|
PR HEARING AID EXAMINATION & SELECTION MONAURAL
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 92590
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$1,399.47 |
| Rate for Payer: Aetna Commercial |
$59.96
|
| Rate for Payer: Aetna Medicare |
$71.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.96
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,399.47
|
| Rate for Payer: BCN Commercial |
$98.85
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.89
|
| Rate for Payer: Priority Health Narrow Network |
$76.89
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: UMR Bronson Commercial |
$65.78
|
|
|
PR HEARING AID, PROG, BIN, BTE
|
Professional
|
Both
|
$5,516.00
|
|
|
Service Code
|
HCPCS V5253
|
| Min. Negotiated Rate |
$1,350.00 |
| Max. Negotiated Rate |
$3,585.40 |
| Rate for Payer: Aetna Commercial |
$1,350.00
|
| Rate for Payer: Aetna Medicare |
$2,758.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,350.00
|
| Rate for Payer: BCBS Complete |
$2,206.40
|
| Rate for Payer: Cash Price |
$4,412.80
|
| Rate for Payer: Cash Price |
$4,412.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,585.40
|
| Rate for Payer: UMR Bronson Commercial |
$2,537.36
|
|
|
PR HEARING AID REPAIR/MODIFYING
|
Professional
|
Both
|
$306.00
|
|
|
Service Code
|
HCPCS V5014
|
| Min. Negotiated Rate |
$88.69 |
| Max. Negotiated Rate |
$198.90 |
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna Medicare |
$51.00
|
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: Aetna Medicare |
$217.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.69
|
| Rate for Payer: BCBS Complete |
$122.40
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: BCBS Complete |
$173.60
|
| Rate for Payer: Cash Price |
$347.20
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cash Price |
$347.20
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.10
|
| Rate for Payer: UMR Bronson Commercial |
$140.76
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
| Rate for Payer: UMR Bronson Commercial |
$199.64
|
|
|
PR HEMIARTHROPLASTY HIP PARTIAL
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 27125
|
| Min. Negotiated Rate |
$732.93 |
| Max. Negotiated Rate |
$1,736.74 |
| Rate for Payer: Aetna Commercial |
$1,461.31
|
| Rate for Payer: Aetna Medicare |
$1,134.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,461.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,570.36
|
| Rate for Payer: BCBS Complete |
$769.58
|
| Rate for Payer: BCBS MAPPO |
$1,090.53
|
| Rate for Payer: BCBS Trust/PPO |
$984.22
|
| Rate for Payer: BCN Commercial |
$1,655.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,090.53
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$1,461.31
|
| Rate for Payer: Cofinity Commercial |
$1,570.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,090.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,145.06
|
| Rate for Payer: Meridian Medicaid |
$769.58
|
| Rate for Payer: Nomi Health Commercial |
$1,308.64
|
| Rate for Payer: PACE SWMI |
$1,090.53
|
| Rate for Payer: PHP Commercial |
$1,526.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,090.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$732.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,516.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,736.74
|
| Rate for Payer: Priority Health Medicare |
$1,090.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,736.74
|
| Rate for Payer: Priority Health SBD |
$1,736.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,090.53
|
| Rate for Payer: UHC Medicare Advantage |
$1,090.53
|
| Rate for Payer: UHCCP Medicaid |
$732.93
|
| Rate for Payer: UMR Bronson Commercial |
$1,073.18
|
|
|
PR HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE
|
Professional
|
Both
|
$697.00
|
|
|
Service Code
|
HCPCS 28160
|
| Min. Negotiated Rate |
$174.23 |
| Max. Negotiated Rate |
$888.60 |
| Rate for Payer: Aetna Commercial |
$342.29
|
| Rate for Payer: Aetna Medicare |
$265.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$342.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$367.83
|
| Rate for Payer: BCBS Complete |
$182.94
|
| Rate for Payer: BCBS MAPPO |
$255.44
|
| Rate for Payer: BCBS Trust/PPO |
$888.60
|
| Rate for Payer: BCN Commercial |
$592.77
|
| Rate for Payer: BCN Medicare Advantage |
$255.44
|
| Rate for Payer: Cash Price |
$557.60
|
| Rate for Payer: Cash Price |
$557.60
|
| Rate for Payer: Cofinity Commercial |
$342.29
|
| Rate for Payer: Cofinity Commercial |
$367.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$255.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$268.21
|
| Rate for Payer: Meridian Medicaid |
$182.94
|
| Rate for Payer: Nomi Health Commercial |
$306.53
|
| Rate for Payer: PACE SWMI |
$255.44
|
| Rate for Payer: PHP Commercial |
$357.62
|
| Rate for Payer: PHP Medicare Advantage |
$255.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$174.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$453.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$412.18
|
| Rate for Payer: Priority Health Medicare |
$255.44
|
| Rate for Payer: Priority Health Narrow Network |
$412.18
|
| Rate for Payer: Priority Health SBD |
$412.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$255.44
|
| Rate for Payer: UHC Medicare Advantage |
$255.44
|
| Rate for Payer: UHCCP Medicaid |
$174.23
|
| Rate for Payer: UMR Bronson Commercial |
$320.62
|
|
|
PR HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 90935
|
| Min. Negotiated Rate |
$44.73 |
| Max. Negotiated Rate |
$293.73 |
| Rate for Payer: Aetna Commercial |
$89.54
|
| Rate for Payer: Aetna Medicare |
$69.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.22
|
| Rate for Payer: BCBS Complete |
$46.97
|
| Rate for Payer: BCBS MAPPO |
$66.82
|
| Rate for Payer: BCBS Trust/PPO |
$293.73
|
| Rate for Payer: BCN Commercial |
$103.11
|
| Rate for Payer: BCN Medicare Advantage |
$66.82
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$89.54
|
| Rate for Payer: Cofinity Commercial |
$96.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$70.16
|
| Rate for Payer: Meridian Medicaid |
$46.97
|
| Rate for Payer: Nomi Health Commercial |
$80.18
|
| Rate for Payer: PACE SWMI |
$66.82
|
| Rate for Payer: PHP Commercial |
$93.55
|
| Rate for Payer: PHP Medicare Advantage |
$66.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.98
|
| Rate for Payer: Priority Health Medicare |
$66.82
|
| Rate for Payer: Priority Health Narrow Network |
$94.98
|
| Rate for Payer: Priority Health SBD |
$94.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$66.82
|
| Rate for Payer: UHC Medicare Advantage |
$66.82
|
| Rate for Payer: UHCCP Medicaid |
$44.73
|
| Rate for Payer: UMR Bronson Commercial |
$57.50
|
|
|
PR HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX
|
Professional
|
Both
|
$596.00
|
|
|
Service Code
|
HCPCS 90937
|
| Min. Negotiated Rate |
$64.75 |
| Max. Negotiated Rate |
$387.40 |
| Rate for Payer: Aetna Commercial |
$129.66
|
| Rate for Payer: Aetna Medicare |
$100.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.33
|
| Rate for Payer: BCBS Complete |
$67.99
|
| Rate for Payer: BCBS MAPPO |
$96.76
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$146.60
|
| Rate for Payer: BCN Medicare Advantage |
$96.76
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$129.66
|
| Rate for Payer: Cofinity Commercial |
$139.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.60
|
| Rate for Payer: Meridian Medicaid |
$67.99
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: PACE SWMI |
$96.76
|
| Rate for Payer: PHP Commercial |
$135.46
|
| Rate for Payer: PHP Medicare Advantage |
$96.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$136.60
|
| Rate for Payer: Priority Health Medicare |
$96.76
|
| Rate for Payer: Priority Health Narrow Network |
$136.60
|
| Rate for Payer: Priority Health SBD |
$136.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.76
|
| Rate for Payer: UHC Medicare Advantage |
$96.76
|
| Rate for Payer: UHCCP Medicaid |
$64.75
|
| Rate for Payer: UMR Bronson Commercial |
$274.16
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Professional
|
Both
|
$415.00
|
|
|
Service Code
|
HCPCS 46221
|
| Hospital Charge Code |
46221
|
| Min. Negotiated Rate |
$125.46 |
| Max. Negotiated Rate |
$1,246.26 |
| Rate for Payer: Aetna Commercial |
$245.77
|
| Rate for Payer: Aetna Medicare |
$190.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.11
|
| Rate for Payer: BCBS Complete |
$131.73
|
| Rate for Payer: BCBS MAPPO |
$183.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,246.26
|
| Rate for Payer: BCN Commercial |
$335.33
|
| Rate for Payer: BCN Medicare Advantage |
$183.41
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cofinity Commercial |
$245.77
|
| Rate for Payer: Cofinity Commercial |
$264.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.58
|
| Rate for Payer: Meridian Medicaid |
$131.73
|
| Rate for Payer: Nomi Health Commercial |
$220.09
|
| Rate for Payer: PACE SWMI |
$183.41
|
| Rate for Payer: PHP Commercial |
$256.77
|
| Rate for Payer: PHP Medicare Advantage |
$183.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$346.03
|
| Rate for Payer: Priority Health Medicare |
$183.41
|
| Rate for Payer: Priority Health Narrow Network |
$346.03
|
| Rate for Payer: Priority Health SBD |
$346.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$183.41
|
| Rate for Payer: UHC Medicare Advantage |
$183.41
|
| Rate for Payer: UHCCP Medicaid |
$125.46
|
| Rate for Payer: UMR Bronson Commercial |
$190.90
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Facility
|
IP
|
$415.00
|
|
|
Service Code
|
CPT 46221
|
| Hospital Charge Code |
46221
|
| Min. Negotiated Rate |
$182.60 |
| Max. Negotiated Rate |
$373.50 |
| Rate for Payer: Aetna American Axle |
$269.75
|
| Rate for Payer: Aetna Commercial |
$352.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$269.75
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cofinity Commercial |
$290.50
|
| Rate for Payer: Cofinity Commercial |
$356.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$290.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.00
|
| Rate for Payer: Healthscope Commercial |
$373.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$290.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$311.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.75
|
| Rate for Payer: PHP Commercial |
$352.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.75
|
| Rate for Payer: Priority Health SBD |
$261.45
|
| Rate for Payer: UMR Bronson Commercial |
$182.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$311.25
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Professional
|
Both
|
$415.00
|
|
|
Service Code
|
HCPCS 46221
|
| Min. Negotiated Rate |
$125.46 |
| Max. Negotiated Rate |
$1,246.26 |
| Rate for Payer: Aetna Commercial |
$245.77
|
| Rate for Payer: Aetna Medicare |
$190.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.11
|
| Rate for Payer: BCBS Complete |
$131.73
|
| Rate for Payer: BCBS MAPPO |
$183.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,246.26
|
| Rate for Payer: BCN Commercial |
$335.33
|
| Rate for Payer: BCN Medicare Advantage |
$183.41
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cofinity Commercial |
$245.77
|
| Rate for Payer: Cofinity Commercial |
$264.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.58
|
| Rate for Payer: Meridian Medicaid |
$131.73
|
| Rate for Payer: Nomi Health Commercial |
$220.09
|
| Rate for Payer: PACE SWMI |
$183.41
|
| Rate for Payer: PHP Commercial |
$256.77
|
| Rate for Payer: PHP Medicare Advantage |
$183.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$346.03
|
| Rate for Payer: Priority Health Medicare |
$183.41
|
| Rate for Payer: Priority Health Narrow Network |
$346.03
|
| Rate for Payer: Priority Health SBD |
$346.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$183.41
|
| Rate for Payer: UHC Medicare Advantage |
$183.41
|
| Rate for Payer: UHCCP Medicaid |
$125.46
|
| Rate for Payer: UMR Bronson Commercial |
$190.90
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Facility
|
OP
|
$415.00
|
|
|
Service Code
|
CPT 46221
|
| Hospital Charge Code |
46221
|
| Min. Negotiated Rate |
$153.55 |
| Max. Negotiated Rate |
$2,807.55 |
| Rate for Payer: Aetna American Axle |
$269.75
|
| Rate for Payer: Aetna Commercial |
$352.75
|
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$269.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,116.60
|
| Rate for Payer: BCBS Complete |
$502.74
|
| Rate for Payer: BCBS MAPPO |
$893.28
|
| Rate for Payer: BCBS Trust/PPO |
$637.45
|
| Rate for Payer: BCN Commercial |
$637.45
|
| Rate for Payer: BCN Medicare Advantage |
$893.28
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cofinity Commercial |
$356.90
|
| Rate for Payer: Cofinity Commercial |
$290.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$290.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$373.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$290.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$311.25
|
| Rate for Payer: Mclaren Medicaid |
$478.80
|
| Rate for Payer: Mclaren Medicare |
$893.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.94
|
| Rate for Payer: Meridian Medicaid |
$502.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,027.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.75
|
| Rate for Payer: Nomi Health Commercial |
$1,875.89
|
| Rate for Payer: PACE Medicare |
$848.62
|
| Rate for Payer: PACE SWMI |
$893.28
|
| Rate for Payer: PHP Commercial |
$352.75
|
| Rate for Payer: PHP Medicare Advantage |
$893.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,807.55
|
| Rate for Payer: Priority Health Medicare |
$893.28
|
| Rate for Payer: Priority Health Narrow Network |
$2,246.04
|
| Rate for Payer: Priority Health SBD |
$261.45
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.18
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$182.89
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: UMR Bronson Commercial |
$153.55
|
| Rate for Payer: VA VA |
$893.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$311.25
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Professional
|
Both
|
$1,614.00
|
|
|
Service Code
|
HCPCS 46260
|
| Min. Negotiated Rate |
$312.68 |
| Max. Negotiated Rate |
$2,501.50 |
| Rate for Payer: Aetna Commercial |
$620.39
|
| Rate for Payer: Aetna Medicare |
$481.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.69
|
| Rate for Payer: BCBS Complete |
$328.31
|
| Rate for Payer: BCBS MAPPO |
$462.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,501.50
|
| Rate for Payer: BCN Commercial |
$707.61
|
| Rate for Payer: BCN Medicare Advantage |
$462.98
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cofinity Commercial |
$620.39
|
| Rate for Payer: Cofinity Commercial |
$666.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$486.13
|
| Rate for Payer: Meridian Medicaid |
$328.31
|
| Rate for Payer: Nomi Health Commercial |
$555.58
|
| Rate for Payer: PACE SWMI |
$462.98
|
| Rate for Payer: PHP Commercial |
$648.17
|
| Rate for Payer: PHP Medicare Advantage |
$462.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$312.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,049.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$868.65
|
| Rate for Payer: Priority Health Medicare |
$462.98
|
| Rate for Payer: Priority Health Narrow Network |
$868.65
|
| Rate for Payer: Priority Health SBD |
$868.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$462.98
|
| Rate for Payer: UHC Medicare Advantage |
$462.98
|
| Rate for Payer: UHCCP Medicaid |
$312.68
|
| Rate for Payer: UMR Bronson Commercial |
$742.44
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Professional
|
Both
|
$1,614.00
|
|
|
Service Code
|
HCPCS 46260
|
| Hospital Charge Code |
46260
|
| Min. Negotiated Rate |
$312.68 |
| Max. Negotiated Rate |
$2,501.50 |
| Rate for Payer: Aetna Commercial |
$620.39
|
| Rate for Payer: Aetna Medicare |
$481.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.69
|
| Rate for Payer: BCBS Complete |
$328.31
|
| Rate for Payer: BCBS MAPPO |
$462.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,501.50
|
| Rate for Payer: BCN Commercial |
$707.61
|
| Rate for Payer: BCN Medicare Advantage |
$462.98
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cofinity Commercial |
$666.69
|
| Rate for Payer: Cofinity Commercial |
$620.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$486.13
|
| Rate for Payer: Meridian Medicaid |
$328.31
|
| Rate for Payer: Nomi Health Commercial |
$555.58
|
| Rate for Payer: PACE SWMI |
$462.98
|
| Rate for Payer: PHP Commercial |
$648.17
|
| Rate for Payer: PHP Medicare Advantage |
$462.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$312.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,049.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$868.65
|
| Rate for Payer: Priority Health Medicare |
$462.98
|
| Rate for Payer: Priority Health Narrow Network |
$868.65
|
| Rate for Payer: Priority Health SBD |
$868.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$462.98
|
| Rate for Payer: UHC Medicare Advantage |
$462.98
|
| Rate for Payer: UHCCP Medicaid |
$312.68
|
| Rate for Payer: UMR Bronson Commercial |
$742.44
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Facility
|
OP
|
$1,614.00
|
|
|
Service Code
|
CPT 46260
|
| Hospital Charge Code |
46260
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$465.35 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna American Axle |
$1,049.10
|
| Rate for Payer: Aetna Commercial |
$1,371.90
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.93
|
| Rate for Payer: BCN Commercial |
$2,889.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cofinity Commercial |
$1,129.80
|
| Rate for Payer: Cofinity Commercial |
$1,388.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,129.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,291.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$1,452.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,129.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,210.50
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,371.90
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$1,371.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,049.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$1,016.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$511.88
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$465.35
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: UMR Bronson Commercial |
$597.18
|
| Rate for Payer: VA VA |
$2,686.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,210.50
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Facility
|
IP
|
$1,614.00
|
|
|
Service Code
|
CPT 46260
|
| Hospital Charge Code |
46260
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$710.16 |
| Max. Negotiated Rate |
$1,452.60 |
| Rate for Payer: Aetna American Axle |
$1,049.10
|
| Rate for Payer: Aetna Commercial |
$1,371.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.10
|
| Rate for Payer: Cash Price |
$1,291.20
|
| Rate for Payer: Cofinity Commercial |
$1,129.80
|
| Rate for Payer: Cofinity Commercial |
$1,388.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,129.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,291.20
|
| Rate for Payer: Healthscope Commercial |
$1,452.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,129.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,210.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,371.90
|
| Rate for Payer: PHP Commercial |
$1,371.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,049.10
|
| Rate for Payer: Priority Health SBD |
$1,016.82
|
| Rate for Payer: UMR Bronson Commercial |
$710.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,210.50
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Professional
|
Both
|
$1,098.00
|
|
|
Service Code
|
HCPCS 46255
|
| Hospital Charge Code |
46255
|
| Min. Negotiated Rate |
$229.83 |
| Max. Negotiated Rate |
$2,489.35 |
| Rate for Payer: Aetna Commercial |
$455.18
|
| Rate for Payer: Aetna Medicare |
$353.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.15
|
| Rate for Payer: BCBS Complete |
$241.32
|
| Rate for Payer: BCBS MAPPO |
$339.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,489.35
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$339.69
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cofinity Commercial |
$489.15
|
| Rate for Payer: Cofinity Commercial |
$455.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.67
|
| Rate for Payer: Meridian Medicaid |
$241.32
|
| Rate for Payer: Nomi Health Commercial |
$407.63
|
| Rate for Payer: PACE SWMI |
$339.69
|
| Rate for Payer: PHP Commercial |
$475.57
|
| Rate for Payer: PHP Medicare Advantage |
$339.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$713.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$639.55
|
| Rate for Payer: Priority Health Medicare |
$339.69
|
| Rate for Payer: Priority Health Narrow Network |
$639.55
|
| Rate for Payer: Priority Health SBD |
$639.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.69
|
| Rate for Payer: UHC Medicare Advantage |
$339.69
|
| Rate for Payer: UHCCP Medicaid |
$229.83
|
| Rate for Payer: UMR Bronson Commercial |
$505.08
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Professional
|
Both
|
$1,098.00
|
|
|
Service Code
|
HCPCS 46255
|
| Min. Negotiated Rate |
$229.83 |
| Max. Negotiated Rate |
$2,489.35 |
| Rate for Payer: Aetna Commercial |
$455.18
|
| Rate for Payer: Aetna Medicare |
$353.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.15
|
| Rate for Payer: BCBS Complete |
$241.32
|
| Rate for Payer: BCBS MAPPO |
$339.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,489.35
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$339.69
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cofinity Commercial |
$455.18
|
| Rate for Payer: Cofinity Commercial |
$489.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.67
|
| Rate for Payer: Meridian Medicaid |
$241.32
|
| Rate for Payer: Nomi Health Commercial |
$407.63
|
| Rate for Payer: PACE SWMI |
$339.69
|
| Rate for Payer: PHP Commercial |
$475.57
|
| Rate for Payer: PHP Medicare Advantage |
$339.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$713.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$639.55
|
| Rate for Payer: Priority Health Medicare |
$339.69
|
| Rate for Payer: Priority Health Narrow Network |
$639.55
|
| Rate for Payer: Priority Health SBD |
$639.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.69
|
| Rate for Payer: UHC Medicare Advantage |
$339.69
|
| Rate for Payer: UHCCP Medicaid |
$229.83
|
| Rate for Payer: UMR Bronson Commercial |
$505.08
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Facility
|
IP
|
$1,098.00
|
|
|
Service Code
|
CPT 46255
|
| Hospital Charge Code |
46255
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$483.12 |
| Max. Negotiated Rate |
$988.20 |
| Rate for Payer: Aetna American Axle |
$713.70
|
| Rate for Payer: Aetna Commercial |
$933.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$713.70
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cofinity Commercial |
$768.60
|
| Rate for Payer: Cofinity Commercial |
$944.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$768.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$878.40
|
| Rate for Payer: Healthscope Commercial |
$988.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$768.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$823.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$933.30
|
| Rate for Payer: PHP Commercial |
$933.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$713.70
|
| Rate for Payer: Priority Health SBD |
$691.74
|
| Rate for Payer: UMR Bronson Commercial |
$483.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$823.50
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Facility
|
OP
|
$1,098.00
|
|
|
Service Code
|
CPT 46255
|
| Hospital Charge Code |
46255
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$342.21 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna American Axle |
$713.70
|
| Rate for Payer: Aetna Commercial |
$933.30
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$713.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,845.13
|
| Rate for Payer: BCN Commercial |
$2,845.13
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cofinity Commercial |
$768.60
|
| Rate for Payer: Cofinity Commercial |
$944.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$768.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$878.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$988.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$768.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$823.50
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$933.30
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$933.30
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$713.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$691.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.43
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$342.21
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: UMR Bronson Commercial |
$406.26
|
| Rate for Payer: VA VA |
$2,686.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$823.50
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Facility
|
IP
|
$1,129.00
|
|
|
Service Code
|
CPT 46250
|
| Hospital Charge Code |
46250
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$496.76 |
| Max. Negotiated Rate |
$1,016.10 |
| Rate for Payer: Aetna American Axle |
$733.85
|
| Rate for Payer: Aetna Commercial |
$959.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$733.85
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$790.30
|
| Rate for Payer: Cofinity Commercial |
$970.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$790.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$903.20
|
| Rate for Payer: Healthscope Commercial |
$1,016.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$790.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$846.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.65
|
| Rate for Payer: PHP Commercial |
$959.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health SBD |
$711.27
|
| Rate for Payer: UMR Bronson Commercial |
$496.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$846.75
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Professional
|
Both
|
$1,129.00
|
|
|
Service Code
|
HCPCS 46250
|
| Min. Negotiated Rate |
$207.89 |
| Max. Negotiated Rate |
$1,253.13 |
| Rate for Payer: Aetna Commercial |
$411.10
|
| Rate for Payer: Aetna Medicare |
$319.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$411.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$441.78
|
| Rate for Payer: BCBS Complete |
$218.28
|
| Rate for Payer: BCBS MAPPO |
$306.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.13
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$306.79
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$411.10
|
| Rate for Payer: Cofinity Commercial |
$441.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$322.13
|
| Rate for Payer: Meridian Medicaid |
$218.28
|
| Rate for Payer: Nomi Health Commercial |
$368.15
|
| Rate for Payer: PACE SWMI |
$306.79
|
| Rate for Payer: PHP Commercial |
$429.51
|
| Rate for Payer: PHP Medicare Advantage |
$306.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$574.52
|
| Rate for Payer: Priority Health Medicare |
$306.79
|
| Rate for Payer: Priority Health Narrow Network |
$574.52
|
| Rate for Payer: Priority Health SBD |
$574.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.79
|
| Rate for Payer: UHC Medicare Advantage |
$306.79
|
| Rate for Payer: UHCCP Medicaid |
$207.89
|
| Rate for Payer: UMR Bronson Commercial |
$519.34
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Professional
|
Both
|
$1,129.00
|
|
|
Service Code
|
HCPCS 46250
|
| Hospital Charge Code |
46250
|
| Min. Negotiated Rate |
$207.89 |
| Max. Negotiated Rate |
$1,253.13 |
| Rate for Payer: Aetna Commercial |
$411.10
|
| Rate for Payer: Aetna Medicare |
$319.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$411.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$441.78
|
| Rate for Payer: BCBS Complete |
$218.28
|
| Rate for Payer: BCBS MAPPO |
$306.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.13
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$306.79
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$411.10
|
| Rate for Payer: Cofinity Commercial |
$441.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$322.13
|
| Rate for Payer: Meridian Medicaid |
$218.28
|
| Rate for Payer: Nomi Health Commercial |
$368.15
|
| Rate for Payer: PACE SWMI |
$306.79
|
| Rate for Payer: PHP Commercial |
$429.51
|
| Rate for Payer: PHP Medicare Advantage |
$306.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$574.52
|
| Rate for Payer: Priority Health Medicare |
$306.79
|
| Rate for Payer: Priority Health Narrow Network |
$574.52
|
| Rate for Payer: Priority Health SBD |
$574.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.79
|
| Rate for Payer: UHC Medicare Advantage |
$306.79
|
| Rate for Payer: UHCCP Medicaid |
$207.89
|
| Rate for Payer: UMR Bronson Commercial |
$519.34
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Facility
|
OP
|
$1,129.00
|
|
|
Service Code
|
CPT 46250
|
| Hospital Charge Code |
46250
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$306.68 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna American Axle |
$733.85
|
| Rate for Payer: Aetna Commercial |
$959.65
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$733.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,992.33
|
| Rate for Payer: BCN Commercial |
$2,992.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$970.94
|
| Rate for Payer: Cofinity Commercial |
$790.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$790.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$903.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$1,016.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$790.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$846.75
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.65
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$959.65
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$711.27
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.35
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$306.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: UMR Bronson Commercial |
$417.73
|
| Rate for Payer: VA VA |
$2,686.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$846.75
|
|
|
PR HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO
|
Professional
|
Both
|
$743.00
|
|
|
Service Code
|
HCPCS 46257
|
| Min. Negotiated Rate |
$270.51 |
| Max. Negotiated Rate |
$1,554.26 |
| Rate for Payer: Aetna Commercial |
$532.68
|
| Rate for Payer: Aetna Medicare |
$413.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.43
|
| Rate for Payer: BCBS Complete |
$284.04
|
| Rate for Payer: BCBS MAPPO |
$397.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,554.26
|
| Rate for Payer: BCN Commercial |
$610.36
|
| Rate for Payer: BCN Medicare Advantage |
$397.52
|
| Rate for Payer: Cash Price |
$594.40
|
| Rate for Payer: Cash Price |
$594.40
|
| Rate for Payer: Cofinity Commercial |
$532.68
|
| Rate for Payer: Cofinity Commercial |
$572.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.40
|
| Rate for Payer: Meridian Medicaid |
$284.04
|
| Rate for Payer: Nomi Health Commercial |
$477.02
|
| Rate for Payer: PACE SWMI |
$397.52
|
| Rate for Payer: PHP Commercial |
$556.53
|
| Rate for Payer: PHP Medicare Advantage |
$397.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$750.52
|
| Rate for Payer: Priority Health Medicare |
$397.52
|
| Rate for Payer: Priority Health Narrow Network |
$750.52
|
| Rate for Payer: Priority Health SBD |
$750.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.52
|
| Rate for Payer: UHC Medicare Advantage |
$397.52
|
| Rate for Payer: UHCCP Medicaid |
$270.51
|
| Rate for Payer: UMR Bronson Commercial |
$341.78
|
|
|
PR HEMORRHOIDOPEXY STAPLING
|
Professional
|
Both
|
$646.00
|
|
|
Service Code
|
HCPCS 46947
|
| Min. Negotiated Rate |
$251.77 |
| Max. Negotiated Rate |
$2,172.37 |
| Rate for Payer: Aetna Commercial |
$501.51
|
| Rate for Payer: Aetna Medicare |
$389.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$501.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$538.93
|
| Rate for Payer: BCBS Complete |
$264.36
|
| Rate for Payer: BCBS MAPPO |
$374.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,172.37
|
| Rate for Payer: BCN Commercial |
$570.29
|
| Rate for Payer: BCN Medicare Advantage |
$374.26
|
| Rate for Payer: Cash Price |
$516.80
|
| Rate for Payer: Cash Price |
$516.80
|
| Rate for Payer: Cofinity Commercial |
$501.51
|
| Rate for Payer: Cofinity Commercial |
$538.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$374.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$392.97
|
| Rate for Payer: Meridian Medicaid |
$264.36
|
| Rate for Payer: Nomi Health Commercial |
$449.11
|
| Rate for Payer: PACE SWMI |
$374.26
|
| Rate for Payer: PHP Commercial |
$523.96
|
| Rate for Payer: PHP Medicare Advantage |
$374.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$419.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$702.79
|
| Rate for Payer: Priority Health Medicare |
$374.26
|
| Rate for Payer: Priority Health Narrow Network |
$702.79
|
| Rate for Payer: Priority Health SBD |
$702.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$374.26
|
| Rate for Payer: UHC Medicare Advantage |
$374.26
|
| Rate for Payer: UHCCP Medicaid |
$251.77
|
| Rate for Payer: UMR Bronson Commercial |
$297.16
|
|
