|
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
|
|
|
PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,237.00
|
|
|
Service Code
|
HCPCS 29889
|
| Min. Negotiated Rate |
$1,180.44 |
| Max. Negotiated Rate |
$2,754.05 |
| Rate for Payer: Aetna Commercial |
$1,581.79
|
| Rate for Payer: Aetna Medicare |
$1,227.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,699.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,581.79
|
| Rate for Payer: BCBS Complete |
$1,694.80
|
| Rate for Payer: BCBS MAPPO |
$1,180.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,180.44
|
| Rate for Payer: Cash Price |
$3,389.60
|
| Rate for Payer: Cash Price |
$3,389.60
|
| Rate for Payer: Cofinity Commercial |
$1,699.83
|
| Rate for Payer: Cofinity Commercial |
$1,581.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,180.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,239.46
|
| Rate for Payer: Nomi Health Commercial |
$1,416.53
|
| Rate for Payer: PACE SWMI |
$1,180.44
|
| Rate for Payer: PHP Commercial |
$1,652.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,180.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,754.05
|
| Rate for Payer: Priority Health Medicare |
$1,180.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,180.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,180.44
|
| Rate for Payer: UMR Bronson Commercial |
$1,949.02
|
|
|
PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX
|
Professional
|
Both
|
$2,688.00
|
|
|
Service Code
|
HCPCS 29892
|
| Min. Negotiated Rate |
$616.76 |
| Max. Negotiated Rate |
$1,747.20 |
| Rate for Payer: Aetna Commercial |
$826.46
|
| Rate for Payer: Aetna Medicare |
$641.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$888.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$826.46
|
| Rate for Payer: BCBS Complete |
$1,075.20
|
| Rate for Payer: BCBS MAPPO |
$616.76
|
| Rate for Payer: BCN Medicare Advantage |
$616.76
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cofinity Commercial |
$888.13
|
| Rate for Payer: Cofinity Commercial |
$826.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.60
|
| Rate for Payer: Nomi Health Commercial |
$740.11
|
| Rate for Payer: PACE SWMI |
$616.76
|
| Rate for Payer: PHP Commercial |
$863.46
|
| Rate for Payer: PHP Medicare Advantage |
$616.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,747.20
|
| Rate for Payer: Priority Health Medicare |
$616.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.76
|
| Rate for Payer: UHC Medicare Advantage |
$616.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,236.48
|
|
|
PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29855
|
| Min. Negotiated Rate |
$753.01 |
| Max. Negotiated Rate |
$1,652.30 |
| Rate for Payer: Aetna Commercial |
$1,009.03
|
| Rate for Payer: Aetna Medicare |
$783.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,084.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,009.03
|
| Rate for Payer: BCBS Complete |
$1,016.80
|
| Rate for Payer: BCBS MAPPO |
$753.01
|
| Rate for Payer: BCN Medicare Advantage |
$753.01
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cofinity Commercial |
$1,084.33
|
| Rate for Payer: Cofinity Commercial |
$1,009.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$790.66
|
| Rate for Payer: Nomi Health Commercial |
$903.61
|
| Rate for Payer: PACE SWMI |
$753.01
|
| Rate for Payer: PHP Commercial |
$1,054.21
|
| Rate for Payer: PHP Medicare Advantage |
$753.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health Medicare |
$753.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.01
|
| Rate for Payer: UHC Medicare Advantage |
$753.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,169.32
|
|
|
PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR
|
Professional
|
Both
|
$1,786.00
|
|
|
Service Code
|
HCPCS 29856
|
| Min. Negotiated Rate |
$714.40 |
| Max. Negotiated Rate |
$1,380.14 |
| Rate for Payer: Aetna Commercial |
$1,284.30
|
| Rate for Payer: Aetna Medicare |
$996.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,380.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.30
|
| Rate for Payer: BCBS Complete |
$714.40
|
| Rate for Payer: BCBS MAPPO |
$958.43
|
| Rate for Payer: BCN Medicare Advantage |
$958.43
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cofinity Commercial |
$1,380.14
|
| Rate for Payer: Cofinity Commercial |
$1,284.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$958.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,006.35
|
| Rate for Payer: Nomi Health Commercial |
$1,150.12
|
| Rate for Payer: PACE SWMI |
$958.43
|
| Rate for Payer: PHP Commercial |
$1,341.80
|
| Rate for Payer: PHP Medicare Advantage |
$958.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.90
|
| Rate for Payer: Priority Health Medicare |
$958.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$958.43
|
| Rate for Payer: UHC Medicare Advantage |
$958.43
|
| Rate for Payer: UMR Bronson Commercial |
$821.56
|
|
|
PR ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29891
|
| Min. Negotiated Rate |
$648.68 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$869.23
|
| Rate for Payer: Aetna Medicare |
$674.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$934.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.23
|
| Rate for Payer: BCBS Complete |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$648.68
|
| Rate for Payer: BCN Medicare Advantage |
$648.68
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$934.10
|
| Rate for Payer: Cofinity Commercial |
$869.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.11
|
| Rate for Payer: Nomi Health Commercial |
$778.42
|
| Rate for Payer: PACE SWMI |
$648.68
|
| Rate for Payer: PHP Commercial |
$908.15
|
| Rate for Payer: PHP Medicare Advantage |
$648.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$648.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$648.68
|
| Rate for Payer: UHC Medicare Advantage |
$648.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
|
PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29862
|
| Min. Negotiated Rate |
$781.34 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,047.00
|
| Rate for Payer: Aetna Medicare |
$812.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,125.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.00
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$781.34
|
| Rate for Payer: BCN Medicare Advantage |
$781.34
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,125.13
|
| Rate for Payer: Cofinity Commercial |
$1,047.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$820.41
|
| Rate for Payer: Nomi Health Commercial |
$937.61
|
| Rate for Payer: PACE SWMI |
$781.34
|
| Rate for Payer: PHP Commercial |
$1,093.88
|
| Rate for Payer: PHP Medicare Advantage |
$781.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$781.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.34
|
| Rate for Payer: UHC Medicare Advantage |
$781.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.68
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
IP
|
$2,525.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$1,111.00 |
| Max. Negotiated Rate |
$2,272.50 |
| Rate for Payer: Aetna American Axle |
$1,641.25
|
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,641.25
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,767.50
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,767.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,767.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health SBD |
$1,590.75
|
| Rate for Payer: UMR Bronson Commercial |
$1,111.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Min. Negotiated Rate |
$639.33 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$856.70
|
| Rate for Payer: Aetna Medicare |
$664.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$920.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.70
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| Rate for Payer: BCN Medicare Advantage |
$639.33
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$920.64
|
| Rate for Payer: Cofinity Commercial |
$856.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| Rate for Payer: Nomi Health Commercial |
$767.20
|
| Rate for Payer: PACE SWMI |
$639.33
|
| Rate for Payer: PHP Commercial |
$895.06
|
| Rate for Payer: PHP Medicare Advantage |
$639.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$639.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$639.33
|
| Rate for Payer: UHC Medicare Advantage |
$639.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,161.50
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$934.25 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,641.25
|
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,641.25
|
| 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 |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,767.50
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,767.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,767.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| 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 |
$2,146.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| 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 |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,590.75
|
| 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 |
$934.25
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$639.33 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$856.70
|
| Rate for Payer: Aetna Medicare |
$664.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$920.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.70
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| Rate for Payer: BCN Medicare Advantage |
$639.33
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$856.70
|
| Rate for Payer: Cofinity Commercial |
$920.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| Rate for Payer: Nomi Health Commercial |
$767.20
|
| Rate for Payer: PACE SWMI |
$639.33
|
| Rate for Payer: PHP Commercial |
$895.06
|
| Rate for Payer: PHP Medicare Advantage |
$639.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$639.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$639.33
|
| Rate for Payer: UHC Medicare Advantage |
$639.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,161.50
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$599.45 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$803.26
|
| Rate for Payer: Aetna Medicare |
$623.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$863.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.26
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$599.45
|
| Rate for Payer: BCN Medicare Advantage |
$599.45
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$803.26
|
| Rate for Payer: Cofinity Commercial |
$863.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.42
|
| Rate for Payer: Nomi Health Commercial |
$719.34
|
| Rate for Payer: PACE SWMI |
$599.45
|
| Rate for Payer: PHP Commercial |
$839.23
|
| Rate for Payer: PHP Medicare Advantage |
$599.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$599.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.45
|
| Rate for Payer: UHC Medicare Advantage |
$599.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.90
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$838.05 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,472.25
|
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| 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 |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,585.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| 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 |
$1,925.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| 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 |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| 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 |
$838.05
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
IP
|
$2,265.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$996.60 |
| Max. Negotiated Rate |
$2,038.50 |
| Rate for Payer: Aetna American Axle |
$1,472.25
|
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,585.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| Rate for Payer: UMR Bronson Commercial |
$996.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29877
|
| Min. Negotiated Rate |
$599.45 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$803.26
|
| Rate for Payer: Aetna Medicare |
$623.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$863.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.26
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$599.45
|
| Rate for Payer: BCN Medicare Advantage |
$599.45
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$863.21
|
| Rate for Payer: Cofinity Commercial |
$803.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.42
|
| Rate for Payer: Nomi Health Commercial |
$719.34
|
| Rate for Payer: PACE SWMI |
$599.45
|
| Rate for Payer: PHP Commercial |
$839.23
|
| Rate for Payer: PHP Medicare Advantage |
$599.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$599.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.45
|
| Rate for Payer: UHC Medicare Advantage |
$599.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.90
|
|
|
PR ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29886
|
| Min. Negotiated Rate |
$616.75 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$826.45
|
| Rate for Payer: Aetna Medicare |
$641.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$888.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$826.45
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$616.75
|
| Rate for Payer: BCN Medicare Advantage |
$616.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$888.12
|
| Rate for Payer: Cofinity Commercial |
$826.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.59
|
| Rate for Payer: Nomi Health Commercial |
$740.10
|
| Rate for Payer: PACE SWMI |
$616.75
|
| Rate for Payer: PHP Commercial |
$863.45
|
| Rate for Payer: PHP Medicare Advantage |
$616.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$616.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.75
|
| Rate for Payer: UHC Medicare Advantage |
$616.75
|
| Rate for Payer: UMR Bronson Commercial |
$1,101.70
|
|
|
PR ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29885
|
| Min. Negotiated Rate |
$731.43 |
| Max. Negotiated Rate |
$1,652.30 |
| Rate for Payer: Aetna Commercial |
$980.12
|
| Rate for Payer: Aetna Medicare |
$760.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,053.26
|
| Rate for Payer: BCBS Complete |
$1,016.80
|
| Rate for Payer: BCBS MAPPO |
$731.43
|
| Rate for Payer: BCN Medicare Advantage |
$731.43
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cofinity Commercial |
$980.12
|
| Rate for Payer: Cofinity Commercial |
$1,053.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.00
|
| Rate for Payer: Nomi Health Commercial |
$877.72
|
| Rate for Payer: PACE SWMI |
$731.43
|
| Rate for Payer: PHP Commercial |
$1,024.00
|
| Rate for Payer: PHP Medicare Advantage |
$731.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health Medicare |
$731.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.43
|
| Rate for Payer: UHC Medicare Advantage |
$731.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,169.32
|
|
|
PR ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29887
|
| Min. Negotiated Rate |
$728.55 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$976.26
|
| Rate for Payer: Aetna Medicare |
$757.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$976.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.11
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$728.55
|
| Rate for Payer: BCN Medicare Advantage |
$728.55
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$976.26
|
| Rate for Payer: Cofinity Commercial |
$1,049.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.98
|
| Rate for Payer: Nomi Health Commercial |
$874.26
|
| Rate for Payer: PACE SWMI |
$728.55
|
| Rate for Payer: PHP Commercial |
$1,019.97
|
| Rate for Payer: PHP Medicare Advantage |
$728.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$728.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.55
|
| Rate for Payer: UHC Medicare Advantage |
$728.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,161.50
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$542.34 |
| Max. Negotiated Rate |
$1,682.85 |
| Rate for Payer: Aetna Commercial |
$726.74
|
| Rate for Payer: Aetna Medicare |
$564.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$726.74
|
| Rate for Payer: BCBS Complete |
$1,035.60
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| Rate for Payer: BCN Medicare Advantage |
$542.34
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$726.74
|
| Rate for Payer: Cofinity Commercial |
$780.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| Rate for Payer: Nomi Health Commercial |
$650.81
|
| Rate for Payer: PACE SWMI |
$542.34
|
| Rate for Payer: PHP Commercial |
$759.28
|
| Rate for Payer: PHP Medicare Advantage |
$542.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health Medicare |
$542.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.34
|
| Rate for Payer: UHC Medicare Advantage |
$542.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,190.94
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
OP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$957.93 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,682.85
|
| Rate for Payer: Aetna Commercial |
$2,200.65
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,682.85
|
| 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 |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$1,812.30
|
| Rate for Payer: Cofinity Commercial |
$2,226.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,812.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,071.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,330.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,812.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,941.75
|
| 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 |
$2,200.65
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,200.65
|
| 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 |
$1,682.85
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,631.07
|
| 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 |
$957.93
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,941.75
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Min. Negotiated Rate |
$542.34 |
| Max. Negotiated Rate |
$1,682.85 |
| Rate for Payer: Aetna Commercial |
$726.74
|
| Rate for Payer: Aetna Medicare |
$564.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$726.74
|
| Rate for Payer: BCBS Complete |
$1,035.60
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| Rate for Payer: BCN Medicare Advantage |
$542.34
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$780.97
|
| Rate for Payer: Cofinity Commercial |
$726.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| Rate for Payer: Nomi Health Commercial |
$650.81
|
| Rate for Payer: PACE SWMI |
$542.34
|
| Rate for Payer: PHP Commercial |
$759.28
|
| Rate for Payer: PHP Medicare Advantage |
$542.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health Medicare |
$542.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.34
|
| Rate for Payer: UHC Medicare Advantage |
$542.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,190.94
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
IP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$1,139.16 |
| Max. Negotiated Rate |
$2,330.10 |
| Rate for Payer: Aetna American Axle |
$1,682.85
|
| Rate for Payer: Aetna Commercial |
$2,200.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,682.85
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$1,812.30
|
| Rate for Payer: Cofinity Commercial |
$2,226.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,812.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,071.20
|
| Rate for Payer: Healthscope Commercial |
$2,330.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,812.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,941.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,200.65
|
| Rate for Payer: PHP Commercial |
$2,200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health SBD |
$1,631.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,139.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,941.75
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$886.15 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,556.75
|
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| 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 |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,676.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,676.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| 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 |
$2,035.75
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| 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 |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| 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 |
$886.15
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$1,053.80 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna American Axle |
$1,556.75
|
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,676.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,676.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,053.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$522.36 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$699.96
|
| Rate for Payer: Aetna Medicare |
$543.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$752.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$699.96
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$522.36
|
| Rate for Payer: BCN Medicare Advantage |
$522.36
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$699.96
|
| Rate for Payer: Cofinity Commercial |
$752.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$548.48
|
| Rate for Payer: Nomi Health Commercial |
$626.83
|
| Rate for Payer: PACE SWMI |
$522.36
|
| Rate for Payer: PHP Commercial |
$731.30
|
| Rate for Payer: PHP Medicare Advantage |
$522.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$522.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.36
|
| Rate for Payer: UHC Medicare Advantage |
$522.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,101.70
|
|
