|
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
|
|
|
HC BIOPSY PLEURA
|
Facility
|
IP
|
$925.85
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$407.37 |
| Max. Negotiated Rate |
$833.26 |
| Rate for Payer: Aetna American Axle |
$601.80
|
| Rate for Payer: Aetna Commercial |
$786.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$601.80
|
| Rate for Payer: Cash Price |
$740.68
|
| Rate for Payer: Cofinity Commercial |
$648.10
|
| Rate for Payer: Cofinity Commercial |
$796.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$648.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$740.68
|
| Rate for Payer: Healthscope Commercial |
$833.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$648.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$786.97
|
| Rate for Payer: PHP Commercial |
$786.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$601.80
|
| Rate for Payer: Priority Health SBD |
$583.29
|
| Rate for Payer: UMR Bronson Commercial |
$407.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.39
|
|
|
HC BIOPSY PLEURA
|
Facility
|
OP
|
$925.85
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$342.56 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$601.80
|
| Rate for Payer: Aetna Commercial |
$786.97
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$601.80
|
| 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 |
$740.68
|
| Rate for Payer: Cash Price |
$740.68
|
| Rate for Payer: Cofinity Commercial |
$796.23
|
| Rate for Payer: Cofinity Commercial |
$648.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$648.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$740.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$833.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$648.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$694.39
|
| 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 |
$786.97
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$786.97
|
| 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 |
$601.80
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$583.29
|
| 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 |
$342.56
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$694.39
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
IP
|
$2,015.98
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$887.03 |
| Max. Negotiated Rate |
$1,814.38 |
| Rate for Payer: Aetna American Axle |
$1,310.39
|
| Rate for Payer: Aetna Commercial |
$1,713.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,310.39
|
| Rate for Payer: Cash Price |
$1,612.78
|
| Rate for Payer: Cofinity Commercial |
$1,411.19
|
| Rate for Payer: Cofinity Commercial |
$1,733.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,411.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,612.78
|
| Rate for Payer: Healthscope Commercial |
$1,814.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,411.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,511.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,713.58
|
| Rate for Payer: PHP Commercial |
$1,713.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,310.39
|
| Rate for Payer: Priority Health SBD |
$1,270.07
|
| Rate for Payer: UMR Bronson Commercial |
$887.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,511.98
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
OP
|
$2,015.98
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$745.91 |
| Max. Negotiated Rate |
$5,623.80 |
| Rate for Payer: Aetna American Axle |
$1,310.39
|
| Rate for Payer: Aetna Commercial |
$1,713.58
|
| Rate for Payer: Aetna Medicare |
$2,077.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,310.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,497.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,497.34
|
| Rate for Payer: BCBS Complete |
$1,124.40
|
| Rate for Payer: BCBS MAPPO |
$1,997.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,997.87
|
| Rate for Payer: Cash Price |
$1,612.78
|
| Rate for Payer: Cash Price |
$1,612.78
|
| Rate for Payer: Cofinity Commercial |
$1,733.74
|
| Rate for Payer: Cofinity Commercial |
$1,411.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,411.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,612.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,997.87
|
| Rate for Payer: Healthscope Commercial |
$1,814.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,411.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,511.98
|
| Rate for Payer: Mclaren Medicaid |
$1,070.86
|
| Rate for Payer: Mclaren Medicare |
$1,997.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,097.76
|
| Rate for Payer: Meridian Medicaid |
$1,124.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,297.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,713.58
|
| Rate for Payer: PACE Medicare |
$1,897.98
|
| Rate for Payer: PACE SWMI |
$1,997.87
|
| Rate for Payer: PHP Commercial |
$1,713.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,997.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,070.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,310.39
|
| Rate for Payer: Priority Health Medicare |
$1,997.87
|
| Rate for Payer: Priority Health SBD |
$1,270.07
|
| Rate for Payer: Railroad Medicare Medicare |
$1,997.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,623.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,997.87
|
| Rate for Payer: UHC Exchange |
$3,818.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,997.87
|
| Rate for Payer: UHCCP Medicaid |
$1,070.86
|
| Rate for Payer: UMR Bronson Commercial |
$745.91
|
| Rate for Payer: VA VA |
$1,997.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,511.98
|
|
|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,736.13
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$763.90 |
| Max. Negotiated Rate |
$1,562.52 |
| Rate for Payer: Aetna American Axle |
$1,128.48
|
| Rate for Payer: Aetna Commercial |
$1,475.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,128.48
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cofinity Commercial |
$1,215.29
|
| Rate for Payer: Cofinity Commercial |
$1,493.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,215.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,388.90
|
| Rate for Payer: Healthscope Commercial |
$1,562.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,215.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,302.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,475.71
|
| Rate for Payer: PHP Commercial |
$1,475.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,128.48
|
| Rate for Payer: Priority Health SBD |
$1,093.76
|
| Rate for Payer: UMR Bronson Commercial |
$763.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,302.10
|
|
|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,736.13
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$642.37 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,128.48
|
| Rate for Payer: Aetna Commercial |
$1,475.71
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,128.48
|
| 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 |
$1,388.90
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cofinity Commercial |
$1,493.07
|
| Rate for Payer: Cofinity Commercial |
$1,215.29
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,215.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,388.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,562.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,215.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,302.10
|
| 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 |
$1,475.71
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,475.71
|
| 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 |
$1,128.48
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,093.76
|
| 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 |
$642.37
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,302.10
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$916.01
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$403.04 |
| Max. Negotiated Rate |
$824.41 |
| Rate for Payer: Aetna American Axle |
$595.41
|
| Rate for Payer: Aetna Commercial |
$778.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.41
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cofinity Commercial |
$641.21
|
| Rate for Payer: Cofinity Commercial |
$787.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$641.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$732.81
|
| Rate for Payer: Healthscope Commercial |
$824.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$641.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$687.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$778.61
|
| Rate for Payer: PHP Commercial |
$778.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.41
|
| Rate for Payer: Priority Health SBD |
$577.09
|
| Rate for Payer: UMR Bronson Commercial |
$403.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$687.01
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$916.01
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$338.92 |
| Max. Negotiated Rate |
$1,931.58 |
| Rate for Payer: Aetna American Axle |
$595.41
|
| Rate for Payer: Aetna Commercial |
$778.61
|
| Rate for Payer: Aetna Medicare |
$713.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cofinity Commercial |
$787.77
|
| Rate for Payer: Cofinity Commercial |
$641.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$641.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$732.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$824.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$641.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$687.01
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$778.61
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$778.61
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.41
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health SBD |
$577.09
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Exchange |
$1,311.40
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$367.80
|
| Rate for Payer: UMR Bronson Commercial |
$338.92
|
| Rate for Payer: VA VA |
$686.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$687.01
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,080.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$774.34 |
| Max. Negotiated Rate |
$4,066.57 |
| Rate for Payer: Aetna American Axle |
$2,652.00
|
| Rate for Payer: Aetna Commercial |
$3,468.00
|
| Rate for Payer: Aetna Medicare |
$1,502.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,652.00
|
| 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 |
$3,264.00
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cofinity Commercial |
$3,508.80
|
| Rate for Payer: Cofinity Commercial |
$2,856.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,856.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,264.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,444.66
|
| Rate for Payer: Healthscope Commercial |
$3,672.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,856.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,060.00
|
| 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 |
$3,468.00
|
| Rate for Payer: PACE Medicare |
$1,372.43
|
| Rate for Payer: PACE SWMI |
$1,444.66
|
| Rate for Payer: PHP Commercial |
$3,468.00
|
| 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 |
$2,652.00
|
| Rate for Payer: Priority Health Medicare |
$1,444.66
|
| Rate for Payer: Priority Health SBD |
$2,570.40
|
| 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 |
$1,509.60
|
| Rate for Payer: VA VA |
$1,444.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,060.00
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,080.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,795.20 |
| Max. Negotiated Rate |
$3,672.00 |
| Rate for Payer: Aetna American Axle |
$2,652.00
|
| Rate for Payer: Aetna Commercial |
$3,468.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,652.00
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cofinity Commercial |
$2,856.00
|
| Rate for Payer: Cofinity Commercial |
$3,508.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,856.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,264.00
|
| Rate for Payer: Healthscope Commercial |
$3,672.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,856.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,060.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,468.00
|
| Rate for Payer: PHP Commercial |
$3,468.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.00
|
| Rate for Payer: Priority Health SBD |
$2,570.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,795.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,060.00
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,522.77
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$846.98 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,639.80
|
| Rate for Payer: Aetna Commercial |
$2,144.35
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,639.80
|
| 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 |
$2,018.22
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cofinity Commercial |
$2,169.58
|
| Rate for Payer: Cofinity Commercial |
$1,765.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,765.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,018.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$2,270.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,765.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,892.08
|
| 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 |
$2,144.35
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$2,144.35
|
| 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 |
$1,639.80
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,589.35
|
| 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 |
$933.42
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,892.08
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,522.77
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,110.02 |
| Max. Negotiated Rate |
$2,270.49 |
| Rate for Payer: Aetna American Axle |
$1,639.80
|
| Rate for Payer: Aetna Commercial |
$2,144.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,639.80
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cofinity Commercial |
$1,765.94
|
| Rate for Payer: Cofinity Commercial |
$2,169.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,765.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,018.22
|
| Rate for Payer: Healthscope Commercial |
$2,270.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,765.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,892.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,144.35
|
| Rate for Payer: PHP Commercial |
$2,144.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,639.80
|
| Rate for Payer: Priority Health SBD |
$1,589.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,110.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,892.08
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,665.51
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$616.24 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$1,082.58
|
| Rate for Payer: Aetna Commercial |
$1,415.68
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,082.58
|
| 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 |
$1,332.41
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cofinity Commercial |
$1,432.34
|
| Rate for Payer: Cofinity Commercial |
$1,165.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,165.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,498.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,165.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,249.13
|
| 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 |
$1,415.68
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,415.68
|
| 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 |
$1,082.58
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$1,049.27
|
| 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 |
$616.24
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,249.13
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,665.51
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$732.82 |
| Max. Negotiated Rate |
$1,498.96 |
| Rate for Payer: Aetna American Axle |
$1,082.58
|
| Rate for Payer: Aetna Commercial |
$1,415.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,082.58
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cofinity Commercial |
$1,165.86
|
| Rate for Payer: Cofinity Commercial |
$1,432.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,165.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.41
|
| Rate for Payer: Healthscope Commercial |
$1,498.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,165.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,249.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.68
|
| Rate for Payer: PHP Commercial |
$1,415.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.58
|
| Rate for Payer: Priority Health SBD |
$1,049.27
|
| Rate for Payer: UMR Bronson Commercial |
$732.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,249.13
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,129.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,802.95 |
| Max. Negotiated Rate |
$9,468.51 |
| Rate for Payer: Aetna American Axle |
$5,933.85
|
| Rate for Payer: Aetna Commercial |
$7,759.65
|
| Rate for Payer: Aetna Medicare |
$3,498.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,933.85
|
| 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 |
$7,303.20
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cofinity Commercial |
$7,850.94
|
| Rate for Payer: Cofinity Commercial |
$6,390.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,390.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,303.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,363.71
|
| Rate for Payer: Healthscope Commercial |
$8,216.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,390.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,846.75
|
| 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 |
$7,759.65
|
| Rate for Payer: PACE Medicare |
$3,195.52
|
| Rate for Payer: PACE SWMI |
$3,363.71
|
| Rate for Payer: PHP Commercial |
$7,759.65
|
| 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 |
$5,933.85
|
| Rate for Payer: Priority Health Medicare |
$3,363.71
|
| Rate for Payer: Priority Health SBD |
$5,751.27
|
| 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 |
$3,377.73
|
| Rate for Payer: VA VA |
$3,363.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,846.75
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,129.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,016.76 |
| Max. Negotiated Rate |
$8,216.10 |
| Rate for Payer: Aetna American Axle |
$5,933.85
|
| Rate for Payer: Aetna Commercial |
$7,759.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,933.85
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cofinity Commercial |
$6,390.30
|
| Rate for Payer: Cofinity Commercial |
$7,850.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,390.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,303.20
|
| Rate for Payer: Healthscope Commercial |
$8,216.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,390.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,846.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,759.65
|
| Rate for Payer: PHP Commercial |
$7,759.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,933.85
|
| Rate for Payer: Priority Health SBD |
$5,751.27
|
| Rate for Payer: UMR Bronson Commercial |
$4,016.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,846.75
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,153.48
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,027.53 |
| Max. Negotiated Rate |
$8,238.13 |
| Rate for Payer: Aetna American Axle |
$5,949.76
|
| Rate for Payer: Aetna Commercial |
$7,780.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,949.76
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cofinity Commercial |
$6,407.44
|
| Rate for Payer: Cofinity Commercial |
$7,871.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,407.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,322.78
|
| Rate for Payer: Healthscope Commercial |
$8,238.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,407.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,865.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,780.46
|
| Rate for Payer: PHP Commercial |
$7,780.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,949.76
|
| Rate for Payer: Priority Health SBD |
$5,766.69
|
| Rate for Payer: UMR Bronson Commercial |
$4,027.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,865.11
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,153.48
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,802.95 |
| Max. Negotiated Rate |
$9,468.51 |
| Rate for Payer: Aetna American Axle |
$5,949.76
|
| Rate for Payer: Aetna Commercial |
$7,780.46
|
| Rate for Payer: Aetna Medicare |
$3,498.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,949.76
|
| 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 |
$7,322.78
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cofinity Commercial |
$7,871.99
|
| Rate for Payer: Cofinity Commercial |
$6,407.44
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,407.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,322.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,363.71
|
| Rate for Payer: Healthscope Commercial |
$8,238.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,407.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,865.11
|
| 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 |
$7,780.46
|
| Rate for Payer: PACE Medicare |
$3,195.52
|
| Rate for Payer: PACE SWMI |
$3,363.71
|
| Rate for Payer: PHP Commercial |
$7,780.46
|
| 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 |
$5,949.76
|
| Rate for Payer: Priority Health Medicare |
$3,363.71
|
| Rate for Payer: Priority Health SBD |
$5,766.69
|
| 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 |
$3,386.79
|
| Rate for Payer: VA VA |
$3,363.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,865.11
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$403.68
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$149.36 |
| Max. Negotiated Rate |
$1,931.58 |
| Rate for Payer: Aetna American Axle |
$262.39
|
| Rate for Payer: Aetna Commercial |
$343.13
|
| Rate for Payer: Aetna Medicare |
$713.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cofinity Commercial |
$347.16
|
| Rate for Payer: Cofinity Commercial |
$282.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$282.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$363.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$282.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.76
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.13
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$343.13
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$262.39
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health SBD |
$254.32
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Exchange |
$1,311.40
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$367.80
|
| Rate for Payer: UMR Bronson Commercial |
$149.36
|
| Rate for Payer: VA VA |
$686.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.76
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$403.68
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$177.62 |
| Max. Negotiated Rate |
$363.31 |
| Rate for Payer: Aetna American Axle |
$262.39
|
| Rate for Payer: Aetna Commercial |
$343.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.39
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cofinity Commercial |
$282.58
|
| Rate for Payer: Cofinity Commercial |
$347.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$282.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.94
|
| Rate for Payer: Healthscope Commercial |
$363.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$282.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.13
|
| Rate for Payer: PHP Commercial |
$343.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$262.39
|
| Rate for Payer: Priority Health SBD |
$254.32
|
| Rate for Payer: UMR Bronson Commercial |
$177.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.76
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,377.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$266.21 |
| Max. Negotiated Rate |
$1,398.05 |
| Rate for Payer: Aetna American Axle |
$895.05
|
| Rate for Payer: Aetna Commercial |
$1,170.45
|
| Rate for Payer: Aetna Medicare |
$516.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$620.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$620.83
|
| Rate for Payer: BCBS Complete |
$279.52
|
| Rate for Payer: BCBS MAPPO |
$496.66
|
| Rate for Payer: BCN Medicare Advantage |
$496.66
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$963.90
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$963.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$496.66
|
| Rate for Payer: Healthscope Commercial |
$1,239.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$963.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,032.75
|
| Rate for Payer: Mclaren Medicaid |
$266.21
|
| Rate for Payer: Mclaren Medicare |
$496.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$521.49
|
| Rate for Payer: Meridian Medicaid |
$279.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$571.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: PACE Medicare |
$471.83
|
| Rate for Payer: PACE SWMI |
$496.66
|
| Rate for Payer: PHP Commercial |
$1,170.45
|
| Rate for Payer: PHP Medicare Advantage |
$496.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health Medicare |
$496.66
|
| Rate for Payer: Priority Health SBD |
$867.51
|
| Rate for Payer: Railroad Medicare Medicare |
$496.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,398.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$496.66
|
| Rate for Payer: UHC Exchange |
$949.17
|
| Rate for Payer: UHC Medicare Advantage |
$496.66
|
| Rate for Payer: UHCCP Medicaid |
$266.21
|
| Rate for Payer: UMR Bronson Commercial |
$509.49
|
| Rate for Payer: VA VA |
$496.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,032.75
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,377.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$605.88 |
| Max. Negotiated Rate |
$1,239.30 |
| Rate for Payer: Aetna American Axle |
$895.05
|
| Rate for Payer: Aetna Commercial |
$1,170.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.05
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Cofinity Commercial |
$963.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$963.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Healthscope Commercial |
$1,239.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$963.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,032.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: PHP Commercial |
$1,170.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health SBD |
$867.51
|
| Rate for Payer: UMR Bronson Commercial |
$605.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,032.75
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,058.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,545.52 |
| Max. Negotiated Rate |
$7,252.20 |
| Rate for Payer: Aetna American Axle |
$5,237.70
|
| Rate for Payer: Aetna Commercial |
$6,849.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,237.70
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$5,640.60
|
| Rate for Payer: Cofinity Commercial |
$6,929.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,640.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Healthscope Commercial |
$7,252.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,640.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,043.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: PHP Commercial |
$6,849.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health SBD |
$5,076.54
|
| Rate for Payer: UMR Bronson Commercial |
$3,545.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,043.50
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,058.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,695.31 |
| Max. Negotiated Rate |
$8,903.25 |
| Rate for Payer: Aetna American Axle |
$5,237.70
|
| Rate for Payer: Aetna Commercial |
$6,849.30
|
| Rate for Payer: Aetna Medicare |
$3,289.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,237.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,953.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,953.62
|
| Rate for Payer: BCBS Complete |
$1,780.08
|
| Rate for Payer: BCBS MAPPO |
$3,162.90
|
| Rate for Payer: BCN Medicare Advantage |
$3,162.90
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$6,929.88
|
| Rate for Payer: Cofinity Commercial |
$5,640.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,640.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,162.90
|
| Rate for Payer: Healthscope Commercial |
$7,252.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,640.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,043.50
|
| Rate for Payer: Mclaren Medicaid |
$1,695.31
|
| Rate for Payer: Mclaren Medicare |
$3,162.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,321.05
|
| Rate for Payer: Meridian Medicaid |
$1,780.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,637.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: PACE Medicare |
$3,004.76
|
| Rate for Payer: PACE SWMI |
$3,162.90
|
| Rate for Payer: PHP Commercial |
$6,849.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,162.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health Medicare |
$3,162.90
|
| Rate for Payer: Priority Health SBD |
$5,076.54
|
| Rate for Payer: Railroad Medicare Medicare |
$3,162.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,903.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,162.90
|
| Rate for Payer: UHC Exchange |
$6,044.62
|
| Rate for Payer: UHC Medicare Advantage |
$3,162.90
|
| Rate for Payer: UHCCP Medicaid |
$1,695.31
|
| Rate for Payer: UMR Bronson Commercial |
$2,981.46
|
| Rate for Payer: VA VA |
$3,162.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,043.50
|
|
