|
PR RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC
|
Professional
|
Both
|
$1,417.00
|
|
|
Service Code
|
HCPCS 25440
|
| Min. Negotiated Rate |
$449.43 |
| Max. Negotiated Rate |
$1,256.30 |
| Rate for Payer: Aetna Commercial |
$1,024.99
|
| Rate for Payer: Aetna Medicare |
$708.50
|
| Rate for Payer: BCBS Complete |
$471.90
|
| Rate for Payer: BCN Commercial |
$1,175.24
|
| Rate for Payer: Cash Price |
$1,133.60
|
| Rate for Payer: Cash Price |
$1,133.60
|
| Rate for Payer: Mclaren Medicaid |
$449.43
|
| Rate for Payer: Meridian Medicaid |
$471.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,062.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,256.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,256.30
|
| Rate for Payer: UHC Medicaid |
$449.43
|
| Rate for Payer: UHCCP Medicaid |
$449.43
|
|
|
PR RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT
|
Professional
|
Both
|
$432.00
|
|
|
Service Code
|
HCPCS 30468
|
| Min. Negotiated Rate |
$92.87 |
| Max. Negotiated Rate |
$324.00 |
| Rate for Payer: Aetna Commercial |
$213.72
|
| Rate for Payer: Aetna Medicare |
$216.00
|
| Rate for Payer: BCBS Complete |
$97.51
|
| Rate for Payer: BCN Commercial |
$253.47
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Mclaren Medicaid |
$92.87
|
| Rate for Payer: Meridian Medicaid |
$97.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$324.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$238.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.69
|
| Rate for Payer: UHC Medicaid |
$92.87
|
| Rate for Payer: UHCCP Medicaid |
$92.87
|
|
|
PR RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH
|
Professional
|
Both
|
$2,807.00
|
|
|
Service Code
|
HCPCS 43336
|
| Min. Negotiated Rate |
$869.89 |
| Max. Negotiated Rate |
$2,606.02 |
| Rate for Payer: Aetna Commercial |
$1,952.76
|
| Rate for Payer: Aetna Medicare |
$1,403.50
|
| Rate for Payer: BCBS Complete |
$913.38
|
| Rate for Payer: BCN Commercial |
$2,138.83
|
| Rate for Payer: Cash Price |
$2,245.60
|
| Rate for Payer: Cash Price |
$2,245.60
|
| Rate for Payer: Mclaren Medicaid |
$869.89
|
| Rate for Payer: Meridian Medicaid |
$913.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,105.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$869.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,606.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,606.02
|
| Rate for Payer: UHC Medicaid |
$869.89
|
| Rate for Payer: UHCCP Medicaid |
$869.89
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH
|
Professional
|
Both
|
$2,182.00
|
|
|
Service Code
|
HCPCS 43332
|
| Min. Negotiated Rate |
$687.35 |
| Max. Negotiated Rate |
$2,090.89 |
| Rate for Payer: Aetna Commercial |
$1,555.18
|
| Rate for Payer: Aetna Medicare |
$1,091.00
|
| Rate for Payer: BCBS Complete |
$721.72
|
| Rate for Payer: BCN Commercial |
$1,716.04
|
| Rate for Payer: Cash Price |
$1,745.60
|
| Rate for Payer: Cash Price |
$1,745.60
|
| Rate for Payer: Mclaren Medicaid |
$687.35
|
| Rate for Payer: Meridian Medicaid |
$721.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,636.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$687.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,090.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,090.89
|
| Rate for Payer: UHC Medicaid |
$687.35
|
| Rate for Payer: UHCCP Medicaid |
$687.35
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH
|
Professional
|
Both
|
$2,885.00
|
|
|
Service Code
|
HCPCS 43335
|
| Min. Negotiated Rate |
$798.96 |
| Max. Negotiated Rate |
$2,397.90 |
| Rate for Payer: Aetna Commercial |
$1,798.20
|
| Rate for Payer: Aetna Medicare |
$1,442.50
|
| Rate for Payer: BCBS Complete |
$838.91
|
| Rate for Payer: BCN Commercial |
$1,968.03
|
| Rate for Payer: Cash Price |
$2,308.00
|
| Rate for Payer: Cash Price |
$2,308.00
|
| Rate for Payer: Mclaren Medicaid |
$798.96
|
| Rate for Payer: Meridian Medicaid |
$838.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,163.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$798.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,397.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,397.90
|
| Rate for Payer: UHC Medicaid |
$798.96
|
| Rate for Payer: UHCCP Medicaid |
$798.96
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH
|
Professional
|
Both
|
$3,542.00
|
|
|
Service Code
|
HCPCS 43334
|
| Min. Negotiated Rate |
$744.01 |
| Max. Negotiated Rate |
$2,656.50 |
| Rate for Payer: Aetna Commercial |
$1,680.36
|
| Rate for Payer: Aetna Medicare |
$1,771.00
|
| Rate for Payer: BCBS Complete |
$781.21
|
| Rate for Payer: BCN Commercial |
$1,834.07
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: Mclaren Medicaid |
$744.01
|
| Rate for Payer: Meridian Medicaid |
$781.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,656.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$744.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,234.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,234.68
|
| Rate for Payer: UHC Medicaid |
$744.01
|
| Rate for Payer: UHCCP Medicaid |
$744.01
|
|
|
PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE
|
Professional
|
Both
|
$1,597.00
|
|
|
Service Code
|
HCPCS 49621
|
| Min. Negotiated Rate |
$435.80 |
| Max. Negotiated Rate |
$1,373.69 |
| Rate for Payer: Aetna Commercial |
$999.36
|
| Rate for Payer: Aetna Medicare |
$798.50
|
| Rate for Payer: BCBS Complete |
$457.59
|
| Rate for Payer: BCN Commercial |
$1,127.43
|
| Rate for Payer: Cash Price |
$1,277.60
|
| Rate for Payer: Cash Price |
$1,277.60
|
| Rate for Payer: Mclaren Medicaid |
$435.80
|
| Rate for Payer: Meridian Medicaid |
$457.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,197.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$435.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,373.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,373.69
|
| Rate for Payer: UHC Medicaid |
$435.80
|
| Rate for Payer: UHCCP Medicaid |
$435.80
|
|
|
PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,968.00
|
|
|
Service Code
|
HCPCS 49622
|
| Min. Negotiated Rate |
$541.87 |
| Max. Negotiated Rate |
$1,708.63 |
| Rate for Payer: Aetna Commercial |
$1,233.64
|
| Rate for Payer: Aetna Medicare |
$984.00
|
| Rate for Payer: BCBS Complete |
$568.96
|
| Rate for Payer: BCN Commercial |
$1,402.31
|
| Rate for Payer: Cash Price |
$1,574.40
|
| Rate for Payer: Cash Price |
$1,574.40
|
| Rate for Payer: Mclaren Medicaid |
$541.87
|
| Rate for Payer: Meridian Medicaid |
$568.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,476.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,708.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,708.63
|
| Rate for Payer: UHC Medicaid |
$541.87
|
| Rate for Payer: UHCCP Medicaid |
$541.87
|
|
|
PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS
|
Professional
|
Both
|
$7,791.00
|
|
|
Service Code
|
HCPCS 33925
|
| Min. Negotiated Rate |
$1,019.42 |
| Max. Negotiated Rate |
$5,843.25 |
| Rate for Payer: Aetna Commercial |
$2,306.29
|
| Rate for Payer: Aetna Medicare |
$3,895.50
|
| Rate for Payer: BCBS Complete |
$1,070.39
|
| Rate for Payer: BCN Commercial |
$2,522.27
|
| Rate for Payer: Cash Price |
$6,232.80
|
| Rate for Payer: Cash Price |
$6,232.80
|
| Rate for Payer: Mclaren Medicaid |
$1,019.42
|
| Rate for Payer: Meridian Medicaid |
$1,070.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,843.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,019.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,712.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,712.39
|
| Rate for Payer: UHC Medicaid |
$1,019.42
|
| Rate for Payer: UHCCP Medicaid |
$1,019.42
|
|
|
PR RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT
|
Professional
|
Both
|
$6,052.00
|
|
|
Service Code
|
HCPCS 33545
|
| Min. Negotiated Rate |
$1,829.03 |
| Max. Negotiated Rate |
$4,821.78 |
| Rate for Payer: Aetna Commercial |
$4,126.09
|
| Rate for Payer: Aetna Medicare |
$3,026.00
|
| Rate for Payer: BCBS Complete |
$1,920.48
|
| Rate for Payer: BCN Commercial |
$4,483.82
|
| Rate for Payer: Cash Price |
$4,841.60
|
| Rate for Payer: Cash Price |
$4,841.60
|
| Rate for Payer: Mclaren Medicaid |
$1,829.03
|
| Rate for Payer: Meridian Medicaid |
$1,920.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,539.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,829.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,821.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,821.78
|
| Rate for Payer: UHC Medicaid |
$1,829.03
|
| Rate for Payer: UHCCP Medicaid |
$1,829.03
|
|
|
PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL
|
Professional
|
Both
|
$2,010.00
|
|
|
Service Code
|
HCPCS 27695
|
| Min. Negotiated Rate |
$296.92 |
| Max. Negotiated Rate |
$1,507.50 |
| Rate for Payer: Aetna Commercial |
$631.52
|
| Rate for Payer: Aetna Medicare |
$1,005.00
|
| Rate for Payer: BCBS Complete |
$311.77
|
| Rate for Payer: BCN Commercial |
$742.49
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Mclaren Medicaid |
$296.92
|
| Rate for Payer: Meridian Medicaid |
$311.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$793.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$793.71
|
| Rate for Payer: UHC Medicaid |
$296.92
|
| Rate for Payer: UHCCP Medicaid |
$296.92
|
|
|
PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT
|
Professional
|
Both
|
$1,077.00
|
|
|
Service Code
|
HCPCS 27652
|
| Min. Negotiated Rate |
$393.20 |
| Max. Negotiated Rate |
$1,081.69 |
| Rate for Payer: Aetna Commercial |
$885.74
|
| Rate for Payer: Aetna Medicare |
$538.50
|
| Rate for Payer: BCBS Complete |
$412.86
|
| Rate for Payer: BCN Commercial |
$1,011.89
|
| Rate for Payer: Cash Price |
$861.60
|
| Rate for Payer: Cash Price |
$861.60
|
| Rate for Payer: Mclaren Medicaid |
$393.20
|
| Rate for Payer: Meridian Medicaid |
$412.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$807.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$393.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,081.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,081.69
|
| Rate for Payer: UHC Medicaid |
$393.20
|
| Rate for Payer: UHCCP Medicaid |
$393.20
|
|
|
PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL
|
Professional
|
Both
|
$1,960.00
|
|
|
Service Code
|
HCPCS 27405
|
| Min. Negotiated Rate |
$406.40 |
| Max. Negotiated Rate |
$1,470.00 |
| Rate for Payer: Aetna Commercial |
$901.97
|
| Rate for Payer: Aetna Medicare |
$980.00
|
| Rate for Payer: BCBS Complete |
$426.72
|
| Rate for Payer: BCN Commercial |
$1,033.81
|
| Rate for Payer: Cash Price |
$1,568.00
|
| Rate for Payer: Cash Price |
$1,568.00
|
| Rate for Payer: Mclaren Medicaid |
$406.40
|
| Rate for Payer: Meridian Medicaid |
$426.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,470.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,105.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,105.11
|
| Rate for Payer: UHC Medicaid |
$406.40
|
| Rate for Payer: UHCCP Medicaid |
$406.40
|
|
|
PR RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS
|
Professional
|
Both
|
$2,993.00
|
|
|
Service Code
|
HCPCS 27696
|
| Min. Negotiated Rate |
$325.46 |
| Max. Negotiated Rate |
$2,244.75 |
| Rate for Payer: Aetna Commercial |
$735.71
|
| Rate for Payer: Aetna Medicare |
$1,496.50
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCN Commercial |
$833.62
|
| Rate for Payer: Cash Price |
$2,394.40
|
| Rate for Payer: Cash Price |
$2,394.40
|
| Rate for Payer: Mclaren Medicaid |
$325.46
|
| Rate for Payer: Meridian Medicaid |
$341.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,244.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$891.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$891.12
|
| Rate for Payer: UHC Medicaid |
$325.46
|
| Rate for Payer: UHCCP Medicaid |
$325.46
|
|
|
PR RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL
|
Professional
|
Both
|
$2,246.00
|
|
|
Service Code
|
HCPCS 26548
|
| Min. Negotiated Rate |
$488.41 |
| Max. Negotiated Rate |
$1,684.50 |
| Rate for Payer: Aetna Commercial |
$1,057.57
|
| Rate for Payer: Aetna Medicare |
$1,123.00
|
| Rate for Payer: BCBS Complete |
$512.83
|
| Rate for Payer: BCN Commercial |
$1,209.60
|
| Rate for Payer: Cash Price |
$1,796.80
|
| Rate for Payer: Cash Price |
$1,796.80
|
| Rate for Payer: Mclaren Medicaid |
$488.41
|
| Rate for Payer: Meridian Medicaid |
$512.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,684.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,293.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,293.03
|
| Rate for Payer: UHC Medicaid |
$488.41
|
| Rate for Payer: UHCCP Medicaid |
$488.41
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Facility
|
OP
|
$1,103.00
|
|
|
Service Code
|
CPT 49555
|
| Hospital Charge Code |
49555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$194.46 |
| Max. Negotiated Rate |
$992.70 |
| Rate for Payer: Aetna Commercial |
$937.55
|
| Rate for Payer: Aetna Medicare |
$286.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$344.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$344.69
|
| Rate for Payer: BCBS Complete |
$204.17
|
| Rate for Payer: BCBS MAPPO |
$275.75
|
| Rate for Payer: BCBS Trust/PPO |
$906.78
|
| Rate for Payer: BCN Commercial |
$906.78
|
| Rate for Payer: BCN Medicare Advantage |
$275.75
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$948.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$882.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$275.75
|
| Rate for Payer: Healthscope Commercial |
$992.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$827.25
|
| Rate for Payer: Mclaren Medicaid |
$194.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$289.54
|
| Rate for Payer: Meridian Medicaid |
$204.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$317.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$303.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$937.55
|
| Rate for Payer: Nomi Health Commercial |
$904.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: PACE Senior Care Partners |
$261.96
|
| Rate for Payer: PACE SWMI |
$275.75
|
| Rate for Payer: PHP Commercial |
$937.55
|
| Rate for Payer: PHP Medicare Advantage |
$275.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$959.61
|
| Rate for Payer: Priority Health Medicare |
$278.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$767.69
|
| Rate for Payer: Railroad Medicare Medicare |
$275.75
|
| Rate for Payer: UHC Core |
$921.00
|
| Rate for Payer: UHC Exchange |
$275.75
|
| Rate for Payer: UHC Medicaid |
$194.46
|
| Rate for Payer: UHC Medicare Advantage |
$275.75
|
| Rate for Payer: UHCCP Medicaid |
$194.46
|
| Rate for Payer: VA VA |
$275.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$827.25
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 49555
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$1,117.04 |
| Rate for Payer: Aetna Commercial |
$813.50
|
| Rate for Payer: Aetna Medicare |
$551.50
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCN Commercial |
$916.79
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Mclaren Medicaid |
$372.11
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,117.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,117.04
|
| Rate for Payer: UHC Medicaid |
$372.11
|
| Rate for Payer: UHCCP Medicaid |
$372.11
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 49555
|
| Hospital Charge Code |
49555
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$1,117.04 |
| Rate for Payer: Aetna Commercial |
$813.50
|
| Rate for Payer: Aetna Medicare |
$551.50
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCN Commercial |
$916.79
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Mclaren Medicaid |
$372.11
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,117.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,117.04
|
| Rate for Payer: UHC Medicaid |
$372.11
|
| Rate for Payer: UHCCP Medicaid |
$372.11
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Facility
|
IP
|
$1,103.00
|
|
|
Service Code
|
CPT 49555
|
| Hospital Charge Code |
49555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$767.69 |
| Max. Negotiated Rate |
$992.70 |
| Rate for Payer: Aetna Commercial |
$937.55
|
| Rate for Payer: BCBS Trust/PPO |
$910.97
|
| Rate for Payer: BCN Commercial |
$910.97
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$948.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$882.40
|
| Rate for Payer: Healthscope Commercial |
$992.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$827.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$937.55
|
| Rate for Payer: Nomi Health Commercial |
$904.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: PHP Commercial |
$937.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$959.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$767.69
|
| Rate for Payer: UHC Core |
$921.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$827.25
|
|
|
PR RPR RECRT FEM HRNA INCARCERATED
|
Professional
|
Both
|
$1,525.00
|
|
|
Service Code
|
HCPCS 49557
|
| Min. Negotiated Rate |
$441.55 |
| Max. Negotiated Rate |
$1,328.18 |
| Rate for Payer: Aetna Commercial |
$975.41
|
| Rate for Payer: Aetna Medicare |
$762.50
|
| Rate for Payer: BCBS Complete |
$463.63
|
| Rate for Payer: BCN Commercial |
$1,090.08
|
| Rate for Payer: Cash Price |
$1,220.00
|
| Rate for Payer: Cash Price |
$1,220.00
|
| Rate for Payer: Mclaren Medicaid |
$441.55
|
| Rate for Payer: Meridian Medicaid |
$463.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,143.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,328.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,328.18
|
| Rate for Payer: UHC Medicaid |
$441.55
|
| Rate for Payer: UHCCP Medicaid |
$441.55
|
|
|
PR RPR RECRT INCAL/VNT HERNIA INCARCERATED
|
Professional
|
Both
|
$2,732.00
|
|
|
Service Code
|
HCPCS 49566
|
| Min. Negotiated Rate |
$1,092.80 |
| Max. Negotiated Rate |
$2,049.00 |
| Rate for Payer: Aetna Medicare |
$1,366.00
|
| Rate for Payer: BCBS Complete |
$1,092.80
|
| Rate for Payer: Cash Price |
$2,185.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,049.00
|
|
|
PR RPR RECRT INCAL/VNT HERNIA REDUCIBLE
|
Professional
|
Both
|
$2,364.00
|
|
|
Service Code
|
HCPCS 49565
|
| Min. Negotiated Rate |
$945.60 |
| Max. Negotiated Rate |
$1,773.00 |
| Rate for Payer: Aetna Medicare |
$1,182.00
|
| Rate for Payer: BCBS Complete |
$945.60
|
| Rate for Payer: Cash Price |
$1,891.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,773.00
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Facility
|
OP
|
$1,773.00
|
|
|
Service Code
|
CPT 49520
|
| Hospital Charge Code |
49520
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$312.58 |
| Max. Negotiated Rate |
$1,595.70 |
| Rate for Payer: Aetna Commercial |
$1,507.05
|
| Rate for Payer: Aetna Medicare |
$460.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$554.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$554.06
|
| Rate for Payer: BCBS Complete |
$328.18
|
| Rate for Payer: BCBS MAPPO |
$443.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,457.58
|
| Rate for Payer: BCN Commercial |
$1,457.58
|
| Rate for Payer: BCN Medicare Advantage |
$443.25
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cofinity Commercial |
$1,524.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.25
|
| Rate for Payer: Healthscope Commercial |
$1,595.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,329.75
|
| Rate for Payer: Mclaren Medicaid |
$312.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$465.41
|
| Rate for Payer: Meridian Medicaid |
$328.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$509.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$487.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,507.05
|
| Rate for Payer: Nomi Health Commercial |
$1,453.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: PACE Senior Care Partners |
$421.09
|
| Rate for Payer: PACE SWMI |
$443.25
|
| Rate for Payer: PHP Commercial |
$1,507.05
|
| Rate for Payer: PHP Medicare Advantage |
$443.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$312.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,542.51
|
| Rate for Payer: Priority Health Medicare |
$447.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,234.01
|
| Rate for Payer: Railroad Medicare Medicare |
$443.25
|
| Rate for Payer: UHC Core |
$1,480.45
|
| Rate for Payer: UHC Exchange |
$443.25
|
| Rate for Payer: UHC Medicaid |
$312.58
|
| Rate for Payer: UHC Medicare Advantage |
$443.25
|
| Rate for Payer: UHCCP Medicaid |
$312.58
|
| Rate for Payer: VA VA |
$443.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,329.75
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$1,773.00
|
|
|
Service Code
|
HCPCS 49520
|
| Min. Negotiated Rate |
$387.87 |
| Max. Negotiated Rate |
$1,329.75 |
| Rate for Payer: Aetna Commercial |
$853.76
|
| Rate for Payer: Aetna Medicare |
$886.50
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: BCN Commercial |
$958.62
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Mclaren Medicaid |
$387.87
|
| Rate for Payer: Meridian Medicaid |
$407.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,168.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,168.01
|
| Rate for Payer: UHC Medicaid |
$387.87
|
| Rate for Payer: UHCCP Medicaid |
$387.87
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Facility
|
IP
|
$1,773.00
|
|
|
Service Code
|
CPT 49520
|
| Hospital Charge Code |
49520
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,234.01 |
| Max. Negotiated Rate |
$1,595.70 |
| Rate for Payer: Aetna Commercial |
$1,507.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,464.32
|
| Rate for Payer: BCN Commercial |
$1,464.32
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cofinity Commercial |
$1,524.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.40
|
| Rate for Payer: Healthscope Commercial |
$1,595.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,329.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,507.05
|
| Rate for Payer: Nomi Health Commercial |
$1,453.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: PHP Commercial |
$1,507.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,542.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,234.01
|
| Rate for Payer: UHC Core |
$1,480.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,329.75
|
|
