|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$4,029.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,772.76 |
| Max. Negotiated Rate |
$3,626.10 |
| Rate for Payer: Aetna American Axle |
$2,618.85
|
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,618.85
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$2,820.30
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,820.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,820.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health SBD |
$2,538.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,772.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$4,029.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$774.34 |
| Max. Negotiated Rate |
$4,066.57 |
| Rate for Payer: Aetna American Axle |
$2,618.85
|
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: Aetna Medicare |
$1,502.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,618.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,805.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,805.83
|
| Rate for Payer: BCBS Complete |
$813.05
|
| Rate for Payer: BCBS MAPPO |
$1,444.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,444.66
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Cofinity Commercial |
$2,820.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,820.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,444.66
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,820.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Mclaren Medicaid |
$774.34
|
| Rate for Payer: Mclaren Medicare |
$1,444.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,516.89
|
| Rate for Payer: Meridian Medicaid |
$813.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,661.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: PACE Medicare |
$1,372.43
|
| Rate for Payer: PACE SWMI |
$1,444.66
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,444.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health Medicare |
$1,444.66
|
| Rate for Payer: Priority Health SBD |
$2,538.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,444.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,066.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,444.66
|
| Rate for Payer: UHC Exchange |
$2,760.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,444.66
|
| Rate for Payer: UHCCP Medicaid |
$774.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,490.73
|
| Rate for Payer: VA VA |
$1,444.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,652.29
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$611.35 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,073.99
|
| Rate for Payer: Aetna Commercial |
$1,404.45
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,073.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,321.83
|
| Rate for Payer: Cash Price |
$1,321.83
|
| Rate for Payer: Cofinity Commercial |
$1,420.97
|
| Rate for Payer: Cofinity Commercial |
$1,156.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,156.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,321.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,487.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,156.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,239.22
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,404.45
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,404.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,073.99
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,040.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$611.35
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,239.22
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,652.29
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$727.01 |
| Max. Negotiated Rate |
$1,487.06 |
| Rate for Payer: Aetna American Axle |
$1,073.99
|
| Rate for Payer: Aetna Commercial |
$1,404.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,073.99
|
| Rate for Payer: Cash Price |
$1,321.83
|
| Rate for Payer: Cofinity Commercial |
$1,156.60
|
| Rate for Payer: Cofinity Commercial |
$1,420.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,156.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,321.83
|
| Rate for Payer: Healthscope Commercial |
$1,487.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,156.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,239.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,404.45
|
| Rate for Payer: PHP Commercial |
$1,404.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,073.99
|
| Rate for Payer: Priority Health SBD |
$1,040.94
|
| Rate for Payer: UMR Bronson Commercial |
$727.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,239.22
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,882.13
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$828.14 |
| Max. Negotiated Rate |
$1,693.92 |
| Rate for Payer: Aetna American Axle |
$1,223.38
|
| Rate for Payer: Aetna Commercial |
$1,599.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,223.38
|
| Rate for Payer: Cash Price |
$1,505.70
|
| Rate for Payer: Cofinity Commercial |
$1,317.49
|
| Rate for Payer: Cofinity Commercial |
$1,618.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,317.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,505.70
|
| Rate for Payer: Healthscope Commercial |
$1,693.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,317.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,411.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,599.81
|
| Rate for Payer: PHP Commercial |
$1,599.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,223.38
|
| Rate for Payer: Priority Health SBD |
$1,185.74
|
| Rate for Payer: UMR Bronson Commercial |
$828.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,411.60
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,882.13
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$696.39 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,223.38
|
| Rate for Payer: Aetna Commercial |
$1,599.81
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,223.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,505.70
|
| Rate for Payer: Cash Price |
$1,505.70
|
| Rate for Payer: Cofinity Commercial |
$1,618.63
|
| Rate for Payer: Cofinity Commercial |
$1,317.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,317.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,505.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,693.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,317.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,411.60
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,599.81
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,599.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,223.38
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,185.74
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$696.39
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,411.60
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,925.21
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$847.09 |
| Max. Negotiated Rate |
$1,732.69 |
| Rate for Payer: Aetna American Axle |
$1,251.39
|
| Rate for Payer: Aetna Commercial |
$1,636.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,251.39
|
| Rate for Payer: Cash Price |
$1,540.17
|
| Rate for Payer: Cofinity Commercial |
$1,347.65
|
| Rate for Payer: Cofinity Commercial |
$1,655.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,347.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,540.17
|
| Rate for Payer: Healthscope Commercial |
$1,732.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,347.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,443.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,636.43
|
| Rate for Payer: PHP Commercial |
$1,636.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.39
|
| Rate for Payer: Priority Health SBD |
$1,212.88
|
| Rate for Payer: UMR Bronson Commercial |
$847.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,443.91
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,925.21
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$712.33 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,251.39
|
| Rate for Payer: Aetna Commercial |
$1,636.43
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,251.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,540.17
|
| Rate for Payer: Cash Price |
$1,540.17
|
| Rate for Payer: Cofinity Commercial |
$1,655.68
|
| Rate for Payer: Cofinity Commercial |
$1,347.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,347.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,540.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,732.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,347.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,443.91
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,636.43
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,636.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.39
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,212.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$712.33
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,443.91
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,201.25
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$968.55 |
| Max. Negotiated Rate |
$1,981.12 |
| Rate for Payer: Aetna American Axle |
$1,430.81
|
| Rate for Payer: Aetna Commercial |
$1,871.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,430.81
|
| Rate for Payer: Cash Price |
$1,761.00
|
| Rate for Payer: Cofinity Commercial |
$1,540.88
|
| Rate for Payer: Cofinity Commercial |
$1,893.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,540.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,761.00
|
| Rate for Payer: Healthscope Commercial |
$1,981.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,540.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,871.06
|
| Rate for Payer: PHP Commercial |
$1,871.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.81
|
| Rate for Payer: Priority Health SBD |
$1,386.79
|
| Rate for Payer: UMR Bronson Commercial |
$968.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.94
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,201.25
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$814.46 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,430.81
|
| Rate for Payer: Aetna Commercial |
$1,871.06
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,430.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,761.00
|
| Rate for Payer: Cash Price |
$1,761.00
|
| Rate for Payer: Cofinity Commercial |
$1,893.08
|
| Rate for Payer: Cofinity Commercial |
$1,540.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,540.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,761.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,981.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,540.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,650.94
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,871.06
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,871.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.81
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,386.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$814.46
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,650.94
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$663.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$121.39 |
| Max. Negotiated Rate |
$637.52 |
| Rate for Payer: Aetna American Axle |
$430.95
|
| Rate for Payer: Aetna Commercial |
$563.55
|
| Rate for Payer: Aetna Medicare |
$235.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$283.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$283.10
|
| Rate for Payer: BCBS Complete |
$127.46
|
| Rate for Payer: BCBS MAPPO |
$226.48
|
| Rate for Payer: BCN Medicare Advantage |
$226.48
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cofinity Commercial |
$570.18
|
| Rate for Payer: Cofinity Commercial |
$464.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$464.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$530.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.48
|
| Rate for Payer: Healthscope Commercial |
$596.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$464.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$497.25
|
| Rate for Payer: Mclaren Medicaid |
$121.39
|
| Rate for Payer: Mclaren Medicare |
$226.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$237.80
|
| Rate for Payer: Meridian Medicaid |
$127.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$260.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.55
|
| Rate for Payer: PACE Medicare |
$215.16
|
| Rate for Payer: PACE SWMI |
$226.48
|
| Rate for Payer: PHP Commercial |
$563.55
|
| Rate for Payer: PHP Medicare Advantage |
$226.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.95
|
| Rate for Payer: Priority Health Medicare |
$226.48
|
| Rate for Payer: Priority Health SBD |
$417.69
|
| Rate for Payer: Railroad Medicare Medicare |
$226.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$637.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.48
|
| Rate for Payer: UHC Exchange |
$432.83
|
| Rate for Payer: UHC Medicare Advantage |
$226.48
|
| Rate for Payer: UHCCP Medicaid |
$121.39
|
| Rate for Payer: UMR Bronson Commercial |
$245.31
|
| Rate for Payer: VA VA |
$226.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$497.25
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$663.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$291.72 |
| Max. Negotiated Rate |
$596.70 |
| Rate for Payer: Aetna American Axle |
$430.95
|
| Rate for Payer: Aetna Commercial |
$563.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.95
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cofinity Commercial |
$464.10
|
| Rate for Payer: Cofinity Commercial |
$570.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$464.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$530.40
|
| Rate for Payer: Healthscope Commercial |
$596.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$464.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$497.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$563.55
|
| Rate for Payer: PHP Commercial |
$563.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$430.95
|
| Rate for Payer: Priority Health SBD |
$417.69
|
| Rate for Payer: UMR Bronson Commercial |
$291.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$497.25
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
IP
|
$9,474.00
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,168.56 |
| Max. Negotiated Rate |
$8,526.60 |
| Rate for Payer: Aetna American Axle |
$6,158.10
|
| Rate for Payer: Aetna Commercial |
$8,052.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,158.10
|
| Rate for Payer: Cash Price |
$7,579.20
|
| Rate for Payer: Cofinity Commercial |
$6,631.80
|
| Rate for Payer: Cofinity Commercial |
$8,147.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,631.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,579.20
|
| Rate for Payer: Healthscope Commercial |
$8,526.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,631.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,105.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,052.90
|
| Rate for Payer: PHP Commercial |
$8,052.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,158.10
|
| Rate for Payer: Priority Health SBD |
$5,968.62
|
| Rate for Payer: UMR Bronson Commercial |
$4,168.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,105.50
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
OP
|
$9,474.00
|
|
|
Service Code
|
CPT 55705
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,802.95 |
| Max. Negotiated Rate |
$9,468.51 |
| Rate for Payer: Aetna American Axle |
$6,158.10
|
| Rate for Payer: Aetna Commercial |
$8,052.90
|
| Rate for Payer: Aetna Medicare |
$3,498.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,158.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,204.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,204.64
|
| Rate for Payer: BCBS Complete |
$1,893.10
|
| Rate for Payer: BCBS MAPPO |
$3,363.71
|
| Rate for Payer: BCN Medicare Advantage |
$3,363.71
|
| Rate for Payer: Cash Price |
$7,579.20
|
| Rate for Payer: Cash Price |
$7,579.20
|
| Rate for Payer: Cofinity Commercial |
$8,147.64
|
| Rate for Payer: Cofinity Commercial |
$6,631.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,631.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,579.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,363.71
|
| Rate for Payer: Healthscope Commercial |
$8,526.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,631.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,105.50
|
| Rate for Payer: Mclaren Medicaid |
$1,802.95
|
| Rate for Payer: Mclaren Medicare |
$3,363.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,531.90
|
| Rate for Payer: Meridian Medicaid |
$1,893.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,868.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,052.90
|
| Rate for Payer: PACE Medicare |
$3,195.52
|
| Rate for Payer: PACE SWMI |
$3,363.71
|
| Rate for Payer: PHP Commercial |
$8,052.90
|
| Rate for Payer: PHP Medicare Advantage |
$3,363.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,802.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,158.10
|
| Rate for Payer: Priority Health Medicare |
$3,363.71
|
| Rate for Payer: Priority Health SBD |
$5,968.62
|
| Rate for Payer: Railroad Medicare Medicare |
$3,363.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,468.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,363.71
|
| Rate for Payer: UHC Exchange |
$6,428.39
|
| Rate for Payer: UHC Medicare Advantage |
$3,363.71
|
| Rate for Payer: UHCCP Medicaid |
$1,802.95
|
| Rate for Payer: UMR Bronson Commercial |
$3,505.38
|
| Rate for Payer: VA VA |
$3,363.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,105.50
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$870.81
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$383.16 |
| Max. Negotiated Rate |
$783.73 |
| Rate for Payer: Aetna American Axle |
$566.03
|
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.03
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$609.57
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$609.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Healthscope Commercial |
$783.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$609.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health SBD |
$548.61
|
| Rate for Payer: UMR Bronson Commercial |
$383.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
OP
|
$870.81
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$322.20 |
| Max. Negotiated Rate |
$2,390.47 |
| Rate for Payer: Aetna American Axle |
$566.03
|
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: Aetna Medicare |
$883.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,061.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,061.53
|
| Rate for Payer: BCBS Complete |
$477.94
|
| Rate for Payer: BCBS MAPPO |
$849.22
|
| Rate for Payer: BCN Medicare Advantage |
$849.22
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Cofinity Commercial |
$609.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$609.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$849.22
|
| Rate for Payer: Healthscope Commercial |
$783.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$609.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$653.11
|
| Rate for Payer: Mclaren Medicaid |
$455.18
|
| Rate for Payer: Mclaren Medicare |
$849.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$891.68
|
| Rate for Payer: Meridian Medicaid |
$477.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$976.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: PACE Medicare |
$806.76
|
| Rate for Payer: PACE SWMI |
$849.22
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: PHP Medicare Advantage |
$849.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$455.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health Medicare |
$849.22
|
| Rate for Payer: Priority Health SBD |
$548.61
|
| Rate for Payer: Railroad Medicare Medicare |
$849.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,390.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$849.22
|
| Rate for Payer: UHC Exchange |
$1,622.94
|
| Rate for Payer: UHC Medicare Advantage |
$849.22
|
| Rate for Payer: UHCCP Medicaid |
$455.18
|
| Rate for Payer: UMR Bronson Commercial |
$322.20
|
| Rate for Payer: VA VA |
$849.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
OP
|
$4,015.74
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$774.34 |
| Max. Negotiated Rate |
$4,066.57 |
| Rate for Payer: Aetna American Axle |
$2,610.23
|
| Rate for Payer: Aetna Commercial |
$3,413.38
|
| Rate for Payer: Aetna Medicare |
$1,502.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,610.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,805.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,805.83
|
| Rate for Payer: BCBS Complete |
$813.05
|
| Rate for Payer: BCBS MAPPO |
$1,444.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,444.66
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cofinity Commercial |
$3,453.54
|
| Rate for Payer: Cofinity Commercial |
$2,811.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,811.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,212.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,444.66
|
| Rate for Payer: Healthscope Commercial |
$3,614.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,811.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,011.80
|
| Rate for Payer: Mclaren Medicaid |
$774.34
|
| Rate for Payer: Mclaren Medicare |
$1,444.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,516.89
|
| Rate for Payer: Meridian Medicaid |
$813.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,661.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,413.38
|
| Rate for Payer: PACE Medicare |
$1,372.43
|
| Rate for Payer: PACE SWMI |
$1,444.66
|
| Rate for Payer: PHP Commercial |
$3,413.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,444.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,610.23
|
| Rate for Payer: Priority Health Medicare |
$1,444.66
|
| Rate for Payer: Priority Health SBD |
$2,529.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,444.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,066.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,444.66
|
| Rate for Payer: UHC Exchange |
$2,760.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,444.66
|
| Rate for Payer: UHCCP Medicaid |
$774.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,485.82
|
| Rate for Payer: VA VA |
$1,444.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,011.80
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$4,015.74
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,766.93 |
| Max. Negotiated Rate |
$3,614.17 |
| Rate for Payer: Aetna American Axle |
$2,610.23
|
| Rate for Payer: Aetna Commercial |
$3,413.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,610.23
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cofinity Commercial |
$2,811.02
|
| Rate for Payer: Cofinity Commercial |
$3,453.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,811.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,212.59
|
| Rate for Payer: Healthscope Commercial |
$3,614.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,811.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,011.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,413.38
|
| Rate for Payer: PHP Commercial |
$3,413.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,610.23
|
| Rate for Payer: Priority Health SBD |
$2,529.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,766.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,011.80
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$4,029.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$774.34 |
| Max. Negotiated Rate |
$4,066.57 |
| Rate for Payer: Aetna American Axle |
$2,618.85
|
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: Aetna Medicare |
$1,502.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,618.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,805.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,805.83
|
| Rate for Payer: BCBS Complete |
$813.05
|
| Rate for Payer: BCBS MAPPO |
$1,444.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,444.66
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Cofinity Commercial |
$2,820.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,820.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,444.66
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,820.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Mclaren Medicaid |
$774.34
|
| Rate for Payer: Mclaren Medicare |
$1,444.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,516.89
|
| Rate for Payer: Meridian Medicaid |
$813.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,661.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: PACE Medicare |
$1,372.43
|
| Rate for Payer: PACE SWMI |
$1,444.66
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,444.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health Medicare |
$1,444.66
|
| Rate for Payer: Priority Health SBD |
$2,538.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,444.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,066.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,444.66
|
| Rate for Payer: UHC Exchange |
$2,760.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,444.66
|
| Rate for Payer: UHCCP Medicaid |
$774.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,490.73
|
| Rate for Payer: VA VA |
$1,444.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$4,029.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,772.76 |
| Max. Negotiated Rate |
$3,626.10 |
| Rate for Payer: Aetna American Axle |
$2,618.85
|
| Rate for Payer: Aetna Commercial |
$3,424.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,618.85
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$2,820.30
|
| Rate for Payer: Cofinity Commercial |
$3,464.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,820.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Healthscope Commercial |
$3,626.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,820.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,021.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: PHP Commercial |
$3,424.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health SBD |
$2,538.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,772.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,021.75
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
IP
|
$1,064.75
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$468.49 |
| Max. Negotiated Rate |
$958.27 |
| Rate for Payer: Aetna American Axle |
$692.09
|
| Rate for Payer: Aetna Commercial |
$905.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.09
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cofinity Commercial |
$745.33
|
| Rate for Payer: Cofinity Commercial |
$915.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$745.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.80
|
| Rate for Payer: Healthscope Commercial |
$958.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$745.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.04
|
| Rate for Payer: PHP Commercial |
$905.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.09
|
| Rate for Payer: Priority Health SBD |
$670.79
|
| Rate for Payer: UMR Bronson Commercial |
$468.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.56
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,064.75
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$393.96 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$692.09
|
| Rate for Payer: Aetna Commercial |
$905.04
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cofinity Commercial |
$915.68
|
| Rate for Payer: Cofinity Commercial |
$745.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$745.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$958.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$745.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.56
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.04
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$905.04
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.09
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$670.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$393.96
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.56
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
IP
|
$7,306.21
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$3,214.73 |
| Max. Negotiated Rate |
$6,575.59 |
| Rate for Payer: Aetna American Axle |
$4,749.04
|
| Rate for Payer: Aetna Commercial |
$6,210.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,749.04
|
| Rate for Payer: Cash Price |
$5,844.97
|
| Rate for Payer: Cofinity Commercial |
$5,114.35
|
| Rate for Payer: Cofinity Commercial |
$6,283.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,114.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,844.97
|
| Rate for Payer: Healthscope Commercial |
$6,575.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,114.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,479.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,210.28
|
| Rate for Payer: PHP Commercial |
$6,210.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,749.04
|
| Rate for Payer: Priority Health SBD |
$4,602.91
|
| Rate for Payer: UMR Bronson Commercial |
$3,214.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,479.66
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
OP
|
$7,306.21
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$1,496.14 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$4,749.04
|
| Rate for Payer: Aetna Commercial |
$6,210.28
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,749.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$5,844.97
|
| Rate for Payer: Cash Price |
$5,844.97
|
| Rate for Payer: Cofinity Commercial |
$6,283.34
|
| Rate for Payer: Cofinity Commercial |
$5,114.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,114.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,844.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$6,575.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,114.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,479.66
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,210.28
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$6,210.28
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,749.04
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$4,602.91
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$2,703.30
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,479.66
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$4,284.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,884.96 |
| Max. Negotiated Rate |
$3,855.60 |
| Rate for Payer: Aetna American Axle |
$2,784.60
|
| Rate for Payer: Aetna Commercial |
$3,641.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,784.60
|
| Rate for Payer: Cash Price |
$3,427.20
|
| Rate for Payer: Cofinity Commercial |
$2,998.80
|
| Rate for Payer: Cofinity Commercial |
$3,684.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,998.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,427.20
|
| Rate for Payer: Healthscope Commercial |
$3,855.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,998.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,213.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,641.40
|
| Rate for Payer: PHP Commercial |
$3,641.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,784.60
|
| Rate for Payer: Priority Health SBD |
$2,698.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,884.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,213.00
|
|
