|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,739.04
|
|
|
Service Code
|
HCPCS 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$1,960.39 |
| Rate for Payer: Aetna Commercial |
$1,721.08
|
| Rate for Payer: BCBS Complete |
$863.96
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Meridian Medicaid |
$863.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,960.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,960.39
|
| Rate for Payer: Priority Health SBD |
$1,960.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,259.96
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,739.04
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$1,960.39 |
| Rate for Payer: Aetna Commercial |
$1,721.08
|
| Rate for Payer: BCBS Complete |
$863.96
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Meridian Medicaid |
$863.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,960.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,960.39
|
| Rate for Payer: Priority Health SBD |
$1,960.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,259.96
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
IP
|
$2,739.04
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,205.18 |
| Max. Negotiated Rate |
$2,465.14 |
| Rate for Payer: Aetna American Axle |
$1,780.38
|
| Rate for Payer: Aetna Commercial |
$2,328.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,780.38
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cofinity Commercial |
$1,917.33
|
| Rate for Payer: Cofinity Commercial |
$2,355.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,191.23
|
| Rate for Payer: Healthscope Commercial |
$2,465.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,917.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,054.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,328.18
|
| Rate for Payer: PHP Commercial |
$2,328.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health SBD |
$1,725.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,205.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,054.28
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,087.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$239.42 |
| Max. Negotiated Rate |
$3,560.90 |
| Rate for Payer: Aetna Commercial |
$1,937.56
|
| Rate for Payer: BCBS Complete |
$975.33
|
| Rate for Payer: BCBS Trust/PPO |
$239.42
|
| Rate for Payer: Cash Price |
$4,069.60
|
| Rate for Payer: Cash Price |
$4,069.60
|
| Rate for Payer: Meridian Medicaid |
$975.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$928.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,560.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,211.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,211.62
|
| Rate for Payer: Priority Health SBD |
$2,211.62
|
| Rate for Payer: UMR Bronson Commercial |
$2,340.02
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,428.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$528.03 |
| Max. Negotiated Rate |
$1,254.67 |
| Rate for Payer: Aetna Commercial |
$1,090.60
|
| Rate for Payer: BCBS Complete |
$554.43
|
| Rate for Payer: BCBS Trust/PPO |
$833.66
|
| Rate for Payer: Cash Price |
$1,142.40
|
| Rate for Payer: Cash Price |
$1,142.40
|
| Rate for Payer: Meridian Medicaid |
$554.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$528.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$999.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,254.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,254.67
|
| Rate for Payer: Priority Health SBD |
$1,254.67
|
| Rate for Payer: UMR Bronson Commercial |
$656.88
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Facility
|
IP
|
$2,979.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,310.76 |
| Max. Negotiated Rate |
$2,681.10 |
| Rate for Payer: Aetna American Axle |
$1,936.35
|
| Rate for Payer: Aetna Commercial |
$2,532.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,936.35
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$2,085.30
|
| Rate for Payer: Cofinity Commercial |
$2,561.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,383.20
|
| Rate for Payer: Healthscope Commercial |
$2,681.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,085.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,234.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,532.15
|
| Rate for Payer: PHP Commercial |
$2,532.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health SBD |
$1,876.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,310.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,234.25
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Facility
|
OP
|
$2,979.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$829.08 |
| Max. Negotiated Rate |
$9,057.42 |
| Rate for Payer: Aetna American Axle |
$1,936.35
|
| Rate for Payer: Aetna Commercial |
$2,532.15
|
| Rate for Payer: Aetna Medicare |
$2,992.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,936.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$3,763.24
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$2,085.30
|
| Rate for Payer: Cofinity Commercial |
$2,561.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,383.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,681.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,085.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,234.25
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,532.15
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$2,532.15
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,057.42
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$7,245.94
|
| Rate for Payer: Priority Health SBD |
$1,876.77
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$911.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,877.15
|
| Rate for Payer: UHC Exchange |
$829.08
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,102.23
|
| Rate for Payer: VA VA |
$2,877.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,234.25
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Professional
|
Both
|
$2,979.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$539.32 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,103.99
|
| Rate for Payer: BCBS Complete |
$566.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Meridian Medicaid |
$566.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,281.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,281.22
|
| Rate for Payer: Priority Health SBD |
$1,281.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,370.34
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Professional
|
Both
|
$2,979.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$539.32 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,103.99
|
| Rate for Payer: BCBS Complete |
$566.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Meridian Medicaid |
$566.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,281.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,281.22
|
| Rate for Payer: Priority Health SBD |
$1,281.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,370.34
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$4,909.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$821.54 |
| Max. Negotiated Rate |
$3,436.30 |
| Rate for Payer: Aetna Commercial |
$1,718.87
|
| Rate for Payer: BCBS Complete |
$862.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Meridian Medicaid |
$862.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$821.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,958.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,958.34
|
| Rate for Payer: Priority Health SBD |
$1,958.34
|
| Rate for Payer: UMR Bronson Commercial |
$2,258.14
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$4,909.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,262.94 |
| Max. Negotiated Rate |
$36,827.89 |
| Rate for Payer: Aetna American Axle |
$3,190.85
|
| Rate for Payer: Aetna Commercial |
$4,172.65
|
| Rate for Payer: Aetna Medicare |
$12,166.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,190.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,623.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,623.31
|
| Rate for Payer: BCBS Complete |
$6,719.70
|
| Rate for Payer: BCBS MAPPO |
$11,698.65
|
| Rate for Payer: BCBS Trust/PPO |
$16,789.58
|
| Rate for Payer: BCN Medicare Advantage |
$11,698.65
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$3,436.30
|
| Rate for Payer: Cofinity Commercial |
$4,221.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,927.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,698.65
|
| Rate for Payer: Healthscope Commercial |
$4,418.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,436.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,681.75
|
| Rate for Payer: Mclaren Medicaid |
$6,399.16
|
| Rate for Payer: Mclaren Medicare |
$11,698.65
|
| Rate for Payer: Meridian Medicaid |
$6,719.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,283.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,453.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,172.65
|
| Rate for Payer: PACE Medicare |
$11,113.72
|
| Rate for Payer: PACE SWMI |
$11,698.65
|
| Rate for Payer: PHP Commercial |
$4,172.65
|
| Rate for Payer: PHP Medicare Advantage |
$11,698.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,399.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,827.89
|
| Rate for Payer: Priority Health Medicare |
$11,698.65
|
| Rate for Payer: Priority Health Narrow Network |
$29,462.31
|
| Rate for Payer: Priority Health SBD |
$3,092.67
|
| Rate for Payer: Railroad Medicare Medicare |
$11,698.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,389.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,698.65
|
| Rate for Payer: UHC Exchange |
$1,262.94
|
| Rate for Payer: UHC Medicare Advantage |
$12,049.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,816.33
|
| Rate for Payer: VA VA |
$11,698.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,681.75
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$4,909.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$821.54 |
| Max. Negotiated Rate |
$3,436.30 |
| Rate for Payer: Aetna Commercial |
$1,718.87
|
| Rate for Payer: BCBS Complete |
$862.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Meridian Medicaid |
$862.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$821.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,958.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,958.34
|
| Rate for Payer: Priority Health SBD |
$1,958.34
|
| Rate for Payer: UMR Bronson Commercial |
$2,258.14
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$4,909.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$2,159.96 |
| Max. Negotiated Rate |
$4,418.10 |
| Rate for Payer: Aetna American Axle |
$3,190.85
|
| Rate for Payer: Aetna Commercial |
$4,172.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,190.85
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$3,436.30
|
| Rate for Payer: Cofinity Commercial |
$4,221.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,927.20
|
| Rate for Payer: Healthscope Commercial |
$4,418.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,436.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,681.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,172.65
|
| Rate for Payer: PHP Commercial |
$4,172.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health SBD |
$3,092.67
|
| Rate for Payer: UMR Bronson Commercial |
$2,159.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,681.75
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,158.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,132.62 |
| Max. Negotiated Rate |
$36,827.89 |
| Rate for Payer: Aetna American Axle |
$2,052.70
|
| Rate for Payer: Aetna Commercial |
$2,684.30
|
| Rate for Payer: Aetna Medicare |
$12,166.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,052.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,623.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,623.31
|
| Rate for Payer: BCBS Complete |
$6,719.70
|
| Rate for Payer: BCBS MAPPO |
$11,698.65
|
| Rate for Payer: BCBS Trust/PPO |
$16,789.58
|
| Rate for Payer: BCN Medicare Advantage |
$11,698.65
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cofinity Commercial |
$2,210.60
|
| Rate for Payer: Cofinity Commercial |
$2,715.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,526.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,698.65
|
| Rate for Payer: Healthscope Commercial |
$2,842.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,210.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,368.50
|
| Rate for Payer: Mclaren Medicaid |
$6,399.16
|
| Rate for Payer: Mclaren Medicare |
$11,698.65
|
| Rate for Payer: Meridian Medicaid |
$6,719.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,283.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,453.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,684.30
|
| Rate for Payer: PACE Medicare |
$11,113.72
|
| Rate for Payer: PACE SWMI |
$11,698.65
|
| Rate for Payer: PHP Commercial |
$2,684.30
|
| Rate for Payer: PHP Medicare Advantage |
$11,698.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,399.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,827.89
|
| Rate for Payer: Priority Health Medicare |
$11,698.65
|
| Rate for Payer: Priority Health Narrow Network |
$29,462.31
|
| Rate for Payer: Priority Health SBD |
$1,989.54
|
| Rate for Payer: Railroad Medicare Medicare |
$11,698.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,245.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,698.65
|
| Rate for Payer: UHC Exchange |
$1,132.62
|
| Rate for Payer: UHC Medicare Advantage |
$12,049.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,168.46
|
| Rate for Payer: VA VA |
$11,698.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,368.50
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,158.00
|
|
|
Service Code
|
HCPCS 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$736.77 |
| Max. Negotiated Rate |
$2,210.60 |
| Rate for Payer: Aetna Commercial |
$1,544.64
|
| Rate for Payer: BCBS Complete |
$773.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Meridian Medicaid |
$773.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$736.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,753.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,753.07
|
| Rate for Payer: Priority Health SBD |
$1,753.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,452.68
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,158.00
|
|
|
Service Code
|
HCPCS 27446
|
| Min. Negotiated Rate |
$736.77 |
| Max. Negotiated Rate |
$2,210.60 |
| Rate for Payer: Aetna Commercial |
$1,544.64
|
| Rate for Payer: BCBS Complete |
$773.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Meridian Medicaid |
$773.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$736.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,753.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,753.07
|
| Rate for Payer: Priority Health SBD |
$1,753.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,452.68
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
IP
|
$3,158.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,389.52 |
| Max. Negotiated Rate |
$2,842.20 |
| Rate for Payer: Aetna American Axle |
$2,052.70
|
| Rate for Payer: Aetna Commercial |
$2,684.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,052.70
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cofinity Commercial |
$2,210.60
|
| Rate for Payer: Cofinity Commercial |
$2,715.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,526.40
|
| Rate for Payer: Healthscope Commercial |
$2,842.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,210.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,368.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,684.30
|
| Rate for Payer: PHP Commercial |
$2,684.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health SBD |
$1,989.54
|
| Rate for Payer: UMR Bronson Commercial |
$1,389.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,368.50
|
|
|
PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT
|
Professional
|
Both
|
$1,657.00
|
|
|
Service Code
|
HCPCS 27441
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$1,266.92 |
| Rate for Payer: Aetna Commercial |
$1,100.22
|
| Rate for Payer: BCBS Complete |
$559.12
|
| Rate for Payer: BCBS Trust/PPO |
$523.55
|
| Rate for Payer: Cash Price |
$1,325.60
|
| Rate for Payer: Cash Price |
$1,325.60
|
| Rate for Payer: Meridian Medicaid |
$559.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,159.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,266.92
|
| Rate for Payer: Priority Health Narrow Network |
$1,266.92
|
| Rate for Payer: Priority Health SBD |
$1,266.92
|
| Rate for Payer: UMR Bronson Commercial |
$762.22
|
|
|
PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT
|
Professional
|
Both
|
$2,138.00
|
|
|
Service Code
|
HCPCS 26531
|
| Min. Negotiated Rate |
$224.00 |
| Max. Negotiated Rate |
$1,496.60 |
| Rate for Payer: Aetna Commercial |
$837.81
|
| Rate for Payer: BCBS Complete |
$431.64
|
| Rate for Payer: BCBS Trust/PPO |
$224.00
|
| Rate for Payer: Cash Price |
$1,710.40
|
| Rate for Payer: Cash Price |
$1,710.40
|
| Rate for Payer: Meridian Medicaid |
$431.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,496.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$976.36
|
| Rate for Payer: Priority Health Narrow Network |
$976.36
|
| Rate for Payer: Priority Health SBD |
$976.36
|
| Rate for Payer: UMR Bronson Commercial |
$983.48
|
|
|
PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS
|
Professional
|
Both
|
$2,053.00
|
|
|
Service Code
|
HCPCS 25446
|
| Min. Negotiated Rate |
$753.81 |
| Max. Negotiated Rate |
$1,794.43 |
| Rate for Payer: Aetna Commercial |
$1,564.29
|
| Rate for Payer: BCBS Complete |
$791.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.86
|
| Rate for Payer: Cash Price |
$1,642.40
|
| Rate for Payer: Cash Price |
$1,642.40
|
| Rate for Payer: Meridian Medicaid |
$791.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$753.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,437.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,794.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,794.43
|
| Rate for Payer: Priority Health SBD |
$1,794.43
|
| Rate for Payer: UMR Bronson Commercial |
$944.38
|
|
|
PR ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ
|
Professional
|
Both
|
$3,612.00
|
|
|
Service Code
|
HCPCS 25332
|
| Min. Negotiated Rate |
$546.77 |
| Max. Negotiated Rate |
$2,528.40 |
| Rate for Payer: Aetna Commercial |
$1,126.09
|
| Rate for Payer: BCBS Complete |
$574.11
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: Cash Price |
$2,889.60
|
| Rate for Payer: Cash Price |
$2,889.60
|
| Rate for Payer: Meridian Medicaid |
$574.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,528.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,300.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,300.12
|
| Rate for Payer: Priority Health SBD |
$1,300.12
|
| Rate for Payer: UMR Bronson Commercial |
$1,661.52
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$3,998.00
|
|
|
Service Code
|
HCPCS 29888
|
| Min. Negotiated Rate |
$626.65 |
| Max. Negotiated Rate |
$2,798.60 |
| Rate for Payer: Aetna Commercial |
$1,306.22
|
| Rate for Payer: BCBS Complete |
$657.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.92
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Meridian Medicaid |
$657.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,493.14
|
| Rate for Payer: Priority Health SBD |
$1,493.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,839.08
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
OP
|
$3,998.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$963.33 |
| Max. Negotiated Rate |
$20,018.71 |
| Rate for Payer: Aetna American Axle |
$2,598.70
|
| Rate for Payer: Aetna Commercial |
$3,398.30
|
| Rate for Payer: Aetna Medicare |
$6,613.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,598.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$6,547.20
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cofinity Commercial |
$3,438.28
|
| Rate for Payer: Cofinity Commercial |
$2,798.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,198.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$3,598.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,798.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,998.50
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,398.30
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$3,398.30
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,018.71
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$16,014.97
|
| Rate for Payer: Priority Health SBD |
$2,518.74
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,059.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,359.09
|
| Rate for Payer: UHC Exchange |
$963.33
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,479.26
|
| Rate for Payer: VA VA |
$6,359.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,998.50
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$3,998.00
|
|
|
Service Code
|
HCPCS 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$626.65 |
| Max. Negotiated Rate |
$2,798.60 |
| Rate for Payer: Aetna Commercial |
$1,306.22
|
| Rate for Payer: BCBS Complete |
$657.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.92
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Meridian Medicaid |
$657.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,493.14
|
| Rate for Payer: Priority Health SBD |
$1,493.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,839.08
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
IP
|
$3,998.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$1,759.12 |
| Max. Negotiated Rate |
$3,598.20 |
| Rate for Payer: Aetna American Axle |
$2,598.70
|
| Rate for Payer: Aetna Commercial |
$3,398.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,598.70
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cofinity Commercial |
$2,798.60
|
| Rate for Payer: Cofinity Commercial |
$3,438.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,198.40
|
| Rate for Payer: Healthscope Commercial |
$3,598.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,798.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,998.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,398.30
|
| Rate for Payer: PHP Commercial |
$3,398.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health SBD |
$2,518.74
|
| Rate for Payer: UMR Bronson Commercial |
$1,759.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,998.50
|
|
