|
HC BIOPSY PROSTATE TRANSRECT ULS W MRI FUSION GUIDE FIRST LESION (SEXTANT)
|
Facility
|
OP
|
$9,003.00
|
|
|
Service Code
|
CPT 55708
|
| Hospital Charge Code |
76100563
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$9,003.00 |
| Rate for Payer: Aetna Commercial |
$8,102.70
|
| Rate for Payer: Aetna Medicare |
$3,512.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: ASR ASR |
$8,732.91
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$7,422.97
|
| Rate for Payer: BCN Commercial |
$7,422.97
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,202.40
|
| Rate for Payer: Cash Price |
$7,202.40
|
| Rate for Payer: Cofinity Commercial |
$8,462.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,202.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$8,732.91
|
| Rate for Payer: Healthscope Whirlpool |
$9,003.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,512.31
|
| Rate for Payer: Mclaren Commercial |
$8,102.70
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$1,928.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,652.55
|
| Rate for Payer: Nomi Health Commercial |
$7,382.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,752.25
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,863.54
|
| Rate for Payer: PHP Medicaid |
$1,882.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,781.40
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health Narrow Network |
$3,025.12
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,922.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$5,444.08
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP DNSP |
$3,512.31
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC BIOPSY PROSTATE TRANSRECT ULS W MRI FUSION GUIDE FIRST LESION (SEXTANT)
|
Facility
|
IP
|
$9,003.00
|
|
|
Service Code
|
CPT 55708
|
| Hospital Charge Code |
76100563
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,752.25 |
| Max. Negotiated Rate |
$9,003.00 |
| Rate for Payer: Aetna Commercial |
$8,102.70
|
| Rate for Payer: ASR ASR |
$8,732.91
|
| Rate for Payer: BCBS Trust/PPO |
$7,393.26
|
| Rate for Payer: BCN Commercial |
$7,393.26
|
| Rate for Payer: Cash Price |
$7,202.40
|
| Rate for Payer: Cofinity Commercial |
$8,462.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,202.40
|
| Rate for Payer: Healthscope Commercial |
$8,732.91
|
| Rate for Payer: Healthscope Whirlpool |
$9,003.00
|
| Rate for Payer: Mclaren Commercial |
$8,102.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,652.55
|
| Rate for Payer: Nomi Health Commercial |
$7,382.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,752.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,922.64
|
|
|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,822.94
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$1,640.65
|
| 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 |
$1,768.25
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,503.01
|
| Rate for Payer: BCN Commercial |
$1,503.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,458.35
|
| Rate for Payer: Cash Price |
$1,458.35
|
| Rate for Payer: Cofinity Commercial |
$1,713.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,768.25
|
| Rate for Payer: Healthscope Whirlpool |
$1,822.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,640.65
|
| 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 |
$1,549.50
|
| Rate for Payer: Nomi Health Commercial |
$1,494.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,367.20
|
| 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 |
$1,604.19
|
| 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 RENAL
|
Facility
|
IP
|
$1,822.94
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,367.20 |
| Max. Negotiated Rate |
$1,822.94 |
| Rate for Payer: Aetna Commercial |
$1,640.65
|
| Rate for Payer: ASR ASR |
$1,768.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,497.00
|
| Rate for Payer: BCN Commercial |
$1,497.00
|
| Rate for Payer: Cash Price |
$1,458.35
|
| Rate for Payer: Cofinity Commercial |
$1,713.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.35
|
| Rate for Payer: Healthscope Commercial |
$1,768.25
|
| Rate for Payer: Healthscope Whirlpool |
$1,822.94
|
| Rate for Payer: Mclaren Commercial |
$1,640.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,549.50
|
| Rate for Payer: Nomi Health Commercial |
$1,494.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,367.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,604.19
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$961.81
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$369.02 |
| Max. Negotiated Rate |
$1,093.66 |
| Rate for Payer: Aetna Commercial |
$865.63
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$932.96
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$793.01
|
| Rate for Payer: BCN Commercial |
$793.01
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cofinity Commercial |
$904.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$932.96
|
| Rate for Payer: Healthscope Whirlpool |
$961.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$865.63
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.54
|
| Rate for Payer: Nomi Health Commercial |
$788.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.36
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$842.74
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$674.23
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$846.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$961.81
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$721.36 |
| Max. Negotiated Rate |
$961.81 |
| Rate for Payer: Aetna Commercial |
$865.63
|
| Rate for Payer: ASR ASR |
$932.96
|
| Rate for Payer: BCBS Trust/PPO |
$789.84
|
| Rate for Payer: BCN Commercial |
$789.84
|
| Rate for Payer: Cash Price |
$769.45
|
| Rate for Payer: Cofinity Commercial |
$904.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.45
|
| Rate for Payer: Healthscope Commercial |
$932.96
|
| Rate for Payer: Healthscope Whirlpool |
$961.81
|
| Rate for Payer: Mclaren Commercial |
$865.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.54
|
| Rate for Payer: Nomi Health Commercial |
$788.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$846.39
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,161.60
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$808.56 |
| Max. Negotiated Rate |
$4,161.60 |
| Rate for Payer: Aetna Commercial |
$3,745.44
|
| 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 |
$4,036.75
|
| Rate for Payer: BCBS Complete |
$849.06
|
| Rate for Payer: BCBS MAPPO |
$1,546.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,431.24
|
| Rate for Payer: BCN Commercial |
$3,431.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.00
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cofinity Commercial |
$3,911.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,329.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.00
|
| Rate for Payer: Healthscope Commercial |
$4,036.75
|
| Rate for Payer: Healthscope Whirlpool |
$4,161.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,546.00
|
| Rate for Payer: Mclaren Commercial |
$3,745.44
|
| 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 |
$3,537.36
|
| Rate for Payer: Nomi Health Commercial |
$3,412.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,121.20
|
| 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 |
$3,646.39
|
| Rate for Payer: Priority Health Medicare |
$1,546.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,917.28
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,662.21
|
| 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 SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,161.60
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,121.20 |
| Max. Negotiated Rate |
$4,161.60 |
| Rate for Payer: Aetna Commercial |
$3,745.44
|
| Rate for Payer: ASR ASR |
$4,036.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,417.51
|
| Rate for Payer: BCN Commercial |
$3,417.51
|
| Rate for Payer: Cash Price |
$3,329.28
|
| Rate for Payer: Cofinity Commercial |
$3,911.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,329.28
|
| Rate for Payer: Healthscope Commercial |
$4,036.75
|
| Rate for Payer: Healthscope Whirlpool |
$4,161.60
|
| Rate for Payer: Mclaren Commercial |
$3,745.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,537.36
|
| Rate for Payer: Nomi Health Commercial |
$3,412.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,121.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,662.21
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,573.23
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,573.23 |
| Rate for Payer: Aetna Commercial |
$2,315.91
|
| 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 |
$2,496.03
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,121.63
|
| Rate for Payer: BCN Commercial |
$2,121.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cofinity Commercial |
$2,418.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,058.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,496.03
|
| Rate for Payer: Healthscope Whirlpool |
$2,573.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$2,315.91
|
| 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 |
$2,187.25
|
| Rate for Payer: Nomi Health Commercial |
$2,110.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,929.92
|
| 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 |
$2,254.66
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,803.83
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,264.44
|
| 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 SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,573.23
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,929.92 |
| Max. Negotiated Rate |
$2,573.23 |
| Rate for Payer: Aetna Commercial |
$2,315.91
|
| Rate for Payer: ASR ASR |
$2,496.03
|
| Rate for Payer: BCBS Trust/PPO |
$2,113.14
|
| Rate for Payer: BCN Commercial |
$2,113.14
|
| Rate for Payer: Cash Price |
$2,058.58
|
| Rate for Payer: Cofinity Commercial |
$2,418.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,058.58
|
| Rate for Payer: Healthscope Commercial |
$2,496.03
|
| Rate for Payer: Healthscope Whirlpool |
$2,573.23
|
| Rate for Payer: Mclaren Commercial |
$2,315.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,187.25
|
| Rate for Payer: Nomi Health Commercial |
$2,110.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,929.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,264.44
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,274.12 |
| Max. Negotiated Rate |
$1,698.82 |
| Rate for Payer: Aetna Commercial |
$1,528.94
|
| Rate for Payer: ASR ASR |
$1,647.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.07
|
| Rate for Payer: BCN Commercial |
$1,395.07
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Commercial |
$1,596.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Healthscope Commercial |
$1,647.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,698.82
|
| Rate for Payer: Mclaren Commercial |
$1,528.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,444.00
|
| Rate for Payer: Nomi Health Commercial |
$1,393.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,494.96
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,698.82
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$3,014.28 |
| Rate for Payer: Aetna Commercial |
$1,528.94
|
| 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 |
$1,647.86
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,400.68
|
| Rate for Payer: BCN Commercial |
$1,400.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cash Price |
$1,359.06
|
| Rate for Payer: Cofinity Commercial |
$1,596.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,359.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,647.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,698.82
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,528.94
|
| 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 |
$1,444.00
|
| Rate for Payer: Nomi Health Commercial |
$1,393.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,274.12
|
| 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 |
$3,014.28
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$2,411.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,494.96
|
| 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 TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$9,311.58 |
| Rate for Payer: Aetna Commercial |
$8,380.42
|
| Rate for Payer: Aetna Medicare |
$3,512.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: ASR ASR |
$9,032.23
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$7,677.40
|
| Rate for Payer: BCN Commercial |
$7,677.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Commercial |
$8,752.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$9,032.23
|
| Rate for Payer: Healthscope Whirlpool |
$9,311.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,512.31
|
| Rate for Payer: Mclaren Commercial |
$8,380.42
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$1,928.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Nomi Health Commercial |
$7,635.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,863.54
|
| Rate for Payer: PHP Medicaid |
$1,882.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$8,158.81
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health Narrow Network |
$6,527.42
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,194.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$5,444.08
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP DNSP |
$3,512.31
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,311.58
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,983.69 |
| Max. Negotiated Rate |
$9,311.58 |
| Rate for Payer: Aetna Commercial |
$8,380.42
|
| Rate for Payer: ASR ASR |
$9,032.23
|
| Rate for Payer: BCBS Trust/PPO |
$7,646.67
|
| Rate for Payer: BCN Commercial |
$7,646.67
|
| Rate for Payer: Cash Price |
$7,449.26
|
| Rate for Payer: Cofinity Commercial |
$8,752.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,449.26
|
| Rate for Payer: Healthscope Commercial |
$9,032.23
|
| Rate for Payer: Healthscope Whirlpool |
$9,311.58
|
| Rate for Payer: Mclaren Commercial |
$8,380.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,914.84
|
| Rate for Payer: Nomi Health Commercial |
$7,635.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,983.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,194.19
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$9,336.55 |
| Rate for Payer: Aetna Commercial |
$8,402.90
|
| Rate for Payer: Aetna Medicare |
$3,512.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: ASR ASR |
$9,056.45
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$7,697.99
|
| Rate for Payer: BCN Commercial |
$7,697.99
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Commercial |
$8,776.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$9,056.45
|
| Rate for Payer: Healthscope Whirlpool |
$9,336.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,512.31
|
| Rate for Payer: Mclaren Commercial |
$8,402.90
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$1,928.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Nomi Health Commercial |
$7,655.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,863.54
|
| Rate for Payer: PHP Medicaid |
$1,882.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$8,180.69
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health Narrow Network |
$6,544.92
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,216.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$5,444.08
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP DNSP |
$3,512.31
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,336.55
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7,002.41 |
| Max. Negotiated Rate |
$9,336.55 |
| Rate for Payer: Aetna Commercial |
$8,402.90
|
| Rate for Payer: ASR ASR |
$9,056.45
|
| Rate for Payer: BCBS Trust/PPO |
$7,667.17
|
| Rate for Payer: BCN Commercial |
$7,667.17
|
| Rate for Payer: Cash Price |
$7,469.24
|
| Rate for Payer: Cofinity Commercial |
$8,776.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,469.24
|
| Rate for Payer: Healthscope Commercial |
$9,056.45
|
| Rate for Payer: Healthscope Whirlpool |
$9,336.55
|
| Rate for Payer: Mclaren Commercial |
$8,402.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,936.07
|
| Rate for Payer: Nomi Health Commercial |
$7,655.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,002.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,216.16
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$308.81 |
| Max. Negotiated Rate |
$1,093.66 |
| Rate for Payer: Aetna Commercial |
$370.57
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$399.40
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$339.49
|
| Rate for Payer: BCN Commercial |
$339.49
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Commercial |
$387.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$399.40
|
| Rate for Payer: Healthscope Whirlpool |
$411.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$370.57
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Nomi Health Commercial |
$337.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$765.08
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$612.07
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$362.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$411.75
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$308.81 |
| Max. Negotiated Rate |
$411.75 |
| Rate for Payer: Aetna Commercial |
$370.57
|
| Rate for Payer: ASR ASR |
$399.40
|
| Rate for Payer: BCBS Trust/PPO |
$338.13
|
| Rate for Payer: BCN Commercial |
$338.13
|
| Rate for Payer: Cash Price |
$329.40
|
| Rate for Payer: Cofinity Commercial |
$387.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.40
|
| Rate for Payer: Healthscope Commercial |
$399.40
|
| Rate for Payer: Healthscope Whirlpool |
$411.75
|
| Rate for Payer: Mclaren Commercial |
$370.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.99
|
| Rate for Payer: Nomi Health Commercial |
$337.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$362.34
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,404.54 |
| Rate for Payer: Aetna Commercial |
$1,264.09
|
| Rate for Payer: Aetna Medicare |
$537.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: ASR ASR |
$1,362.40
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,158.04
|
| Rate for Payer: BCN Commercial |
$1,158.04
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,320.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,362.40
|
| Rate for Payer: Healthscope Whirlpool |
$1,404.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$537.39
|
| Rate for Payer: Mclaren Commercial |
$1,264.09
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$295.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$591.13
|
| Rate for Payer: PHP Medicaid |
$288.04
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,230.66
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health Narrow Network |
$984.58
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,236.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$832.95
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP DNSP |
$537.39
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: VA VA |
$537.39
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,053.40 |
| Max. Negotiated Rate |
$1,404.54 |
| Rate for Payer: Aetna Commercial |
$1,264.09
|
| Rate for Payer: ASR ASR |
$1,362.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,153.41
|
| Rate for Payer: BCN Commercial |
$1,153.41
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,320.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,362.40
|
| Rate for Payer: Healthscope Whirlpool |
$1,404.54
|
| Rate for Payer: Mclaren Commercial |
$1,264.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,236.00
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,727.75 |
| Max. Negotiated Rate |
$8,219.16 |
| Rate for Payer: Aetna Commercial |
$7,397.24
|
| Rate for Payer: Aetna Medicare |
$3,303.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,129.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,129.43
|
| Rate for Payer: ASR ASR |
$7,972.59
|
| Rate for Payer: BCBS Complete |
$1,814.30
|
| Rate for Payer: BCBS MAPPO |
$3,303.54
|
| Rate for Payer: BCBS Trust/PPO |
$6,776.70
|
| Rate for Payer: BCN Commercial |
$6,776.70
|
| Rate for Payer: BCN Medicare Advantage |
$3,303.54
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,726.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,303.54
|
| Rate for Payer: Healthscope Commercial |
$7,972.59
|
| Rate for Payer: Healthscope Whirlpool |
$8,219.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,303.54
|
| Rate for Payer: Mclaren Commercial |
$7,397.24
|
| Rate for Payer: Mclaren Medicaid |
$3,303.54
|
| Rate for Payer: Mclaren Medicare |
$3,303.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,468.72
|
| Rate for Payer: Meridian Medicaid |
$1,814.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,799.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,633.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PACE Medicare |
$3,138.36
|
| Rate for Payer: PACE SWMI |
$3,303.54
|
| Rate for Payer: PHP Commercial |
$3,633.89
|
| Rate for Payer: PHP Medicaid |
$1,770.70
|
| Rate for Payer: PHP Medicare Advantage |
$3,303.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,727.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,201.63
|
| Rate for Payer: Priority Health Medicare |
$3,303.54
|
| Rate for Payer: Priority Health Narrow Network |
$5,761.63
|
| Rate for Payer: Railroad Medicare Medicare |
$3,303.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,232.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,303.54
|
| Rate for Payer: UHC Exchange |
$5,120.49
|
| Rate for Payer: UHC Medicaid |
$1,727.75
|
| Rate for Payer: UHCCP DNSP |
$3,303.54
|
| Rate for Payer: UHCCP Medicaid |
$1,727.75
|
| Rate for Payer: VA VA |
$3,303.54
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,164.37 |
| Max. Negotiated Rate |
$8,219.16 |
| Rate for Payer: Aetna Commercial |
$7,397.24
|
| Rate for Payer: ASR ASR |
$7,972.59
|
| Rate for Payer: BCBS Trust/PPO |
$6,749.57
|
| Rate for Payer: BCN Commercial |
$6,749.57
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,726.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Healthscope Commercial |
$7,972.59
|
| Rate for Payer: Healthscope Whirlpool |
$8,219.16
|
| Rate for Payer: Mclaren Commercial |
$7,397.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,232.86
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,283.57 |
| Max. Negotiated Rate |
$1,711.42 |
| Rate for Payer: Aetna Commercial |
$1,540.28
|
| Rate for Payer: ASR ASR |
$1,660.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,405.42
|
| Rate for Payer: BCN Commercial |
$1,405.42
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Commercial |
$1,608.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Healthscope Commercial |
$1,660.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,711.42
|
| Rate for Payer: Mclaren Commercial |
$1,540.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Nomi Health Commercial |
$1,403.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,506.05
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,711.42
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,199.71 |
| Max. Negotiated Rate |
$8,593.94 |
| Rate for Payer: Aetna Commercial |
$1,540.28
|
| Rate for Payer: Aetna Medicare |
$5,544.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: ASR ASR |
$1,660.08
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,411.07
|
| Rate for Payer: BCN Commercial |
$1,411.07
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cash Price |
$1,369.14
|
| Rate for Payer: Cofinity Commercial |
$1,608.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,369.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$1,660.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,711.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,544.48
|
| Rate for Payer: Mclaren Commercial |
$1,540.28
|
| Rate for Payer: Mclaren Medicaid |
$5,544.48
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$3,045.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,454.71
|
| Rate for Payer: Nomi Health Commercial |
$1,403.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,283.57
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$6,098.93
|
| Rate for Payer: PHP Medicaid |
$2,971.84
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,499.55
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,199.71
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,506.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Exchange |
$8,593.94
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP DNSP |
$5,544.48
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: VA VA |
$5,544.48
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,404.54
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,053.40 |
| Max. Negotiated Rate |
$1,404.54 |
| Rate for Payer: Aetna Commercial |
$1,264.09
|
| Rate for Payer: ASR ASR |
$1,362.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,153.41
|
| Rate for Payer: BCN Commercial |
$1,153.41
|
| Rate for Payer: Cash Price |
$1,123.63
|
| Rate for Payer: Cofinity Commercial |
$1,320.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,123.63
|
| Rate for Payer: Healthscope Commercial |
$1,362.40
|
| Rate for Payer: Healthscope Whirlpool |
$1,404.54
|
| Rate for Payer: Mclaren Commercial |
$1,264.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,193.86
|
| Rate for Payer: Nomi Health Commercial |
$1,151.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,053.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,236.00
|
|
