|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,822.94
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$802.09 |
| Max. Negotiated Rate |
$1,640.65 |
| Rate for Payer: Aetna American Axle |
$1,184.91
|
| Rate for Payer: Aetna Commercial |
$1,549.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,184.91
|
| Rate for Payer: Cash Price |
$1,458.35
|
| Rate for Payer: Cofinity Advantage |
$1,276.06
|
| Rate for Payer: Cofinity Commercial |
$1,567.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.35
|
| Rate for Payer: Healthscope Commercial |
$1,640.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,276.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,367.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,549.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,367.20
|
| Rate for Payer: PHP Commercial |
$1,549.50
|
| Rate for Payer: Priority Health SBD |
$1,148.45
|
| Rate for Payer: UMR Bronson Commercial |
$802.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,367.20
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$961.81
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$423.20 |
| Max. Negotiated Rate |
$865.63 |
| Rate for Payer: Aetna American Axle |
$625.18
|
| Rate for Payer: Aetna Commercial |
$817.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$625.18
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cofinity Advantage |
$673.27
|
| Rate for Payer: Cofinity Commercial |
$827.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.45
|
| Rate for Payer: Healthscope Commercial |
$865.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$673.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$721.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.36
|
| Rate for Payer: PHP Commercial |
$817.54
|
| Rate for Payer: Priority Health SBD |
$605.94
|
| Rate for Payer: UMR Bronson Commercial |
$423.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$721.36
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$961.81
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$355.87 |
| Max. Negotiated Rate |
$2,281.79 |
| Rate for Payer: Aetna American Axle |
$625.18
|
| Rate for Payer: Aetna Commercial |
$817.54
|
| Rate for Payer: Aetna Medicare |
$733.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$625.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$879.35
|
| Rate for Payer: BCN Commercial |
$879.35
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cofinity Advantage |
$673.27
|
| Rate for Payer: Cofinity Commercial |
$827.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$865.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$673.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$721.36
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$740.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.54
|
| Rate for Payer: Nomi Health Commercial |
$2,116.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.36
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$817.54
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,281.79
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health SBD |
$605.94
|
| Rate for Payer: Priority Health Tiered Network |
$1,825.43
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: UMR Bronson Commercial |
$355.87
|
| Rate for Payer: VA VA |
$705.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$721.36
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,161.60
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$808.56 |
| Max. Negotiated Rate |
$4,999.64 |
| Rate for Payer: Aetna American Axle |
$2,705.04
|
| Rate for Payer: Aetna Commercial |
$3,537.36
|
| Rate for Payer: Aetna Medicare |
$1,607.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,705.04
|
| 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 |
$1,839.68
|
| Rate for Payer: BCN Commercial |
$1,839.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cofinity Advantage |
$2,913.12
|
| Rate for Payer: Cofinity Commercial |
$3,578.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,329.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Healthscope Commercial |
$3,745.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,913.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,121.20
|
| 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 |
$3,537.36
|
| Rate for Payer: Nomi Health Commercial |
$4,638.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,121.20
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PHP Commercial |
$3,537.36
|
| 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 |
$2,621.81
|
| 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) |
$2,705.04
|
| Rate for Payer: UHC Core |
$2,168.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Exchange |
$1,635.51
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: UMR Bronson Commercial |
$1,539.79
|
| Rate for Payer: VA VA |
$1,546.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,121.20
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,161.60
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,831.10 |
| Max. Negotiated Rate |
$3,745.44 |
| Rate for Payer: Aetna American Axle |
$2,705.04
|
| Rate for Payer: Aetna Commercial |
$3,537.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,705.04
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cofinity Advantage |
$2,913.12
|
| Rate for Payer: Cofinity Commercial |
$3,578.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,329.28
|
| Rate for Payer: Healthscope Commercial |
$3,745.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,913.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,121.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,537.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,121.20
|
| Rate for Payer: PHP Commercial |
$3,537.36
|
| Rate for Payer: Priority Health SBD |
$2,621.81
|
| Rate for Payer: UMR Bronson Commercial |
$1,831.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,121.20
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,573.23
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,672.60
|
| Rate for Payer: Aetna Commercial |
$2,187.25
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,672.60
|
| 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 |
$1,673.17
|
| Rate for Payer: BCN Commercial |
$1,673.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cofinity Advantage |
$1,801.26
|
| Rate for Payer: Cofinity Commercial |
$2,212.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,058.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,315.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,801.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,929.92
|
| 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 |
$2,187.25
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,929.92
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$2,187.25
|
| 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 |
$1,621.13
|
| 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 |
$952.10
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,929.92
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,573.23
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,132.22 |
| Max. Negotiated Rate |
$2,315.91 |
| Rate for Payer: Aetna American Axle |
$1,672.60
|
| Rate for Payer: Aetna Commercial |
$2,187.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,672.60
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cofinity Advantage |
$1,801.26
|
| Rate for Payer: Cofinity Commercial |
$2,212.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,058.58
|
| Rate for Payer: Healthscope Commercial |
$2,315.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,801.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,929.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,187.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,929.92
|
| Rate for Payer: PHP Commercial |
$2,187.25
|
| Rate for Payer: Priority Health SBD |
$1,621.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,132.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,929.92
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$628.56 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna American Axle |
$1,104.23
|
| Rate for Payer: Aetna Commercial |
$1,444.00
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,104.23
|
| 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 |
$1,427.89
|
| Rate for Payer: BCN Commercial |
$1,427.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Advantage |
$1,189.17
|
| Rate for Payer: Cofinity Commercial |
$1,460.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,528.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,189.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,274.12
|
| 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 |
$1,444.00
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,444.00
|
| 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 |
$1,070.26
|
| 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 |
$628.56
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,274.12
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$747.48 |
| Max. Negotiated Rate |
$1,528.94 |
| Rate for Payer: Aetna American Axle |
$1,104.23
|
| Rate for Payer: Aetna Commercial |
$1,444.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,104.23
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Advantage |
$1,189.17
|
| Rate for Payer: Cofinity Commercial |
$1,460.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Healthscope Commercial |
$1,528.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,189.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,274.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,444.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| Rate for Payer: PHP Commercial |
$1,444.00
|
| Rate for Payer: Priority Health SBD |
$1,070.26
|
| Rate for Payer: UMR Bronson Commercial |
$747.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,274.12
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna American Axle |
$6,052.53
|
| Rate for Payer: Aetna Commercial |
$7,914.84
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,052.53
|
| 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 |
$2,221.94
|
| Rate for Payer: BCN Commercial |
$2,221.94
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Advantage |
$6,518.11
|
| Rate for Payer: Cofinity Commercial |
$8,007.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$8,380.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,518.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,983.69
|
| 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 |
$7,914.84
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$7,914.84
|
| 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 |
$5,866.30
|
| 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) |
$6,052.53
|
| Rate for Payer: UHC Core |
$4,851.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$3,659.45
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: UMR Bronson Commercial |
$3,445.28
|
| Rate for Payer: VA VA |
$3,512.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,983.69
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,097.10 |
| Max. Negotiated Rate |
$8,380.42 |
| Rate for Payer: Aetna American Axle |
$6,052.53
|
| Rate for Payer: Aetna Commercial |
$7,914.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,052.53
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Advantage |
$6,518.11
|
| Rate for Payer: Cofinity Commercial |
$8,007.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Healthscope Commercial |
$8,380.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,518.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,983.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PHP Commercial |
$7,914.84
|
| Rate for Payer: Priority Health SBD |
$5,866.30
|
| Rate for Payer: UMR Bronson Commercial |
$4,097.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,983.69
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,108.08 |
| Max. Negotiated Rate |
$8,402.90 |
| Rate for Payer: Aetna American Axle |
$6,068.76
|
| Rate for Payer: Aetna Commercial |
$7,936.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,068.76
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Advantage |
$6,535.59
|
| Rate for Payer: Cofinity Commercial |
$8,029.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Healthscope Commercial |
$8,402.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,535.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,002.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PHP Commercial |
$7,936.07
|
| Rate for Payer: Priority Health SBD |
$5,882.03
|
| Rate for Payer: UMR Bronson Commercial |
$4,108.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,002.41
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$11,358.48 |
| Rate for Payer: Aetna American Axle |
$6,068.76
|
| Rate for Payer: Aetna Commercial |
$7,936.07
|
| Rate for Payer: Aetna Medicare |
$3,652.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,068.76
|
| 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 |
$2,221.94
|
| Rate for Payer: BCN Commercial |
$2,221.94
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Advantage |
$6,535.59
|
| Rate for Payer: Cofinity Commercial |
$8,029.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$8,402.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,535.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,002.41
|
| 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 |
$7,936.07
|
| Rate for Payer: Nomi Health Commercial |
$10,536.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$7,936.07
|
| 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 |
$5,882.03
|
| 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) |
$6,068.76
|
| Rate for Payer: UHC Core |
$4,864.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$3,669.26
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: UMR Bronson Commercial |
$3,454.52
|
| Rate for Payer: VA VA |
$3,512.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,002.41
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$181.17 |
| Max. Negotiated Rate |
$370.57 |
| Rate for Payer: Aetna American Axle |
$267.64
|
| Rate for Payer: Aetna Commercial |
$349.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.64
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Advantage |
$288.23
|
| Rate for Payer: Cofinity Commercial |
$354.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Healthscope Commercial |
$370.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$288.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$308.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PHP Commercial |
$349.99
|
| Rate for Payer: Priority Health SBD |
$259.40
|
| Rate for Payer: UMR Bronson Commercial |
$181.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$308.81
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$152.35 |
| Max. Negotiated Rate |
$2,281.79 |
| Rate for Payer: Aetna American Axle |
$267.64
|
| Rate for Payer: Aetna Commercial |
$349.99
|
| Rate for Payer: Aetna Medicare |
$733.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$879.35
|
| Rate for Payer: BCN Commercial |
$879.35
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Advantage |
$288.23
|
| Rate for Payer: Cofinity Commercial |
$354.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$370.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$288.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$308.81
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$740.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Nomi Health Commercial |
$2,116.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$349.99
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,281.79
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health SBD |
$259.40
|
| Rate for Payer: Priority Health Tiered Network |
$1,825.43
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: UMR Bronson Commercial |
$152.35
|
| Rate for Payer: VA VA |
$705.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$308.81
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$618.00 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna American Axle |
$912.95
|
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$983.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health SBD |
$884.86
|
| Rate for Payer: UMR Bronson Commercial |
$618.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna American Axle |
$912.95
|
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$618.99
|
| Rate for Payer: BCN Commercial |
$618.99
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$983.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$884.86
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.95
|
| Rate for Payer: UHC Core |
$731.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$551.98
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: UMR Bronson Commercial |
$519.68
|
| Rate for Payer: VA VA |
$537.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,616.43 |
| Max. Negotiated Rate |
$7,397.24 |
| Rate for Payer: Aetna American Axle |
$5,342.45
|
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,342.45
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Advantage |
$5,753.41
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,753.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,164.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: Priority Health SBD |
$5,178.07
|
| Rate for Payer: UMR Bronson Commercial |
$3,616.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,164.37
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.88 |
| Max. Negotiated Rate |
$10,683.35 |
| Rate for Payer: Aetna American Axle |
$5,342.45
|
| Rate for Payer: Aetna Commercial |
$6,986.29
|
| Rate for Payer: Aetna Medicare |
$3,435.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,342.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,129.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,129.43
|
| Rate for Payer: BCBS Complete |
$1,814.30
|
| Rate for Payer: BCBS MAPPO |
$3,303.54
|
| Rate for Payer: BCBS Trust/PPO |
$185.88
|
| Rate for Payer: BCN Commercial |
$185.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,303.54
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Advantage |
$5,753.41
|
| Rate for Payer: Cofinity Commercial |
$7,068.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,303.54
|
| Rate for Payer: Healthscope Commercial |
$7,397.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,753.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,164.37
|
| Rate for Payer: Mclaren Medicaid |
$3,303.54
|
| Rate for Payer: Mclaren Medicare |
$3,303.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,468.72
|
| Rate for Payer: Meridian Medicaid |
$3,468.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,799.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,633.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$9,910.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PACE Medicare |
$3,138.36
|
| Rate for Payer: PACE SWMI |
$3,303.54
|
| Rate for Payer: PHP Commercial |
$6,986.29
|
| Rate for Payer: PHP Medicare Advantage |
$3,303.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,727.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,683.35
|
| Rate for Payer: Priority Health Medicare |
$3,303.54
|
| Rate for Payer: Priority Health SBD |
$5,178.07
|
| Rate for Payer: Priority Health Tiered Network |
$8,546.68
|
| Rate for Payer: Railroad Medicare Medicare |
$3,303.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,342.45
|
| Rate for Payer: UHC Core |
$4,282.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,303.54
|
| Rate for Payer: UHC Exchange |
$3,230.13
|
| Rate for Payer: UHC Medicaid |
$1,727.75
|
| Rate for Payer: UHCCP Medicaid |
$1,727.75
|
| Rate for Payer: UMR Bronson Commercial |
$3,041.09
|
| Rate for Payer: VA VA |
$3,303.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,164.37
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$753.02 |
| Max. Negotiated Rate |
$1,540.28 |
| Rate for Payer: Aetna American Axle |
$1,112.42
|
| Rate for Payer: Aetna Commercial |
$1,454.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.42
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Advantage |
$1,197.99
|
| Rate for Payer: Cofinity Commercial |
$1,471.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Healthscope Commercial |
$1,540.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,197.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,283.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PHP Commercial |
$1,454.71
|
| Rate for Payer: Priority Health SBD |
$1,078.19
|
| Rate for Payer: UMR Bronson Commercial |
$753.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,283.57
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$633.23 |
| Max. Negotiated Rate |
$17,930.33 |
| Rate for Payer: Aetna American Axle |
$1,112.42
|
| Rate for Payer: Aetna Commercial |
$1,454.71
|
| Rate for Payer: Aetna Medicare |
$5,766.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,325.90
|
| Rate for Payer: BCN Commercial |
$3,325.90
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Advantage |
$1,197.99
|
| Rate for Payer: Cofinity Commercial |
$1,471.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$1,540.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,197.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,283.57
|
| Rate for Payer: Mclaren Medicaid |
$5,544.48
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$5,821.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Nomi Health Commercial |
$16,633.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$1,454.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,930.33
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health SBD |
$1,078.19
|
| Rate for Payer: Priority Health Tiered Network |
$14,344.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: UMR Bronson Commercial |
$633.23
|
| Rate for Payer: VA VA |
$5,544.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,283.57
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna American Axle |
$912.95
|
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$388.67
|
| Rate for Payer: BCN Commercial |
$388.67
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$983.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$884.86
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.95
|
| Rate for Payer: UHC Core |
$731.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$551.98
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: UMR Bronson Commercial |
$519.68
|
| Rate for Payer: VA VA |
$537.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$618.00 |
| Max. Negotiated Rate |
$1,264.09 |
| Rate for Payer: Aetna American Axle |
$912.95
|
| Rate for Payer: Aetna Commercial |
$1,193.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.95
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Advantage |
$983.18
|
| Rate for Payer: Cofinity Commercial |
$1,207.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,264.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$983.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,053.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PHP Commercial |
$1,193.86
|
| Rate for Payer: Priority Health SBD |
$884.86
|
| Rate for Payer: UMR Bronson Commercial |
$618.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,053.40
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
OP
|
$888.30
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$328.67 |
| Max. Negotiated Rate |
$2,967.88 |
| Rate for Payer: Aetna American Axle |
$577.39
|
| Rate for Payer: Aetna Commercial |
$755.05
|
| Rate for Payer: Aetna Medicare |
$954.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.39
|
| 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 |
$710.64
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cofinity Advantage |
$621.81
|
| Rate for Payer: Cofinity Commercial |
$763.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$799.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$621.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.23
|
| 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 |
$755.05
|
| Rate for Payer: Nomi Health Commercial |
$2,753.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.23
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$755.05
|
| 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 |
$559.63
|
| 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) |
$577.39
|
| Rate for Payer: UHC Core |
$462.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$349.10
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: UMR Bronson Commercial |
$328.67
|
| Rate for Payer: VA VA |
$917.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.23
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$888.30
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$390.85 |
| Max. Negotiated Rate |
$799.47 |
| Rate for Payer: Aetna American Axle |
$577.39
|
| Rate for Payer: Aetna Commercial |
$755.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.39
|
| Rate for Payer: Cash Price |
$710.64
|
| Rate for Payer: Cofinity Advantage |
$621.81
|
| Rate for Payer: Cofinity Commercial |
$763.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$710.64
|
| Rate for Payer: Healthscope Commercial |
$799.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$621.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$666.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$755.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$666.23
|
| Rate for Payer: PHP Commercial |
$755.05
|
| Rate for Payer: Priority Health SBD |
$559.63
|
| Rate for Payer: UMR Bronson Commercial |
$390.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$666.23
|
|
