PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
OP
|
$2,158.00
|
|
Service Code
|
CPT 29822
|
Hospital Charge Code |
29822
|
Min. Negotiated Rate |
$512.52 |
Max. Negotiated Rate |
$2,229.50 |
Rate for Payer: Aetna Commercial |
$1,834.30
|
Rate for Payer: Aetna Medicare |
$561.08
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$674.38
|
Rate for Payer: Amish Plain Church Group Commercial |
$674.38
|
Rate for Payer: BCBS Complete |
$2,229.50
|
Rate for Payer: BCBS MAPPO |
$539.50
|
Rate for Payer: BCBS Trust/PPO |
$1,677.84
|
Rate for Payer: BCN Commercial |
$1,677.84
|
Rate for Payer: BCN Medicare Advantage |
$539.50
|
Rate for Payer: Cash Price |
$1,726.40
|
Rate for Payer: Cash Price |
$1,726.40
|
Rate for Payer: Cofinity Commercial |
$1,855.88
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.40
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$539.50
|
Rate for Payer: Healthscope Commercial |
$1,942.20
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,618.50
|
Rate for Payer: Mclaren Medicaid |
$2,123.34
|
Rate for Payer: Meridian Medicaid |
$2,229.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$566.48
|
Rate for Payer: MI Amish Medical Board Commercial |
$620.42
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.30
|
Rate for Payer: PACE Senior Care Partners |
$512.52
|
Rate for Payer: PACE SWMI |
$539.50
|
Rate for Payer: PHP Commercial |
$1,834.30
|
Rate for Payer: PHP Medicare Advantage |
$539.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,510.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,877.46
|
Rate for Payer: Priority Health Medicare |
$539.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,316.16
|
Rate for Payer: Railroad Medicare Medicare |
$539.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,899.04
|
Rate for Payer: UHC Core |
$1,801.93
|
Rate for Payer: UHC Dual Complete DSNP |
$539.50
|
Rate for Payer: UHC Medicare Advantage |
$555.68
|
Rate for Payer: VA VA |
$539.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,618.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
IP
|
$1,902.00
|
|
Service Code
|
CPT 29820
|
Hospital Charge Code |
29820
|
Min. Negotiated Rate |
$1,160.03 |
Max. Negotiated Rate |
$1,711.80 |
Rate for Payer: Aetna Commercial |
$1,616.70
|
Rate for Payer: BCBS Trust/PPO |
$1,469.87
|
Rate for Payer: BCN Commercial |
$1,469.87
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cofinity Commercial |
$1,635.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,521.60
|
Rate for Payer: Healthscope Commercial |
$1,711.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,426.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,616.70
|
Rate for Payer: PHP Commercial |
$1,616.70
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,654.74
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,160.03
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,673.76
|
Rate for Payer: UHC Core |
$1,588.17
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,426.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
OP
|
$1,902.00
|
|
Service Code
|
CPT 29820
|
Hospital Charge Code |
29820
|
Min. Negotiated Rate |
$451.72 |
Max. Negotiated Rate |
$4,927.66 |
Rate for Payer: Aetna Commercial |
$1,616.70
|
Rate for Payer: Aetna Medicare |
$494.52
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$594.38
|
Rate for Payer: Amish Plain Church Group Commercial |
$594.38
|
Rate for Payer: BCBS Complete |
$4,927.66
|
Rate for Payer: BCBS MAPPO |
$475.50
|
Rate for Payer: BCBS Trust/PPO |
$1,478.80
|
Rate for Payer: BCN Commercial |
$1,478.80
|
Rate for Payer: BCN Medicare Advantage |
$475.50
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cofinity Commercial |
$1,635.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,521.60
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.50
|
Rate for Payer: Healthscope Commercial |
$1,711.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,426.50
|
Rate for Payer: Mclaren Medicaid |
$4,693.01
|
Rate for Payer: Meridian Medicaid |
$4,927.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$499.28
|
Rate for Payer: MI Amish Medical Board Commercial |
$546.82
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,616.70
|
Rate for Payer: PACE Senior Care Partners |
$451.72
|
Rate for Payer: PACE SWMI |
$475.50
|
Rate for Payer: PHP Commercial |
$1,616.70
|
Rate for Payer: PHP Medicare Advantage |
$475.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,693.01
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,654.74
|
Rate for Payer: Priority Health Medicare |
$475.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,160.03
|
Rate for Payer: Railroad Medicare Medicare |
$475.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,673.76
|
Rate for Payer: UHC Core |
$1,588.17
|
Rate for Payer: UHC Dual Complete DSNP |
$475.50
|
Rate for Payer: UHC Medicare Advantage |
$489.76
|
Rate for Payer: VA VA |
$475.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,426.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,902.00
|
|
Service Code
|
HCPCS 29820
|
Hospital Charge Code |
29820
|
Min. Negotiated Rate |
$345.70 |
Max. Negotiated Rate |
$1,598.64 |
Rate for Payer: Aetna Commercial |
$704.93
|
Rate for Payer: Aetna Medicare |
$547.11
|
Rate for Payer: BCBS Complete |
$362.98
|
Rate for Payer: BCBS MAPPO |
$526.07
|
Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
Rate for Payer: BCN Commercial |
$786.28
|
Rate for Payer: BCN Medicare Advantage |
$526.07
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cofinity Commercial |
$704.93
|
Rate for Payer: Cofinity Commercial |
$757.54
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.07
|
Rate for Payer: Mclaren Medicaid |
$345.70
|
Rate for Payer: Meridian Medicaid |
$362.98
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.37
|
Rate for Payer: PACE SWMI |
$526.07
|
Rate for Payer: PHP Medicare Advantage |
$526.07
|
Rate for Payer: Priority Health Choice Medicaid |
$345.70
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$821.64
|
Rate for Payer: Priority Health Medicare |
$526.07
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$821.64
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$526.07
|
Rate for Payer: UHC Dual Complete DSNP |
$526.07
|
Rate for Payer: UHC Medicare Advantage |
$541.85
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,902.00
|
|
Service Code
|
HCPCS 29820
|
Min. Negotiated Rate |
$345.70 |
Max. Negotiated Rate |
$1,598.64 |
Rate for Payer: Aetna Commercial |
$704.93
|
Rate for Payer: Aetna Medicare |
$547.11
|
Rate for Payer: BCBS Complete |
$362.98
|
Rate for Payer: BCBS MAPPO |
$526.07
|
Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
Rate for Payer: BCN Commercial |
$786.28
|
Rate for Payer: BCN Medicare Advantage |
$526.07
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cash Price |
$1,521.60
|
Rate for Payer: Cofinity Commercial |
$757.54
|
Rate for Payer: Cofinity Commercial |
$704.93
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.07
|
Rate for Payer: Mclaren Medicaid |
$345.70
|
Rate for Payer: Meridian Medicaid |
$362.98
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.37
|
Rate for Payer: PACE SWMI |
$526.07
|
Rate for Payer: PHP Medicare Advantage |
$526.07
|
Rate for Payer: Priority Health Choice Medicaid |
$345.70
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$821.64
|
Rate for Payer: Priority Health Medicare |
$526.07
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$821.64
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$526.07
|
Rate for Payer: UHC Dual Complete DSNP |
$526.07
|
Rate for Payer: UHC Medicare Advantage |
$541.85
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,967.00
|
|
Service Code
|
HCPCS 29819
|
Hospital Charge Code |
29819
|
Min. Negotiated Rate |
$380.63 |
Max. Negotiated Rate |
$1,434.86 |
Rate for Payer: Aetna Commercial |
$775.00
|
Rate for Payer: Aetna Medicare |
$601.49
|
Rate for Payer: BCBS Complete |
$399.66
|
Rate for Payer: BCBS MAPPO |
$578.36
|
Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
Rate for Payer: BCN Commercial |
$864.96
|
Rate for Payer: BCN Medicare Advantage |
$578.36
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cofinity Commercial |
$832.84
|
Rate for Payer: Cofinity Commercial |
$775.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
Rate for Payer: Mclaren Medicaid |
$380.63
|
Rate for Payer: Meridian Medicaid |
$399.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
Rate for Payer: PACE SWMI |
$578.36
|
Rate for Payer: PHP Medicare Advantage |
$578.36
|
Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
Rate for Payer: Priority Health Medicare |
$578.36
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$903.85
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$578.36
|
Rate for Payer: UHC Dual Complete DSNP |
$578.36
|
Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,967.00
|
|
Service Code
|
HCPCS 29819
|
Min. Negotiated Rate |
$380.63 |
Max. Negotiated Rate |
$1,434.86 |
Rate for Payer: Aetna Commercial |
$775.00
|
Rate for Payer: Aetna Medicare |
$601.49
|
Rate for Payer: BCBS Complete |
$399.66
|
Rate for Payer: BCBS MAPPO |
$578.36
|
Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
Rate for Payer: BCN Commercial |
$864.96
|
Rate for Payer: BCN Medicare Advantage |
$578.36
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cofinity Commercial |
$832.84
|
Rate for Payer: Cofinity Commercial |
$775.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
Rate for Payer: Mclaren Medicaid |
$380.63
|
Rate for Payer: Meridian Medicaid |
$399.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
Rate for Payer: PACE SWMI |
$578.36
|
Rate for Payer: PHP Medicare Advantage |
$578.36
|
Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
Rate for Payer: Priority Health Medicare |
$578.36
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$903.85
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$578.36
|
Rate for Payer: UHC Dual Complete DSNP |
$578.36
|
Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
IP
|
$1,967.00
|
|
Service Code
|
CPT 29819
|
Hospital Charge Code |
29819
|
Min. Negotiated Rate |
$1,199.67 |
Max. Negotiated Rate |
$1,770.30 |
Rate for Payer: Aetna Commercial |
$1,671.95
|
Rate for Payer: BCBS Trust/PPO |
$1,520.10
|
Rate for Payer: BCN Commercial |
$1,520.10
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cofinity Commercial |
$1,691.62
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,573.60
|
Rate for Payer: Healthscope Commercial |
$1,770.30
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,475.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,671.95
|
Rate for Payer: PHP Commercial |
$1,671.95
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,711.29
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,199.67
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,730.96
|
Rate for Payer: UHC Core |
$1,642.44
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,475.25
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
OP
|
$1,967.00
|
|
Service Code
|
CPT 29819
|
Hospital Charge Code |
29819
|
Min. Negotiated Rate |
$467.16 |
Max. Negotiated Rate |
$2,229.50 |
Rate for Payer: Aetna Commercial |
$1,671.95
|
Rate for Payer: Aetna Medicare |
$511.42
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$614.69
|
Rate for Payer: Amish Plain Church Group Commercial |
$614.69
|
Rate for Payer: BCBS Complete |
$2,229.50
|
Rate for Payer: BCBS MAPPO |
$491.75
|
Rate for Payer: BCBS Trust/PPO |
$1,529.34
|
Rate for Payer: BCN Commercial |
$1,529.34
|
Rate for Payer: BCN Medicare Advantage |
$491.75
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cash Price |
$1,573.60
|
Rate for Payer: Cofinity Commercial |
$1,691.62
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,573.60
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.75
|
Rate for Payer: Healthscope Commercial |
$1,770.30
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,475.25
|
Rate for Payer: Mclaren Medicaid |
$2,123.34
|
Rate for Payer: Meridian Medicaid |
$2,229.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$516.34
|
Rate for Payer: MI Amish Medical Board Commercial |
$565.51
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,671.95
|
Rate for Payer: PACE Senior Care Partners |
$467.16
|
Rate for Payer: PACE SWMI |
$491.75
|
Rate for Payer: PHP Commercial |
$1,671.95
|
Rate for Payer: PHP Medicare Advantage |
$491.75
|
Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,711.29
|
Rate for Payer: Priority Health Medicare |
$491.75
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,199.67
|
Rate for Payer: Railroad Medicare Medicare |
$491.75
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,730.96
|
Rate for Payer: UHC Core |
$1,642.44
|
Rate for Payer: UHC Dual Complete DSNP |
$491.75
|
Rate for Payer: UHC Medicare Advantage |
$506.50
|
Rate for Payer: VA VA |
$491.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,475.25
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
IP
|
$3,014.00
|
|
Service Code
|
CPT 29807
|
Hospital Charge Code |
29807
|
Min. Negotiated Rate |
$1,838.24 |
Max. Negotiated Rate |
$2,712.60 |
Rate for Payer: Aetna Commercial |
$2,561.90
|
Rate for Payer: BCBS Trust/PPO |
$2,329.22
|
Rate for Payer: BCN Commercial |
$2,329.22
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cofinity Commercial |
$2,592.04
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,411.20
|
Rate for Payer: Healthscope Commercial |
$2,712.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,260.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,561.90
|
Rate for Payer: PHP Commercial |
$2,561.90
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,622.18
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,838.24
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,652.32
|
Rate for Payer: UHC Core |
$2,516.69
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,260.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,014.00
|
|
Service Code
|
HCPCS 29807
|
Min. Negotiated Rate |
$666.05 |
Max. Negotiated Rate |
$2,109.80 |
Rate for Payer: Aetna Commercial |
$1,365.18
|
Rate for Payer: Aetna Medicare |
$1,059.54
|
Rate for Payer: BCBS Complete |
$699.35
|
Rate for Payer: BCBS MAPPO |
$1,018.79
|
Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
Rate for Payer: BCN Commercial |
$1,517.34
|
Rate for Payer: BCN Medicare Advantage |
$1,018.79
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cofinity Commercial |
$1,467.06
|
Rate for Payer: Cofinity Commercial |
$1,365.18
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.79
|
Rate for Payer: Mclaren Medicaid |
$666.05
|
Rate for Payer: Meridian Medicaid |
$699.35
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,069.73
|
Rate for Payer: PACE SWMI |
$1,018.79
|
Rate for Payer: PHP Medicare Advantage |
$1,018.79
|
Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,585.57
|
Rate for Payer: Priority Health Medicare |
$1,018.79
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,585.57
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,018.79
|
Rate for Payer: UHC Dual Complete DSNP |
$1,018.79
|
Rate for Payer: UHC Medicare Advantage |
$1,049.35
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,014.00
|
|
Service Code
|
CPT 29807
|
Hospital Charge Code |
29807
|
Min. Negotiated Rate |
$715.82 |
Max. Negotiated Rate |
$4,927.66 |
Rate for Payer: Aetna Commercial |
$2,561.90
|
Rate for Payer: Aetna Medicare |
$783.64
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$941.88
|
Rate for Payer: Amish Plain Church Group Commercial |
$941.88
|
Rate for Payer: BCBS Complete |
$4,927.66
|
Rate for Payer: BCBS MAPPO |
$753.50
|
Rate for Payer: BCBS Trust/PPO |
$2,343.38
|
Rate for Payer: BCN Commercial |
$2,343.38
|
Rate for Payer: BCN Medicare Advantage |
$753.50
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cofinity Commercial |
$2,592.04
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,411.20
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.50
|
Rate for Payer: Healthscope Commercial |
$2,712.60
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,260.50
|
Rate for Payer: Mclaren Medicaid |
$4,693.01
|
Rate for Payer: Meridian Medicaid |
$4,927.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$791.18
|
Rate for Payer: MI Amish Medical Board Commercial |
$866.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,561.90
|
Rate for Payer: PACE Senior Care Partners |
$715.82
|
Rate for Payer: PACE SWMI |
$753.50
|
Rate for Payer: PHP Commercial |
$2,561.90
|
Rate for Payer: PHP Medicare Advantage |
$753.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,693.01
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,622.18
|
Rate for Payer: Priority Health Medicare |
$753.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,838.24
|
Rate for Payer: Railroad Medicare Medicare |
$753.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,652.32
|
Rate for Payer: UHC Core |
$2,516.69
|
Rate for Payer: UHC Dual Complete DSNP |
$753.50
|
Rate for Payer: UHC Medicare Advantage |
$776.10
|
Rate for Payer: VA VA |
$753.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,260.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,014.00
|
|
Service Code
|
HCPCS 29807
|
Hospital Charge Code |
29807
|
Min. Negotiated Rate |
$666.05 |
Max. Negotiated Rate |
$2,109.80 |
Rate for Payer: Aetna Commercial |
$1,365.18
|
Rate for Payer: Aetna Medicare |
$1,059.54
|
Rate for Payer: BCBS Complete |
$699.35
|
Rate for Payer: BCBS MAPPO |
$1,018.79
|
Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
Rate for Payer: BCN Commercial |
$1,517.34
|
Rate for Payer: BCN Medicare Advantage |
$1,018.79
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cash Price |
$2,411.20
|
Rate for Payer: Cofinity Commercial |
$1,365.18
|
Rate for Payer: Cofinity Commercial |
$1,467.06
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.79
|
Rate for Payer: Mclaren Medicaid |
$666.05
|
Rate for Payer: Meridian Medicaid |
$699.35
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,069.73
|
Rate for Payer: PACE SWMI |
$1,018.79
|
Rate for Payer: PHP Medicare Advantage |
$1,018.79
|
Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,585.57
|
Rate for Payer: Priority Health Medicare |
$1,018.79
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,585.57
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,018.79
|
Rate for Payer: UHC Dual Complete DSNP |
$1,018.79
|
Rate for Payer: UHC Medicare Advantage |
$1,049.35
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,126.00
|
|
Service Code
|
CPT 29825
|
Hospital Charge Code |
29825
|
Min. Negotiated Rate |
$1,296.65 |
Max. Negotiated Rate |
$1,913.40 |
Rate for Payer: Aetna Commercial |
$1,807.10
|
Rate for Payer: BCBS Trust/PPO |
$1,642.97
|
Rate for Payer: BCN Commercial |
$1,642.97
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cofinity Commercial |
$1,828.36
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,700.80
|
Rate for Payer: Healthscope Commercial |
$1,913.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,594.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,807.10
|
Rate for Payer: PHP Commercial |
$1,807.10
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,849.62
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,296.65
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,870.88
|
Rate for Payer: UHC Core |
$1,775.21
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,594.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,126.00
|
|
Service Code
|
HCPCS 29825
|
Hospital Charge Code |
29825
|
Min. Negotiated Rate |
$379.78 |
Max. Negotiated Rate |
$2,429.12 |
Rate for Payer: Aetna Commercial |
$775.00
|
Rate for Payer: Aetna Medicare |
$601.49
|
Rate for Payer: BCBS Complete |
$398.77
|
Rate for Payer: BCBS MAPPO |
$578.36
|
Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
Rate for Payer: BCN Commercial |
$864.96
|
Rate for Payer: BCN Medicare Advantage |
$578.36
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cofinity Commercial |
$775.00
|
Rate for Payer: Cofinity Commercial |
$832.84
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
Rate for Payer: Mclaren Medicaid |
$379.78
|
Rate for Payer: Meridian Medicaid |
$398.77
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
Rate for Payer: PACE SWMI |
$578.36
|
Rate for Payer: PHP Medicare Advantage |
$578.36
|
Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
Rate for Payer: Priority Health Medicare |
$578.36
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$903.85
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$578.36
|
Rate for Payer: UHC Dual Complete DSNP |
$578.36
|
Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,126.00
|
|
Service Code
|
HCPCS 29825
|
Min. Negotiated Rate |
$379.78 |
Max. Negotiated Rate |
$2,429.12 |
Rate for Payer: Aetna Commercial |
$775.00
|
Rate for Payer: Aetna Medicare |
$601.49
|
Rate for Payer: BCBS Complete |
$398.77
|
Rate for Payer: BCBS MAPPO |
$578.36
|
Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
Rate for Payer: BCN Commercial |
$864.96
|
Rate for Payer: BCN Medicare Advantage |
$578.36
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cofinity Commercial |
$832.84
|
Rate for Payer: Cofinity Commercial |
$775.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
Rate for Payer: Mclaren Medicaid |
$379.78
|
Rate for Payer: Meridian Medicaid |
$398.77
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
Rate for Payer: PACE SWMI |
$578.36
|
Rate for Payer: PHP Medicare Advantage |
$578.36
|
Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
Rate for Payer: Priority Health Medicare |
$578.36
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$903.85
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$578.36
|
Rate for Payer: UHC Dual Complete DSNP |
$578.36
|
Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,126.00
|
|
Service Code
|
CPT 29825
|
Hospital Charge Code |
29825
|
Min. Negotiated Rate |
$504.92 |
Max. Negotiated Rate |
$2,229.50 |
Rate for Payer: Aetna Commercial |
$1,807.10
|
Rate for Payer: Aetna Medicare |
$552.76
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$664.38
|
Rate for Payer: Amish Plain Church Group Commercial |
$664.38
|
Rate for Payer: BCBS Complete |
$2,229.50
|
Rate for Payer: BCBS MAPPO |
$531.50
|
Rate for Payer: BCBS Trust/PPO |
$1,652.96
|
Rate for Payer: BCN Commercial |
$1,652.96
|
Rate for Payer: BCN Medicare Advantage |
$531.50
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cash Price |
$1,700.80
|
Rate for Payer: Cofinity Commercial |
$1,828.36
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,700.80
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.50
|
Rate for Payer: Healthscope Commercial |
$1,913.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,594.50
|
Rate for Payer: Mclaren Medicaid |
$2,123.34
|
Rate for Payer: Meridian Medicaid |
$2,229.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$558.08
|
Rate for Payer: MI Amish Medical Board Commercial |
$611.22
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,807.10
|
Rate for Payer: PACE Senior Care Partners |
$504.92
|
Rate for Payer: PACE SWMI |
$531.50
|
Rate for Payer: PHP Commercial |
$1,807.10
|
Rate for Payer: PHP Medicare Advantage |
$531.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,849.62
|
Rate for Payer: Priority Health Medicare |
$531.50
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,296.65
|
Rate for Payer: Railroad Medicare Medicare |
$531.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,870.88
|
Rate for Payer: UHC Core |
$1,775.21
|
Rate for Payer: UHC Dual Complete DSNP |
$531.50
|
Rate for Payer: UHC Medicare Advantage |
$547.44
|
Rate for Payer: VA VA |
$531.50
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,594.50
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
IP
|
$3,332.00
|
|
Service Code
|
CPT 29827
|
Hospital Charge Code |
29827
|
Min. Negotiated Rate |
$2,032.19 |
Max. Negotiated Rate |
$2,998.80 |
Rate for Payer: Aetna Commercial |
$2,832.20
|
Rate for Payer: BCBS Trust/PPO |
$2,574.97
|
Rate for Payer: BCN Commercial |
$2,574.97
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cofinity Commercial |
$2,865.52
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.60
|
Rate for Payer: Healthscope Commercial |
$2,998.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,499.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,832.20
|
Rate for Payer: PHP Commercial |
$2,832.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,898.84
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,032.19
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,932.16
|
Rate for Payer: UHC Core |
$2,782.22
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,499.00
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,332.00
|
|
Service Code
|
HCPCS 29827
|
Hospital Charge Code |
29827
|
Min. Negotiated Rate |
$687.14 |
Max. Negotiated Rate |
$2,332.40 |
Rate for Payer: Aetna Commercial |
$1,411.38
|
Rate for Payer: Aetna Medicare |
$1,095.40
|
Rate for Payer: BCBS Complete |
$721.50
|
Rate for Payer: BCBS MAPPO |
$1,053.27
|
Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
Rate for Payer: BCN Commercial |
$1,566.21
|
Rate for Payer: BCN Medicare Advantage |
$1,053.27
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cofinity Commercial |
$1,411.38
|
Rate for Payer: Cofinity Commercial |
$1,516.71
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,053.27
|
Rate for Payer: Mclaren Medicaid |
$687.14
|
Rate for Payer: Meridian Medicaid |
$721.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,105.93
|
Rate for Payer: PACE SWMI |
$1,053.27
|
Rate for Payer: PHP Medicare Advantage |
$1,053.27
|
Rate for Payer: Priority Health Choice Medicaid |
$687.14
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,636.63
|
Rate for Payer: Priority Health Medicare |
$1,053.27
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,636.63
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,053.27
|
Rate for Payer: UHC Dual Complete DSNP |
$1,053.27
|
Rate for Payer: UHC Medicare Advantage |
$1,084.87
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
OP
|
$3,332.00
|
|
Service Code
|
CPT 29827
|
Hospital Charge Code |
29827
|
Min. Negotiated Rate |
$791.35 |
Max. Negotiated Rate |
$4,927.66 |
Rate for Payer: Aetna Commercial |
$2,832.20
|
Rate for Payer: Aetna Medicare |
$866.32
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,041.25
|
Rate for Payer: Amish Plain Church Group Commercial |
$1,041.25
|
Rate for Payer: BCBS Complete |
$4,927.66
|
Rate for Payer: BCBS MAPPO |
$833.00
|
Rate for Payer: BCBS Trust/PPO |
$2,590.63
|
Rate for Payer: BCN Commercial |
$2,590.63
|
Rate for Payer: BCN Medicare Advantage |
$833.00
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cofinity Commercial |
$2,865.52
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.60
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$833.00
|
Rate for Payer: Healthscope Commercial |
$2,998.80
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,499.00
|
Rate for Payer: Mclaren Medicaid |
$4,693.01
|
Rate for Payer: Meridian Medicaid |
$4,927.66
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$874.65
|
Rate for Payer: MI Amish Medical Board Commercial |
$957.95
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,832.20
|
Rate for Payer: PACE Senior Care Partners |
$791.35
|
Rate for Payer: PACE SWMI |
$833.00
|
Rate for Payer: PHP Commercial |
$2,832.20
|
Rate for Payer: PHP Medicare Advantage |
$833.00
|
Rate for Payer: Priority Health Choice Medicaid |
$4,693.01
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,898.84
|
Rate for Payer: Priority Health Medicare |
$833.00
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,032.19
|
Rate for Payer: Railroad Medicare Medicare |
$833.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,932.16
|
Rate for Payer: UHC Core |
$2,782.22
|
Rate for Payer: UHC Dual Complete DSNP |
$833.00
|
Rate for Payer: UHC Medicare Advantage |
$857.99
|
Rate for Payer: VA VA |
$833.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,499.00
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,332.00
|
|
Service Code
|
HCPCS 29827
|
Min. Negotiated Rate |
$687.14 |
Max. Negotiated Rate |
$2,332.40 |
Rate for Payer: Aetna Commercial |
$1,411.38
|
Rate for Payer: Aetna Medicare |
$1,095.40
|
Rate for Payer: BCBS Complete |
$721.50
|
Rate for Payer: BCBS MAPPO |
$1,053.27
|
Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
Rate for Payer: BCN Commercial |
$1,566.21
|
Rate for Payer: BCN Medicare Advantage |
$1,053.27
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cash Price |
$2,665.60
|
Rate for Payer: Cofinity Commercial |
$1,516.71
|
Rate for Payer: Cofinity Commercial |
$1,411.38
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,053.27
|
Rate for Payer: Mclaren Medicaid |
$687.14
|
Rate for Payer: Meridian Medicaid |
$721.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,105.93
|
Rate for Payer: PACE SWMI |
$1,053.27
|
Rate for Payer: PHP Medicare Advantage |
$1,053.27
|
Rate for Payer: Priority Health Choice Medicaid |
$687.14
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,636.63
|
Rate for Payer: Priority Health Medicare |
$1,053.27
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,636.63
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,053.27
|
Rate for Payer: UHC Dual Complete DSNP |
$1,053.27
|
Rate for Payer: UHC Medicare Advantage |
$1,084.87
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,475.00
|
|
Service Code
|
HCPCS 29823
|
Min. Negotiated Rate |
$384.25 |
Max. Negotiated Rate |
$1,732.50 |
Rate for Payer: Aetna Commercial |
$783.44
|
Rate for Payer: Aetna Medicare |
$608.05
|
Rate for Payer: BCBS Complete |
$403.46
|
Rate for Payer: BCBS MAPPO |
$584.66
|
Rate for Payer: BCBS Trust/PPO |
$1,023.32
|
Rate for Payer: BCN Commercial |
$962.07
|
Rate for Payer: BCN Medicare Advantage |
$584.66
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cofinity Commercial |
$783.44
|
Rate for Payer: Cofinity Commercial |
$841.91
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$584.66
|
Rate for Payer: Mclaren Medicaid |
$384.25
|
Rate for Payer: Meridian Medicaid |
$403.46
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$613.89
|
Rate for Payer: PACE SWMI |
$584.66
|
Rate for Payer: PHP Medicare Advantage |
$584.66
|
Rate for Payer: Priority Health Choice Medicaid |
$384.25
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.04
|
Rate for Payer: Priority Health Medicare |
$584.66
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$913.04
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$584.66
|
Rate for Payer: UHC Dual Complete DSNP |
$584.66
|
Rate for Payer: UHC Medicare Advantage |
$602.20
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
IP
|
$2,475.00
|
|
Service Code
|
CPT 29823
|
Hospital Charge Code |
29823
|
Min. Negotiated Rate |
$1,509.50 |
Max. Negotiated Rate |
$2,227.50 |
Rate for Payer: Aetna Commercial |
$2,103.75
|
Rate for Payer: BCBS Trust/PPO |
$1,912.68
|
Rate for Payer: BCN Commercial |
$1,912.68
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cofinity Commercial |
$2,128.50
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
Rate for Payer: Healthscope Commercial |
$2,227.50
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,856.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
Rate for Payer: PHP Commercial |
$2,103.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,153.25
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,509.50
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,178.00
|
Rate for Payer: UHC Core |
$2,066.62
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,856.25
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,475.00
|
|
Service Code
|
HCPCS 29823
|
Hospital Charge Code |
29823
|
Min. Negotiated Rate |
$384.25 |
Max. Negotiated Rate |
$1,732.50 |
Rate for Payer: Aetna Commercial |
$783.44
|
Rate for Payer: Aetna Medicare |
$608.05
|
Rate for Payer: BCBS Complete |
$403.46
|
Rate for Payer: BCBS MAPPO |
$584.66
|
Rate for Payer: BCBS Trust/PPO |
$1,023.32
|
Rate for Payer: BCN Commercial |
$962.07
|
Rate for Payer: BCN Medicare Advantage |
$584.66
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cofinity Commercial |
$841.91
|
Rate for Payer: Cofinity Commercial |
$783.44
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$584.66
|
Rate for Payer: Mclaren Medicaid |
$384.25
|
Rate for Payer: Meridian Medicaid |
$403.46
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$613.89
|
Rate for Payer: PACE SWMI |
$584.66
|
Rate for Payer: PHP Medicare Advantage |
$584.66
|
Rate for Payer: Priority Health Choice Medicaid |
$384.25
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.04
|
Rate for Payer: Priority Health Medicare |
$584.66
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$913.04
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$584.66
|
Rate for Payer: UHC Dual Complete DSNP |
$584.66
|
Rate for Payer: UHC Medicare Advantage |
$602.20
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
OP
|
$2,475.00
|
|
Service Code
|
CPT 29823
|
Hospital Charge Code |
29823
|
Min. Negotiated Rate |
$587.81 |
Max. Negotiated Rate |
$2,229.50 |
Rate for Payer: Aetna Commercial |
$2,103.75
|
Rate for Payer: Aetna Medicare |
$643.50
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$773.44
|
Rate for Payer: Amish Plain Church Group Commercial |
$773.44
|
Rate for Payer: BCBS Complete |
$2,229.50
|
Rate for Payer: BCBS MAPPO |
$618.75
|
Rate for Payer: BCBS Trust/PPO |
$1,924.31
|
Rate for Payer: BCN Commercial |
$1,924.31
|
Rate for Payer: BCN Medicare Advantage |
$618.75
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cash Price |
$1,980.00
|
Rate for Payer: Cofinity Commercial |
$2,128.50
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$618.75
|
Rate for Payer: Healthscope Commercial |
$2,227.50
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,856.25
|
Rate for Payer: Mclaren Medicaid |
$2,123.34
|
Rate for Payer: Meridian Medicaid |
$2,229.50
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$649.69
|
Rate for Payer: MI Amish Medical Board Commercial |
$711.56
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
Rate for Payer: PACE Senior Care Partners |
$587.81
|
Rate for Payer: PACE SWMI |
$618.75
|
Rate for Payer: PHP Commercial |
$2,103.75
|
Rate for Payer: PHP Medicare Advantage |
$618.75
|
Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,153.25
|
Rate for Payer: Priority Health Medicare |
$618.75
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,509.50
|
Rate for Payer: Railroad Medicare Medicare |
$618.75
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,178.00
|
Rate for Payer: UHC Core |
$2,066.62
|
Rate for Payer: UHC Dual Complete DSNP |
$618.75
|
Rate for Payer: UHC Medicare Advantage |
$637.31
|
Rate for Payer: VA VA |
$618.75
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,856.25
|
|