|
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 |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$552.04
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$1,756.01
|
| 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 |
$2,345.85
|
| 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 |
$652.90 |
| 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 |
$841.20
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| 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 Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health Medicare |
$659.43
|
| 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
|
|
|
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 |
$1,756.01
|
| 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 |
$652.90 |
| 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 |
$841.20
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| 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 Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health Medicare |
$659.43
|
| 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
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Min. Negotiated Rate |
$522.95 |
| Max. Negotiated Rate |
$1,430.65 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: BCBS Complete |
$880.40
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| 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 Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health Medicare |
$528.18
|
| 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
|
|
|
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
|
Facility
|
OP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$522.74 |
| Max. Negotiated Rate |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.76
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 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 |
$2,345.85
|
| 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
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$522.95 |
| Max. Negotiated Rate |
$1,430.65 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: BCBS Complete |
$880.40
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| 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 Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health Medicare |
$528.18
|
| 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
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$516.61 |
| Max. Negotiated Rate |
$1,261.00 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: BCBS Complete |
$776.00
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| 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 Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health Medicare |
$521.78
|
| 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
|
|
|
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 |
$5,423.52 |
| 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 |
$5,423.52
|
| 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 |
$5,164.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.25
|
| Rate for Payer: Meridian Medicaid |
$5,423.52
|
| 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 |
$5,164.92
|
| 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 |
$5,164.92
|
| 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
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$516.61 |
| Max. Negotiated Rate |
$1,261.00 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: BCBS Complete |
$776.00
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| 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 Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health Medicare |
$521.78
|
| 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
|
|
|
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 |
$565.90 |
| Max. Negotiated Rate |
$1,303.90 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: BCBS Complete |
$802.40
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| 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 Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health Medicare |
$571.56
|
| 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
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$565.90 |
| Max. Negotiated Rate |
$1,303.90 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: BCBS Complete |
$802.40
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| 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 Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health Medicare |
$571.56
|
| 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
|
|
|
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
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
OP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$476.43 |
| Max. Negotiated Rate |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$526.58
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$576.73
|
| 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 |
$476.43
|
| 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 |
$2,345.85
|
| 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 |
$506.51
|
| 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 |
$2,345.85
|
| Rate for Payer: VA VA |
$501.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,504.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$730.08 |
| Max. Negotiated Rate |
$5,423.52 |
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: Aetna Medicare |
$799.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$960.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$960.62
|
| Rate for Payer: BCBS Complete |
$5,423.52
|
| Rate for Payer: BCBS MAPPO |
$768.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,527.14
|
| Rate for Payer: BCN Commercial |
$2,390.03
|
| Rate for Payer: BCN Medicare Advantage |
$768.50
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.50
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,305.50
|
| Rate for Payer: Mclaren Medicaid |
$5,164.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$806.92
|
| Rate for Payer: Meridian Medicaid |
$5,423.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$883.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$2,520.68
|
| Rate for Payer: PACE Senior Care Partners |
$730.08
|
| Rate for Payer: PACE SWMI |
$768.50
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: PHP Medicare Advantage |
$768.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,164.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,674.38
|
| Rate for Payer: Priority Health Medicare |
$776.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,059.58
|
| Rate for Payer: Railroad Medicare Medicare |
$768.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,705.12
|
| Rate for Payer: UHC Core |
$2,566.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$768.50
|
| Rate for Payer: UHC Exchange |
$768.50
|
| Rate for Payer: UHC Medicare Advantage |
$768.50
|
| Rate for Payer: UHCCP Medicaid |
$5,164.92
|
| Rate for Payer: VA VA |
$768.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,305.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$994.07 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: BCBS Complete |
$1,229.60
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health Medicare |
$1,004.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$994.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Exchange |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
IP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,998.10 |
| Max. Negotiated Rate |
$2,766.60 |
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,509.31
|
| Rate for Payer: BCN Commercial |
$2,375.59
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,305.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$2,520.68
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,674.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,059.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,705.12
|
| Rate for Payer: UHC Core |
$2,566.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,305.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$994.07 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: BCBS Complete |
$1,229.60
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health Medicare |
$1,004.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$994.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Exchange |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$566.11 |
| Max. Negotiated Rate |
$1,409.85 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: BCBS Complete |
$867.60
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health Medicare |
$571.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Exchange |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$566.11 |
| Max. Negotiated Rate |
$1,409.85 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: BCBS Complete |
$867.60
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health Medicare |
$571.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Exchange |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$515.14 |
| Max. Negotiated Rate |
$2,463.31 |
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: Aetna Medicare |
$563.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$677.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$677.81
|
| Rate for Payer: BCBS Complete |
$2,463.31
|
| Rate for Payer: BCBS MAPPO |
$542.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,783.13
|
| Rate for Payer: BCN Commercial |
$1,686.40
|
| Rate for Payer: BCN Medicare Advantage |
$542.25
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.25
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,626.75
|
| Rate for Payer: Mclaren Medicaid |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.36
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$623.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$1,778.58
|
| Rate for Payer: PACE Senior Care Partners |
$515.14
|
| Rate for Payer: PACE SWMI |
$542.25
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: PHP Medicare Advantage |
$542.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,345.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,887.03
|
| Rate for Payer: Priority Health Medicare |
$547.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,453.23
|
| Rate for Payer: Railroad Medicare Medicare |
$542.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,908.72
|
| Rate for Payer: UHC Core |
$1,811.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.25
|
| Rate for Payer: UHC Exchange |
$542.25
|
| Rate for Payer: UHC Medicare Advantage |
$542.25
|
| Rate for Payer: UHCCP Medicaid |
$2,345.85
|
| Rate for Payer: VA VA |
$542.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,626.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,409.85 |
| Max. Negotiated Rate |
$1,952.10 |
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,770.55
|
| Rate for Payer: BCN Commercial |
$1,676.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,626.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$1,778.58
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,887.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,453.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,908.72
|
| Rate for Payer: UHC Core |
$1,811.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,626.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
OP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$807.26 |
| Max. Negotiated Rate |
$5,423.52 |
| Rate for Payer: Aetna Commercial |
$2,889.15
|
| Rate for Payer: Aetna Medicare |
$883.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,062.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,062.19
|
| Rate for Payer: BCBS Complete |
$5,423.52
|
| Rate for Payer: BCBS MAPPO |
$849.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,794.32
|
| Rate for Payer: BCN Commercial |
$2,642.72
|
| Rate for Payer: BCN Medicare Advantage |
$849.75
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$2,923.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$849.75
|
| Rate for Payer: Healthscope Commercial |
$3,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,549.25
|
| Rate for Payer: Mclaren Medicaid |
$5,164.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$892.24
|
| Rate for Payer: Meridian Medicaid |
$5,423.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$977.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: Nomi Health Commercial |
$2,787.18
|
| Rate for Payer: PACE Senior Care Partners |
$807.26
|
| Rate for Payer: PACE SWMI |
$849.75
|
| Rate for Payer: PHP Commercial |
$2,889.15
|
| Rate for Payer: PHP Medicare Advantage |
$849.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,164.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,957.13
|
| Rate for Payer: Priority Health Medicare |
$858.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,277.33
|
| Rate for Payer: Railroad Medicare Medicare |
$849.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,991.12
|
| Rate for Payer: UHC Core |
$2,838.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$849.75
|
| Rate for Payer: UHC Exchange |
$849.75
|
| Rate for Payer: UHC Medicare Advantage |
$849.75
|
| Rate for Payer: UHCCP Medicaid |
$5,164.92
|
| Rate for Payer: VA VA |
$849.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,549.25
|
|
