|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,253.34
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$940.00 |
| Max. Negotiated Rate |
$1,253.34 |
| Rate for Payer: Aetna Commercial |
$1,128.01
|
| Rate for Payer: ASR ASR |
$1,215.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,029.24
|
| Rate for Payer: BCN Commercial |
$1,029.24
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cofinity Commercial |
$1,178.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.67
|
| Rate for Payer: Healthscope Commercial |
$1,215.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,253.34
|
| Rate for Payer: Mclaren Commercial |
$1,128.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.34
|
| Rate for Payer: Nomi Health Commercial |
$1,027.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,102.94
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,253.34
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,253.34 |
| Rate for Payer: Aetna Commercial |
$1,128.01
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$1,215.74
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.38
|
| Rate for Payer: BCN Commercial |
$1,033.38
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cash Price |
$1,002.67
|
| Rate for Payer: Cofinity Commercial |
$1,178.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,215.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,253.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$1,128.01
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.34
|
| Rate for Payer: Nomi Health Commercial |
$1,027.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.00
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,098.18
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$878.59
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,102.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
IP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$872.93 |
| Max. Negotiated Rate |
$1,163.91 |
| Rate for Payer: Aetna Commercial |
$1,047.52
|
| Rate for Payer: ASR ASR |
$1,128.99
|
| Rate for Payer: BCBS Trust/PPO |
$955.80
|
| Rate for Payer: BCN Commercial |
$955.80
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Commercial |
$1,094.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Healthscope Commercial |
$1,128.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,163.91
|
| Rate for Payer: Mclaren Commercial |
$1,047.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Nomi Health Commercial |
$954.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,024.24
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,163.91
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,163.91 |
| Rate for Payer: Aetna Commercial |
$1,047.52
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$1,128.99
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$959.64
|
| Rate for Payer: BCN Commercial |
$959.64
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cash Price |
$931.13
|
| Rate for Payer: Cofinity Commercial |
$1,094.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$931.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,128.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,163.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$1,047.52
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$989.32
|
| Rate for Payer: Nomi Health Commercial |
$954.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$872.93
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,019.82
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$815.90
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,024.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$474.07 |
| Rate for Payer: Aetna Commercial |
$299.76
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$323.08
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$274.62
|
| Rate for Payer: BCN Commercial |
$274.62
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Commercial |
$313.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$323.08
|
| Rate for Payer: Healthscope Whirlpool |
$333.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$299.76
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Nomi Health Commercial |
$273.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$445.48
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$356.39
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$333.07
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$249.80 |
| Max. Negotiated Rate |
$333.07 |
| Rate for Payer: Aetna Commercial |
$299.76
|
| Rate for Payer: ASR ASR |
$323.08
|
| Rate for Payer: BCBS Trust/PPO |
$273.52
|
| Rate for Payer: BCN Commercial |
$273.52
|
| Rate for Payer: Cash Price |
$266.46
|
| Rate for Payer: Cofinity Commercial |
$313.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.46
|
| Rate for Payer: Healthscope Commercial |
$323.08
|
| Rate for Payer: Healthscope Whirlpool |
$333.07
|
| Rate for Payer: Mclaren Commercial |
$299.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.11
|
| Rate for Payer: Nomi Health Commercial |
$273.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.10
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$904.55 |
| Max. Negotiated Rate |
$1,206.07 |
| Rate for Payer: Aetna Commercial |
$1,085.46
|
| Rate for Payer: ASR ASR |
$1,169.89
|
| Rate for Payer: BCBS Trust/PPO |
$990.42
|
| Rate for Payer: BCN Commercial |
$990.42
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Commercial |
$1,133.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Healthscope Commercial |
$1,169.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,206.07
|
| Rate for Payer: Mclaren Commercial |
$1,085.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Nomi Health Commercial |
$988.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,061.34
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,206.07
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,206.07 |
| Rate for Payer: Aetna Commercial |
$1,085.46
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$1,169.89
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$994.40
|
| Rate for Payer: BCN Commercial |
$994.40
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cash Price |
$964.86
|
| Rate for Payer: Cofinity Commercial |
$1,133.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$1,169.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,206.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$1,085.46
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.16
|
| Rate for Payer: Nomi Health Commercial |
$988.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$904.55
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,056.76
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$845.46
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,061.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$1,024.65 |
| Rate for Payer: Aetna Commercial |
$922.18
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$993.91
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$844.82
|
| Rate for Payer: BCN Commercial |
$844.82
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Commercial |
$963.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$993.91
|
| Rate for Payer: Healthscope Whirlpool |
$1,024.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$922.18
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Nomi Health Commercial |
$840.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$897.80
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$718.28
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$901.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$1,024.65
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$768.49 |
| Max. Negotiated Rate |
$1,024.65 |
| Rate for Payer: Aetna Commercial |
$922.18
|
| Rate for Payer: ASR ASR |
$993.91
|
| Rate for Payer: BCBS Trust/PPO |
$841.44
|
| Rate for Payer: BCN Commercial |
$841.44
|
| Rate for Payer: Cash Price |
$819.72
|
| Rate for Payer: Cofinity Commercial |
$963.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.72
|
| Rate for Payer: Healthscope Commercial |
$993.91
|
| Rate for Payer: Healthscope Whirlpool |
$1,024.65
|
| Rate for Payer: Mclaren Commercial |
$922.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.95
|
| Rate for Payer: Nomi Health Commercial |
$840.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$768.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$901.69
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
IP
|
$956.46
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$717.35 |
| Max. Negotiated Rate |
$956.46 |
| Rate for Payer: Aetna Commercial |
$860.81
|
| Rate for Payer: ASR ASR |
$927.77
|
| Rate for Payer: BCBS Trust/PPO |
$785.44
|
| Rate for Payer: BCN Commercial |
$785.44
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cofinity Commercial |
$899.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$765.17
|
| Rate for Payer: Healthscope Commercial |
$927.77
|
| Rate for Payer: Healthscope Whirlpool |
$956.46
|
| Rate for Payer: Mclaren Commercial |
$860.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$812.99
|
| Rate for Payer: Nomi Health Commercial |
$784.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$717.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$841.68
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
OP
|
$956.46
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$353.89 |
| Max. Negotiated Rate |
$1,265.02 |
| Rate for Payer: Aetna Commercial |
$860.81
|
| Rate for Payer: Aetna Medicare |
$353.89
|
| Rate for Payer: ASR ASR |
$927.77
|
| Rate for Payer: BCBS Complete |
$382.58
|
| Rate for Payer: BCBS Trust/PPO |
$788.60
|
| Rate for Payer: BCN Commercial |
$788.60
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cash Price |
$765.17
|
| Rate for Payer: Cofinity Commercial |
$899.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$765.17
|
| Rate for Payer: Healthscope Commercial |
$927.77
|
| Rate for Payer: Healthscope Whirlpool |
$956.46
|
| Rate for Payer: Mclaren Commercial |
$860.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$765.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$812.99
|
| Rate for Payer: Nomi Health Commercial |
$784.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$717.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,265.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,012.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$841.68
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
OP
|
$1,090.19
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$403.37 |
| Max. Negotiated Rate |
$1,265.02 |
| Rate for Payer: Aetna Commercial |
$981.17
|
| Rate for Payer: Aetna Medicare |
$403.37
|
| Rate for Payer: ASR ASR |
$1,057.48
|
| Rate for Payer: BCBS Complete |
$436.08
|
| Rate for Payer: BCBS Trust/PPO |
$898.86
|
| Rate for Payer: BCN Commercial |
$898.86
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cofinity Commercial |
$1,024.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.15
|
| Rate for Payer: Healthscope Commercial |
$1,057.48
|
| Rate for Payer: Healthscope Whirlpool |
$1,090.19
|
| Rate for Payer: Mclaren Commercial |
$981.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$872.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$926.66
|
| Rate for Payer: Nomi Health Commercial |
$893.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,265.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,012.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$959.37
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
IP
|
$1,090.19
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$817.64 |
| Max. Negotiated Rate |
$1,090.19 |
| Rate for Payer: Aetna Commercial |
$981.17
|
| Rate for Payer: ASR ASR |
$1,057.48
|
| Rate for Payer: BCBS Trust/PPO |
$895.26
|
| Rate for Payer: BCN Commercial |
$895.26
|
| Rate for Payer: Cash Price |
$872.15
|
| Rate for Payer: Cofinity Commercial |
$1,024.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.15
|
| Rate for Payer: Healthscope Commercial |
$1,057.48
|
| Rate for Payer: Healthscope Whirlpool |
$1,090.19
|
| Rate for Payer: Mclaren Commercial |
$981.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$926.66
|
| Rate for Payer: Nomi Health Commercial |
$893.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$959.37
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
OP
|
$1,853.20
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,299.09 |
| Max. Negotiated Rate |
$5,053.36 |
| Rate for Payer: Aetna Commercial |
$1,667.88
|
| Rate for Payer: Aetna Medicare |
$3,260.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: ASR ASR |
$1,797.60
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,527.96
|
| Rate for Payer: BCN Commercial |
$1,527.96
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cofinity Commercial |
$1,742.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,482.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$1,797.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,853.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,260.23
|
| Rate for Payer: Mclaren Commercial |
$1,667.88
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$1,790.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,575.22
|
| Rate for Payer: Nomi Health Commercial |
$1,519.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,389.90
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$3,586.25
|
| Rate for Payer: PHP Medicaid |
$1,747.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,623.77
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,299.09
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,630.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$5,053.36
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP DNSP |
$3,260.23
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: VA VA |
$3,260.23
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
IP
|
$1,853.20
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,389.90 |
| Max. Negotiated Rate |
$1,853.20 |
| Rate for Payer: Aetna Commercial |
$1,667.88
|
| Rate for Payer: ASR ASR |
$1,797.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,521.85
|
| Rate for Payer: BCN Commercial |
$1,521.85
|
| Rate for Payer: Cash Price |
$1,482.56
|
| Rate for Payer: Cofinity Commercial |
$1,742.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,482.56
|
| Rate for Payer: Healthscope Commercial |
$1,797.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,853.20
|
| Rate for Payer: Mclaren Commercial |
$1,667.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,575.22
|
| Rate for Payer: Nomi Health Commercial |
$1,519.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,389.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,630.82
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
IP
|
$4,178.93
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,134.20 |
| Max. Negotiated Rate |
$4,178.93 |
| Rate for Payer: Aetna Commercial |
$3,761.04
|
| Rate for Payer: ASR ASR |
$4,053.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,431.74
|
| Rate for Payer: BCN Commercial |
$3,431.74
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cofinity Commercial |
$3,928.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,343.14
|
| Rate for Payer: Healthscope Commercial |
$4,053.56
|
| Rate for Payer: Healthscope Whirlpool |
$4,178.93
|
| Rate for Payer: Mclaren Commercial |
$3,761.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,552.09
|
| Rate for Payer: Nomi Health Commercial |
$3,426.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,134.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,677.46
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
OP
|
$4,178.93
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$837.96 |
| Max. Negotiated Rate |
$4,178.93 |
| Rate for Payer: Aetna Commercial |
$3,761.04
|
| Rate for Payer: Aetna Medicare |
$1,602.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,002.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,002.76
|
| Rate for Payer: ASR ASR |
$4,053.56
|
| Rate for Payer: BCBS Complete |
$879.93
|
| Rate for Payer: BCBS MAPPO |
$1,602.21
|
| Rate for Payer: BCBS Trust/PPO |
$3,445.53
|
| Rate for Payer: BCN Commercial |
$3,445.53
|
| Rate for Payer: BCN Medicare Advantage |
$1,602.21
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cash Price |
$3,343.14
|
| Rate for Payer: Cofinity Commercial |
$3,928.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,343.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,602.21
|
| Rate for Payer: Healthscope Commercial |
$4,053.56
|
| Rate for Payer: Healthscope Whirlpool |
$4,178.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,602.21
|
| Rate for Payer: Mclaren Commercial |
$3,761.04
|
| Rate for Payer: Mclaren Medicaid |
$1,602.21
|
| Rate for Payer: Mclaren Medicare |
$1,602.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,682.32
|
| Rate for Payer: Meridian Medicaid |
$879.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,842.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,762.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,552.09
|
| Rate for Payer: Nomi Health Commercial |
$3,426.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,134.20
|
| Rate for Payer: PACE Medicare |
$1,522.10
|
| Rate for Payer: PACE SWMI |
$1,602.21
|
| Rate for Payer: PHP Commercial |
$1,762.43
|
| Rate for Payer: PHP Medicaid |
$858.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,602.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$837.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,661.58
|
| Rate for Payer: Priority Health Medicare |
$1,602.21
|
| Rate for Payer: Priority Health Narrow Network |
$2,929.43
|
| Rate for Payer: Railroad Medicare Medicare |
$1,602.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,677.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,602.21
|
| Rate for Payer: UHC Exchange |
$2,483.43
|
| Rate for Payer: UHC Medicaid |
$837.96
|
| Rate for Payer: UHCCP DNSP |
$1,602.21
|
| Rate for Payer: UHCCP Medicaid |
$837.96
|
| Rate for Payer: VA VA |
$1,602.21
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
OP
|
$940.65
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$940.65 |
| Rate for Payer: Aetna Commercial |
$846.59
|
| Rate for Payer: Aetna Medicare |
$104.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: ASR ASR |
$912.43
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$775.57
|
| Rate for Payer: BCN Commercial |
$775.57
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$752.52
|
| Rate for Payer: Cash Price |
$752.52
|
| Rate for Payer: Cofinity Commercial |
$884.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$912.43
|
| Rate for Payer: Healthscope Whirlpool |
$940.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$104.17
|
| Rate for Payer: Mclaren Commercial |
$846.59
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$57.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.55
|
| Rate for Payer: Nomi Health Commercial |
$771.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.49
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$114.59
|
| Rate for Payer: PHP Medicaid |
$55.84
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$824.20
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health Narrow Network |
$659.40
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$827.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$161.46
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP DNSP |
$104.17
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$104.17
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
IP
|
$940.65
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$705.49 |
| Max. Negotiated Rate |
$940.65 |
| Rate for Payer: Aetna Commercial |
$846.59
|
| Rate for Payer: ASR ASR |
$912.43
|
| Rate for Payer: BCBS Trust/PPO |
$772.46
|
| Rate for Payer: BCN Commercial |
$772.46
|
| Rate for Payer: Cash Price |
$752.52
|
| Rate for Payer: Cofinity Commercial |
$884.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.52
|
| Rate for Payer: Healthscope Commercial |
$912.43
|
| Rate for Payer: Healthscope Whirlpool |
$940.65
|
| Rate for Payer: Mclaren Commercial |
$846.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.55
|
| Rate for Payer: Nomi Health Commercial |
$771.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$827.77
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
OP
|
$771.48
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$771.48 |
| Rate for Payer: Aetna Commercial |
$694.33
|
| Rate for Payer: Aetna Medicare |
$104.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: ASR ASR |
$748.34
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$636.09
|
| Rate for Payer: BCN Commercial |
$636.09
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$617.18
|
| Rate for Payer: Cash Price |
$617.18
|
| Rate for Payer: Cofinity Commercial |
$725.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$617.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$748.34
|
| Rate for Payer: Healthscope Whirlpool |
$771.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$104.17
|
| Rate for Payer: Mclaren Commercial |
$694.33
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$57.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.76
|
| Rate for Payer: Nomi Health Commercial |
$632.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$578.61
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$114.59
|
| Rate for Payer: PHP Medicaid |
$55.84
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$675.97
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health Narrow Network |
$540.81
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$678.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$161.46
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP DNSP |
$104.17
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$104.17
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
IP
|
$771.48
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$578.61 |
| Max. Negotiated Rate |
$771.48 |
| Rate for Payer: Aetna Commercial |
$694.33
|
| Rate for Payer: ASR ASR |
$748.34
|
| Rate for Payer: BCBS Trust/PPO |
$633.54
|
| Rate for Payer: BCN Commercial |
$633.54
|
| Rate for Payer: Cash Price |
$617.18
|
| Rate for Payer: Cofinity Commercial |
$725.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$617.18
|
| Rate for Payer: Healthscope Commercial |
$748.34
|
| Rate for Payer: Healthscope Whirlpool |
$771.48
|
| Rate for Payer: Mclaren Commercial |
$694.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.76
|
| Rate for Payer: Nomi Health Commercial |
$632.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$578.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$678.90
|
|
|
HC ART&VEN TRANSCATH THROMBOLYSIS
|
Facility
|
IP
|
$4,737.42
|
|
|
Service Code
|
CPT 37213
|
| Hospital Charge Code |
36100373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,553.07 |
| Max. Negotiated Rate |
$4,737.42 |
| Rate for Payer: Aetna Commercial |
$4,263.68
|
| Rate for Payer: ASR ASR |
$4,595.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,890.37
|
| Rate for Payer: BCN Commercial |
$3,890.37
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cofinity Commercial |
$4,453.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,789.94
|
| Rate for Payer: Healthscope Commercial |
$4,595.30
|
| Rate for Payer: Healthscope Whirlpool |
$4,737.42
|
| Rate for Payer: Mclaren Commercial |
$4,263.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,026.81
|
| Rate for Payer: Nomi Health Commercial |
$3,884.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,553.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,168.93
|
|
|
HC ART&VEN TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$4,737.42
|
|
|
Service Code
|
CPT 37213
|
| Hospital Charge Code |
36100373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,645.43 |
| Max. Negotiated Rate |
$4,876.50 |
| Rate for Payer: Aetna Commercial |
$4,263.68
|
| Rate for Payer: Aetna Medicare |
$3,146.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: ASR ASR |
$4,595.30
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,906.00
|
| Rate for Payer: BCN Commercial |
$3,906.00
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cash Price |
$3,789.94
|
| Rate for Payer: Cofinity Commercial |
$4,453.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,789.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$4,595.30
|
| Rate for Payer: Healthscope Whirlpool |
$4,737.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,146.13
|
| Rate for Payer: Mclaren Commercial |
$4,263.68
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$1,727.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,026.81
|
| Rate for Payer: Nomi Health Commercial |
$3,884.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,553.07
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,460.74
|
| Rate for Payer: PHP Medicaid |
$1,686.33
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,214.11
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,771.29
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,168.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$4,876.50
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP DNSP |
$3,146.13
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC ASCLERA 1%
|
Facility
|
OP
|
$33.90
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600285
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.54 |
| Max. Negotiated Rate |
$33.90 |
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: Aetna Medicare |
$12.54
|
| Rate for Payer: ASR ASR |
$32.88
|
| Rate for Payer: BCBS Complete |
$13.56
|
| Rate for Payer: BCBS Trust/PPO |
$27.95
|
| Rate for Payer: BCN Commercial |
$27.95
|
| Rate for Payer: Cash Price |
$27.12
|
| Rate for Payer: Cofinity Commercial |
$31.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.12
|
| Rate for Payer: Healthscope Commercial |
$32.88
|
| Rate for Payer: Healthscope Whirlpool |
$33.90
|
| Rate for Payer: Mclaren Commercial |
$30.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.82
|
| Rate for Payer: Nomi Health Commercial |
$27.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$29.70
|
| Rate for Payer: Priority Health Narrow Network |
$23.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.83
|
|
