|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 44180
|
| Min. Negotiated Rate |
$551.24 |
| Max. Negotiated Rate |
$1,796.25 |
| Rate for Payer: Aetna Commercial |
$1,241.34
|
| Rate for Payer: Aetna Medicare |
$1,197.50
|
| Rate for Payer: BCBS Complete |
$578.80
|
| Rate for Payer: BCN Commercial |
$1,384.39
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Mclaren Medicaid |
$551.24
|
| Rate for Payer: Meridian Medicaid |
$578.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$551.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,686.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,686.78
|
| Rate for Payer: UHC Medicaid |
$551.24
|
| Rate for Payer: UHCCP Medicaid |
$551.24
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$422.24 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$622.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$748.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$748.44
|
| Rate for Payer: BCBS Complete |
$443.31
|
| Rate for Payer: BCBS MAPPO |
$598.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,968.93
|
| Rate for Payer: BCN Commercial |
$1,968.93
|
| Rate for Payer: BCN Medicare Advantage |
$598.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.75
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Mclaren Medicaid |
$422.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.69
|
| Rate for Payer: Meridian Medicaid |
$443.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$688.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$658.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: PACE Senior Care Partners |
$568.81
|
| Rate for Payer: PACE SWMI |
$598.75
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$598.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,083.65
|
| Rate for Payer: Priority Health Medicare |
$604.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,666.92
|
| Rate for Payer: Railroad Medicare Medicare |
$598.75
|
| Rate for Payer: UHC Core |
$1,999.83
|
| Rate for Payer: UHC Exchange |
$598.75
|
| Rate for Payer: UHC Medicaid |
$422.24
|
| Rate for Payer: UHC Medicare Advantage |
$598.75
|
| Rate for Payer: UHCCP Medicaid |
$422.24
|
| Rate for Payer: VA VA |
$598.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 44180
|
| Hospital Charge Code |
44180
|
| Min. Negotiated Rate |
$551.24 |
| Max. Negotiated Rate |
$1,796.25 |
| Rate for Payer: Aetna Commercial |
$1,241.34
|
| Rate for Payer: Aetna Medicare |
$1,197.50
|
| Rate for Payer: BCBS Complete |
$578.80
|
| Rate for Payer: BCN Commercial |
$1,384.39
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Mclaren Medicaid |
$551.24
|
| Rate for Payer: Meridian Medicaid |
$578.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$551.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,686.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,686.78
|
| Rate for Payer: UHC Medicaid |
$551.24
|
| Rate for Payer: UHCCP Medicaid |
$551.24
|
|
|
PR LAPAROSCOPY FULGURATION OVIDUCTS
|
Professional
|
Both
|
$1,524.00
|
|
|
Service Code
|
HCPCS 58670
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$1,143.00 |
| Rate for Payer: Aetna Commercial |
$442.77
|
| Rate for Payer: Aetna Medicare |
$762.00
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCN Commercial |
$558.74
|
| Rate for Payer: Cash Price |
$1,219.20
|
| Rate for Payer: Cash Price |
$1,219.20
|
| Rate for Payer: Mclaren Medicaid |
$212.36
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,143.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$565.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.88
|
| Rate for Payer: UHC Medicaid |
$212.36
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT
|
Professional
|
Both
|
$3,098.00
|
|
|
Service Code
|
HCPCS 50546
|
| Min. Negotiated Rate |
$688.20 |
| Max. Negotiated Rate |
$2,323.50 |
| Rate for Payer: Aetna Commercial |
$1,546.92
|
| Rate for Payer: Aetna Medicare |
$1,549.00
|
| Rate for Payer: BCBS Complete |
$722.61
|
| Rate for Payer: BCN Commercial |
$1,794.72
|
| Rate for Payer: Cash Price |
$2,478.40
|
| Rate for Payer: Cash Price |
$2,478.40
|
| Rate for Payer: Mclaren Medicaid |
$688.20
|
| Rate for Payer: Meridian Medicaid |
$722.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,323.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$688.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,955.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,955.04
|
| Rate for Payer: UHC Medicaid |
$688.20
|
| Rate for Payer: UHCCP Medicaid |
$688.20
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY
|
Professional
|
Both
|
$2,670.00
|
|
|
Service Code
|
HCPCS 50548
|
| Min. Negotiated Rate |
$759.56 |
| Max. Negotiated Rate |
$2,172.02 |
| Rate for Payer: Aetna Commercial |
$1,729.50
|
| Rate for Payer: Aetna Medicare |
$1,335.00
|
| Rate for Payer: BCBS Complete |
$797.54
|
| Rate for Payer: BCN Commercial |
$1,993.92
|
| Rate for Payer: Cash Price |
$2,136.00
|
| Rate for Payer: Cash Price |
$2,136.00
|
| Rate for Payer: Mclaren Medicaid |
$759.56
|
| Rate for Payer: Meridian Medicaid |
$797.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,002.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$759.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,172.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,172.02
|
| Rate for Payer: UHC Medicaid |
$759.56
|
| Rate for Payer: UHCCP Medicaid |
$759.56
|
|
|
PR LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS
|
Professional
|
Both
|
$2,363.00
|
|
|
Service Code
|
HCPCS 54692
|
| Min. Negotiated Rate |
$434.09 |
| Max. Negotiated Rate |
$1,772.25 |
| Rate for Payer: Aetna Commercial |
$972.39
|
| Rate for Payer: Aetna Medicare |
$1,181.50
|
| Rate for Payer: BCBS Complete |
$455.79
|
| Rate for Payer: BCN Commercial |
$1,130.42
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Mclaren Medicaid |
$434.09
|
| Rate for Payer: Meridian Medicaid |
$455.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,772.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,231.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,231.40
|
| Rate for Payer: UHC Medicaid |
$434.09
|
| Rate for Payer: UHCCP Medicaid |
$434.09
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE
|
Professional
|
Both
|
$3,445.00
|
|
|
Service Code
|
HCPCS 45400
|
| Min. Negotiated Rate |
$666.05 |
| Max. Negotiated Rate |
$2,583.75 |
| Rate for Payer: Aetna Commercial |
$1,512.32
|
| Rate for Payer: Aetna Medicare |
$1,722.50
|
| Rate for Payer: BCBS Complete |
$699.35
|
| Rate for Payer: BCN Commercial |
$1,687.66
|
| Rate for Payer: Cash Price |
$2,756.00
|
| Rate for Payer: Cash Price |
$2,756.00
|
| Rate for Payer: Mclaren Medicaid |
$666.05
|
| Rate for Payer: Meridian Medicaid |
$699.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,583.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,056.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,056.30
|
| Rate for Payer: UHC Medicaid |
$666.05
|
| Rate for Payer: UHCCP Medicaid |
$666.05
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ
|
Professional
|
Both
|
$4,803.00
|
|
|
Service Code
|
HCPCS 45402
|
| Min. Negotiated Rate |
$888.21 |
| Max. Negotiated Rate |
$3,602.25 |
| Rate for Payer: Aetna Commercial |
$2,023.67
|
| Rate for Payer: Aetna Medicare |
$2,401.50
|
| Rate for Payer: BCBS Complete |
$932.62
|
| Rate for Payer: BCN Commercial |
$2,255.36
|
| Rate for Payer: Cash Price |
$3,842.40
|
| Rate for Payer: Cash Price |
$3,842.40
|
| Rate for Payer: Mclaren Medicaid |
$888.21
|
| Rate for Payer: Meridian Medicaid |
$932.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,602.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$888.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,748.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,748.00
|
| Rate for Payer: UHC Medicaid |
$888.21
|
| Rate for Payer: UHCCP Medicaid |
$888.21
|
|
|
PR LAPAROSCOPY RADICAL NEPHRECTOMY
|
Professional
|
Both
|
$4,212.00
|
|
|
Service Code
|
HCPCS 50545
|
| Min. Negotiated Rate |
$756.58 |
| Max. Negotiated Rate |
$3,159.00 |
| Rate for Payer: Aetna Commercial |
$1,716.91
|
| Rate for Payer: Aetna Medicare |
$2,106.00
|
| Rate for Payer: BCBS Complete |
$794.41
|
| Rate for Payer: BCN Commercial |
$1,984.45
|
| Rate for Payer: Cash Price |
$3,369.60
|
| Rate for Payer: Cash Price |
$3,369.60
|
| Rate for Payer: Mclaren Medicaid |
$756.58
|
| Rate for Payer: Meridian Medicaid |
$794.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,159.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$756.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,161.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,161.72
|
| Rate for Payer: UHC Medicaid |
$756.58
|
| Rate for Payer: UHCCP Medicaid |
$756.58
|
|
|
PR LAPAROSCOPY SALPINGOSTOMY
|
Professional
|
Both
|
$3,211.00
|
|
|
Service Code
|
HCPCS 58673
|
| Min. Negotiated Rate |
$446.24 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna Commercial |
$953.91
|
| Rate for Payer: Aetna Medicare |
$1,605.50
|
| Rate for Payer: BCBS Complete |
$468.55
|
| Rate for Payer: BCN Commercial |
$1,186.69
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Mclaren Medicaid |
$446.24
|
| Rate for Payer: Meridian Medicaid |
$468.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,408.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,201.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,201.86
|
| Rate for Payer: UHC Medicaid |
$446.24
|
| Rate for Payer: UHCCP Medicaid |
$446.24
|
|
|
PR LAPAROSCOPY SLING OPERATION STRESS INCONT
|
Professional
|
Both
|
$1,776.00
|
|
|
Service Code
|
HCPCS 51992
|
| Min. Negotiated Rate |
$476.06 |
| Max. Negotiated Rate |
$1,361.03 |
| Rate for Payer: Aetna Commercial |
$1,079.36
|
| Rate for Payer: Aetna Medicare |
$888.00
|
| Rate for Payer: BCBS Complete |
$499.86
|
| Rate for Payer: BCN Commercial |
$1,249.43
|
| Rate for Payer: Cash Price |
$1,420.80
|
| Rate for Payer: Cash Price |
$1,420.80
|
| Rate for Payer: Mclaren Medicaid |
$476.06
|
| Rate for Payer: Meridian Medicaid |
$499.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,332.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,361.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,361.03
|
| Rate for Payer: UHC Medicaid |
$476.06
|
| Rate for Payer: UHCCP Medicaid |
$476.06
|
|
|
PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS
|
Professional
|
Both
|
$1,098.00
|
|
|
Service Code
|
HCPCS 44203
|
| Min. Negotiated Rate |
$137.81 |
| Max. Negotiated Rate |
$823.50 |
| Rate for Payer: Aetna Commercial |
$324.29
|
| Rate for Payer: Aetna Medicare |
$549.00
|
| Rate for Payer: BCBS Complete |
$144.70
|
| Rate for Payer: BCN Commercial |
$356.06
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Mclaren Medicaid |
$137.81
|
| Rate for Payer: Meridian Medicaid |
$144.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$823.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$433.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.84
|
| Rate for Payer: UHC Medicaid |
$137.81
|
| Rate for Payer: UHCCP Medicaid |
$137.81
|
|
|
PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<
|
Professional
|
Both
|
$2,086.00
|
|
|
Service Code
|
HCPCS 58541
|
| Min. Negotiated Rate |
$413.65 |
| Max. Negotiated Rate |
$1,564.50 |
| Rate for Payer: Aetna Commercial |
$871.92
|
| Rate for Payer: Aetna Medicare |
$1,043.00
|
| Rate for Payer: BCBS Complete |
$434.33
|
| Rate for Payer: BCN Commercial |
$1,097.05
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Mclaren Medicaid |
$413.65
|
| Rate for Payer: Meridian Medicaid |
$434.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,564.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,111.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,111.07
|
| Rate for Payer: UHC Medicaid |
$413.65
|
| Rate for Payer: UHCCP Medicaid |
$413.65
|
|
|
PR LAPAROSCOPY SURG ABLATION RENAL CYSTS
|
Professional
|
Both
|
$1,815.00
|
|
|
Service Code
|
HCPCS 50541
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$1,490.15 |
| Rate for Payer: Aetna Commercial |
$1,179.65
|
| Rate for Payer: Aetna Medicare |
$907.50
|
| Rate for Payer: BCBS Complete |
$549.73
|
| Rate for Payer: BCN Commercial |
$1,367.95
|
| Rate for Payer: Cash Price |
$1,452.00
|
| Rate for Payer: Cash Price |
$1,452.00
|
| Rate for Payer: Mclaren Medicaid |
$523.55
|
| Rate for Payer: Meridian Medicaid |
$549.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,361.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$523.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,490.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,490.15
|
| Rate for Payer: UHC Medicaid |
$523.55
|
| Rate for Payer: UHCCP Medicaid |
$523.55
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
IP
|
$3,101.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,158.30 |
| Max. Negotiated Rate |
$2,790.90 |
| Rate for Payer: Aetna Commercial |
$2,635.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,561.12
|
| Rate for Payer: BCN Commercial |
$2,561.12
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cofinity Commercial |
$2,666.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,480.80
|
| Rate for Payer: Healthscope Commercial |
$2,790.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,325.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,635.85
|
| Rate for Payer: Nomi Health Commercial |
$2,542.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,325.75
|
| Rate for Payer: PHP Commercial |
$2,635.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,697.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,158.30
|
| Rate for Payer: UHC Core |
$2,589.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,325.75
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
OP
|
$3,101.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$546.71 |
| Max. Negotiated Rate |
$2,790.90 |
| Rate for Payer: Aetna Commercial |
$2,635.85
|
| Rate for Payer: Aetna Medicare |
$806.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$969.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$969.06
|
| Rate for Payer: BCBS Complete |
$574.00
|
| Rate for Payer: BCBS MAPPO |
$775.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,549.33
|
| Rate for Payer: BCN Commercial |
$2,549.33
|
| Rate for Payer: BCN Medicare Advantage |
$775.25
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cofinity Commercial |
$2,666.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,480.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$775.25
|
| Rate for Payer: Healthscope Commercial |
$2,790.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,325.75
|
| Rate for Payer: Mclaren Medicaid |
$546.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$814.01
|
| Rate for Payer: Meridian Medicaid |
$574.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$891.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$852.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,635.85
|
| Rate for Payer: Nomi Health Commercial |
$2,542.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,325.75
|
| Rate for Payer: PACE Senior Care Partners |
$736.49
|
| Rate for Payer: PACE SWMI |
$775.25
|
| Rate for Payer: PHP Commercial |
$2,635.85
|
| Rate for Payer: PHP Medicare Advantage |
$775.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,697.87
|
| Rate for Payer: Priority Health Medicare |
$783.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,158.30
|
| Rate for Payer: Railroad Medicare Medicare |
$775.25
|
| Rate for Payer: UHC Core |
$2,589.34
|
| Rate for Payer: UHC Exchange |
$775.25
|
| Rate for Payer: UHC Medicaid |
$546.71
|
| Rate for Payer: UHC Medicare Advantage |
$775.25
|
| Rate for Payer: UHCCP Medicaid |
$546.71
|
| Rate for Payer: VA VA |
$775.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,325.75
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,101.00
|
|
|
Service Code
|
HCPCS 47562
|
| Min. Negotiated Rate |
$403.00 |
| Max. Negotiated Rate |
$2,325.75 |
| Rate for Payer: Aetna Commercial |
$890.52
|
| Rate for Payer: Aetna Medicare |
$1,550.50
|
| Rate for Payer: BCBS Complete |
$423.15
|
| Rate for Payer: BCN Commercial |
$998.95
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Mclaren Medicaid |
$403.00
|
| Rate for Payer: Meridian Medicaid |
$423.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,325.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$403.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,217.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,217.15
|
| Rate for Payer: UHC Medicaid |
$403.00
|
| Rate for Payer: UHCCP Medicaid |
$403.00
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,101.00
|
|
|
Service Code
|
HCPCS 47562
|
| Hospital Charge Code |
47562
|
| Min. Negotiated Rate |
$403.00 |
| Max. Negotiated Rate |
$2,325.75 |
| Rate for Payer: Aetna Commercial |
$890.52
|
| Rate for Payer: Aetna Medicare |
$1,550.50
|
| Rate for Payer: BCBS Complete |
$423.15
|
| Rate for Payer: BCN Commercial |
$998.95
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Mclaren Medicaid |
$403.00
|
| Rate for Payer: Meridian Medicaid |
$423.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,325.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$403.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,217.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,217.15
|
| Rate for Payer: UHC Medicaid |
$403.00
|
| Rate for Payer: UHCCP Medicaid |
$403.00
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,845.00
|
|
|
Service Code
|
HCPCS 44188
|
| Min. Negotiated Rate |
$726.76 |
| Max. Negotiated Rate |
$2,207.99 |
| Rate for Payer: Aetna Commercial |
$1,636.86
|
| Rate for Payer: Aetna Medicare |
$1,422.50
|
| Rate for Payer: BCBS Complete |
$763.10
|
| Rate for Payer: BCN Commercial |
$1,812.15
|
| Rate for Payer: Cash Price |
$2,276.00
|
| Rate for Payer: Cash Price |
$2,276.00
|
| Rate for Payer: Mclaren Medicaid |
$726.76
|
| Rate for Payer: Meridian Medicaid |
$763.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,133.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$726.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,207.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,207.99
|
| Rate for Payer: UHC Medicaid |
$726.76
|
| Rate for Payer: UHCCP Medicaid |
$726.76
|
|
|
PR LAPAROSCOPY SURGICAL JEJUNOSTOMY
|
Professional
|
Both
|
$2,058.00
|
|
|
Service Code
|
HCPCS 44186
|
| Min. Negotiated Rate |
$398.52 |
| Max. Negotiated Rate |
$1,543.50 |
| Rate for Payer: Aetna Commercial |
$878.77
|
| Rate for Payer: Aetna Medicare |
$1,029.00
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCN Commercial |
$981.52
|
| Rate for Payer: Cash Price |
$1,646.40
|
| Rate for Payer: Cash Price |
$1,646.40
|
| Rate for Payer: Mclaren Medicaid |
$398.52
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,543.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,195.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,195.92
|
| Rate for Payer: UHC Medicaid |
$398.52
|
| Rate for Payer: UHCCP Medicaid |
$398.52
|
|
|
PR LAPAROSCOPY SURGICAL ORCHIECTOMY
|
Professional
|
Both
|
$1,367.00
|
|
|
Service Code
|
HCPCS 54690
|
| Min. Negotiated Rate |
$378.29 |
| Max. Negotiated Rate |
$1,070.29 |
| Rate for Payer: Aetna Commercial |
$842.34
|
| Rate for Payer: Aetna Medicare |
$683.50
|
| Rate for Payer: BCBS Complete |
$397.20
|
| Rate for Payer: BCN Commercial |
$982.52
|
| Rate for Payer: Cash Price |
$1,093.60
|
| Rate for Payer: Cash Price |
$1,093.60
|
| Rate for Payer: Mclaren Medicaid |
$378.29
|
| Rate for Payer: Meridian Medicaid |
$397.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,025.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,070.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,070.29
|
| Rate for Payer: UHC Medicaid |
$378.29
|
| Rate for Payer: UHCCP Medicaid |
$378.29
|
|
|
PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE
|
Professional
|
Both
|
$3,114.00
|
|
|
Service Code
|
HCPCS 44187
|
| Min. Negotiated Rate |
$653.48 |
| Max. Negotiated Rate |
$2,335.50 |
| Rate for Payer: Aetna Commercial |
$1,467.80
|
| Rate for Payer: Aetna Medicare |
$1,557.00
|
| Rate for Payer: BCBS Complete |
$686.15
|
| Rate for Payer: BCN Commercial |
$1,627.40
|
| Rate for Payer: Cash Price |
$2,491.20
|
| Rate for Payer: Cash Price |
$2,491.20
|
| Rate for Payer: Mclaren Medicaid |
$653.48
|
| Rate for Payer: Meridian Medicaid |
$686.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,982.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,982.88
|
| Rate for Payer: UHC Medicaid |
$653.48
|
| Rate for Payer: UHCCP Medicaid |
$653.48
|
|
|
PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY
|
Professional
|
Both
|
$2,938.00
|
|
|
Service Code
|
HCPCS 50543
|
| Min. Negotiated Rate |
$847.95 |
| Max. Negotiated Rate |
$2,415.05 |
| Rate for Payer: Aetna Commercial |
$1,912.33
|
| Rate for Payer: Aetna Medicare |
$1,469.00
|
| Rate for Payer: BCBS Complete |
$890.35
|
| Rate for Payer: BCN Commercial |
$2,217.02
|
| Rate for Payer: Cash Price |
$2,350.40
|
| Rate for Payer: Cash Price |
$2,350.40
|
| Rate for Payer: Mclaren Medicaid |
$847.95
|
| Rate for Payer: Meridian Medicaid |
$890.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,203.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,415.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,415.05
|
| Rate for Payer: UHC Medicaid |
$847.95
|
| Rate for Payer: UHCCP Medicaid |
$847.95
|
|
|
PR LAPAROSCOPY SURG PYELOPLASTY
|
Professional
|
Both
|
$2,469.00
|
|
|
Service Code
|
HCPCS 50544
|
| Min. Negotiated Rate |
$703.54 |
| Max. Negotiated Rate |
$2,008.74 |
| Rate for Payer: Aetna Commercial |
$1,596.98
|
| Rate for Payer: Aetna Medicare |
$1,234.50
|
| Rate for Payer: BCBS Complete |
$738.72
|
| Rate for Payer: BCN Commercial |
$1,844.03
|
| Rate for Payer: Cash Price |
$1,975.20
|
| Rate for Payer: Cash Price |
$1,975.20
|
| Rate for Payer: Mclaren Medicaid |
$703.54
|
| Rate for Payer: Meridian Medicaid |
$738.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,851.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$703.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,008.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,008.74
|
| Rate for Payer: UHC Medicaid |
$703.54
|
| Rate for Payer: UHCCP Medicaid |
$703.54
|
|
