|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
OP
|
$1,031.59
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$381.69 |
| Max. Negotiated Rate |
$1,031.59 |
| Rate for Payer: Aetna Commercial |
$928.43
|
| Rate for Payer: Aetna Medicare |
$381.69
|
| Rate for Payer: ASR ASR |
$1,000.64
|
| Rate for Payer: BCBS Complete |
$412.64
|
| Rate for Payer: BCBS Trust/PPO |
$850.55
|
| Rate for Payer: BCN Commercial |
$850.55
|
| Rate for Payer: Cash Price |
$825.27
|
| Rate for Payer: Cofinity Commercial |
$969.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.27
|
| Rate for Payer: Healthscope Commercial |
$1,000.64
|
| Rate for Payer: Healthscope Whirlpool |
$1,031.59
|
| Rate for Payer: Mclaren Commercial |
$928.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$825.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$876.85
|
| Rate for Payer: Nomi Health Commercial |
$845.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$773.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$903.88
|
| Rate for Payer: Priority Health Narrow Network |
$723.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$907.80
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
IP
|
$1,902.94
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,427.20 |
| Max. Negotiated Rate |
$1,902.94 |
| Rate for Payer: Aetna Commercial |
$1,712.65
|
| Rate for Payer: ASR ASR |
$1,845.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,562.69
|
| Rate for Payer: BCN Commercial |
$1,562.69
|
| Rate for Payer: Cash Price |
$1,522.35
|
| Rate for Payer: Cofinity Commercial |
$1,788.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,522.35
|
| Rate for Payer: Healthscope Commercial |
$1,845.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,902.94
|
| Rate for Payer: Mclaren Commercial |
$1,712.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,617.50
|
| Rate for Payer: Nomi Health Commercial |
$1,560.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,427.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,674.59
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
OP
|
$1,902.94
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$1,902.94 |
| Rate for Payer: Aetna Commercial |
$1,712.65
|
| Rate for Payer: Aetna Medicare |
$237.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: ASR ASR |
$1,845.85
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,568.97
|
| Rate for Payer: BCN Commercial |
$1,568.97
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,522.35
|
| Rate for Payer: Cash Price |
$1,522.35
|
| Rate for Payer: Cofinity Commercial |
$1,788.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,522.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$1,845.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,902.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.74
|
| Rate for Payer: Mclaren Commercial |
$1,712.65
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$130.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,617.50
|
| Rate for Payer: Nomi Health Commercial |
$1,560.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,427.20
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$261.51
|
| Rate for Payer: PHP Medicaid |
$127.43
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,667.36
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,333.96
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,674.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$368.50
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP DNSP |
$237.74
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: VA VA |
$237.74
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
IP
|
$110.28
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$82.71 |
| Max. Negotiated Rate |
$110.28 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: ASR ASR |
$106.97
|
| Rate for Payer: BCBS Trust/PPO |
$90.56
|
| Rate for Payer: BCN Commercial |
$90.56
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$103.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Healthscope Commercial |
$106.97
|
| Rate for Payer: Healthscope Whirlpool |
$110.28
|
| Rate for Payer: Mclaren Commercial |
$99.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$97.05
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
OP
|
$110.28
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.64 |
| Max. Negotiated Rate |
$110.28 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: Aetna Medicare |
$14.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.25
|
| Rate for Payer: ASR ASR |
$106.97
|
| Rate for Payer: BCBS Complete |
$8.02
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$90.93
|
| Rate for Payer: BCN Commercial |
$90.93
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$103.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$106.97
|
| Rate for Payer: Healthscope Whirlpool |
$110.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.60
|
| Rate for Payer: Mclaren Commercial |
$99.25
|
| Rate for Payer: Mclaren Medicaid |
$14.60
|
| Rate for Payer: Mclaren Medicare |
$14.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: Meridian Medicaid |
$8.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.71
|
| Rate for Payer: PACE Medicare |
$13.87
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Commercial |
$16.06
|
| Rate for Payer: PHP Medicaid |
$7.83
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.62
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$39.70
|
| Rate for Payer: Railroad Medicare Medicare |
$14.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$97.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14.60
|
| Rate for Payer: UHC Exchange |
$22.63
|
| Rate for Payer: UHC Medicaid |
$7.64
|
| Rate for Payer: UHCCP DNSP |
$14.60
|
| Rate for Payer: UHCCP Medicaid |
$7.64
|
| Rate for Payer: VA VA |
$14.60
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.64 |
| Max. Negotiated Rate |
$49.62 |
| Rate for Payer: Aetna Commercial |
$33.43
|
| Rate for Payer: Aetna Medicare |
$14.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.25
|
| Rate for Payer: ASR ASR |
$36.03
|
| Rate for Payer: BCBS Complete |
$8.02
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$30.62
|
| Rate for Payer: BCN Commercial |
$30.62
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$34.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$36.03
|
| Rate for Payer: Healthscope Whirlpool |
$37.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.60
|
| Rate for Payer: Mclaren Commercial |
$33.43
|
| Rate for Payer: Mclaren Medicaid |
$14.60
|
| Rate for Payer: Mclaren Medicare |
$14.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: Meridian Medicaid |
$8.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Medicare |
$13.87
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Commercial |
$16.06
|
| Rate for Payer: PHP Medicaid |
$7.83
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.62
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$39.70
|
| Rate for Payer: Railroad Medicare Medicare |
$14.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14.60
|
| Rate for Payer: UHC Exchange |
$22.63
|
| Rate for Payer: UHC Medicaid |
$7.64
|
| Rate for Payer: UHCCP DNSP |
$14.60
|
| Rate for Payer: UHCCP Medicaid |
$7.64
|
| Rate for Payer: VA VA |
$14.60
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.86 |
| Max. Negotiated Rate |
$37.14 |
| Rate for Payer: Aetna Commercial |
$33.43
|
| Rate for Payer: ASR ASR |
$36.03
|
| Rate for Payer: BCBS Trust/PPO |
$30.50
|
| Rate for Payer: BCN Commercial |
$30.50
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$34.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$36.03
|
| Rate for Payer: Healthscope Whirlpool |
$37.14
|
| Rate for Payer: Mclaren Commercial |
$33.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.68
|
|
|
HC ANGIOTENSIN II
|
Facility
|
IP
|
$338.13
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$253.60 |
| Max. Negotiated Rate |
$338.13 |
| Rate for Payer: Aetna Commercial |
$304.32
|
| Rate for Payer: ASR ASR |
$327.99
|
| Rate for Payer: BCBS Trust/PPO |
$277.67
|
| Rate for Payer: BCN Commercial |
$277.67
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cofinity Commercial |
$317.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.50
|
| Rate for Payer: Healthscope Commercial |
$327.99
|
| Rate for Payer: Healthscope Whirlpool |
$338.13
|
| Rate for Payer: Mclaren Commercial |
$304.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.41
|
| Rate for Payer: Nomi Health Commercial |
$277.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$297.55
|
|
|
HC ANGIOTENSIN II
|
Facility
|
OP
|
$338.13
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.73 |
| Max. Negotiated Rate |
$338.13 |
| Rate for Payer: Aetna Commercial |
$304.32
|
| Rate for Payer: Aetna Medicare |
$20.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.65
|
| Rate for Payer: ASR ASR |
$327.99
|
| Rate for Payer: BCBS Complete |
$11.27
|
| Rate for Payer: BCBS MAPPO |
$20.52
|
| Rate for Payer: BCBS Trust/PPO |
$278.79
|
| Rate for Payer: BCN Commercial |
$278.79
|
| Rate for Payer: BCN Medicare Advantage |
$20.52
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cofinity Commercial |
$317.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.52
|
| Rate for Payer: Healthscope Commercial |
$327.99
|
| Rate for Payer: Healthscope Whirlpool |
$338.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$20.52
|
| Rate for Payer: Mclaren Commercial |
$304.32
|
| Rate for Payer: Mclaren Medicaid |
$20.52
|
| Rate for Payer: Mclaren Medicare |
$20.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.55
|
| Rate for Payer: Meridian Medicaid |
$11.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.41
|
| Rate for Payer: Nomi Health Commercial |
$277.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.60
|
| Rate for Payer: PACE Medicare |
$19.49
|
| Rate for Payer: PACE SWMI |
$20.52
|
| Rate for Payer: PHP Commercial |
$22.57
|
| Rate for Payer: PHP Medicaid |
$11.00
|
| Rate for Payer: PHP Medicare Advantage |
$20.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$296.27
|
| Rate for Payer: Priority Health Medicare |
$20.52
|
| Rate for Payer: Priority Health Narrow Network |
$237.03
|
| Rate for Payer: Railroad Medicare Medicare |
$20.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$297.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.52
|
| Rate for Payer: UHC Exchange |
$31.81
|
| Rate for Payer: UHC Medicaid |
$10.73
|
| Rate for Payer: UHCCP DNSP |
$20.52
|
| Rate for Payer: UHCCP Medicaid |
$10.73
|
| Rate for Payer: VA VA |
$20.52
|
|
|
HC ANGLE TOLERANCE TEST 60 MINUTES
|
Facility
|
OP
|
$68.13
|
|
|
Service Code
|
CPT 94780
|
| Hospital Charge Code |
51000085
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$110.17 |
| Rate for Payer: Aetna Commercial |
$61.32
|
| Rate for Payer: Aetna Medicare |
$37.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: ASR ASR |
$66.09
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$56.17
|
| Rate for Payer: BCN Commercial |
$56.17
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$54.50
|
| Rate for Payer: Cash Price |
$54.50
|
| Rate for Payer: Cofinity Commercial |
$64.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$66.09
|
| Rate for Payer: Healthscope Whirlpool |
$68.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$37.22
|
| Rate for Payer: Mclaren Commercial |
$61.32
|
| Rate for Payer: Mclaren Medicaid |
$37.22
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$20.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.91
|
| Rate for Payer: Nomi Health Commercial |
$55.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.10
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$40.94
|
| Rate for Payer: PHP Medicaid |
$19.95
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$110.17
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health Narrow Network |
$88.13
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$57.69
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP DNSP |
$37.22
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: VA VA |
$37.22
|
|
|
HC ANGLE TOLERANCE TEST 60 MINUTES
|
Facility
|
IP
|
$68.13
|
|
|
Service Code
|
CPT 94780
|
| Hospital Charge Code |
51000085
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$51.10 |
| Max. Negotiated Rate |
$68.13 |
| Rate for Payer: Aetna Commercial |
$61.32
|
| Rate for Payer: ASR ASR |
$66.09
|
| Rate for Payer: BCBS Trust/PPO |
$55.95
|
| Rate for Payer: BCN Commercial |
$55.95
|
| Rate for Payer: Cash Price |
$54.50
|
| Rate for Payer: Cofinity Commercial |
$64.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.50
|
| Rate for Payer: Healthscope Commercial |
$66.09
|
| Rate for Payer: Healthscope Whirlpool |
$68.13
|
| Rate for Payer: Mclaren Commercial |
$61.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.91
|
| Rate for Payer: Nomi Health Commercial |
$55.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.95
|
|
|
HC ANGLE TOLERANCE TEST EACH ADDL 30 MIN
|
Facility
|
IP
|
$34.08
|
|
|
Service Code
|
CPT 94781
|
| Hospital Charge Code |
51000088
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$25.56 |
| Max. Negotiated Rate |
$34.08 |
| Rate for Payer: Aetna Commercial |
$30.67
|
| Rate for Payer: ASR ASR |
$33.06
|
| Rate for Payer: BCBS Trust/PPO |
$27.99
|
| Rate for Payer: BCN Commercial |
$27.99
|
| Rate for Payer: Cash Price |
$27.26
|
| Rate for Payer: Cofinity Commercial |
$32.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.26
|
| Rate for Payer: Healthscope Commercial |
$33.06
|
| Rate for Payer: Healthscope Whirlpool |
$34.08
|
| Rate for Payer: Mclaren Commercial |
$30.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.97
|
| Rate for Payer: Nomi Health Commercial |
$27.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.99
|
|
|
HC ANGLE TOLERANCE TEST EACH ADDL 30 MIN
|
Facility
|
OP
|
$34.08
|
|
|
Service Code
|
CPT 94781
|
| Hospital Charge Code |
51000088
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$12.61 |
| Max. Negotiated Rate |
$110.17 |
| Rate for Payer: Aetna Commercial |
$30.67
|
| Rate for Payer: Aetna Medicare |
$12.61
|
| Rate for Payer: ASR ASR |
$33.06
|
| Rate for Payer: BCBS Complete |
$13.63
|
| Rate for Payer: BCBS Trust/PPO |
$28.10
|
| Rate for Payer: BCN Commercial |
$28.10
|
| Rate for Payer: Cash Price |
$27.26
|
| Rate for Payer: Cash Price |
$27.26
|
| Rate for Payer: Cofinity Commercial |
$32.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.26
|
| Rate for Payer: Healthscope Commercial |
$33.06
|
| Rate for Payer: Healthscope Whirlpool |
$34.08
|
| Rate for Payer: Mclaren Commercial |
$30.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.97
|
| Rate for Payer: Nomi Health Commercial |
$27.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$110.17
|
| Rate for Payer: Priority Health Narrow Network |
$88.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.99
|
|
|
HC ANOGENITAL EXAM CHILD/SUSPECT TRAUMA W IMAG
|
Facility
|
OP
|
$520.20
|
|
|
Service Code
|
CPT 99170
|
| Hospital Charge Code |
76100440
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.35 |
| Max. Negotiated Rate |
$520.20 |
| Rate for Payer: Aetna Commercial |
$468.18
|
| Rate for Payer: Aetna Medicare |
$201.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$251.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$251.80
|
| Rate for Payer: ASR ASR |
$504.59
|
| Rate for Payer: BCBS Complete |
$110.63
|
| Rate for Payer: BCBS MAPPO |
$201.44
|
| Rate for Payer: BCBS Trust/PPO |
$428.90
|
| Rate for Payer: BCN Commercial |
$428.90
|
| Rate for Payer: BCN Medicare Advantage |
$201.44
|
| Rate for Payer: Cash Price |
$416.16
|
| Rate for Payer: Cash Price |
$416.16
|
| Rate for Payer: Cofinity Commercial |
$488.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.44
|
| Rate for Payer: Healthscope Commercial |
$504.59
|
| Rate for Payer: Healthscope Whirlpool |
$520.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$201.44
|
| Rate for Payer: Mclaren Commercial |
$468.18
|
| Rate for Payer: Mclaren Medicaid |
$201.44
|
| Rate for Payer: Mclaren Medicare |
$201.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.51
|
| Rate for Payer: Meridian Medicaid |
$110.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$231.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$221.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.17
|
| Rate for Payer: Nomi Health Commercial |
$426.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.15
|
| Rate for Payer: PACE Medicare |
$191.37
|
| Rate for Payer: PACE SWMI |
$201.44
|
| Rate for Payer: PHP Commercial |
$221.58
|
| Rate for Payer: PHP Medicaid |
$107.97
|
| Rate for Payer: PHP Medicare Advantage |
$201.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$455.80
|
| Rate for Payer: Priority Health Medicare |
$201.44
|
| Rate for Payer: Priority Health Narrow Network |
$364.66
|
| Rate for Payer: Railroad Medicare Medicare |
$201.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$457.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$201.44
|
| Rate for Payer: UHC Exchange |
$312.23
|
| Rate for Payer: UHC Medicaid |
$105.35
|
| Rate for Payer: UHCCP DNSP |
$201.44
|
| Rate for Payer: UHCCP Medicaid |
$105.35
|
| Rate for Payer: VA VA |
$201.44
|
|
|
HC ANOGENITAL EXAM CHILD/SUSPECT TRAUMA W IMAG
|
Facility
|
IP
|
$520.20
|
|
|
Service Code
|
CPT 99170
|
| Hospital Charge Code |
76100440
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$390.15 |
| Max. Negotiated Rate |
$520.20 |
| Rate for Payer: Aetna Commercial |
$468.18
|
| Rate for Payer: ASR ASR |
$504.59
|
| Rate for Payer: BCBS Trust/PPO |
$427.19
|
| Rate for Payer: BCN Commercial |
$427.19
|
| Rate for Payer: Cash Price |
$416.16
|
| Rate for Payer: Cofinity Commercial |
$488.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.16
|
| Rate for Payer: Healthscope Commercial |
$504.59
|
| Rate for Payer: Healthscope Whirlpool |
$520.20
|
| Rate for Payer: Mclaren Commercial |
$468.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.17
|
| Rate for Payer: Nomi Health Commercial |
$426.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$457.78
|
|
|
HC ANORECTAL MANOMETRY
|
Facility
|
OP
|
$1,061.43
|
|
| Hospital Charge Code |
75000002
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$392.73 |
| Max. Negotiated Rate |
$1,061.43 |
| Rate for Payer: Aetna Commercial |
$955.29
|
| Rate for Payer: Aetna Medicare |
$392.73
|
| Rate for Payer: ASR ASR |
$1,029.59
|
| Rate for Payer: BCBS Complete |
$424.57
|
| Rate for Payer: BCBS Trust/PPO |
$875.15
|
| Rate for Payer: BCN Commercial |
$875.15
|
| Rate for Payer: Cash Price |
$849.14
|
| Rate for Payer: Cofinity Commercial |
$997.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$849.14
|
| Rate for Payer: Healthscope Commercial |
$1,029.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,061.43
|
| Rate for Payer: Mclaren Commercial |
$955.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$849.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$902.22
|
| Rate for Payer: Nomi Health Commercial |
$870.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$796.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$930.02
|
| Rate for Payer: Priority Health Narrow Network |
$744.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$934.06
|
|
|
HC ANORECTAL MANOMETRY
|
Facility
|
IP
|
$1,061.43
|
|
| Hospital Charge Code |
75000002
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$796.07 |
| Max. Negotiated Rate |
$1,061.43 |
| Rate for Payer: Aetna Commercial |
$955.29
|
| Rate for Payer: ASR ASR |
$1,029.59
|
| Rate for Payer: BCBS Trust/PPO |
$871.65
|
| Rate for Payer: BCN Commercial |
$871.65
|
| Rate for Payer: Cash Price |
$849.14
|
| Rate for Payer: Cofinity Commercial |
$997.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$849.14
|
| Rate for Payer: Healthscope Commercial |
$1,029.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,061.43
|
| Rate for Payer: Mclaren Commercial |
$955.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$902.22
|
| Rate for Payer: Nomi Health Commercial |
$870.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$796.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$934.06
|
|
|
HC ANOSCOPY
|
Facility
|
OP
|
$166.18
|
|
| Hospital Charge Code |
36000005
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$61.49 |
| Max. Negotiated Rate |
$166.18 |
| Rate for Payer: Aetna Commercial |
$149.56
|
| Rate for Payer: Aetna Medicare |
$61.49
|
| Rate for Payer: ASR ASR |
$161.19
|
| Rate for Payer: BCBS Complete |
$66.47
|
| Rate for Payer: BCBS Trust/PPO |
$137.02
|
| Rate for Payer: BCN Commercial |
$137.02
|
| Rate for Payer: Cash Price |
$132.94
|
| Rate for Payer: Cofinity Commercial |
$156.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$132.94
|
| Rate for Payer: Healthscope Commercial |
$161.19
|
| Rate for Payer: Healthscope Whirlpool |
$166.18
|
| Rate for Payer: Mclaren Commercial |
$149.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$132.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141.25
|
| Rate for Payer: Nomi Health Commercial |
$136.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$145.61
|
| Rate for Payer: Priority Health Narrow Network |
$116.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$146.24
|
|
|
HC ANOSCOPY
|
Facility
|
IP
|
$166.18
|
|
| Hospital Charge Code |
36000005
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$124.64 |
| Max. Negotiated Rate |
$166.18 |
| Rate for Payer: Aetna Commercial |
$149.56
|
| Rate for Payer: ASR ASR |
$161.19
|
| Rate for Payer: BCBS Trust/PPO |
$136.47
|
| Rate for Payer: BCN Commercial |
$136.47
|
| Rate for Payer: Cash Price |
$132.94
|
| Rate for Payer: Cofinity Commercial |
$156.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$132.94
|
| Rate for Payer: Healthscope Commercial |
$161.19
|
| Rate for Payer: Healthscope Whirlpool |
$166.18
|
| Rate for Payer: Mclaren Commercial |
$149.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141.25
|
| Rate for Payer: Nomi Health Commercial |
$136.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$146.24
|
|
|
HC ANOSCOPY DIAGNOSTIC
|
Facility
|
OP
|
$365.16
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
76100138
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$365.16 |
| Rate for Payer: Aetna Commercial |
$328.64
|
| Rate for Payer: Aetna Medicare |
$132.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: ASR ASR |
$354.21
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$301.07
|
| Rate for Payer: BCN Commercial |
$301.07
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$292.13
|
| Rate for Payer: Cash Price |
$292.13
|
| Rate for Payer: Cofinity Commercial |
$343.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$292.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$354.21
|
| Rate for Payer: Healthscope Whirlpool |
$365.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$132.57
|
| Rate for Payer: Mclaren Commercial |
$328.64
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$72.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310.39
|
| Rate for Payer: Nomi Health Commercial |
$299.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.87
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$145.83
|
| Rate for Payer: PHP Medicaid |
$71.06
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$111.37
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health Narrow Network |
$89.10
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$321.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$205.48
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP DNSP |
$132.57
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: VA VA |
$132.57
|
|
|
HC ANOSCOPY DIAGNOSTIC
|
Facility
|
IP
|
$365.16
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
76100138
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$273.87 |
| Max. Negotiated Rate |
$365.16 |
| Rate for Payer: Aetna Commercial |
$328.64
|
| Rate for Payer: ASR ASR |
$354.21
|
| Rate for Payer: BCBS Trust/PPO |
$299.87
|
| Rate for Payer: BCN Commercial |
$299.87
|
| Rate for Payer: Cash Price |
$292.13
|
| Rate for Payer: Cofinity Commercial |
$343.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$292.13
|
| Rate for Payer: Healthscope Commercial |
$354.21
|
| Rate for Payer: Healthscope Whirlpool |
$365.16
|
| Rate for Payer: Mclaren Commercial |
$328.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310.39
|
| Rate for Payer: Nomi Health Commercial |
$299.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$321.34
|
|
|
HC ANOSCOPY W/CONTROL BLEEDING
|
Facility
|
OP
|
$1,598.53
|
|
|
Service Code
|
CPT 46614
|
| Hospital Charge Code |
76100276
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$623.59 |
| Max. Negotiated Rate |
$1,848.13 |
| Rate for Payer: Aetna Commercial |
$1,438.68
|
| Rate for Payer: Aetna Medicare |
$1,192.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,490.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,490.42
|
| Rate for Payer: ASR ASR |
$1,550.57
|
| Rate for Payer: BCBS Complete |
$654.83
|
| Rate for Payer: BCBS MAPPO |
$1,192.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.99
|
| Rate for Payer: BCN Commercial |
$1,317.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,192.34
|
| Rate for Payer: Cash Price |
$1,278.82
|
| Rate for Payer: Cash Price |
$1,278.82
|
| Rate for Payer: Cofinity Commercial |
$1,502.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,278.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.34
|
| Rate for Payer: Healthscope Commercial |
$1,550.57
|
| Rate for Payer: Healthscope Whirlpool |
$1,598.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,192.34
|
| Rate for Payer: Mclaren Commercial |
$1,438.68
|
| Rate for Payer: Mclaren Medicaid |
$1,192.34
|
| Rate for Payer: Mclaren Medicare |
$1,192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,251.96
|
| Rate for Payer: Meridian Medicaid |
$654.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,371.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,311.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,358.75
|
| Rate for Payer: Nomi Health Commercial |
$1,310.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,198.90
|
| Rate for Payer: PACE Medicare |
$1,132.72
|
| Rate for Payer: PACE SWMI |
$1,192.34
|
| Rate for Payer: PHP Commercial |
$1,311.57
|
| Rate for Payer: PHP Medicaid |
$639.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,192.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,400.63
|
| Rate for Payer: Priority Health Medicare |
$1,192.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,120.57
|
| Rate for Payer: Railroad Medicare Medicare |
$1,192.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,406.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,192.34
|
| Rate for Payer: UHC Exchange |
$1,848.13
|
| Rate for Payer: UHC Medicaid |
$623.59
|
| Rate for Payer: UHCCP DNSP |
$1,192.34
|
| Rate for Payer: UHCCP Medicaid |
$623.59
|
| Rate for Payer: VA VA |
$1,192.34
|
|
|
HC ANOSCOPY W/CONTROL BLEEDING
|
Facility
|
IP
|
$1,598.53
|
|
|
Service Code
|
CPT 46614
|
| Hospital Charge Code |
76100276
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,198.90 |
| Max. Negotiated Rate |
$1,598.53 |
| Rate for Payer: Aetna Commercial |
$1,438.68
|
| Rate for Payer: ASR ASR |
$1,550.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,312.71
|
| Rate for Payer: BCN Commercial |
$1,312.71
|
| Rate for Payer: Cash Price |
$1,278.82
|
| Rate for Payer: Cofinity Commercial |
$1,502.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,278.82
|
| Rate for Payer: Healthscope Commercial |
$1,550.57
|
| Rate for Payer: Healthscope Whirlpool |
$1,598.53
|
| Rate for Payer: Mclaren Commercial |
$1,438.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,358.75
|
| Rate for Payer: Nomi Health Commercial |
$1,310.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,198.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,406.71
|
|
|
HC ANOSCOPY WITH DILATION
|
Facility
|
OP
|
$2,115.84
|
|
|
Service Code
|
CPT 46604
|
| Hospital Charge Code |
76100139
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$623.59 |
| Max. Negotiated Rate |
$2,115.84 |
| Rate for Payer: Aetna Commercial |
$1,904.26
|
| Rate for Payer: Aetna Medicare |
$1,192.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,490.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,490.42
|
| Rate for Payer: ASR ASR |
$2,052.36
|
| Rate for Payer: BCBS Complete |
$654.83
|
| Rate for Payer: BCBS MAPPO |
$1,192.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,744.51
|
| Rate for Payer: BCN Commercial |
$1,744.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,192.34
|
| Rate for Payer: Cash Price |
$1,692.67
|
| Rate for Payer: Cash Price |
$1,692.67
|
| Rate for Payer: Cofinity Commercial |
$1,988.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,692.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.34
|
| Rate for Payer: Healthscope Commercial |
$2,052.36
|
| Rate for Payer: Healthscope Whirlpool |
$2,115.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,192.34
|
| Rate for Payer: Mclaren Commercial |
$1,904.26
|
| Rate for Payer: Mclaren Medicaid |
$1,192.34
|
| Rate for Payer: Mclaren Medicare |
$1,192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,251.96
|
| Rate for Payer: Meridian Medicaid |
$654.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,371.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,311.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,798.46
|
| Rate for Payer: Nomi Health Commercial |
$1,734.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,586.88
|
| Rate for Payer: PACE Medicare |
$1,132.72
|
| Rate for Payer: PACE SWMI |
$1,192.34
|
| Rate for Payer: PHP Commercial |
$1,311.57
|
| Rate for Payer: PHP Medicaid |
$639.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,192.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,853.90
|
| Rate for Payer: Priority Health Medicare |
$1,192.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,483.20
|
| Rate for Payer: Railroad Medicare Medicare |
$1,192.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,861.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,192.34
|
| Rate for Payer: UHC Exchange |
$1,848.13
|
| Rate for Payer: UHC Medicaid |
$623.59
|
| Rate for Payer: UHCCP DNSP |
$1,192.34
|
| Rate for Payer: UHCCP Medicaid |
$623.59
|
| Rate for Payer: VA VA |
$1,192.34
|
|
|
HC ANOSCOPY WITH DILATION
|
Facility
|
IP
|
$2,115.84
|
|
|
Service Code
|
CPT 46604
|
| Hospital Charge Code |
76100139
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,586.88 |
| Max. Negotiated Rate |
$2,115.84 |
| Rate for Payer: Aetna Commercial |
$1,904.26
|
| Rate for Payer: ASR ASR |
$2,052.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,737.53
|
| Rate for Payer: BCN Commercial |
$1,737.53
|
| Rate for Payer: Cash Price |
$1,692.67
|
| Rate for Payer: Cofinity Commercial |
$1,988.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,692.67
|
| Rate for Payer: Healthscope Commercial |
$2,052.36
|
| Rate for Payer: Healthscope Whirlpool |
$2,115.84
|
| Rate for Payer: Mclaren Commercial |
$1,904.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,798.46
|
| Rate for Payer: Nomi Health Commercial |
$1,734.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,586.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,861.94
|
|
