|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,158.09
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$949.56 |
| Max. Negotiated Rate |
$1,942.28 |
| Rate for Payer: Aetna American Axle |
$1,402.76
|
| Rate for Payer: Aetna Commercial |
$1,834.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,402.76
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cofinity Commercial |
$1,510.66
|
| Rate for Payer: Cofinity Commercial |
$1,855.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.47
|
| Rate for Payer: Healthscope Commercial |
$1,942.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,510.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,618.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.38
|
| Rate for Payer: PHP Commercial |
$1,834.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.66
|
| Rate for Payer: Priority Health SBD |
$1,359.60
|
| Rate for Payer: UMR Bronson Commercial |
$949.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,618.57
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$650.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$585.00 |
| Rate for Payer: Aetna American Axle |
$422.50
|
| Rate for Payer: Aetna Commercial |
$552.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.50
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$455.00
|
| Rate for Payer: Cofinity Commercial |
$559.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.00
|
| Rate for Payer: Healthscope Commercial |
$585.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$455.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.50
|
| Rate for Payer: PHP Commercial |
$552.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health SBD |
$409.50
|
| Rate for Payer: UMR Bronson Commercial |
$286.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.50
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$650.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$67.45 |
| Max. Negotiated Rate |
$683.51 |
| Rate for Payer: Aetna American Axle |
$422.50
|
| Rate for Payer: Aetna Commercial |
$552.50
|
| Rate for Payer: Aetna Medicare |
$225.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$271.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$271.40
|
| Rate for Payer: BCBS Complete |
$124.71
|
| Rate for Payer: BCBS MAPPO |
$217.12
|
| Rate for Payer: BCBS Trust/PPO |
$298.22
|
| Rate for Payer: BCN Medicare Advantage |
$217.12
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$455.00
|
| Rate for Payer: Cofinity Commercial |
$559.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.12
|
| Rate for Payer: Healthscope Commercial |
$585.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$455.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.50
|
| Rate for Payer: Mclaren Medicaid |
$118.76
|
| Rate for Payer: Mclaren Medicare |
$217.12
|
| Rate for Payer: Meridian Medicaid |
$124.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$227.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$249.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.50
|
| Rate for Payer: PACE Medicare |
$206.26
|
| Rate for Payer: PACE SWMI |
$217.12
|
| Rate for Payer: PHP Commercial |
$552.50
|
| Rate for Payer: PHP Medicare Advantage |
$217.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$683.51
|
| Rate for Payer: Priority Health Medicare |
$217.12
|
| Rate for Payer: Priority Health Narrow Network |
$546.81
|
| Rate for Payer: Priority Health SBD |
$409.50
|
| Rate for Payer: Railroad Medicare Medicare |
$217.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.12
|
| Rate for Payer: UHC Exchange |
$67.45
|
| Rate for Payer: UHC Medicare Advantage |
$223.63
|
| Rate for Payer: UMR Bronson Commercial |
$240.50
|
| Rate for Payer: VA VA |
$217.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.50
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
IP
|
$9,288.24
|
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,086.83 |
| Max. Negotiated Rate |
$8,359.42 |
| Rate for Payer: Aetna American Axle |
$6,037.36
|
| Rate for Payer: Aetna Commercial |
$7,895.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,037.36
|
| Rate for Payer: Cash Price |
$7,430.59
|
| Rate for Payer: Cofinity Commercial |
$6,501.77
|
| Rate for Payer: Cofinity Commercial |
$7,987.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,430.59
|
| Rate for Payer: Healthscope Commercial |
$8,359.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,501.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,966.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,895.00
|
| Rate for Payer: PHP Commercial |
$7,895.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,501.77
|
| Rate for Payer: Priority Health SBD |
$5,851.59
|
| Rate for Payer: UMR Bronson Commercial |
$4,086.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,966.18
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
OP
|
$9,288.24
|
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,436.65 |
| Max. Negotiated Rate |
$8,359.42 |
| Rate for Payer: Aetna American Axle |
$6,037.36
|
| Rate for Payer: Aetna Commercial |
$7,895.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,037.36
|
| Rate for Payer: BCBS Complete |
$3,715.30
|
| Rate for Payer: Cash Price |
$7,430.59
|
| Rate for Payer: Cofinity Commercial |
$6,501.77
|
| Rate for Payer: Cofinity Commercial |
$7,987.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,430.59
|
| Rate for Payer: Healthscope Commercial |
$8,359.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,501.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,966.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,895.00
|
| Rate for Payer: PHP Commercial |
$7,895.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,501.77
|
| Rate for Payer: Priority Health SBD |
$5,851.59
|
| Rate for Payer: UMR Bronson Commercial |
$3,436.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,966.18
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$853.74
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$375.65 |
| Max. Negotiated Rate |
$768.37 |
| Rate for Payer: Aetna American Axle |
$554.93
|
| Rate for Payer: Aetna Commercial |
$725.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.93
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$597.62
|
| Rate for Payer: Cofinity Commercial |
$734.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Healthscope Commercial |
$768.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$597.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PHP Commercial |
$725.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health SBD |
$537.86
|
| Rate for Payer: UMR Bronson Commercial |
$375.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.30
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
OP
|
$853.74
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$64.18 |
| Max. Negotiated Rate |
$2,249.54 |
| Rate for Payer: Aetna American Axle |
$554.93
|
| Rate for Payer: Aetna Commercial |
$725.68
|
| Rate for Payer: Aetna Medicare |
$743.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$893.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$893.22
|
| Rate for Payer: BCBS Complete |
$410.45
|
| Rate for Payer: BCBS MAPPO |
$714.58
|
| Rate for Payer: BCBS Trust/PPO |
$752.29
|
| Rate for Payer: BCN Medicare Advantage |
$714.58
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$734.22
|
| Rate for Payer: Cofinity Commercial |
$597.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.58
|
| Rate for Payer: Healthscope Commercial |
$768.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$597.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.30
|
| Rate for Payer: Mclaren Medicaid |
$390.88
|
| Rate for Payer: Mclaren Medicare |
$714.58
|
| Rate for Payer: Meridian Medicaid |
$410.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$750.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$821.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PACE Medicare |
$678.85
|
| Rate for Payer: PACE SWMI |
$714.58
|
| Rate for Payer: PHP Commercial |
$725.68
|
| Rate for Payer: PHP Medicare Advantage |
$714.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$390.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,249.54
|
| Rate for Payer: Priority Health Medicare |
$714.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,799.63
|
| Rate for Payer: Priority Health SBD |
$537.86
|
| Rate for Payer: Railroad Medicare Medicare |
$714.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$714.58
|
| Rate for Payer: UHC Exchange |
$64.18
|
| Rate for Payer: UHC Medicare Advantage |
$736.02
|
| Rate for Payer: UMR Bronson Commercial |
$315.88
|
| Rate for Payer: VA VA |
$714.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.30
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$3,937.00
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,732.28 |
| Max. Negotiated Rate |
$3,543.30 |
| Rate for Payer: Aetna American Axle |
$2,559.05
|
| Rate for Payer: Aetna Commercial |
$3,346.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,559.05
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cofinity Commercial |
$2,755.90
|
| Rate for Payer: Cofinity Commercial |
$3,385.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,149.60
|
| Rate for Payer: Healthscope Commercial |
$3,543.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,755.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,952.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,346.45
|
| Rate for Payer: PHP Commercial |
$3,346.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,755.90
|
| Rate for Payer: Priority Health SBD |
$2,480.31
|
| Rate for Payer: UMR Bronson Commercial |
$1,732.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,952.75
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
OP
|
$3,937.00
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$116.24 |
| Max. Negotiated Rate |
$4,267.42 |
| Rate for Payer: Aetna American Axle |
$2,559.05
|
| Rate for Payer: Aetna Commercial |
$3,346.45
|
| Rate for Payer: Aetna Medicare |
$1,409.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,559.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,694.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,694.48
|
| Rate for Payer: BCBS Complete |
$778.65
|
| Rate for Payer: BCBS MAPPO |
$1,355.58
|
| Rate for Payer: BCBS Trust/PPO |
$131.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cofinity Commercial |
$3,385.82
|
| Rate for Payer: Cofinity Commercial |
$2,755.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,149.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$3,543.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,755.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,952.75
|
| Rate for Payer: Mclaren Medicaid |
$741.50
|
| Rate for Payer: Mclaren Medicare |
$1,355.58
|
| Rate for Payer: Meridian Medicaid |
$778.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,423.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,558.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,346.45
|
| Rate for Payer: PACE Medicare |
$1,287.80
|
| Rate for Payer: PACE SWMI |
$1,355.58
|
| Rate for Payer: PHP Commercial |
$3,346.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,355.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,755.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,267.42
|
| Rate for Payer: Priority Health Medicare |
$1,355.58
|
| Rate for Payer: Priority Health Narrow Network |
$3,413.94
|
| Rate for Payer: Priority Health SBD |
$2,480.31
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,355.58
|
| Rate for Payer: UHC Exchange |
$116.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: UMR Bronson Commercial |
$1,456.69
|
| Rate for Payer: VA VA |
$1,355.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,952.75
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$3,950.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$109.04 |
| Max. Negotiated Rate |
$4,267.42 |
| Rate for Payer: Aetna American Axle |
$2,567.50
|
| Rate for Payer: Aetna Commercial |
$3,357.50
|
| Rate for Payer: Aetna Medicare |
$1,409.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,567.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,694.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,694.48
|
| Rate for Payer: BCBS Complete |
$778.65
|
| Rate for Payer: BCBS MAPPO |
$1,355.58
|
| Rate for Payer: BCBS Trust/PPO |
$125.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,397.00
|
| Rate for Payer: Cofinity Commercial |
$2,765.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$3,555.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,765.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,962.50
|
| Rate for Payer: Mclaren Medicaid |
$741.50
|
| Rate for Payer: Mclaren Medicare |
$1,355.58
|
| Rate for Payer: Meridian Medicaid |
$778.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,423.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,558.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PACE Medicare |
$1,287.80
|
| Rate for Payer: PACE SWMI |
$1,355.58
|
| Rate for Payer: PHP Commercial |
$3,357.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,355.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,267.42
|
| Rate for Payer: Priority Health Medicare |
$1,355.58
|
| Rate for Payer: Priority Health Narrow Network |
$3,413.94
|
| Rate for Payer: Priority Health SBD |
$2,488.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,355.58
|
| Rate for Payer: UHC Exchange |
$109.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: UMR Bronson Commercial |
$1,461.50
|
| Rate for Payer: VA VA |
$1,355.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,962.50
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$3,950.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,738.00 |
| Max. Negotiated Rate |
$3,555.00 |
| Rate for Payer: Aetna American Axle |
$2,567.50
|
| Rate for Payer: Aetna Commercial |
$3,357.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,567.50
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$2,765.00
|
| Rate for Payer: Cofinity Commercial |
$3,397.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Healthscope Commercial |
$3,555.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,765.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,962.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PHP Commercial |
$3,357.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health SBD |
$2,488.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,738.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,962.50
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
IP
|
$1,043.87
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$459.30 |
| Max. Negotiated Rate |
$939.48 |
| Rate for Payer: Aetna American Axle |
$678.52
|
| Rate for Payer: Aetna Commercial |
$887.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.52
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cofinity Commercial |
$730.71
|
| Rate for Payer: Cofinity Commercial |
$897.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$835.10
|
| Rate for Payer: Healthscope Commercial |
$939.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$887.29
|
| Rate for Payer: PHP Commercial |
$887.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.71
|
| Rate for Payer: Priority Health SBD |
$657.64
|
| Rate for Payer: UMR Bronson Commercial |
$459.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.90
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,043.87
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$226.26 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$678.52
|
| Rate for Payer: Aetna Commercial |
$887.29
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$903.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cofinity Commercial |
$897.73
|
| Rate for Payer: Cofinity Commercial |
$730.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$835.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$939.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.90
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$887.29
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$887.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$657.64
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$248.89
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$226.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$386.23
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.90
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
OP
|
$7,162.95
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$209.24 |
| Max. Negotiated Rate |
$7,951.14 |
| Rate for Payer: Aetna American Axle |
$4,655.92
|
| Rate for Payer: Aetna Commercial |
$6,088.51
|
| Rate for Payer: Aetna Medicare |
$2,626.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,655.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,531.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cofinity Commercial |
$6,160.14
|
| Rate for Payer: Cofinity Commercial |
$5,014.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$6,446.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,014.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,372.21
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,088.51
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$6,088.51
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,014.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,951.14
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$6,360.91
|
| Rate for Payer: Priority Health SBD |
$4,512.66
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,525.74
|
| Rate for Payer: UHC Exchange |
$209.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: UMR Bronson Commercial |
$2,650.29
|
| Rate for Payer: VA VA |
$2,525.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,372.21
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
IP
|
$7,162.95
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$3,151.70 |
| Max. Negotiated Rate |
$6,446.66 |
| Rate for Payer: Aetna American Axle |
$4,655.92
|
| Rate for Payer: Aetna Commercial |
$6,088.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,655.92
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cofinity Commercial |
$5,014.06
|
| Rate for Payer: Cofinity Commercial |
$6,160.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.36
|
| Rate for Payer: Healthscope Commercial |
$6,446.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,014.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,372.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,088.51
|
| Rate for Payer: PHP Commercial |
$6,088.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,014.06
|
| Rate for Payer: Priority Health SBD |
$4,512.66
|
| Rate for Payer: UMR Bronson Commercial |
$3,151.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,372.21
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$4,200.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$118.86 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$2,730.00
|
| Rate for Payer: Aetna Commercial |
$3,570.00
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,730.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$903.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$3,612.00
|
| Rate for Payer: Cofinity Commercial |
$2,940.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,360.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$3,780.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,940.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,150.00
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,570.00
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$3,570.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,940.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$2,646.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$118.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$1,554.00
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,150.00
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$4,200.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,848.00 |
| Max. Negotiated Rate |
$3,780.00 |
| Rate for Payer: Aetna American Axle |
$2,730.00
|
| Rate for Payer: Aetna Commercial |
$3,570.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,730.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$2,940.00
|
| Rate for Payer: Cofinity Commercial |
$3,612.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,360.00
|
| Rate for Payer: Healthscope Commercial |
$3,780.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,940.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,150.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,570.00
|
| Rate for Payer: PHP Commercial |
$3,570.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,940.00
|
| Rate for Payer: Priority Health SBD |
$2,646.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,848.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,150.00
|
|
|
HC BIOPSY PLEURA
|
Facility
|
IP
|
$907.70
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$399.39 |
| Max. Negotiated Rate |
$816.93 |
| Rate for Payer: Aetna American Axle |
$590.00
|
| Rate for Payer: Aetna Commercial |
$771.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.00
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cofinity Commercial |
$635.39
|
| Rate for Payer: Cofinity Commercial |
$780.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.16
|
| Rate for Payer: Healthscope Commercial |
$816.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$771.54
|
| Rate for Payer: PHP Commercial |
$771.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$635.39
|
| Rate for Payer: Priority Health SBD |
$571.85
|
| Rate for Payer: UMR Bronson Commercial |
$399.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.78
|
|
|
HC BIOPSY PLEURA
|
Facility
|
OP
|
$907.70
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$80.55 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$590.00
|
| Rate for Payer: Aetna Commercial |
$771.54
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$903.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cofinity Commercial |
$780.62
|
| Rate for Payer: Cofinity Commercial |
$635.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$816.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.78
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$771.54
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$771.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$635.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$571.85
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.60
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$80.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$335.85
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.78
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
IP
|
$1,976.45
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$869.64 |
| Max. Negotiated Rate |
$1,778.80 |
| Rate for Payer: Aetna American Axle |
$1,284.69
|
| Rate for Payer: Aetna Commercial |
$1,679.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.69
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,383.52
|
| Rate for Payer: Cofinity Commercial |
$1,699.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,581.16
|
| Rate for Payer: Healthscope Commercial |
$1,778.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,383.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,482.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,679.98
|
| Rate for Payer: PHP Commercial |
$1,679.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.52
|
| Rate for Payer: Priority Health SBD |
$1,245.16
|
| Rate for Payer: UMR Bronson Commercial |
$869.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,482.34
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
OP
|
$1,976.45
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$126.39 |
| Max. Negotiated Rate |
$5,699.47 |
| Rate for Payer: Aetna American Axle |
$1,284.69
|
| Rate for Payer: Aetna Commercial |
$1,679.98
|
| Rate for Payer: Aetna Medicare |
$1,882.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,263.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,263.10
|
| Rate for Payer: BCBS Complete |
$1,039.94
|
| Rate for Payer: BCBS MAPPO |
$1,810.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.48
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,699.75
|
| Rate for Payer: Cofinity Commercial |
$1,383.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,581.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.48
|
| Rate for Payer: Healthscope Commercial |
$1,778.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,383.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,482.34
|
| Rate for Payer: Mclaren Medicaid |
$990.33
|
| Rate for Payer: Mclaren Medicare |
$1,810.48
|
| Rate for Payer: Meridian Medicaid |
$1,039.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,901.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,082.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,679.98
|
| Rate for Payer: PACE Medicare |
$1,719.96
|
| Rate for Payer: PACE SWMI |
$1,810.48
|
| Rate for Payer: PHP Commercial |
$1,679.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$990.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,699.47
|
| Rate for Payer: Priority Health Medicare |
$1,810.48
|
| Rate for Payer: Priority Health Narrow Network |
$4,559.58
|
| Rate for Payer: Priority Health SBD |
$1,245.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,810.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,810.48
|
| Rate for Payer: UHC Exchange |
$126.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,864.79
|
| Rate for Payer: UMR Bronson Commercial |
$731.29
|
| Rate for Payer: VA VA |
$1,810.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,482.34
|
|
|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,653.46
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$121.81 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,074.75
|
| Rate for Payer: Aetna Commercial |
$1,405.44
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,074.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,129.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cofinity Commercial |
$1,157.42
|
| Rate for Payer: Cofinity Commercial |
$1,421.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,488.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,157.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,240.10
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,405.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$1,041.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.99
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$121.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$611.78
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,240.10
|
|
|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,653.46
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$727.52 |
| Max. Negotiated Rate |
$1,488.11 |
| Rate for Payer: Aetna American Axle |
$1,074.75
|
| Rate for Payer: Aetna Commercial |
$1,405.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,074.75
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cofinity Commercial |
$1,157.42
|
| Rate for Payer: Cofinity Commercial |
$1,421.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
| Rate for Payer: Healthscope Commercial |
$1,488.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,157.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,240.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
| Rate for Payer: PHP Commercial |
$1,405.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
| Rate for Payer: Priority Health SBD |
$1,041.68
|
| Rate for Payer: UMR Bronson Commercial |
$727.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,240.10
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$898.05
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$395.14 |
| Max. Negotiated Rate |
$808.24 |
| Rate for Payer: Aetna American Axle |
$583.73
|
| Rate for Payer: Aetna Commercial |
$763.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$583.73
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cofinity Commercial |
$628.64
|
| Rate for Payer: Cofinity Commercial |
$772.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$718.44
|
| Rate for Payer: Healthscope Commercial |
$808.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$628.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$673.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$763.34
|
| Rate for Payer: PHP Commercial |
$763.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.64
|
| Rate for Payer: Priority Health SBD |
$565.77
|
| Rate for Payer: UMR Bronson Commercial |
$395.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$673.54
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$898.05
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$51.74 |
| Max. Negotiated Rate |
$1,968.76 |
| Rate for Payer: Aetna American Axle |
$583.73
|
| Rate for Payer: Aetna Commercial |
$763.34
|
| Rate for Payer: Aetna Medicare |
$650.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$583.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$694.01
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cofinity Commercial |
$628.64
|
| Rate for Payer: Cofinity Commercial |
$772.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$718.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$808.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$628.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$673.54
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$763.34
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$763.34
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,968.76
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,575.01
|
| Rate for Payer: Priority Health SBD |
$565.77
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.91
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$625.39
|
| Rate for Payer: UHC Exchange |
$51.74
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: UMR Bronson Commercial |
$332.28
|
| Rate for Payer: VA VA |
$625.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$673.54
|
|
