|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
IP
|
$5,008.81
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,054.87 |
| Max. Negotiated Rate |
$4,507.93 |
| Rate for Payer: Aetna Commercial |
$4,257.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,870.81
|
| Rate for Payer: BCN Commercial |
$3,870.81
|
| Rate for Payer: Cash Price |
$4,007.05
|
| Rate for Payer: Cofinity Commercial |
$4,307.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,007.05
|
| Rate for Payer: Healthscope Commercial |
$4,507.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,756.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,257.49
|
| Rate for Payer: PHP Commercial |
$4,257.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,506.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,357.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,054.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,407.75
|
| Rate for Payer: UHC Core |
$4,182.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,756.61
|
|
|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$5,008.81
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,189.59 |
| Max. Negotiated Rate |
$4,507.93 |
| Rate for Payer: Aetna Commercial |
$4,257.49
|
| Rate for Payer: Aetna Medicare |
$1,302.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,565.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,565.25
|
| Rate for Payer: BCBS Complete |
$3,785.15
|
| Rate for Payer: BCBS MAPPO |
$1,252.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,894.35
|
| Rate for Payer: BCN Commercial |
$3,894.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,252.20
|
| Rate for Payer: Cash Price |
$4,007.05
|
| Rate for Payer: Cash Price |
$4,007.05
|
| Rate for Payer: Cofinity Commercial |
$4,307.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,007.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,252.20
|
| Rate for Payer: Healthscope Commercial |
$4,507.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,756.61
|
| Rate for Payer: Mclaren Medicaid |
$3,604.90
|
| Rate for Payer: Meridian Medicaid |
$3,785.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,314.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,440.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,257.49
|
| Rate for Payer: PACE Senior Care Partners |
$1,189.59
|
| Rate for Payer: PACE SWMI |
$1,252.20
|
| Rate for Payer: PHP Commercial |
$4,257.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,252.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,604.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,506.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,357.66
|
| Rate for Payer: Priority Health Medicare |
$1,252.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,054.87
|
| Rate for Payer: Railroad Medicare Medicare |
$1,252.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,407.75
|
| Rate for Payer: UHC Core |
$4,182.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,252.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,289.77
|
| Rate for Payer: VA VA |
$1,252.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,756.61
|
|
|
HC ART FLOW LOWER COMPLETE
|
Facility
|
OP
|
$847.02
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100030
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$102.47 |
| Max. Negotiated Rate |
$762.32 |
| Rate for Payer: Aetna Commercial |
$719.97
|
| Rate for Payer: Aetna Medicare |
$220.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$264.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$264.69
|
| Rate for Payer: BCBS Complete |
$107.59
|
| Rate for Payer: BCBS MAPPO |
$211.76
|
| Rate for Payer: BCBS Trust/PPO |
$658.56
|
| Rate for Payer: BCN Commercial |
$658.56
|
| Rate for Payer: BCN Medicare Advantage |
$211.76
|
| Rate for Payer: Cash Price |
$677.62
|
| Rate for Payer: Cash Price |
$677.62
|
| Rate for Payer: Cofinity Commercial |
$728.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.76
|
| Rate for Payer: Healthscope Commercial |
$762.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$635.26
|
| Rate for Payer: Mclaren Medicaid |
$102.47
|
| Rate for Payer: Meridian Medicaid |
$107.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$222.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$243.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$719.97
|
| Rate for Payer: PACE Senior Care Partners |
$201.17
|
| Rate for Payer: PACE SWMI |
$211.76
|
| Rate for Payer: PHP Commercial |
$719.97
|
| Rate for Payer: PHP Medicare Advantage |
$211.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.91
|
| Rate for Payer: Priority Health Medicare |
$211.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$516.60
|
| Rate for Payer: Railroad Medicare Medicare |
$211.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$745.38
|
| Rate for Payer: UHC Core |
$707.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.76
|
| Rate for Payer: UHC Medicare Advantage |
$218.11
|
| Rate for Payer: VA VA |
$211.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$635.26
|
|
|
HC ART FLOW LOWER COMPLETE
|
Facility
|
IP
|
$847.02
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100030
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$516.60 |
| Max. Negotiated Rate |
$762.32 |
| Rate for Payer: Aetna Commercial |
$719.97
|
| Rate for Payer: BCBS Trust/PPO |
$654.58
|
| Rate for Payer: BCN Commercial |
$654.58
|
| Rate for Payer: Cash Price |
$677.62
|
| Rate for Payer: Cofinity Commercial |
$728.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.62
|
| Rate for Payer: Healthscope Commercial |
$762.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$635.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$719.97
|
| Rate for Payer: PHP Commercial |
$719.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$516.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$745.38
|
| Rate for Payer: UHC Core |
$707.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$635.26
|
|
|
HC ART FLOW LOWER LIMITED
|
Facility
|
IP
|
$710.39
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100019
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$433.27 |
| Max. Negotiated Rate |
$639.35 |
| Rate for Payer: Aetna Commercial |
$603.83
|
| Rate for Payer: BCBS Trust/PPO |
$548.99
|
| Rate for Payer: BCN Commercial |
$548.99
|
| Rate for Payer: Cash Price |
$568.31
|
| Rate for Payer: Cofinity Commercial |
$610.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$568.31
|
| Rate for Payer: Healthscope Commercial |
$639.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$532.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$603.83
|
| Rate for Payer: PHP Commercial |
$603.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$618.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$625.14
|
| Rate for Payer: UHC Core |
$593.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$532.79
|
|
|
HC ART FLOW LOWER LIMITED
|
Facility
|
OP
|
$710.39
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100019
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$83.80 |
| Max. Negotiated Rate |
$639.35 |
| Rate for Payer: Aetna Commercial |
$603.83
|
| Rate for Payer: Aetna Medicare |
$184.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$222.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$222.00
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$177.60
|
| Rate for Payer: BCBS Trust/PPO |
$552.33
|
| Rate for Payer: BCN Commercial |
$552.33
|
| Rate for Payer: BCN Medicare Advantage |
$177.60
|
| Rate for Payer: Cash Price |
$568.31
|
| Rate for Payer: Cash Price |
$568.31
|
| Rate for Payer: Cofinity Commercial |
$610.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$568.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.60
|
| Rate for Payer: Healthscope Commercial |
$639.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$532.79
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$186.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$204.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$603.83
|
| Rate for Payer: PACE Senior Care Partners |
$168.72
|
| Rate for Payer: PACE SWMI |
$177.60
|
| Rate for Payer: PHP Commercial |
$603.83
|
| Rate for Payer: PHP Medicare Advantage |
$177.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$618.04
|
| Rate for Payer: Priority Health Medicare |
$177.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.27
|
| Rate for Payer: Railroad Medicare Medicare |
$177.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$625.14
|
| Rate for Payer: UHC Core |
$593.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.60
|
| Rate for Payer: UHC Medicare Advantage |
$182.93
|
| Rate for Payer: VA VA |
$177.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$532.79
|
|
|
HC ART FLOW UPPER COMPLETE
|
Facility
|
OP
|
$924.02
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100018
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$102.47 |
| Max. Negotiated Rate |
$831.62 |
| Rate for Payer: Aetna Commercial |
$785.42
|
| Rate for Payer: Aetna Medicare |
$240.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$288.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$288.76
|
| Rate for Payer: BCBS Complete |
$107.59
|
| Rate for Payer: BCBS MAPPO |
$231.00
|
| Rate for Payer: BCBS Trust/PPO |
$718.43
|
| Rate for Payer: BCN Commercial |
$718.43
|
| Rate for Payer: BCN Medicare Advantage |
$231.00
|
| Rate for Payer: Cash Price |
$739.22
|
| Rate for Payer: Cash Price |
$739.22
|
| Rate for Payer: Cofinity Commercial |
$794.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.00
|
| Rate for Payer: Healthscope Commercial |
$831.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$693.02
|
| Rate for Payer: Mclaren Medicaid |
$102.47
|
| Rate for Payer: Meridian Medicaid |
$107.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$242.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$265.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$785.42
|
| Rate for Payer: PACE Senior Care Partners |
$219.45
|
| Rate for Payer: PACE SWMI |
$231.00
|
| Rate for Payer: PHP Commercial |
$785.42
|
| Rate for Payer: PHP Medicare Advantage |
$231.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$803.90
|
| Rate for Payer: Priority Health Medicare |
$231.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$563.56
|
| Rate for Payer: Railroad Medicare Medicare |
$231.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$813.14
|
| Rate for Payer: UHC Core |
$771.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.00
|
| Rate for Payer: UHC Medicare Advantage |
$237.94
|
| Rate for Payer: VA VA |
$231.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$693.02
|
|
|
HC ART FLOW UPPER COMPLETE
|
Facility
|
IP
|
$924.02
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100018
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$563.56 |
| Max. Negotiated Rate |
$831.62 |
| Rate for Payer: Aetna Commercial |
$785.42
|
| Rate for Payer: BCBS Trust/PPO |
$714.08
|
| Rate for Payer: BCN Commercial |
$714.08
|
| Rate for Payer: Cash Price |
$739.22
|
| Rate for Payer: Cofinity Commercial |
$794.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.22
|
| Rate for Payer: Healthscope Commercial |
$831.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$693.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$785.42
|
| Rate for Payer: PHP Commercial |
$785.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$803.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$563.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$813.14
|
| Rate for Payer: UHC Core |
$771.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$693.02
|
|
|
HC ART FLOW UPPER LIMITED
|
Facility
|
IP
|
$774.97
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100031
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$472.65 |
| Max. Negotiated Rate |
$697.47 |
| Rate for Payer: Aetna Commercial |
$658.72
|
| Rate for Payer: BCBS Trust/PPO |
$598.90
|
| Rate for Payer: BCN Commercial |
$598.90
|
| Rate for Payer: Cash Price |
$619.98
|
| Rate for Payer: Cofinity Commercial |
$666.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$619.98
|
| Rate for Payer: Healthscope Commercial |
$697.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$581.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$658.72
|
| Rate for Payer: PHP Commercial |
$658.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$472.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$681.97
|
| Rate for Payer: UHC Core |
$647.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$581.23
|
|
|
HC ART FLOW UPPER LIMITED
|
Facility
|
OP
|
$774.97
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100031
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$83.80 |
| Max. Negotiated Rate |
$697.47 |
| Rate for Payer: Aetna Commercial |
$658.72
|
| Rate for Payer: Aetna Medicare |
$201.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.18
|
| Rate for Payer: BCBS Complete |
$87.99
|
| Rate for Payer: BCBS MAPPO |
$193.74
|
| Rate for Payer: BCBS Trust/PPO |
$602.54
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$193.74
|
| Rate for Payer: Cash Price |
$619.98
|
| Rate for Payer: Cash Price |
$619.98
|
| Rate for Payer: Cofinity Commercial |
$666.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$619.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.74
|
| Rate for Payer: Healthscope Commercial |
$697.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$581.23
|
| Rate for Payer: Mclaren Medicaid |
$83.80
|
| Rate for Payer: Meridian Medicaid |
$87.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$203.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$658.72
|
| Rate for Payer: PACE Senior Care Partners |
$184.06
|
| Rate for Payer: PACE SWMI |
$193.74
|
| Rate for Payer: PHP Commercial |
$658.72
|
| Rate for Payer: PHP Medicare Advantage |
$193.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.22
|
| Rate for Payer: Priority Health Medicare |
$193.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$472.65
|
| Rate for Payer: Railroad Medicare Medicare |
$193.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$681.97
|
| Rate for Payer: UHC Core |
$647.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.74
|
| Rate for Payer: UHC Medicare Advantage |
$199.55
|
| Rate for Payer: VA VA |
$193.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$581.23
|
|
|
HC ARTHROCENTESIS
|
Facility
|
IP
|
$370.48
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$225.96 |
| Max. Negotiated Rate |
$333.43 |
| Rate for Payer: Aetna Commercial |
$314.91
|
| Rate for Payer: BCBS Trust/PPO |
$286.31
|
| Rate for Payer: BCN Commercial |
$286.31
|
| Rate for Payer: Cash Price |
$296.38
|
| Rate for Payer: Cofinity Commercial |
$318.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.38
|
| Rate for Payer: Healthscope Commercial |
$333.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$277.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$314.91
|
| Rate for Payer: PHP Commercial |
$314.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$225.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.02
|
| Rate for Payer: UHC Core |
$309.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$277.86
|
|
|
HC ARTHROCENTESIS
|
Facility
|
OP
|
$370.48
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$87.99 |
| Max. Negotiated Rate |
$333.43 |
| Rate for Payer: Aetna Commercial |
$314.91
|
| Rate for Payer: Aetna Medicare |
$96.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$115.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$115.78
|
| Rate for Payer: BCBS Complete |
$148.19
|
| Rate for Payer: BCBS MAPPO |
$92.62
|
| Rate for Payer: BCBS Trust/PPO |
$288.05
|
| Rate for Payer: BCN Commercial |
$288.05
|
| Rate for Payer: BCN Medicare Advantage |
$92.62
|
| Rate for Payer: Cash Price |
$296.38
|
| Rate for Payer: Cofinity Commercial |
$318.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.62
|
| Rate for Payer: Healthscope Commercial |
$333.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$277.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$97.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$106.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$314.91
|
| Rate for Payer: PACE Senior Care Partners |
$87.99
|
| Rate for Payer: PACE SWMI |
$92.62
|
| Rate for Payer: PHP Commercial |
$314.91
|
| Rate for Payer: PHP Medicare Advantage |
$92.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.32
|
| Rate for Payer: Priority Health Medicare |
$92.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$225.96
|
| Rate for Payer: Railroad Medicare Medicare |
$92.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.02
|
| Rate for Payer: UHC Core |
$309.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.62
|
| Rate for Payer: UHC Medicare Advantage |
$95.40
|
| Rate for Payer: VA VA |
$92.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$277.86
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
OP
|
$333.67
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$79.25 |
| Max. Negotiated Rate |
$300.30 |
| Rate for Payer: Aetna Commercial |
$283.62
|
| Rate for Payer: Aetna Medicare |
$86.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.27
|
| Rate for Payer: BCBS Complete |
$204.01
|
| Rate for Payer: BCBS MAPPO |
$83.42
|
| Rate for Payer: BCBS Trust/PPO |
$259.43
|
| Rate for Payer: BCN Commercial |
$259.43
|
| Rate for Payer: BCN Medicare Advantage |
$83.42
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cofinity Commercial |
$286.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.42
|
| Rate for Payer: Healthscope Commercial |
$300.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.25
|
| Rate for Payer: Mclaren Medicaid |
$194.29
|
| Rate for Payer: Meridian Medicaid |
$204.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$95.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.62
|
| Rate for Payer: PACE Senior Care Partners |
$79.25
|
| Rate for Payer: PACE SWMI |
$83.42
|
| Rate for Payer: PHP Commercial |
$283.62
|
| Rate for Payer: PHP Medicare Advantage |
$83.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.29
|
| Rate for Payer: Priority Health Medicare |
$83.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$203.51
|
| Rate for Payer: Railroad Medicare Medicare |
$83.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.63
|
| Rate for Payer: UHC Core |
$278.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.42
|
| Rate for Payer: UHC Medicare Advantage |
$85.92
|
| Rate for Payer: VA VA |
$83.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.25
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
IP
|
$333.67
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$203.51 |
| Max. Negotiated Rate |
$300.30 |
| Rate for Payer: Aetna Commercial |
$283.62
|
| Rate for Payer: BCBS Trust/PPO |
$257.86
|
| Rate for Payer: BCN Commercial |
$257.86
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cofinity Commercial |
$286.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.94
|
| Rate for Payer: Healthscope Commercial |
$300.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.62
|
| Rate for Payer: PHP Commercial |
$283.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$203.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.63
|
| Rate for Payer: UHC Core |
$278.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.25
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
OP
|
$429.05
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$101.90 |
| Max. Negotiated Rate |
$386.14 |
| Rate for Payer: Aetna Commercial |
$364.69
|
| Rate for Payer: Aetna Medicare |
$111.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$134.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$134.08
|
| Rate for Payer: BCBS Complete |
$204.01
|
| Rate for Payer: BCBS MAPPO |
$107.26
|
| Rate for Payer: BCBS Trust/PPO |
$333.59
|
| Rate for Payer: BCN Commercial |
$333.59
|
| Rate for Payer: BCN Medicare Advantage |
$107.26
|
| Rate for Payer: Cash Price |
$343.24
|
| Rate for Payer: Cash Price |
$343.24
|
| Rate for Payer: Cofinity Commercial |
$368.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.26
|
| Rate for Payer: Healthscope Commercial |
$386.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.79
|
| Rate for Payer: Mclaren Medicaid |
$194.29
|
| Rate for Payer: Meridian Medicaid |
$204.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$112.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$364.69
|
| Rate for Payer: PACE Senior Care Partners |
$101.90
|
| Rate for Payer: PACE SWMI |
$107.26
|
| Rate for Payer: PHP Commercial |
$364.69
|
| Rate for Payer: PHP Medicare Advantage |
$107.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$373.27
|
| Rate for Payer: Priority Health Medicare |
$107.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.68
|
| Rate for Payer: Railroad Medicare Medicare |
$107.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.56
|
| Rate for Payer: UHC Core |
$358.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.26
|
| Rate for Payer: UHC Medicare Advantage |
$110.48
|
| Rate for Payer: VA VA |
$107.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.79
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
IP
|
$429.05
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$261.68 |
| Max. Negotiated Rate |
$386.14 |
| Rate for Payer: Aetna Commercial |
$364.69
|
| Rate for Payer: BCBS Trust/PPO |
$331.57
|
| Rate for Payer: BCN Commercial |
$331.57
|
| Rate for Payer: Cash Price |
$343.24
|
| Rate for Payer: Cofinity Commercial |
$368.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.24
|
| Rate for Payer: Healthscope Commercial |
$386.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$364.69
|
| Rate for Payer: PHP Commercial |
$364.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$373.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.56
|
| Rate for Payer: UHC Core |
$358.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.79
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
OP
|
$1,434.49
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$340.69 |
| Max. Negotiated Rate |
$1,291.04 |
| Rate for Payer: Aetna Commercial |
$1,219.32
|
| Rate for Payer: Aetna Medicare |
$372.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$448.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$448.28
|
| Rate for Payer: BCBS Complete |
$476.33
|
| Rate for Payer: BCBS MAPPO |
$358.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,115.32
|
| Rate for Payer: BCN Commercial |
$1,115.32
|
| Rate for Payer: BCN Medicare Advantage |
$358.62
|
| Rate for Payer: Cash Price |
$1,147.59
|
| Rate for Payer: Cash Price |
$1,147.59
|
| Rate for Payer: Cofinity Commercial |
$1,233.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,147.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.62
|
| Rate for Payer: Healthscope Commercial |
$1,291.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,075.87
|
| Rate for Payer: Mclaren Medicaid |
$453.65
|
| Rate for Payer: Meridian Medicaid |
$476.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$376.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$412.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,219.32
|
| Rate for Payer: PACE Senior Care Partners |
$340.69
|
| Rate for Payer: PACE SWMI |
$358.62
|
| Rate for Payer: PHP Commercial |
$1,219.32
|
| Rate for Payer: PHP Medicare Advantage |
$358.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,004.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,248.01
|
| Rate for Payer: Priority Health Medicare |
$358.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$874.90
|
| Rate for Payer: Railroad Medicare Medicare |
$358.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,262.35
|
| Rate for Payer: UHC Core |
$1,197.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.62
|
| Rate for Payer: UHC Medicare Advantage |
$369.38
|
| Rate for Payer: VA VA |
$358.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,075.87
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
IP
|
$1,434.49
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$874.90 |
| Max. Negotiated Rate |
$1,291.04 |
| Rate for Payer: Aetna Commercial |
$1,219.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,108.57
|
| Rate for Payer: BCN Commercial |
$1,108.57
|
| Rate for Payer: Cash Price |
$1,147.59
|
| Rate for Payer: Cofinity Commercial |
$1,233.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,147.59
|
| Rate for Payer: Healthscope Commercial |
$1,291.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,075.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,219.32
|
| Rate for Payer: PHP Commercial |
$1,219.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,004.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,248.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$874.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,262.35
|
| Rate for Payer: UHC Core |
$1,197.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,075.87
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
IP
|
$1,063.45
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$648.60 |
| Max. Negotiated Rate |
$957.10 |
| Rate for Payer: Aetna Commercial |
$903.93
|
| Rate for Payer: BCBS Trust/PPO |
$821.83
|
| Rate for Payer: BCN Commercial |
$821.83
|
| Rate for Payer: Cash Price |
$850.76
|
| Rate for Payer: Cofinity Commercial |
$914.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$850.76
|
| Rate for Payer: Healthscope Commercial |
$957.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$797.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$903.93
|
| Rate for Payer: PHP Commercial |
$903.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$925.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$648.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$935.84
|
| Rate for Payer: UHC Core |
$887.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$797.59
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
OP
|
$1,063.45
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$252.57 |
| Max. Negotiated Rate |
$957.10 |
| Rate for Payer: Aetna Commercial |
$903.93
|
| Rate for Payer: Aetna Medicare |
$276.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$332.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$332.33
|
| Rate for Payer: BCBS Complete |
$476.33
|
| Rate for Payer: BCBS MAPPO |
$265.86
|
| Rate for Payer: BCBS Trust/PPO |
$826.83
|
| Rate for Payer: BCN Commercial |
$826.83
|
| Rate for Payer: BCN Medicare Advantage |
$265.86
|
| Rate for Payer: Cash Price |
$850.76
|
| Rate for Payer: Cash Price |
$850.76
|
| Rate for Payer: Cofinity Commercial |
$914.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$850.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$265.86
|
| Rate for Payer: Healthscope Commercial |
$957.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$797.59
|
| Rate for Payer: Mclaren Medicaid |
$453.65
|
| Rate for Payer: Meridian Medicaid |
$476.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$279.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$305.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$903.93
|
| Rate for Payer: PACE Senior Care Partners |
$252.57
|
| Rate for Payer: PACE SWMI |
$265.86
|
| Rate for Payer: PHP Commercial |
$903.93
|
| Rate for Payer: PHP Medicare Advantage |
$265.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$925.20
|
| Rate for Payer: Priority Health Medicare |
$265.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$648.60
|
| Rate for Payer: Railroad Medicare Medicare |
$265.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$935.84
|
| Rate for Payer: UHC Core |
$887.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$265.86
|
| Rate for Payer: UHC Medicare Advantage |
$273.84
|
| Rate for Payer: VA VA |
$265.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$797.59
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
OP
|
$322.73
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$76.65 |
| Max. Negotiated Rate |
$290.46 |
| Rate for Payer: Aetna Commercial |
$274.32
|
| Rate for Payer: Aetna Medicare |
$83.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.85
|
| Rate for Payer: BCBS Complete |
$204.01
|
| Rate for Payer: BCBS MAPPO |
$80.68
|
| Rate for Payer: BCBS Trust/PPO |
$250.92
|
| Rate for Payer: BCN Commercial |
$250.92
|
| Rate for Payer: BCN Medicare Advantage |
$80.68
|
| Rate for Payer: Cash Price |
$258.18
|
| Rate for Payer: Cash Price |
$258.18
|
| Rate for Payer: Cofinity Commercial |
$277.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.68
|
| Rate for Payer: Healthscope Commercial |
$290.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.05
|
| Rate for Payer: Mclaren Medicaid |
$194.29
|
| Rate for Payer: Meridian Medicaid |
$204.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$274.32
|
| Rate for Payer: PACE Senior Care Partners |
$76.65
|
| Rate for Payer: PACE SWMI |
$80.68
|
| Rate for Payer: PHP Commercial |
$274.32
|
| Rate for Payer: PHP Medicare Advantage |
$80.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$280.78
|
| Rate for Payer: Priority Health Medicare |
$80.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.83
|
| Rate for Payer: Railroad Medicare Medicare |
$80.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.00
|
| Rate for Payer: UHC Core |
$269.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.68
|
| Rate for Payer: UHC Medicare Advantage |
$83.10
|
| Rate for Payer: VA VA |
$80.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.05
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
IP
|
$322.73
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$196.83 |
| Max. Negotiated Rate |
$290.46 |
| Rate for Payer: Aetna Commercial |
$274.32
|
| Rate for Payer: BCBS Trust/PPO |
$249.41
|
| Rate for Payer: BCN Commercial |
$249.41
|
| Rate for Payer: Cash Price |
$258.18
|
| Rate for Payer: Cofinity Commercial |
$277.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.18
|
| Rate for Payer: Healthscope Commercial |
$290.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$274.32
|
| Rate for Payer: PHP Commercial |
$274.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$280.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.00
|
| Rate for Payer: UHC Core |
$269.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.05
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
OP
|
$413.01
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$98.09 |
| Max. Negotiated Rate |
$371.71 |
| Rate for Payer: Aetna Commercial |
$351.06
|
| Rate for Payer: Aetna Medicare |
$107.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$129.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$129.07
|
| Rate for Payer: BCBS Complete |
$204.01
|
| Rate for Payer: BCBS MAPPO |
$103.25
|
| Rate for Payer: BCBS Trust/PPO |
$321.12
|
| Rate for Payer: BCN Commercial |
$321.12
|
| Rate for Payer: BCN Medicare Advantage |
$103.25
|
| Rate for Payer: Cash Price |
$330.41
|
| Rate for Payer: Cash Price |
$330.41
|
| Rate for Payer: Cofinity Commercial |
$355.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.25
|
| Rate for Payer: Healthscope Commercial |
$371.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.76
|
| Rate for Payer: Mclaren Medicaid |
$194.29
|
| Rate for Payer: Meridian Medicaid |
$204.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$118.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.06
|
| Rate for Payer: PACE Senior Care Partners |
$98.09
|
| Rate for Payer: PACE SWMI |
$103.25
|
| Rate for Payer: PHP Commercial |
$351.06
|
| Rate for Payer: PHP Medicare Advantage |
$103.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$359.32
|
| Rate for Payer: Priority Health Medicare |
$103.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.89
|
| Rate for Payer: Railroad Medicare Medicare |
$103.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.45
|
| Rate for Payer: UHC Core |
$344.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.25
|
| Rate for Payer: UHC Medicare Advantage |
$106.35
|
| Rate for Payer: VA VA |
$103.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.76
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
IP
|
$413.01
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$251.89 |
| Max. Negotiated Rate |
$371.71 |
| Rate for Payer: Aetna Commercial |
$351.06
|
| Rate for Payer: BCBS Trust/PPO |
$319.17
|
| Rate for Payer: BCN Commercial |
$319.17
|
| Rate for Payer: Cash Price |
$330.41
|
| Rate for Payer: Cofinity Commercial |
$355.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.41
|
| Rate for Payer: Healthscope Commercial |
$371.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.06
|
| Rate for Payer: PHP Commercial |
$351.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$359.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.45
|
| Rate for Payer: UHC Core |
$344.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.76
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,204.67
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$194.29 |
| Max. Negotiated Rate |
$1,084.20 |
| Rate for Payer: Aetna Commercial |
$1,023.97
|
| Rate for Payer: Aetna Medicare |
$313.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$376.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$376.46
|
| Rate for Payer: BCBS Complete |
$204.01
|
| Rate for Payer: BCBS MAPPO |
$301.17
|
| Rate for Payer: BCBS Trust/PPO |
$936.63
|
| Rate for Payer: BCN Commercial |
$936.63
|
| Rate for Payer: BCN Medicare Advantage |
$301.17
|
| Rate for Payer: Cash Price |
$963.74
|
| Rate for Payer: Cash Price |
$963.74
|
| Rate for Payer: Cofinity Commercial |
$1,036.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$963.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.17
|
| Rate for Payer: Healthscope Commercial |
$1,084.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$903.50
|
| Rate for Payer: Mclaren Medicaid |
$194.29
|
| Rate for Payer: Meridian Medicaid |
$204.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$316.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$346.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,023.97
|
| Rate for Payer: PACE Senior Care Partners |
$286.11
|
| Rate for Payer: PACE SWMI |
$301.17
|
| Rate for Payer: PHP Commercial |
$1,023.97
|
| Rate for Payer: PHP Medicare Advantage |
$301.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,048.06
|
| Rate for Payer: Priority Health Medicare |
$301.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$734.73
|
| Rate for Payer: Railroad Medicare Medicare |
$301.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,060.11
|
| Rate for Payer: UHC Core |
$1,005.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.17
|
| Rate for Payer: UHC Medicare Advantage |
$310.20
|
| Rate for Payer: VA VA |
$301.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$903.50
|
|
