|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$870.81
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$566.03 |
| Max. Negotiated Rate |
$870.81 |
| Rate for Payer: Aetna Commercial |
$783.73
|
| Rate for Payer: ASR ASR |
$844.69
|
| Rate for Payer: ASR Commercial |
$844.69
|
| Rate for Payer: BCBS Trust/PPO |
$709.62
|
| Rate for Payer: BCN Commercial |
$675.14
|
| Rate for Payer: Cash Price |
$696.65
|
| Rate for Payer: Cofinity Commercial |
$818.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.65
|
| Rate for Payer: Healthscope Commercial |
$870.81
|
| Rate for Payer: Healthscope Whirlpool |
$844.69
|
| Rate for Payer: Mclaren Commercial |
$783.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$714.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$766.31
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
OP
|
$4,015.74
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$777.91 |
| Max. Negotiated Rate |
$4,015.74 |
| Rate for Payer: Aetna Commercial |
$3,614.17
|
| Rate for Payer: Aetna Medicare |
$1,451.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,814.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,814.16
|
| Rate for Payer: ASR ASR |
$3,895.27
|
| Rate for Payer: ASR Commercial |
$3,895.27
|
| Rate for Payer: BCBS Complete |
$816.81
|
| Rate for Payer: BCBS MAPPO |
$1,451.33
|
| Rate for Payer: BCBS Trust/PPO |
$3,288.49
|
| Rate for Payer: BCN Commercial |
$3,113.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,451.33
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cofinity Commercial |
$3,774.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,212.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,451.33
|
| Rate for Payer: Healthscope Commercial |
$4,015.74
|
| Rate for Payer: Healthscope Whirlpool |
$3,895.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,451.33
|
| Rate for Payer: Mclaren Commercial |
$3,614.17
|
| Rate for Payer: Mclaren Medicaid |
$777.91
|
| Rate for Payer: Mclaren Medicare |
$1,451.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,523.90
|
| Rate for Payer: Meridian Medicaid |
$816.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,669.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,413.38
|
| Rate for Payer: Nomi Health Commercial |
$3,292.91
|
| Rate for Payer: PACE Medicare |
$1,378.76
|
| Rate for Payer: PACE SWMI |
$1,451.33
|
| Rate for Payer: PHP Commercial |
$1,596.46
|
| Rate for Payer: PHP Medicaid |
$777.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,451.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,610.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,518.59
|
| Rate for Payer: Priority Health Medicare |
$1,451.33
|
| Rate for Payer: Priority Health Narrow Network |
$2,815.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,451.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,533.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,451.33
|
| Rate for Payer: UHC Exchange |
$2,249.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,451.33
|
| Rate for Payer: UHCCP DNSP |
$1,451.33
|
| Rate for Payer: UHCCP Medicaid |
$777.91
|
| Rate for Payer: VA VA |
$1,451.33
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$4,015.74
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,610.23 |
| Max. Negotiated Rate |
$4,015.74 |
| Rate for Payer: Aetna Commercial |
$3,614.17
|
| Rate for Payer: ASR ASR |
$3,895.27
|
| Rate for Payer: ASR Commercial |
$3,895.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,272.43
|
| Rate for Payer: BCN Commercial |
$3,113.40
|
| Rate for Payer: Cash Price |
$3,212.59
|
| Rate for Payer: Cofinity Commercial |
$3,774.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,212.59
|
| Rate for Payer: Healthscope Commercial |
$4,015.74
|
| Rate for Payer: Healthscope Whirlpool |
$3,895.27
|
| Rate for Payer: Mclaren Commercial |
$3,614.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,413.38
|
| Rate for Payer: Nomi Health Commercial |
$3,292.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,610.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,533.85
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$4,029.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,618.85 |
| Max. Negotiated Rate |
$4,029.00 |
| Rate for Payer: Aetna Commercial |
$3,626.10
|
| Rate for Payer: ASR ASR |
$3,908.13
|
| Rate for Payer: ASR Commercial |
$3,908.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,283.23
|
| Rate for Payer: BCN Commercial |
$3,123.68
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,787.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Healthscope Commercial |
$4,029.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,908.13
|
| Rate for Payer: Mclaren Commercial |
$3,626.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: Nomi Health Commercial |
$3,303.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,545.52
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$4,029.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$777.91 |
| Max. Negotiated Rate |
$4,029.00 |
| Rate for Payer: Aetna Commercial |
$3,626.10
|
| Rate for Payer: Aetna Medicare |
$1,451.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,814.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,814.16
|
| Rate for Payer: ASR ASR |
$3,908.13
|
| Rate for Payer: ASR Commercial |
$3,908.13
|
| Rate for Payer: BCBS Complete |
$816.81
|
| Rate for Payer: BCBS MAPPO |
$1,451.33
|
| Rate for Payer: BCBS Trust/PPO |
$3,299.35
|
| Rate for Payer: BCN Commercial |
$3,123.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,451.33
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cash Price |
$3,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,787.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,451.33
|
| Rate for Payer: Healthscope Commercial |
$4,029.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,908.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,451.33
|
| Rate for Payer: Mclaren Commercial |
$3,626.10
|
| Rate for Payer: Mclaren Medicaid |
$777.91
|
| Rate for Payer: Mclaren Medicare |
$1,451.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,523.90
|
| Rate for Payer: Meridian Medicaid |
$816.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,669.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,424.65
|
| Rate for Payer: Nomi Health Commercial |
$3,303.78
|
| Rate for Payer: PACE Medicare |
$1,378.76
|
| Rate for Payer: PACE SWMI |
$1,451.33
|
| Rate for Payer: PHP Commercial |
$1,596.46
|
| Rate for Payer: PHP Medicaid |
$777.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,451.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,530.21
|
| Rate for Payer: Priority Health Medicare |
$1,451.33
|
| Rate for Payer: Priority Health Narrow Network |
$2,824.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,451.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,545.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,451.33
|
| Rate for Payer: UHC Exchange |
$2,249.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,451.33
|
| Rate for Payer: UHCCP DNSP |
$1,451.33
|
| Rate for Payer: UHCCP Medicaid |
$777.91
|
| Rate for Payer: VA VA |
$1,451.33
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
IP
|
$1,064.75
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$692.09 |
| Max. Negotiated Rate |
$1,064.75 |
| Rate for Payer: Aetna Commercial |
$958.28
|
| Rate for Payer: ASR ASR |
$1,032.81
|
| Rate for Payer: ASR Commercial |
$1,032.81
|
| Rate for Payer: BCBS Trust/PPO |
$867.66
|
| Rate for Payer: BCN Commercial |
$825.50
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cofinity Commercial |
$1,000.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.80
|
| Rate for Payer: Healthscope Commercial |
$1,064.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,032.81
|
| Rate for Payer: Mclaren Commercial |
$958.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.04
|
| Rate for Payer: Nomi Health Commercial |
$873.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$936.98
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,064.75
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$692.09 |
| Max. Negotiated Rate |
$2,460.59 |
| Rate for Payer: Aetna Commercial |
$958.28
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$1,032.81
|
| Rate for Payer: ASR Commercial |
$1,032.81
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$871.92
|
| Rate for Payer: BCN Commercial |
$825.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cash Price |
$851.80
|
| Rate for Payer: Cofinity Commercial |
$1,000.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,064.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,032.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$958.28
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.04
|
| Rate for Payer: Nomi Health Commercial |
$873.10
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,472.44
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,177.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$936.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
OP
|
$7,306.21
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$1,503.04 |
| Max. Negotiated Rate |
$7,306.21 |
| Rate for Payer: Aetna Commercial |
$6,575.59
|
| Rate for Payer: Aetna Medicare |
$2,804.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: ASR ASR |
$7,087.02
|
| Rate for Payer: ASR Commercial |
$7,087.02
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$5,983.06
|
| Rate for Payer: BCN Commercial |
$5,664.50
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$5,844.97
|
| Rate for Payer: Cash Price |
$5,844.97
|
| Rate for Payer: Cofinity Commercial |
$6,867.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,844.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$7,306.21
|
| Rate for Payer: Healthscope Whirlpool |
$7,087.02
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,804.18
|
| Rate for Payer: Mclaren Commercial |
$6,575.59
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,210.28
|
| Rate for Payer: Nomi Health Commercial |
$5,991.09
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$3,084.60
|
| Rate for Payer: PHP Medicaid |
$1,503.04
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,749.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,401.70
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$5,121.65
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,429.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$4,346.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP DNSP |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: VA VA |
$2,804.18
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
IP
|
$7,306.21
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$4,749.04 |
| Max. Negotiated Rate |
$7,306.21 |
| Rate for Payer: Aetna Commercial |
$6,575.59
|
| Rate for Payer: ASR ASR |
$7,087.02
|
| Rate for Payer: ASR Commercial |
$7,087.02
|
| Rate for Payer: BCBS Trust/PPO |
$5,953.83
|
| Rate for Payer: BCN Commercial |
$5,664.50
|
| Rate for Payer: Cash Price |
$5,844.97
|
| Rate for Payer: Cofinity Commercial |
$6,867.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,844.97
|
| Rate for Payer: Healthscope Commercial |
$7,306.21
|
| Rate for Payer: Healthscope Whirlpool |
$7,087.02
|
| Rate for Payer: Mclaren Commercial |
$6,575.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,210.28
|
| Rate for Payer: Nomi Health Commercial |
$5,991.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,749.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,429.46
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$4,284.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$850.89 |
| Max. Negotiated Rate |
$4,284.00 |
| Rate for Payer: Aetna Commercial |
$3,855.60
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$4,155.48
|
| Rate for Payer: ASR Commercial |
$4,155.48
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,508.17
|
| Rate for Payer: BCN Commercial |
$3,321.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$3,427.20
|
| Rate for Payer: Cash Price |
$3,427.20
|
| Rate for Payer: Cofinity Commercial |
$4,026.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,427.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$4,284.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,155.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$3,855.60
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,641.40
|
| Rate for Payer: Nomi Health Commercial |
$3,512.88
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,784.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,753.64
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,003.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,769.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$4,284.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,784.60 |
| Max. Negotiated Rate |
$4,284.00 |
| Rate for Payer: Aetna Commercial |
$3,855.60
|
| Rate for Payer: ASR ASR |
$4,155.48
|
| Rate for Payer: ASR Commercial |
$4,155.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,491.03
|
| Rate for Payer: BCN Commercial |
$3,321.39
|
| Rate for Payer: Cash Price |
$3,427.20
|
| Rate for Payer: Cofinity Commercial |
$4,026.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,427.20
|
| Rate for Payer: Healthscope Commercial |
$4,284.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,155.48
|
| Rate for Payer: Mclaren Commercial |
$3,855.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,641.40
|
| Rate for Payer: Nomi Health Commercial |
$3,512.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,784.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,769.92
|
|
|
HC BIOPSY PLEURA
|
Facility
|
OP
|
$925.85
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$601.80 |
| Max. Negotiated Rate |
$2,460.59 |
| Rate for Payer: Aetna Commercial |
$833.26
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$898.07
|
| Rate for Payer: ASR Commercial |
$898.07
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$758.18
|
| Rate for Payer: BCN Commercial |
$717.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$740.68
|
| Rate for Payer: Cash Price |
$740.68
|
| Rate for Payer: Cofinity Commercial |
$870.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$740.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$925.85
|
| Rate for Payer: Healthscope Whirlpool |
$898.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$833.26
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$786.97
|
| Rate for Payer: Nomi Health Commercial |
$759.20
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$601.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$811.23
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$649.02
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$814.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BIOPSY PLEURA
|
Facility
|
IP
|
$925.85
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$601.80 |
| Max. Negotiated Rate |
$925.85 |
| Rate for Payer: Aetna Commercial |
$833.26
|
| Rate for Payer: ASR ASR |
$898.07
|
| Rate for Payer: ASR Commercial |
$898.07
|
| Rate for Payer: BCBS Trust/PPO |
$754.48
|
| Rate for Payer: BCN Commercial |
$717.81
|
| Rate for Payer: Cash Price |
$740.68
|
| Rate for Payer: Cofinity Commercial |
$870.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$740.68
|
| Rate for Payer: Healthscope Commercial |
$925.85
|
| Rate for Payer: Healthscope Whirlpool |
$898.07
|
| Rate for Payer: Mclaren Commercial |
$833.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$786.97
|
| Rate for Payer: Nomi Health Commercial |
$759.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$601.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$814.75
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
IP
|
$2,015.98
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,310.39 |
| Max. Negotiated Rate |
$2,015.98 |
| Rate for Payer: Aetna Commercial |
$1,814.38
|
| Rate for Payer: ASR ASR |
$1,955.50
|
| Rate for Payer: ASR Commercial |
$1,955.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,642.82
|
| Rate for Payer: BCN Commercial |
$1,562.99
|
| Rate for Payer: Cash Price |
$1,612.78
|
| Rate for Payer: Cofinity Commercial |
$1,895.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,612.78
|
| Rate for Payer: Healthscope Commercial |
$2,015.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,955.50
|
| Rate for Payer: Mclaren Commercial |
$1,814.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,713.58
|
| Rate for Payer: Nomi Health Commercial |
$1,653.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,310.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,774.06
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
OP
|
$2,015.98
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,075.80 |
| Max. Negotiated Rate |
$3,110.99 |
| Rate for Payer: Aetna Commercial |
$1,814.38
|
| Rate for Payer: Aetna Medicare |
$2,007.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,508.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,508.86
|
| Rate for Payer: ASR ASR |
$1,955.50
|
| Rate for Payer: ASR Commercial |
$1,955.50
|
| Rate for Payer: BCBS Complete |
$1,129.59
|
| Rate for Payer: BCBS MAPPO |
$2,007.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,650.89
|
| Rate for Payer: BCN Commercial |
$1,562.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,007.09
|
| Rate for Payer: Cash Price |
$1,612.78
|
| Rate for Payer: Cash Price |
$1,612.78
|
| Rate for Payer: Cofinity Commercial |
$1,895.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,612.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,007.09
|
| Rate for Payer: Healthscope Commercial |
$2,015.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,955.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,007.09
|
| Rate for Payer: Mclaren Commercial |
$1,814.38
|
| Rate for Payer: Mclaren Medicaid |
$1,075.80
|
| Rate for Payer: Mclaren Medicare |
$2,007.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,107.44
|
| Rate for Payer: Meridian Medicaid |
$1,129.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,308.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,713.58
|
| Rate for Payer: Nomi Health Commercial |
$1,653.10
|
| Rate for Payer: PACE Medicare |
$1,906.74
|
| Rate for Payer: PACE SWMI |
$2,007.09
|
| Rate for Payer: PHP Commercial |
$2,207.80
|
| Rate for Payer: PHP Medicaid |
$1,075.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,007.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,075.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,310.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,766.40
|
| Rate for Payer: Priority Health Medicare |
$2,007.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,413.20
|
| Rate for Payer: Railroad Medicare Medicare |
$2,007.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,774.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,007.09
|
| Rate for Payer: UHC Exchange |
$3,110.99
|
| Rate for Payer: UHC Medicare Advantage |
$2,007.09
|
| Rate for Payer: UHCCP DNSP |
$2,007.09
|
| Rate for Payer: UHCCP Medicaid |
$1,075.80
|
| Rate for Payer: VA VA |
$2,007.09
|
|
|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,736.13
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$850.89 |
| Max. Negotiated Rate |
$2,460.59 |
| Rate for Payer: Aetna Commercial |
$1,562.52
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$1,684.05
|
| Rate for Payer: ASR Commercial |
$1,684.05
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,421.72
|
| Rate for Payer: BCN Commercial |
$1,346.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cofinity Commercial |
$1,631.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,388.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,736.13
|
| Rate for Payer: Healthscope Whirlpool |
$1,684.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$1,562.52
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,475.71
|
| Rate for Payer: Nomi Health Commercial |
$1,423.63
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,128.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,472.44
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,177.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,527.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,736.13
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,128.48 |
| Max. Negotiated Rate |
$1,736.13 |
| Rate for Payer: Aetna Commercial |
$1,562.52
|
| Rate for Payer: ASR ASR |
$1,684.05
|
| Rate for Payer: ASR Commercial |
$1,684.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,414.77
|
| Rate for Payer: BCN Commercial |
$1,346.02
|
| Rate for Payer: Cash Price |
$1,388.90
|
| Rate for Payer: Cofinity Commercial |
$1,631.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,388.90
|
| Rate for Payer: Healthscope Commercial |
$1,736.13
|
| Rate for Payer: Healthscope Whirlpool |
$1,684.05
|
| Rate for Payer: Mclaren Commercial |
$1,562.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,475.71
|
| Rate for Payer: Nomi Health Commercial |
$1,423.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,128.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,527.79
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$916.01
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$595.41 |
| Max. Negotiated Rate |
$916.01 |
| Rate for Payer: Aetna Commercial |
$824.41
|
| Rate for Payer: ASR ASR |
$888.53
|
| Rate for Payer: ASR Commercial |
$888.53
|
| Rate for Payer: BCBS Trust/PPO |
$746.46
|
| Rate for Payer: BCN Commercial |
$710.18
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cofinity Commercial |
$861.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$732.81
|
| Rate for Payer: Healthscope Commercial |
$916.01
|
| Rate for Payer: Healthscope Whirlpool |
$888.53
|
| Rate for Payer: Mclaren Commercial |
$824.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$778.61
|
| Rate for Payer: Nomi Health Commercial |
$751.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$806.09
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$916.01
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$369.50 |
| Max. Negotiated Rate |
$1,068.51 |
| Rate for Payer: Aetna Commercial |
$824.41
|
| Rate for Payer: Aetna Medicare |
$689.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$861.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$861.70
|
| Rate for Payer: ASR ASR |
$888.53
|
| Rate for Payer: ASR Commercial |
$888.53
|
| Rate for Payer: BCBS Complete |
$387.97
|
| Rate for Payer: BCBS MAPPO |
$689.36
|
| Rate for Payer: BCBS Trust/PPO |
$750.12
|
| Rate for Payer: BCN Commercial |
$710.18
|
| Rate for Payer: BCN Medicare Advantage |
$689.36
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cash Price |
$732.81
|
| Rate for Payer: Cofinity Commercial |
$861.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$732.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.36
|
| Rate for Payer: Healthscope Commercial |
$916.01
|
| Rate for Payer: Healthscope Whirlpool |
$888.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$689.36
|
| Rate for Payer: Mclaren Commercial |
$824.41
|
| Rate for Payer: Mclaren Medicaid |
$369.50
|
| Rate for Payer: Mclaren Medicare |
$689.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.83
|
| Rate for Payer: Meridian Medicaid |
$387.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$792.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$778.61
|
| Rate for Payer: Nomi Health Commercial |
$751.13
|
| Rate for Payer: PACE Medicare |
$654.89
|
| Rate for Payer: PACE SWMI |
$689.36
|
| Rate for Payer: PHP Commercial |
$758.30
|
| Rate for Payer: PHP Medicaid |
$369.50
|
| Rate for Payer: PHP Medicare Advantage |
$689.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$802.61
|
| Rate for Payer: Priority Health Medicare |
$689.36
|
| Rate for Payer: Priority Health Narrow Network |
$642.12
|
| Rate for Payer: Railroad Medicare Medicare |
$689.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$806.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$689.36
|
| Rate for Payer: UHC Exchange |
$1,068.51
|
| Rate for Payer: UHC Medicare Advantage |
$689.36
|
| Rate for Payer: UHCCP DNSP |
$689.36
|
| Rate for Payer: UHCCP Medicaid |
$369.50
|
| Rate for Payer: VA VA |
$689.36
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,080.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$777.91 |
| Max. Negotiated Rate |
$4,080.00 |
| Rate for Payer: Aetna Commercial |
$3,672.00
|
| Rate for Payer: Aetna Medicare |
$1,451.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,814.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,814.16
|
| Rate for Payer: ASR ASR |
$3,957.60
|
| Rate for Payer: ASR Commercial |
$3,957.60
|
| Rate for Payer: BCBS Complete |
$816.81
|
| Rate for Payer: BCBS MAPPO |
$1,451.33
|
| Rate for Payer: BCBS Trust/PPO |
$3,341.11
|
| Rate for Payer: BCN Commercial |
$3,163.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,451.33
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cofinity Commercial |
$3,835.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,264.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,451.33
|
| Rate for Payer: Healthscope Commercial |
$4,080.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,957.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,451.33
|
| Rate for Payer: Mclaren Commercial |
$3,672.00
|
| Rate for Payer: Mclaren Medicaid |
$777.91
|
| Rate for Payer: Mclaren Medicare |
$1,451.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,523.90
|
| Rate for Payer: Meridian Medicaid |
$816.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,669.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,468.00
|
| Rate for Payer: Nomi Health Commercial |
$3,345.60
|
| Rate for Payer: PACE Medicare |
$1,378.76
|
| Rate for Payer: PACE SWMI |
$1,451.33
|
| Rate for Payer: PHP Commercial |
$1,596.46
|
| Rate for Payer: PHP Medicaid |
$777.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,451.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,574.90
|
| Rate for Payer: Priority Health Medicare |
$1,451.33
|
| Rate for Payer: Priority Health Narrow Network |
$2,860.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,451.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,590.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,451.33
|
| Rate for Payer: UHC Exchange |
$2,249.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,451.33
|
| Rate for Payer: UHCCP DNSP |
$1,451.33
|
| Rate for Payer: UHCCP Medicaid |
$777.91
|
| Rate for Payer: VA VA |
$1,451.33
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,080.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,652.00 |
| Max. Negotiated Rate |
$4,080.00 |
| Rate for Payer: Aetna Commercial |
$3,672.00
|
| Rate for Payer: ASR ASR |
$3,957.60
|
| Rate for Payer: ASR Commercial |
$3,957.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,324.79
|
| Rate for Payer: BCN Commercial |
$3,163.22
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Cofinity Commercial |
$3,835.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,264.00
|
| Rate for Payer: Healthscope Commercial |
$4,080.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,957.60
|
| Rate for Payer: Mclaren Commercial |
$3,672.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,468.00
|
| Rate for Payer: Nomi Health Commercial |
$3,345.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,590.40
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,522.77
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$850.89 |
| Max. Negotiated Rate |
$2,522.77 |
| Rate for Payer: Aetna Commercial |
$2,270.49
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$2,447.09
|
| Rate for Payer: ASR Commercial |
$2,447.09
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,065.90
|
| Rate for Payer: BCN Commercial |
$1,955.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cofinity Commercial |
$2,371.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,018.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$2,522.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,447.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$2,270.49
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,144.35
|
| Rate for Payer: Nomi Health Commercial |
$2,068.67
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,639.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,210.45
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,768.46
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,220.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,522.77
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,639.80 |
| Max. Negotiated Rate |
$2,522.77 |
| Rate for Payer: Aetna Commercial |
$2,270.49
|
| Rate for Payer: ASR ASR |
$2,447.09
|
| Rate for Payer: ASR Commercial |
$2,447.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,055.81
|
| Rate for Payer: BCN Commercial |
$1,955.90
|
| Rate for Payer: Cash Price |
$2,018.22
|
| Rate for Payer: Cofinity Commercial |
$2,371.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,018.22
|
| Rate for Payer: Healthscope Commercial |
$2,522.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,447.09
|
| Rate for Payer: Mclaren Commercial |
$2,270.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,144.35
|
| Rate for Payer: Nomi Health Commercial |
$2,068.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,639.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,220.04
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,665.51
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$850.89 |
| Max. Negotiated Rate |
$2,734.04 |
| Rate for Payer: Aetna Commercial |
$1,498.96
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$1,615.54
|
| Rate for Payer: ASR Commercial |
$1,615.54
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,363.89
|
| Rate for Payer: BCN Commercial |
$1,291.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cofinity Commercial |
$1,565.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,665.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,615.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$1,498.96
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.68
|
| Rate for Payer: Nomi Health Commercial |
$1,365.72
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,734.04
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$2,187.23
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,465.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,665.51
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,082.58 |
| Max. Negotiated Rate |
$1,665.51 |
| Rate for Payer: Aetna Commercial |
$1,498.96
|
| Rate for Payer: ASR ASR |
$1,615.54
|
| Rate for Payer: ASR Commercial |
$1,615.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,357.22
|
| Rate for Payer: BCN Commercial |
$1,291.27
|
| Rate for Payer: Cash Price |
$1,332.41
|
| Rate for Payer: Cofinity Commercial |
$1,565.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,332.41
|
| Rate for Payer: Healthscope Commercial |
$1,665.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,615.54
|
| Rate for Payer: Mclaren Commercial |
$1,498.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,415.68
|
| Rate for Payer: Nomi Health Commercial |
$1,365.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,465.65
|
|
