|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Facility
|
IP
|
$2,977.00
|
|
|
Service Code
|
CPT 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$1,935.05 |
| Max. Negotiated Rate |
$2,679.30 |
| Rate for Payer: Aetna Commercial |
$2,530.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,430.13
|
| Rate for Payer: BCN Commercial |
$2,300.63
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$2,560.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,381.60
|
| Rate for Payer: Healthscope Commercial |
$2,679.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,232.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,530.45
|
| Rate for Payer: Nomi Health Commercial |
$2,441.14
|
| Rate for Payer: PHP Commercial |
$2,530.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO |
$2,589.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,994.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,619.76
|
| Rate for Payer: UHC Core |
$2,485.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,232.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Facility
|
OP
|
$2,977.00
|
|
|
Service Code
|
CPT 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$707.04 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$2,530.45
|
| Rate for Payer: Aetna Medicare |
$774.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$930.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$930.31
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$744.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,447.39
|
| Rate for Payer: BCN Commercial |
$2,314.62
|
| Rate for Payer: BCN Medicare Advantage |
$744.25
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$2,560.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,381.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$744.25
|
| Rate for Payer: Healthscope Commercial |
$2,679.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,232.75
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$781.46
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$855.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,530.45
|
| Rate for Payer: Nomi Health Commercial |
$2,441.14
|
| Rate for Payer: PACE Senior Care Partners |
$707.04
|
| Rate for Payer: PACE SWMI |
$744.25
|
| Rate for Payer: PHP Commercial |
$2,530.45
|
| Rate for Payer: PHP Medicare Advantage |
$744.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO |
$2,589.99
|
| Rate for Payer: Priority Health Medicare |
$751.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,994.59
|
| Rate for Payer: Railroad Medicare Medicare |
$744.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,619.76
|
| Rate for Payer: UHC Core |
$2,485.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$744.25
|
| Rate for Payer: UHC Exchange |
$744.25
|
| Rate for Payer: UHC Medicare Advantage |
$744.25
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$744.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,232.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$594.27 |
| Max. Negotiated Rate |
$1,935.05 |
| Rate for Payer: Aetna Commercial |
$1,181.52
|
| Rate for Payer: Aetna Medicare |
$917.00
|
| Rate for Payer: BCBS Complete |
$623.98
|
| Rate for Payer: BCBS MAPPO |
$881.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.88
|
| Rate for Payer: BCN Commercial |
$1,343.38
|
| Rate for Payer: BCN Medicare Advantage |
$881.73
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,269.69
|
| Rate for Payer: Cofinity Commercial |
$1,181.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.73
|
| Rate for Payer: Mclaren Medicaid |
$594.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.82
|
| Rate for Payer: Meridian Medicaid |
$623.98
|
| Rate for Payer: Nomi Health Commercial |
$1,058.08
|
| Rate for Payer: PACE SWMI |
$881.73
|
| Rate for Payer: PHP Medicare Advantage |
$881.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,410.06
|
| Rate for Payer: Priority Health Medicare |
$890.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,410.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$881.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$881.73
|
| Rate for Payer: UHC Exchange |
$881.73
|
| Rate for Payer: UHC Medicare Advantage |
$881.73
|
| Rate for Payer: UHCCP Medicaid |
$594.27
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 29828
|
| Min. Negotiated Rate |
$594.27 |
| Max. Negotiated Rate |
$1,935.05 |
| Rate for Payer: Aetna Commercial |
$1,181.52
|
| Rate for Payer: Aetna Medicare |
$917.00
|
| Rate for Payer: BCBS Complete |
$623.98
|
| Rate for Payer: BCBS MAPPO |
$881.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.88
|
| Rate for Payer: BCN Commercial |
$1,343.38
|
| Rate for Payer: BCN Medicare Advantage |
$881.73
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,269.69
|
| Rate for Payer: Cofinity Commercial |
$1,181.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.73
|
| Rate for Payer: Mclaren Medicaid |
$594.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.82
|
| Rate for Payer: Meridian Medicaid |
$623.98
|
| Rate for Payer: Nomi Health Commercial |
$1,058.08
|
| Rate for Payer: PACE SWMI |
$881.73
|
| Rate for Payer: PHP Medicare Advantage |
$881.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,410.06
|
| Rate for Payer: Priority Health Medicare |
$890.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,410.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$881.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$881.73
|
| Rate for Payer: UHC Exchange |
$881.73
|
| Rate for Payer: UHC Medicare Advantage |
$881.73
|
| Rate for Payer: UHCCP Medicaid |
$594.27
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Facility
|
IP
|
$3,236.00
|
|
|
Service Code
|
CPT 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$2,103.40 |
| Max. Negotiated Rate |
$2,912.40 |
| Rate for Payer: Aetna Commercial |
$2,750.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,641.55
|
| Rate for Payer: BCN Commercial |
$2,500.78
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$2,782.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,588.80
|
| Rate for Payer: Healthscope Commercial |
$2,912.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,427.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,750.60
|
| Rate for Payer: Nomi Health Commercial |
$2,653.52
|
| Rate for Payer: PHP Commercial |
$2,750.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO |
$2,815.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,168.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,847.68
|
| Rate for Payer: UHC Core |
$2,702.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,427.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,236.00
|
|
|
Service Code
|
HCPCS 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$686.29 |
| Max. Negotiated Rate |
$2,103.40 |
| Rate for Payer: Aetna Commercial |
$1,364.62
|
| Rate for Payer: Aetna Medicare |
$1,059.10
|
| Rate for Payer: BCBS Complete |
$720.60
|
| Rate for Payer: BCBS MAPPO |
$1,018.37
|
| Rate for Payer: BCBS Trust/PPO |
$846.86
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.37
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$1,466.45
|
| Rate for Payer: Cofinity Commercial |
$1,364.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.37
|
| Rate for Payer: Mclaren Medicaid |
$686.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,069.29
|
| Rate for Payer: Meridian Medicaid |
$720.60
|
| Rate for Payer: Nomi Health Commercial |
$1,222.04
|
| Rate for Payer: PACE SWMI |
$1,018.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$686.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,629.38
|
| Rate for Payer: Priority Health Medicare |
$1,028.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,629.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,018.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,018.37
|
| Rate for Payer: UHC Exchange |
$1,018.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.37
|
| Rate for Payer: UHCCP Medicaid |
$686.29
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,236.00
|
|
|
Service Code
|
HCPCS 29806
|
| Min. Negotiated Rate |
$686.29 |
| Max. Negotiated Rate |
$2,103.40 |
| Rate for Payer: Aetna Commercial |
$1,364.62
|
| Rate for Payer: Aetna Medicare |
$1,059.10
|
| Rate for Payer: BCBS Complete |
$720.60
|
| Rate for Payer: BCBS MAPPO |
$1,018.37
|
| Rate for Payer: BCBS Trust/PPO |
$846.86
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.37
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$1,466.45
|
| Rate for Payer: Cofinity Commercial |
$1,364.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.37
|
| Rate for Payer: Mclaren Medicaid |
$686.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,069.29
|
| Rate for Payer: Meridian Medicaid |
$720.60
|
| Rate for Payer: Nomi Health Commercial |
$1,222.04
|
| Rate for Payer: PACE SWMI |
$1,018.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$686.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,629.38
|
| Rate for Payer: Priority Health Medicare |
$1,028.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,629.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,018.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,018.37
|
| Rate for Payer: UHC Exchange |
$1,018.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.37
|
| Rate for Payer: UHCCP Medicaid |
$686.29
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Facility
|
OP
|
$3,236.00
|
|
|
Service Code
|
CPT 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$768.55 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$2,750.60
|
| Rate for Payer: Aetna Medicare |
$841.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,011.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,011.25
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$809.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.32
|
| Rate for Payer: BCN Commercial |
$2,515.99
|
| Rate for Payer: BCN Medicare Advantage |
$809.00
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$2,782.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,588.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$809.00
|
| Rate for Payer: Healthscope Commercial |
$2,912.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,427.00
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.45
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$930.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,750.60
|
| Rate for Payer: Nomi Health Commercial |
$2,653.52
|
| Rate for Payer: PACE Senior Care Partners |
$768.55
|
| Rate for Payer: PACE SWMI |
$809.00
|
| Rate for Payer: PHP Commercial |
$2,750.60
|
| Rate for Payer: PHP Medicare Advantage |
$809.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO |
$2,815.32
|
| Rate for Payer: Priority Health Medicare |
$817.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,168.12
|
| Rate for Payer: Railroad Medicare Medicare |
$809.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,847.68
|
| Rate for Payer: UHC Core |
$2,702.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$809.00
|
| Rate for Payer: UHC Exchange |
$809.00
|
| Rate for Payer: UHC Medicare Advantage |
$809.00
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$809.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,427.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29821
|
| Min. Negotiated Rate |
$388.51 |
| Max. Negotiated Rate |
$1,682.64 |
| Rate for Payer: Aetna Commercial |
$768.38
|
| Rate for Payer: Aetna Medicare |
$596.36
|
| Rate for Payer: BCBS Complete |
$407.94
|
| Rate for Payer: BCBS MAPPO |
$573.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,682.64
|
| Rate for Payer: BCN Commercial |
$875.23
|
| Rate for Payer: BCN Medicare Advantage |
$573.42
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cofinity Commercial |
$825.72
|
| Rate for Payer: Cofinity Commercial |
$768.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$573.42
|
| Rate for Payer: Mclaren Medicaid |
$388.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.09
|
| Rate for Payer: Meridian Medicaid |
$407.94
|
| Rate for Payer: Nomi Health Commercial |
$688.10
|
| Rate for Payer: PACE SWMI |
$573.42
|
| Rate for Payer: PHP Medicare Advantage |
$573.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,473.55
|
| Rate for Payer: Priority Health HMO/PPO |
$917.47
|
| Rate for Payer: Priority Health Medicare |
$579.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$917.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$573.42
|
| Rate for Payer: UHC Exchange |
$573.42
|
| Rate for Payer: UHC Medicare Advantage |
$573.42
|
| Rate for Payer: UHCCP Medicaid |
$388.51
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
IP
|
$2,103.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$1,366.95 |
| Max. Negotiated Rate |
$1,892.70 |
| Rate for Payer: Aetna Commercial |
$1,787.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,716.68
|
| Rate for Payer: BCN Commercial |
$1,625.20
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,808.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,682.40
|
| Rate for Payer: Healthscope Commercial |
$1,892.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,577.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,787.55
|
| Rate for Payer: Nomi Health Commercial |
$1,724.46
|
| Rate for Payer: PHP Commercial |
$1,787.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,829.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,409.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,850.64
|
| Rate for Payer: UHC Core |
$1,756.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,577.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 29824
|
| Min. Negotiated Rate |
$442.40 |
| Max. Negotiated Rate |
$1,366.95 |
| Rate for Payer: Aetna Commercial |
$874.89
|
| Rate for Payer: Aetna Medicare |
$679.02
|
| Rate for Payer: BCBS Complete |
$464.52
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$652.90
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$940.18
|
| Rate for Payer: Cofinity Commercial |
$874.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.90
|
| Rate for Payer: Mclaren Medicaid |
$442.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| Rate for Payer: Meridian Medicaid |
$464.52
|
| Rate for Payer: Nomi Health Commercial |
$783.48
|
| Rate for Payer: PACE SWMI |
$652.90
|
| Rate for Payer: PHP Medicare Advantage |
$652.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,047.74
|
| Rate for Payer: Priority Health Medicare |
$659.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,047.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$652.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.90
|
| Rate for Payer: UHC Exchange |
$652.90
|
| Rate for Payer: UHC Medicare Advantage |
$652.90
|
| Rate for Payer: UHCCP Medicaid |
$442.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
OP
|
$2,103.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$499.46 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,787.55
|
| Rate for Payer: Aetna Medicare |
$546.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$657.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$657.19
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$525.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.88
|
| Rate for Payer: BCN Commercial |
$1,635.08
|
| Rate for Payer: BCN Medicare Advantage |
$525.75
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,808.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,682.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.75
|
| Rate for Payer: Healthscope Commercial |
$1,892.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,577.25
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$552.04
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$604.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,787.55
|
| Rate for Payer: Nomi Health Commercial |
$1,724.46
|
| Rate for Payer: PACE Senior Care Partners |
$499.46
|
| Rate for Payer: PACE SWMI |
$525.75
|
| Rate for Payer: PHP Commercial |
$1,787.55
|
| Rate for Payer: PHP Medicare Advantage |
$525.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,829.61
|
| Rate for Payer: Priority Health Medicare |
$531.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,409.01
|
| Rate for Payer: Railroad Medicare Medicare |
$525.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,850.64
|
| Rate for Payer: UHC Core |
$1,756.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$525.75
|
| Rate for Payer: UHC Exchange |
$525.75
|
| Rate for Payer: UHC Medicare Advantage |
$525.75
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$525.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,577.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$442.40 |
| Max. Negotiated Rate |
$1,366.95 |
| Rate for Payer: Aetna Commercial |
$874.89
|
| Rate for Payer: Aetna Medicare |
$679.02
|
| Rate for Payer: BCBS Complete |
$464.52
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$652.90
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$940.18
|
| Rate for Payer: Cofinity Commercial |
$874.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.90
|
| Rate for Payer: Mclaren Medicaid |
$442.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| Rate for Payer: Meridian Medicaid |
$464.52
|
| Rate for Payer: Nomi Health Commercial |
$783.48
|
| Rate for Payer: PACE SWMI |
$652.90
|
| Rate for Payer: PHP Medicare Advantage |
$652.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,047.74
|
| Rate for Payer: Priority Health Medicare |
$659.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,047.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$652.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.90
|
| Rate for Payer: UHC Exchange |
$652.90
|
| Rate for Payer: UHC Medicare Advantage |
$652.90
|
| Rate for Payer: UHCCP Medicaid |
$442.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$2,288.07 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.95
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$753.05
|
| Rate for Payer: Cofinity Commercial |
$700.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.95
|
| Rate for Payer: Mclaren Medicaid |
$354.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Nomi Health Commercial |
$627.54
|
| Rate for Payer: PACE SWMI |
$522.95
|
| Rate for Payer: PHP Medicare Advantage |
$522.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$528.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$839.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.95
|
| Rate for Payer: UHC Exchange |
$522.95
|
| Rate for Payer: UHC Medicare Advantage |
$522.95
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
OP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$522.74 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,870.85
|
| Rate for Payer: Aetna Medicare |
$572.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$687.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$687.81
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$550.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,809.44
|
| Rate for Payer: BCN Commercial |
$1,711.28
|
| Rate for Payer: BCN Medicare Advantage |
$550.25
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$1,892.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,760.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.25
|
| Rate for Payer: Healthscope Commercial |
$1,980.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.76
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$632.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,870.85
|
| Rate for Payer: Nomi Health Commercial |
$1,804.82
|
| Rate for Payer: PACE Senior Care Partners |
$522.74
|
| Rate for Payer: PACE SWMI |
$550.25
|
| Rate for Payer: PHP Commercial |
$1,870.85
|
| Rate for Payer: PHP Medicare Advantage |
$550.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,914.87
|
| Rate for Payer: Priority Health Medicare |
$555.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,474.67
|
| Rate for Payer: Railroad Medicare Medicare |
$550.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,936.88
|
| Rate for Payer: UHC Core |
$1,837.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$550.25
|
| Rate for Payer: UHC Exchange |
$550.25
|
| Rate for Payer: UHC Medicare Advantage |
$550.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$550.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
IP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$1,430.65 |
| Max. Negotiated Rate |
$1,980.90 |
| Rate for Payer: Aetna Commercial |
$1,870.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.68
|
| Rate for Payer: BCN Commercial |
$1,700.93
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$1,892.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,760.80
|
| Rate for Payer: Healthscope Commercial |
$1,980.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,870.85
|
| Rate for Payer: Nomi Health Commercial |
$1,804.82
|
| Rate for Payer: PHP Commercial |
$1,870.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,914.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,474.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,936.88
|
| Rate for Payer: UHC Core |
$1,837.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$2,288.07 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.95
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$753.05
|
| Rate for Payer: Cofinity Commercial |
$700.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.95
|
| Rate for Payer: Mclaren Medicaid |
$354.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Nomi Health Commercial |
$627.54
|
| Rate for Payer: PACE SWMI |
$522.95
|
| Rate for Payer: PHP Medicare Advantage |
$522.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$528.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$839.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.95
|
| Rate for Payer: UHC Exchange |
$522.95
|
| Rate for Payer: UHC Medicare Advantage |
$522.95
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$1,598.64 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: BCBS Complete |
$367.46
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Mclaren Medicaid |
$349.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Meridian Medicaid |
$367.46
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO |
$825.89
|
| Rate for Payer: Priority Health Medicare |
$521.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$825.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Exchange |
$516.61
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP Medicaid |
$349.96
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$1,598.64 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: BCBS Complete |
$367.46
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Mclaren Medicaid |
$349.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Meridian Medicaid |
$367.46
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO |
$825.89
|
| Rate for Payer: Priority Health Medicare |
$521.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$825.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Exchange |
$516.61
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP Medicaid |
$349.96
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
OP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$460.75 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$1,649.00
|
| Rate for Payer: Aetna Medicare |
$504.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$606.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$606.25
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$485.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.87
|
| Rate for Payer: BCN Commercial |
$1,508.35
|
| Rate for Payer: BCN Medicare Advantage |
$485.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,668.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$485.00
|
| Rate for Payer: Healthscope Commercial |
$1,746.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,455.00
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.25
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$557.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: Nomi Health Commercial |
$1,590.80
|
| Rate for Payer: PACE Senior Care Partners |
$460.75
|
| Rate for Payer: PACE SWMI |
$485.00
|
| Rate for Payer: PHP Commercial |
$1,649.00
|
| Rate for Payer: PHP Medicare Advantage |
$485.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,687.80
|
| Rate for Payer: Priority Health Medicare |
$489.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,299.80
|
| Rate for Payer: Railroad Medicare Medicare |
$485.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,707.20
|
| Rate for Payer: UHC Core |
$1,619.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$485.00
|
| Rate for Payer: UHC Exchange |
$485.00
|
| Rate for Payer: UHC Medicare Advantage |
$485.00
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$485.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,455.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
IP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$1,261.00 |
| Max. Negotiated Rate |
$1,746.00 |
| Rate for Payer: Aetna Commercial |
$1,649.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,583.62
|
| Rate for Payer: BCN Commercial |
$1,499.23
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,668.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Healthscope Commercial |
$1,746.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,455.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: Nomi Health Commercial |
$1,590.80
|
| Rate for Payer: PHP Commercial |
$1,649.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,687.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,299.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,707.20
|
| Rate for Payer: UHC Core |
$1,619.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,455.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Min. Negotiated Rate |
$383.40 |
| Max. Negotiated Rate |
$1,434.86 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Mclaren Medicaid |
$383.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO |
$909.34
|
| Rate for Payer: Priority Health Medicare |
$571.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$909.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$565.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Exchange |
$565.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP Medicaid |
$383.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
OP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$476.42 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,705.10
|
| Rate for Payer: Aetna Medicare |
$521.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$626.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$626.88
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$501.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,649.13
|
| Rate for Payer: BCN Commercial |
$1,559.66
|
| Rate for Payer: BCN Medicare Advantage |
$501.50
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,725.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$501.50
|
| Rate for Payer: Healthscope Commercial |
$1,805.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,504.50
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$526.58
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$576.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: Nomi Health Commercial |
$1,644.92
|
| Rate for Payer: PACE Senior Care Partners |
$476.42
|
| Rate for Payer: PACE SWMI |
$501.50
|
| Rate for Payer: PHP Commercial |
$1,705.10
|
| Rate for Payer: PHP Medicare Advantage |
$501.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,745.22
|
| Rate for Payer: Priority Health Medicare |
$506.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,344.02
|
| Rate for Payer: Railroad Medicare Medicare |
$501.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,765.28
|
| Rate for Payer: UHC Core |
$1,675.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$501.50
|
| Rate for Payer: UHC Exchange |
$501.50
|
| Rate for Payer: UHC Medicare Advantage |
$501.50
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$501.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,504.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$383.40 |
| Max. Negotiated Rate |
$1,434.86 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Mclaren Medicaid |
$383.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO |
$909.34
|
| Rate for Payer: Priority Health Medicare |
$571.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$909.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$565.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Exchange |
$565.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP Medicaid |
$383.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
IP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$1,303.90 |
| Max. Negotiated Rate |
$1,805.40 |
| Rate for Payer: Aetna Commercial |
$1,705.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,637.50
|
| Rate for Payer: BCN Commercial |
$1,550.24
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,725.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Healthscope Commercial |
$1,805.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,504.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: Nomi Health Commercial |
$1,644.92
|
| Rate for Payer: PHP Commercial |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,745.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,344.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,765.28
|
| Rate for Payer: UHC Core |
$1,675.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,504.50
|
|
