|
HC BIOPSY BONE SUPERFICIAL
|
Facility
|
IP
|
$2,223.02
|
|
|
Service Code
|
CPT 20220
|
| Hospital Charge Code |
36100018
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,667.27 |
| Max. Negotiated Rate |
$2,223.02 |
| Rate for Payer: Aetna Commercial |
$2,000.72
|
| Rate for Payer: ASR ASR |
$2,156.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,825.54
|
| Rate for Payer: BCN Commercial |
$1,825.54
|
| Rate for Payer: Cash Price |
$1,778.42
|
| Rate for Payer: Cofinity Commercial |
$2,089.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,778.42
|
| Rate for Payer: Healthscope Commercial |
$2,156.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,223.02
|
| Rate for Payer: Mclaren Commercial |
$2,000.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,889.57
|
| Rate for Payer: Nomi Health Commercial |
$1,822.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,667.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,956.26
|
|
|
HC BIOPSY BONE SUPERFICIAL
|
Facility
|
OP
|
$2,223.02
|
|
|
Service Code
|
CPT 20220
|
| Hospital Charge Code |
36100018
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$2,000.72
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$2,156.33
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,832.88
|
| Rate for Payer: BCN Commercial |
$1,832.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,778.42
|
| Rate for Payer: Cash Price |
$1,778.42
|
| Rate for Payer: Cofinity Commercial |
$2,089.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,778.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,156.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,223.02
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$2,000.72
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,889.57
|
| Rate for Payer: Nomi Health Commercial |
$1,822.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,667.27
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,416.35
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,133.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,956.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BIOPSY BREAST OPEN INCISIONAL
|
Facility
|
OP
|
$4,660.75
|
|
|
Service Code
|
CPT 19101
|
| Hospital Charge Code |
76100558
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$311.32 |
| Max. Negotiated Rate |
$6,047.09 |
| Rate for Payer: Aetna Commercial |
$4,194.68
|
| Rate for Payer: Aetna Medicare |
$3,901.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,876.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,876.69
|
| Rate for Payer: ASR ASR |
$4,520.93
|
| Rate for Payer: BCBS Complete |
$2,142.62
|
| Rate for Payer: BCBS MAPPO |
$3,901.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,842.79
|
| Rate for Payer: BCCCP Commercial |
$311.32
|
| Rate for Payer: BCN Commercial |
$3,842.79
|
| Rate for Payer: BCN Medicare Advantage |
$3,901.35
|
| Rate for Payer: Cash Price |
$3,728.60
|
| Rate for Payer: Cash Price |
$3,728.60
|
| Rate for Payer: Cofinity Commercial |
$4,381.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,728.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,901.35
|
| Rate for Payer: Healthscope Commercial |
$4,520.93
|
| Rate for Payer: Healthscope Whirlpool |
$4,660.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,901.35
|
| Rate for Payer: Mclaren Commercial |
$4,194.68
|
| Rate for Payer: Mclaren Medicaid |
$3,901.35
|
| Rate for Payer: Mclaren Medicare |
$3,901.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,096.42
|
| Rate for Payer: Meridian Medicaid |
$2,142.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,486.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,291.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,961.64
|
| Rate for Payer: Nomi Health Commercial |
$3,821.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,495.56
|
| Rate for Payer: PACE Medicare |
$3,706.28
|
| Rate for Payer: PACE SWMI |
$3,901.35
|
| Rate for Payer: PHP Commercial |
$4,291.48
|
| Rate for Payer: PHP Medicaid |
$2,091.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,901.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,040.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,267.20
|
| Rate for Payer: Priority Health Medicare |
$3,901.35
|
| Rate for Payer: Priority Health Narrow Network |
$3,413.76
|
| Rate for Payer: Railroad Medicare Medicare |
$3,901.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,101.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,901.35
|
| Rate for Payer: UHC Exchange |
$6,047.09
|
| Rate for Payer: UHC Medicaid |
$2,040.41
|
| Rate for Payer: UHCCP DNSP |
$3,901.35
|
| Rate for Payer: UHCCP Medicaid |
$2,040.41
|
| Rate for Payer: VA VA |
$3,901.35
|
|
|
HC BIOPSY BREAST OPEN INCISIONAL
|
Facility
|
IP
|
$4,660.75
|
|
|
Service Code
|
CPT 19101
|
| Hospital Charge Code |
76100558
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,495.56 |
| Max. Negotiated Rate |
$4,660.75 |
| Rate for Payer: Aetna Commercial |
$4,194.68
|
| Rate for Payer: ASR ASR |
$4,520.93
|
| Rate for Payer: BCBS Trust/PPO |
$3,827.41
|
| Rate for Payer: BCN Commercial |
$3,827.41
|
| Rate for Payer: Cash Price |
$3,728.60
|
| Rate for Payer: Cofinity Commercial |
$4,381.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,728.60
|
| Rate for Payer: Healthscope Commercial |
$4,520.93
|
| Rate for Payer: Healthscope Whirlpool |
$4,660.75
|
| Rate for Payer: Mclaren Commercial |
$4,194.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,961.64
|
| Rate for Payer: Nomi Health Commercial |
$3,821.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,495.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,101.46
|
|
|
HC BIOPSY CERVIX
|
Facility
|
OP
|
$689.79
|
|
|
Service Code
|
CPT 57500
|
| Hospital Charge Code |
76100070
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$479.98 |
| Max. Negotiated Rate |
$1,422.50 |
| Rate for Payer: Aetna Commercial |
$620.81
|
| Rate for Payer: Aetna Medicare |
$917.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,147.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,147.17
|
| Rate for Payer: ASR ASR |
$669.10
|
| Rate for Payer: BCBS Complete |
$504.02
|
| Rate for Payer: BCBS MAPPO |
$917.74
|
| Rate for Payer: BCBS Trust/PPO |
$568.73
|
| Rate for Payer: BCN Commercial |
$568.73
|
| Rate for Payer: BCN Medicare Advantage |
$917.74
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Commercial |
$648.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$669.10
|
| Rate for Payer: Healthscope Whirlpool |
$689.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$917.74
|
| Rate for Payer: Mclaren Commercial |
$620.81
|
| Rate for Payer: Mclaren Medicaid |
$917.74
|
| Rate for Payer: Mclaren Medicare |
$917.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$963.63
|
| Rate for Payer: Meridian Medicaid |
$504.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,055.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,009.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Nomi Health Commercial |
$565.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$1,009.51
|
| Rate for Payer: PHP Medicaid |
$491.91
|
| Rate for Payer: PHP Medicare Advantage |
$917.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$604.39
|
| Rate for Payer: Priority Health Medicare |
$917.74
|
| Rate for Payer: Priority Health Narrow Network |
$483.54
|
| Rate for Payer: Railroad Medicare Medicare |
$917.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$1,422.50
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP DNSP |
$917.74
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: VA VA |
$917.74
|
|
|
HC BIOPSY CERVIX
|
Facility
|
IP
|
$689.79
|
|
|
Service Code
|
CPT 57500
|
| Hospital Charge Code |
76100070
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$517.34 |
| Max. Negotiated Rate |
$689.79 |
| Rate for Payer: Aetna Commercial |
$620.81
|
| Rate for Payer: ASR ASR |
$669.10
|
| Rate for Payer: BCBS Trust/PPO |
$566.46
|
| Rate for Payer: BCN Commercial |
$566.46
|
| Rate for Payer: Cash Price |
$551.83
|
| Rate for Payer: Cofinity Commercial |
$648.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.83
|
| Rate for Payer: Healthscope Commercial |
$669.10
|
| Rate for Payer: Healthscope Whirlpool |
$689.79
|
| Rate for Payer: Mclaren Commercial |
$620.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.32
|
| Rate for Payer: Nomi Health Commercial |
$565.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.02
|
|
|
HC BIOPSY/EXCISION LYMPH NODE, OPEN SUPERFICIAL
|
Facility
|
IP
|
$7,660.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
76100535
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,745.00 |
| Max. Negotiated Rate |
$7,660.00 |
| Rate for Payer: Aetna Commercial |
$6,894.00
|
| Rate for Payer: ASR ASR |
$7,430.20
|
| Rate for Payer: BCBS Trust/PPO |
$6,290.39
|
| Rate for Payer: BCN Commercial |
$6,290.39
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cofinity Commercial |
$7,200.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,128.00
|
| Rate for Payer: Healthscope Commercial |
$7,430.20
|
| Rate for Payer: Healthscope Whirlpool |
$7,660.00
|
| Rate for Payer: Mclaren Commercial |
$6,894.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,511.00
|
| Rate for Payer: Nomi Health Commercial |
$6,281.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,745.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,740.80
|
|
|
HC BIOPSY/EXCISION LYMPH NODE, OPEN SUPERFICIAL
|
Facility
|
OP
|
$7,660.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
76100535
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,040.41 |
| Max. Negotiated Rate |
$7,660.00 |
| Rate for Payer: Aetna Commercial |
$6,894.00
|
| Rate for Payer: Aetna Medicare |
$3,901.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,876.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,876.69
|
| Rate for Payer: ASR ASR |
$7,430.20
|
| Rate for Payer: BCBS Complete |
$2,142.62
|
| Rate for Payer: BCBS MAPPO |
$3,901.35
|
| Rate for Payer: BCBS Trust/PPO |
$6,315.67
|
| Rate for Payer: BCN Commercial |
$6,315.67
|
| Rate for Payer: BCN Medicare Advantage |
$3,901.35
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cash Price |
$6,128.00
|
| Rate for Payer: Cofinity Commercial |
$7,200.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,128.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,901.35
|
| Rate for Payer: Healthscope Commercial |
$7,430.20
|
| Rate for Payer: Healthscope Whirlpool |
$7,660.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,901.35
|
| Rate for Payer: Mclaren Commercial |
$6,894.00
|
| Rate for Payer: Mclaren Medicaid |
$3,901.35
|
| Rate for Payer: Mclaren Medicare |
$3,901.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,096.42
|
| Rate for Payer: Meridian Medicaid |
$2,142.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,486.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,291.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,511.00
|
| Rate for Payer: Nomi Health Commercial |
$6,281.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,745.00
|
| Rate for Payer: PACE Medicare |
$3,706.28
|
| Rate for Payer: PACE SWMI |
$3,901.35
|
| Rate for Payer: PHP Commercial |
$4,291.48
|
| Rate for Payer: PHP Medicaid |
$2,091.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,901.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,040.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,178.84
|
| Rate for Payer: Priority Health Medicare |
$3,901.35
|
| Rate for Payer: Priority Health Narrow Network |
$3,343.07
|
| Rate for Payer: Railroad Medicare Medicare |
$3,901.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,740.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,901.35
|
| Rate for Payer: UHC Exchange |
$6,047.09
|
| Rate for Payer: UHC Medicaid |
$2,040.41
|
| Rate for Payer: UHCCP DNSP |
$3,901.35
|
| Rate for Payer: UHCCP Medicaid |
$2,040.41
|
| Rate for Payer: VA VA |
$3,901.35
|
|
|
HC BIOPSY EXTERNAL AUDITORY CANAL
|
Facility
|
IP
|
$4,096.05
|
|
|
Service Code
|
CPT 69105
|
| Hospital Charge Code |
76100480
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,072.04 |
| Max. Negotiated Rate |
$4,096.05 |
| Rate for Payer: Aetna Commercial |
$3,686.45
|
| Rate for Payer: Aetna Commercial |
$5,529.67
|
| Rate for Payer: ASR ASR |
$3,973.17
|
| Rate for Payer: ASR ASR |
$5,959.76
|
| Rate for Payer: BCBS Trust/PPO |
$3,363.68
|
| Rate for Payer: BCBS Trust/PPO |
$5,045.52
|
| Rate for Payer: BCN Commercial |
$3,363.68
|
| Rate for Payer: BCN Commercial |
$5,045.52
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cofinity Commercial |
$5,775.44
|
| Rate for Payer: Cofinity Commercial |
$3,850.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,276.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,915.26
|
| Rate for Payer: Healthscope Commercial |
$3,973.17
|
| Rate for Payer: Healthscope Commercial |
$5,959.76
|
| Rate for Payer: Healthscope Whirlpool |
$6,144.08
|
| Rate for Payer: Healthscope Whirlpool |
$4,096.05
|
| Rate for Payer: Mclaren Commercial |
$5,529.67
|
| Rate for Payer: Mclaren Commercial |
$3,686.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,222.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,481.64
|
| Rate for Payer: Nomi Health Commercial |
$5,038.15
|
| Rate for Payer: Nomi Health Commercial |
$3,358.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,072.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,608.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,406.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,604.52
|
|
|
HC BIOPSY EXTERNAL AUDITORY CANAL
|
Facility
|
OP
|
$4,096.05
|
|
|
Service Code
|
CPT 69105
|
| Hospital Charge Code |
76100480
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$808.56 |
| Max. Negotiated Rate |
$4,096.05 |
| Rate for Payer: Aetna Commercial |
$3,686.45
|
| Rate for Payer: Aetna Commercial |
$5,529.67
|
| Rate for Payer: Aetna Medicare |
$1,546.00
|
| Rate for Payer: Aetna Medicare |
$1,546.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,932.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,932.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,932.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,932.50
|
| Rate for Payer: ASR ASR |
$5,959.76
|
| Rate for Payer: ASR ASR |
$3,973.17
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS Trust/PPO |
$5,065.79
|
| Rate for Payer: BCBS Trust/PPO |
$3,377.19
|
| Rate for Payer: BCN Commercial |
$3,377.19
|
| Rate for Payer: BCN Commercial |
$5,065.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cash Price |
$3,276.84
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cash Price |
$4,915.26
|
| Rate for Payer: Cofinity Commercial |
$3,850.29
|
| Rate for Payer: Cofinity Commercial |
$5,775.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,276.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,915.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Healthscope Commercial |
$3,973.17
|
| Rate for Payer: Healthscope Commercial |
$5,959.76
|
| Rate for Payer: Healthscope Whirlpool |
$6,144.08
|
| Rate for Payer: Healthscope Whirlpool |
$4,096.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,546.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,546.00
|
| Rate for Payer: Mclaren Commercial |
$5,529.67
|
| Rate for Payer: Mclaren Commercial |
$3,686.45
|
| Rate for Payer: Mclaren Medicaid |
$1,546.00
|
| Rate for Payer: Mclaren Medicaid |
$1,546.00
|
| Rate for Payer: Mclaren Medicare |
$1,546.00
|
| Rate for Payer: Mclaren Medicare |
$1,546.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.30
|
| Rate for Payer: Meridian Medicaid |
$849.06
|
| Rate for Payer: Meridian Medicaid |
$849.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,777.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,777.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,700.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,700.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,222.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,481.64
|
| Rate for Payer: Nomi Health Commercial |
$3,358.76
|
| Rate for Payer: Nomi Health Commercial |
$5,038.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,608.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,072.04
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PHP Commercial |
$1,700.60
|
| Rate for Payer: PHP Commercial |
$1,700.60
|
| Rate for Payer: PHP Medicaid |
$828.66
|
| Rate for Payer: PHP Medicaid |
$828.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,588.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,383.44
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,871.33
|
| Rate for Payer: Priority Health Narrow Network |
$4,307.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,604.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,406.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Exchange |
$2,396.30
|
| Rate for Payer: UHC Exchange |
$2,396.30
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHCCP DNSP |
$1,546.00
|
| Rate for Payer: UHCCP DNSP |
$1,546.00
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: VA VA |
$1,546.00
|
| Rate for Payer: VA VA |
$1,546.00
|
|
|
HC BIOPSY EXTERNAL EAR
|
Facility
|
IP
|
$398.50
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$298.88 |
| Max. Negotiated Rate |
$398.50 |
| Rate for Payer: Aetna Commercial |
$358.65
|
| Rate for Payer: ASR ASR |
$386.55
|
| Rate for Payer: BCBS Trust/PPO |
$327.25
|
| Rate for Payer: BCN Commercial |
$327.25
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Commercial |
$374.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Healthscope Commercial |
$386.55
|
| Rate for Payer: Healthscope Whirlpool |
$398.50
|
| Rate for Payer: Mclaren Commercial |
$358.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$326.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$350.68
|
|
|
HC BIOPSY EXTERNAL EAR
|
Facility
|
OP
|
$398.50
|
|
|
Service Code
|
CPT 69100
|
| Hospital Charge Code |
36100522
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$123.43 |
| Max. Negotiated Rate |
$782.96 |
| Rate for Payer: Aetna Commercial |
$358.65
|
| Rate for Payer: Aetna Medicare |
$236.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$295.00
|
| Rate for Payer: ASR ASR |
$386.55
|
| Rate for Payer: BCBS Complete |
$129.61
|
| Rate for Payer: BCBS MAPPO |
$236.00
|
| Rate for Payer: BCBS Trust/PPO |
$328.56
|
| Rate for Payer: BCN Commercial |
$328.56
|
| Rate for Payer: BCN Medicare Advantage |
$236.00
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Commercial |
$374.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.00
|
| Rate for Payer: Healthscope Commercial |
$386.55
|
| Rate for Payer: Healthscope Whirlpool |
$398.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.00
|
| Rate for Payer: Mclaren Commercial |
$358.65
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Mclaren Medicare |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.80
|
| Rate for Payer: Meridian Medicaid |
$129.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$326.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: PACE Medicare |
$224.20
|
| Rate for Payer: PACE SWMI |
$236.00
|
| Rate for Payer: PHP Commercial |
$259.60
|
| Rate for Payer: PHP Medicaid |
$126.50
|
| Rate for Payer: PHP Medicare Advantage |
$236.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$782.96
|
| Rate for Payer: Priority Health Medicare |
$236.00
|
| Rate for Payer: Priority Health Narrow Network |
$626.37
|
| Rate for Payer: Railroad Medicare Medicare |
$236.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$350.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.00
|
| Rate for Payer: UHC Exchange |
$365.80
|
| Rate for Payer: UHC Medicaid |
$123.43
|
| Rate for Payer: UHCCP DNSP |
$236.00
|
| Rate for Payer: UHCCP Medicaid |
$123.43
|
| Rate for Payer: VA VA |
$236.00
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
OP
|
$4,265.64
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$4,265.64 |
| Rate for Payer: Aetna Commercial |
$3,839.08
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$4,137.67
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,517.02
|
| Rate for Payer: BCN Commercial |
$3,517.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cofinity Commercial |
$4,009.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,412.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,137.67
|
| Rate for Payer: Healthscope Whirlpool |
$4,265.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,839.08
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,625.79
|
| Rate for Payer: Nomi Health Commercial |
$3,497.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,199.23
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,737.55
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$2,990.21
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,753.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BIOPSY FLOOR MOUTH
|
Facility
|
IP
|
$4,265.64
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,199.23 |
| Max. Negotiated Rate |
$4,265.64 |
| Rate for Payer: Aetna Commercial |
$3,839.08
|
| Rate for Payer: ASR ASR |
$4,137.67
|
| Rate for Payer: BCBS Trust/PPO |
$3,502.94
|
| Rate for Payer: BCN Commercial |
$3,502.94
|
| Rate for Payer: Cash Price |
$3,412.51
|
| Rate for Payer: Cofinity Commercial |
$4,009.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,412.51
|
| Rate for Payer: Healthscope Commercial |
$4,137.67
|
| Rate for Payer: Healthscope Whirlpool |
$4,265.64
|
| Rate for Payer: Mclaren Commercial |
$3,839.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,625.79
|
| Rate for Payer: Nomi Health Commercial |
$3,497.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,199.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,753.76
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$4,109.58
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$808.56 |
| Max. Negotiated Rate |
$4,109.58 |
| Rate for Payer: Aetna Commercial |
$3,698.62
|
| Rate for Payer: Aetna Medicare |
$1,546.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,932.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,932.50
|
| Rate for Payer: ASR ASR |
$3,986.29
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,388.35
|
| Rate for Payer: BCN Commercial |
$3,388.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Commercial |
$3,863.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Healthscope Commercial |
$3,986.29
|
| Rate for Payer: Healthscope Whirlpool |
$4,109.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,546.00
|
| Rate for Payer: Mclaren Commercial |
$3,698.62
|
| Rate for Payer: Mclaren Medicaid |
$1,546.00
|
| Rate for Payer: Mclaren Medicare |
$1,546.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.30
|
| Rate for Payer: Meridian Medicaid |
$849.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,777.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,700.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$3,369.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: PACE Medicare |
$1,468.70
|
| Rate for Payer: PACE SWMI |
$1,546.00
|
| Rate for Payer: PHP Commercial |
$1,700.60
|
| Rate for Payer: PHP Medicaid |
$828.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$808.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,600.81
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,880.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,616.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.00
|
| Rate for Payer: UHC Exchange |
$2,396.30
|
| Rate for Payer: UHC Medicaid |
$808.56
|
| Rate for Payer: UHCCP DNSP |
$1,546.00
|
| Rate for Payer: UHCCP Medicaid |
$808.56
|
| Rate for Payer: VA VA |
$1,546.00
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$4,109.58
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,082.18 |
| Max. Negotiated Rate |
$4,109.58 |
| Rate for Payer: Aetna Commercial |
$3,698.62
|
| Rate for Payer: ASR ASR |
$3,986.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,374.79
|
| Rate for Payer: BCN Commercial |
$3,374.79
|
| Rate for Payer: Cash Price |
$3,287.66
|
| Rate for Payer: Cofinity Commercial |
$3,863.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,287.66
|
| Rate for Payer: Healthscope Commercial |
$3,986.29
|
| Rate for Payer: Healthscope Whirlpool |
$4,109.58
|
| Rate for Payer: Mclaren Commercial |
$3,698.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,493.14
|
| Rate for Payer: Nomi Health Commercial |
$3,369.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,082.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,616.43
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,734.90
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,301.17 |
| Max. Negotiated Rate |
$1,734.90 |
| Rate for Payer: Aetna Commercial |
$1,561.41
|
| Rate for Payer: ASR ASR |
$1,682.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,424.70
|
| Rate for Payer: BCN Commercial |
$1,424.70
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cofinity Commercial |
$1,630.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,387.92
|
| Rate for Payer: Healthscope Commercial |
$1,682.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,734.90
|
| Rate for Payer: Mclaren Commercial |
$1,561.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,474.66
|
| Rate for Payer: Nomi Health Commercial |
$1,422.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,301.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,526.71
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,734.90
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$1,561.41
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$1,682.85
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,430.43
|
| Rate for Payer: BCN Commercial |
$1,430.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cash Price |
$1,387.92
|
| Rate for Payer: Cofinity Commercial |
$1,630.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,387.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,682.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,734.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,561.41
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,474.66
|
| Rate for Payer: Nomi Health Commercial |
$1,422.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,301.17
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,623.36
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,298.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,526.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,919.77
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,439.83 |
| Max. Negotiated Rate |
$1,919.77 |
| Rate for Payer: Aetna Commercial |
$1,727.79
|
| Rate for Payer: ASR ASR |
$1,862.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,576.52
|
| Rate for Payer: BCN Commercial |
$1,576.52
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cofinity Commercial |
$1,804.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,535.82
|
| Rate for Payer: Healthscope Commercial |
$1,862.18
|
| Rate for Payer: Healthscope Whirlpool |
$1,919.77
|
| Rate for Payer: Mclaren Commercial |
$1,727.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,631.80
|
| Rate for Payer: Nomi Health Commercial |
$1,574.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,689.40
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,919.77
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$162.67 |
| Max. Negotiated Rate |
$3,368.98 |
| Rate for Payer: Aetna Commercial |
$1,727.79
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$1,862.18
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.85
|
| Rate for Payer: BCCCP Commercial |
$162.67
|
| Rate for Payer: BCN Commercial |
$1,582.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cash Price |
$1,535.82
|
| Rate for Payer: Cofinity Commercial |
$1,804.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,535.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,862.18
|
| Rate for Payer: Healthscope Whirlpool |
$1,919.77
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,727.79
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,631.80
|
| Rate for Payer: Nomi Health Commercial |
$1,574.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,439.83
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,368.98
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$2,695.18
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,689.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,963.71
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$1,767.34
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$1,904.80
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,619.08
|
| Rate for Payer: BCN Commercial |
$1,619.08
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cofinity Commercial |
$1,845.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,904.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,963.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,767.34
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.15
|
| Rate for Payer: Nomi Health Commercial |
$1,610.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,472.78
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,357.03
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,085.62
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,728.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,963.71
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,472.78 |
| Max. Negotiated Rate |
$1,963.71 |
| Rate for Payer: Aetna Commercial |
$1,767.34
|
| Rate for Payer: ASR ASR |
$1,904.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.60
|
| Rate for Payer: BCN Commercial |
$1,612.60
|
| Rate for Payer: Cash Price |
$1,570.97
|
| Rate for Payer: Cofinity Commercial |
$1,845.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.97
|
| Rate for Payer: Healthscope Commercial |
$1,904.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,963.71
|
| Rate for Payer: Mclaren Commercial |
$1,767.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,669.15
|
| Rate for Payer: Nomi Health Commercial |
$1,610.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,472.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,728.06
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,245.28
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,683.96 |
| Max. Negotiated Rate |
$2,245.28 |
| Rate for Payer: Aetna Commercial |
$2,020.75
|
| Rate for Payer: ASR ASR |
$2,177.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,843.82
|
| Rate for Payer: BCN Commercial |
$1,843.82
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cofinity Commercial |
$2,110.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,796.22
|
| Rate for Payer: Healthscope Commercial |
$2,177.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,245.28
|
| Rate for Payer: Mclaren Commercial |
$2,020.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,908.49
|
| Rate for Payer: Nomi Health Commercial |
$1,841.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,975.85
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,245.28
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$2,020.75
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$2,177.92
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,851.23
|
| Rate for Payer: BCN Commercial |
$1,851.23
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cash Price |
$1,796.22
|
| Rate for Payer: Cofinity Commercial |
$2,110.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,796.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,177.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,245.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$2,020.75
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,908.49
|
| Rate for Payer: Nomi Health Commercial |
$1,841.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.96
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,967.31
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,573.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,975.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$676.26
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$123.43 |
| Max. Negotiated Rate |
$676.26 |
| Rate for Payer: Aetna Commercial |
$608.63
|
| Rate for Payer: Aetna Medicare |
$236.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$295.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$295.00
|
| Rate for Payer: ASR ASR |
$655.97
|
| Rate for Payer: BCBS Complete |
$129.61
|
| Rate for Payer: BCBS MAPPO |
$236.00
|
| Rate for Payer: BCBS Trust/PPO |
$557.58
|
| Rate for Payer: BCN Commercial |
$557.58
|
| Rate for Payer: BCN Medicare Advantage |
$236.00
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cash Price |
$541.01
|
| Rate for Payer: Cofinity Commercial |
$635.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$541.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.00
|
| Rate for Payer: Healthscope Commercial |
$655.97
|
| Rate for Payer: Healthscope Whirlpool |
$676.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.00
|
| Rate for Payer: Mclaren Commercial |
$608.63
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Mclaren Medicare |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.80
|
| Rate for Payer: Meridian Medicaid |
$129.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574.82
|
| Rate for Payer: Nomi Health Commercial |
$554.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$507.19
|
| Rate for Payer: PACE Medicare |
$224.20
|
| Rate for Payer: PACE SWMI |
$236.00
|
| Rate for Payer: PHP Commercial |
$259.60
|
| Rate for Payer: PHP Medicaid |
$126.50
|
| Rate for Payer: PHP Medicare Advantage |
$236.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$592.54
|
| Rate for Payer: Priority Health Medicare |
$236.00
|
| Rate for Payer: Priority Health Narrow Network |
$474.06
|
| Rate for Payer: Railroad Medicare Medicare |
$236.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$595.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.00
|
| Rate for Payer: UHC Exchange |
$365.80
|
| Rate for Payer: UHC Medicaid |
$123.43
|
| Rate for Payer: UHCCP DNSP |
$236.00
|
| Rate for Payer: UHCCP Medicaid |
$123.43
|
| Rate for Payer: VA VA |
$236.00
|
|
