|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,206.00
|
|
|
Service Code
|
HCPCS 28041
|
| Min. Negotiated Rate |
$431.18 |
| Max. Negotiated Rate |
$783.90 |
| Rate for Payer: Aetna Commercial |
$577.78
|
| Rate for Payer: Aetna Medicare |
$448.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.78
|
| Rate for Payer: BCBS Complete |
$482.40
|
| Rate for Payer: BCBS MAPPO |
$431.18
|
| Rate for Payer: BCN Medicare Advantage |
$431.18
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$620.90
|
| Rate for Payer: Cofinity Commercial |
$577.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.74
|
| Rate for Payer: Nomi Health Commercial |
$517.42
|
| Rate for Payer: PACE SWMI |
$431.18
|
| Rate for Payer: PHP Commercial |
$603.65
|
| Rate for Payer: PHP Medicare Advantage |
$431.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health Medicare |
$431.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.18
|
| Rate for Payer: UHC Medicare Advantage |
$431.18
|
| Rate for Payer: UMR Bronson Commercial |
$554.76
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
OP
|
$1,206.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$446.22 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$783.90
|
| Rate for Payer: Aetna Commercial |
$1,025.10
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$1,037.16
|
| Rate for Payer: Cofinity Commercial |
$844.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$844.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,085.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$844.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.50
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.10
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$1,025.10
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$759.78
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$446.22
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
IP
|
$1,206.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$530.64 |
| Max. Negotiated Rate |
$1,085.40 |
| Rate for Payer: Aetna American Axle |
$783.90
|
| Rate for Payer: Aetna Commercial |
$1,025.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.90
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$1,037.16
|
| Rate for Payer: Cofinity Commercial |
$844.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$844.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.80
|
| Rate for Payer: Healthscope Commercial |
$1,085.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$844.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.10
|
| Rate for Payer: PHP Commercial |
$1,025.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health SBD |
$759.78
|
| Rate for Payer: UMR Bronson Commercial |
$530.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 28045
|
| Min. Negotiated Rate |
$334.01 |
| Max. Negotiated Rate |
$572.65 |
| Rate for Payer: Aetna Commercial |
$447.57
|
| Rate for Payer: Aetna Medicare |
$347.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.57
|
| Rate for Payer: BCBS Complete |
$352.40
|
| Rate for Payer: BCBS MAPPO |
$334.01
|
| Rate for Payer: BCN Medicare Advantage |
$334.01
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cofinity Commercial |
$480.97
|
| Rate for Payer: Cofinity Commercial |
$447.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.71
|
| Rate for Payer: Nomi Health Commercial |
$400.81
|
| Rate for Payer: PACE SWMI |
$334.01
|
| Rate for Payer: PHP Commercial |
$467.61
|
| Rate for Payer: PHP Medicare Advantage |
$334.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.65
|
| Rate for Payer: Priority Health Medicare |
$334.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.01
|
| Rate for Payer: UHC Medicare Advantage |
$334.01
|
| Rate for Payer: UMR Bronson Commercial |
$405.26
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Min. Negotiated Rate |
$305.49 |
| Max. Negotiated Rate |
$763.75 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.36
|
| Rate for Payer: BCBS Complete |
$470.00
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Commercial |
$427.69
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health Medicare |
$305.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
| Rate for Payer: UMR Bronson Commercial |
$540.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
OP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$434.75 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$763.75
|
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$822.50
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$822.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$822.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$740.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$434.75
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
IP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$517.00 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna American Axle |
$763.75
|
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.75
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Cofinity Commercial |
$822.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$822.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$822.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health SBD |
$740.25
|
| Rate for Payer: UMR Bronson Commercial |
$517.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Hospital Charge Code |
25075
|
| Min. Negotiated Rate |
$305.49 |
| Max. Negotiated Rate |
$763.75 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.36
|
| Rate for Payer: BCBS Complete |
$470.00
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Commercial |
$427.69
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health Medicare |
$305.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
| Rate for Payer: UMR Bronson Commercial |
$540.50
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 27634
|
| Min. Negotiated Rate |
$647.12 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$867.14
|
| Rate for Payer: Aetna Medicare |
$673.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$931.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.14
|
| Rate for Payer: BCBS Complete |
$954.00
|
| Rate for Payer: BCBS MAPPO |
$647.12
|
| Rate for Payer: BCN Medicare Advantage |
$647.12
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cofinity Commercial |
$931.85
|
| Rate for Payer: Cofinity Commercial |
$867.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.48
|
| Rate for Payer: Nomi Health Commercial |
$776.54
|
| Rate for Payer: PACE SWMI |
$647.12
|
| Rate for Payer: PHP Commercial |
$905.97
|
| Rate for Payer: PHP Medicare Advantage |
$647.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health Medicare |
$647.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.12
|
| Rate for Payer: UHC Medicare Advantage |
$647.12
|
| Rate for Payer: UMR Bronson Commercial |
$1,097.10
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 27619
|
| Min. Negotiated Rate |
$449.64 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$602.52
|
| Rate for Payer: Aetna Medicare |
$467.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$602.52
|
| Rate for Payer: BCBS Complete |
$498.80
|
| Rate for Payer: BCBS MAPPO |
$449.64
|
| Rate for Payer: BCN Medicare Advantage |
$449.64
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$647.48
|
| Rate for Payer: Cofinity Commercial |
$602.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$472.12
|
| Rate for Payer: Nomi Health Commercial |
$539.57
|
| Rate for Payer: PACE SWMI |
$449.64
|
| Rate for Payer: PHP Commercial |
$629.50
|
| Rate for Payer: PHP Medicare Advantage |
$449.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health Medicare |
$449.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$449.64
|
| Rate for Payer: UHC Medicare Advantage |
$449.64
|
| Rate for Payer: UMR Bronson Commercial |
$573.62
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
IP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$476.96 |
| Max. Negotiated Rate |
$975.60 |
| Rate for Payer: Aetna American Axle |
$704.60
|
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$704.60
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$758.80
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$758.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$758.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health SBD |
$682.92
|
| Rate for Payer: UMR Bronson Commercial |
$476.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
OP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$401.08 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$704.60
|
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$704.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$758.80
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$758.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$758.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$682.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$401.08
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$294.33 |
| Max. Negotiated Rate |
$704.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$394.40
|
| Rate for Payer: BCBS Complete |
$433.60
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Commercial |
$412.06
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health Medicare |
$294.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
| Rate for Payer: UMR Bronson Commercial |
$498.64
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Min. Negotiated Rate |
$294.33 |
| Max. Negotiated Rate |
$704.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$394.40
|
| Rate for Payer: BCBS Complete |
$433.60
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Commercial |
$412.06
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health Medicare |
$294.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
| Rate for Payer: UMR Bronson Commercial |
$498.64
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$806.00
|
|
|
Service Code
|
HCPCS 21555
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$523.90 |
| Rate for Payer: Aetna Commercial |
$396.44
|
| Rate for Payer: Aetna Medicare |
$307.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.44
|
| Rate for Payer: BCBS Complete |
$322.40
|
| Rate for Payer: BCBS MAPPO |
$295.85
|
| Rate for Payer: BCN Medicare Advantage |
$295.85
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$426.02
|
| Rate for Payer: Cofinity Commercial |
$396.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.64
|
| Rate for Payer: Nomi Health Commercial |
$355.02
|
| Rate for Payer: PACE SWMI |
$295.85
|
| Rate for Payer: PHP Commercial |
$414.19
|
| Rate for Payer: PHP Medicare Advantage |
$295.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health Medicare |
$295.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.85
|
| Rate for Payer: UHC Medicare Advantage |
$295.85
|
| Rate for Payer: UMR Bronson Commercial |
$370.76
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Facility
|
OP
|
$806.00
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
21555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$298.22 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$523.90
|
| Rate for Payer: Aetna Commercial |
$685.10
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$564.20
|
| Rate for Payer: Cofinity Commercial |
$693.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$564.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$644.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$725.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$564.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$604.50
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$685.10
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$685.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$507.78
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$298.22
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$604.50
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$806.00
|
|
|
Service Code
|
HCPCS 21555
|
| Hospital Charge Code |
21555
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$523.90 |
| Rate for Payer: Aetna Commercial |
$396.44
|
| Rate for Payer: Aetna Medicare |
$307.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.44
|
| Rate for Payer: BCBS Complete |
$322.40
|
| Rate for Payer: BCBS MAPPO |
$295.85
|
| Rate for Payer: BCN Medicare Advantage |
$295.85
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$396.44
|
| Rate for Payer: Cofinity Commercial |
$426.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.64
|
| Rate for Payer: Nomi Health Commercial |
$355.02
|
| Rate for Payer: PACE SWMI |
$295.85
|
| Rate for Payer: PHP Commercial |
$414.19
|
| Rate for Payer: PHP Medicare Advantage |
$295.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health Medicare |
$295.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.85
|
| Rate for Payer: UHC Medicare Advantage |
$295.85
|
| Rate for Payer: UMR Bronson Commercial |
$370.76
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Facility
|
IP
|
$806.00
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
21555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$354.64 |
| Max. Negotiated Rate |
$725.40 |
| Rate for Payer: Aetna American Axle |
$523.90
|
| Rate for Payer: Aetna Commercial |
$685.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.90
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$564.20
|
| Rate for Payer: Cofinity Commercial |
$693.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$564.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$644.80
|
| Rate for Payer: Healthscope Commercial |
$725.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$564.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$604.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$685.10
|
| Rate for Payer: PHP Commercial |
$685.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health SBD |
$507.78
|
| Rate for Payer: UMR Bronson Commercial |
$354.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$604.50
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,144.00
|
|
|
Service Code
|
HCPCS 21554
|
| Hospital Charge Code |
21554
|
| Min. Negotiated Rate |
$707.57 |
| Max. Negotiated Rate |
$1,393.60 |
| Rate for Payer: Aetna Commercial |
$948.14
|
| Rate for Payer: Aetna Medicare |
$735.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$948.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,018.90
|
| Rate for Payer: BCBS Complete |
$857.60
|
| Rate for Payer: BCBS MAPPO |
$707.57
|
| Rate for Payer: BCN Medicare Advantage |
$707.57
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$948.14
|
| Rate for Payer: Cofinity Commercial |
$1,018.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$742.95
|
| Rate for Payer: Nomi Health Commercial |
$849.08
|
| Rate for Payer: PACE SWMI |
$707.57
|
| Rate for Payer: PHP Commercial |
$990.60
|
| Rate for Payer: PHP Medicare Advantage |
$707.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health Medicare |
$707.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.57
|
| Rate for Payer: UHC Medicare Advantage |
$707.57
|
| Rate for Payer: UMR Bronson Commercial |
$986.24
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
OP
|
$2,144.00
|
|
|
Service Code
|
CPT 21554
|
| Hospital Charge Code |
21554
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$793.28 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$1,393.60
|
| Rate for Payer: Aetna Commercial |
$1,822.40
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$1,843.84
|
| Rate for Payer: Cofinity Commercial |
$1,500.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,500.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,715.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,929.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,500.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,608.00
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,822.40
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$1,822.40
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$1,350.72
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$793.28
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,608.00
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,144.00
|
|
|
Service Code
|
HCPCS 21554
|
| Min. Negotiated Rate |
$707.57 |
| Max. Negotiated Rate |
$1,393.60 |
| Rate for Payer: Aetna Commercial |
$948.14
|
| Rate for Payer: Aetna Medicare |
$735.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$948.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,018.90
|
| Rate for Payer: BCBS Complete |
$857.60
|
| Rate for Payer: BCBS MAPPO |
$707.57
|
| Rate for Payer: BCN Medicare Advantage |
$707.57
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$948.14
|
| Rate for Payer: Cofinity Commercial |
$1,018.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$742.95
|
| Rate for Payer: Nomi Health Commercial |
$849.08
|
| Rate for Payer: PACE SWMI |
$707.57
|
| Rate for Payer: PHP Commercial |
$990.60
|
| Rate for Payer: PHP Medicare Advantage |
$707.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health Medicare |
$707.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.57
|
| Rate for Payer: UHC Medicare Advantage |
$707.57
|
| Rate for Payer: UMR Bronson Commercial |
$986.24
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
IP
|
$2,144.00
|
|
|
Service Code
|
CPT 21554
|
| Hospital Charge Code |
21554
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$943.36 |
| Max. Negotiated Rate |
$1,929.60 |
| Rate for Payer: Aetna American Axle |
$1,393.60
|
| Rate for Payer: Aetna Commercial |
$1,822.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.60
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$1,500.80
|
| Rate for Payer: Cofinity Commercial |
$1,843.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,500.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,715.20
|
| Rate for Payer: Healthscope Commercial |
$1,929.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,500.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,608.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,822.40
|
| Rate for Payer: PHP Commercial |
$1,822.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,393.60
|
| Rate for Payer: Priority Health SBD |
$1,350.72
|
| Rate for Payer: UMR Bronson Commercial |
$943.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,608.00
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
IP
|
$1,269.00
|
|
|
Service Code
|
CPT 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$558.36 |
| Max. Negotiated Rate |
$1,142.10 |
| Rate for Payer: Aetna American Axle |
$824.85
|
| Rate for Payer: Aetna Commercial |
$1,078.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$824.85
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$1,091.34
|
| Rate for Payer: Cofinity Commercial |
$888.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$888.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,015.20
|
| Rate for Payer: Healthscope Commercial |
$1,142.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$888.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$951.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,078.65
|
| Rate for Payer: PHP Commercial |
$1,078.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health SBD |
$799.47
|
| Rate for Payer: UMR Bronson Commercial |
$558.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$951.75
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
OP
|
$1,269.00
|
|
|
Service Code
|
CPT 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$469.53 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$824.85
|
| Rate for Payer: Aetna Commercial |
$1,078.65
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$824.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$1,091.34
|
| Rate for Payer: Cofinity Commercial |
$888.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$888.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,015.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,142.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$888.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$951.75
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,078.65
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$1,078.65
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$799.47
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$469.53
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$951.75
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,269.00
|
|
|
Service Code
|
HCPCS 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$507.60 |
| Max. Negotiated Rate |
$856.96 |
| Rate for Payer: Aetna Commercial |
$797.45
|
| Rate for Payer: Aetna Medicare |
$618.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$797.45
|
| Rate for Payer: BCBS Complete |
$507.60
|
| Rate for Payer: BCBS MAPPO |
$595.11
|
| Rate for Payer: BCN Medicare Advantage |
$595.11
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$797.45
|
| Rate for Payer: Cofinity Commercial |
$856.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$595.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$624.87
|
| Rate for Payer: Nomi Health Commercial |
$714.13
|
| Rate for Payer: PACE SWMI |
$595.11
|
| Rate for Payer: PHP Commercial |
$833.15
|
| Rate for Payer: PHP Medicare Advantage |
$595.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$824.85
|
| Rate for Payer: Priority Health Medicare |
$595.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$595.11
|
| Rate for Payer: UHC Medicare Advantage |
$595.11
|
| Rate for Payer: UMR Bronson Commercial |
$583.74
|
|
