|
HC BIOPSY BREAST OPEN INCISIONAL
|
Facility
|
IP
|
$4,660.75
|
|
|
Service Code
|
CPT 19101
|
| Hospital Charge Code |
76100558
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,050.73 |
| Max. Negotiated Rate |
$4,194.68 |
| Rate for Payer: Aetna American Axle |
$3,029.49
|
| Rate for Payer: Aetna Commercial |
$3,961.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,029.49
|
| Rate for Payer: Cash Price |
$3,728.60
|
| Rate for Payer: Cofinity Advantage |
$3,262.53
|
| Rate for Payer: Cofinity Commercial |
$4,008.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,728.60
|
| Rate for Payer: Healthscope Commercial |
$4,194.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,262.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,495.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,961.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,495.56
|
| Rate for Payer: PHP Commercial |
$3,961.64
|
| Rate for Payer: Priority Health SBD |
$2,936.27
|
| Rate for Payer: UMR Bronson Commercial |
$2,050.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,495.56
|
|
|
HC BIOPSY CERVIX
|
Facility
|
IP
|
$689.79
|
|
|
Service Code
|
CPT 57500
|
| Hospital Charge Code |
76100070
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$303.51 |
| Max. Negotiated Rate |
$620.81 |
| Rate for Payer: Aetna American Axle |
$448.36
|
| Rate for Payer: Aetna Commercial |
$586.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.36
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Advantage |
$482.85
|
| Rate for Payer: Cofinity Commercial |
$593.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Healthscope Commercial |
$620.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$482.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PHP Commercial |
$586.32
|
| Rate for Payer: Priority Health SBD |
$434.57
|
| Rate for Payer: UMR Bronson Commercial |
$303.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.34
|
|
|
HC BIOPSY CERVIX
|
Facility
|
OP
|
$689.79
|
|
|
Service Code
|
CPT 57500
|
| Hospital Charge Code |
76100070
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$255.22 |
| Max. Negotiated Rate |
$2,967.88 |
| Rate for Payer: Aetna American Axle |
$448.36
|
| Rate for Payer: Aetna Commercial |
$586.32
|
| Rate for Payer: Aetna Medicare |
$954.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,147.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,147.17
|
| Rate for Payer: BCBS Complete |
$504.02
|
| Rate for Payer: BCBS MAPPO |
$917.74
|
| Rate for Payer: BCBS Trust/PPO |
$953.20
|
| Rate for Payer: BCN Commercial |
$953.20
|
| Rate for Payer: BCN Medicare Advantage |
$917.74
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Advantage |
$482.85
|
| Rate for Payer: Cofinity Commercial |
$593.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$620.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$482.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$517.34
|
| Rate for Payer: Mclaren Medicaid |
$917.74
|
| Rate for Payer: Mclaren Medicare |
$917.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$963.63
|
| Rate for Payer: Meridian Medicaid |
$963.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,055.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,009.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Nomi Health Commercial |
$2,753.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$586.32
|
| Rate for Payer: PHP Medicare Advantage |
$917.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,967.88
|
| Rate for Payer: Priority Health Medicare |
$917.74
|
| Rate for Payer: Priority Health SBD |
$434.57
|
| Rate for Payer: Priority Health Tiered Network |
$2,374.30
|
| Rate for Payer: Railroad Medicare Medicare |
$917.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.36
|
| Rate for Payer: UHC Core |
$359.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$271.09
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: UMR Bronson Commercial |
$255.22
|
| Rate for Payer: VA VA |
$917.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$517.34
|
|
|
HC BIOPSY/EXCISION LYMPH NODE, OPEN SUPERFICIAL
|
Facility
|
OP
|
$7,660.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
76100535
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,040.41 |
| Max. Negotiated Rate |
$12,616.62 |
| Rate for Payer: Aetna American Axle |
$4,979.00
|
| Rate for Payer: Aetna Commercial |
$6,511.00
|
| Rate for Payer: Aetna Medicare |
$4,057.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,979.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,876.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,876.69
|
| Rate for Payer: BCBS Complete |
$2,142.62
|
| Rate for Payer: BCBS MAPPO |
$3,901.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,907.70
|
| Rate for Payer: BCN Commercial |
$3,907.70
|
| Rate for Payer: BCN Medicare Advantage |
$3,901.35
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cofinity Advantage |
$5,362.00
|
| Rate for Payer: Cofinity Commercial |
$6,587.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,128.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,901.35
|
| Rate for Payer: Healthscope Commercial |
$6,894.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,362.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,745.00
|
| Rate for Payer: Mclaren Medicaid |
$3,901.35
|
| Rate for Payer: Mclaren Medicare |
$3,901.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,096.42
|
| Rate for Payer: Meridian Medicaid |
$4,096.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,486.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,291.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,511.00
|
| Rate for Payer: Nomi Health Commercial |
$11,704.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,745.00
|
| Rate for Payer: PACE Medicare |
$3,706.28
|
| Rate for Payer: PACE SWMI |
$3,901.35
|
| Rate for Payer: PHP Commercial |
$6,511.00
|
| Rate for Payer: PHP Medicare Advantage |
$3,901.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,040.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,616.62
|
| Rate for Payer: Priority Health Medicare |
$3,901.35
|
| Rate for Payer: Priority Health SBD |
$4,825.80
|
| Rate for Payer: Priority Health Tiered Network |
$10,093.30
|
| Rate for Payer: Railroad Medicare Medicare |
$3,901.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,979.00
|
| Rate for Payer: UHC Core |
$3,990.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,901.35
|
| Rate for Payer: UHC Exchange |
$3,010.38
|
| Rate for Payer: UHC Medicaid |
$2,040.41
|
| Rate for Payer: UHCCP Medicaid |
$2,040.41
|
| Rate for Payer: UMR Bronson Commercial |
$2,834.20
|
| Rate for Payer: VA VA |
$3,901.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,745.00
|
|
|
HC BIOPSY/EXCISION LYMPH NODE, OPEN SUPERFICIAL
|
Facility
|
IP
|
$7,660.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
76100535
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,370.40 |
| Max. Negotiated Rate |
$6,894.00 |
| Rate for Payer: Aetna American Axle |
$4,979.00
|
| Rate for Payer: Aetna Commercial |
$6,511.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,979.00
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cofinity Advantage |
$5,362.00
|
| Rate for Payer: Cofinity Commercial |
$6,587.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,128.00
|
| Rate for Payer: Healthscope Commercial |
$6,894.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,362.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,745.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,511.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,745.00
|
| Rate for Payer: PHP Commercial |
$6,511.00
|
| Rate for Payer: Priority Health SBD |
$4,825.80
|
| Rate for Payer: UMR Bronson Commercial |
$3,370.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,745.00
|
|
|
HC BIOPSY EXTERNAL AUDITORY CANAL
|
Facility
|
IP
|
$4,096.05
|
|
|
Service Code
|
CPT 69105
|
| Hospital Charge Code |
76100480
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,802.26 |
| Max. Negotiated Rate |
$3,686.45 |
| Rate for Payer: Aetna American Axle |
$2,662.43
|
| Rate for Payer: Aetna American Axle |
$3,993.65
|
| Rate for Payer: Aetna Commercial |
$3,481.64
|
| Rate for Payer: Aetna Commercial |
$5,222.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,662.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,993.65
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cofinity Advantage |
$4,300.86
|
| Rate for Payer: Cofinity Advantage |
$2,867.24
|
| Rate for Payer: Cofinity Commercial |
$5,283.91
|
| Rate for Payer: Cofinity Commercial |
$3,522.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,276.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,915.26
|
| Rate for Payer: Healthscope Commercial |
$3,686.45
|
| Rate for Payer: Healthscope Commercial |
$5,529.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,300.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,867.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,072.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,608.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,481.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,222.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,072.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,608.06
|
| Rate for Payer: PHP Commercial |
$3,481.64
|
| Rate for Payer: PHP Commercial |
$5,222.47
|
| Rate for Payer: Priority Health SBD |
$3,870.77
|
| Rate for Payer: Priority Health SBD |
$2,580.51
|
| Rate for Payer: UMR Bronson Commercial |
$1,802.26
|
| Rate for Payer: UMR Bronson Commercial |
$2,703.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,072.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,608.06
|
|
|
HC BIOPSY EXTERNAL AUDITORY CANAL
|
Facility
|
OP
|
$4,096.05
|
|
|
Service Code
|
CPT 69105
|
| Hospital Charge Code |
76100480
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$172.11 |
| Max. Negotiated Rate |
$4,999.64 |
| Rate for Payer: Aetna American Axle |
$2,662.43
|
| Rate for Payer: Aetna American Axle |
$3,993.65
|
| Rate for Payer: Aetna Commercial |
$3,481.64
|
| Rate for Payer: Aetna Commercial |
$5,222.47
|
| Rate for Payer: Aetna Medicare |
$1,607.84
|
| Rate for Payer: Aetna Medicare |
$1,607.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,662.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,993.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,932.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,932.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,932.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,932.50
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS Trust/PPO |
$172.11
|
| Rate for Payer: BCBS Trust/PPO |
$172.11
|
| Rate for Payer: BCN Commercial |
$172.11
|
| Rate for Payer: BCN Commercial |
$172.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cofinity Advantage |
$2,867.24
|
| Rate for Payer: Cofinity Advantage |
$4,300.86
|
| Rate for Payer: Cofinity Commercial |
$5,283.91
|
| Rate for Payer: Cofinity Commercial |
$3,522.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,915.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,276.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Healthscope Commercial |
$5,529.67
|
| Rate for Payer: Healthscope Commercial |
$3,686.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,300.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,867.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,072.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,608.06
|
| Rate for Payer: Mclaren Medicaid |
$1,546.00
|
| Rate for Payer: Mclaren Medicaid |
$1,546.00
|
| Rate for Payer: Mclaren Medicare |
$1,546.00
|
| Rate for Payer: Mclaren Medicare |
$1,546.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.30
|
| Rate for Payer: Meridian Medicaid |
$1,623.30
|
| Rate for Payer: Meridian Medicaid |
$1,623.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,777.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,777.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,700.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,700.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,481.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,222.47
|
| Rate for Payer: Nomi Health Commercial |
$4,638.00
|
| Rate for Payer: Nomi Health Commercial |
$4,638.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,608.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,072.04
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PHP Commercial |
$5,222.47
|
| Rate for Payer: PHP Commercial |
$3,481.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,999.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,999.64
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health SBD |
$3,870.77
|
| Rate for Payer: Priority Health SBD |
$2,580.51
|
| Rate for Payer: Priority Health Tiered Network |
$3,999.71
|
| Rate for Payer: Priority Health Tiered Network |
$3,999.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,993.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,662.43
|
| Rate for Payer: UHC Core |
$3,201.07
|
| Rate for Payer: UHC Core |
$2,134.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Exchange |
$2,414.62
|
| Rate for Payer: UHC Exchange |
$1,609.75
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: UMR Bronson Commercial |
$1,515.54
|
| Rate for Payer: UMR Bronson Commercial |
$2,273.31
|
| Rate for Payer: VA VA |
$1,546.00
|
| Rate for Payer: VA VA |
$1,546.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,608.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,072.04
|
|
|
HC BIOPSY EXTERNAL EAR
|
Facility
|
IP
|
$398.50
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$175.34 |
| Max. Negotiated Rate |
$358.65 |
| Rate for Payer: Aetna American Axle |
$259.02
|
| Rate for Payer: Aetna Commercial |
$338.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.02
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Advantage |
$278.95
|
| Rate for Payer: Cofinity Commercial |
$342.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Healthscope Commercial |
$358.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$278.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$298.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: PHP Commercial |
$338.73
|
| Rate for Payer: Priority Health SBD |
$251.06
|
| Rate for Payer: UMR Bronson Commercial |
$175.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$298.88
|
|
|
HC BIOPSY EXTERNAL EAR
|
Facility
|
OP
|
$398.50
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$111.29 |
| Max. Negotiated Rate |
$763.21 |
| Rate for Payer: Aetna American Axle |
$259.02
|
| Rate for Payer: Aetna Commercial |
$338.73
|
| Rate for Payer: Aetna Medicare |
$245.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$295.00
|
| Rate for Payer: BCBS Complete |
$129.61
|
| Rate for Payer: BCBS MAPPO |
$236.00
|
| Rate for Payer: BCBS Trust/PPO |
$111.29
|
| Rate for Payer: BCN Commercial |
$111.29
|
| Rate for Payer: BCN Medicare Advantage |
$236.00
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Advantage |
$278.95
|
| Rate for Payer: Cofinity Commercial |
$342.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.00
|
| Rate for Payer: Healthscope Commercial |
$358.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$278.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$298.88
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Mclaren Medicare |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.80
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$708.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: PACE Medicare |
$224.20
|
| Rate for Payer: PACE SWMI |
$236.00
|
| Rate for Payer: PHP Commercial |
$338.73
|
| Rate for Payer: PHP Medicare Advantage |
$236.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$763.21
|
| Rate for Payer: Priority Health Medicare |
$236.00
|
| Rate for Payer: Priority Health SBD |
$251.06
|
| Rate for Payer: Priority Health Tiered Network |
$610.57
|
| Rate for Payer: Railroad Medicare Medicare |
$236.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$259.02
|
| Rate for Payer: UHC Core |
$207.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.00
|
| Rate for Payer: UHC Exchange |
$156.61
|
| Rate for Payer: UHC Medicaid |
$123.43
|
| Rate for Payer: UHCCP Medicaid |
$123.43
|
| Rate for Payer: UMR Bronson Commercial |
$147.44
|
| Rate for Payer: VA VA |
$236.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$298.88
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
OP
|
$4,265.64
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$172.67 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$2,772.67
|
| Rate for Payer: Aetna Commercial |
$3,625.79
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,772.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$172.67
|
| Rate for Payer: BCN Commercial |
$172.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cofinity Advantage |
$2,985.95
|
| Rate for Payer: Cofinity Commercial |
$3,668.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,412.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$3,839.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,985.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,199.23
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,625.79
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,199.23
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$3,625.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$2,687.35
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,772.67
|
| Rate for Payer: UHC Core |
$2,222.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$1,676.40
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,578.29
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,199.23
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
IP
|
$4,265.64
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,876.88 |
| Max. Negotiated Rate |
$3,839.08 |
| Rate for Payer: Aetna American Axle |
$2,772.67
|
| Rate for Payer: Aetna Commercial |
$3,625.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,772.67
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cofinity Advantage |
$2,985.95
|
| Rate for Payer: Cofinity Commercial |
$3,668.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,412.51
|
| Rate for Payer: Healthscope Commercial |
$3,839.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,985.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,199.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,625.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,199.23
|
| Rate for Payer: PHP Commercial |
$3,625.79
|
| Rate for Payer: Priority Health SBD |
$2,687.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,876.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,199.23
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$4,109.58
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,808.22 |
| Max. Negotiated Rate |
$3,698.62 |
| Rate for Payer: Aetna American Axle |
$2,671.23
|
| Rate for Payer: Aetna Commercial |
$3,493.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,671.23
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Advantage |
$2,876.71
|
| Rate for Payer: Cofinity Commercial |
$3,534.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Healthscope Commercial |
$3,698.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,876.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,082.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PHP Commercial |
$3,493.14
|
| Rate for Payer: Priority Health SBD |
$2,589.04
|
| Rate for Payer: UMR Bronson Commercial |
$1,808.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,082.18
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$4,109.58
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$166.96 |
| Max. Negotiated Rate |
$4,999.64 |
| Rate for Payer: Aetna American Axle |
$2,671.23
|
| Rate for Payer: Aetna Commercial |
$3,493.14
|
| Rate for Payer: Aetna Medicare |
$1,607.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,671.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,932.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,932.50
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS Trust/PPO |
$166.96
|
| Rate for Payer: BCN Commercial |
$166.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Advantage |
$2,876.71
|
| Rate for Payer: Cofinity Commercial |
$3,534.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Healthscope Commercial |
$3,698.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,876.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,082.18
|
| Rate for Payer: Mclaren Medicaid |
$1,546.00
|
| Rate for Payer: Mclaren Medicare |
$1,546.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.30
|
| Rate for Payer: Meridian Medicaid |
$1,623.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,777.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,700.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$4,638.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PHP Commercial |
$3,493.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,999.64
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health SBD |
$2,589.04
|
| Rate for Payer: Priority Health Tiered Network |
$3,999.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,671.23
|
| Rate for Payer: UHC Core |
$2,141.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Exchange |
$1,615.06
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: UMR Bronson Commercial |
$1,520.54
|
| Rate for Payer: VA VA |
$1,546.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,082.18
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,734.90
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$763.36 |
| Max. Negotiated Rate |
$1,561.41 |
| Rate for Payer: Aetna American Axle |
$1,127.68
|
| Rate for Payer: Aetna Commercial |
$1,474.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,127.68
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cofinity Advantage |
$1,214.43
|
| Rate for Payer: Cofinity Commercial |
$1,492.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,387.92
|
| Rate for Payer: Healthscope Commercial |
$1,561.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,214.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,301.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,474.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,301.17
|
| Rate for Payer: PHP Commercial |
$1,474.66
|
| Rate for Payer: Priority Health SBD |
$1,092.99
|
| Rate for Payer: UMR Bronson Commercial |
$763.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,301.17
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,734.90
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$641.91 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,127.68
|
| Rate for Payer: Aetna Commercial |
$1,474.66
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,127.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.75
|
| Rate for Payer: BCN Commercial |
$1,453.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cofinity Advantage |
$1,214.43
|
| Rate for Payer: Cofinity Commercial |
$1,492.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,387.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,561.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,214.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,301.17
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,474.66
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,301.17
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,474.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$1,092.99
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UMR Bronson Commercial |
$641.91
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,301.17
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,919.77
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$162.67 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,247.85
|
| Rate for Payer: Aetna Commercial |
$1,631.80
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,247.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,060.45
|
| Rate for Payer: BCCCP Commercial |
$162.67
|
| Rate for Payer: BCN Commercial |
$1,060.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cofinity Advantage |
$1,343.84
|
| Rate for Payer: Cofinity Commercial |
$1,651.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,535.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,727.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,343.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,439.83
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,631.80
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.83
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,631.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$1,209.46
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UMR Bronson Commercial |
$710.31
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,439.83
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,919.77
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$844.70 |
| Max. Negotiated Rate |
$1,727.79 |
| Rate for Payer: Aetna American Axle |
$1,247.85
|
| Rate for Payer: Aetna Commercial |
$1,631.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,247.85
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cofinity Advantage |
$1,343.84
|
| Rate for Payer: Cofinity Commercial |
$1,651.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,535.82
|
| Rate for Payer: Healthscope Commercial |
$1,727.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,343.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,439.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,631.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.83
|
| Rate for Payer: PHP Commercial |
$1,631.80
|
| Rate for Payer: Priority Health SBD |
$1,209.46
|
| Rate for Payer: UMR Bronson Commercial |
$844.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,439.83
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,963.71
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$726.57 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,276.41
|
| Rate for Payer: Aetna Commercial |
$1,669.15
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,276.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.59
|
| Rate for Payer: BCN Commercial |
$1,202.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cofinity Advantage |
$1,374.60
|
| Rate for Payer: Cofinity Commercial |
$1,688.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,767.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,374.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,472.78
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.15
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,472.78
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,669.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$1,237.14
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,276.41
|
| Rate for Payer: UHC Core |
$1,023.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$771.74
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UMR Bronson Commercial |
$726.57
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,472.78
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,963.71
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$864.03 |
| Max. Negotiated Rate |
$1,767.34 |
| Rate for Payer: Aetna American Axle |
$1,276.41
|
| Rate for Payer: Aetna Commercial |
$1,669.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,276.41
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cofinity Advantage |
$1,374.60
|
| Rate for Payer: Cofinity Commercial |
$1,688.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.97
|
| Rate for Payer: Healthscope Commercial |
$1,767.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,374.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,472.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,472.78
|
| Rate for Payer: PHP Commercial |
$1,669.15
|
| Rate for Payer: Priority Health SBD |
$1,237.14
|
| Rate for Payer: UMR Bronson Commercial |
$864.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,472.78
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,245.28
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$830.75 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,459.43
|
| Rate for Payer: Aetna Commercial |
$1,908.49
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,459.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,338.52
|
| Rate for Payer: BCN Commercial |
$1,338.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cofinity Advantage |
$1,571.70
|
| Rate for Payer: Cofinity Commercial |
$1,930.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,796.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,020.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,571.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.96
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,908.49
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.96
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,908.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$1,414.53
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,459.43
|
| Rate for Payer: UHC Core |
$1,169.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$882.40
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UMR Bronson Commercial |
$830.75
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.96
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,245.28
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$987.92 |
| Max. Negotiated Rate |
$2,020.75 |
| Rate for Payer: Aetna American Axle |
$1,459.43
|
| Rate for Payer: Aetna Commercial |
$1,908.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,459.43
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cofinity Advantage |
$1,571.70
|
| Rate for Payer: Cofinity Commercial |
$1,930.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,796.22
|
| Rate for Payer: Healthscope Commercial |
$2,020.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,571.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,908.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.96
|
| Rate for Payer: PHP Commercial |
$1,908.49
|
| Rate for Payer: Priority Health SBD |
$1,414.53
|
| Rate for Payer: UMR Bronson Commercial |
$987.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.96
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$676.26
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$297.55 |
| Max. Negotiated Rate |
$608.63 |
| Rate for Payer: Aetna American Axle |
$439.57
|
| Rate for Payer: Aetna Commercial |
$574.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.57
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cofinity Advantage |
$473.38
|
| Rate for Payer: Cofinity Commercial |
$581.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$541.01
|
| Rate for Payer: Healthscope Commercial |
$608.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$473.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$507.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$507.19
|
| Rate for Payer: PHP Commercial |
$574.82
|
| Rate for Payer: Priority Health SBD |
$426.04
|
| Rate for Payer: UMR Bronson Commercial |
$297.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$507.19
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$676.26
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$123.43 |
| Max. Negotiated Rate |
$763.21 |
| Rate for Payer: Aetna American Axle |
$439.57
|
| Rate for Payer: Aetna Commercial |
$574.82
|
| Rate for Payer: Aetna Medicare |
$245.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$295.00
|
| Rate for Payer: BCBS Complete |
$129.61
|
| Rate for Payer: BCBS MAPPO |
$236.00
|
| Rate for Payer: BCBS Trust/PPO |
$377.87
|
| Rate for Payer: BCN Commercial |
$377.87
|
| Rate for Payer: BCN Medicare Advantage |
$236.00
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cofinity Advantage |
$473.38
|
| Rate for Payer: Cofinity Commercial |
$581.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$541.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.00
|
| Rate for Payer: Healthscope Commercial |
$608.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$473.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$507.19
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Mclaren Medicare |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.80
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Nomi Health Commercial |
$708.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$507.19
|
| Rate for Payer: PACE Medicare |
$224.20
|
| Rate for Payer: PACE SWMI |
$236.00
|
| Rate for Payer: PHP Commercial |
$574.82
|
| Rate for Payer: PHP Medicare Advantage |
$236.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$763.21
|
| Rate for Payer: Priority Health Medicare |
$236.00
|
| Rate for Payer: Priority Health SBD |
$426.04
|
| Rate for Payer: Priority Health Tiered Network |
$610.57
|
| Rate for Payer: Railroad Medicare Medicare |
$236.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$439.57
|
| Rate for Payer: UHC Core |
$352.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.00
|
| Rate for Payer: UHC Exchange |
$265.77
|
| Rate for Payer: UHC Medicaid |
$123.43
|
| Rate for Payer: UHCCP Medicaid |
$123.43
|
| Rate for Payer: UMR Bronson Commercial |
$250.22
|
| Rate for Payer: VA VA |
$236.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$507.19
|
|
|
HC BIOPSY OF PROSTATE NONIMAGE-GUIDED
|
Facility
|
IP
|
$9,663.48
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,251.93 |
| Max. Negotiated Rate |
$8,697.13 |
| Rate for Payer: Aetna American Axle |
$6,281.26
|
| Rate for Payer: Aetna Commercial |
$8,213.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,281.26
|
| Rate for Payer: Cash Price |
$7,730.78
|
| Rate for Payer: Cofinity Advantage |
$6,764.44
|
| Rate for Payer: Cofinity Commercial |
$8,310.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,730.78
|
| Rate for Payer: Healthscope Commercial |
$8,697.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,764.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,247.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,213.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,247.61
|
| Rate for Payer: PHP Commercial |
$8,213.96
|
| Rate for Payer: Priority Health SBD |
$6,087.99
|
| Rate for Payer: UMR Bronson Commercial |
$4,251.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,247.61
|
|
|
HC BIOPSY OF PROSTATE NONIMAGE-GUIDED
|
Facility
|
OP
|
$9,663.48
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna American Axle |
$6,281.26
|
| Rate for Payer: Aetna Commercial |
$8,213.96
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,281.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,925.73
|
| Rate for Payer: BCN Commercial |
$1,925.73
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,730.78
|
| Rate for Payer: Cash Price |
$7,730.78
|
| Rate for Payer: Cash Price |
$7,730.78
|
| Rate for Payer: Cofinity Advantage |
$6,764.44
|
| Rate for Payer: Cofinity Commercial |
$8,310.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,730.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$8,697.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,764.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,247.61
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$3,687.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,213.96
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,247.61
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$8,213.96
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,358.48
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health SBD |
$6,087.99
|
| Rate for Payer: Priority Health Tiered Network |
$9,086.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,281.26
|
| Rate for Payer: UHC Core |
$5,034.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$3,797.75
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: UMR Bronson Commercial |
$3,575.49
|
| Rate for Payer: VA VA |
$3,512.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,247.61
|
|
