|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
IP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,229.36 |
| Max. Negotiated Rate |
$2,514.60 |
| Rate for Payer: Aetna American Axle |
$1,816.10
|
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,816.10
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,955.80
|
| Rate for Payer: Cofinity Commercial |
$2,402.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,955.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,955.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,095.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health SBD |
$1,760.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,229.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,095.50
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
OP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,033.78 |
| Max. Negotiated Rate |
$35,323.48 |
| Rate for Payer: Aetna American Axle |
$1,816.10
|
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: Aetna Medicare |
$13,050.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,816.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$2,402.84
|
| Rate for Payer: Cofinity Commercial |
$1,955.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,955.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,955.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,095.50
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health SBD |
$1,760.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,323.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Exchange |
$23,981.92
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$6,726.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,033.78
|
| Rate for Payer: VA VA |
$12,548.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,095.50
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$1,117.60 |
| Max. Negotiated Rate |
$1,816.10 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,286.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,781.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,658.14
|
| Rate for Payer: BCBS Complete |
$1,117.60
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Commercial |
$1,732.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UMR Bronson Commercial |
$1,285.24
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,189.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$1,394.88 |
| Max. Negotiated Rate |
$3,372.85 |
| Rate for Payer: Aetna Commercial |
$1,869.14
|
| Rate for Payer: Aetna Medicare |
$1,450.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,008.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,869.14
|
| Rate for Payer: BCBS Complete |
$2,075.60
|
| Rate for Payer: BCBS MAPPO |
$1,394.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,394.88
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cofinity Commercial |
$2,008.63
|
| Rate for Payer: Cofinity Commercial |
$1,869.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,394.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,464.62
|
| Rate for Payer: Nomi Health Commercial |
$1,673.86
|
| Rate for Payer: PACE SWMI |
$1,394.88
|
| Rate for Payer: PHP Commercial |
$1,952.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,394.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,372.85
|
| Rate for Payer: Priority Health Medicare |
$1,394.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,394.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,394.88
|
| Rate for Payer: UMR Bronson Commercial |
$2,386.94
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,457.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$582.80 |
| Max. Negotiated Rate |
$1,136.58 |
| Rate for Payer: Aetna Commercial |
$1,057.65
|
| Rate for Payer: Aetna Medicare |
$820.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,136.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,057.65
|
| Rate for Payer: BCBS Complete |
$582.80
|
| Rate for Payer: BCBS MAPPO |
$789.29
|
| Rate for Payer: BCN Medicare Advantage |
$789.29
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cofinity Commercial |
$1,136.58
|
| Rate for Payer: Cofinity Commercial |
$1,057.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$789.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$828.75
|
| Rate for Payer: Nomi Health Commercial |
$947.15
|
| Rate for Payer: PACE SWMI |
$789.29
|
| Rate for Payer: PHP Commercial |
$1,105.01
|
| Rate for Payer: PHP Medicare Advantage |
$789.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$947.05
|
| Rate for Payer: Priority Health Medicare |
$789.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$789.29
|
| Rate for Payer: UHC Medicare Advantage |
$789.29
|
| Rate for Payer: UMR Bronson Commercial |
$670.22
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$771.24 |
| Max. Negotiated Rate |
$1,975.35 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$802.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,110.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,033.46
|
| Rate for Payer: BCBS Complete |
$1,215.60
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Commercial |
$1,079.74
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UMR Bronson Commercial |
$1,397.94
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$771.24 |
| Max. Negotiated Rate |
$1,975.35 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$802.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,110.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,033.46
|
| Rate for Payer: BCBS Complete |
$1,215.60
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Commercial |
$1,079.74
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UMR Bronson Commercial |
$1,397.94
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
OP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,124.43 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,975.35
|
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,975.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,613.54
|
| Rate for Payer: Cofinity Commercial |
$2,127.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,127.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,127.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,279.25
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,583.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,914.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$6,047.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: UMR Bronson Commercial |
$1,124.43
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,279.25
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
IP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,337.16 |
| Max. Negotiated Rate |
$2,735.10 |
| Rate for Payer: Aetna American Axle |
$1,975.35
|
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,975.35
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,127.30
|
| Rate for Payer: Cofinity Commercial |
$2,613.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,127.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,127.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,279.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: PHP Commercial |
$2,583.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health SBD |
$1,914.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,337.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,279.25
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,560.00
|
|
|
Service Code
|
HCPCS 25448
|
| Min. Negotiated Rate |
$852.77 |
| Max. Negotiated Rate |
$1,664.00 |
| Rate for Payer: Aetna Commercial |
$1,142.71
|
| Rate for Payer: Aetna Medicare |
$886.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,227.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,142.71
|
| Rate for Payer: BCBS Complete |
$1,024.00
|
| Rate for Payer: BCBS MAPPO |
$852.77
|
| Rate for Payer: BCN Medicare Advantage |
$852.77
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cofinity Commercial |
$1,227.99
|
| Rate for Payer: Cofinity Commercial |
$1,142.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$852.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.41
|
| Rate for Payer: Nomi Health Commercial |
$1,023.32
|
| Rate for Payer: PACE SWMI |
$852.77
|
| Rate for Payer: PHP Commercial |
$1,193.88
|
| Rate for Payer: PHP Medicare Advantage |
$852.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,664.00
|
| Rate for Payer: Priority Health Medicare |
$852.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$852.77
|
| Rate for Payer: UHC Medicare Advantage |
$852.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,177.60
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$1,235.86 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.05
|
| Rate for Payer: BCBS Complete |
$2,002.80
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Commercial |
$1,730.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UMR Bronson Commercial |
$2,303.22
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$2,203.08 |
| Max. Negotiated Rate |
$4,506.30 |
| Rate for Payer: Aetna American Axle |
$3,254.55
|
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,254.55
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$3,504.90
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,504.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,504.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,755.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health SBD |
$3,154.41
|
| Rate for Payer: UMR Bronson Commercial |
$2,203.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,755.25
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,235.86 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.05
|
| Rate for Payer: BCBS Complete |
$2,002.80
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Commercial |
$1,730.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UMR Bronson Commercial |
$2,303.22
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,852.59 |
| Max. Negotiated Rate |
$35,323.48 |
| Rate for Payer: Aetna American Axle |
$3,254.55
|
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna Medicare |
$13,050.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,254.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$3,504.90
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,504.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,504.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,755.25
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health SBD |
$3,154.41
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,323.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Exchange |
$23,981.92
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$6,726.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,852.59
|
| Rate for Payer: VA VA |
$12,548.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,755.25
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
IP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,417.24 |
| Max. Negotiated Rate |
$2,898.90 |
| Rate for Payer: Aetna American Axle |
$2,093.65
|
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,093.65
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,254.70
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,254.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,415.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health SBD |
$2,029.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,417.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,415.75
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,191.77 |
| Max. Negotiated Rate |
$35,323.48 |
| Rate for Payer: Aetna American Axle |
$2,093.65
|
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: Aetna Medicare |
$13,050.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,093.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Cofinity Commercial |
$2,254.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,254.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,415.75
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health SBD |
$2,029.23
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,323.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Exchange |
$23,981.92
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$6,726.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,191.77
|
| Rate for Payer: VA VA |
$12,548.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,415.75
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Min. Negotiated Rate |
$1,106.26 |
| Max. Negotiated Rate |
$2,093.65 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,593.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,482.39
|
| Rate for Payer: BCBS Complete |
$1,288.40
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Commercial |
$1,548.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health Medicare |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,481.66
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,106.26 |
| Max. Negotiated Rate |
$2,093.65 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,593.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,482.39
|
| Rate for Payer: BCBS Complete |
$1,288.40
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Commercial |
$1,548.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health Medicare |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,481.66
|
|
|
PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT
|
Professional
|
Both
|
$1,690.00
|
|
|
Service Code
|
HCPCS 27441
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$1,147.23 |
| Rate for Payer: Aetna Commercial |
$1,067.56
|
| Rate for Payer: Aetna Medicare |
$828.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,147.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,067.56
|
| Rate for Payer: BCBS Complete |
$676.00
|
| Rate for Payer: BCBS MAPPO |
$796.69
|
| Rate for Payer: BCN Medicare Advantage |
$796.69
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,147.23
|
| Rate for Payer: Cofinity Commercial |
$1,067.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$796.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$836.52
|
| Rate for Payer: Nomi Health Commercial |
$956.03
|
| Rate for Payer: PACE SWMI |
$796.69
|
| Rate for Payer: PHP Commercial |
$1,115.37
|
| Rate for Payer: PHP Medicare Advantage |
$796.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,098.50
|
| Rate for Payer: Priority Health Medicare |
$796.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$796.69
|
| Rate for Payer: UHC Medicare Advantage |
$796.69
|
| Rate for Payer: UMR Bronson Commercial |
$777.40
|
|
|
PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT
|
Professional
|
Both
|
$2,181.00
|
|
|
Service Code
|
HCPCS 26531
|
| Min. Negotiated Rate |
$612.08 |
| Max. Negotiated Rate |
$1,417.65 |
| Rate for Payer: Aetna Commercial |
$820.19
|
| Rate for Payer: Aetna Medicare |
$636.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$881.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.19
|
| Rate for Payer: BCBS Complete |
$872.40
|
| Rate for Payer: BCBS MAPPO |
$612.08
|
| Rate for Payer: BCN Medicare Advantage |
$612.08
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cofinity Commercial |
$881.40
|
| Rate for Payer: Cofinity Commercial |
$820.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$642.68
|
| Rate for Payer: Nomi Health Commercial |
$734.50
|
| Rate for Payer: PACE SWMI |
$612.08
|
| Rate for Payer: PHP Commercial |
$856.91
|
| Rate for Payer: PHP Medicare Advantage |
$612.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,417.65
|
| Rate for Payer: Priority Health Medicare |
$612.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$612.08
|
| Rate for Payer: UHC Medicare Advantage |
$612.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,003.26
|
|
|
PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/ENTIR CARPS
|
Professional
|
Both
|
$2,094.00
|
|
|
Service Code
|
HCPCS 25446
|
| Min. Negotiated Rate |
$837.60 |
| Max. Negotiated Rate |
$1,626.19 |
| Rate for Payer: Aetna Commercial |
$1,513.26
|
| Rate for Payer: Aetna Medicare |
$1,174.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,626.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,513.26
|
| Rate for Payer: BCBS Complete |
$837.60
|
| Rate for Payer: BCBS MAPPO |
$1,129.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,129.30
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cofinity Commercial |
$1,626.19
|
| Rate for Payer: Cofinity Commercial |
$1,513.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,129.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,185.77
|
| Rate for Payer: Nomi Health Commercial |
$1,355.16
|
| Rate for Payer: PACE SWMI |
$1,129.30
|
| Rate for Payer: PHP Commercial |
$1,581.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,129.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,361.10
|
| Rate for Payer: Priority Health Medicare |
$1,129.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,129.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,129.30
|
| Rate for Payer: UMR Bronson Commercial |
$963.24
|
|
|
PR ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ
|
Professional
|
Both
|
$3,684.00
|
|
|
Service Code
|
HCPCS 25332
|
| Min. Negotiated Rate |
$816.50 |
| Max. Negotiated Rate |
$2,394.60 |
| Rate for Payer: Aetna Commercial |
$1,094.11
|
| Rate for Payer: Aetna Medicare |
$849.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,175.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,094.11
|
| Rate for Payer: BCBS Complete |
$1,473.60
|
| Rate for Payer: BCBS MAPPO |
$816.50
|
| Rate for Payer: BCN Medicare Advantage |
$816.50
|
| Rate for Payer: Cash Price |
$2,947.20
|
| Rate for Payer: Cash Price |
$2,947.20
|
| Rate for Payer: Cofinity Commercial |
$1,175.76
|
| Rate for Payer: Cofinity Commercial |
$1,094.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$857.33
|
| Rate for Payer: Nomi Health Commercial |
$979.80
|
| Rate for Payer: PACE SWMI |
$816.50
|
| Rate for Payer: PHP Commercial |
$1,143.10
|
| Rate for Payer: PHP Medicare Advantage |
$816.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,394.60
|
| Rate for Payer: Priority Health Medicare |
$816.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$816.50
|
| Rate for Payer: UHC Medicare Advantage |
$816.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,694.64
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,078.00
|
|
|
Service Code
|
HCPCS 29888
|
| Min. Negotiated Rate |
$936.55 |
| Max. Negotiated Rate |
$2,650.70 |
| Rate for Payer: Aetna Commercial |
$1,254.98
|
| Rate for Payer: Aetna Medicare |
$974.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,348.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,254.98
|
| Rate for Payer: BCBS Complete |
$1,631.20
|
| Rate for Payer: BCBS MAPPO |
$936.55
|
| Rate for Payer: BCN Medicare Advantage |
$936.55
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$1,348.63
|
| Rate for Payer: Cofinity Commercial |
$1,254.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$936.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$983.38
|
| Rate for Payer: Nomi Health Commercial |
$1,123.86
|
| Rate for Payer: PACE SWMI |
$936.55
|
| Rate for Payer: PHP Commercial |
$1,311.17
|
| Rate for Payer: PHP Medicare Advantage |
$936.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health Medicare |
$936.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$936.55
|
| Rate for Payer: UHC Medicare Advantage |
$936.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,875.88
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
IP
|
$4,078.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$1,794.32 |
| Max. Negotiated Rate |
$3,670.20 |
| Rate for Payer: Aetna American Axle |
$2,650.70
|
| Rate for Payer: Aetna Commercial |
$3,466.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,650.70
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$2,854.60
|
| Rate for Payer: Cofinity Commercial |
$3,507.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,854.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,262.40
|
| Rate for Payer: Healthscope Commercial |
$3,670.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,854.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,058.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,466.30
|
| Rate for Payer: PHP Commercial |
$3,466.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health SBD |
$2,569.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,794.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,058.50
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
OP
|
$4,078.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$1,508.86 |
| Max. Negotiated Rate |
$19,611.80 |
| Rate for Payer: Aetna American Axle |
$2,650.70
|
| Rate for Payer: Aetna Commercial |
$3,466.30
|
| Rate for Payer: Aetna Medicare |
$7,245.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,650.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$2,854.60
|
| Rate for Payer: Cofinity Commercial |
$3,507.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,854.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,262.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$3,670.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,854.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,058.50
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,466.30
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$3,466.30
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health SBD |
$2,569.14
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,611.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$13,314.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,508.86
|
| Rate for Payer: VA VA |
$6,967.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,058.50
|
|
