer: PACE SWMI |
$378.25
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: PHP Medicare Advantage |
$378.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,316.31
|
| Rate for Payer: Priority Health Medicare |
$382.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,013.71
|
| Rate for Payer: Railroad Medicare Medicare |
$378.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,331.44
|
| Rate for Payer: UHC Core |
$1,263.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.25
|
| Rate for Payer: UHC Exchange |
$378.25
|
| Rate for Payer: UHC Medicare Advantage |
$378.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$378.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 26990
|
| Min. Negotiated Rate |
$433.21 |
| Max. Negotiated Rate |
$1,052.33 |
| Rate for Payer: Aetna Commercial |
$867.40
|
| Rate for Payer: Aetna Medicare |
$673.20
|
| Rate for Payer: BCBS Complete |
$463.18
|
| Rate for Payer: BCBS MAPPO |
$647.31
|
| Rate for Payer: BCBS Trust/PPO |
$433.21
|
| Rate for Payer: BCN Commercial |
$1,004.72
|
| Rate for Payer: BCN Medicare Advantage |
$647.31
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$932.13
|
| Rate for Payer: Cofinity Commercial |
$867.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.31
|
| Rate for Payer: Mclaren Medicaid |
$441.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.68
|
| Rate for Payer: Meridian Medicaid |
$463.18
|
| Rate for Payer: Nomi Health Commercial |
$776.77
|
| Rate for Payer: PACE SWMI |
$647.31
|
| Rate for Payer: PHP Medicare Advantage |
$647.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,052.33
|
| Rate for Payer: Priority Health Medicare |
$653.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,052.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.31
|
| Rate for Payer: UHC Exchange |
$647.31
|
| Rate for Payer: UHC Medicare Advantage |
$647.31
|
| Rate for Payer: UHCCP Medicaid |
$441.12
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Facility
|
IP
|
$1,513.00
|
|
|
Service Code
|
CPT 26990
|
| Hospital Charge Code |
26990
|
| Min. Negotiated Rate |
$983.45 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,235.06
|
| Rate for Payer: BCN Commercial |
$1,169.25
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$1,240.66
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,316.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,013.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,331.44
|
| Rate for Payer: UHC Core |
$1,263.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 26990
|
| Hospital Charge Code |
26990
|
| Min. Negotiated Rate |
$433.21 |
| Max. Negotiated Rate |
$1,052.33 |
| Rate for Payer: Aetna Commercial |
$867.40
|
| Rate for Payer: Aetna Medicare |
$673.20
|
| Rate for Payer: BCBS Complete |
$463.18
|
| Rate for Payer: BCBS MAPPO |
$647.31
|
| Rate for Payer: BCBS Trust/PPO |
$433.21
|
| Rate for Payer: BCN Commercial |
$1,004.72
|
| Rate for Payer: BCN Medicare Advantage |
$647.31
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$932.13
|
| Rate for Payer: Cofinity Commercial |
$867.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.31
|
| Rate for Payer: Mclaren Medicaid |
$441.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.68
|
| Rate for Payer: Meridian Medicaid |
$463.18
|
| Rate for Payer: Nomi Health Commercial |
$776.77
|
| Rate for Payer: PACE SWMI |
$647.31
|
| Rate for Payer: PHP Medicare Advantage |
$647.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,052.33
|
| Rate for Payer: Priority Health Medicare |
$653.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,052.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.31
|
| Rate for Payer: UHC Exchange |
$647.31
|
| Rate for Payer: UHC Medicare Advantage |
$647.31
|
| Rate for Payer: UHCCP Medicaid |
$441.12
|
|
