|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S EA ADDL JOINT
|
Facility
|
OP
|
$1,092.42
|
|
|
Service Code
|
CPT 64636
|
| Hospital Charge Code |
36100593
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$404.20 |
| Max. Negotiated Rate |
$983.18 |
| Rate for Payer: Aetna American Axle |
$710.07
|
| Rate for Payer: Aetna Commercial |
$928.56
|
| Rate for Payer: Aetna Medicare |
$546.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$710.07
|
| Rate for Payer: BCBS Complete |
$436.97
|
| Rate for Payer: Cash Price |
$873.94
|
| Rate for Payer: Cofinity Commercial |
$764.69
|
| Rate for Payer: Cofinity Commercial |
$939.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$764.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$873.94
|
| Rate for Payer: Healthscope Commercial |
$983.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$764.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$819.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$928.56
|
| Rate for Payer: PHP Commercial |
$928.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$710.07
|
| Rate for Payer: Priority Health SBD |
$688.22
|
| Rate for Payer: UMR Bronson Commercial |
$404.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$819.32
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S SNG LVL
|
Facility
|
OP
|
$2,683.22
|
|
|
Service Code
|
CPT 64635
|
| Hospital Charge Code |
36100592
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$992.79 |
| Max. Negotiated Rate |
$5,360.98 |
| Rate for Payer: Aetna American Axle |
$1,744.09
|
| Rate for Payer: Aetna Commercial |
$2,280.74
|
| Rate for Payer: Aetna Medicare |
$1,980.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,744.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,380.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,380.62
|
| Rate for Payer: BCBS Complete |
$1,071.85
|
| Rate for Payer: BCBS MAPPO |
$1,904.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,904.50
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cofinity Commercial |
$2,307.57
|
| Rate for Payer: Cofinity Commercial |
$1,878.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,878.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,146.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,904.50
|
| Rate for Payer: Healthscope Commercial |
$2,414.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,878.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,012.41
|
| Rate for Payer: Mclaren Medicaid |
$1,020.81
|
| Rate for Payer: Mclaren Medicare |
$1,904.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,999.72
|
| Rate for Payer: Meridian Medicaid |
$1,071.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,190.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.74
|
| Rate for Payer: PACE Medicare |
$1,809.28
|
| Rate for Payer: PACE SWMI |
$1,904.50
|
| Rate for Payer: PHP Commercial |
$2,280.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,904.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.09
|
| Rate for Payer: Priority Health Medicare |
$1,904.50
|
| Rate for Payer: Priority Health SBD |
$1,690.43
|
| Rate for Payer: Railroad Medicare Medicare |
$1,904.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,360.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,904.50
|
| Rate for Payer: UHC Exchange |
$3,639.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,904.50
|
| Rate for Payer: UHCCP Medicaid |
$1,020.81
|
| Rate for Payer: UMR Bronson Commercial |
$992.79
|
| Rate for Payer: VA VA |
$1,904.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,012.41
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S SNG LVL
|
Facility
|
IP
|
$2,683.22
|
|
|
Service Code
|
CPT 64635
|
| Hospital Charge Code |
36100592
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,180.62 |
| Max. Negotiated Rate |
$2,414.90 |
| Rate for Payer: Aetna American Axle |
$1,744.09
|
| Rate for Payer: Aetna Commercial |
$2,280.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,744.09
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cofinity Commercial |
$1,878.25
|
| Rate for Payer: Cofinity Commercial |
$2,307.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,878.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,146.58
|
| Rate for Payer: Healthscope Commercial |
$2,414.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,878.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,012.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.74
|
| Rate for Payer: PHP Commercial |
$2,280.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.09
|
| Rate for Payer: Priority Health SBD |
$1,690.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,180.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,012.41
|
|
|
HC ABLATION CATHETER
|
Facility
|
IP
|
$4,346.76
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200008
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,912.57 |
| Max. Negotiated Rate |
$3,912.08 |
| Rate for Payer: Aetna American Axle |
$2,825.39
|
| Rate for Payer: Aetna Commercial |
$3,694.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,825.39
|
| Rate for Payer: Cash Price |
$3,477.41
|
| Rate for Payer: Cofinity Commercial |
$3,042.73
|
| Rate for Payer: Cofinity Commercial |
$3,738.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,042.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,477.41
|
| Rate for Payer: Healthscope Commercial |
$3,912.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,042.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,260.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,694.75
|
| Rate for Payer: PHP Commercial |
$3,694.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,825.39
|
| Rate for Payer: Priority Health SBD |
$2,738.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,912.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,260.07
|
|
|
HC ABLATION CATHETER
|
Facility
|
OP
|
$4,346.76
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200008
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,608.30 |
| Max. Negotiated Rate |
$3,912.08 |
| Rate for Payer: Aetna American Axle |
$2,825.39
|
| Rate for Payer: Aetna Commercial |
$3,694.75
|
| Rate for Payer: Aetna Medicare |
$2,173.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,825.39
|
| Rate for Payer: BCBS Complete |
$1,738.70
|
| Rate for Payer: Cash Price |
$3,477.41
|
| Rate for Payer: Cofinity Commercial |
$3,042.73
|
| Rate for Payer: Cofinity Commercial |
$3,738.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,042.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,477.41
|
| Rate for Payer: Healthscope Commercial |
$3,912.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,042.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,260.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,694.75
|
| Rate for Payer: PHP Commercial |
$3,694.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,825.39
|
| Rate for Payer: Priority Health SBD |
$2,738.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,608.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,260.07
|
|
|
HC ABLATION CATHETER (8/10 MM TIP
|
Facility
|
OP
|
$5,912.22
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,187.52 |
| Max. Negotiated Rate |
$5,321.00 |
| Rate for Payer: Aetna American Axle |
$3,842.94
|
| Rate for Payer: Aetna Commercial |
$5,025.39
|
| Rate for Payer: Aetna Medicare |
$2,956.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,842.94
|
| Rate for Payer: BCBS Complete |
$2,364.89
|
| Rate for Payer: Cash Price |
$4,729.78
|
| Rate for Payer: Cofinity Commercial |
$4,138.55
|
| Rate for Payer: Cofinity Commercial |
$5,084.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,138.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,729.78
|
| Rate for Payer: Healthscope Commercial |
$5,321.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,138.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,434.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,025.39
|
| Rate for Payer: PHP Commercial |
$5,025.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,842.94
|
| Rate for Payer: Priority Health SBD |
$3,724.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,187.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,434.16
|
|
|
HC ABLATION CATHETER (8/10 MM TIP
|
Facility
|
IP
|
$5,912.22
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,601.38 |
| Max. Negotiated Rate |
$5,321.00 |
| Rate for Payer: Aetna American Axle |
$3,842.94
|
| Rate for Payer: Aetna Commercial |
$5,025.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,842.94
|
| Rate for Payer: Cash Price |
$4,729.78
|
| Rate for Payer: Cofinity Commercial |
$4,138.55
|
| Rate for Payer: Cofinity Commercial |
$5,084.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,138.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,729.78
|
| Rate for Payer: Healthscope Commercial |
$5,321.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,138.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,434.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,025.39
|
| Rate for Payer: PHP Commercial |
$5,025.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,842.94
|
| Rate for Payer: Priority Health SBD |
$3,724.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,601.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,434.16
|
|
|
HC ABLATION CATH EXTRAVASC TISSUE
|
Facility
|
IP
|
$7,222.46
|
|
|
Service Code
|
HCPCS C1886
|
| Hospital Charge Code |
27000645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,177.88 |
| Max. Negotiated Rate |
$6,500.21 |
| Rate for Payer: Aetna American Axle |
$4,694.60
|
| Rate for Payer: Aetna Commercial |
$6,139.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,694.60
|
| Rate for Payer: Cash Price |
$5,777.97
|
| Rate for Payer: Cofinity Commercial |
$5,055.72
|
| Rate for Payer: Cofinity Commercial |
$6,211.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,055.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,777.97
|
| Rate for Payer: Healthscope Commercial |
$6,500.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,055.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,416.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.09
|
| Rate for Payer: PHP Commercial |
$6,139.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,694.60
|
| Rate for Payer: Priority Health SBD |
$4,550.15
|
| Rate for Payer: UMR Bronson Commercial |
$3,177.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,416.85
|
|
|
HC ABLATION CATH EXTRAVASC TISSUE
|
Facility
|
OP
|
$7,222.46
|
|
|
Service Code
|
HCPCS C1886
|
| Hospital Charge Code |
27000645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,672.31 |
| Max. Negotiated Rate |
$6,500.21 |
| Rate for Payer: Aetna American Axle |
$4,694.60
|
| Rate for Payer: Aetna Commercial |
$6,139.09
|
| Rate for Payer: Aetna Medicare |
$3,611.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,694.60
|
| Rate for Payer: BCBS Complete |
$2,888.98
|
| Rate for Payer: Cash Price |
$5,777.97
|
| Rate for Payer: Cofinity Commercial |
$5,055.72
|
| Rate for Payer: Cofinity Commercial |
$6,211.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,055.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,777.97
|
| Rate for Payer: Healthscope Commercial |
$6,500.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,055.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,416.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.09
|
| Rate for Payer: PHP Commercial |
$6,139.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,694.60
|
| Rate for Payer: Priority Health SBD |
$4,550.15
|
| Rate for Payer: UMR Bronson Commercial |
$2,672.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,416.85
|
|
|
HC ABLATION CATH NON-CARD ENDOVASC IMPLANT LVL 12
|
Facility
|
OP
|
$1,275.00
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200324
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$471.75 |
| Max. Negotiated Rate |
$1,147.50 |
| Rate for Payer: Aetna American Axle |
$828.75
|
| Rate for Payer: Aetna Commercial |
$1,083.75
|
| Rate for Payer: Aetna Medicare |
$637.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$828.75
|
| Rate for Payer: BCBS Complete |
$510.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,096.50
|
| Rate for Payer: Cofinity Commercial |
$892.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$892.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,147.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$892.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$956.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.75
|
| Rate for Payer: PHP Commercial |
$1,083.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.75
|
| Rate for Payer: Priority Health SBD |
$803.25
|
| Rate for Payer: UMR Bronson Commercial |
$471.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$956.25
|
|
|
HC ABLATION CATH NON-CARD ENDOVASC IMPLANT LVL 12
|
Facility
|
IP
|
$1,275.00
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200324
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$561.00 |
| Max. Negotiated Rate |
$1,147.50 |
| Rate for Payer: Aetna American Axle |
$828.75
|
| Rate for Payer: Aetna Commercial |
$1,083.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$828.75
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,096.50
|
| Rate for Payer: Cofinity Commercial |
$892.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$892.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,147.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$892.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$956.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.75
|
| Rate for Payer: PHP Commercial |
$1,083.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.75
|
| Rate for Payer: Priority Health SBD |
$803.25
|
| Rate for Payer: UMR Bronson Commercial |
$561.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$956.25
|
|
|
HC ABLATION CATH NON CARD ENDOVASC IMPLANT LVL 15
|
Facility
|
IP
|
$1,593.75
|
|
|
Service Code
|
CPT C1888
|
| Hospital Charge Code |
27200358
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$701.25 |
| Max. Negotiated Rate |
$1,434.38 |
| Rate for Payer: Aetna American Axle |
$1,035.94
|
| Rate for Payer: Aetna Commercial |
$1,354.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.94
|
| Rate for Payer: Cash Price |
$1,275.00
|
| Rate for Payer: Cofinity Commercial |
$1,115.62
|
| Rate for Payer: Cofinity Commercial |
$1,370.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,115.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Commercial |
$1,434.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,115.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,195.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,354.69
|
| Rate for Payer: PHP Commercial |
$1,354.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,035.94
|
| Rate for Payer: Priority Health SBD |
$1,004.06
|
| Rate for Payer: UMR Bronson Commercial |
$701.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,195.31
|
|
|
HC ABLATION CATH NON CARD ENDOVASC IMPLANT LVL 15
|
Facility
|
OP
|
$1,593.75
|
|
|
Service Code
|
CPT C1888
|
| Hospital Charge Code |
27200358
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$589.69 |
| Max. Negotiated Rate |
$1,434.38 |
| Rate for Payer: Aetna American Axle |
$1,035.94
|
| Rate for Payer: Aetna Commercial |
$1,354.69
|
| Rate for Payer: Aetna Medicare |
$796.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.94
|
| Rate for Payer: BCBS Complete |
$637.50
|
| Rate for Payer: Cash Price |
$1,275.00
|
| Rate for Payer: Cofinity Commercial |
$1,115.62
|
| Rate for Payer: Cofinity Commercial |
$1,370.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,115.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Commercial |
$1,434.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,115.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,195.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,354.69
|
| Rate for Payer: PHP Commercial |
$1,354.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,035.94
|
| Rate for Payer: Priority Health SBD |
$1,004.06
|
| Rate for Payer: UMR Bronson Commercial |
$589.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,195.31
|
|
|
HC ABLATION RF LUNG
|
Facility
|
OP
|
$6,017.36
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,226.42 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna American Axle |
$3,911.28
|
| Rate for Payer: Aetna Commercial |
$5,114.76
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,911.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$4,813.89
|
| Rate for Payer: Cash Price |
$4,813.89
|
| Rate for Payer: Cofinity Commercial |
$5,174.93
|
| Rate for Payer: Cofinity Commercial |
$4,212.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,212.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,813.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$5,415.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,212.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,513.02
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,114.76
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$5,114.76
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,911.28
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$3,790.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$10,874.41
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: UMR Bronson Commercial |
$2,226.42
|
| Rate for Payer: VA VA |
$5,690.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,513.02
|
|
|
HC ABLATION RF LUNG
|
Facility
|
IP
|
$6,017.36
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,647.64 |
| Max. Negotiated Rate |
$5,415.62 |
| Rate for Payer: Aetna American Axle |
$3,911.28
|
| Rate for Payer: Aetna Commercial |
$5,114.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,911.28
|
| Rate for Payer: Cash Price |
$4,813.89
|
| Rate for Payer: Cofinity Commercial |
$4,212.15
|
| Rate for Payer: Cofinity Commercial |
$5,174.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,212.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,813.89
|
| Rate for Payer: Healthscope Commercial |
$5,415.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,212.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,513.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,114.76
|
| Rate for Payer: PHP Commercial |
$5,114.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,911.28
|
| Rate for Payer: Priority Health SBD |
$3,790.94
|
| Rate for Payer: UMR Bronson Commercial |
$2,647.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,513.02
|
|
|
HC ABLATION VEIN OF MARSHALL
|
Facility
|
OP
|
$8,899.96
|
|
|
Service Code
|
CPT 93799
|
| Hospital Charge Code |
48100122
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$8,009.96 |
| Rate for Payer: Aetna American Axle |
$5,784.97
|
| Rate for Payer: Aetna Commercial |
$7,564.97
|
| Rate for Payer: Aetna Medicare |
$158.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,784.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$190.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$190.74
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$152.59
|
| Rate for Payer: BCN Medicare Advantage |
$152.59
|
| Rate for Payer: Cash Price |
$7,119.97
|
| Rate for Payer: Cash Price |
$7,119.97
|
| Rate for Payer: Cofinity Commercial |
$7,653.97
|
| Rate for Payer: Cofinity Commercial |
$6,229.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,229.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,119.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.59
|
| Rate for Payer: Healthscope Commercial |
$8,009.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,229.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,674.97
|
| Rate for Payer: Mclaren Medicaid |
$81.79
|
| Rate for Payer: Mclaren Medicare |
$152.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.22
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,564.97
|
| Rate for Payer: PACE Medicare |
$144.96
|
| Rate for Payer: PACE SWMI |
$152.59
|
| Rate for Payer: PHP Commercial |
$7,564.97
|
| Rate for Payer: PHP Medicare Advantage |
$152.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,784.97
|
| Rate for Payer: Priority Health Medicare |
$152.59
|
| Rate for Payer: Priority Health SBD |
$5,606.97
|
| Rate for Payer: Railroad Medicare Medicare |
$152.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$429.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.59
|
| Rate for Payer: UHC Exchange |
$291.61
|
| Rate for Payer: UHC Medicare Advantage |
$152.59
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
| Rate for Payer: UMR Bronson Commercial |
$3,292.99
|
| Rate for Payer: VA VA |
$152.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,674.97
|
|
|
HC ABLATION VEIN OF MARSHALL
|
Facility
|
IP
|
$8,899.96
|
|
|
Service Code
|
CPT 93799
|
| Hospital Charge Code |
48100122
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,915.98 |
| Max. Negotiated Rate |
$8,009.96 |
| Rate for Payer: Aetna American Axle |
$5,784.97
|
| Rate for Payer: Aetna Commercial |
$7,564.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,784.97
|
| Rate for Payer: Cash Price |
$7,119.97
|
| Rate for Payer: Cofinity Commercial |
$6,229.97
|
| Rate for Payer: Cofinity Commercial |
$7,653.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,229.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,119.97
|
| Rate for Payer: Healthscope Commercial |
$8,009.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,229.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,674.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,564.97
|
| Rate for Payer: PHP Commercial |
$7,564.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,784.97
|
| Rate for Payer: Priority Health SBD |
$5,606.97
|
| Rate for Payer: UMR Bronson Commercial |
$3,915.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,674.97
|
|
|
HC ABLAVAR
|
Facility
|
OP
|
$26.52
|
|
|
Service Code
|
HCPCS A9583
|
| Hospital Charge Code |
63600007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.81 |
| Max. Negotiated Rate |
$23.87 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.54
|
| Rate for Payer: Aetna Medicare |
$13.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: BCBS Complete |
$10.61
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$18.56
|
| Rate for Payer: Cofinity Commercial |
$22.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.54
|
| Rate for Payer: PHP Commercial |
$22.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.24
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UMR Bronson Commercial |
$9.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.89
|
|
|
HC ABLAVAR
|
Facility
|
IP
|
$26.52
|
|
|
Service Code
|
HCPCS A9583
|
| Hospital Charge Code |
63600007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.67 |
| Max. Negotiated Rate |
$23.87 |
| Rate for Payer: Aetna American Axle |
$17.24
|
| Rate for Payer: Aetna Commercial |
$22.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.24
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$18.56
|
| Rate for Payer: Cofinity Commercial |
$22.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.54
|
| Rate for Payer: PHP Commercial |
$22.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.24
|
| Rate for Payer: Priority Health SBD |
$16.71
|
| Rate for Payer: UMR Bronson Commercial |
$11.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.89
|
|
|
HC ABSCESS DRAINAGE COMPLICATED
|
Facility
|
OP
|
$498.64
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
76100037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$184.50 |
| Max. Negotiated Rate |
$1,096.83 |
| Rate for Payer: Aetna American Axle |
$324.12
|
| Rate for Payer: Aetna Commercial |
$423.84
|
| Rate for Payer: Aetna Medicare |
$405.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$487.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$487.06
|
| Rate for Payer: BCBS Complete |
$219.30
|
| Rate for Payer: BCBS MAPPO |
$389.65
|
| Rate for Payer: BCN Medicare Advantage |
$389.65
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cofinity Commercial |
$428.83
|
| Rate for Payer: Cofinity Commercial |
$349.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$349.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.65
|
| Rate for Payer: Healthscope Commercial |
$448.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$349.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$373.98
|
| Rate for Payer: Mclaren Medicaid |
$208.85
|
| Rate for Payer: Mclaren Medicare |
$389.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.13
|
| Rate for Payer: Meridian Medicaid |
$219.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$448.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.84
|
| Rate for Payer: PACE Medicare |
$370.17
|
| Rate for Payer: PACE SWMI |
$389.65
|
| Rate for Payer: PHP Commercial |
$423.84
|
| Rate for Payer: PHP Medicare Advantage |
$389.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.12
|
| Rate for Payer: Priority Health Medicare |
$389.65
|
| Rate for Payer: Priority Health SBD |
$314.14
|
| Rate for Payer: Railroad Medicare Medicare |
$389.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,096.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.65
|
| Rate for Payer: UHC Exchange |
$744.66
|
| Rate for Payer: UHC Medicare Advantage |
$389.65
|
| Rate for Payer: UHCCP Medicaid |
$208.85
|
| Rate for Payer: UMR Bronson Commercial |
$184.50
|
| Rate for Payer: VA VA |
$389.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$373.98
|
|
|
HC ABSCESS DRAINAGE COMPLICATED
|
Facility
|
IP
|
$498.64
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
76100037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$219.40 |
| Max. Negotiated Rate |
$448.78 |
| Rate for Payer: Aetna American Axle |
$324.12
|
| Rate for Payer: Aetna Commercial |
$423.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.12
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cofinity Commercial |
$349.05
|
| Rate for Payer: Cofinity Commercial |
$428.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$349.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.91
|
| Rate for Payer: Healthscope Commercial |
$448.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$349.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$373.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.84
|
| Rate for Payer: PHP Commercial |
$423.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.12
|
| Rate for Payer: Priority Health SBD |
$314.14
|
| Rate for Payer: UMR Bronson Commercial |
$219.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$373.98
|
|
|
HC ABSCESS DRAINAGE SIMPLE
|
Facility
|
OP
|
$399.83
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
36100002
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.87 |
| Max. Negotiated Rate |
$545.50 |
| Rate for Payer: Aetna American Axle |
$259.89
|
| Rate for Payer: Aetna Commercial |
$339.86
|
| Rate for Payer: Aetna Medicare |
$201.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$319.86
|
| Rate for Payer: Cash Price |
$319.86
|
| Rate for Payer: Cofinity Commercial |
$343.85
|
| Rate for Payer: Cofinity Commercial |
$279.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$279.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$319.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$359.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$279.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$299.87
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$339.86
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$339.86
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.89
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health SBD |
$251.89
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$545.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$370.35
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: UMR Bronson Commercial |
$147.94
|
| Rate for Payer: VA VA |
$193.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$299.87
|
|
|
HC ABSCESS DRAINAGE SIMPLE
|
Facility
|
IP
|
$399.83
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
36100002
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$175.93 |
| Max. Negotiated Rate |
$359.85 |
| Rate for Payer: Aetna American Axle |
$259.89
|
| Rate for Payer: Aetna Commercial |
$339.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.89
|
| Rate for Payer: Cash Price |
$319.86
|
| Rate for Payer: Cofinity Commercial |
$279.88
|
| Rate for Payer: Cofinity Commercial |
$343.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$279.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$319.86
|
| Rate for Payer: Healthscope Commercial |
$359.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$279.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$299.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$339.86
|
| Rate for Payer: PHP Commercial |
$339.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.89
|
| Rate for Payer: Priority Health SBD |
$251.89
|
| Rate for Payer: UMR Bronson Commercial |
$175.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$299.87
|
|
|
HC ABSCESS ISHIO/PERIRECTAL
|
Facility
|
OP
|
$1,789.39
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
36100196
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna American Axle |
$1,163.10
|
| Rate for Payer: Aetna Commercial |
$1,520.98
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,163.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,431.51
|
| Rate for Payer: Cash Price |
$1,431.51
|
| Rate for Payer: Cofinity Commercial |
$1,538.88
|
| Rate for Payer: Cofinity Commercial |
$1,252.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,252.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,431.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,610.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,252.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,342.04
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,520.98
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,520.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,163.10
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$1,127.32
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: UMR Bronson Commercial |
$662.07
|
| Rate for Payer: VA VA |
$1,149.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,342.04
|
|
|
HC ABSCESS ISHIO/PERIRECTAL
|
Facility
|
IP
|
$1,789.39
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
36100196
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$787.33 |
| Max. Negotiated Rate |
$1,610.45 |
| Rate for Payer: Aetna American Axle |
$1,163.10
|
| Rate for Payer: Aetna Commercial |
$1,520.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,163.10
|
| Rate for Payer: Cash Price |
$1,431.51
|
| Rate for Payer: Cofinity Commercial |
$1,252.57
|
| Rate for Payer: Cofinity Commercial |
$1,538.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,252.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,431.51
|
| Rate for Payer: Healthscope Commercial |
$1,610.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,252.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,342.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,520.98
|
| Rate for Payer: PHP Commercial |
$1,520.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,163.10
|
| Rate for Payer: Priority Health SBD |
$1,127.32
|
| Rate for Payer: UMR Bronson Commercial |
$787.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,342.04
|
|
