|
HC COLLECT CAPILLARY BLOOD SPECIMEN
|
Facility
|
OP
|
$8.74
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000175
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$2.07 |
| Max. Negotiated Rate |
$7.87 |
| Rate for Payer: Aetna American Axle |
$5.68
|
| Rate for Payer: Aetna Commercial |
$7.43
|
| Rate for Payer: Aetna Medicare |
$4.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.68
|
| Rate for Payer: BCBS Complete |
$3.50
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: Cash Price |
$6.99
|
| Rate for Payer: Cash Price |
$6.99
|
| Rate for Payer: Cofinity Commercial |
$6.12
|
| Rate for Payer: Cofinity Commercial |
$7.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$6.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.99
|
| Rate for Payer: Healthscope Commercial |
$7.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.43
|
| Rate for Payer: PHP Commercial |
$7.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.68
|
| Rate for Payer: Priority Health SBD |
$5.51
|
| Rate for Payer: UMR Bronson Commercial |
$3.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.56
|
|
|
HC COLLECT CAPILLARY BLOOD SPECIMEN
|
Facility
|
IP
|
$8.74
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000175
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$7.87 |
| Rate for Payer: Aetna American Axle |
$5.68
|
| Rate for Payer: Aetna Commercial |
$7.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.68
|
| Rate for Payer: Cash Price |
$6.99
|
| Rate for Payer: Cofinity Commercial |
$6.12
|
| Rate for Payer: Cofinity Commercial |
$7.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$6.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.99
|
| Rate for Payer: Healthscope Commercial |
$7.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.43
|
| Rate for Payer: PHP Commercial |
$7.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.68
|
| Rate for Payer: Priority Health SBD |
$5.51
|
| Rate for Payer: UMR Bronson Commercial |
$3.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.56
|
|
|
HC COLON DECOMPRESSION
|
Facility
|
OP
|
$2,402.54
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$888.94 |
| Max. Negotiated Rate |
$2,162.29 |
| Rate for Payer: Aetna American Axle |
$1,561.65
|
| Rate for Payer: Aetna Commercial |
$2,042.16
|
| Rate for Payer: Aetna Medicare |
$1,201.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,561.65
|
| Rate for Payer: BCBS Complete |
$961.02
|
| Rate for Payer: Cash Price |
$1,922.03
|
| Rate for Payer: Cofinity Commercial |
$1,681.78
|
| Rate for Payer: Cofinity Commercial |
$2,066.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,681.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,922.03
|
| Rate for Payer: Healthscope Commercial |
$2,162.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,681.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,801.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,042.16
|
| Rate for Payer: PHP Commercial |
$2,042.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.65
|
| Rate for Payer: Priority Health SBD |
$1,513.60
|
| Rate for Payer: UMR Bronson Commercial |
$888.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,801.90
|
|
|
HC COLON DECOMPRESSION
|
Facility
|
IP
|
$2,402.54
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,057.12 |
| Max. Negotiated Rate |
$2,162.29 |
| Rate for Payer: Aetna American Axle |
$1,561.65
|
| Rate for Payer: Aetna Commercial |
$2,042.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,561.65
|
| Rate for Payer: Cash Price |
$1,922.03
|
| Rate for Payer: Cofinity Commercial |
$1,681.78
|
| Rate for Payer: Cofinity Commercial |
$2,066.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,681.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,922.03
|
| Rate for Payer: Healthscope Commercial |
$2,162.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,681.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,801.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,042.16
|
| Rate for Payer: PHP Commercial |
$2,042.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.65
|
| Rate for Payer: Priority Health SBD |
$1,513.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,057.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,801.90
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
IP
|
$366.59
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$161.30 |
| Max. Negotiated Rate |
$329.93 |
| Rate for Payer: Aetna American Axle |
$238.28
|
| Rate for Payer: Aetna Commercial |
$311.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.28
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cofinity Commercial |
$256.61
|
| Rate for Payer: Cofinity Commercial |
$315.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.27
|
| Rate for Payer: Healthscope Commercial |
$329.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.60
|
| Rate for Payer: PHP Commercial |
$311.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.28
|
| Rate for Payer: Priority Health SBD |
$230.95
|
| Rate for Payer: UMR Bronson Commercial |
$161.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.94
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
OP
|
$366.59
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$128.51 |
| Max. Negotiated Rate |
$958.92 |
| Rate for Payer: Aetna American Axle |
$238.28
|
| Rate for Payer: Aetna Commercial |
$311.60
|
| Rate for Payer: Aetna Medicare |
$317.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$381.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$381.38
|
| Rate for Payer: BCBS Complete |
$171.71
|
| Rate for Payer: BCBS MAPPO |
$305.10
|
| Rate for Payer: BCBS Trust/PPO |
$197.32
|
| Rate for Payer: BCN Commercial |
$197.32
|
| Rate for Payer: BCN Medicare Advantage |
$305.10
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cofinity Commercial |
$315.27
|
| Rate for Payer: Cofinity Commercial |
$256.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.10
|
| Rate for Payer: Healthscope Commercial |
$329.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.94
|
| Rate for Payer: Mclaren Medicaid |
$163.53
|
| Rate for Payer: Mclaren Medicare |
$305.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.36
|
| Rate for Payer: Meridian Medicaid |
$171.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$350.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.60
|
| Rate for Payer: Nomi Health Commercial |
$640.71
|
| Rate for Payer: PACE Medicare |
$289.84
|
| Rate for Payer: PACE SWMI |
$305.10
|
| Rate for Payer: PHP Commercial |
$311.60
|
| Rate for Payer: PHP Medicare Advantage |
$305.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.92
|
| Rate for Payer: Priority Health Medicare |
$305.10
|
| Rate for Payer: Priority Health Narrow Network |
$767.14
|
| Rate for Payer: Priority Health SBD |
$230.95
|
| Rate for Payer: Railroad Medicare Medicare |
$305.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.36
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.10
|
| Rate for Payer: UHC Exchange |
$128.51
|
| Rate for Payer: UHC Medicare Advantage |
$305.10
|
| Rate for Payer: UHCCP Medicaid |
$163.53
|
| Rate for Payer: UMR Bronson Commercial |
$135.64
|
| Rate for Payer: VA VA |
$305.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.94
|
|
|
HC COLONOSCOPY
|
Facility
|
OP
|
$2,611.70
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$966.33 |
| Max. Negotiated Rate |
$2,350.53 |
| Rate for Payer: Aetna American Axle |
$1,697.60
|
| Rate for Payer: Aetna Commercial |
$2,219.94
|
| Rate for Payer: Aetna Medicare |
$1,305.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,697.60
|
| Rate for Payer: BCBS Complete |
$1,044.68
|
| Rate for Payer: Cash Price |
$2,089.36
|
| Rate for Payer: Cofinity Commercial |
$1,828.19
|
| Rate for Payer: Cofinity Commercial |
$2,246.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,828.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,089.36
|
| Rate for Payer: Healthscope Commercial |
$2,350.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,828.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,958.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,219.94
|
| Rate for Payer: PHP Commercial |
$2,219.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.60
|
| Rate for Payer: Priority Health SBD |
$1,645.37
|
| Rate for Payer: UMR Bronson Commercial |
$966.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,958.78
|
|
|
HC COLONOSCOPY
|
Facility
|
IP
|
$2,611.70
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,149.15 |
| Max. Negotiated Rate |
$2,350.53 |
| Rate for Payer: Aetna American Axle |
$1,697.60
|
| Rate for Payer: Aetna Commercial |
$2,219.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,697.60
|
| Rate for Payer: Cash Price |
$2,089.36
|
| Rate for Payer: Cofinity Commercial |
$1,828.19
|
| Rate for Payer: Cofinity Commercial |
$2,246.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,828.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,089.36
|
| Rate for Payer: Healthscope Commercial |
$2,350.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,828.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,958.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,219.94
|
| Rate for Payer: PHP Commercial |
$2,219.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.60
|
| Rate for Payer: Priority Health SBD |
$1,645.37
|
| Rate for Payer: UMR Bronson Commercial |
$1,149.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,958.78
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
OP
|
$2,800.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,036.02 |
| Max. Negotiated Rate |
$2,520.05 |
| Rate for Payer: Aetna American Axle |
$1,820.04
|
| Rate for Payer: Aetna Commercial |
$2,380.05
|
| Rate for Payer: Aetna Medicare |
$1,400.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,820.04
|
| Rate for Payer: BCBS Complete |
$1,120.02
|
| Rate for Payer: Cash Price |
$2,240.05
|
| Rate for Payer: Cofinity Commercial |
$1,960.04
|
| Rate for Payer: Cofinity Commercial |
$2,408.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,960.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,240.05
|
| Rate for Payer: Healthscope Commercial |
$2,520.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,960.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,100.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,380.05
|
| Rate for Payer: PHP Commercial |
$2,380.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.04
|
| Rate for Payer: Priority Health SBD |
$1,764.04
|
| Rate for Payer: UMR Bronson Commercial |
$1,036.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,100.04
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,800.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,232.03 |
| Max. Negotiated Rate |
$2,520.05 |
| Rate for Payer: Aetna American Axle |
$1,820.04
|
| Rate for Payer: Aetna Commercial |
$2,380.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,820.04
|
| Rate for Payer: Cash Price |
$2,240.05
|
| Rate for Payer: Cofinity Commercial |
$1,960.04
|
| Rate for Payer: Cofinity Commercial |
$2,408.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,960.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,240.05
|
| Rate for Payer: Healthscope Commercial |
$2,520.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,960.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,100.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,380.05
|
| Rate for Payer: PHP Commercial |
$2,380.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.04
|
| Rate for Payer: Priority Health SBD |
$1,764.04
|
| Rate for Payer: UMR Bronson Commercial |
$1,232.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,100.04
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$6,969.54
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,066.60 |
| Max. Negotiated Rate |
$6,272.59 |
| Rate for Payer: Aetna American Axle |
$4,530.20
|
| Rate for Payer: Aetna Commercial |
$5,924.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,530.20
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cofinity Commercial |
$4,878.68
|
| Rate for Payer: Cofinity Commercial |
$5,993.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,878.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,575.63
|
| Rate for Payer: Healthscope Commercial |
$6,272.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,878.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,227.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,924.11
|
| Rate for Payer: PHP Commercial |
$5,924.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,530.20
|
| Rate for Payer: Priority Health SBD |
$4,390.81
|
| Rate for Payer: UMR Bronson Commercial |
$3,066.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,227.16
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$6,969.54
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$178.06 |
| Max. Negotiated Rate |
$9,791.14 |
| Rate for Payer: Aetna American Axle |
$4,530.20
|
| Rate for Payer: Aetna Commercial |
$5,924.11
|
| Rate for Payer: Aetna Medicare |
$3,239.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,530.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,894.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,894.05
|
| Rate for Payer: BCBS Complete |
$1,753.26
|
| Rate for Payer: BCBS MAPPO |
$3,115.24
|
| Rate for Payer: BCBS Trust/PPO |
$3,171.26
|
| Rate for Payer: BCCCP Commercial |
$331.06
|
| Rate for Payer: BCN Commercial |
$3,171.26
|
| Rate for Payer: BCN Medicare Advantage |
$3,115.24
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cofinity Commercial |
$5,993.80
|
| Rate for Payer: Cofinity Commercial |
$4,878.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,878.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,575.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,115.24
|
| Rate for Payer: Healthscope Commercial |
$6,272.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,878.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,227.16
|
| Rate for Payer: Mclaren Medicaid |
$1,669.77
|
| Rate for Payer: Mclaren Medicare |
$3,115.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,271.00
|
| Rate for Payer: Meridian Medicaid |
$1,753.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,582.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,924.11
|
| Rate for Payer: Nomi Health Commercial |
$6,542.00
|
| Rate for Payer: PACE Medicare |
$2,959.48
|
| Rate for Payer: PACE SWMI |
$3,115.24
|
| Rate for Payer: PHP Commercial |
$5,924.11
|
| Rate for Payer: PHP Medicare Advantage |
$3,115.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,669.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,530.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,791.14
|
| Rate for Payer: Priority Health Medicare |
$3,115.24
|
| Rate for Payer: Priority Health Narrow Network |
$7,832.91
|
| Rate for Payer: Priority Health SBD |
$4,390.81
|
| Rate for Payer: Railroad Medicare Medicare |
$3,115.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.87
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,115.24
|
| Rate for Payer: UHC Exchange |
$178.06
|
| Rate for Payer: UHC Medicare Advantage |
$3,115.24
|
| Rate for Payer: UHCCP Medicaid |
$1,669.77
|
| Rate for Payer: UMR Bronson Commercial |
$2,578.73
|
| Rate for Payer: VA VA |
$3,115.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,227.16
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$8,109.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.87 |
| Max. Negotiated Rate |
$9,791.14 |
| Rate for Payer: Aetna American Axle |
$5,270.85
|
| Rate for Payer: Aetna Commercial |
$6,892.65
|
| Rate for Payer: Aetna Medicare |
$3,239.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,270.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,894.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,894.05
|
| Rate for Payer: BCBS Complete |
$1,753.26
|
| Rate for Payer: BCBS MAPPO |
$3,115.24
|
| Rate for Payer: BCBS Trust/PPO |
$3,171.26
|
| Rate for Payer: BCCCP Commercial |
$295.08
|
| Rate for Payer: BCN Commercial |
$3,171.26
|
| Rate for Payer: BCN Medicare Advantage |
$3,115.24
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cofinity Commercial |
$6,973.74
|
| Rate for Payer: Cofinity Commercial |
$5,676.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,676.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,487.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,115.24
|
| Rate for Payer: Healthscope Commercial |
$7,298.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,676.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,081.75
|
| Rate for Payer: Mclaren Medicaid |
$1,669.77
|
| Rate for Payer: Mclaren Medicare |
$3,115.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,271.00
|
| Rate for Payer: Meridian Medicaid |
$1,753.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,582.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,892.65
|
| Rate for Payer: Nomi Health Commercial |
$6,542.00
|
| Rate for Payer: PACE Medicare |
$2,959.48
|
| Rate for Payer: PACE SWMI |
$3,115.24
|
| Rate for Payer: PHP Commercial |
$6,892.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,115.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,669.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,270.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,791.14
|
| Rate for Payer: Priority Health Medicare |
$3,115.24
|
| Rate for Payer: Priority Health Narrow Network |
$7,832.91
|
| Rate for Payer: Priority Health SBD |
$5,108.67
|
| Rate for Payer: Railroad Medicare Medicare |
$3,115.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.36
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,115.24
|
| Rate for Payer: UHC Exchange |
$154.87
|
| Rate for Payer: UHC Medicare Advantage |
$3,115.24
|
| Rate for Payer: UHCCP Medicaid |
$1,669.77
|
| Rate for Payer: UMR Bronson Commercial |
$3,000.33
|
| Rate for Payer: VA VA |
$3,115.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,081.75
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$8,109.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,567.96 |
| Max. Negotiated Rate |
$7,298.10 |
| Rate for Payer: Aetna American Axle |
$5,270.85
|
| Rate for Payer: Aetna Commercial |
$6,892.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,270.85
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cofinity Commercial |
$5,676.30
|
| Rate for Payer: Cofinity Commercial |
$6,973.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$5,676.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,487.20
|
| Rate for Payer: Healthscope Commercial |
$7,298.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,676.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,081.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,892.65
|
| Rate for Payer: PHP Commercial |
$6,892.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,270.85
|
| Rate for Payer: Priority Health SBD |
$5,108.67
|
| Rate for Payer: UMR Bronson Commercial |
$3,567.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,081.75
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
IP
|
$285.07
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$125.43 |
| Max. Negotiated Rate |
$256.56 |
| Rate for Payer: Aetna American Axle |
$185.30
|
| Rate for Payer: Aetna Commercial |
$242.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.30
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cofinity Commercial |
$199.55
|
| Rate for Payer: Cofinity Commercial |
$245.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$199.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.06
|
| Rate for Payer: Healthscope Commercial |
$256.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$199.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.31
|
| Rate for Payer: PHP Commercial |
$242.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.30
|
| Rate for Payer: Priority Health SBD |
$179.59
|
| Rate for Payer: UMR Bronson Commercial |
$125.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.80
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
OP
|
$285.07
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$87.87 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$185.30
|
| Rate for Payer: Aetna Commercial |
$242.31
|
| Rate for Payer: Aetna Medicare |
$204.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$246.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$246.38
|
| Rate for Payer: BCBS Complete |
$110.93
|
| Rate for Payer: BCBS MAPPO |
$197.10
|
| Rate for Payer: BCBS Trust/PPO |
$163.84
|
| Rate for Payer: BCCCP Commercial |
$122.41
|
| Rate for Payer: BCN Commercial |
$163.84
|
| Rate for Payer: BCN Medicare Advantage |
$197.10
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cofinity Commercial |
$245.16
|
| Rate for Payer: Cofinity Commercial |
$199.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$199.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.10
|
| Rate for Payer: Healthscope Commercial |
$256.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$199.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.80
|
| Rate for Payer: Mclaren Medicaid |
$105.65
|
| Rate for Payer: Mclaren Medicare |
$197.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.96
|
| Rate for Payer: Meridian Medicaid |
$110.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.31
|
| Rate for Payer: Nomi Health Commercial |
$413.91
|
| Rate for Payer: PACE Medicare |
$187.24
|
| Rate for Payer: PACE SWMI |
$197.10
|
| Rate for Payer: PHP Commercial |
$242.31
|
| Rate for Payer: PHP Medicare Advantage |
$197.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$619.50
|
| Rate for Payer: Priority Health Medicare |
$197.10
|
| Rate for Payer: Priority Health Narrow Network |
$495.60
|
| Rate for Payer: Priority Health SBD |
$179.59
|
| Rate for Payer: Railroad Medicare Medicare |
$197.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.66
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.10
|
| Rate for Payer: UHC Exchange |
$87.87
|
| Rate for Payer: UHC Medicare Advantage |
$197.10
|
| Rate for Payer: UHCCP Medicaid |
$105.65
|
| Rate for Payer: UMR Bronson Commercial |
$105.48
|
| Rate for Payer: VA VA |
$197.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.80
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
OP
|
$426.04
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$98.44 |
| Max. Negotiated Rate |
$936.74 |
| Rate for Payer: Aetna American Axle |
$276.93
|
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: Aetna Medicare |
$309.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$372.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$372.55
|
| Rate for Payer: BCBS Complete |
$167.74
|
| Rate for Payer: BCBS MAPPO |
$298.04
|
| Rate for Payer: BCBS Trust/PPO |
$210.20
|
| Rate for Payer: BCCCP Commercial |
$146.69
|
| Rate for Payer: BCN Commercial |
$210.20
|
| Rate for Payer: BCN Medicare Advantage |
$298.04
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Cofinity Commercial |
$298.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$298.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.04
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$298.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Mclaren Medicaid |
$159.75
|
| Rate for Payer: Mclaren Medicare |
$298.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.94
|
| Rate for Payer: Meridian Medicaid |
$167.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$625.88
|
| Rate for Payer: PACE Medicare |
$283.14
|
| Rate for Payer: PACE SWMI |
$298.04
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: PHP Medicare Advantage |
$298.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$936.74
|
| Rate for Payer: Priority Health Medicare |
$298.04
|
| Rate for Payer: Priority Health Narrow Network |
$749.39
|
| Rate for Payer: Priority Health SBD |
$268.41
|
| Rate for Payer: Railroad Medicare Medicare |
$298.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.28
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.04
|
| Rate for Payer: UHC Exchange |
$98.44
|
| Rate for Payer: UHC Medicare Advantage |
$298.04
|
| Rate for Payer: UHCCP Medicaid |
$159.75
|
| Rate for Payer: UMR Bronson Commercial |
$157.63
|
| Rate for Payer: VA VA |
$298.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
IP
|
$426.04
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$187.46 |
| Max. Negotiated Rate |
$383.44 |
| Rate for Payer: Aetna American Axle |
$276.93
|
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.93
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$298.23
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$298.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$298.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health SBD |
$268.41
|
| Rate for Payer: UMR Bronson Commercial |
$187.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
IP
|
$426.04
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$187.46 |
| Max. Negotiated Rate |
$383.44 |
| Rate for Payer: Aetna American Axle |
$276.93
|
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.93
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$298.23
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$298.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$298.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health SBD |
$268.41
|
| Rate for Payer: UMR Bronson Commercial |
$187.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
OP
|
$426.04
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.58 |
| Max. Negotiated Rate |
$936.74 |
| Rate for Payer: Aetna American Axle |
$276.93
|
| Rate for Payer: Aetna Commercial |
$362.13
|
| Rate for Payer: Aetna Medicare |
$309.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$372.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$372.55
|
| Rate for Payer: BCBS Complete |
$167.74
|
| Rate for Payer: BCBS MAPPO |
$298.04
|
| Rate for Payer: BCBS Trust/PPO |
$222.62
|
| Rate for Payer: BCCCP Commercial |
$157.18
|
| Rate for Payer: BCN Commercial |
$222.62
|
| Rate for Payer: BCN Medicare Advantage |
$298.04
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$366.39
|
| Rate for Payer: Cofinity Commercial |
$298.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$298.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.04
|
| Rate for Payer: Healthscope Commercial |
$383.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$298.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.53
|
| Rate for Payer: Mclaren Medicaid |
$159.75
|
| Rate for Payer: Mclaren Medicare |
$298.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.94
|
| Rate for Payer: Meridian Medicaid |
$167.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$625.88
|
| Rate for Payer: PACE Medicare |
$283.14
|
| Rate for Payer: PACE SWMI |
$298.04
|
| Rate for Payer: PHP Commercial |
$362.13
|
| Rate for Payer: PHP Medicare Advantage |
$298.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$936.74
|
| Rate for Payer: Priority Health Medicare |
$298.04
|
| Rate for Payer: Priority Health Narrow Network |
$749.39
|
| Rate for Payer: Priority Health SBD |
$268.41
|
| Rate for Payer: Railroad Medicare Medicare |
$298.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.14
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.04
|
| Rate for Payer: UHC Exchange |
$105.58
|
| Rate for Payer: UHC Medicare Advantage |
$298.04
|
| Rate for Payer: UHCCP Medicaid |
$159.75
|
| Rate for Payer: UMR Bronson Commercial |
$157.63
|
| Rate for Payer: VA VA |
$298.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.53
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
OP
|
$368.30
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$129.75 |
| Max. Negotiated Rate |
$936.74 |
| Rate for Payer: Aetna American Axle |
$239.40
|
| Rate for Payer: Aetna Commercial |
$313.06
|
| Rate for Payer: Aetna Medicare |
$309.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$239.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$372.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$372.55
|
| Rate for Payer: BCBS Complete |
$167.74
|
| Rate for Payer: BCBS MAPPO |
$298.04
|
| Rate for Payer: BCBS Trust/PPO |
$235.26
|
| Rate for Payer: BCCCP Commercial |
$164.88
|
| Rate for Payer: BCN Commercial |
$235.26
|
| Rate for Payer: BCN Medicare Advantage |
$298.04
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$316.74
|
| Rate for Payer: Cofinity Commercial |
$257.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$257.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$294.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.04
|
| Rate for Payer: Healthscope Commercial |
$331.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$257.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.22
|
| Rate for Payer: Mclaren Medicaid |
$159.75
|
| Rate for Payer: Mclaren Medicare |
$298.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.94
|
| Rate for Payer: Meridian Medicaid |
$167.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.06
|
| Rate for Payer: Nomi Health Commercial |
$625.88
|
| Rate for Payer: PACE Medicare |
$283.14
|
| Rate for Payer: PACE SWMI |
$298.04
|
| Rate for Payer: PHP Commercial |
$313.06
|
| Rate for Payer: PHP Medicare Advantage |
$298.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$936.74
|
| Rate for Payer: Priority Health Medicare |
$298.04
|
| Rate for Payer: Priority Health Narrow Network |
$749.39
|
| Rate for Payer: Priority Health SBD |
$232.03
|
| Rate for Payer: Railroad Medicare Medicare |
$298.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.72
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.04
|
| Rate for Payer: UHC Exchange |
$129.75
|
| Rate for Payer: UHC Medicare Advantage |
$298.04
|
| Rate for Payer: UHCCP Medicaid |
$159.75
|
| Rate for Payer: UMR Bronson Commercial |
$136.27
|
| Rate for Payer: VA VA |
$298.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.22
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
IP
|
$368.30
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$162.05 |
| Max. Negotiated Rate |
$331.47 |
| Rate for Payer: Aetna American Axle |
$239.40
|
| Rate for Payer: Aetna Commercial |
$313.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$239.40
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$257.81
|
| Rate for Payer: Cofinity Commercial |
$316.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$257.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$294.64
|
| Rate for Payer: Healthscope Commercial |
$331.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$257.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.06
|
| Rate for Payer: PHP Commercial |
$313.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health SBD |
$232.03
|
| Rate for Payer: UMR Bronson Commercial |
$162.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.22
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
IP
|
$870.81
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
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 COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
OP
|
$870.81
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$118.55 |
| Max. Negotiated Rate |
$2,681.40 |
| Rate for Payer: Aetna American Axle |
$566.03
|
| Rate for Payer: Aetna Commercial |
$740.19
|
| Rate for Payer: Aetna Medicare |
$887.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,066.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,066.41
|
| Rate for Payer: BCBS Complete |
$480.14
|
| Rate for Payer: BCBS MAPPO |
$853.13
|
| Rate for Payer: BCBS Trust/PPO |
$789.01
|
| Rate for Payer: BCN Commercial |
$789.01
|
| Rate for Payer: BCN Medicare Advantage |
$853.13
|
| Rate for Payer: Cash Price |
$696.65
|
| 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 |
$853.13
|
| 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 |
$457.28
|
| Rate for Payer: Mclaren Medicare |
$853.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.79
|
| Rate for Payer: Meridian Medicaid |
$480.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$981.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$1,791.57
|
| Rate for Payer: PACE Medicare |
$810.47
|
| Rate for Payer: PACE SWMI |
$853.13
|
| Rate for Payer: PHP Commercial |
$740.19
|
| Rate for Payer: PHP Medicare Advantage |
$853.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,681.40
|
| Rate for Payer: Priority Health Medicare |
$853.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,145.12
|
| Rate for Payer: Priority Health SBD |
$548.61
|
| Rate for Payer: Railroad Medicare Medicare |
$853.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.40
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$853.13
|
| Rate for Payer: UHC Exchange |
$118.55
|
| Rate for Payer: UHC Medicare Advantage |
$853.13
|
| Rate for Payer: UHCCP Medicaid |
$457.28
|
| Rate for Payer: UMR Bronson Commercial |
$322.20
|
| Rate for Payer: VA VA |
$853.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$653.11
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
IP
|
$422.48
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.89 |
| Max. Negotiated Rate |
$380.23 |
| Rate for Payer: Aetna American Axle |
$274.61
|
| Rate for Payer: Aetna Commercial |
$359.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.61
|
| Rate for Payer: Cash Price |
$337.98
|
| Rate for Payer: Cofinity Commercial |
$295.74
|
| Rate for Payer: Cofinity Commercial |
$363.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$295.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.98
|
| Rate for Payer: Healthscope Commercial |
$380.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.11
|
| Rate for Payer: PHP Commercial |
$359.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.61
|
| Rate for Payer: Priority Health SBD |
$266.16
|
| Rate for Payer: UMR Bronson Commercial |
$185.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.86
|
|
