|
HC ARTHROCENTESIS
|
Facility
|
IP
|
$370.48
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$163.01 |
| Max. Negotiated Rate |
$333.43 |
| Rate for Payer: Aetna American Axle |
$240.81
|
| Rate for Payer: Aetna Commercial |
$314.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.81
|
| Rate for Payer: Cash Price |
$296.38
|
| Rate for Payer: Cofinity Commercial |
$259.34
|
| Rate for Payer: Cofinity Commercial |
$318.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.38
|
| Rate for Payer: Healthscope Commercial |
$333.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$259.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$277.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$314.91
|
| Rate for Payer: PHP Commercial |
$314.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.34
|
| Rate for Payer: Priority Health SBD |
$233.40
|
| Rate for Payer: UMR Bronson Commercial |
$163.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$277.86
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
IP
|
$333.67
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$146.81 |
| Max. Negotiated Rate |
$300.30 |
| Rate for Payer: Aetna American Axle |
$216.89
|
| Rate for Payer: Aetna Commercial |
$283.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.89
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cofinity Commercial |
$233.57
|
| Rate for Payer: Cofinity Commercial |
$286.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.94
|
| Rate for Payer: Healthscope Commercial |
$300.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.62
|
| Rate for Payer: PHP Commercial |
$283.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.57
|
| Rate for Payer: Priority Health SBD |
$210.21
|
| Rate for Payer: UMR Bronson Commercial |
$146.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.25
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
OP
|
$333.67
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$36.02 |
| Max. Negotiated Rate |
$828.79 |
| Rate for Payer: Aetna American Axle |
$216.89
|
| Rate for Payer: Aetna Commercial |
$283.62
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cash Price |
$266.94
|
| Rate for Payer: Cofinity Commercial |
$233.57
|
| Rate for Payer: Cofinity Commercial |
$286.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$300.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$233.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.25
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$283.62
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$283.62
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$210.21
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$36.02
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$123.46
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.25
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
IP
|
$429.05
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$188.78 |
| Max. Negotiated Rate |
$386.14 |
| Rate for Payer: Aetna American Axle |
$278.88
|
| Rate for Payer: Aetna Commercial |
$364.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.88
|
| Rate for Payer: Cash Price |
$343.24
|
| Rate for Payer: Cofinity Commercial |
$300.34
|
| Rate for Payer: Cofinity Commercial |
$368.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.24
|
| Rate for Payer: Healthscope Commercial |
$386.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$300.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$364.69
|
| Rate for Payer: PHP Commercial |
$364.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.34
|
| Rate for Payer: Priority Health SBD |
$270.30
|
| Rate for Payer: UMR Bronson Commercial |
$188.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.79
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
OP
|
$429.05
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$36.02 |
| Max. Negotiated Rate |
$828.79 |
| Rate for Payer: Aetna American Axle |
$278.88
|
| Rate for Payer: Aetna Commercial |
$364.69
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$343.24
|
| Rate for Payer: Cash Price |
$343.24
|
| Rate for Payer: Cofinity Commercial |
$368.98
|
| Rate for Payer: Cofinity Commercial |
$300.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$386.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$300.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.79
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$364.69
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$364.69
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$270.30
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$36.02
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$158.75
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.79
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
IP
|
$1,434.49
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$631.18 |
| Max. Negotiated Rate |
$1,291.04 |
| Rate for Payer: Aetna American Axle |
$932.42
|
| Rate for Payer: Aetna Commercial |
$1,219.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.42
|
| Rate for Payer: Cash Price |
$1,147.59
|
| Rate for Payer: Cofinity Commercial |
$1,004.14
|
| Rate for Payer: Cofinity Commercial |
$1,233.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,147.59
|
| Rate for Payer: Healthscope Commercial |
$1,291.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,004.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,075.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,219.32
|
| Rate for Payer: PHP Commercial |
$1,219.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,004.14
|
| Rate for Payer: Priority Health SBD |
$903.73
|
| Rate for Payer: UMR Bronson Commercial |
$631.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,075.87
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL W US GUIDE
|
Facility
|
OP
|
$1,434.49
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100457
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$50.75 |
| Max. Negotiated Rate |
$1,935.09 |
| Rate for Payer: Aetna American Axle |
$932.42
|
| Rate for Payer: Aetna Commercial |
$1,219.32
|
| Rate for Payer: Aetna Medicare |
$639.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$768.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$768.38
|
| Rate for Payer: BCBS Complete |
$353.08
|
| Rate for Payer: BCBS MAPPO |
$614.70
|
| Rate for Payer: BCBS Trust/PPO |
$689.06
|
| Rate for Payer: BCN Medicare Advantage |
$614.70
|
| Rate for Payer: Cash Price |
$1,147.59
|
| Rate for Payer: Cash Price |
$1,147.59
|
| Rate for Payer: Cofinity Commercial |
$1,004.14
|
| Rate for Payer: Cofinity Commercial |
$1,233.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,147.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.70
|
| Rate for Payer: Healthscope Commercial |
$1,291.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,004.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,075.87
|
| Rate for Payer: Mclaren Medicaid |
$336.24
|
| Rate for Payer: Mclaren Medicare |
$614.70
|
| Rate for Payer: Meridian Medicaid |
$353.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$645.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$706.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,219.32
|
| Rate for Payer: PACE Medicare |
$583.96
|
| Rate for Payer: PACE SWMI |
$614.70
|
| Rate for Payer: PHP Commercial |
$1,219.32
|
| Rate for Payer: PHP Medicare Advantage |
$614.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,004.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,935.09
|
| Rate for Payer: Priority Health Medicare |
$614.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,548.07
|
| Rate for Payer: Priority Health SBD |
$903.73
|
| Rate for Payer: Railroad Medicare Medicare |
$614.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.82
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$614.70
|
| Rate for Payer: UHC Exchange |
$50.75
|
| Rate for Payer: UHC Medicare Advantage |
$633.14
|
| Rate for Payer: UMR Bronson Commercial |
$530.76
|
| Rate for Payer: VA VA |
$614.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,075.87
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
IP
|
$1,063.45
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$467.92 |
| Max. Negotiated Rate |
$957.10 |
| Rate for Payer: Aetna American Axle |
$691.24
|
| Rate for Payer: Aetna Commercial |
$903.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$691.24
|
| Rate for Payer: Cash Price |
$850.76
|
| Rate for Payer: Cofinity Commercial |
$744.42
|
| Rate for Payer: Cofinity Commercial |
$914.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$850.76
|
| Rate for Payer: Healthscope Commercial |
$957.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$744.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$797.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$903.93
|
| Rate for Payer: PHP Commercial |
$903.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.42
|
| Rate for Payer: Priority Health SBD |
$669.97
|
| Rate for Payer: UMR Bronson Commercial |
$467.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$797.59
|
|
|
HC ARTHROCENTESIS INTERMED JT W US GUIDE
|
Facility
|
OP
|
$1,063.45
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
36100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$50.75 |
| Max. Negotiated Rate |
$1,935.09 |
| Rate for Payer: Aetna American Axle |
$691.24
|
| Rate for Payer: Aetna Commercial |
$903.93
|
| Rate for Payer: Aetna Medicare |
$639.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$691.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$768.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$768.38
|
| Rate for Payer: BCBS Complete |
$353.08
|
| Rate for Payer: BCBS MAPPO |
$614.70
|
| Rate for Payer: BCBS Trust/PPO |
$689.06
|
| Rate for Payer: BCN Medicare Advantage |
$614.70
|
| Rate for Payer: Cash Price |
$850.76
|
| Rate for Payer: Cash Price |
$850.76
|
| Rate for Payer: Cofinity Commercial |
$744.42
|
| Rate for Payer: Cofinity Commercial |
$914.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$850.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.70
|
| Rate for Payer: Healthscope Commercial |
$957.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$744.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$797.59
|
| Rate for Payer: Mclaren Medicaid |
$336.24
|
| Rate for Payer: Mclaren Medicare |
$614.70
|
| Rate for Payer: Meridian Medicaid |
$353.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$645.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$706.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$903.93
|
| Rate for Payer: PACE Medicare |
$583.96
|
| Rate for Payer: PACE SWMI |
$614.70
|
| Rate for Payer: PHP Commercial |
$903.93
|
| Rate for Payer: PHP Medicare Advantage |
$614.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,935.09
|
| Rate for Payer: Priority Health Medicare |
$614.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,548.07
|
| Rate for Payer: Priority Health SBD |
$669.97
|
| Rate for Payer: Railroad Medicare Medicare |
$614.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$614.70
|
| Rate for Payer: UHC Exchange |
$50.75
|
| Rate for Payer: UHC Medicare Advantage |
$633.14
|
| Rate for Payer: UMR Bronson Commercial |
$393.48
|
| Rate for Payer: VA VA |
$614.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$797.59
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
OP
|
$322.73
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$44.53 |
| Max. Negotiated Rate |
$828.79 |
| Rate for Payer: Aetna American Axle |
$209.77
|
| Rate for Payer: Aetna Commercial |
$274.32
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$258.18
|
| Rate for Payer: Cash Price |
$258.18
|
| Rate for Payer: Cofinity Commercial |
$277.55
|
| Rate for Payer: Cofinity Commercial |
$225.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$290.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.05
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$274.32
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$274.32
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$203.32
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$44.53
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$119.41
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.05
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
IP
|
$322.73
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$142.00 |
| Max. Negotiated Rate |
$290.46 |
| Rate for Payer: Aetna American Axle |
$209.77
|
| Rate for Payer: Aetna Commercial |
$274.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.77
|
| Rate for Payer: Cash Price |
$258.18
|
| Rate for Payer: Cofinity Commercial |
$225.91
|
| Rate for Payer: Cofinity Commercial |
$277.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.18
|
| Rate for Payer: Healthscope Commercial |
$290.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$274.32
|
| Rate for Payer: PHP Commercial |
$274.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.91
|
| Rate for Payer: Priority Health SBD |
$203.32
|
| Rate for Payer: UMR Bronson Commercial |
$142.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.05
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
IP
|
$413.01
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$181.72 |
| Max. Negotiated Rate |
$371.71 |
| Rate for Payer: Aetna American Axle |
$268.46
|
| Rate for Payer: Aetna Commercial |
$351.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.46
|
| Rate for Payer: Cash Price |
$330.41
|
| Rate for Payer: Cofinity Commercial |
$289.11
|
| Rate for Payer: Cofinity Commercial |
$355.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.41
|
| Rate for Payer: Healthscope Commercial |
$371.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$289.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.06
|
| Rate for Payer: PHP Commercial |
$351.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.11
|
| Rate for Payer: Priority Health SBD |
$260.20
|
| Rate for Payer: UMR Bronson Commercial |
$181.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.76
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
OP
|
$413.01
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$44.53 |
| Max. Negotiated Rate |
$828.79 |
| Rate for Payer: Aetna American Axle |
$268.46
|
| Rate for Payer: Aetna Commercial |
$351.06
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$330.41
|
| Rate for Payer: Cash Price |
$330.41
|
| Rate for Payer: Cofinity Commercial |
$289.11
|
| Rate for Payer: Cofinity Commercial |
$355.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$371.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$289.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$309.76
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.06
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$351.06
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$260.20
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$44.53
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$152.81
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$309.76
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,204.67
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$530.05 |
| Max. Negotiated Rate |
$1,084.20 |
| Rate for Payer: Aetna American Axle |
$783.04
|
| Rate for Payer: Aetna Commercial |
$1,023.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.04
|
| Rate for Payer: Cash Price |
$963.74
|
| Rate for Payer: Cofinity Commercial |
$1,036.02
|
| Rate for Payer: Cofinity Commercial |
$843.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$963.74
|
| Rate for Payer: Healthscope Commercial |
$1,084.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$843.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$903.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,023.97
|
| Rate for Payer: PHP Commercial |
$1,023.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.27
|
| Rate for Payer: Priority Health SBD |
$758.94
|
| Rate for Payer: UMR Bronson Commercial |
$530.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$903.50
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,204.67
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$57.63 |
| Max. Negotiated Rate |
$1,084.20 |
| Rate for Payer: Aetna American Axle |
$783.04
|
| Rate for Payer: Aetna Commercial |
$1,023.97
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$963.74
|
| Rate for Payer: Cash Price |
$963.74
|
| Rate for Payer: Cofinity Commercial |
$843.27
|
| Rate for Payer: Cofinity Commercial |
$1,036.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$963.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$1,084.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$843.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$903.50
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,023.97
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$1,023.97
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$758.94
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.39
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$57.63
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$445.73
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$903.50
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
IP
|
$1,118.72
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$492.24 |
| Max. Negotiated Rate |
$1,006.85 |
| Rate for Payer: Aetna American Axle |
$727.17
|
| Rate for Payer: Aetna Commercial |
$950.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.17
|
| Rate for Payer: Cash Price |
$894.98
|
| Rate for Payer: Cofinity Commercial |
$783.10
|
| Rate for Payer: Cofinity Commercial |
$962.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$894.98
|
| Rate for Payer: Healthscope Commercial |
$1,006.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$783.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$839.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$950.91
|
| Rate for Payer: PHP Commercial |
$950.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.10
|
| Rate for Payer: Priority Health SBD |
$704.79
|
| Rate for Payer: UMR Bronson Commercial |
$492.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$839.04
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,118.72
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$57.63 |
| Max. Negotiated Rate |
$1,006.85 |
| Rate for Payer: Aetna American Axle |
$727.17
|
| Rate for Payer: Aetna Commercial |
$950.91
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$894.98
|
| Rate for Payer: Cash Price |
$894.98
|
| Rate for Payer: Cofinity Commercial |
$783.10
|
| Rate for Payer: Cofinity Commercial |
$962.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$894.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$1,006.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$783.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$839.04
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$950.91
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$950.91
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$704.79
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$57.63
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$413.93
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$839.04
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$320.14
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$35.04 |
| Max. Negotiated Rate |
$828.79 |
| Rate for Payer: Aetna American Axle |
$208.09
|
| Rate for Payer: Aetna Commercial |
$272.12
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$256.11
|
| Rate for Payer: Cash Price |
$256.11
|
| Rate for Payer: Cofinity Commercial |
$275.32
|
| Rate for Payer: Cofinity Commercial |
$224.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$256.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$288.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$224.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$240.10
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$272.12
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$272.12
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$224.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$201.69
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$35.04
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$118.45
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$240.10
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$320.14
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$140.86 |
| Max. Negotiated Rate |
$288.13 |
| Rate for Payer: Aetna American Axle |
$208.09
|
| Rate for Payer: Aetna Commercial |
$272.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.09
|
| Rate for Payer: Cash Price |
$256.11
|
| Rate for Payer: Cofinity Commercial |
$224.10
|
| Rate for Payer: Cofinity Commercial |
$275.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$256.11
|
| Rate for Payer: Healthscope Commercial |
$288.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$224.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$240.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$272.12
|
| Rate for Payer: PHP Commercial |
$272.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$224.10
|
| Rate for Payer: Priority Health SBD |
$201.69
|
| Rate for Payer: UMR Bronson Commercial |
$140.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$240.10
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,159.24
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$510.07 |
| Max. Negotiated Rate |
$1,043.32 |
| Rate for Payer: Aetna American Axle |
$753.51
|
| Rate for Payer: Aetna Commercial |
$985.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.51
|
| Rate for Payer: Cash Price |
$927.39
|
| Rate for Payer: Cofinity Commercial |
$811.47
|
| Rate for Payer: Cofinity Commercial |
$996.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.39
|
| Rate for Payer: Healthscope Commercial |
$1,043.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$811.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$869.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$985.35
|
| Rate for Payer: PHP Commercial |
$985.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.47
|
| Rate for Payer: Priority Health SBD |
$730.32
|
| Rate for Payer: UMR Bronson Commercial |
$510.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$869.43
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,159.24
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$44.53 |
| Max. Negotiated Rate |
$1,043.32 |
| Rate for Payer: Aetna American Axle |
$753.51
|
| Rate for Payer: Aetna Commercial |
$985.35
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$927.39
|
| Rate for Payer: Cash Price |
$927.39
|
| Rate for Payer: Cofinity Commercial |
$811.47
|
| Rate for Payer: Cofinity Commercial |
$996.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$1,043.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$811.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$869.43
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$985.35
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$985.35
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$730.32
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.98
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$44.53
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$428.92
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$869.43
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$984.86
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$44.53 |
| Max. Negotiated Rate |
$886.37 |
| Rate for Payer: Aetna American Axle |
$640.16
|
| Rate for Payer: Aetna Commercial |
$837.13
|
| Rate for Payer: Aetna Medicare |
$273.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$290.76
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$787.89
|
| Rate for Payer: Cash Price |
$787.89
|
| Rate for Payer: Cofinity Commercial |
$689.40
|
| Rate for Payer: Cofinity Commercial |
$846.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$787.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$886.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$689.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$738.64
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$837.13
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$837.13
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$689.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$828.79
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$663.03
|
| Rate for Payer: Priority Health SBD |
$620.46
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.98
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.27
|
| Rate for Payer: UHC Exchange |
$44.53
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: UMR Bronson Commercial |
$364.40
|
| Rate for Payer: VA VA |
$263.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$738.64
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$984.86
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$433.34 |
| Max. Negotiated Rate |
$886.37 |
| Rate for Payer: Aetna American Axle |
$640.16
|
| Rate for Payer: Aetna Commercial |
$837.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.16
|
| Rate for Payer: Cash Price |
$787.89
|
| Rate for Payer: Cofinity Commercial |
$689.40
|
| Rate for Payer: Cofinity Commercial |
$846.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$787.89
|
| Rate for Payer: Healthscope Commercial |
$886.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$689.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$738.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$837.13
|
| Rate for Payer: PHP Commercial |
$837.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$689.40
|
| Rate for Payer: Priority Health SBD |
$620.46
|
| Rate for Payer: UMR Bronson Commercial |
$433.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$738.64
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
OP
|
$919.32
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$80.88 |
| Max. Negotiated Rate |
$827.39 |
| Rate for Payer: Aetna American Axle |
$597.56
|
| Rate for Payer: Aetna Commercial |
$781.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$597.56
|
| Rate for Payer: BCBS Complete |
$367.73
|
| Rate for Payer: BCBS Trust/PPO |
$733.81
|
| Rate for Payer: Cash Price |
$735.46
|
| Rate for Payer: Cash Price |
$735.46
|
| Rate for Payer: Cofinity Commercial |
$643.52
|
| Rate for Payer: Cofinity Commercial |
$790.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$735.46
|
| Rate for Payer: Healthscope Commercial |
$827.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$643.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$689.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$781.42
|
| Rate for Payer: PHP Commercial |
$781.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$643.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.52
|
| Rate for Payer: Priority Health Narrow Network |
$258.82
|
| Rate for Payer: Priority Health SBD |
$579.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.97
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$80.88
|
| Rate for Payer: UMR Bronson Commercial |
$340.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$689.49
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
IP
|
$919.32
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$404.50 |
| Max. Negotiated Rate |
$827.39 |
| Rate for Payer: Aetna American Axle |
$597.56
|
| Rate for Payer: Aetna Commercial |
$781.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$597.56
|
| Rate for Payer: Cash Price |
$735.46
|
| Rate for Payer: Cofinity Commercial |
$643.52
|
| Rate for Payer: Cofinity Commercial |
$790.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$735.46
|
| Rate for Payer: Healthscope Commercial |
$827.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$643.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$689.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$781.42
|
| Rate for Payer: PHP Commercial |
$781.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$643.52
|
| Rate for Payer: Priority Health SBD |
$579.17
|
| Rate for Payer: UMR Bronson Commercial |
$404.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$689.49
|
|
