|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,000.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$224.63 |
| Max. Negotiated Rate |
$4,267.42 |
| Rate for Payer: Aetna American Axle |
$2,600.00
|
| Rate for Payer: Aetna Commercial |
$3,400.00
|
| Rate for Payer: Aetna Medicare |
$1,409.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,600.00
|
| 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 |
$1,451.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$3,440.00
|
| Rate for Payer: Cofinity Commercial |
$2,800.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$3,600.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,800.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,000.00
|
| 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 |
$3,400.00
|
| Rate for Payer: PACE Medicare |
$1,287.80
|
| Rate for Payer: PACE SWMI |
$1,355.58
|
| Rate for Payer: PHP Commercial |
$3,400.00
|
| 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 |
$2,800.00
|
| 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 |
$2,520.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,355.58
|
| Rate for Payer: UHC Exchange |
$224.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: UMR Bronson Commercial |
$1,480.00
|
| Rate for Payer: VA VA |
$1,355.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,000.00
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,000.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,760.00 |
| Max. Negotiated Rate |
$3,600.00 |
| Rate for Payer: Aetna American Axle |
$2,600.00
|
| Rate for Payer: Aetna Commercial |
$3,400.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,600.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$2,800.00
|
| Rate for Payer: Cofinity Commercial |
$3,440.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Healthscope Commercial |
$3,600.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,800.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,400.00
|
| Rate for Payer: PHP Commercial |
$3,400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,800.00
|
| Rate for Payer: Priority Health SBD |
$2,520.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,760.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,000.00
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,473.30
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,088.25 |
| Max. Negotiated Rate |
$2,225.97 |
| Rate for Payer: Aetna American Axle |
$1,607.64
|
| Rate for Payer: Aetna Commercial |
$2,102.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,607.64
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cofinity Commercial |
$1,731.31
|
| Rate for Payer: Cofinity Commercial |
$2,127.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,978.64
|
| Rate for Payer: Healthscope Commercial |
$2,225.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,731.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,854.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,102.30
|
| Rate for Payer: PHP Commercial |
$2,102.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,731.31
|
| Rate for Payer: Priority Health SBD |
$1,558.18
|
| Rate for Payer: UMR Bronson Commercial |
$1,088.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,854.98
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,473.30
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$377.54 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,607.64
|
| Rate for Payer: Aetna Commercial |
$2,102.30
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,607.64
|
| 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 |
$1,320.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cofinity Commercial |
$1,731.31
|
| Rate for Payer: Cofinity Commercial |
$2,127.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,978.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$2,225.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,731.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,854.98
|
| 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 |
$2,102.30
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$2,102.30
|
| 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 |
$1,731.31
|
| 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 |
$1,558.18
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$415.29
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$377.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$915.12
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,854.98
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,632.85
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$153.90 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$1,061.35
|
| Rate for Payer: Aetna Commercial |
$1,387.92
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,061.35
|
| 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 |
$1,126.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cofinity Commercial |
$1,143.00
|
| Rate for Payer: Cofinity Commercial |
$1,404.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,306.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,469.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,143.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,224.64
|
| 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 |
$1,387.92
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,387.92
|
| 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 |
$1,143.00
|
| 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 |
$1,028.70
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$169.29
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$153.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$604.15
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,224.64
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,632.85
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$718.45 |
| Max. Negotiated Rate |
$1,469.56 |
| Rate for Payer: Aetna American Axle |
$1,061.35
|
| Rate for Payer: Aetna Commercial |
$1,387.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,061.35
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cofinity Commercial |
$1,143.00
|
| Rate for Payer: Cofinity Commercial |
$1,404.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,306.28
|
| Rate for Payer: Healthscope Commercial |
$1,469.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,143.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,224.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,387.92
|
| Rate for Payer: PHP Commercial |
$1,387.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,143.00
|
| Rate for Payer: Priority Health SBD |
$1,028.70
|
| Rate for Payer: UMR Bronson Commercial |
$718.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,224.64
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$8,950.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,938.00 |
| Max. Negotiated Rate |
$8,055.00 |
| Rate for Payer: Aetna American Axle |
$5,817.50
|
| Rate for Payer: Aetna Commercial |
$7,607.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,817.50
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cofinity Commercial |
$6,265.00
|
| Rate for Payer: Cofinity Commercial |
$7,697.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,160.00
|
| Rate for Payer: Healthscope Commercial |
$8,055.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,265.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,712.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,607.50
|
| Rate for Payer: PHP Commercial |
$7,607.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,265.00
|
| Rate for Payer: Priority Health SBD |
$5,638.50
|
| Rate for Payer: UMR Bronson Commercial |
$3,938.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,712.50
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$8,950.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$205.63 |
| Max. Negotiated Rate |
$9,755.07 |
| Rate for Payer: Aetna American Axle |
$5,817.50
|
| Rate for Payer: Aetna Commercial |
$7,607.50
|
| Rate for Payer: Aetna Medicare |
$3,222.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,817.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,753.61
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cofinity Commercial |
$6,265.00
|
| Rate for Payer: Cofinity Commercial |
$7,697.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$8,055.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,265.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,712.50
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,607.50
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$7,607.50
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,265.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,755.07
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$7,804.06
|
| Rate for Payer: Priority Health SBD |
$5,638.50
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,098.77
|
| Rate for Payer: UHC Exchange |
$205.63
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: UMR Bronson Commercial |
$3,311.50
|
| Rate for Payer: VA VA |
$3,098.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,712.50
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$8,974.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,948.56 |
| Max. Negotiated Rate |
$8,076.60 |
| Rate for Payer: Aetna American Axle |
$5,833.10
|
| Rate for Payer: Aetna Commercial |
$7,627.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,833.10
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cofinity Commercial |
$6,281.80
|
| Rate for Payer: Cofinity Commercial |
$7,717.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,179.20
|
| Rate for Payer: Healthscope Commercial |
$8,076.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,281.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,730.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,627.90
|
| Rate for Payer: PHP Commercial |
$7,627.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,281.80
|
| Rate for Payer: Priority Health SBD |
$5,653.62
|
| Rate for Payer: UMR Bronson Commercial |
$3,948.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,730.50
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$8,974.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$205.63 |
| Max. Negotiated Rate |
$9,755.07 |
| Rate for Payer: Aetna American Axle |
$5,833.10
|
| Rate for Payer: Aetna Commercial |
$7,627.90
|
| Rate for Payer: Aetna Medicare |
$3,222.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,833.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,753.61
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cofinity Commercial |
$6,281.80
|
| Rate for Payer: Cofinity Commercial |
$7,717.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,179.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$8,076.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,281.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,730.50
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,627.90
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$7,627.90
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,281.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,755.07
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$7,804.06
|
| Rate for Payer: Priority Health SBD |
$5,653.62
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,098.77
|
| Rate for Payer: UHC Exchange |
$205.63
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: UMR Bronson Commercial |
$3,320.38
|
| Rate for Payer: VA VA |
$3,098.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,730.50
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$395.76
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$174.13 |
| Max. Negotiated Rate |
$356.18 |
| Rate for Payer: Aetna American Axle |
$257.24
|
| Rate for Payer: Aetna Commercial |
$336.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$257.24
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cofinity Commercial |
$277.03
|
| Rate for Payer: Cofinity Commercial |
$340.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.61
|
| Rate for Payer: Healthscope Commercial |
$356.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$277.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$336.40
|
| Rate for Payer: PHP Commercial |
$336.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.03
|
| Rate for Payer: Priority Health SBD |
$249.33
|
| Rate for Payer: UMR Bronson Commercial |
$174.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.82
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$395.76
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$74.00 |
| Max. Negotiated Rate |
$1,968.76 |
| Rate for Payer: Aetna American Axle |
$257.24
|
| Rate for Payer: Aetna Commercial |
$336.40
|
| Rate for Payer: Aetna Medicare |
$650.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$257.24
|
| 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 |
$316.61
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cofinity Commercial |
$277.03
|
| Rate for Payer: Cofinity Commercial |
$340.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$356.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$277.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.82
|
| 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 |
$336.40
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$336.40
|
| 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 |
$277.03
|
| 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 |
$249.33
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.40
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$625.39
|
| Rate for Payer: UHC Exchange |
$74.00
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: UMR Bronson Commercial |
$146.43
|
| Rate for Payer: VA VA |
$625.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.82
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,350.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$106.09 |
| Max. Negotiated Rate |
$1,539.60 |
| Rate for Payer: Aetna American Axle |
$877.50
|
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$508.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$611.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$611.32
|
| Rate for Payer: BCBS Complete |
$280.92
|
| Rate for Payer: BCBS MAPPO |
$489.06
|
| Rate for Payer: BCBS Trust/PPO |
$488.52
|
| Rate for Payer: BCN Medicare Advantage |
$489.06
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Cofinity Commercial |
$945.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.06
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$945.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Mclaren Medicaid |
$267.52
|
| Rate for Payer: Mclaren Medicare |
$489.06
|
| Rate for Payer: Meridian Medicaid |
$280.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$562.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PACE Medicare |
$464.61
|
| Rate for Payer: PACE SWMI |
$489.06
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: PHP Medicare Advantage |
$489.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,539.60
|
| Rate for Payer: Priority Health Medicare |
$489.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,231.68
|
| Rate for Payer: Priority Health SBD |
$850.50
|
| Rate for Payer: Railroad Medicare Medicare |
$489.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$489.06
|
| Rate for Payer: UHC Exchange |
$106.09
|
| Rate for Payer: UHC Medicare Advantage |
$503.73
|
| Rate for Payer: UMR Bronson Commercial |
$499.50
|
| Rate for Payer: VA VA |
$489.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,350.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$594.00 |
| Max. Negotiated Rate |
$1,215.00 |
| Rate for Payer: Aetna American Axle |
$877.50
|
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.50
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Cofinity Commercial |
$945.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$945.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health SBD |
$850.50
|
| Rate for Payer: UMR Bronson Commercial |
$594.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$7,900.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,476.00 |
| Max. Negotiated Rate |
$7,110.00 |
| Rate for Payer: Aetna American Axle |
$5,135.00
|
| Rate for Payer: Aetna Commercial |
$6,715.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,135.00
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cofinity Commercial |
$5,530.00
|
| Rate for Payer: Cofinity Commercial |
$6,794.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,320.00
|
| Rate for Payer: Healthscope Commercial |
$7,110.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,530.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,925.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,715.00
|
| Rate for Payer: PHP Commercial |
$6,715.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,530.00
|
| Rate for Payer: Priority Health SBD |
$4,977.00
|
| Rate for Payer: UMR Bronson Commercial |
$3,476.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,925.00
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$7,900.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$109.04 |
| Max. Negotiated Rate |
$9,009.23 |
| Rate for Payer: Aetna American Axle |
$5,135.00
|
| Rate for Payer: Aetna Commercial |
$6,715.00
|
| Rate for Payer: Aetna Medicare |
$2,976.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,135.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,577.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,577.30
|
| Rate for Payer: BCBS Complete |
$1,643.84
|
| Rate for Payer: BCBS MAPPO |
$2,861.84
|
| Rate for Payer: BCBS Trust/PPO |
$146.70
|
| Rate for Payer: BCN Medicare Advantage |
$2,861.84
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cofinity Commercial |
$5,530.00
|
| Rate for Payer: Cofinity Commercial |
$6,794.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,320.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,861.84
|
| Rate for Payer: Healthscope Commercial |
$7,110.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,530.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,925.00
|
| Rate for Payer: Mclaren Medicaid |
$1,565.43
|
| Rate for Payer: Mclaren Medicare |
$2,861.84
|
| Rate for Payer: Meridian Medicaid |
$1,643.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,004.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,291.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,715.00
|
| Rate for Payer: PACE Medicare |
$2,718.75
|
| Rate for Payer: PACE SWMI |
$2,861.84
|
| Rate for Payer: PHP Commercial |
$6,715.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,861.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,565.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,530.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,009.23
|
| Rate for Payer: Priority Health Medicare |
$2,861.84
|
| Rate for Payer: Priority Health Narrow Network |
$7,207.38
|
| Rate for Payer: Priority Health SBD |
$4,977.00
|
| Rate for Payer: Railroad Medicare Medicare |
$2,861.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,861.84
|
| Rate for Payer: UHC Exchange |
$109.04
|
| Rate for Payer: UHC Medicare Advantage |
$2,947.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,923.00
|
| Rate for Payer: VA VA |
$2,861.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,925.00
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,644.96
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$15,377.24 |
| Rate for Payer: Aetna American Axle |
$1,069.22
|
| Rate for Payer: Aetna Commercial |
$1,398.22
|
| Rate for Payer: Aetna Medicare |
$5,080.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,069.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,105.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,105.86
|
| Rate for Payer: BCBS Complete |
$2,805.77
|
| Rate for Payer: BCBS MAPPO |
$4,884.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,624.89
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.69
|
| Rate for Payer: Cash Price |
$1,315.97
|
| Rate for Payer: Cash Price |
$1,315.97
|
| Rate for Payer: Cofinity Commercial |
$1,414.67
|
| Rate for Payer: Cofinity Commercial |
$1,151.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,315.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.69
|
| Rate for Payer: Healthscope Commercial |
$1,480.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,151.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,233.72
|
| Rate for Payer: Mclaren Medicaid |
$2,671.93
|
| Rate for Payer: Mclaren Medicare |
$4,884.69
|
| Rate for Payer: Meridian Medicaid |
$2,805.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,128.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,617.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,398.22
|
| Rate for Payer: PACE Medicare |
$4,640.46
|
| Rate for Payer: PACE SWMI |
$4,884.69
|
| Rate for Payer: PHP Commercial |
$1,398.22
|
| Rate for Payer: PHP Medicare Advantage |
$4,884.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,671.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,151.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,377.24
|
| Rate for Payer: Priority Health Medicare |
$4,884.69
|
| Rate for Payer: Priority Health Narrow Network |
$12,301.79
|
| Rate for Payer: Priority Health SBD |
$1,036.32
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.40
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,884.69
|
| Rate for Payer: UHC Exchange |
$204.00
|
| Rate for Payer: UHC Medicare Advantage |
$5,031.23
|
| Rate for Payer: UMR Bronson Commercial |
$608.64
|
| Rate for Payer: VA VA |
$4,884.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,233.72
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,644.96
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$723.78 |
| Max. Negotiated Rate |
$1,480.46 |
| Rate for Payer: Aetna American Axle |
$1,069.22
|
| Rate for Payer: Aetna Commercial |
$1,398.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,069.22
|
| Rate for Payer: Cash Price |
$1,315.97
|
| Rate for Payer: Cofinity Commercial |
$1,151.47
|
| Rate for Payer: Cofinity Commercial |
$1,414.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,315.97
|
| Rate for Payer: Healthscope Commercial |
$1,480.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,151.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,233.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,398.22
|
| Rate for Payer: PHP Commercial |
$1,398.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,151.47
|
| Rate for Payer: Priority Health SBD |
$1,036.32
|
| Rate for Payer: UMR Bronson Commercial |
$723.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,233.72
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,350.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$88.08 |
| Max. Negotiated Rate |
$1,539.60 |
| Rate for Payer: Aetna American Axle |
$877.50
|
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$508.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$611.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$611.32
|
| Rate for Payer: BCBS Complete |
$280.92
|
| Rate for Payer: BCBS MAPPO |
$489.06
|
| Rate for Payer: BCBS Trust/PPO |
$306.75
|
| Rate for Payer: BCN Medicare Advantage |
$489.06
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$945.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.06
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$945.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Mclaren Medicaid |
$267.52
|
| Rate for Payer: Mclaren Medicare |
$489.06
|
| Rate for Payer: Meridian Medicaid |
$280.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$562.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PACE Medicare |
$464.61
|
| Rate for Payer: PACE SWMI |
$489.06
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: PHP Medicare Advantage |
$489.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,539.60
|
| Rate for Payer: Priority Health Medicare |
$489.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,231.68
|
| Rate for Payer: Priority Health SBD |
$850.50
|
| Rate for Payer: Railroad Medicare Medicare |
$489.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$489.06
|
| Rate for Payer: UHC Exchange |
$88.08
|
| Rate for Payer: UHC Medicare Advantage |
$503.73
|
| Rate for Payer: UMR Bronson Commercial |
$499.50
|
| Rate for Payer: VA VA |
$489.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,350.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$594.00 |
| Max. Negotiated Rate |
$1,215.00 |
| Rate for Payer: Aetna American Axle |
$877.50
|
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.50
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Cofinity Commercial |
$945.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$945.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health SBD |
$850.50
|
| Rate for Payer: UMR Bronson Commercial |
$594.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$853.80
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$375.67 |
| Max. Negotiated Rate |
$768.42 |
| Rate for Payer: Aetna American Axle |
$554.97
|
| Rate for Payer: Aetna Commercial |
$725.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.97
|
| Rate for Payer: Cash Price |
$683.04
|
| Rate for Payer: Cofinity Commercial |
$597.66
|
| Rate for Payer: Cofinity Commercial |
$734.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.04
|
| Rate for Payer: Healthscope Commercial |
$768.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$597.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.73
|
| Rate for Payer: PHP Commercial |
$725.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.66
|
| Rate for Payer: Priority Health SBD |
$537.89
|
| Rate for Payer: UMR Bronson Commercial |
$375.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.35
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
OP
|
$853.80
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$57.96 |
| Max. Negotiated Rate |
$2,249.54 |
| Rate for Payer: Aetna American Axle |
$554.97
|
| Rate for Payer: Aetna Commercial |
$725.73
|
| Rate for Payer: Aetna Medicare |
$743.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.97
|
| 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 |
$683.04
|
| Rate for Payer: Cash Price |
$683.04
|
| Rate for Payer: Cofinity Commercial |
$734.27
|
| Rate for Payer: Cofinity Commercial |
$597.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.58
|
| Rate for Payer: Healthscope Commercial |
$768.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$597.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.35
|
| 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 |
$725.73
|
| Rate for Payer: PACE Medicare |
$678.85
|
| Rate for Payer: PACE SWMI |
$714.58
|
| Rate for Payer: PHP Commercial |
$725.73
|
| 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 |
$597.66
|
| 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 |
$537.89
|
| Rate for Payer: Railroad Medicare Medicare |
$714.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$714.58
|
| Rate for Payer: UHC Exchange |
$57.96
|
| Rate for Payer: UHC Medicare Advantage |
$736.02
|
| Rate for Payer: UMR Bronson Commercial |
$315.91
|
| Rate for Payer: VA VA |
$714.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.35
|
|
|
HC BIOSENSE 8MM ABLATION CATHETER
|
Facility
|
OP
|
$4,590.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$4,131.00 |
| Rate for Payer: Aetna American Axle |
$2,983.50
|
| Rate for Payer: Aetna Commercial |
$3,901.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,983.50
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$3,213.00
|
| Rate for Payer: Cofinity Commercial |
$3,947.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Healthscope Commercial |
$4,131.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,213.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,442.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,901.50
|
| Rate for Payer: PHP Commercial |
$3,901.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,213.00
|
| Rate for Payer: Priority Health SBD |
$2,891.70
|
| Rate for Payer: UMR Bronson Commercial |
$1,698.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,442.50
|
|
|
HC BIOSENSE 8MM ABLATION CATHETER
|
Facility
|
IP
|
$4,590.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,019.60 |
| Max. Negotiated Rate |
$4,131.00 |
| Rate for Payer: Aetna American Axle |
$2,983.50
|
| Rate for Payer: Aetna Commercial |
$3,901.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,983.50
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$3,213.00
|
| Rate for Payer: Cofinity Commercial |
$3,947.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Healthscope Commercial |
$4,131.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,213.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,442.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,901.50
|
| Rate for Payer: PHP Commercial |
$3,901.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,213.00
|
| Rate for Payer: Priority Health SBD |
$2,891.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,019.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,442.50
|
|
|
HC BIOSENSE ABLATION CATHETER
|
Facility
|
OP
|
$4,002.32
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$3,602.09 |
| Rate for Payer: Aetna American Axle |
$2,601.51
|
| Rate for Payer: Aetna Commercial |
$3,401.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,601.51
|
| Rate for Payer: BCBS Complete |
$1,600.93
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: Cash Price |
$3,201.86
|
| Rate for Payer: Cash Price |
$3,201.86
|
| Rate for Payer: Cofinity Commercial |
$2,801.62
|
| Rate for Payer: Cofinity Commercial |
$3,442.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,201.86
|
| Rate for Payer: Healthscope Commercial |
$3,602.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,801.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,001.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,401.97
|
| Rate for Payer: PHP Commercial |
$3,401.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,801.62
|
| Rate for Payer: Priority Health SBD |
$2,521.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,480.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,001.74
|
|
