|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$442.40 |
| Max. Negotiated Rate |
$1,366.95 |
| Rate for Payer: Aetna Commercial |
$874.89
|
| Rate for Payer: Aetna Medicare |
$679.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$874.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$940.18
|
| Rate for Payer: BCBS Complete |
$464.52
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$652.90
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$940.18
|
| Rate for Payer: Cofinity Commercial |
$874.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| Rate for Payer: Meridian Medicaid |
$464.52
|
| Rate for Payer: Nomi Health Commercial |
$783.48
|
| Rate for Payer: PACE SWMI |
$652.90
|
| Rate for Payer: PHP Commercial |
$914.06
|
| Rate for Payer: PHP Medicare Advantage |
$652.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,047.74
|
| Rate for Payer: Priority Health Medicare |
$652.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,047.74
|
| Rate for Payer: Priority Health SBD |
$1,047.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.90
|
| Rate for Payer: UHC Medicare Advantage |
$652.90
|
| Rate for Payer: UHCCP Medicaid |
$442.40
|
| Rate for Payer: UMR Bronson Commercial |
$967.38
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
IP
|
$2,103.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$925.32 |
| Max. Negotiated Rate |
$1,892.70 |
| Rate for Payer: Aetna American Axle |
$1,366.95
|
| Rate for Payer: Aetna Commercial |
$1,787.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,366.95
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,472.10
|
| Rate for Payer: Cofinity Commercial |
$1,808.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,472.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,682.40
|
| Rate for Payer: Healthscope Commercial |
$1,892.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,472.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,577.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,787.55
|
| Rate for Payer: PHP Commercial |
$1,787.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health SBD |
$1,324.89
|
| Rate for Payer: UMR Bronson Commercial |
$925.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,577.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
OP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$524.69 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,430.65
|
| Rate for Payer: Aetna Commercial |
$1,870.85
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,430.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$4,080.55
|
| Rate for Payer: BCN Commercial |
$4,080.55
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$1,540.70
|
| Rate for Payer: Cofinity Commercial |
$1,892.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,540.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,760.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,980.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,540.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.75
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,870.85
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,870.85
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,386.63
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$577.16
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$524.69
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$814.37
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
IP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$968.44 |
| Max. Negotiated Rate |
$1,980.90 |
| Rate for Payer: Aetna American Axle |
$1,430.65
|
| Rate for Payer: Aetna Commercial |
$1,870.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,430.65
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$1,540.70
|
| Rate for Payer: Cofinity Commercial |
$1,892.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,540.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,760.80
|
| Rate for Payer: Healthscope Commercial |
$1,980.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,540.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,870.85
|
| Rate for Payer: PHP Commercial |
$1,870.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health SBD |
$1,386.63
|
| Rate for Payer: UMR Bronson Commercial |
$968.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$2,288.07 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$700.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.05
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.95
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$700.75
|
| Rate for Payer: Cofinity Commercial |
$753.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Nomi Health Commercial |
$627.54
|
| Rate for Payer: PACE SWMI |
$522.95
|
| Rate for Payer: PHP Commercial |
$732.13
|
| Rate for Payer: PHP Medicare Advantage |
$522.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$522.95
|
| Rate for Payer: Priority Health Narrow Network |
$839.61
|
| Rate for Payer: Priority Health SBD |
$839.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.95
|
| Rate for Payer: UHC Medicare Advantage |
$522.95
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,012.46
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$2,288.07 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$700.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.05
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.95
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$753.05
|
| Rate for Payer: Cofinity Commercial |
$700.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Nomi Health Commercial |
$627.54
|
| Rate for Payer: PACE SWMI |
$522.95
|
| Rate for Payer: PHP Commercial |
$732.13
|
| Rate for Payer: PHP Medicare Advantage |
$522.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$522.95
|
| Rate for Payer: Priority Health Narrow Network |
$839.61
|
| Rate for Payer: Priority Health SBD |
$839.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.95
|
| Rate for Payer: UHC Medicare Advantage |
$522.95
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,012.46
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
IP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$853.60 |
| Max. Negotiated Rate |
$1,746.00 |
| Rate for Payer: Aetna American Axle |
$1,261.00
|
| Rate for Payer: Aetna Commercial |
$1,649.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,261.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,358.00
|
| Rate for Payer: Cofinity Commercial |
$1,668.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,358.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Healthscope Commercial |
$1,746.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,358.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,455.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: PHP Commercial |
$1,649.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health SBD |
$1,222.20
|
| Rate for Payer: UMR Bronson Commercial |
$853.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,455.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$1,598.64 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.92
|
| Rate for Payer: BCBS Complete |
$367.46
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Meridian Medicaid |
$367.46
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Commercial |
$723.25
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.89
|
| Rate for Payer: Priority Health Medicare |
$516.61
|
| Rate for Payer: Priority Health Narrow Network |
$825.89
|
| Rate for Payer: Priority Health SBD |
$825.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP Medicaid |
$349.96
|
| Rate for Payer: UMR Bronson Commercial |
$892.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
OP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$517.08 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna American Axle |
$1,261.00
|
| Rate for Payer: Aetna Commercial |
$1,649.00
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,261.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,749.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,749.10
|
| Rate for Payer: BCBS Complete |
$3,939.19
|
| Rate for Payer: BCBS MAPPO |
$6,999.28
|
| Rate for Payer: BCBS Trust/PPO |
$3,127.87
|
| Rate for Payer: BCN Commercial |
$3,127.87
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,358.00
|
| Rate for Payer: Cofinity Commercial |
$1,668.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,358.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$1,746.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,358.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,455.00
|
| Rate for Payer: Mclaren Medicaid |
$3,751.61
|
| Rate for Payer: Mclaren Medicare |
$6,999.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,349.24
|
| Rate for Payer: Meridian Medicaid |
$3,939.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,049.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: Nomi Health Commercial |
$14,698.49
|
| Rate for Payer: PACE Medicare |
$6,649.32
|
| Rate for Payer: PACE SWMI |
$6,999.28
|
| Rate for Payer: PHP Commercial |
$1,649.00
|
| Rate for Payer: PHP Medicare Advantage |
$6,999.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,751.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,998.64
|
| Rate for Payer: Priority Health Medicare |
$6,999.28
|
| Rate for Payer: Priority Health Narrow Network |
$17,598.91
|
| Rate for Payer: Priority Health SBD |
$1,222.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.79
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,999.28
|
| Rate for Payer: UHC Exchange |
$517.08
|
| Rate for Payer: UHC Medicare Advantage |
$6,999.28
|
| Rate for Payer: UHCCP Medicaid |
$3,751.61
|
| Rate for Payer: UMR Bronson Commercial |
$717.80
|
| Rate for Payer: VA VA |
$6,999.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,455.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$1,598.64 |
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.92
|
| Rate for Payer: BCBS Complete |
$367.46
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Meridian Medicaid |
$367.46
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Commercial |
$723.25
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.89
|
| Rate for Payer: Priority Health Medicare |
$516.61
|
| Rate for Payer: Priority Health Narrow Network |
$825.89
|
| Rate for Payer: Priority Health SBD |
$825.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP Medicaid |
$349.96
|
| Rate for Payer: UMR Bronson Commercial |
$892.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Min. Negotiated Rate |
$383.40 |
| Max. Negotiated Rate |
$1,434.86 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.90
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Commercial |
$792.26
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$909.34
|
| Rate for Payer: Priority Health Medicare |
$565.90
|
| Rate for Payer: Priority Health Narrow Network |
$909.34
|
| Rate for Payer: Priority Health SBD |
$909.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP Medicaid |
$383.40
|
| Rate for Payer: UMR Bronson Commercial |
$922.76
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$383.40 |
| Max. Negotiated Rate |
$1,434.86 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.90
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Commercial |
$792.26
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$909.34
|
| Rate for Payer: Priority Health Medicare |
$565.90
|
| Rate for Payer: Priority Health Narrow Network |
$909.34
|
| Rate for Payer: Priority Health SBD |
$909.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP Medicaid |
$383.40
|
| Rate for Payer: UMR Bronson Commercial |
$922.76
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
OP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,303.90
|
| Rate for Payer: Aetna Commercial |
$1,705.10
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,303.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,815.08
|
| Rate for Payer: BCN Commercial |
$2,815.08
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,404.20
|
| Rate for Payer: Cofinity Commercial |
$1,725.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,404.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,805.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,404.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,504.50
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,705.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,263.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$625.88
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$568.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$742.22
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,504.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
IP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$882.64 |
| Max. Negotiated Rate |
$1,805.40 |
| Rate for Payer: Aetna American Axle |
$1,303.90
|
| Rate for Payer: Aetna Commercial |
$1,705.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,303.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,404.20
|
| Rate for Payer: Cofinity Commercial |
$1,725.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,404.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Healthscope Commercial |
$1,805.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,404.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,504.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: PHP Commercial |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health SBD |
$1,263.78
|
| Rate for Payer: UMR Bronson Commercial |
$882.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,504.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
| Rate for Payer: UMR Bronson Commercial |
$1,414.04
|
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,332.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,431.46
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Commercial |
$1,391.70
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,591.21
|
| Rate for Payer: Priority Health Medicare |
$994.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,591.21
|
| Rate for Payer: Priority Health SBD |
$1,591.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
IP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,352.56 |
| Max. Negotiated Rate |
$2,766.60 |
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Aetna American Axle |
$1,998.10
|
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,998.10
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,151.80
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,151.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,151.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,305.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health SBD |
$1,936.62
|
| Rate for Payer: UMR Bronson Commercial |
$1,352.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,305.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,000.67 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna American Axle |
$1,998.10
|
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,998.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,749.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,749.10
|
| Rate for Payer: BCBS Complete |
$3,939.19
|
| Rate for Payer: BCBS MAPPO |
$6,999.28
|
| Rate for Payer: BCBS Trust/PPO |
$5,782.75
|
| Rate for Payer: BCN Commercial |
$5,782.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,151.80
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,151.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,151.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,305.50
|
| Rate for Payer: Mclaren Medicaid |
$3,751.61
|
| Rate for Payer: Mclaren Medicare |
$6,999.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,349.24
|
| Rate for Payer: Meridian Medicaid |
$3,939.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,049.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$14,698.49
|
| Rate for Payer: PACE Medicare |
$6,649.32
|
| Rate for Payer: PACE SWMI |
$6,999.28
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: PHP Medicare Advantage |
$6,999.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,751.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,998.64
|
| Rate for Payer: Priority Health Medicare |
$6,999.28
|
| Rate for Payer: Priority Health Narrow Network |
$17,598.91
|
| Rate for Payer: Priority Health SBD |
$1,936.62
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,100.74
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,999.28
|
| Rate for Payer: UHC Exchange |
$1,000.67
|
| Rate for Payer: UHC Medicare Advantage |
$6,999.28
|
| Rate for Payer: UHCCP Medicaid |
$3,751.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,137.38
|
| Rate for Payer: VA VA |
$6,999.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,305.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,332.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,431.46
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Commercial |
$1,391.70
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,591.21
|
| Rate for Payer: Priority Health Medicare |
$994.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,591.21
|
| Rate for Payer: Priority Health SBD |
$1,591.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
| Rate for Payer: UMR Bronson Commercial |
$1,414.04
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$954.36 |
| Max. Negotiated Rate |
$1,952.10 |
| Rate for Payer: Aetna American Axle |
$1,409.85
|
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,409.85
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,518.30
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,518.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,518.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,626.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health SBD |
$1,366.47
|
| Rate for Payer: UMR Bronson Commercial |
$954.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,626.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$2,429.12 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.20
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Commercial |
$792.55
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$907.30
|
| Rate for Payer: Priority Health Medicare |
$566.11
|
| Rate for Payer: Priority Health Narrow Network |
$907.30
|
| Rate for Payer: Priority Health SBD |
$907.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
| Rate for Payer: UMR Bronson Commercial |
$997.74
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$567.61 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,409.85
|
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,409.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,815.08
|
| Rate for Payer: BCN Commercial |
$2,815.08
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,518.30
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,518.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,518.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,626.75
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,366.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$624.37
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$567.61
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$802.53
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,626.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$2,429.12 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.20
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Commercial |
$792.55
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$907.30
|
| Rate for Payer: Priority Health Medicare |
$566.11
|
| Rate for Payer: Priority Health Narrow Network |
$907.30
|
| Rate for Payer: Priority Health SBD |
$907.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
| Rate for Payer: UMR Bronson Commercial |
$997.74
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
OP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$1,034.09 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna American Axle |
$2,209.35
|
| Rate for Payer: Aetna Commercial |
$2,889.15
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,209.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,749.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,749.10
|
| Rate for Payer: BCBS Complete |
$3,939.19
|
| Rate for Payer: BCBS MAPPO |
$6,999.28
|
| Rate for Payer: BCBS Trust/PPO |
$5,499.87
|
| Rate for Payer: BCN Commercial |
$5,499.87
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$2,923.14
|
| Rate for Payer: Cofinity Commercial |
$2,379.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,379.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$3,059.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,379.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,549.25
|
| Rate for Payer: Mclaren Medicaid |
$3,751.61
|
| Rate for Payer: Mclaren Medicare |
$6,999.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,349.24
|
| Rate for Payer: Meridian Medicaid |
$3,939.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,049.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: Nomi Health Commercial |
$14,698.49
|
| Rate for Payer: PACE Medicare |
$6,649.32
|
| Rate for Payer: PACE SWMI |
$6,999.28
|
| Rate for Payer: PHP Commercial |
$2,889.15
|
| Rate for Payer: PHP Medicare Advantage |
$6,999.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,751.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,998.64
|
| Rate for Payer: Priority Health Medicare |
$6,999.28
|
| Rate for Payer: Priority Health Narrow Network |
$17,598.91
|
| Rate for Payer: Priority Health SBD |
$2,141.37
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,137.50
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,999.28
|
| Rate for Payer: UHC Exchange |
$1,034.09
|
| Rate for Payer: UHC Medicare Advantage |
$6,999.28
|
| Rate for Payer: UHCCP Medicaid |
$3,751.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,257.63
|
| Rate for Payer: VA VA |
$6,999.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,549.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
IP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$1,495.56 |
| Max. Negotiated Rate |
$3,059.10 |
| Rate for Payer: Aetna American Axle |
$2,209.35
|
| Rate for Payer: Aetna Commercial |
$2,889.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,209.35
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$2,379.30
|
| Rate for Payer: Cofinity Commercial |
$2,923.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,379.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Healthscope Commercial |
$3,059.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,379.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,549.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: PHP Commercial |
$2,889.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health SBD |
$2,141.37
|
| Rate for Payer: UMR Bronson Commercial |
$1,495.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,549.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,399.00
|
|
|
Service Code
|
HCPCS 29827
|
| Min. Negotiated Rate |
$691.61 |
| Max. Negotiated Rate |
$2,209.35 |
| Rate for Payer: Aetna Commercial |
$1,376.68
|
| Rate for Payer: Aetna Medicare |
$1,068.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,376.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,479.41
|
| Rate for Payer: BCBS Complete |
$726.19
|
| Rate for Payer: BCBS MAPPO |
$1,027.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
| Rate for Payer: BCN Commercial |
$1,566.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.37
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$1,376.68
|
| Rate for Payer: Cofinity Commercial |
$1,479.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.74
|
| Rate for Payer: Meridian Medicaid |
$726.19
|
| Rate for Payer: Nomi Health Commercial |
$1,232.84
|
| Rate for Payer: PACE SWMI |
$1,027.37
|
| Rate for Payer: PHP Commercial |
$1,438.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$691.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,641.58
|
| Rate for Payer: Priority Health Medicare |
$1,027.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,641.58
|
| Rate for Payer: Priority Health SBD |
$1,641.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.37
|
| Rate for Payer: UHCCP Medicaid |
$691.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,563.54
|
|
