|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
IP
|
$329.18
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.97 |
| Max. Negotiated Rate |
$329.18 |
| Rate for Payer: Aetna Commercial |
$296.26
|
| Rate for Payer: ASR ASR |
$319.30
|
| Rate for Payer: ASR Commercial |
$319.30
|
| Rate for Payer: BCBS Trust/PPO |
$268.25
|
| Rate for Payer: BCN Commercial |
$255.21
|
| Rate for Payer: Cash Price |
$263.34
|
| Rate for Payer: Cofinity Commercial |
$309.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.34
|
| Rate for Payer: Healthscope Commercial |
$329.18
|
| Rate for Payer: Healthscope Whirlpool |
$319.30
|
| Rate for Payer: Mclaren Commercial |
$296.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.80
|
| Rate for Payer: Nomi Health Commercial |
$269.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$289.68
|
|
|
HC ARTHROCENTESIS MAJOR JOINT
|
Facility
|
OP
|
$329.18
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100026
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$446.23 |
| Rate for Payer: Aetna Commercial |
$296.26
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$319.30
|
| Rate for Payer: ASR Commercial |
$319.30
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$269.57
|
| Rate for Payer: BCN Commercial |
$255.21
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$263.34
|
| Rate for Payer: Cash Price |
$263.34
|
| Rate for Payer: Cofinity Commercial |
$309.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$329.18
|
| Rate for Payer: Healthscope Whirlpool |
$319.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$296.26
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.80
|
| Rate for Payer: Nomi Health Commercial |
$269.93
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$288.43
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$230.76
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$289.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
IP
|
$421.27
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$273.83 |
| Max. Negotiated Rate |
$421.27 |
| Rate for Payer: Aetna Commercial |
$379.14
|
| Rate for Payer: ASR ASR |
$408.63
|
| Rate for Payer: ASR Commercial |
$408.63
|
| Rate for Payer: BCBS Trust/PPO |
$343.29
|
| Rate for Payer: BCN Commercial |
$326.61
|
| Rate for Payer: Cash Price |
$337.02
|
| Rate for Payer: Cofinity Commercial |
$395.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.02
|
| Rate for Payer: Healthscope Commercial |
$421.27
|
| Rate for Payer: Healthscope Whirlpool |
$408.63
|
| Rate for Payer: Mclaren Commercial |
$379.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.08
|
| Rate for Payer: Nomi Health Commercial |
$345.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$273.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$370.72
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL
|
Facility
|
OP
|
$421.27
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
36100027
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$446.23 |
| Rate for Payer: Aetna Commercial |
$379.14
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$408.63
|
| Rate for Payer: ASR Commercial |
$408.63
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$344.98
|
| Rate for Payer: BCN Commercial |
$326.61
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$337.02
|
| Rate for Payer: Cash Price |
$337.02
|
| Rate for Payer: Cofinity Commercial |
$395.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$421.27
|
| Rate for Payer: Healthscope Whirlpool |
$408.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$379.14
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.08
|
| Rate for Payer: Nomi Health Commercial |
$345.44
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$273.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.12
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$295.31
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$370.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,228.76
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$798.69 |
| Max. Negotiated Rate |
$1,228.76 |
| Rate for Payer: Aetna Commercial |
$1,105.88
|
| Rate for Payer: ASR ASR |
$1,191.90
|
| Rate for Payer: ASR Commercial |
$1,191.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,001.32
|
| Rate for Payer: BCN Commercial |
$952.66
|
| Rate for Payer: Cash Price |
$983.01
|
| Rate for Payer: Cofinity Commercial |
$1,155.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.01
|
| Rate for Payer: Healthscope Commercial |
$1,228.76
|
| Rate for Payer: Healthscope Whirlpool |
$1,191.90
|
| Rate for Payer: Mclaren Commercial |
$1,105.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.45
|
| Rate for Payer: Nomi Health Commercial |
$1,007.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,081.31
|
|
|
HC ARTHROCENTESIS MAJOR JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,228.76
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$1,228.76 |
| Rate for Payer: Aetna Commercial |
$1,105.88
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$1,191.90
|
| Rate for Payer: ASR Commercial |
$1,191.90
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.23
|
| Rate for Payer: BCN Commercial |
$952.66
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$983.01
|
| Rate for Payer: Cash Price |
$983.01
|
| Rate for Payer: Cofinity Commercial |
$1,155.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$1,228.76
|
| Rate for Payer: Healthscope Whirlpool |
$1,191.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$1,105.88
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.45
|
| Rate for Payer: Nomi Health Commercial |
$1,007.58
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.64
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$861.36
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,081.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
IP
|
$1,141.09
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.71 |
| Max. Negotiated Rate |
$1,141.09 |
| Rate for Payer: Aetna Commercial |
$1,026.98
|
| Rate for Payer: ASR ASR |
$1,106.86
|
| Rate for Payer: ASR Commercial |
$1,106.86
|
| Rate for Payer: BCBS Trust/PPO |
$929.87
|
| Rate for Payer: BCN Commercial |
$884.69
|
| Rate for Payer: Cash Price |
$912.87
|
| Rate for Payer: Cofinity Commercial |
$1,072.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$912.87
|
| Rate for Payer: Healthscope Commercial |
$1,141.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,106.86
|
| Rate for Payer: Mclaren Commercial |
$1,026.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$969.93
|
| Rate for Payer: Nomi Health Commercial |
$935.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,004.16
|
|
|
HC ARTHROCENTESIS MAJOR JOINT W US GUIDE
|
Facility
|
OP
|
$1,141.09
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
36100454
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$1,141.09 |
| Rate for Payer: Aetna Commercial |
$1,026.98
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$1,106.86
|
| Rate for Payer: ASR Commercial |
$1,106.86
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$934.44
|
| Rate for Payer: BCN Commercial |
$884.69
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$912.87
|
| Rate for Payer: Cash Price |
$912.87
|
| Rate for Payer: Cofinity Commercial |
$1,072.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$912.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$1,141.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,106.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$1,026.98
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$969.93
|
| Rate for Payer: Nomi Health Commercial |
$935.69
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$999.82
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$799.90
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,004.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
OP
|
$326.54
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$446.23 |
| Rate for Payer: Aetna Commercial |
$293.89
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$316.74
|
| Rate for Payer: ASR Commercial |
$316.74
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$267.40
|
| Rate for Payer: BCN Commercial |
$253.17
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$261.23
|
| Rate for Payer: Cash Price |
$261.23
|
| Rate for Payer: Cofinity Commercial |
$306.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$261.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$326.54
|
| Rate for Payer: Healthscope Whirlpool |
$316.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$293.89
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277.56
|
| Rate for Payer: Nomi Health Commercial |
$267.76
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$286.11
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$228.90
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$287.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS SMALL JOINT
|
Facility
|
IP
|
$326.54
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$212.25 |
| Max. Negotiated Rate |
$326.54 |
| Rate for Payer: Aetna Commercial |
$293.89
|
| Rate for Payer: ASR ASR |
$316.74
|
| Rate for Payer: ASR Commercial |
$316.74
|
| Rate for Payer: BCBS Trust/PPO |
$266.10
|
| Rate for Payer: BCN Commercial |
$253.17
|
| Rate for Payer: Cash Price |
$261.23
|
| Rate for Payer: Cofinity Commercial |
$306.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$261.23
|
| Rate for Payer: Healthscope Commercial |
$326.54
|
| Rate for Payer: Healthscope Whirlpool |
$316.74
|
| Rate for Payer: Mclaren Commercial |
$293.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277.56
|
| Rate for Payer: Nomi Health Commercial |
$267.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$287.36
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
IP
|
$1,182.42
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$768.57 |
| Max. Negotiated Rate |
$1,182.42 |
| Rate for Payer: Aetna Commercial |
$1,064.18
|
| Rate for Payer: ASR ASR |
$1,146.95
|
| Rate for Payer: ASR Commercial |
$1,146.95
|
| Rate for Payer: BCBS Trust/PPO |
$963.55
|
| Rate for Payer: BCN Commercial |
$916.73
|
| Rate for Payer: Cash Price |
$945.94
|
| Rate for Payer: Cofinity Commercial |
$1,111.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.94
|
| Rate for Payer: Healthscope Commercial |
$1,182.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.95
|
| Rate for Payer: Mclaren Commercial |
$1,064.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,005.06
|
| Rate for Payer: Nomi Health Commercial |
$969.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.53
|
|
|
HC ARTHROCENTESIS SMALL JOINT BIL W US GUIDE
|
Facility
|
OP
|
$1,182.42
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100459
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$1,182.42 |
| Rate for Payer: Aetna Commercial |
$1,064.18
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$1,146.95
|
| Rate for Payer: ASR Commercial |
$1,146.95
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$968.28
|
| Rate for Payer: BCN Commercial |
$916.73
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$945.94
|
| Rate for Payer: Cash Price |
$945.94
|
| Rate for Payer: Cofinity Commercial |
$1,111.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$1,182.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$1,064.18
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,005.06
|
| Rate for Payer: Nomi Health Commercial |
$969.58
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,036.04
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$828.88
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
OP
|
$1,004.56
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.31 |
| Max. Negotiated Rate |
$1,004.56 |
| Rate for Payer: Aetna Commercial |
$904.10
|
| Rate for Payer: Aetna Medicare |
$287.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: ASR ASR |
$974.42
|
| Rate for Payer: ASR Commercial |
$974.42
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCBS Trust/PPO |
$822.63
|
| Rate for Payer: BCN Commercial |
$778.84
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$803.65
|
| Rate for Payer: Cash Price |
$803.65
|
| Rate for Payer: Cofinity Commercial |
$944.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$803.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$1,004.56
|
| Rate for Payer: Healthscope Whirlpool |
$974.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$287.89
|
| Rate for Payer: Mclaren Commercial |
$904.10
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$853.88
|
| Rate for Payer: Nomi Health Commercial |
$823.74
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$316.68
|
| Rate for Payer: PHP Medicaid |
$154.31
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$652.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$880.20
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health Narrow Network |
$704.20
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$884.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$446.23
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP DNSP |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: VA VA |
$287.89
|
|
|
HC ARTHROCENTESIS SMALL JOINT W US GUIDE
|
Facility
|
IP
|
$1,004.56
|
|
|
Service Code
|
CPT 20604
|
| Hospital Charge Code |
36100458
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$652.96 |
| Max. Negotiated Rate |
$1,004.56 |
| Rate for Payer: Aetna Commercial |
$904.10
|
| Rate for Payer: ASR ASR |
$974.42
|
| Rate for Payer: ASR Commercial |
$974.42
|
| Rate for Payer: BCBS Trust/PPO |
$818.62
|
| Rate for Payer: BCN Commercial |
$778.84
|
| Rate for Payer: Cash Price |
$803.65
|
| Rate for Payer: Cofinity Commercial |
$944.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$803.65
|
| Rate for Payer: Healthscope Commercial |
$1,004.56
|
| Rate for Payer: Healthscope Whirlpool |
$974.42
|
| Rate for Payer: Mclaren Commercial |
$904.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$853.88
|
| Rate for Payer: Nomi Health Commercial |
$823.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$652.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$884.01
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
OP
|
$937.71
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$375.08 |
| Max. Negotiated Rate |
$937.71 |
| Rate for Payer: Aetna Commercial |
$843.94
|
| Rate for Payer: Aetna Medicare |
$468.86
|
| Rate for Payer: ASR ASR |
$909.58
|
| Rate for Payer: ASR Commercial |
$909.58
|
| Rate for Payer: BCBS Complete |
$375.08
|
| Rate for Payer: BCBS Trust/PPO |
$767.89
|
| Rate for Payer: BCN Commercial |
$727.01
|
| Rate for Payer: Cash Price |
$750.17
|
| Rate for Payer: Cofinity Commercial |
$881.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.17
|
| Rate for Payer: Healthscope Commercial |
$937.71
|
| Rate for Payer: Healthscope Whirlpool |
$909.58
|
| Rate for Payer: Mclaren Commercial |
$843.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.05
|
| Rate for Payer: Nomi Health Commercial |
$768.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$821.62
|
| Rate for Payer: Priority Health Narrow Network |
$657.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$825.18
|
|
|
HC ARTHROGRAM SACROILIAC
|
Facility
|
IP
|
$937.71
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100585
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$609.51 |
| Max. Negotiated Rate |
$937.71 |
| Rate for Payer: Aetna Commercial |
$843.94
|
| Rate for Payer: ASR ASR |
$909.58
|
| Rate for Payer: ASR Commercial |
$909.58
|
| Rate for Payer: BCBS Trust/PPO |
$764.14
|
| Rate for Payer: BCN Commercial |
$727.01
|
| Rate for Payer: Cash Price |
$750.17
|
| Rate for Payer: Cofinity Commercial |
$881.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.17
|
| Rate for Payer: Healthscope Commercial |
$937.71
|
| Rate for Payer: Healthscope Whirlpool |
$909.58
|
| Rate for Payer: Mclaren Commercial |
$843.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.05
|
| Rate for Payer: Nomi Health Commercial |
$768.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$825.18
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
IP
|
$1,068.81
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$694.73 |
| Max. Negotiated Rate |
$1,068.81 |
| Rate for Payer: Aetna Commercial |
$961.93
|
| Rate for Payer: ASR ASR |
$1,036.75
|
| Rate for Payer: ASR Commercial |
$1,036.75
|
| Rate for Payer: BCBS Trust/PPO |
$870.97
|
| Rate for Payer: BCN Commercial |
$828.65
|
| Rate for Payer: Cash Price |
$855.05
|
| Rate for Payer: Cofinity Commercial |
$1,004.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$855.05
|
| Rate for Payer: Healthscope Commercial |
$1,068.81
|
| Rate for Payer: Healthscope Whirlpool |
$1,036.75
|
| Rate for Payer: Mclaren Commercial |
$961.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$908.49
|
| Rate for Payer: Nomi Health Commercial |
$876.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$940.55
|
|
|
HC ARTHROGRAM SACROILIAC BIL
|
Facility
|
OP
|
$1,068.81
|
|
|
Service Code
|
CPT 27096
|
| Hospital Charge Code |
36100586
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$427.52 |
| Max. Negotiated Rate |
$1,068.81 |
| Rate for Payer: Aetna Commercial |
$961.93
|
| Rate for Payer: Aetna Medicare |
$534.40
|
| Rate for Payer: ASR ASR |
$1,036.75
|
| Rate for Payer: ASR Commercial |
$1,036.75
|
| Rate for Payer: BCBS Complete |
$427.52
|
| Rate for Payer: BCBS Trust/PPO |
$875.25
|
| Rate for Payer: BCN Commercial |
$828.65
|
| Rate for Payer: Cash Price |
$855.05
|
| Rate for Payer: Cofinity Commercial |
$1,004.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$855.05
|
| Rate for Payer: Healthscope Commercial |
$1,068.81
|
| Rate for Payer: Healthscope Whirlpool |
$1,036.75
|
| Rate for Payer: Mclaren Commercial |
$961.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$908.49
|
| Rate for Payer: Nomi Health Commercial |
$876.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$694.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$936.49
|
| Rate for Payer: Priority Health Narrow Network |
$749.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$940.55
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
OP
|
$1,816.86
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,180.96 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$1,635.17
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$1,762.35
|
| Rate for Payer: ASR Commercial |
$1,762.35
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,487.83
|
| Rate for Payer: BCN Commercial |
$1,408.61
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,453.49
|
| Rate for Payer: Cash Price |
$1,453.49
|
| Rate for Payer: Cofinity Commercial |
$1,707.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,453.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,816.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,762.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$1,635.17
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,544.33
|
| Rate for Payer: Nomi Health Commercial |
$1,489.83
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,180.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,591.93
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,273.62
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,598.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
HC ARTHROTOMY W/EXP, DRAIN, REMOVAL FB METACARPOPHALANGEAL JT EACH
|
Facility
|
IP
|
$1,816.86
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
76100135
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,180.96 |
| Max. Negotiated Rate |
$1,816.86 |
| Rate for Payer: Aetna Commercial |
$1,635.17
|
| Rate for Payer: ASR ASR |
$1,762.35
|
| Rate for Payer: ASR Commercial |
$1,762.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.56
|
| Rate for Payer: BCN Commercial |
$1,408.61
|
| Rate for Payer: Cash Price |
$1,453.49
|
| Rate for Payer: Cofinity Commercial |
$1,707.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,453.49
|
| Rate for Payer: Healthscope Commercial |
$1,816.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,762.35
|
| Rate for Payer: Mclaren Commercial |
$1,635.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,544.33
|
| Rate for Payer: Nomi Health Commercial |
$1,489.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,180.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,598.84
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
OP
|
$4,096.99
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$4,096.99 |
| Rate for Payer: Aetna Commercial |
$3,687.29
|
| Rate for Payer: Aetna Medicare |
$1,560.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: ASR ASR |
$3,974.08
|
| Rate for Payer: ASR Commercial |
$3,974.08
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCBS Trust/PPO |
$3,355.03
|
| Rate for Payer: BCN Commercial |
$3,176.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Cash Price |
$3,277.59
|
| Rate for Payer: Cash Price |
$3,277.59
|
| Rate for Payer: Cofinity Commercial |
$3,851.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,277.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Healthscope Commercial |
$4,096.99
|
| Rate for Payer: Healthscope Whirlpool |
$3,974.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,560.85
|
| Rate for Payer: Mclaren Commercial |
$3,687.29
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,482.44
|
| Rate for Payer: Nomi Health Commercial |
$3,359.53
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Commercial |
$1,716.93
|
| Rate for Payer: PHP Medicaid |
$836.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,663.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,589.78
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Priority Health Narrow Network |
$2,871.99
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,605.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,419.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP DNSP |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: VA VA |
$1,560.85
|
|
|
HC ARTHRT EXPL DRAIN RMV FOREIGN BODY FINGER JT
|
Facility
|
IP
|
$4,096.99
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
76100373
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,663.04 |
| Max. Negotiated Rate |
$4,096.99 |
| Rate for Payer: Aetna Commercial |
$3,687.29
|
| Rate for Payer: ASR ASR |
$3,974.08
|
| Rate for Payer: ASR Commercial |
$3,974.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,338.64
|
| Rate for Payer: BCN Commercial |
$3,176.40
|
| Rate for Payer: Cash Price |
$3,277.59
|
| Rate for Payer: Cofinity Commercial |
$3,851.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,277.59
|
| Rate for Payer: Healthscope Commercial |
$4,096.99
|
| Rate for Payer: Healthscope Whirlpool |
$3,974.08
|
| Rate for Payer: Mclaren Commercial |
$3,687.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,482.44
|
| Rate for Payer: Nomi Health Commercial |
$3,359.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,663.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,605.35
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
IP
|
$922.21
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$599.44 |
| Max. Negotiated Rate |
$922.21 |
| Rate for Payer: Aetna Commercial |
$829.99
|
| Rate for Payer: ASR ASR |
$894.54
|
| Rate for Payer: ASR Commercial |
$894.54
|
| Rate for Payer: BCBS Trust/PPO |
$751.51
|
| Rate for Payer: BCN Commercial |
$714.99
|
| Rate for Payer: Cash Price |
$737.77
|
| Rate for Payer: Cofinity Commercial |
$866.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$737.77
|
| Rate for Payer: Healthscope Commercial |
$922.21
|
| Rate for Payer: Healthscope Whirlpool |
$894.54
|
| Rate for Payer: Mclaren Commercial |
$829.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$783.88
|
| Rate for Payer: Nomi Health Commercial |
$756.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$811.54
|
|
|
HC ART IMG UNILAT LOWER EXTREMITY
|
Facility
|
OP
|
$922.21
|
|
|
Service Code
|
CPT 93926
|
| Hospital Charge Code |
92100012
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$922.21 |
| Rate for Payer: Aetna Commercial |
$829.99
|
| Rate for Payer: Aetna Medicare |
$103.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$129.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$129.64
|
| Rate for Payer: ASR ASR |
$894.54
|
| Rate for Payer: ASR Commercial |
$894.54
|
| Rate for Payer: BCBS Complete |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$103.71
|
| Rate for Payer: BCBS Trust/PPO |
$755.20
|
| Rate for Payer: BCN Commercial |
$714.99
|
| Rate for Payer: BCN Medicare Advantage |
$103.71
|
| Rate for Payer: Cash Price |
$737.77
|
| Rate for Payer: Cash Price |
$737.77
|
| Rate for Payer: Cofinity Commercial |
$866.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$737.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.71
|
| Rate for Payer: Healthscope Commercial |
$922.21
|
| Rate for Payer: Healthscope Whirlpool |
$894.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$103.71
|
| Rate for Payer: Mclaren Commercial |
$829.99
|
| Rate for Payer: Mclaren Medicaid |
$55.59
|
| Rate for Payer: Mclaren Medicare |
$103.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.90
|
| Rate for Payer: Meridian Medicaid |
$58.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$783.88
|
| Rate for Payer: Nomi Health Commercial |
$756.21
|
| Rate for Payer: PACE Medicare |
$98.52
|
| Rate for Payer: PACE SWMI |
$103.71
|
| Rate for Payer: PHP Commercial |
$114.08
|
| Rate for Payer: PHP Medicaid |
$55.59
|
| Rate for Payer: PHP Medicare Advantage |
$103.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$808.04
|
| Rate for Payer: Priority Health Medicare |
$103.71
|
| Rate for Payer: Priority Health Narrow Network |
$646.47
|
| Rate for Payer: Railroad Medicare Medicare |
$103.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$811.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.71
|
| Rate for Payer: UHC Exchange |
$160.75
|
| Rate for Payer: UHC Medicare Advantage |
$103.71
|
| Rate for Payer: UHCCP DNSP |
$103.71
|
| Rate for Payer: UHCCP Medicaid |
$55.59
|
| Rate for Payer: VA VA |
$103.71
|
|
|
HC ART IMG UNILAT UPPER EXTREM
|
Facility
|
IP
|
$756.35
|
|
|
Service Code
|
CPT 93931
|
| Hospital Charge Code |
92100009
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$491.63 |
| Max. Negotiated Rate |
$756.35 |
| Rate for Payer: Aetna Commercial |
$680.72
|
| Rate for Payer: ASR ASR |
$733.66
|
| Rate for Payer: ASR Commercial |
$733.66
|
| Rate for Payer: BCBS Trust/PPO |
$616.35
|
| Rate for Payer: BCN Commercial |
$586.40
|
| Rate for Payer: Cash Price |
$605.08
|
| Rate for Payer: Cofinity Commercial |
$710.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.08
|
| Rate for Payer: Healthscope Commercial |
$756.35
|
| Rate for Payer: Healthscope Whirlpool |
$733.66
|
| Rate for Payer: Mclaren Commercial |
$680.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$642.90
|
| Rate for Payer: Nomi Health Commercial |
$620.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$665.59
|
|
