|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 49507
|
| Hospital Charge Code |
49507
|
| Min. Negotiated Rate |
$381.06 |
| Max. Negotiated Rate |
$1,082.25 |
| Rate for Payer: Aetna Commercial |
$767.03
|
| Rate for Payer: Aetna Medicare |
$595.31
|
| Rate for Payer: BCBS Complete |
$400.11
|
| Rate for Payer: BCBS MAPPO |
$572.41
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$863.01
|
| Rate for Payer: BCN Medicare Advantage |
$572.41
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$824.27
|
| Rate for Payer: Cofinity Commercial |
$767.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.41
|
| Rate for Payer: Mclaren Medicaid |
$381.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$601.03
|
| Rate for Payer: Meridian Medicaid |
$400.11
|
| Rate for Payer: Nomi Health Commercial |
$686.89
|
| Rate for Payer: PACE SWMI |
$572.41
|
| Rate for Payer: PHP Medicare Advantage |
$572.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$381.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,060.15
|
| Rate for Payer: Priority Health Medicare |
$578.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,060.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$572.41
|
| Rate for Payer: UHC Exchange |
$572.41
|
| Rate for Payer: UHC Medicare Advantage |
$572.41
|
| Rate for Payer: UHCCP Medicaid |
$381.06
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Professional
|
Both
|
$1,688.00
|
|
|
Service Code
|
HCPCS 49505
|
| Hospital Charge Code |
49505
|
| Min. Negotiated Rate |
$339.52 |
| Max. Negotiated Rate |
$1,097.20 |
| Rate for Payer: Aetna Commercial |
$682.72
|
| Rate for Payer: Aetna Medicare |
$529.87
|
| Rate for Payer: BCBS Complete |
$356.50
|
| Rate for Payer: BCBS MAPPO |
$509.49
|
| Rate for Payer: BCBS Trust/PPO |
$749.13
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$509.49
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cofinity Commercial |
$733.67
|
| Rate for Payer: Cofinity Commercial |
$682.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$509.49
|
| Rate for Payer: Mclaren Medicaid |
$339.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$534.96
|
| Rate for Payer: Meridian Medicaid |
$356.50
|
| Rate for Payer: Nomi Health Commercial |
$611.39
|
| Rate for Payer: PACE SWMI |
$509.49
|
| Rate for Payer: PHP Medicare Advantage |
$509.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.20
|
| Rate for Payer: Priority Health HMO/PPO |
$943.81
|
| Rate for Payer: Priority Health Medicare |
$514.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$943.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$509.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$509.49
|
| Rate for Payer: UHC Exchange |
$509.49
|
| Rate for Payer: UHC Medicare Advantage |
$509.49
|
| Rate for Payer: UHCCP Medicaid |
$339.52
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Facility
|
OP
|
$1,688.00
|
|
|
Service Code
|
CPT 49505
|
| Hospital Charge Code |
49505
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$400.90 |
| Max. Negotiated Rate |
$2,625.09 |
| Rate for Payer: Aetna Commercial |
$1,434.80
|
| Rate for Payer: Aetna Medicare |
$438.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$527.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$527.50
|
| Rate for Payer: BCBS Complete |
$2,625.09
|
| Rate for Payer: BCBS MAPPO |
$422.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,387.70
|
| Rate for Payer: BCN Commercial |
$1,312.42
|
| Rate for Payer: BCN Medicare Advantage |
$422.00
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cofinity Commercial |
$1,451.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,350.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$422.00
|
| Rate for Payer: Healthscope Commercial |
$1,519.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,266.00
|
| Rate for Payer: Mclaren Medicaid |
$2,499.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$443.10
|
| Rate for Payer: Meridian Medicaid |
$2,625.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$485.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,434.80
|
| Rate for Payer: Nomi Health Commercial |
$1,384.16
|
| Rate for Payer: PACE Senior Care Partners |
$400.90
|
| Rate for Payer: PACE SWMI |
$422.00
|
| Rate for Payer: PHP Commercial |
$1,434.80
|
| Rate for Payer: PHP Medicare Advantage |
$422.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,499.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,468.56
|
| Rate for Payer: Priority Health Medicare |
$426.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,130.96
|
| Rate for Payer: Railroad Medicare Medicare |
$422.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,485.44
|
| Rate for Payer: UHC Core |
$1,409.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$422.00
|
| Rate for Payer: UHC Exchange |
$422.00
|
| Rate for Payer: UHC Medicare Advantage |
$422.00
|
| Rate for Payer: UHCCP Medicaid |
$2,499.92
|
| Rate for Payer: VA VA |
$422.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,266.00
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Professional
|
Both
|
$1,688.00
|
|
|
Service Code
|
HCPCS 49505
|
| Min. Negotiated Rate |
$339.52 |
| Max. Negotiated Rate |
$1,097.20 |
| Rate for Payer: Aetna Commercial |
$682.72
|
| Rate for Payer: Aetna Medicare |
$529.87
|
| Rate for Payer: BCBS Complete |
$356.50
|
| Rate for Payer: BCBS MAPPO |
$509.49
|
| Rate for Payer: BCBS Trust/PPO |
$749.13
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$509.49
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cofinity Commercial |
$733.67
|
| Rate for Payer: Cofinity Commercial |
$682.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$509.49
|
| Rate for Payer: Mclaren Medicaid |
$339.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$534.96
|
| Rate for Payer: Meridian Medicaid |
$356.50
|
| Rate for Payer: Nomi Health Commercial |
$611.39
|
| Rate for Payer: PACE SWMI |
$509.49
|
| Rate for Payer: PHP Medicare Advantage |
$509.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.20
|
| Rate for Payer: Priority Health HMO/PPO |
$943.81
|
| Rate for Payer: Priority Health Medicare |
$514.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$943.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$509.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$509.49
|
| Rate for Payer: UHC Exchange |
$509.49
|
| Rate for Payer: UHC Medicare Advantage |
$509.49
|
| Rate for Payer: UHCCP Medicaid |
$339.52
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Facility
|
IP
|
$1,688.00
|
|
|
Service Code
|
CPT 49505
|
| Hospital Charge Code |
49505
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,097.20 |
| Max. Negotiated Rate |
$1,519.20 |
| Rate for Payer: Aetna Commercial |
$1,434.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.91
|
| Rate for Payer: BCN Commercial |
$1,304.49
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cofinity Commercial |
$1,451.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,350.40
|
| Rate for Payer: Healthscope Commercial |
$1,519.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,266.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,434.80
|
| Rate for Payer: Nomi Health Commercial |
$1,384.16
|
| Rate for Payer: PHP Commercial |
$1,434.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,468.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,130.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,485.44
|
| Rate for Payer: UHC Core |
$1,409.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,266.00
|
|
|
PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED
|
Professional
|
Both
|
$1,734.00
|
|
|
Service Code
|
HCPCS 49501
|
| Min. Negotiated Rate |
$393.84 |
| Max. Negotiated Rate |
$1,127.10 |
| Rate for Payer: Aetna Commercial |
$793.36
|
| Rate for Payer: Aetna Medicare |
$615.74
|
| Rate for Payer: BCBS Complete |
$413.53
|
| Rate for Payer: BCBS MAPPO |
$592.06
|
| Rate for Payer: BCBS Trust/PPO |
$622.87
|
| Rate for Payer: BCN Commercial |
$890.86
|
| Rate for Payer: BCN Medicare Advantage |
$592.06
|
| Rate for Payer: Cash Price |
$1,387.20
|
| Rate for Payer: Cash Price |
$1,387.20
|
| Rate for Payer: Cofinity Commercial |
$852.57
|
| Rate for Payer: Cofinity Commercial |
$793.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$592.06
|
| Rate for Payer: Mclaren Medicaid |
$393.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$621.66
|
| Rate for Payer: Meridian Medicaid |
$413.53
|
| Rate for Payer: Nomi Health Commercial |
$710.47
|
| Rate for Payer: PACE SWMI |
$592.06
|
| Rate for Payer: PHP Medicare Advantage |
$592.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$393.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,127.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,094.76
|
| Rate for Payer: Priority Health Medicare |
$597.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,094.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$592.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$592.06
|
| Rate for Payer: UHC Exchange |
$592.06
|
| Rate for Payer: UHC Medicare Advantage |
$592.06
|
| Rate for Payer: UHCCP Medicaid |
$393.84
|
|
|
PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE
|
Professional
|
Both
|
$1,362.00
|
|
|
Service Code
|
HCPCS 49500
|
| Min. Negotiated Rate |
$270.94 |
| Max. Negotiated Rate |
$885.30 |
| Rate for Payer: Aetna Commercial |
$541.49
|
| Rate for Payer: Aetna Medicare |
$420.26
|
| Rate for Payer: BCBS Complete |
$284.49
|
| Rate for Payer: BCBS MAPPO |
$404.10
|
| Rate for Payer: BCBS Trust/PPO |
$542.04
|
| Rate for Payer: BCN Commercial |
$612.31
|
| Rate for Payer: BCN Medicare Advantage |
$404.10
|
| Rate for Payer: Cash Price |
$1,089.60
|
| Rate for Payer: Cash Price |
$1,089.60
|
| Rate for Payer: Cofinity Commercial |
$581.90
|
| Rate for Payer: Cofinity Commercial |
$541.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.10
|
| Rate for Payer: Mclaren Medicaid |
$270.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$424.30
|
| Rate for Payer: Meridian Medicaid |
$284.49
|
| Rate for Payer: Nomi Health Commercial |
$484.92
|
| Rate for Payer: PACE SWMI |
$404.10
|
| Rate for Payer: PHP Medicare Advantage |
$404.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$885.30
|
| Rate for Payer: Priority Health HMO/PPO |
$754.09
|
| Rate for Payer: Priority Health Medicare |
$408.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$754.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.10
|
| Rate for Payer: UHC Exchange |
$404.10
|
| Rate for Payer: UHC Medicare Advantage |
$404.10
|
| Rate for Payer: UHCCP Medicaid |
$270.94
|
|
|
PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER
|
Professional
|
Both
|
$1,799.00
|
|
|
Service Code
|
HCPCS 49496
|
| Min. Negotiated Rate |
$399.59 |
| Max. Negotiated Rate |
$1,169.35 |
| Rate for Payer: Aetna Commercial |
$804.25
|
| Rate for Payer: Aetna Medicare |
$624.20
|
| Rate for Payer: BCBS Complete |
$419.57
|
| Rate for Payer: BCBS MAPPO |
$600.19
|
| Rate for Payer: BCBS Trust/PPO |
$704.75
|
| Rate for Payer: BCN Commercial |
$903.08
|
| Rate for Payer: BCN Medicare Advantage |
$600.19
|
| Rate for Payer: Cash Price |
$1,439.20
|
| Rate for Payer: Cash Price |
$1,439.20
|
| Rate for Payer: Cofinity Commercial |
$864.27
|
| Rate for Payer: Cofinity Commercial |
$804.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.19
|
| Rate for Payer: Mclaren Medicaid |
$399.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$630.20
|
| Rate for Payer: Meridian Medicaid |
$419.57
|
| Rate for Payer: Nomi Health Commercial |
$720.23
|
| Rate for Payer: PACE SWMI |
$600.19
|
| Rate for Payer: PHP Medicare Advantage |
$600.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,169.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,111.46
|
| Rate for Payer: Priority Health Medicare |
$606.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,111.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.19
|
| Rate for Payer: UHC Exchange |
$600.19
|
| Rate for Payer: UHC Medicare Advantage |
$600.19
|
| Rate for Payer: UHCCP Medicaid |
$399.59
|
|
|
PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC
|
Professional
|
Both
|
$1,514.00
|
|
|
Service Code
|
HCPCS 49495
|
| Min. Negotiated Rate |
$265.82 |
| Max. Negotiated Rate |
$984.10 |
| Rate for Payer: Aetna Commercial |
$534.66
|
| Rate for Payer: Aetna Medicare |
$414.96
|
| Rate for Payer: BCBS Complete |
$279.11
|
| Rate for Payer: BCBS MAPPO |
$399.00
|
| Rate for Payer: BCBS Trust/PPO |
$878.03
|
| Rate for Payer: BCN Commercial |
$601.07
|
| Rate for Payer: BCN Medicare Advantage |
$399.00
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cofinity Commercial |
$574.56
|
| Rate for Payer: Cofinity Commercial |
$534.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.00
|
| Rate for Payer: Mclaren Medicaid |
$265.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.95
|
| Rate for Payer: Meridian Medicaid |
$279.11
|
| Rate for Payer: Nomi Health Commercial |
$478.80
|
| Rate for Payer: PACE SWMI |
$399.00
|
| Rate for Payer: PHP Medicare Advantage |
$399.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$984.10
|
| Rate for Payer: Priority Health HMO/PPO |
$738.58
|
| Rate for Payer: Priority Health Medicare |
$402.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$738.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$399.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.00
|
| Rate for Payer: UHC Exchange |
$399.00
|
| Rate for Payer: UHC Medicare Advantage |
$399.00
|
| Rate for Payer: UHCCP Medicaid |
$265.82
|
|
|
PR RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED
|
Professional
|
Both
|
$1,899.00
|
|
|
Service Code
|
HCPCS 49492
|
| Min. Negotiated Rate |
$619.62 |
| Max. Negotiated Rate |
$1,725.95 |
| Rate for Payer: Aetna Commercial |
$1,252.71
|
| Rate for Payer: Aetna Medicare |
$972.25
|
| Rate for Payer: BCBS Complete |
$650.60
|
| Rate for Payer: BCBS MAPPO |
$934.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,280.07
|
| Rate for Payer: BCN Commercial |
$1,404.95
|
| Rate for Payer: BCN Medicare Advantage |
$934.86
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cofinity Commercial |
$1,346.20
|
| Rate for Payer: Cofinity Commercial |
$1,252.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$934.86
|
| Rate for Payer: Mclaren Medicaid |
$619.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$981.60
|
| Rate for Payer: Meridian Medicaid |
$650.60
|
| Rate for Payer: Nomi Health Commercial |
$1,121.83
|
| Rate for Payer: PACE SWMI |
$934.86
|
| Rate for Payer: PHP Medicare Advantage |
$934.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,725.95
|
| Rate for Payer: Priority Health Medicare |
$944.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,725.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$934.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$934.86
|
| Rate for Payer: UHC Exchange |
$934.86
|
| Rate for Payer: UHC Medicare Advantage |
$934.86
|
| Rate for Payer: UHCCP Medicaid |
$619.62
|
|
|
PR RPR 1ST INGUN HRNA PRETERM INFT RDC
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 49491
|
| Min. Negotiated Rate |
$201.81 |
| Max. Negotiated Rate |
$1,437.79 |
| Rate for Payer: Aetna Commercial |
$1,041.61
|
| Rate for Payer: Aetna Medicare |
$808.41
|
| Rate for Payer: BCBS Complete |
$542.13
|
| Rate for Payer: BCBS MAPPO |
$777.32
|
| Rate for Payer: BCBS Trust/PPO |
$201.81
|
| Rate for Payer: BCN Commercial |
$1,170.87
|
| Rate for Payer: BCN Medicare Advantage |
$777.32
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$1,119.34
|
| Rate for Payer: Cofinity Commercial |
$1,041.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$777.32
|
| Rate for Payer: Mclaren Medicaid |
$516.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$816.19
|
| Rate for Payer: Meridian Medicaid |
$542.13
|
| Rate for Payer: Nomi Health Commercial |
$932.78
|
| Rate for Payer: PACE SWMI |
$777.32
|
| Rate for Payer: PHP Medicare Advantage |
$777.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,437.79
|
| Rate for Payer: Priority Health Medicare |
$785.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,437.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$777.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$777.32
|
| Rate for Payer: UHC Exchange |
$777.32
|
| Rate for Payer: UHC Medicare Advantage |
$777.32
|
| Rate for Payer: UHCCP Medicaid |
$516.31
|
|
|
PR RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB
|
Professional
|
Both
|
$1,302.00
|
|
|
Service Code
|
HCPCS 33218
|
| Min. Negotiated Rate |
$246.02 |
| Max. Negotiated Rate |
$1,067.17 |
| Rate for Payer: Aetna Commercial |
$493.28
|
| Rate for Payer: Aetna Medicare |
$382.84
|
| Rate for Payer: BCBS Complete |
$258.32
|
| Rate for Payer: BCBS MAPPO |
$368.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,067.17
|
| Rate for Payer: BCN Commercial |
$565.40
|
| Rate for Payer: BCN Medicare Advantage |
$368.12
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cofinity Commercial |
$530.09
|
| Rate for Payer: Cofinity Commercial |
$493.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.12
|
| Rate for Payer: Mclaren Medicaid |
$246.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.53
|
| Rate for Payer: Meridian Medicaid |
$258.32
|
| Rate for Payer: Nomi Health Commercial |
$441.74
|
| Rate for Payer: PACE SWMI |
$368.12
|
| Rate for Payer: PHP Medicare Advantage |
$368.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.30
|
| Rate for Payer: Priority Health HMO/PPO |
$612.66
|
| Rate for Payer: Priority Health Medicare |
$371.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$612.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$368.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$368.12
|
| Rate for Payer: UHC Exchange |
$368.12
|
| Rate for Payer: UHC Medicare Advantage |
$368.12
|
| Rate for Payer: UHCCP Medicaid |
$246.02
|
|
|
PR RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB
|
Professional
|
Both
|
$1,332.00
|
|
|
Service Code
|
HCPCS 33220
|
| Min. Negotiated Rate |
$240.90 |
| Max. Negotiated Rate |
$1,215.62 |
| Rate for Payer: Aetna Commercial |
$484.80
|
| Rate for Payer: Aetna Medicare |
$376.26
|
| Rate for Payer: BCBS Complete |
$252.94
|
| Rate for Payer: BCBS MAPPO |
$361.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,215.62
|
| Rate for Payer: BCN Commercial |
$544.39
|
| Rate for Payer: BCN Medicare Advantage |
$361.79
|
| Rate for Payer: Cash Price |
$1,065.60
|
| Rate for Payer: Cash Price |
$1,065.60
|
| Rate for Payer: Cofinity Commercial |
$520.98
|
| Rate for Payer: Cofinity Commercial |
$484.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$361.79
|
| Rate for Payer: Mclaren Medicaid |
$240.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$379.88
|
| Rate for Payer: Meridian Medicaid |
$252.94
|
| Rate for Payer: Nomi Health Commercial |
$434.15
|
| Rate for Payer: PACE SWMI |
$361.79
|
| Rate for Payer: PHP Medicare Advantage |
$361.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$865.80
|
| Rate for Payer: Priority Health HMO/PPO |
$598.84
|
| Rate for Payer: Priority Health Medicare |
$365.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$598.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$361.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$361.79
|
| Rate for Payer: UHC Exchange |
$361.79
|
| Rate for Payer: UHC Medicare Advantage |
$361.79
|
| Rate for Payer: UHCCP Medicaid |
$240.90
|
|
|
PR RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,565.00
|
|
|
Service Code
|
HCPCS 49596
|
| Min. Negotiated Rate |
$657.74 |
| Max. Negotiated Rate |
$1,865.43 |
| Rate for Payer: Aetna Commercial |
$1,343.73
|
| Rate for Payer: Aetna Medicare |
$1,042.89
|
| Rate for Payer: BCBS Complete |
$690.63
|
| Rate for Payer: BCBS MAPPO |
$1,002.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,865.43
|
| Rate for Payer: BCN Commercial |
$1,490.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,002.78
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cofinity Commercial |
$1,444.00
|
| Rate for Payer: Cofinity Commercial |
$1,343.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,002.78
|
| Rate for Payer: Mclaren Medicaid |
$657.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,052.92
|
| Rate for Payer: Meridian Medicaid |
$690.63
|
| Rate for Payer: Nomi Health Commercial |
$1,203.34
|
| Rate for Payer: PACE SWMI |
$1,002.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,002.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$657.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,825.58
|
| Rate for Payer: Priority Health Medicare |
$1,012.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,002.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,002.78
|
| Rate for Payer: UHC Exchange |
$1,002.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,002.78
|
| Rate for Payer: UHCCP Medicaid |
$657.74
|
|
|
PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 49595
|
| Min. Negotiated Rate |
$495.44 |
| Max. Negotiated Rate |
$1,376.34 |
| Rate for Payer: Aetna Commercial |
$1,011.07
|
| Rate for Payer: Aetna Medicare |
$784.71
|
| Rate for Payer: BCBS Complete |
$520.21
|
| Rate for Payer: BCBS MAPPO |
$754.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$1,122.50
|
| Rate for Payer: BCN Medicare Advantage |
$754.53
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$1,086.52
|
| Rate for Payer: Cofinity Commercial |
$1,011.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$754.53
|
| Rate for Payer: Mclaren Medicaid |
$495.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$792.26
|
| Rate for Payer: Meridian Medicaid |
$520.21
|
| Rate for Payer: Nomi Health Commercial |
$905.44
|
| Rate for Payer: PACE SWMI |
$754.53
|
| Rate for Payer: PHP Medicare Advantage |
$754.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$495.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,376.34
|
| Rate for Payer: Priority Health Medicare |
$762.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,376.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$754.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$754.53
|
| Rate for Payer: UHC Exchange |
$754.53
|
| Rate for Payer: UHC Medicare Advantage |
$754.53
|
| Rate for Payer: UHCCP Medicaid |
$495.44
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,855.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$440.56 |
| Max. Negotiated Rate |
$4,339.88 |
| Rate for Payer: Aetna Commercial |
$1,576.75
|
| Rate for Payer: Aetna Medicare |
$482.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$579.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$579.69
|
| Rate for Payer: BCBS Complete |
$4,339.88
|
| Rate for Payer: BCBS MAPPO |
$463.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,525.00
|
| Rate for Payer: BCN Commercial |
$1,442.26
|
| Rate for Payer: BCN Medicare Advantage |
$463.75
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$1,595.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,484.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$463.75
|
| Rate for Payer: Healthscope Commercial |
$1,669.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,391.25
|
| Rate for Payer: Mclaren Medicaid |
$4,132.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$486.94
|
| Rate for Payer: Meridian Medicaid |
$4,339.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$533.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,576.75
|
| Rate for Payer: Nomi Health Commercial |
$1,521.10
|
| Rate for Payer: PACE Senior Care Partners |
$440.56
|
| Rate for Payer: PACE SWMI |
$463.75
|
| Rate for Payer: PHP Commercial |
$1,576.75
|
| Rate for Payer: PHP Medicare Advantage |
$463.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,132.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,613.85
|
| Rate for Payer: Priority Health Medicare |
$468.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,242.85
|
| Rate for Payer: Railroad Medicare Medicare |
$463.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,632.40
|
| Rate for Payer: UHC Core |
$1,548.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$463.75
|
| Rate for Payer: UHC Exchange |
$463.75
|
| Rate for Payer: UHC Medicare Advantage |
$463.75
|
| Rate for Payer: UHCCP Medicaid |
$4,132.95
|
| Rate for Payer: VA VA |
$463.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,391.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,855.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,205.75 |
| Max. Negotiated Rate |
$1,669.50 |
| Rate for Payer: Aetna Commercial |
$1,576.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,514.24
|
| Rate for Payer: BCN Commercial |
$1,433.54
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$1,595.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,484.00
|
| Rate for Payer: Healthscope Commercial |
$1,669.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,391.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,576.75
|
| Rate for Payer: Nomi Health Commercial |
$1,521.10
|
| Rate for Payer: PHP Commercial |
$1,576.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,613.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,242.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,632.40
|
| Rate for Payer: UHC Core |
$1,548.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,391.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,855.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
49594
|
| Min. Negotiated Rate |
$477.97 |
| Max. Negotiated Rate |
$2,889.80 |
| Rate for Payer: Aetna Commercial |
$976.16
|
| Rate for Payer: Aetna Medicare |
$757.62
|
| Rate for Payer: BCBS Complete |
$501.87
|
| Rate for Payer: BCBS MAPPO |
$728.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.80
|
| Rate for Payer: BCN Commercial |
$1,087.31
|
| Rate for Payer: BCN Medicare Advantage |
$728.48
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$976.16
|
| Rate for Payer: Cofinity Commercial |
$1,049.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.48
|
| Rate for Payer: Mclaren Medicaid |
$477.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.90
|
| Rate for Payer: Meridian Medicaid |
$501.87
|
| Rate for Payer: Nomi Health Commercial |
$874.18
|
| Rate for Payer: PACE SWMI |
$728.48
|
| Rate for Payer: PHP Medicare Advantage |
$728.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,331.60
|
| Rate for Payer: Priority Health Medicare |
$735.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,331.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$728.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.48
|
| Rate for Payer: UHC Exchange |
$728.48
|
| Rate for Payer: UHC Medicare Advantage |
$728.48
|
| Rate for Payer: UHCCP Medicaid |
$477.97
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,855.00
|
|
|
Service Code
|
HCPCS 49594
|
| Min. Negotiated Rate |
$477.97 |
| Max. Negotiated Rate |
$2,889.80 |
| Rate for Payer: Aetna Commercial |
$976.16
|
| Rate for Payer: Aetna Medicare |
$757.62
|
| Rate for Payer: BCBS Complete |
$501.87
|
| Rate for Payer: BCBS MAPPO |
$728.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.80
|
| Rate for Payer: BCN Commercial |
$1,087.31
|
| Rate for Payer: BCN Medicare Advantage |
$728.48
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$976.16
|
| Rate for Payer: Cofinity Commercial |
$1,049.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.48
|
| Rate for Payer: Mclaren Medicaid |
$477.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.90
|
| Rate for Payer: Meridian Medicaid |
$501.87
|
| Rate for Payer: Nomi Health Commercial |
$874.18
|
| Rate for Payer: PACE SWMI |
$728.48
|
| Rate for Payer: PHP Medicare Advantage |
$728.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,331.60
|
| Rate for Payer: Priority Health Medicare |
$735.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,331.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$728.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.48
|
| Rate for Payer: UHC Exchange |
$728.48
|
| Rate for Payer: UHC Medicare Advantage |
$728.48
|
| Rate for Payer: UHCCP Medicaid |
$477.97
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,423.00
|
|
|
Service Code
|
HCPCS 49593
|
| Min. Negotiated Rate |
$367.43 |
| Max. Negotiated Rate |
$2,206.18 |
| Rate for Payer: Aetna Commercial |
$749.68
|
| Rate for Payer: Aetna Medicare |
$581.84
|
| Rate for Payer: BCBS Complete |
$385.80
|
| Rate for Payer: BCBS MAPPO |
$559.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$559.46
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$805.62
|
| Rate for Payer: Cofinity Commercial |
$749.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.46
|
| Rate for Payer: Mclaren Medicaid |
$367.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.43
|
| Rate for Payer: Meridian Medicaid |
$385.80
|
| Rate for Payer: Nomi Health Commercial |
$671.35
|
| Rate for Payer: PACE SWMI |
$559.46
|
| Rate for Payer: PHP Medicare Advantage |
$559.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,023.16
|
| Rate for Payer: Priority Health Medicare |
$565.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,023.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$559.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$559.46
|
| Rate for Payer: UHC Exchange |
$559.46
|
| Rate for Payer: UHC Medicare Advantage |
$559.46
|
| Rate for Payer: UHCCP Medicaid |
$367.43
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,423.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$337.96 |
| Max. Negotiated Rate |
$4,641.43 |
| Rate for Payer: Aetna Commercial |
$1,209.55
|
| Rate for Payer: Aetna Medicare |
$369.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$444.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$444.69
|
| Rate for Payer: BCBS Complete |
$4,641.43
|
| Rate for Payer: BCBS MAPPO |
$355.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,169.85
|
| Rate for Payer: BCN Commercial |
$1,106.38
|
| Rate for Payer: BCN Medicare Advantage |
$355.75
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$1,223.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,138.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.75
|
| Rate for Payer: Healthscope Commercial |
$1,280.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,067.25
|
| Rate for Payer: Mclaren Medicaid |
$4,420.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.54
|
| Rate for Payer: Meridian Medicaid |
$4,641.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$409.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.55
|
| Rate for Payer: Nomi Health Commercial |
$1,166.86
|
| Rate for Payer: PACE Senior Care Partners |
$337.96
|
| Rate for Payer: PACE SWMI |
$355.75
|
| Rate for Payer: PHP Commercial |
$1,209.55
|
| Rate for Payer: PHP Medicare Advantage |
$355.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,420.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,238.01
|
| Rate for Payer: Priority Health Medicare |
$359.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$953.41
|
| Rate for Payer: Railroad Medicare Medicare |
$355.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,252.24
|
| Rate for Payer: UHC Core |
$1,188.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$355.75
|
| Rate for Payer: UHC Exchange |
$355.75
|
| Rate for Payer: UHC Medicare Advantage |
$355.75
|
| Rate for Payer: UHCCP Medicaid |
$4,420.12
|
| Rate for Payer: VA VA |
$355.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,067.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,423.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$924.95 |
| Max. Negotiated Rate |
$1,280.70 |
| Rate for Payer: Aetna Commercial |
$1,209.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,161.59
|
| Rate for Payer: BCN Commercial |
$1,099.69
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$1,223.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,138.40
|
| Rate for Payer: Healthscope Commercial |
$1,280.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,067.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.55
|
| Rate for Payer: Nomi Health Commercial |
$1,166.86
|
| Rate for Payer: PHP Commercial |
$1,209.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,238.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$953.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,252.24
|
| Rate for Payer: UHC Core |
$1,188.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,067.25
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,423.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$367.43 |
| Max. Negotiated Rate |
$2,206.18 |
| Rate for Payer: Aetna Commercial |
$749.68
|
| Rate for Payer: Aetna Medicare |
$581.84
|
| Rate for Payer: BCBS Complete |
$385.80
|
| Rate for Payer: BCBS MAPPO |
$559.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$559.46
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$805.62
|
| Rate for Payer: Cofinity Commercial |
$749.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.46
|
| Rate for Payer: Mclaren Medicaid |
$367.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.43
|
| Rate for Payer: Meridian Medicaid |
$385.80
|
| Rate for Payer: Nomi Health Commercial |
$671.35
|
| Rate for Payer: PACE SWMI |
$559.46
|
| Rate for Payer: PHP Medicare Advantage |
$559.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,023.16
|
| Rate for Payer: Priority Health Medicare |
$565.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,023.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$559.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$559.46
|
| Rate for Payer: UHC Exchange |
$559.46
|
| Rate for Payer: UHC Medicare Advantage |
$559.46
|
| Rate for Payer: UHCCP Medicaid |
$367.43
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,182.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$768.30 |
| Max. Negotiated Rate |
$1,063.80 |
| Rate for Payer: Aetna Commercial |
$1,004.70
|
| Rate for Payer: BCBS Trust/PPO |
$964.87
|
| Rate for Payer: BCN Commercial |
$913.45
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$1,016.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Healthscope Commercial |
$1,063.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$886.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,004.70
|
| Rate for Payer: Nomi Health Commercial |
$969.24
|
| Rate for Payer: PHP Commercial |
$1,004.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,028.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$791.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,040.16
|
| Rate for Payer: UHC Core |
$986.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$886.50
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 49592
|
| Min. Negotiated Rate |
$305.44 |
| Max. Negotiated Rate |
$2,151.77 |
| Rate for Payer: Aetna Commercial |
$623.06
|
| Rate for Payer: Aetna Medicare |
$483.57
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$464.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$464.97
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$669.56
|
| Rate for Payer: Cofinity Commercial |
$623.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.97
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.22
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Nomi Health Commercial |
$557.96
|
| Rate for Payer: PACE SWMI |
$464.97
|
| Rate for Payer: PHP Medicare Advantage |
$464.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health HMO/PPO |
$849.54
|
| Rate for Payer: Priority Health Medicare |
$469.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$849.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$464.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$464.97
|
| Rate for Payer: UHC Exchange |
$464.97
|
| Rate for Payer: UHC Medicare Advantage |
$464.97
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
