HC EXCISION LINGUAL FRENUM FRENECTOMY
|
Facility
|
OP
|
$3,900.00
|
|
Service Code
|
CPT 41115
|
Hospital Charge Code |
76100380
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$144.73 |
Max. Negotiated Rate |
$4,267.42 |
Rate for Payer: Aetna American Axle |
$2,535.00
|
Rate for Payer: Aetna Commercial |
$3,315.00
|
Rate for Payer: Aetna Medicare |
$1,409.80
|
Rate for Payer: Aetna New Business (MI Preferred) |
$2,535.00
|
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 |
$1,484.48
|
Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
Rate for Payer: Cash Price |
$3,120.00
|
Rate for Payer: Cash Price |
$3,120.00
|
Rate for Payer: Cofinity Commercial |
$3,354.00
|
Rate for Payer: Cofinity Commercial |
$2,730.00
|
Rate for Payer: Encore Health Key Benefits Commercial |
$3,120.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
Rate for Payer: Healthscope Commercial |
$3,510.00
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,730.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,925.00
|
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 |
$3,315.00
|
Rate for Payer: PACE Medicare |
$1,287.80
|
Rate for Payer: PACE SWMI |
$1,355.58
|
Rate for Payer: PHP Commercial |
$3,315.00
|
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 |
$2,730.00
|
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 |
$2,457.00
|
Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$159.20
|
Rate for Payer: UHC Dual Complete DSNP |
$1,355.58
|
Rate for Payer: UHC Exchange |
$144.73
|
Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
Rate for Payer: UMR Bronson Commercial |
$1,443.00
|
Rate for Payer: VA VA |
$1,355.58
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,925.00
|
|
HC EXCISION LINGUAL FRENUM FRENECTOMY
|
Facility
|
IP
|
$3,900.00
|
|
Service Code
|
CPT 41115
|
Hospital Charge Code |
76100380
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$1,716.00 |
Max. Negotiated Rate |
$3,510.00 |
Rate for Payer: Aetna American Axle |
$2,535.00
|
Rate for Payer: Aetna Commercial |
$3,315.00
|
Rate for Payer: Aetna New Business (MI Preferred) |
$2,535.00
|
Rate for Payer: Cash Price |
$3,120.00
|
Rate for Payer: Cofinity Commercial |
$2,730.00
|
Rate for Payer: Cofinity Commercial |
$3,354.00
|
Rate for Payer: Encore Health Key Benefits Commercial |
$3,120.00
|
Rate for Payer: Healthscope Commercial |
$3,510.00
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,730.00
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,925.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,315.00
|
Rate for Payer: PHP Commercial |
$3,315.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,730.00
|
Rate for Payer: Priority Health SBD |
$2,457.00
|
Rate for Payer: UMR Bronson Commercial |
$1,716.00
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,925.00
|
|
HC EXCISION OF ANAL LESION(S)
|
Facility
|
OP
|
$7,380.33
|
|
Service Code
|
CPT 46922
|
Hospital Charge Code |
76100350
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$136.54 |
Max. Negotiated Rate |
$7,856.86 |
Rate for Payer: Aetna American Axle |
$4,797.21
|
Rate for Payer: Aetna Commercial |
$6,273.28
|
Rate for Payer: Aetna Medicare |
$2,595.61
|
Rate for Payer: Aetna New Business (MI Preferred) |
$4,797.21
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,119.72
|
Rate for Payer: Amish Plain Church Group Commercial |
$3,119.72
|
Rate for Payer: BCBS Complete |
$1,433.58
|
Rate for Payer: BCBS MAPPO |
$2,495.78
|
Rate for Payer: BCBS Trust/PPO |
$2,294.73
|
Rate for Payer: BCN Medicare Advantage |
$2,495.78
|
Rate for Payer: Cash Price |
$5,904.26
|
Rate for Payer: Cash Price |
$5,904.26
|
Rate for Payer: Cofinity Commercial |
$5,166.23
|
Rate for Payer: Cofinity Commercial |
$6,347.08
|
Rate for Payer: Encore Health Key Benefits Commercial |
$5,904.26
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,495.78
|
Rate for Payer: Healthscope Commercial |
$6,642.30
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,166.23
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,535.25
|
Rate for Payer: Mclaren Medicaid |
$1,365.19
|
Rate for Payer: Mclaren Medicare |
$2,495.78
|
Rate for Payer: Meridian Medicaid |
$1,433.58
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,620.57
|
Rate for Payer: MI Amish Medical Board Commercial |
$2,870.15
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,273.28
|
Rate for Payer: PACE Medicare |
$2,370.99
|
Rate for Payer: PACE SWMI |
$2,495.78
|
Rate for Payer: PHP Commercial |
$6,273.28
|
Rate for Payer: PHP Medicare Advantage |
$2,495.78
|
Rate for Payer: Priority Health Choice Medicaid |
$1,365.19
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,166.23
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,856.86
|
Rate for Payer: Priority Health Medicare |
$2,495.78
|
Rate for Payer: Priority Health Narrow Network |
$6,285.49
|
Rate for Payer: Priority Health SBD |
$4,649.61
|
Rate for Payer: Railroad Medicare Medicare |
$2,495.78
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$150.19
|
Rate for Payer: UHC Dual Complete DSNP |
$2,495.78
|
Rate for Payer: UHC Exchange |
$136.54
|
Rate for Payer: UHC Medicare Advantage |
$2,570.65
|
Rate for Payer: UMR Bronson Commercial |
$2,730.72
|
Rate for Payer: VA VA |
$2,495.78
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,535.25
|
|
HC EXCISION OF ANAL LESION(S)
|
Facility
|
IP
|
$7,380.33
|
|
Service Code
|
CPT 46922
|
Hospital Charge Code |
76100350
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$3,247.35 |
Max. Negotiated Rate |
$6,642.30 |
Rate for Payer: Aetna American Axle |
$4,797.21
|
Rate for Payer: Aetna Commercial |
$6,273.28
|
Rate for Payer: Aetna New Business (MI Preferred) |
$4,797.21
|
Rate for Payer: Cash Price |
$5,904.26
|
Rate for Payer: Cofinity Commercial |
$5,166.23
|
Rate for Payer: Cofinity Commercial |
$6,347.08
|
Rate for Payer: Encore Health Key Benefits Commercial |
$5,904.26
|
Rate for Payer: Healthscope Commercial |
$6,642.30
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,166.23
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,535.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,273.28
|
Rate for Payer: PHP Commercial |
$6,273.28
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,166.23
|
Rate for Payer: Priority Health SBD |
$4,649.61
|
Rate for Payer: UMR Bronson Commercial |
$3,247.35
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,535.25
|
|
HC EXCISION OF NAIL OR NAIL MATRIX
|
Facility
|
IP
|
$388.03
|
|
Service Code
|
CPT 11750
|
Hospital Charge Code |
76100077
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$170.73 |
Max. Negotiated Rate |
$349.23 |
Rate for Payer: Aetna American Axle |
$252.22
|
Rate for Payer: Aetna Commercial |
$329.83
|
Rate for Payer: Aetna New Business (MI Preferred) |
$252.22
|
Rate for Payer: Cash Price |
$310.42
|
Rate for Payer: Cofinity Commercial |
$271.62
|
Rate for Payer: Cofinity Commercial |
$333.71
|
Rate for Payer: Encore Health Key Benefits Commercial |
$310.42
|
Rate for Payer: Healthscope Commercial |
$349.23
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$271.62
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.02
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$329.83
|
Rate for Payer: PHP Commercial |
$329.83
|
Rate for Payer: Priority Health Cigna Priority Health |
$271.62
|
Rate for Payer: Priority Health SBD |
$244.46
|
Rate for Payer: UMR Bronson Commercial |
$170.73
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.02
|
|
HC EXCISION OF NAIL OR NAIL MATRIX
|
Facility
|
OP
|
$388.03
|
|
Service Code
|
CPT 11750
|
Hospital Charge Code |
76100077
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$100.20 |
Max. Negotiated Rate |
$1,115.78 |
Rate for Payer: Aetna American Axle |
$252.22
|
Rate for Payer: Aetna Commercial |
$329.83
|
Rate for Payer: Aetna Medicare |
$368.61
|
Rate for Payer: Aetna New Business (MI Preferred) |
$252.22
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$443.04
|
Rate for Payer: Amish Plain Church Group Commercial |
$443.04
|
Rate for Payer: BCBS Complete |
$203.58
|
Rate for Payer: BCBS MAPPO |
$354.43
|
Rate for Payer: BCBS Trust/PPO |
$398.96
|
Rate for Payer: BCN Medicare Advantage |
$354.43
|
Rate for Payer: Cash Price |
$310.42
|
Rate for Payer: Cash Price |
$310.42
|
Rate for Payer: Cofinity Commercial |
$333.71
|
Rate for Payer: Cofinity Commercial |
$271.62
|
Rate for Payer: Encore Health Key Benefits Commercial |
$310.42
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$354.43
|
Rate for Payer: Healthscope Commercial |
$349.23
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$271.62
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$291.02
|
Rate for Payer: Mclaren Medicaid |
$193.87
|
Rate for Payer: Mclaren Medicare |
$354.43
|
Rate for Payer: Meridian Medicaid |
$203.58
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$372.15
|
Rate for Payer: MI Amish Medical Board Commercial |
$407.59
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$329.83
|
Rate for Payer: PACE Medicare |
$336.71
|
Rate for Payer: PACE SWMI |
$354.43
|
Rate for Payer: PHP Commercial |
$329.83
|
Rate for Payer: PHP Medicare Advantage |
$354.43
|
Rate for Payer: Priority Health Choice Medicaid |
$193.87
|
Rate for Payer: Priority Health Cigna Priority Health |
$271.62
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,115.78
|
Rate for Payer: Priority Health Medicare |
$354.43
|
Rate for Payer: Priority Health Narrow Network |
$892.62
|
Rate for Payer: Priority Health SBD |
$244.46
|
Rate for Payer: Railroad Medicare Medicare |
$354.43
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$110.22
|
Rate for Payer: UHC Dual Complete DSNP |
$354.43
|
Rate for Payer: UHC Exchange |
$100.20
|
Rate for Payer: UHC Medicare Advantage |
$365.06
|
Rate for Payer: UMR Bronson Commercial |
$143.57
|
Rate for Payer: VA VA |
$354.43
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$291.02
|
|
HC EXCISION OF PENIS LESION(S)
|
Facility
|
IP
|
$5,174.31
|
|
Service Code
|
CPT 54060
|
Hospital Charge Code |
76100347
|
Hospital Revenue Code
|
760
|
Min. Negotiated Rate |
$2,276.70 |
Max. Negotiated Rate |
$4,656.88 |
Rate for Payer: Aetna American Axle |
$3,363.30
|
Rate for Payer: Aetna Commercial |
$4,398.16
|
Rate for Payer: Aetna New Business (MI Preferred) |
$3,363.30
|
Rate for Payer: Cash Price |
$4,139.45
|
Rate for Payer: Cofinity Commercial |
$3,622.02
|
Rate for Payer: Cofinity Commercial |
$4,449.91
|
Rate for Payer: Encore Health Key Benefits Commercial |
$4,139.45
|
Rate for Payer: Healthscope Commercial |
$4,656.88
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,622.02
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,880.73
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,398.16
|
Rate for Payer: PHP Commercial |
$4,398.16
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,622.02
|
Rate for Payer: Priority Health SBD |
$3,259.82
|
Rate for Payer: UMR Bronson Commercial |
$2,276.70
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,880.73
|
|
HC EXCISION OF PENIS LESION(S)
|
Facility
|
OP
|
$5,174.31
|
|
Service Code
|
CPT 54060
|
Hospital Charge Code |
76100347
|
Hospital Revenue Code
|
760
|
Min. Negotiated Rate |
$129.99 |
Max. Negotiated Rate |
$5,102.91 |
Rate for Payer: Aetna American Axle |
$3,363.30
|
Rate for Payer: Aetna Commercial |
$4,398.16
|
Rate for Payer: Aetna Medicare |
$1,685.82
|
Rate for Payer: Aetna New Business (MI Preferred) |
$3,363.30
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,026.22
|
Rate for Payer: Amish Plain Church Group Commercial |
$2,026.22
|
Rate for Payer: BCBS Complete |
$931.09
|
Rate for Payer: BCBS MAPPO |
$1,620.98
|
Rate for Payer: BCBS Trust/PPO |
$1,787.41
|
Rate for Payer: BCN Medicare Advantage |
$1,620.98
|
Rate for Payer: Cash Price |
$4,139.45
|
Rate for Payer: Cash Price |
$4,139.45
|
Rate for Payer: Cofinity Commercial |
$3,622.02
|
Rate for Payer: Cofinity Commercial |
$4,449.91
|
Rate for Payer: Encore Health Key Benefits Commercial |
$4,139.45
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,620.98
|
Rate for Payer: Healthscope Commercial |
$4,656.88
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,622.02
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,880.73
|
Rate for Payer: Mclaren Medicaid |
$886.68
|
Rate for Payer: Mclaren Medicare |
$1,620.98
|
Rate for Payer: Meridian Medicaid |
$931.09
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,702.03
|
Rate for Payer: MI Amish Medical Board Commercial |
$1,864.13
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,398.16
|
Rate for Payer: PACE Medicare |
$1,539.93
|
Rate for Payer: PACE SWMI |
$1,620.98
|
Rate for Payer: PHP Commercial |
$4,398.16
|
Rate for Payer: PHP Medicare Advantage |
$1,620.98
|
Rate for Payer: Priority Health Choice Medicaid |
$886.68
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,622.02
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,102.91
|
Rate for Payer: Priority Health Medicare |
$1,620.98
|
Rate for Payer: Priority Health Narrow Network |
$4,082.33
|
Rate for Payer: Priority Health SBD |
$3,259.82
|
Rate for Payer: Railroad Medicare Medicare |
$1,620.98
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$142.99
|
Rate for Payer: UHC Dual Complete DSNP |
$1,620.98
|
Rate for Payer: UHC Exchange |
$129.99
|
Rate for Payer: UHC Medicare Advantage |
$1,669.61
|
Rate for Payer: UMR Bronson Commercial |
$1,914.49
|
Rate for Payer: VA VA |
$1,620.98
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,880.73
|
|
HC EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$3,867.86
|
|
Service Code
|
CPT 11770
|
Hospital Charge Code |
76100321
|
Min. Negotiated Rate |
$1,701.86 |
Max. Negotiated Rate |
$3,481.07 |
Rate for Payer: Aetna American Axle |
$2,514.11
|
Rate for Payer: Aetna Commercial |
$3,287.68
|
Rate for Payer: Aetna New Business (MI Preferred) |
$2,514.11
|
Rate for Payer: Cash Price |
$3,094.29
|
Rate for Payer: Cofinity Commercial |
$2,707.50
|
Rate for Payer: Cofinity Commercial |
$3,326.36
|
Rate for Payer: Encore Health Key Benefits Commercial |
$3,094.29
|
Rate for Payer: Healthscope Commercial |
$3,481.07
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,707.50
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,900.90
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,287.68
|
Rate for Payer: PHP Commercial |
$3,287.68
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,707.50
|
Rate for Payer: Priority Health SBD |
$2,436.75
|
Rate for Payer: UMR Bronson Commercial |
$1,701.86
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,900.90
|
|
HC EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$3,867.86
|
|
Service Code
|
CPT 11770
|
Hospital Charge Code |
76100321
|
Min. Negotiated Rate |
$183.37 |
Max. Negotiated Rate |
$7,951.14 |
Rate for Payer: Aetna American Axle |
$2,514.11
|
Rate for Payer: Aetna Commercial |
$3,287.68
|
Rate for Payer: Aetna Medicare |
$2,626.77
|
Rate for Payer: Aetna New Business (MI Preferred) |
$2,514.11
|
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 |
$2,791.97
|
Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
Rate for Payer: Cash Price |
$3,094.29
|
Rate for Payer: Cash Price |
$3,094.29
|
Rate for Payer: Cofinity Commercial |
$2,707.50
|
Rate for Payer: Cofinity Commercial |
$3,326.36
|
Rate for Payer: Encore Health Key Benefits Commercial |
$3,094.29
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
Rate for Payer: Healthscope Commercial |
$3,481.07
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,707.50
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,900.90
|
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 |
$3,287.68
|
Rate for Payer: PACE Medicare |
$2,399.45
|
Rate for Payer: PACE SWMI |
$2,525.74
|
Rate for Payer: PHP Commercial |
$3,287.68
|
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 |
$2,707.50
|
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 |
$2,436.75
|
Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$201.71
|
Rate for Payer: UHC Dual Complete DSNP |
$2,525.74
|
Rate for Payer: UHC Exchange |
$183.37
|
Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
Rate for Payer: UMR Bronson Commercial |
$1,431.11
|
Rate for Payer: VA VA |
$2,525.74
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,900.90
|
|
HC EXCISION SOFT TISSUE PELVIS HIP SUBQ <3CM
|
Facility
|
OP
|
$7,022.49
|
|
Service Code
|
CPT 27047
|
Hospital Charge Code |
76100439
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$360.51 |
Max. Negotiated Rate |
$7,951.14 |
Rate for Payer: Aetna American Axle |
$4,564.62
|
Rate for Payer: Aetna Commercial |
$5,969.12
|
Rate for Payer: Aetna Medicare |
$2,626.77
|
Rate for Payer: Aetna New Business (MI Preferred) |
$4,564.62
|
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 |
$5,617.99
|
Rate for Payer: Cash Price |
$5,617.99
|
Rate for Payer: Cofinity Commercial |
$6,039.34
|
Rate for Payer: Cofinity Commercial |
$4,915.74
|
Rate for Payer: Encore Health Key Benefits Commercial |
$5,617.99
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
Rate for Payer: Healthscope Commercial |
$6,320.24
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,915.74
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,266.87
|
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 |
$5,969.12
|
Rate for Payer: PACE Medicare |
$2,399.45
|
Rate for Payer: PACE SWMI |
$2,525.74
|
Rate for Payer: PHP Commercial |
$5,969.12
|
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 |
$4,915.74
|
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 |
$4,424.17
|
Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$396.56
|
Rate for Payer: UHC Dual Complete DSNP |
$2,525.74
|
Rate for Payer: UHC Exchange |
$360.51
|
Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
Rate for Payer: UMR Bronson Commercial |
$2,598.32
|
Rate for Payer: VA VA |
$2,525.74
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,266.87
|
|
HC EXCISION SOFT TISSUE PELVIS HIP SUBQ <3CM
|
Facility
|
IP
|
$7,022.49
|
|
Service Code
|
CPT 27047
|
Hospital Charge Code |
76100439
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$3,089.90 |
Max. Negotiated Rate |
$6,320.24 |
Rate for Payer: Aetna American Axle |
$4,564.62
|
Rate for Payer: Aetna Commercial |
$5,969.12
|
Rate for Payer: Aetna New Business (MI Preferred) |
$4,564.62
|
Rate for Payer: Cash Price |
$5,617.99
|
Rate for Payer: Cofinity Commercial |
$6,039.34
|
Rate for Payer: Cofinity Commercial |
$4,915.74
|
Rate for Payer: Encore Health Key Benefits Commercial |
$5,617.99
|
Rate for Payer: Healthscope Commercial |
$6,320.24
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,915.74
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,266.87
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,969.12
|
Rate for Payer: PHP Commercial |
$5,969.12
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,915.74
|
Rate for Payer: Priority Health SBD |
$4,424.17
|
Rate for Payer: UMR Bronson Commercial |
$3,089.90
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,266.87
|
|
HC EXCISION TONSIL TAGS
|
Facility
|
IP
|
$7,963.00
|
|
Service Code
|
CPT 42860
|
Hospital Charge Code |
76100477
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$3,503.72 |
Max. Negotiated Rate |
$7,166.70 |
Rate for Payer: Aetna American Axle |
$5,175.95
|
Rate for Payer: Aetna Commercial |
$6,768.55
|
Rate for Payer: Aetna New Business (MI Preferred) |
$5,175.95
|
Rate for Payer: Cash Price |
$6,370.40
|
Rate for Payer: Cofinity Commercial |
$5,574.10
|
Rate for Payer: Cofinity Commercial |
$6,848.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$6,370.40
|
Rate for Payer: Healthscope Commercial |
$7,166.70
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,574.10
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,972.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,768.55
|
Rate for Payer: PHP Commercial |
$6,768.55
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,574.10
|
Rate for Payer: Priority Health SBD |
$5,016.69
|
Rate for Payer: UMR Bronson Commercial |
$3,503.72
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,972.25
|
|
HC EXCISION TONSIL TAGS
|
Facility
|
OP
|
$7,963.00
|
|
Service Code
|
CPT 42860
|
Hospital Charge Code |
76100477
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$194.17 |
Max. Negotiated Rate |
$9,009.23 |
Rate for Payer: Aetna American Axle |
$5,175.95
|
Rate for Payer: Aetna Commercial |
$6,768.55
|
Rate for Payer: Aetna Medicare |
$2,976.31
|
Rate for Payer: Aetna New Business (MI Preferred) |
$5,175.95
|
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 |
$2,885.80
|
Rate for Payer: BCN Medicare Advantage |
$2,861.84
|
Rate for Payer: Cash Price |
$6,370.40
|
Rate for Payer: Cash Price |
$6,370.40
|
Rate for Payer: Cofinity Commercial |
$5,574.10
|
Rate for Payer: Cofinity Commercial |
$6,848.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$6,370.40
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,861.84
|
Rate for Payer: Healthscope Commercial |
$7,166.70
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,574.10
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,972.25
|
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 |
$6,768.55
|
Rate for Payer: PACE Medicare |
$2,718.75
|
Rate for Payer: PACE SWMI |
$2,861.84
|
Rate for Payer: PHP Commercial |
$6,768.55
|
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 |
$5,574.10
|
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 |
$5,016.69
|
Rate for Payer: Railroad Medicare Medicare |
$2,861.84
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$213.59
|
Rate for Payer: UHC Dual Complete DSNP |
$2,861.84
|
Rate for Payer: UHC Exchange |
$194.17
|
Rate for Payer: UHC Medicare Advantage |
$2,947.70
|
Rate for Payer: UMR Bronson Commercial |
$2,946.31
|
Rate for Payer: VA VA |
$2,861.84
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,972.25
|
|
HC EXCISION VAGINAL CYST/TUMOR
|
Facility
|
OP
|
$7,789.74
|
|
Service Code
|
CPT 57135
|
Hospital Charge Code |
76100333
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$186.31 |
Max. Negotiated Rate |
$8,748.29 |
Rate for Payer: Aetna American Axle |
$5,063.33
|
Rate for Payer: Aetna Commercial |
$6,621.28
|
Rate for Payer: Aetna Medicare |
$2,890.11
|
Rate for Payer: Aetna New Business (MI Preferred) |
$5,063.33
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,473.69
|
Rate for Payer: Amish Plain Church Group Commercial |
$3,473.69
|
Rate for Payer: BCBS Complete |
$1,596.23
|
Rate for Payer: BCBS MAPPO |
$2,778.95
|
Rate for Payer: BCBS Trust/PPO |
$2,418.98
|
Rate for Payer: BCN Medicare Advantage |
$2,778.95
|
Rate for Payer: Cash Price |
$6,231.79
|
Rate for Payer: Cash Price |
$6,231.79
|
Rate for Payer: Cofinity Commercial |
$5,452.82
|
Rate for Payer: Cofinity Commercial |
$6,699.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$6,231.79
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,778.95
|
Rate for Payer: Healthscope Commercial |
$7,010.77
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,452.82
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,842.30
|
Rate for Payer: Mclaren Medicaid |
$1,520.09
|
Rate for Payer: Mclaren Medicare |
$2,778.95
|
Rate for Payer: Meridian Medicaid |
$1,596.23
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,917.90
|
Rate for Payer: MI Amish Medical Board Commercial |
$3,195.79
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,621.28
|
Rate for Payer: PACE Medicare |
$2,640.00
|
Rate for Payer: PACE SWMI |
$2,778.95
|
Rate for Payer: PHP Commercial |
$6,621.28
|
Rate for Payer: PHP Medicare Advantage |
$2,778.95
|
Rate for Payer: Priority Health Choice Medicaid |
$1,520.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,452.82
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,748.29
|
Rate for Payer: Priority Health Medicare |
$2,778.95
|
Rate for Payer: Priority Health Narrow Network |
$6,998.63
|
Rate for Payer: Priority Health SBD |
$4,907.54
|
Rate for Payer: Railroad Medicare Medicare |
$2,778.95
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$204.94
|
Rate for Payer: UHC Dual Complete DSNP |
$2,778.95
|
Rate for Payer: UHC Exchange |
$186.31
|
Rate for Payer: UHC Medicare Advantage |
$2,862.32
|
Rate for Payer: UMR Bronson Commercial |
$2,882.20
|
Rate for Payer: VA VA |
$2,778.95
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,842.30
|
|
HC EXCISION VAGINAL CYST/TUMOR
|
Facility
|
IP
|
$7,789.74
|
|
Service Code
|
CPT 57135
|
Hospital Charge Code |
76100333
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$3,427.49 |
Max. Negotiated Rate |
$7,010.77 |
Rate for Payer: Aetna American Axle |
$5,063.33
|
Rate for Payer: Aetna Commercial |
$6,621.28
|
Rate for Payer: Aetna New Business (MI Preferred) |
$5,063.33
|
Rate for Payer: Cash Price |
$6,231.79
|
Rate for Payer: Cofinity Commercial |
$5,452.82
|
Rate for Payer: Cofinity Commercial |
$6,699.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$6,231.79
|
Rate for Payer: Healthscope Commercial |
$7,010.77
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,452.82
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,842.30
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,621.28
|
Rate for Payer: PHP Commercial |
$6,621.28
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,452.82
|
Rate for Payer: Priority Health SBD |
$4,907.54
|
Rate for Payer: UMR Bronson Commercial |
$3,427.49
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,842.30
|
|
HC EXC LEG/ANKLE TUM < 3 CM
|
Facility
|
IP
|
$2,870.28
|
|
Service Code
|
CPT 27618
|
Hospital Charge Code |
76100309
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$1,262.92 |
Max. Negotiated Rate |
$2,583.25 |
Rate for Payer: Aetna American Axle |
$1,865.68
|
Rate for Payer: Aetna Commercial |
$2,439.74
|
Rate for Payer: Aetna New Business (MI Preferred) |
$1,865.68
|
Rate for Payer: Cash Price |
$2,296.22
|
Rate for Payer: Cofinity Commercial |
$2,009.20
|
Rate for Payer: Cofinity Commercial |
$2,468.44
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,296.22
|
Rate for Payer: Healthscope Commercial |
$2,583.25
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,009.20
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,152.71
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,439.74
|
Rate for Payer: PHP Commercial |
$2,439.74
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,009.20
|
Rate for Payer: Priority Health SBD |
$1,808.28
|
Rate for Payer: UMR Bronson Commercial |
$1,262.92
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,152.71
|
|
HC EXC LEG/ANKLE TUM < 3 CM
|
Facility
|
OP
|
$2,870.28
|
|
Service Code
|
CPT 27618
|
Hospital Charge Code |
76100309
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$305.18 |
Max. Negotiated Rate |
$4,536.73 |
Rate for Payer: Aetna American Axle |
$1,865.68
|
Rate for Payer: Aetna Commercial |
$2,439.74
|
Rate for Payer: Aetna Medicare |
$1,498.78
|
Rate for Payer: Aetna New Business (MI Preferred) |
$1,865.68
|
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 |
$1,276.49
|
Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
Rate for Payer: Cash Price |
$2,296.22
|
Rate for Payer: Cash Price |
$2,296.22
|
Rate for Payer: Cofinity Commercial |
$2,009.20
|
Rate for Payer: Cofinity Commercial |
$2,468.44
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,296.22
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
Rate for Payer: Healthscope Commercial |
$2,583.25
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,009.20
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,152.71
|
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 |
$2,439.74
|
Rate for Payer: PACE Medicare |
$1,369.07
|
Rate for Payer: PACE SWMI |
$1,441.13
|
Rate for Payer: PHP Commercial |
$2,439.74
|
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 |
$2,009.20
|
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 |
$1,808.28
|
Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$335.70
|
Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
Rate for Payer: UHC Exchange |
$305.18
|
Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
Rate for Payer: UMR Bronson Commercial |
$1,062.00
|
Rate for Payer: VA VA |
$1,441.13
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,152.71
|
|
HC EXC LESION PALATE UVULA W/O CLOSURE
|
Facility
|
IP
|
$7,900.00
|
|
Service Code
|
CPT 42104
|
Hospital Charge Code |
76100467
|
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 EXC LESION PALATE UVULA W/O CLOSURE
|
Facility
|
OP
|
$7,900.00
|
|
Service Code
|
CPT 42104
|
Hospital Charge Code |
76100467
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$133.60 |
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 |
$193.76
|
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 |
$6,794.00
|
Rate for Payer: Cofinity Commercial |
$5,530.00
|
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) |
$146.96
|
Rate for Payer: UHC Dual Complete DSNP |
$2,861.84
|
Rate for Payer: UHC Exchange |
$133.60
|
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 EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR
|
Facility
|
IP
|
$7,900.00
|
|
Service Code
|
CPT 40510
|
Hospital Charge Code |
76100457
|
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 EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR
|
Facility
|
OP
|
$7,900.00
|
|
Service Code
|
CPT 40510
|
Hospital Charge Code |
76100457
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$346.11 |
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 |
$1,629.30
|
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) |
$380.72
|
Rate for Payer: UHC Dual Complete DSNP |
$2,861.84
|
Rate for Payer: UHC Exchange |
$346.11
|
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 EXC MALIGNANT LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 CM OR LESS
|
Facility
|
IP
|
$1,152.99
|
|
Service Code
|
CPT 11620
|
Hospital Charge Code |
76100107
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$507.32 |
Max. Negotiated Rate |
$1,037.69 |
Rate for Payer: Aetna American Axle |
$749.44
|
Rate for Payer: Aetna Commercial |
$980.04
|
Rate for Payer: Aetna New Business (MI Preferred) |
$749.44
|
Rate for Payer: Cash Price |
$922.39
|
Rate for Payer: Cofinity Commercial |
$991.57
|
Rate for Payer: Cofinity Commercial |
$807.09
|
Rate for Payer: Encore Health Key Benefits Commercial |
$922.39
|
Rate for Payer: Healthscope Commercial |
$1,037.69
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$807.09
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$864.74
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$980.04
|
Rate for Payer: PHP Commercial |
$980.04
|
Rate for Payer: Priority Health Cigna Priority Health |
$807.09
|
Rate for Payer: Priority Health SBD |
$726.38
|
Rate for Payer: UMR Bronson Commercial |
$507.32
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$864.74
|
|
HC EXC MALIGNANT LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 CM OR LESS
|
Facility
|
OP
|
$1,152.99
|
|
Service Code
|
CPT 11620
|
Hospital Charge Code |
76100107
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$121.48 |
Max. Negotiated Rate |
$4,536.73 |
Rate for Payer: Aetna American Axle |
$749.44
|
Rate for Payer: Aetna Commercial |
$980.04
|
Rate for Payer: Aetna Medicare |
$1,498.78
|
Rate for Payer: Aetna New Business (MI Preferred) |
$749.44
|
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 |
$163.90
|
Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
Rate for Payer: Cash Price |
$922.39
|
Rate for Payer: Cash Price |
$922.39
|
Rate for Payer: Cofinity Commercial |
$807.09
|
Rate for Payer: Cofinity Commercial |
$991.57
|
Rate for Payer: Encore Health Key Benefits Commercial |
$922.39
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
Rate for Payer: Healthscope Commercial |
$1,037.69
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$807.09
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$864.74
|
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 |
$980.04
|
Rate for Payer: PACE Medicare |
$1,369.07
|
Rate for Payer: PACE SWMI |
$1,441.13
|
Rate for Payer: PHP Commercial |
$980.04
|
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 |
$807.09
|
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 |
$726.38
|
Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$133.63
|
Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
Rate for Payer: UHC Exchange |
$121.48
|
Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
Rate for Payer: UMR Bronson Commercial |
$426.61
|
Rate for Payer: VA VA |
$1,441.13
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$864.74
|
|
HC EXC MALIGNANT LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 TO 1.0 CM
|
Facility
|
OP
|
$1,152.99
|
|
Service Code
|
CPT 11621
|
Hospital Charge Code |
76100108
|
Hospital Revenue Code
|
761
|
Min. Negotiated Rate |
$146.37 |
Max. Negotiated Rate |
$1,968.76 |
Rate for Payer: Aetna American Axle |
$749.44
|
Rate for Payer: Aetna Commercial |
$980.04
|
Rate for Payer: Aetna Medicare |
$650.41
|
Rate for Payer: Aetna New Business (MI Preferred) |
$749.44
|
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 |
$187.42
|
Rate for Payer: BCN Medicare Advantage |
$625.39
|
Rate for Payer: Cash Price |
$922.39
|
Rate for Payer: Cash Price |
$922.39
|
Rate for Payer: Cofinity Commercial |
$807.09
|
Rate for Payer: Cofinity Commercial |
$991.57
|
Rate for Payer: Encore Health Key Benefits Commercial |
$922.39
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
Rate for Payer: Healthscope Commercial |
$1,037.69
|
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$807.09
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$864.74
|
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 |
$980.04
|
Rate for Payer: PACE Medicare |
$594.12
|
Rate for Payer: PACE SWMI |
$625.39
|
Rate for Payer: PHP Commercial |
$980.04
|
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 |
$807.09
|
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 |
$726.38
|
Rate for Payer: Railroad Medicare Medicare |
$625.39
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$161.01
|
Rate for Payer: UHC Dual Complete DSNP |
$625.39
|
Rate for Payer: UHC Exchange |
$146.37
|
Rate for Payer: UHC Medicare Advantage |
$644.15
|
Rate for Payer: UMR Bronson Commercial |
$426.61
|
Rate for Payer: VA VA |
$625.39
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$864.74
|
|