|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$266.68 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Priority Health Narrow Network |
$630.48
|
| Rate for Payer: Priority Health SBD |
$630.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UHCCP Medicaid |
$266.68
|
| Rate for Payer: UMR Bronson Commercial |
$479.78
|
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.77
|
| Rate for Payer: BCBS Complete |
$280.01
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Meridian Medicaid |
$280.01
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Commercial |
$554.92
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$630.48
|
| Rate for Payer: Priority Health Medicare |
$396.37
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$385.91 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$677.95
|
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,874.25
|
| Rate for Payer: BCN Commercial |
$1,874.25
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Cofinity Commercial |
$730.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$730.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$657.09
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$437.11
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$397.37
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$385.91
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$458.92 |
| Max. Negotiated Rate |
$938.70 |
| Rate for Payer: Aetna American Axle |
$677.95
|
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.95
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$730.10
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$730.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health SBD |
$657.09
|
| Rate for Payer: UMR Bronson Commercial |
$458.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$266.68 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.77
|
| Rate for Payer: BCBS Complete |
$280.01
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Meridian Medicaid |
$280.01
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Commercial |
$554.92
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$630.48
|
| Rate for Payer: Priority Health Medicare |
$396.37
|
| Rate for Payer: Priority Health Narrow Network |
$630.48
|
| Rate for Payer: Priority Health SBD |
$630.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UHCCP Medicaid |
$266.68
|
| Rate for Payer: UMR Bronson Commercial |
$479.78
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$433.84 |
| Max. Negotiated Rate |
$887.40 |
| Rate for Payer: Aetna American Axle |
$640.90
|
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.90
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$690.20
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$690.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$690.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health SBD |
$621.18
|
| Rate for Payer: UMR Bronson Commercial |
$433.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$724.11 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$657.03
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Commercial |
$638.78
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.11
|
| Rate for Payer: Priority Health Medicare |
$456.27
|
| Rate for Payer: Priority Health Narrow Network |
$724.11
|
| Rate for Payer: Priority Health SBD |
$724.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
| Rate for Payer: UMR Bronson Commercial |
$453.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$364.82 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$640.90
|
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,593.46
|
| Rate for Payer: BCN Commercial |
$2,593.46
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$690.20
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$690.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$690.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$621.18
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$504.56
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$458.69
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$364.82
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$724.11 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$657.03
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Commercial |
$638.78
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.11
|
| Rate for Payer: Priority Health Medicare |
$456.27
|
| Rate for Payer: Priority Health Narrow Network |
$724.11
|
| Rate for Payer: Priority Health SBD |
$724.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
| Rate for Payer: UMR Bronson Commercial |
$453.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$649.31 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.76
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Commercial |
$571.44
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.31
|
| Rate for Payer: Priority Health Medicare |
$408.17
|
| Rate for Payer: Priority Health Narrow Network |
$649.31
|
| Rate for Payer: Priority Health SBD |
$649.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
| Rate for Payer: UMR Bronson Commercial |
$345.00
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$649.31 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.76
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Commercial |
$571.44
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.31
|
| Rate for Payer: Priority Health Medicare |
$408.17
|
| Rate for Payer: Priority Health Narrow Network |
$649.31
|
| Rate for Payer: Priority Health SBD |
$649.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
| Rate for Payer: UMR Bronson Commercial |
$345.00
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$277.50 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,623.50
|
| Rate for Payer: BCN Commercial |
$2,623.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Cofinity Commercial |
$525.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$525.00
|
| Rate for Payer: Aetna American Axle |
$487.50
|
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.50
|
| 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: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$525.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| 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 |
$637.50
|
| 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 |
$637.50
|
| 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 |
$487.50
|
| 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 |
$472.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.66
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$409.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$277.50
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$330.00 |
| Max. Negotiated Rate |
$675.00 |
| Rate for Payer: Aetna American Axle |
$487.50
|
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.50
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$525.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$525.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$525.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health SBD |
$472.50
|
| Rate for Payer: UMR Bronson Commercial |
$330.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$760.38 |
| Rate for Payer: Aetna Commercial |
$425.56
|
| Rate for Payer: Aetna Medicare |
$330.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.32
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCBS MAPPO |
$317.58
|
| Rate for Payer: BCBS Trust/PPO |
$652.45
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$317.58
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$425.56
|
| Rate for Payer: Cofinity Commercial |
$457.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.46
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Nomi Health Commercial |
$381.10
|
| Rate for Payer: PACE SWMI |
$317.58
|
| Rate for Payer: PHP Commercial |
$444.61
|
| Rate for Payer: PHP Medicare Advantage |
$317.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.90
|
| Rate for Payer: Priority Health Medicare |
$317.58
|
| Rate for Payer: Priority Health Narrow Network |
$510.90
|
| Rate for Payer: Priority Health SBD |
$510.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.58
|
| Rate for Payer: UHC Medicare Advantage |
$317.58
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
| Rate for Payer: UMR Bronson Commercial |
$398.82
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.13
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Commercial |
$424.98
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Medicare |
$303.56
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: Priority Health SBD |
$489.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
| Rate for Payer: UMR Bronson Commercial |
$600.30
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$305.97 |
| Max. Negotiated Rate |
$4,989.41 |
| 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 |
$1,109.25
|
| 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 |
$1,109.25
|
| 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 |
$848.25
|
| 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 |
$822.15
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.57
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$305.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$482.85
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.75
|
| Rate for Payer: Aetna American Axle |
$848.25
|
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.25
|
| 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 |
$1,384.96
|
| Rate for Payer: BCN Commercial |
$1,384.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Cofinity Commercial |
$913.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$913.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$913.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.75
|
| 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
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$574.20 |
| Max. Negotiated Rate |
$1,174.50 |
| Rate for Payer: Aetna American Axle |
$848.25
|
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.25
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Cofinity Commercial |
$913.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$913.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$913.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: PHP Commercial |
$1,109.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health SBD |
$822.15
|
| Rate for Payer: UMR Bronson Commercial |
$574.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.75
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.13
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Commercial |
$424.98
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Medicare |
$303.56
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: Priority Health SBD |
$489.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
| Rate for Payer: UMR Bronson Commercial |
$600.30
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,924.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$604.49 |
| Max. Negotiated Rate |
$3,769.95 |
| Rate for Payer: Aetna Commercial |
$1,210.06
|
| Rate for Payer: Aetna Medicare |
$939.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.36
|
| Rate for Payer: BCBS Complete |
$634.71
|
| Rate for Payer: BCBS MAPPO |
$903.03
|
| Rate for Payer: BCBS Trust/PPO |
$3,769.95
|
| Rate for Payer: BCN Commercial |
$1,386.87
|
| Rate for Payer: BCN Medicare Advantage |
$903.03
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cofinity Commercial |
$1,210.06
|
| Rate for Payer: Cofinity Commercial |
$1,300.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.18
|
| Rate for Payer: Meridian Medicaid |
$634.71
|
| Rate for Payer: Nomi Health Commercial |
$1,083.64
|
| Rate for Payer: PACE SWMI |
$903.03
|
| Rate for Payer: PHP Commercial |
$1,264.24
|
| Rate for Payer: PHP Medicare Advantage |
$903.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$604.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,900.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,501.39
|
| Rate for Payer: Priority Health Medicare |
$903.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,501.39
|
| Rate for Payer: Priority Health SBD |
$1,501.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$903.03
|
| Rate for Payer: UHC Medicare Advantage |
$903.03
|
| Rate for Payer: UHCCP Medicaid |
$604.49
|
| Rate for Payer: UMR Bronson Commercial |
$1,345.04
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$2,039.77 |
| Rate for Payer: Aetna Commercial |
$240.44
|
| Rate for Payer: Aetna Medicare |
$186.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$258.38
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$179.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,039.77
|
| Rate for Payer: BCN Commercial |
$366.51
|
| Rate for Payer: BCN Medicare Advantage |
$179.43
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$240.44
|
| Rate for Payer: Cofinity Commercial |
$258.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.40
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Nomi Health Commercial |
$215.32
|
| Rate for Payer: PACE SWMI |
$179.43
|
| Rate for Payer: PHP Commercial |
$251.20
|
| Rate for Payer: PHP Medicare Advantage |
$179.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.26
|
| Rate for Payer: Priority Health Medicare |
$179.43
|
| Rate for Payer: Priority Health Narrow Network |
$282.26
|
| Rate for Payer: Priority Health SBD |
$282.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.43
|
| Rate for Payer: UHC Medicare Advantage |
$179.43
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
| Rate for Payer: UMR Bronson Commercial |
$308.66
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$111.40 |
| Max. Negotiated Rate |
$2,624.59 |
| Rate for Payer: Aetna Commercial |
$220.78
|
| Rate for Payer: Aetna Medicare |
$171.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.25
|
| Rate for Payer: BCBS Complete |
$116.97
|
| Rate for Payer: BCBS MAPPO |
$164.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,624.59
|
| Rate for Payer: BCN Commercial |
$342.07
|
| Rate for Payer: BCN Medicare Advantage |
$164.76
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$220.78
|
| Rate for Payer: Cofinity Commercial |
$237.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.00
|
| Rate for Payer: Meridian Medicaid |
$116.97
|
| Rate for Payer: Nomi Health Commercial |
$197.71
|
| Rate for Payer: PACE SWMI |
$164.76
|
| Rate for Payer: PHP Commercial |
$230.66
|
| Rate for Payer: PHP Medicare Advantage |
$164.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.93
|
| Rate for Payer: Priority Health Medicare |
$164.76
|
| Rate for Payer: Priority Health Narrow Network |
$259.93
|
| Rate for Payer: Priority Health SBD |
$259.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.76
|
| Rate for Payer: UHC Medicare Advantage |
$164.76
|
| Rate for Payer: UHCCP Medicaid |
$111.40
|
| Rate for Payer: UMR Bronson Commercial |
$531.30
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$274.13 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$424.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.33
|
| Rate for Payer: BCBS Complete |
$287.84
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Meridian Medicaid |
$287.84
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Commercial |
$571.02
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.28
|
| Rate for Payer: Priority Health Medicare |
$407.87
|
| Rate for Payer: Priority Health Narrow Network |
$648.28
|
| Rate for Payer: Priority Health SBD |
$648.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
| Rate for Payer: UHCCP Medicaid |
$274.13
|
| Rate for Payer: UMR Bronson Commercial |
$682.18
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$274.13 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$424.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.33
|
| Rate for Payer: BCBS Complete |
$287.84
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Meridian Medicaid |
$287.84
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Commercial |
$571.02
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.28
|
| Rate for Payer: Priority Health Medicare |
$407.87
|
| Rate for Payer: Priority Health Narrow Network |
$648.28
|
| Rate for Payer: Priority Health SBD |
$648.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
| Rate for Payer: UHCCP Medicaid |
$274.13
|
| Rate for Payer: UMR Bronson Commercial |
$682.18
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$409.10 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$963.95
|
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,440.51
|
| Rate for Payer: BCN Commercial |
$2,440.51
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,038.10
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,038.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,038.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,112.25
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$934.29
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.01
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$409.10
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$548.71
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,112.25
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$652.52 |
| Max. Negotiated Rate |
$1,334.70 |
| Rate for Payer: Aetna American Axle |
$963.95
|
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.95
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,038.10
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,038.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,038.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,112.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health SBD |
$934.29
|
| Rate for Payer: UMR Bronson Commercial |
$652.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,112.25
|
|
|
PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR
|
Professional
|
Both
|
$1,870.00
|
|
|
Service Code
|
HCPCS 43101
|
| Min. Negotiated Rate |
$263.62 |
| Max. Negotiated Rate |
$1,785.01 |
| Rate for Payer: Aetna Commercial |
$1,299.38
|
| Rate for Payer: Aetna Medicare |
$1,008.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,299.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,396.35
|
| Rate for Payer: BCBS Complete |
$671.84
|
| Rate for Payer: BCBS MAPPO |
$969.69
|
| Rate for Payer: BCBS Trust/PPO |
$263.62
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: BCN Medicare Advantage |
$969.69
|
| Rate for Payer: Cash Price |
$1,496.00
|
| Rate for Payer: Cash Price |
$1,496.00
|
| Rate for Payer: Cofinity Commercial |
$1,299.38
|
| Rate for Payer: Cofinity Commercial |
$1,396.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$969.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,018.17
|
| Rate for Payer: Meridian Medicaid |
$671.84
|
| Rate for Payer: Nomi Health Commercial |
$1,163.63
|
| Rate for Payer: PACE SWMI |
$969.69
|
| Rate for Payer: PHP Commercial |
$1,357.57
|
| Rate for Payer: PHP Medicare Advantage |
$969.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$639.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,215.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,785.01
|
| Rate for Payer: Priority Health Medicare |
$969.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,785.01
|
| Rate for Payer: Priority Health SBD |
$1,785.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$969.69
|
| Rate for Payer: UHC Medicare Advantage |
$969.69
|
| Rate for Payer: UHCCP Medicaid |
$639.85
|
| Rate for Payer: UMR Bronson Commercial |
$860.20
|
|
