|
PR BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION
|
Professional
|
Both
|
$4,613.00
|
|
|
Service Code
|
HCPCS 61140
|
| Min. Negotiated Rate |
$832.83 |
| Max. Negotiated Rate |
$2,998.45 |
| Rate for Payer: Aetna Commercial |
$1,690.46
|
| Rate for Payer: Aetna Medicare |
$1,312.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,690.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,816.62
|
| Rate for Payer: BCBS Complete |
$874.47
|
| Rate for Payer: BCBS MAPPO |
$1,261.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,274.79
|
| Rate for Payer: BCN Commercial |
$2,604.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,261.54
|
| Rate for Payer: Cash Price |
$3,690.40
|
| Rate for Payer: Cash Price |
$3,690.40
|
| Rate for Payer: Cofinity Commercial |
$1,690.46
|
| Rate for Payer: Cofinity Commercial |
$1,816.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,261.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,324.62
|
| Rate for Payer: Meridian Medicaid |
$874.47
|
| Rate for Payer: Nomi Health Commercial |
$1,513.85
|
| Rate for Payer: PACE SWMI |
$1,261.54
|
| Rate for Payer: PHP Commercial |
$1,766.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,261.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$832.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,998.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,213.44
|
| Rate for Payer: Priority Health Medicare |
$1,261.54
|
| Rate for Payer: Priority Health Narrow Network |
$2,213.44
|
| Rate for Payer: Priority Health SBD |
$2,213.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,261.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,261.54
|
| Rate for Payer: UHCCP Medicaid |
$832.83
|
| Rate for Payer: UMR Bronson Commercial |
$2,121.98
|
|
|
PR BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST
|
Professional
|
Both
|
$4,121.00
|
|
|
Service Code
|
HCPCS 61150
|
| Min. Negotiated Rate |
$614.94 |
| Max. Negotiated Rate |
$2,768.67 |
| Rate for Payer: Aetna Commercial |
$1,798.49
|
| Rate for Payer: Aetna Medicare |
$1,395.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,798.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,932.71
|
| Rate for Payer: BCBS Complete |
$927.26
|
| Rate for Payer: BCBS MAPPO |
$1,342.16
|
| Rate for Payer: BCBS Trust/PPO |
$614.94
|
| Rate for Payer: BCN Commercial |
$2,768.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,342.16
|
| Rate for Payer: Cash Price |
$3,296.80
|
| Rate for Payer: Cash Price |
$3,296.80
|
| Rate for Payer: Cofinity Commercial |
$1,798.49
|
| Rate for Payer: Cofinity Commercial |
$1,932.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,342.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,409.27
|
| Rate for Payer: Meridian Medicaid |
$927.26
|
| Rate for Payer: Nomi Health Commercial |
$1,610.59
|
| Rate for Payer: PACE SWMI |
$1,342.16
|
| Rate for Payer: PHP Commercial |
$1,879.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,342.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$883.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,678.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,344.81
|
| Rate for Payer: Priority Health Medicare |
$1,342.16
|
| Rate for Payer: Priority Health Narrow Network |
$2,344.81
|
| Rate for Payer: Priority Health SBD |
$2,344.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,342.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,342.16
|
| Rate for Payer: UHCCP Medicaid |
$883.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,895.66
|
|
|
PR BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL
|
Professional
|
Both
|
$3,685.00
|
|
|
Service Code
|
HCPCS 61156
|
| Min. Negotiated Rate |
$284.75 |
| Max. Negotiated Rate |
$2,525.30 |
| Rate for Payer: Aetna Commercial |
$1,652.78
|
| Rate for Payer: Aetna Medicare |
$1,282.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,652.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,776.12
|
| Rate for Payer: BCBS Complete |
$851.89
|
| Rate for Payer: BCBS MAPPO |
$1,233.42
|
| Rate for Payer: BCBS Trust/PPO |
$284.75
|
| Rate for Payer: BCN Commercial |
$2,525.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,233.42
|
| Rate for Payer: Cash Price |
$2,948.00
|
| Rate for Payer: Cash Price |
$2,948.00
|
| Rate for Payer: Cofinity Commercial |
$1,652.78
|
| Rate for Payer: Cofinity Commercial |
$1,776.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,233.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,295.09
|
| Rate for Payer: Meridian Medicaid |
$851.89
|
| Rate for Payer: Nomi Health Commercial |
$1,480.10
|
| Rate for Payer: PACE SWMI |
$1,233.42
|
| Rate for Payer: PHP Commercial |
$1,726.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,233.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$811.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,395.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,152.58
|
| Rate for Payer: Priority Health Medicare |
$1,233.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,152.58
|
| Rate for Payer: Priority Health SBD |
$2,152.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,233.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,233.42
|
| Rate for Payer: UHCCP Medicaid |
$811.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,695.10
|
|
|
PR BURR HOLE W/EVAC&/DRG HEMATOMA EXTRADURAL/SDRL
|
Professional
|
Both
|
$4,188.00
|
|
|
Service Code
|
HCPCS 61154
|
| Min. Negotiated Rate |
$757.05 |
| Max. Negotiated Rate |
$2,722.20 |
| Rate for Payer: Aetna Commercial |
$1,697.34
|
| Rate for Payer: Aetna Medicare |
$1,317.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,697.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,824.00
|
| Rate for Payer: BCBS Complete |
$879.16
|
| Rate for Payer: BCBS MAPPO |
$1,266.67
|
| Rate for Payer: BCBS Trust/PPO |
$757.05
|
| Rate for Payer: BCN Commercial |
$2,621.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,266.67
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cofinity Commercial |
$1,824.00
|
| Rate for Payer: Cofinity Commercial |
$1,697.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,266.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,330.00
|
| Rate for Payer: Meridian Medicaid |
$879.16
|
| Rate for Payer: Nomi Health Commercial |
$1,520.00
|
| Rate for Payer: PACE SWMI |
$1,266.67
|
| Rate for Payer: PHP Commercial |
$1,773.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,266.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$837.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,722.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,224.24
|
| Rate for Payer: Priority Health Medicare |
$1,266.67
|
| Rate for Payer: Priority Health Narrow Network |
$2,224.24
|
| Rate for Payer: Priority Health SBD |
$2,224.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,266.67
|
| Rate for Payer: UHC Medicare Advantage |
$1,266.67
|
| Rate for Payer: UHCCP Medicaid |
$837.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,926.48
|
|
|
PR BUTORPHANOL TARTRATE 1 MG
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS J0595
|
| Min. Negotiated Rate |
$0.72 |
| Max. Negotiated Rate |
$7.28 |
| Rate for Payer: Aetna Commercial |
$6.77
|
| Rate for Payer: Aetna Medicare |
$5.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.28
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: BCBS MAPPO |
$5.05
|
| Rate for Payer: BCBS Trust/PPO |
$0.72
|
| Rate for Payer: BCN Commercial |
$0.95
|
| Rate for Payer: BCN Medicare Advantage |
$5.05
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cofinity Commercial |
$6.77
|
| Rate for Payer: Cofinity Commercial |
$7.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.31
|
| Rate for Payer: Nomi Health Commercial |
$6.06
|
| Rate for Payer: PACE SWMI |
$5.05
|
| Rate for Payer: PHP Commercial |
$7.07
|
| Rate for Payer: PHP Medicare Advantage |
$5.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.55
|
| Rate for Payer: Priority Health Medicare |
$5.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.05
|
| Rate for Payer: UHC Medicare Advantage |
$5.05
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE
|
Professional
|
Both
|
$340.00
|
|
|
Service Code
|
HCPCS 49180
|
| Min. Negotiated Rate |
$51.97 |
| Max. Negotiated Rate |
$553.66 |
| Rate for Payer: Aetna Commercial |
$104.95
|
| Rate for Payer: Aetna Medicare |
$81.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.78
|
| Rate for Payer: BCBS Complete |
$54.57
|
| Rate for Payer: BCBS MAPPO |
$78.32
|
| Rate for Payer: BCBS Trust/PPO |
$553.66
|
| Rate for Payer: BCN Commercial |
$256.56
|
| Rate for Payer: BCN Medicare Advantage |
$78.32
|
| Rate for Payer: Cash Price |
$272.00
|
| Rate for Payer: Cash Price |
$272.00
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$112.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.24
|
| Rate for Payer: Meridian Medicaid |
$54.57
|
| Rate for Payer: Nomi Health Commercial |
$93.98
|
| Rate for Payer: PACE SWMI |
$78.32
|
| Rate for Payer: PHP Commercial |
$109.65
|
| Rate for Payer: PHP Medicare Advantage |
$78.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$144.38
|
| Rate for Payer: Priority Health Medicare |
$78.32
|
| Rate for Payer: Priority Health Narrow Network |
$144.38
|
| Rate for Payer: Priority Health SBD |
$144.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.32
|
| Rate for Payer: UHC Medicare Advantage |
$78.32
|
| Rate for Payer: UHCCP Medicaid |
$51.97
|
| Rate for Payer: UMR Bronson Commercial |
$156.40
|
|
|
PR BX ANORECTAL WALL ANAL APPROACH
|
Professional
|
Both
|
$769.00
|
|
|
Service Code
|
HCPCS 45100
|
| Min. Negotiated Rate |
$196.81 |
| Max. Negotiated Rate |
$547.67 |
| Rate for Payer: Aetna Commercial |
$388.84
|
| Rate for Payer: Aetna Medicare |
$301.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$388.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.86
|
| Rate for Payer: BCBS Complete |
$206.65
|
| Rate for Payer: BCBS MAPPO |
$290.18
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$443.72
|
| Rate for Payer: BCN Medicare Advantage |
$290.18
|
| Rate for Payer: Cash Price |
$615.20
|
| Rate for Payer: Cash Price |
$615.20
|
| Rate for Payer: Cofinity Commercial |
$388.84
|
| Rate for Payer: Cofinity Commercial |
$417.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$304.69
|
| Rate for Payer: Meridian Medicaid |
$206.65
|
| Rate for Payer: Nomi Health Commercial |
$348.22
|
| Rate for Payer: PACE SWMI |
$290.18
|
| Rate for Payer: PHP Commercial |
$406.25
|
| Rate for Payer: PHP Medicare Advantage |
$290.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$499.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$547.67
|
| Rate for Payer: Priority Health Medicare |
$290.18
|
| Rate for Payer: Priority Health Narrow Network |
$547.67
|
| Rate for Payer: Priority Health SBD |
$547.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$290.18
|
| Rate for Payer: UHC Medicare Advantage |
$290.18
|
| Rate for Payer: UHCCP Medicaid |
$196.81
|
| Rate for Payer: UMR Bronson Commercial |
$353.74
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 19100
|
| Min. Negotiated Rate |
$43.67 |
| Max. Negotiated Rate |
$456.13 |
| Rate for Payer: Aetna Commercial |
$89.14
|
| Rate for Payer: Aetna Medicare |
$69.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.79
|
| Rate for Payer: BCBS Complete |
$45.85
|
| Rate for Payer: BCBS MAPPO |
$66.52
|
| Rate for Payer: BCBS Trust/PPO |
$456.13
|
| Rate for Payer: BCN Commercial |
$221.86
|
| Rate for Payer: BCN Medicare Advantage |
$66.52
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$89.14
|
| Rate for Payer: Cofinity Commercial |
$95.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.85
|
| Rate for Payer: Meridian Medicaid |
$45.85
|
| Rate for Payer: Nomi Health Commercial |
$79.82
|
| Rate for Payer: PACE SWMI |
$66.52
|
| Rate for Payer: PHP Commercial |
$93.13
|
| Rate for Payer: PHP Medicare Advantage |
$66.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$194.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.01
|
| Rate for Payer: Priority Health Medicare |
$66.52
|
| Rate for Payer: Priority Health Narrow Network |
$93.01
|
| Rate for Payer: Priority Health SBD |
$93.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$66.52
|
| Rate for Payer: UHC Medicare Advantage |
$66.52
|
| Rate for Payer: UHCCP Medicaid |
$43.67
|
| Rate for Payer: UMR Bronson Commercial |
$137.54
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 19100
|
| Hospital Charge Code |
19100
|
| Min. Negotiated Rate |
$43.67 |
| Max. Negotiated Rate |
$456.13 |
| Rate for Payer: Aetna Commercial |
$89.14
|
| Rate for Payer: Aetna Medicare |
$69.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.79
|
| Rate for Payer: BCBS Complete |
$45.85
|
| Rate for Payer: BCBS MAPPO |
$66.52
|
| Rate for Payer: BCBS Trust/PPO |
$456.13
|
| Rate for Payer: BCN Commercial |
$221.86
|
| Rate for Payer: BCN Medicare Advantage |
$66.52
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$89.14
|
| Rate for Payer: Cofinity Commercial |
$95.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.85
|
| Rate for Payer: Meridian Medicaid |
$45.85
|
| Rate for Payer: Nomi Health Commercial |
$79.82
|
| Rate for Payer: PACE SWMI |
$66.52
|
| Rate for Payer: PHP Commercial |
$93.13
|
| Rate for Payer: PHP Medicare Advantage |
$66.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$194.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.01
|
| Rate for Payer: Priority Health Medicare |
$66.52
|
| Rate for Payer: Priority Health Narrow Network |
$93.01
|
| Rate for Payer: Priority Health SBD |
$93.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$66.52
|
| Rate for Payer: UHC Medicare Advantage |
$66.52
|
| Rate for Payer: UHCCP Medicaid |
$43.67
|
| Rate for Payer: UMR Bronson Commercial |
$137.54
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Facility
|
OP
|
$299.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
19100
|
| Min. Negotiated Rate |
$67.81 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna American Axle |
$194.35
|
| Rate for Payer: Aetna Commercial |
$254.15
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$683.29
|
| Rate for Payer: BCCCP Commercial |
$140.71
|
| Rate for Payer: BCN Commercial |
$683.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$257.14
|
| Rate for Payer: Cofinity Commercial |
$209.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$209.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$239.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$269.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$209.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$224.25
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$254.15
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$254.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$194.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$188.37
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.59
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$67.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$110.63
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$224.25
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Facility
|
IP
|
$299.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
19100
|
| Min. Negotiated Rate |
$131.56 |
| Max. Negotiated Rate |
$269.10 |
| Rate for Payer: Aetna American Axle |
$194.35
|
| Rate for Payer: Aetna Commercial |
$254.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.35
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$209.30
|
| Rate for Payer: Cofinity Commercial |
$257.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$209.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$239.20
|
| Rate for Payer: Healthscope Commercial |
$269.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$209.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$224.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$254.15
|
| Rate for Payer: PHP Commercial |
$254.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$194.35
|
| Rate for Payer: Priority Health SBD |
$188.37
|
| Rate for Payer: UMR Bronson Commercial |
$131.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$224.25
|
|
|
PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID
|
Professional
|
Both
|
$773.00
|
|
|
Service Code
|
HCPCS 19081
|
| Min. Negotiated Rate |
$102.67 |
| Max. Negotiated Rate |
$1,836.42 |
| Rate for Payer: Aetna Commercial |
$206.76
|
| Rate for Payer: Aetna Medicare |
$160.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.19
|
| Rate for Payer: BCBS Complete |
$107.80
|
| Rate for Payer: BCBS MAPPO |
$154.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,836.42
|
| Rate for Payer: BCN Commercial |
$741.81
|
| Rate for Payer: BCN Medicare Advantage |
$154.30
|
| Rate for Payer: Cash Price |
$618.40
|
| Rate for Payer: Cash Price |
$618.40
|
| Rate for Payer: Cofinity Commercial |
$206.76
|
| Rate for Payer: Cofinity Commercial |
$222.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$162.02
|
| Rate for Payer: Meridian Medicaid |
$107.80
|
| Rate for Payer: Nomi Health Commercial |
$185.16
|
| Rate for Payer: PACE SWMI |
$154.30
|
| Rate for Payer: PHP Commercial |
$216.02
|
| Rate for Payer: PHP Medicare Advantage |
$154.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$502.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$216.28
|
| Rate for Payer: Priority Health Medicare |
$154.30
|
| Rate for Payer: Priority Health Narrow Network |
$216.28
|
| Rate for Payer: Priority Health SBD |
$216.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.30
|
| Rate for Payer: UHC Medicare Advantage |
$154.30
|
| Rate for Payer: UHCCP Medicaid |
$102.67
|
| Rate for Payer: UMR Bronson Commercial |
$355.58
|
|
|
PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 19083
|
| Min. Negotiated Rate |
$96.49 |
| Max. Negotiated Rate |
$741.81 |
| Rate for Payer: Aetna Commercial |
$194.25
|
| Rate for Payer: Aetna Medicare |
$150.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.74
|
| Rate for Payer: BCBS Complete |
$101.31
|
| Rate for Payer: BCBS MAPPO |
$144.96
|
| Rate for Payer: BCBS Trust/PPO |
$456.13
|
| Rate for Payer: BCN Commercial |
$741.81
|
| Rate for Payer: BCN Medicare Advantage |
$144.96
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cofinity Commercial |
$194.25
|
| Rate for Payer: Cofinity Commercial |
$208.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.21
|
| Rate for Payer: Meridian Medicaid |
$101.31
|
| Rate for Payer: Nomi Health Commercial |
$173.95
|
| Rate for Payer: PACE SWMI |
$144.96
|
| Rate for Payer: PHP Commercial |
$202.94
|
| Rate for Payer: PHP Medicare Advantage |
$144.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$204.53
|
| Rate for Payer: Priority Health Medicare |
$144.96
|
| Rate for Payer: Priority Health Narrow Network |
$204.53
|
| Rate for Payer: Priority Health SBD |
$204.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.96
|
| Rate for Payer: UHC Medicare Advantage |
$144.96
|
| Rate for Payer: UHCCP Medicaid |
$96.49
|
| Rate for Payer: UMR Bronson Commercial |
$202.86
|
|
|
PR BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 19084
|
| Min. Negotiated Rate |
$48.56 |
| Max. Negotiated Rate |
$566.87 |
| Rate for Payer: Aetna Commercial |
$97.82
|
| Rate for Payer: Aetna Medicare |
$75.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.82
|
| Rate for Payer: BCBS Complete |
$50.99
|
| Rate for Payer: BCBS MAPPO |
$73.00
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$566.87
|
| Rate for Payer: BCN Medicare Advantage |
$73.00
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cofinity Commercial |
$105.12
|
| Rate for Payer: Cofinity Commercial |
$97.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.65
|
| Rate for Payer: Meridian Medicaid |
$50.99
|
| Rate for Payer: Nomi Health Commercial |
$87.60
|
| Rate for Payer: PACE SWMI |
$73.00
|
| Rate for Payer: PHP Commercial |
$102.20
|
| Rate for Payer: PHP Medicare Advantage |
$73.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102.04
|
| Rate for Payer: Priority Health Medicare |
$73.00
|
| Rate for Payer: Priority Health Narrow Network |
$102.04
|
| Rate for Payer: Priority Health SBD |
$102.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.00
|
| Rate for Payer: UHC Medicare Advantage |
$73.00
|
| Rate for Payer: UHCCP Medicaid |
$48.56
|
| Rate for Payer: UMR Bronson Commercial |
$364.78
|
|
|
PR BX/EXC LYMPH NODE NEEDLE SUPERFICIAL
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 38505
|
| Min. Negotiated Rate |
$54.32 |
| Max. Negotiated Rate |
$656.16 |
| Rate for Payer: Aetna Commercial |
$108.65
|
| Rate for Payer: Aetna Medicare |
$84.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.76
|
| Rate for Payer: BCBS Complete |
$57.04
|
| Rate for Payer: BCBS MAPPO |
$81.08
|
| Rate for Payer: BCBS Trust/PPO |
$656.16
|
| Rate for Payer: BCN Commercial |
$259.00
|
| Rate for Payer: BCN Medicare Advantage |
$81.08
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$108.65
|
| Rate for Payer: Cofinity Commercial |
$116.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.13
|
| Rate for Payer: Meridian Medicaid |
$57.04
|
| Rate for Payer: Nomi Health Commercial |
$97.30
|
| Rate for Payer: PACE SWMI |
$81.08
|
| Rate for Payer: PHP Commercial |
$113.51
|
| Rate for Payer: PHP Medicare Advantage |
$81.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$168.44
|
| Rate for Payer: Priority Health Medicare |
$81.08
|
| Rate for Payer: Priority Health Narrow Network |
$168.44
|
| Rate for Payer: Priority Health SBD |
$168.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.08
|
| Rate for Payer: UHC Medicare Advantage |
$81.08
|
| Rate for Payer: UHCCP Medicaid |
$54.32
|
| Rate for Payer: UMR Bronson Commercial |
$104.88
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Professional
|
Both
|
$1,577.00
|
|
|
Service Code
|
HCPCS 38525
|
| Min. Negotiated Rate |
$286.06 |
| Max. Negotiated Rate |
$1,025.05 |
| Rate for Payer: Aetna Commercial |
$573.17
|
| Rate for Payer: Aetna Medicare |
$444.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$573.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.95
|
| Rate for Payer: BCBS Complete |
$300.36
|
| Rate for Payer: BCBS MAPPO |
$427.74
|
| Rate for Payer: BCBS Trust/PPO |
$486.04
|
| Rate for Payer: BCN Commercial |
$646.03
|
| Rate for Payer: BCN Medicare Advantage |
$427.74
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$573.17
|
| Rate for Payer: Cofinity Commercial |
$615.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.13
|
| Rate for Payer: Meridian Medicaid |
$300.36
|
| Rate for Payer: Nomi Health Commercial |
$513.29
|
| Rate for Payer: PACE SWMI |
$427.74
|
| Rate for Payer: PHP Commercial |
$598.84
|
| Rate for Payer: PHP Medicare Advantage |
$427.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$888.12
|
| Rate for Payer: Priority Health Medicare |
$427.74
|
| Rate for Payer: Priority Health Narrow Network |
$888.12
|
| Rate for Payer: Priority Health SBD |
$888.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$427.74
|
| Rate for Payer: UHC Medicare Advantage |
$427.74
|
| Rate for Payer: UHCCP Medicaid |
$286.06
|
| Rate for Payer: UMR Bronson Commercial |
$725.42
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Facility
|
IP
|
$1,577.00
|
|
|
Service Code
|
CPT 38525
|
| Hospital Charge Code |
38525
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$693.88 |
| Max. Negotiated Rate |
$1,419.30 |
| Rate for Payer: Aetna American Axle |
$1,025.05
|
| Rate for Payer: Aetna Commercial |
$1,340.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.05
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$1,103.90
|
| Rate for Payer: Cofinity Commercial |
$1,356.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,103.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,261.60
|
| Rate for Payer: Healthscope Commercial |
$1,419.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,103.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,182.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,340.45
|
| Rate for Payer: PHP Commercial |
$1,340.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health SBD |
$993.51
|
| Rate for Payer: UMR Bronson Commercial |
$693.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,182.75
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Facility
|
OP
|
$1,577.00
|
|
|
Service Code
|
CPT 38525
|
| Hospital Charge Code |
38525
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$430.48 |
| Max. Negotiated Rate |
$11,792.02 |
| Rate for Payer: Aetna American Axle |
$1,025.05
|
| Rate for Payer: Aetna Commercial |
$1,340.45
|
| Rate for Payer: Aetna Medicare |
$3,901.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,689.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,689.81
|
| Rate for Payer: BCBS Complete |
$2,111.54
|
| Rate for Payer: BCBS MAPPO |
$3,751.85
|
| Rate for Payer: BCBS Trust/PPO |
$3,262.22
|
| Rate for Payer: BCN Commercial |
$3,262.22
|
| Rate for Payer: BCN Medicare Advantage |
$3,751.85
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$1,356.22
|
| Rate for Payer: Cofinity Commercial |
$1,103.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,103.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,261.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,751.85
|
| Rate for Payer: Healthscope Commercial |
$1,419.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,103.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,182.75
|
| Rate for Payer: Mclaren Medicaid |
$2,010.99
|
| Rate for Payer: Mclaren Medicare |
$3,751.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,939.44
|
| Rate for Payer: Meridian Medicaid |
$2,111.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,314.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,340.45
|
| Rate for Payer: Nomi Health Commercial |
$7,878.88
|
| Rate for Payer: PACE Medicare |
$3,564.26
|
| Rate for Payer: PACE SWMI |
$3,751.85
|
| Rate for Payer: PHP Commercial |
$1,340.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,751.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,010.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,792.02
|
| Rate for Payer: Priority Health Medicare |
$3,751.85
|
| Rate for Payer: Priority Health Narrow Network |
$9,433.62
|
| Rate for Payer: Priority Health SBD |
$993.51
|
| Rate for Payer: Railroad Medicare Medicare |
$3,751.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$473.53
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,751.85
|
| Rate for Payer: UHC Exchange |
$430.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,751.85
|
| Rate for Payer: UHCCP Medicaid |
$2,010.99
|
| Rate for Payer: UMR Bronson Commercial |
$583.49
|
| Rate for Payer: VA VA |
$3,751.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,182.75
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Professional
|
Both
|
$1,577.00
|
|
|
Service Code
|
HCPCS 38525
|
| Hospital Charge Code |
38525
|
| Min. Negotiated Rate |
$286.06 |
| Max. Negotiated Rate |
$1,025.05 |
| Rate for Payer: Aetna Medicare |
$444.85
|
| Rate for Payer: Aetna Commercial |
$573.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$573.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.95
|
| Rate for Payer: BCBS Complete |
$300.36
|
| Rate for Payer: BCBS MAPPO |
$427.74
|
| Rate for Payer: BCBS Trust/PPO |
$486.04
|
| Rate for Payer: BCN Commercial |
$646.03
|
| Rate for Payer: BCN Medicare Advantage |
$427.74
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$573.17
|
| Rate for Payer: Cofinity Commercial |
$615.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.13
|
| Rate for Payer: Meridian Medicaid |
$300.36
|
| Rate for Payer: Nomi Health Commercial |
$513.29
|
| Rate for Payer: PACE SWMI |
$427.74
|
| Rate for Payer: PHP Commercial |
$598.84
|
| Rate for Payer: PHP Medicare Advantage |
$427.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$888.12
|
| Rate for Payer: Priority Health Medicare |
$427.74
|
| Rate for Payer: Priority Health Narrow Network |
$888.12
|
| Rate for Payer: Priority Health SBD |
$888.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$427.74
|
| Rate for Payer: UHC Medicare Advantage |
$427.74
|
| Rate for Payer: UHCCP Medicaid |
$286.06
|
| Rate for Payer: UMR Bronson Commercial |
$725.42
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Facility
|
OP
|
$1,577.00
|
|
|
Service Code
|
CPT 38510
|
| Hospital Charge Code |
38510
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$405.97 |
| Max. Negotiated Rate |
$11,792.02 |
| Rate for Payer: Aetna American Axle |
$1,025.05
|
| Rate for Payer: Aetna Commercial |
$1,340.45
|
| Rate for Payer: Aetna Medicare |
$3,901.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,689.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,689.81
|
| Rate for Payer: BCBS Complete |
$2,111.54
|
| Rate for Payer: BCBS MAPPO |
$3,751.85
|
| Rate for Payer: BCBS Trust/PPO |
$4,061.26
|
| Rate for Payer: BCN Commercial |
$4,061.26
|
| Rate for Payer: BCN Medicare Advantage |
$3,751.85
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$1,103.90
|
| Rate for Payer: Cofinity Commercial |
$1,356.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,103.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,261.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,751.85
|
| Rate for Payer: Healthscope Commercial |
$1,419.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,103.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,182.75
|
| Rate for Payer: Mclaren Medicaid |
$2,010.99
|
| Rate for Payer: Mclaren Medicare |
$3,751.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,939.44
|
| Rate for Payer: Meridian Medicaid |
$2,111.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,314.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,340.45
|
| Rate for Payer: Nomi Health Commercial |
$7,878.88
|
| Rate for Payer: PACE Medicare |
$3,564.26
|
| Rate for Payer: PACE SWMI |
$3,751.85
|
| Rate for Payer: PHP Commercial |
$1,340.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,751.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,010.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,792.02
|
| Rate for Payer: Priority Health Medicare |
$3,751.85
|
| Rate for Payer: Priority Health Narrow Network |
$9,433.62
|
| Rate for Payer: Priority Health SBD |
$993.51
|
| Rate for Payer: Railroad Medicare Medicare |
$3,751.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$446.57
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,751.85
|
| Rate for Payer: UHC Exchange |
$405.97
|
| Rate for Payer: UHC Medicare Advantage |
$3,751.85
|
| Rate for Payer: UHCCP Medicaid |
$2,010.99
|
| Rate for Payer: UMR Bronson Commercial |
$583.49
|
| Rate for Payer: VA VA |
$3,751.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,182.75
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Facility
|
IP
|
$1,577.00
|
|
|
Service Code
|
CPT 38510
|
| Hospital Charge Code |
38510
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$693.88 |
| Max. Negotiated Rate |
$1,419.30 |
| Rate for Payer: Aetna American Axle |
$1,025.05
|
| Rate for Payer: Aetna Commercial |
$1,340.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.05
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$1,103.90
|
| Rate for Payer: Cofinity Commercial |
$1,356.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,103.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,261.60
|
| Rate for Payer: Healthscope Commercial |
$1,419.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,103.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,182.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,340.45
|
| Rate for Payer: PHP Commercial |
$1,340.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health SBD |
$993.51
|
| Rate for Payer: UMR Bronson Commercial |
$693.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,182.75
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Professional
|
Both
|
$1,577.00
|
|
|
Service Code
|
HCPCS 38510
|
| Hospital Charge Code |
38510
|
| Min. Negotiated Rate |
$269.45 |
| Max. Negotiated Rate |
$1,025.05 |
| Rate for Payer: Aetna Commercial |
$540.05
|
| Rate for Payer: Aetna Medicare |
$419.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$540.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.35
|
| Rate for Payer: BCBS Complete |
$282.92
|
| Rate for Payer: BCBS MAPPO |
$403.02
|
| Rate for Payer: BCBS Trust/PPO |
$559.47
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$403.02
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$580.35
|
| Rate for Payer: Cofinity Commercial |
$540.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$403.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$423.17
|
| Rate for Payer: Meridian Medicaid |
$282.92
|
| Rate for Payer: Nomi Health Commercial |
$483.62
|
| Rate for Payer: PACE SWMI |
$403.02
|
| Rate for Payer: PHP Commercial |
$564.23
|
| Rate for Payer: PHP Medicare Advantage |
$403.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$837.52
|
| Rate for Payer: Priority Health Medicare |
$403.02
|
| Rate for Payer: Priority Health Narrow Network |
$837.52
|
| Rate for Payer: Priority Health SBD |
$837.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$403.02
|
| Rate for Payer: UHC Medicare Advantage |
$403.02
|
| Rate for Payer: UHCCP Medicaid |
$269.45
|
| Rate for Payer: UMR Bronson Commercial |
$725.42
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Professional
|
Both
|
$1,577.00
|
|
|
Service Code
|
HCPCS 38510
|
| Min. Negotiated Rate |
$269.45 |
| Max. Negotiated Rate |
$1,025.05 |
| Rate for Payer: Aetna Commercial |
$540.05
|
| Rate for Payer: Aetna Medicare |
$419.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$540.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.35
|
| Rate for Payer: BCBS Complete |
$282.92
|
| Rate for Payer: BCBS MAPPO |
$403.02
|
| Rate for Payer: BCBS Trust/PPO |
$559.47
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$403.02
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$540.05
|
| Rate for Payer: Cofinity Commercial |
$580.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$403.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$423.17
|
| Rate for Payer: Meridian Medicaid |
$282.92
|
| Rate for Payer: Nomi Health Commercial |
$483.62
|
| Rate for Payer: PACE SWMI |
$403.02
|
| Rate for Payer: PHP Commercial |
$564.23
|
| Rate for Payer: PHP Medicare Advantage |
$403.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$837.52
|
| Rate for Payer: Priority Health Medicare |
$403.02
|
| Rate for Payer: Priority Health Narrow Network |
$837.52
|
| Rate for Payer: Priority Health SBD |
$837.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$403.02
|
| Rate for Payer: UHC Medicare Advantage |
$403.02
|
| Rate for Payer: UHCCP Medicaid |
$269.45
|
| Rate for Payer: UMR Bronson Commercial |
$725.42
|
|
|
PR BX/EXC LYMPH NODE OPEN INT MAMMARY NODE
|
Professional
|
Both
|
$1,701.00
|
|
|
Service Code
|
HCPCS 38530
|
| Min. Negotiated Rate |
$368.70 |
| Max. Negotiated Rate |
$1,136.44 |
| Rate for Payer: Aetna Commercial |
$735.45
|
| Rate for Payer: Aetna Medicare |
$570.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$735.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$790.33
|
| Rate for Payer: BCBS Complete |
$387.14
|
| Rate for Payer: BCBS MAPPO |
$548.84
|
| Rate for Payer: BCBS Trust/PPO |
$427.39
|
| Rate for Payer: BCN Commercial |
$825.38
|
| Rate for Payer: BCN Medicare Advantage |
$548.84
|
| Rate for Payer: Cash Price |
$1,360.80
|
| Rate for Payer: Cash Price |
$1,360.80
|
| Rate for Payer: Cofinity Commercial |
$735.45
|
| Rate for Payer: Cofinity Commercial |
$790.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$576.28
|
| Rate for Payer: Meridian Medicaid |
$387.14
|
| Rate for Payer: Nomi Health Commercial |
$658.61
|
| Rate for Payer: PACE SWMI |
$548.84
|
| Rate for Payer: PHP Commercial |
$768.38
|
| Rate for Payer: PHP Medicare Advantage |
$548.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,105.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,136.44
|
| Rate for Payer: Priority Health Medicare |
$548.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,136.44
|
| Rate for Payer: Priority Health SBD |
$1,136.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.84
|
| Rate for Payer: UHC Medicare Advantage |
$548.84
|
| Rate for Payer: UHCCP Medicaid |
$368.70
|
| Rate for Payer: UMR Bronson Commercial |
$782.46
|
|
|
PR BX/EXC LYMPH NODE OPEN SUPERFICIAL
|
Facility
|
OP
|
$947.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
38500
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$248.46 |
| Max. Negotiated Rate |
$11,792.02 |
| Rate for Payer: Aetna American Axle |
$615.55
|
| Rate for Payer: Aetna Commercial |
$804.95
|
| Rate for Payer: Aetna Medicare |
$3,901.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,689.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,689.81
|
| Rate for Payer: BCBS Complete |
$2,111.54
|
| Rate for Payer: BCBS MAPPO |
$3,751.85
|
| Rate for Payer: BCBS Trust/PPO |
$3,234.59
|
| Rate for Payer: BCN Commercial |
$3,234.59
|
| Rate for Payer: BCN Medicare Advantage |
$3,751.85
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cofinity Commercial |
$662.90
|
| Rate for Payer: Cofinity Commercial |
$814.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$662.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$757.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,751.85
|
| Rate for Payer: Healthscope Commercial |
$852.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$662.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$710.25
|
| Rate for Payer: Mclaren Medicaid |
$2,010.99
|
| Rate for Payer: Mclaren Medicare |
$3,751.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,939.44
|
| Rate for Payer: Meridian Medicaid |
$2,111.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,314.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$804.95
|
| Rate for Payer: Nomi Health Commercial |
$7,878.88
|
| Rate for Payer: PACE Medicare |
$3,564.26
|
| Rate for Payer: PACE SWMI |
$3,751.85
|
| Rate for Payer: PHP Commercial |
$804.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,751.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,010.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$615.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,792.02
|
| Rate for Payer: Priority Health Medicare |
$3,751.85
|
| Rate for Payer: Priority Health Narrow Network |
$9,433.62
|
| Rate for Payer: Priority Health SBD |
$596.61
|
| Rate for Payer: Railroad Medicare Medicare |
$3,751.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.31
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,751.85
|
| Rate for Payer: UHC Exchange |
$248.46
|
| Rate for Payer: UHC Medicare Advantage |
$3,751.85
|
| Rate for Payer: UHCCP Medicaid |
$2,010.99
|
| Rate for Payer: UMR Bronson Commercial |
$350.39
|
| Rate for Payer: VA VA |
$3,751.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$710.25
|
|
