|
HC A1AT PROTEOTYPE
|
Facility
|
OP
|
$49.88
|
|
|
Service Code
|
CPT 82542
|
| Hospital Charge Code |
30100610
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.60 |
| Max. Negotiated Rate |
$49.88 |
| Rate for Payer: Aetna Commercial |
$44.89
|
| Rate for Payer: Aetna Medicare |
$24.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.11
|
| Rate for Payer: ASR ASR |
$48.38
|
| Rate for Payer: BCBS Complete |
$13.23
|
| Rate for Payer: BCBS MAPPO |
$24.09
|
| Rate for Payer: BCBS Trust/PPO |
$41.13
|
| Rate for Payer: BCN Commercial |
$41.13
|
| Rate for Payer: BCN Medicare Advantage |
$24.09
|
| Rate for Payer: Cash Price |
$39.90
|
| Rate for Payer: Cash Price |
$39.90
|
| Rate for Payer: Cofinity Commercial |
$46.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.09
|
| Rate for Payer: Healthscope Commercial |
$48.38
|
| Rate for Payer: Healthscope Whirlpool |
$49.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$44.89
|
| Rate for Payer: Mclaren Medicaid |
$24.09
|
| Rate for Payer: Mclaren Medicare |
$24.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.29
|
| Rate for Payer: Meridian Medicaid |
$13.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.40
|
| Rate for Payer: Nomi Health Commercial |
$40.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.41
|
| Rate for Payer: PACE Medicare |
$22.89
|
| Rate for Payer: PACE SWMI |
$24.09
|
| Rate for Payer: PHP Commercial |
$26.50
|
| Rate for Payer: PHP Medicaid |
$12.91
|
| Rate for Payer: PHP Medicare Advantage |
$24.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.70
|
| Rate for Payer: Priority Health Medicare |
$24.09
|
| Rate for Payer: Priority Health Narrow Network |
$34.97
|
| Rate for Payer: Railroad Medicare Medicare |
$24.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24.09
|
| Rate for Payer: UHC Exchange |
$37.34
|
| Rate for Payer: UHC Medicaid |
$12.60
|
| Rate for Payer: UHCCP DNSP |
$24.09
|
| Rate for Payer: UHCCP Medicaid |
$12.60
|
| Rate for Payer: VA VA |
$24.09
|
|
|
HC A1AT PROTEOTYPE CMPT
|
Facility
|
OP
|
$24.06
|
|
|
Service Code
|
CPT 82103
|
| Hospital Charge Code |
30100611
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$129.53 |
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Medicare |
$13.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.80
|
| Rate for Payer: ASR ASR |
$23.34
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS MAPPO |
$13.44
|
| Rate for Payer: BCBS Trust/PPO |
$19.84
|
| Rate for Payer: BCN Commercial |
$19.84
|
| Rate for Payer: BCN Medicare Advantage |
$13.44
|
| Rate for Payer: Cash Price |
$19.25
|
| Rate for Payer: Cash Price |
$19.25
|
| Rate for Payer: Cofinity Commercial |
$22.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.44
|
| Rate for Payer: Healthscope Commercial |
$23.34
|
| Rate for Payer: Healthscope Whirlpool |
$24.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.44
|
| Rate for Payer: Mclaren Commercial |
$21.65
|
| Rate for Payer: Mclaren Medicaid |
$13.44
|
| Rate for Payer: Mclaren Medicare |
$13.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.11
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.45
|
| Rate for Payer: Nomi Health Commercial |
$19.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.05
|
| Rate for Payer: PACE Medicare |
$12.77
|
| Rate for Payer: PACE SWMI |
$13.44
|
| Rate for Payer: PHP Commercial |
$14.78
|
| Rate for Payer: PHP Medicaid |
$7.20
|
| Rate for Payer: PHP Medicare Advantage |
$13.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$129.53
|
| Rate for Payer: Priority Health Medicare |
$13.44
|
| Rate for Payer: Priority Health Narrow Network |
$103.62
|
| Rate for Payer: Railroad Medicare Medicare |
$13.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.44
|
| Rate for Payer: UHC Exchange |
$20.83
|
| Rate for Payer: UHC Medicaid |
$7.03
|
| Rate for Payer: UHCCP DNSP |
$13.44
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
| Rate for Payer: VA VA |
$13.44
|
|
|
HC A1AT PROTEOTYPE CMPT
|
Facility
|
IP
|
$24.06
|
|
|
Service Code
|
CPT 82103
|
| Hospital Charge Code |
30100611
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.05 |
| Max. Negotiated Rate |
$24.06 |
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: ASR ASR |
$23.34
|
| Rate for Payer: BCBS Trust/PPO |
$19.76
|
| Rate for Payer: BCN Commercial |
$19.76
|
| Rate for Payer: Cash Price |
$19.25
|
| Rate for Payer: Cofinity Commercial |
$22.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.25
|
| Rate for Payer: Healthscope Commercial |
$23.34
|
| Rate for Payer: Healthscope Whirlpool |
$24.06
|
| Rate for Payer: Mclaren Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.45
|
| Rate for Payer: Nomi Health Commercial |
$19.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.17
|
|
|
HC ABDOMINAL HYSTERECT (OB SURGER
|
Facility
|
OP
|
$2,616.68
|
|
| Hospital Charge Code |
36000002
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$968.17 |
| Max. Negotiated Rate |
$2,616.68 |
| Rate for Payer: Aetna Commercial |
$2,355.01
|
| Rate for Payer: Aetna Medicare |
$968.17
|
| Rate for Payer: ASR ASR |
$2,538.18
|
| Rate for Payer: BCBS Complete |
$1,046.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,157.45
|
| Rate for Payer: BCN Commercial |
$2,157.45
|
| Rate for Payer: Cash Price |
$2,093.34
|
| Rate for Payer: Cofinity Commercial |
$2,459.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,093.34
|
| Rate for Payer: Healthscope Commercial |
$2,538.18
|
| Rate for Payer: Healthscope Whirlpool |
$2,616.68
|
| Rate for Payer: Mclaren Commercial |
$2,355.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,093.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,224.18
|
| Rate for Payer: Nomi Health Commercial |
$2,145.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,962.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,292.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,834.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,302.68
|
|
|
HC ABDOMINAL HYSTERECT (OB SURGER
|
Facility
|
IP
|
$2,616.68
|
|
| Hospital Charge Code |
36000002
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,962.51 |
| Max. Negotiated Rate |
$2,616.68 |
| Rate for Payer: Aetna Commercial |
$2,355.01
|
| Rate for Payer: ASR ASR |
$2,538.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,148.82
|
| Rate for Payer: BCN Commercial |
$2,148.82
|
| Rate for Payer: Cash Price |
$2,093.34
|
| Rate for Payer: Cofinity Commercial |
$2,459.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,093.34
|
| Rate for Payer: Healthscope Commercial |
$2,538.18
|
| Rate for Payer: Healthscope Whirlpool |
$2,616.68
|
| Rate for Payer: Mclaren Commercial |
$2,355.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,224.18
|
| Rate for Payer: Nomi Health Commercial |
$2,145.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,962.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,302.68
|
|
|
HC ABDOMINAL PARACENTESIS W/O IMAGE GUIDE
|
Facility
|
OP
|
$2,900.00
|
|
|
Service Code
|
CPT 49082
|
| Hospital Charge Code |
76100542
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$472.65 |
| Max. Negotiated Rate |
$2,900.00 |
| Rate for Payer: Aetna Commercial |
$2,610.00
|
| Rate for Payer: Aetna Medicare |
$903.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,129.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,129.65
|
| Rate for Payer: ASR ASR |
$2,813.00
|
| Rate for Payer: BCBS Complete |
$496.32
|
| Rate for Payer: BCBS MAPPO |
$903.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,391.05
|
| Rate for Payer: BCN Commercial |
$2,391.05
|
| Rate for Payer: BCN Medicare Advantage |
$903.72
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cofinity Commercial |
$2,726.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,320.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.72
|
| Rate for Payer: Healthscope Commercial |
$2,813.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,900.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$903.72
|
| Rate for Payer: Mclaren Commercial |
$2,610.00
|
| Rate for Payer: Mclaren Medicaid |
$903.72
|
| Rate for Payer: Mclaren Medicare |
$903.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.91
|
| Rate for Payer: Meridian Medicaid |
$496.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,039.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,465.00
|
| Rate for Payer: Nomi Health Commercial |
$2,378.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,175.00
|
| Rate for Payer: PACE Medicare |
$858.53
|
| Rate for Payer: PACE SWMI |
$903.72
|
| Rate for Payer: PHP Commercial |
$994.09
|
| Rate for Payer: PHP Medicaid |
$484.39
|
| Rate for Payer: PHP Medicare Advantage |
$903.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$927.28
|
| Rate for Payer: Priority Health Medicare |
$903.72
|
| Rate for Payer: Priority Health Narrow Network |
$741.82
|
| Rate for Payer: Railroad Medicare Medicare |
$903.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,552.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$903.72
|
| Rate for Payer: UHC Exchange |
$1,400.77
|
| Rate for Payer: UHC Medicaid |
$472.65
|
| Rate for Payer: UHCCP DNSP |
$903.72
|
| Rate for Payer: UHCCP Medicaid |
$472.65
|
| Rate for Payer: VA VA |
$903.72
|
|
|
HC ABDOMINAL PARACENTESIS W/O IMAGE GUIDE
|
Facility
|
IP
|
$2,900.00
|
|
|
Service Code
|
CPT 49082
|
| Hospital Charge Code |
76100542
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,175.00 |
| Max. Negotiated Rate |
$2,900.00 |
| Rate for Payer: Aetna Commercial |
$2,610.00
|
| Rate for Payer: ASR ASR |
$2,813.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,381.48
|
| Rate for Payer: BCN Commercial |
$2,381.48
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cofinity Commercial |
$2,726.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,320.00
|
| Rate for Payer: Healthscope Commercial |
$2,813.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,900.00
|
| Rate for Payer: Mclaren Commercial |
$2,610.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,465.00
|
| Rate for Payer: Nomi Health Commercial |
$2,378.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,175.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,552.00
|
|
|
HC ABDOMINAL STERILIZE (OB SURGER
|
Facility
|
OP
|
$1,608.48
|
|
| Hospital Charge Code |
36000003
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$595.14 |
| Max. Negotiated Rate |
$1,608.48 |
| Rate for Payer: Aetna Commercial |
$1,447.63
|
| Rate for Payer: Aetna Medicare |
$595.14
|
| Rate for Payer: ASR ASR |
$1,560.23
|
| Rate for Payer: BCBS Complete |
$643.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,326.19
|
| Rate for Payer: BCN Commercial |
$1,326.19
|
| Rate for Payer: Cash Price |
$1,286.78
|
| Rate for Payer: Cofinity Commercial |
$1,511.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,286.78
|
| Rate for Payer: Healthscope Commercial |
$1,560.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,608.48
|
| Rate for Payer: Mclaren Commercial |
$1,447.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,286.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,367.21
|
| Rate for Payer: Nomi Health Commercial |
$1,318.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,206.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,409.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,127.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,415.46
|
|
|
HC ABDOMINAL STERILIZE (OB SURGER
|
Facility
|
IP
|
$1,608.48
|
|
| Hospital Charge Code |
36000003
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,206.36 |
| Max. Negotiated Rate |
$1,608.48 |
| Rate for Payer: Aetna Commercial |
$1,447.63
|
| Rate for Payer: ASR ASR |
$1,560.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,320.88
|
| Rate for Payer: BCN Commercial |
$1,320.88
|
| Rate for Payer: Cash Price |
$1,286.78
|
| Rate for Payer: Cofinity Commercial |
$1,511.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,286.78
|
| Rate for Payer: Healthscope Commercial |
$1,560.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,608.48
|
| Rate for Payer: Mclaren Commercial |
$1,447.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,367.21
|
| Rate for Payer: Nomi Health Commercial |
$1,318.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,206.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,415.46
|
|
|
HC ABLAT BY NEUROLYTIC AGENT GENICULAR NRV BIL KNEE 3 OR MORE NRVS
|
Facility
|
OP
|
$4,104.76
|
|
|
Service Code
|
CPT 64624
|
| Hospital Charge Code |
36100603
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$4,104.76 |
| Rate for Payer: Aetna Commercial |
$3,694.28
|
| Rate for Payer: Aetna Medicare |
$1,945.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: ASR ASR |
$3,981.62
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,384.37
|
| Rate for Payer: BCN Commercial |
$3,384.37
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$3,283.81
|
| Rate for Payer: Cash Price |
$3,283.81
|
| Rate for Payer: Cofinity Commercial |
$3,858.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,283.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$3,981.62
|
| Rate for Payer: Healthscope Whirlpool |
$4,104.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,945.70
|
| Rate for Payer: Mclaren Commercial |
$3,694.28
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$1,068.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,489.05
|
| Rate for Payer: Nomi Health Commercial |
$3,365.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,078.57
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,140.27
|
| Rate for Payer: PHP Medicaid |
$1,042.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,170.01
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,736.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,612.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$3,015.84
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP DNSP |
$1,945.70
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: VA VA |
$1,945.70
|
|
|
HC ABLAT BY NEUROLYTIC AGENT GENICULAR NRV BIL KNEE 3 OR MORE NRVS
|
Facility
|
IP
|
$4,104.76
|
|
|
Service Code
|
CPT 64624
|
| Hospital Charge Code |
36100603
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,078.57 |
| Max. Negotiated Rate |
$4,104.76 |
| Rate for Payer: Aetna Commercial |
$3,694.28
|
| Rate for Payer: ASR ASR |
$3,981.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.83
|
| Rate for Payer: BCN Commercial |
$3,370.83
|
| Rate for Payer: Cash Price |
$3,283.81
|
| Rate for Payer: Cofinity Commercial |
$3,858.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,283.81
|
| Rate for Payer: Healthscope Commercial |
$3,981.62
|
| Rate for Payer: Healthscope Whirlpool |
$4,104.76
|
| Rate for Payer: Mclaren Commercial |
$3,694.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,489.05
|
| Rate for Payer: Nomi Health Commercial |
$3,365.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,078.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,612.19
|
|
|
HC ABLAT BY NEUROLYTIC AGENT GENICULAR NRV KNEE 3 OR MORE NRVS
|
Facility
|
OP
|
$2,736.85
|
|
|
Service Code
|
CPT 64624
|
| Hospital Charge Code |
36100601
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$3,015.84 |
| Rate for Payer: Aetna Commercial |
$2,463.16
|
| Rate for Payer: Aetna Medicare |
$1,945.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: ASR ASR |
$2,654.74
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,256.53
|
| Rate for Payer: BCN Commercial |
$2,256.53
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$2,189.48
|
| Rate for Payer: Cash Price |
$2,189.48
|
| Rate for Payer: Cofinity Commercial |
$2,572.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$2,654.74
|
| Rate for Payer: Healthscope Whirlpool |
$2,736.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,945.70
|
| Rate for Payer: Mclaren Commercial |
$2,463.16
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$1,068.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.32
|
| Rate for Payer: Nomi Health Commercial |
$2,244.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.64
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,140.27
|
| Rate for Payer: PHP Medicaid |
$1,042.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,170.01
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,736.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,408.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$3,015.84
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP DNSP |
$1,945.70
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: VA VA |
$1,945.70
|
|
|
HC ABLAT BY NEUROLYTIC AGENT GENICULAR NRV KNEE 3 OR MORE NRVS
|
Facility
|
IP
|
$2,736.85
|
|
|
Service Code
|
CPT 64624
|
| Hospital Charge Code |
36100601
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,052.64 |
| Max. Negotiated Rate |
$2,736.85 |
| Rate for Payer: Aetna Commercial |
$2,463.16
|
| Rate for Payer: ASR ASR |
$2,654.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,247.50
|
| Rate for Payer: BCN Commercial |
$2,247.50
|
| Rate for Payer: Cash Price |
$2,189.48
|
| Rate for Payer: Cofinity Commercial |
$2,572.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.48
|
| Rate for Payer: Healthscope Commercial |
$2,654.74
|
| Rate for Payer: Healthscope Whirlpool |
$2,736.85
|
| Rate for Payer: Mclaren Commercial |
$2,463.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.32
|
| Rate for Payer: Nomi Health Commercial |
$2,244.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,408.43
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NR OR BRANCH SHOULDER EA ADDL NRV
|
Facility
|
IP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100596
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$969.48 |
| Max. Negotiated Rate |
$1,292.64 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.52
|
| Rate for Payer: BCN Commercial |
$1,061.52
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NR OR BRANCH SHOULDER EA ADDL NRV
|
Facility
|
OP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100596
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$460.91 |
| Max. Negotiated Rate |
$1,366.00 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: Aetna Medicare |
$881.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,101.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,101.61
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Complete |
$484.00
|
| Rate for Payer: BCBS MAPPO |
$881.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.78
|
| Rate for Payer: BCN Commercial |
$1,065.78
|
| Rate for Payer: BCN Medicare Advantage |
$881.29
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.29
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$881.29
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Mclaren Medicaid |
$881.29
|
| Rate for Payer: Mclaren Medicare |
$881.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.35
|
| Rate for Payer: Meridian Medicaid |
$484.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,013.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$969.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: PACE Medicare |
$837.23
|
| Rate for Payer: PACE SWMI |
$881.29
|
| Rate for Payer: PHP Commercial |
$969.42
|
| Rate for Payer: PHP Medicaid |
$472.37
|
| Rate for Payer: PHP Medicare Advantage |
$881.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,132.61
|
| Rate for Payer: Priority Health Medicare |
$881.29
|
| Rate for Payer: Priority Health Narrow Network |
$906.14
|
| Rate for Payer: Railroad Medicare Medicare |
$881.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$881.29
|
| Rate for Payer: UHC Exchange |
$1,366.00
|
| Rate for Payer: UHC Medicaid |
$460.91
|
| Rate for Payer: UHCCP DNSP |
$881.29
|
| Rate for Payer: UHCCP Medicaid |
$460.91
|
| Rate for Payer: VA VA |
$881.29
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH HIP EA ADDL NRV
|
Facility
|
OP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100598
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$460.91 |
| Max. Negotiated Rate |
$1,366.00 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: Aetna Medicare |
$881.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,101.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,101.61
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Complete |
$484.00
|
| Rate for Payer: BCBS MAPPO |
$881.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.78
|
| Rate for Payer: BCN Commercial |
$1,065.78
|
| Rate for Payer: BCN Medicare Advantage |
$881.29
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.29
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$881.29
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Mclaren Medicaid |
$881.29
|
| Rate for Payer: Mclaren Medicare |
$881.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.35
|
| Rate for Payer: Meridian Medicaid |
$484.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,013.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$969.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: PACE Medicare |
$837.23
|
| Rate for Payer: PACE SWMI |
$881.29
|
| Rate for Payer: PHP Commercial |
$969.42
|
| Rate for Payer: PHP Medicaid |
$472.37
|
| Rate for Payer: PHP Medicare Advantage |
$881.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,132.61
|
| Rate for Payer: Priority Health Medicare |
$881.29
|
| Rate for Payer: Priority Health Narrow Network |
$906.14
|
| Rate for Payer: Railroad Medicare Medicare |
$881.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$881.29
|
| Rate for Payer: UHC Exchange |
$1,366.00
|
| Rate for Payer: UHC Medicaid |
$460.91
|
| Rate for Payer: UHCCP DNSP |
$881.29
|
| Rate for Payer: UHCCP Medicaid |
$460.91
|
| Rate for Payer: VA VA |
$881.29
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH HIP EA ADDL NRV
|
Facility
|
IP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100598
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$969.48 |
| Max. Negotiated Rate |
$1,292.64 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.52
|
| Rate for Payer: BCN Commercial |
$1,061.52
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH HIP SNG NRV
|
Facility
|
OP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100597
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$460.91 |
| Max. Negotiated Rate |
$1,366.00 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: Aetna Medicare |
$881.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,101.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,101.61
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Complete |
$484.00
|
| Rate for Payer: BCBS MAPPO |
$881.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.78
|
| Rate for Payer: BCN Commercial |
$1,065.78
|
| Rate for Payer: BCN Medicare Advantage |
$881.29
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.29
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$881.29
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Mclaren Medicaid |
$881.29
|
| Rate for Payer: Mclaren Medicare |
$881.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.35
|
| Rate for Payer: Meridian Medicaid |
$484.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,013.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$969.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: PACE Medicare |
$837.23
|
| Rate for Payer: PACE SWMI |
$881.29
|
| Rate for Payer: PHP Commercial |
$969.42
|
| Rate for Payer: PHP Medicaid |
$472.37
|
| Rate for Payer: PHP Medicare Advantage |
$881.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,132.61
|
| Rate for Payer: Priority Health Medicare |
$881.29
|
| Rate for Payer: Priority Health Narrow Network |
$906.14
|
| Rate for Payer: Railroad Medicare Medicare |
$881.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$881.29
|
| Rate for Payer: UHC Exchange |
$1,366.00
|
| Rate for Payer: UHC Medicaid |
$460.91
|
| Rate for Payer: UHCCP DNSP |
$881.29
|
| Rate for Payer: UHCCP Medicaid |
$460.91
|
| Rate for Payer: VA VA |
$881.29
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH HIP SNG NRV
|
Facility
|
IP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100597
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$969.48 |
| Max. Negotiated Rate |
$1,292.64 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.52
|
| Rate for Payer: BCN Commercial |
$1,061.52
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH SHOULDER SNG NRV
|
Facility
|
IP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100595
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$969.48 |
| Max. Negotiated Rate |
$1,292.64 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.52
|
| Rate for Payer: BCN Commercial |
$1,061.52
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
|
|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH SHOULDER SNG NRV
|
Facility
|
OP
|
$1,292.64
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100595
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$460.91 |
| Max. Negotiated Rate |
$1,366.00 |
| Rate for Payer: Aetna Commercial |
$1,163.38
|
| Rate for Payer: Aetna Medicare |
$881.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,101.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,101.61
|
| Rate for Payer: ASR ASR |
$1,253.86
|
| Rate for Payer: BCBS Complete |
$484.00
|
| Rate for Payer: BCBS MAPPO |
$881.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.78
|
| Rate for Payer: BCN Commercial |
$1,065.78
|
| Rate for Payer: BCN Medicare Advantage |
$881.29
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cash Price |
$1,034.11
|
| Rate for Payer: Cofinity Commercial |
$1,215.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,034.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.29
|
| Rate for Payer: Healthscope Commercial |
$1,253.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,292.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$881.29
|
| Rate for Payer: Mclaren Commercial |
$1,163.38
|
| Rate for Payer: Mclaren Medicaid |
$881.29
|
| Rate for Payer: Mclaren Medicare |
$881.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.35
|
| Rate for Payer: Meridian Medicaid |
$484.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,013.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$969.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.74
|
| Rate for Payer: Nomi Health Commercial |
$1,059.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.48
|
| Rate for Payer: PACE Medicare |
$837.23
|
| Rate for Payer: PACE SWMI |
$881.29
|
| Rate for Payer: PHP Commercial |
$969.42
|
| Rate for Payer: PHP Medicaid |
$472.37
|
| Rate for Payer: PHP Medicare Advantage |
$881.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,132.61
|
| Rate for Payer: Priority Health Medicare |
$881.29
|
| Rate for Payer: Priority Health Narrow Network |
$906.14
|
| Rate for Payer: Railroad Medicare Medicare |
$881.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,137.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$881.29
|
| Rate for Payer: UHC Exchange |
$1,366.00
|
| Rate for Payer: UHC Medicaid |
$460.91
|
| Rate for Payer: UHCCP DNSP |
$881.29
|
| Rate for Payer: UHCCP Medicaid |
$460.91
|
| Rate for Payer: VA VA |
$881.29
|
|
|
HC ABLATION AV NODE
|
Facility
|
IP
|
$8,729.88
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
48100044
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,547.41 |
| Max. Negotiated Rate |
$8,729.88 |
| Rate for Payer: Aetna Commercial |
$7,856.89
|
| Rate for Payer: ASR ASR |
$8,467.98
|
| Rate for Payer: BCBS Trust/PPO |
$7,168.98
|
| Rate for Payer: BCN Commercial |
$7,168.98
|
| Rate for Payer: Cash Price |
$6,983.90
|
| Rate for Payer: Cofinity Commercial |
$8,206.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,983.90
|
| Rate for Payer: Healthscope Commercial |
$8,467.98
|
| Rate for Payer: Healthscope Whirlpool |
$8,729.88
|
| Rate for Payer: Mclaren Commercial |
$7,856.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,420.40
|
| Rate for Payer: Nomi Health Commercial |
$7,158.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,547.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,682.29
|
|
|
HC ABLATION AV NODE
|
Facility
|
OP
|
$8,729.88
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
48100044
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,064.56 |
| Max. Negotiated Rate |
$12,046.01 |
| Rate for Payer: Aetna Commercial |
$7,856.89
|
| Rate for Payer: Aetna Medicare |
$7,771.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,714.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,714.52
|
| Rate for Payer: ASR ASR |
$8,467.98
|
| Rate for Payer: BCBS Complete |
$4,268.17
|
| Rate for Payer: BCBS MAPPO |
$7,771.62
|
| Rate for Payer: BCBS Trust/PPO |
$7,197.79
|
| Rate for Payer: BCN Commercial |
$7,197.79
|
| Rate for Payer: BCN Medicare Advantage |
$7,771.62
|
| Rate for Payer: Cash Price |
$6,983.90
|
| Rate for Payer: Cash Price |
$6,983.90
|
| Rate for Payer: Cofinity Commercial |
$8,206.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,983.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,771.62
|
| Rate for Payer: Healthscope Commercial |
$8,467.98
|
| Rate for Payer: Healthscope Whirlpool |
$8,729.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,771.62
|
| Rate for Payer: Mclaren Commercial |
$7,856.89
|
| Rate for Payer: Mclaren Medicaid |
$7,771.62
|
| Rate for Payer: Mclaren Medicare |
$7,771.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,160.20
|
| Rate for Payer: Meridian Medicaid |
$4,268.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,937.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,548.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,420.40
|
| Rate for Payer: Nomi Health Commercial |
$7,158.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,547.41
|
| Rate for Payer: PACE Medicare |
$7,383.04
|
| Rate for Payer: PACE SWMI |
$7,771.62
|
| Rate for Payer: PHP Commercial |
$8,548.78
|
| Rate for Payer: PHP Medicaid |
$4,165.59
|
| Rate for Payer: PHP Medicare Advantage |
$7,771.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,064.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,649.12
|
| Rate for Payer: Priority Health Medicare |
$7,771.62
|
| Rate for Payer: Priority Health Narrow Network |
$6,119.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,771.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,682.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,771.62
|
| Rate for Payer: UHC Exchange |
$12,046.01
|
| Rate for Payer: UHC Medicaid |
$4,064.56
|
| Rate for Payer: UHCCP DNSP |
$7,771.62
|
| Rate for Payer: UHCCP Medicaid |
$4,064.56
|
| Rate for Payer: VA VA |
$7,771.62
|
|
|
HC ABLATION BONE
|
Facility
|
OP
|
$6,911.45
|
|
|
Service Code
|
CPT 20982
|
| Hospital Charge Code |
36100480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,844.93 |
| Max. Negotiated Rate |
$27,079.69 |
| Rate for Payer: Aetna Commercial |
$6,220.31
|
| Rate for Payer: Aetna Medicare |
$17,470.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,838.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,838.46
|
| Rate for Payer: ASR ASR |
$6,704.11
|
| Rate for Payer: BCBS Complete |
$9,594.95
|
| Rate for Payer: BCBS MAPPO |
$17,470.77
|
| Rate for Payer: BCBS Trust/PPO |
$5,698.49
|
| Rate for Payer: BCN Commercial |
$5,698.49
|
| Rate for Payer: BCN Medicare Advantage |
$17,470.77
|
| Rate for Payer: Cash Price |
$5,529.16
|
| Rate for Payer: Cash Price |
$5,529.16
|
| Rate for Payer: Cofinity Commercial |
$6,496.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,529.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,470.77
|
| Rate for Payer: Healthscope Commercial |
$6,704.11
|
| Rate for Payer: Healthscope Whirlpool |
$6,911.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,470.77
|
| Rate for Payer: Mclaren Commercial |
$6,220.31
|
| Rate for Payer: Mclaren Medicaid |
$17,470.77
|
| Rate for Payer: Mclaren Medicare |
$17,470.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,344.31
|
| Rate for Payer: Meridian Medicaid |
$9,594.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,091.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,217.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,874.73
|
| Rate for Payer: Nomi Health Commercial |
$5,667.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,183.59
|
| Rate for Payer: PACE Medicare |
$16,597.23
|
| Rate for Payer: PACE SWMI |
$17,470.77
|
| Rate for Payer: PHP Commercial |
$19,217.85
|
| Rate for Payer: PHP Medicaid |
$9,364.33
|
| Rate for Payer: PHP Medicare Advantage |
$17,470.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,137.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,055.81
|
| Rate for Payer: Priority Health Medicare |
$17,470.77
|
| Rate for Payer: Priority Health Narrow Network |
$4,844.93
|
| Rate for Payer: Railroad Medicare Medicare |
$17,470.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,082.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,470.77
|
| Rate for Payer: UHC Exchange |
$27,079.69
|
| Rate for Payer: UHC Medicaid |
$9,137.21
|
| Rate for Payer: UHCCP DNSP |
$17,470.77
|
| Rate for Payer: UHCCP Medicaid |
$9,137.21
|
| Rate for Payer: VA VA |
$17,470.77
|
|
|
HC ABLATION BONE
|
Facility
|
IP
|
$6,911.45
|
|
|
Service Code
|
CPT 20982
|
| Hospital Charge Code |
36100480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,183.59 |
| Max. Negotiated Rate |
$6,911.45 |
| Rate for Payer: Aetna Commercial |
$6,220.31
|
| Rate for Payer: ASR ASR |
$6,704.11
|
| Rate for Payer: BCBS Trust/PPO |
$5,675.68
|
| Rate for Payer: BCN Commercial |
$5,675.68
|
| Rate for Payer: Cash Price |
$5,529.16
|
| Rate for Payer: Cofinity Commercial |
$6,496.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,529.16
|
| Rate for Payer: Healthscope Commercial |
$6,704.11
|
| Rate for Payer: Healthscope Whirlpool |
$6,911.45
|
| Rate for Payer: Mclaren Commercial |
$6,220.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,874.73
|
| Rate for Payer: Nomi Health Commercial |
$5,667.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,183.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,082.08
|
|
