|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$9,129.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,933.85 |
| Max. Negotiated Rate |
$9,129.00 |
| Rate for Payer: Aetna Commercial |
$8,216.10
|
| Rate for Payer: ASR ASR |
$8,855.13
|
| Rate for Payer: ASR Commercial |
$8,855.13
|
| Rate for Payer: BCBS Trust/PPO |
$7,439.22
|
| Rate for Payer: BCN Commercial |
$7,077.71
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cofinity Commercial |
$8,581.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,303.20
|
| Rate for Payer: Healthscope Commercial |
$9,129.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,855.13
|
| Rate for Payer: Mclaren Commercial |
$8,216.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,759.65
|
| Rate for Payer: Nomi Health Commercial |
$7,485.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,933.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,033.52
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$9,129.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,811.27 |
| Max. Negotiated Rate |
$9,129.00 |
| Rate for Payer: Aetna Commercial |
$8,216.10
|
| Rate for Payer: Aetna Medicare |
$3,379.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,224.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,224.04
|
| Rate for Payer: ASR ASR |
$8,855.13
|
| Rate for Payer: ASR Commercial |
$8,855.13
|
| Rate for Payer: BCBS Complete |
$1,901.83
|
| Rate for Payer: BCBS MAPPO |
$3,379.23
|
| Rate for Payer: BCBS Trust/PPO |
$7,475.74
|
| Rate for Payer: BCN Commercial |
$7,077.71
|
| Rate for Payer: BCN Medicare Advantage |
$3,379.23
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cash Price |
$7,303.20
|
| Rate for Payer: Cofinity Commercial |
$8,581.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,303.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,379.23
|
| Rate for Payer: Healthscope Commercial |
$9,129.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,855.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,379.23
|
| Rate for Payer: Mclaren Commercial |
$8,216.10
|
| Rate for Payer: Mclaren Medicaid |
$1,811.27
|
| Rate for Payer: Mclaren Medicare |
$3,379.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,548.19
|
| Rate for Payer: Meridian Medicaid |
$1,901.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,759.65
|
| Rate for Payer: Nomi Health Commercial |
$7,485.78
|
| Rate for Payer: PACE Medicare |
$3,210.27
|
| Rate for Payer: PACE SWMI |
$3,379.23
|
| Rate for Payer: PHP Commercial |
$3,717.15
|
| Rate for Payer: PHP Medicaid |
$1,811.27
|
| Rate for Payer: PHP Medicare Advantage |
$3,379.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,933.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,998.83
|
| Rate for Payer: Priority Health Medicare |
$3,379.23
|
| Rate for Payer: Priority Health Narrow Network |
$6,399.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,379.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,033.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,379.23
|
| Rate for Payer: UHC Exchange |
$5,237.81
|
| Rate for Payer: UHC Medicare Advantage |
$3,379.23
|
| Rate for Payer: UHCCP DNSP |
$3,379.23
|
| Rate for Payer: UHCCP Medicaid |
$1,811.27
|
| Rate for Payer: VA VA |
$3,379.23
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$9,153.48
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,811.27 |
| Max. Negotiated Rate |
$9,153.48 |
| Rate for Payer: Aetna Commercial |
$8,238.13
|
| Rate for Payer: Aetna Medicare |
$3,379.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,224.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,224.04
|
| Rate for Payer: ASR ASR |
$8,878.88
|
| Rate for Payer: ASR Commercial |
$8,878.88
|
| Rate for Payer: BCBS Complete |
$1,901.83
|
| Rate for Payer: BCBS MAPPO |
$3,379.23
|
| Rate for Payer: BCBS Trust/PPO |
$7,495.78
|
| Rate for Payer: BCN Commercial |
$7,096.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,379.23
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cofinity Commercial |
$8,604.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,322.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,379.23
|
| Rate for Payer: Healthscope Commercial |
$9,153.48
|
| Rate for Payer: Healthscope Whirlpool |
$8,878.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,379.23
|
| Rate for Payer: Mclaren Commercial |
$8,238.13
|
| Rate for Payer: Mclaren Medicaid |
$1,811.27
|
| Rate for Payer: Mclaren Medicare |
$3,379.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,548.19
|
| Rate for Payer: Meridian Medicaid |
$1,901.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,780.46
|
| Rate for Payer: Nomi Health Commercial |
$7,505.85
|
| Rate for Payer: PACE Medicare |
$3,210.27
|
| Rate for Payer: PACE SWMI |
$3,379.23
|
| Rate for Payer: PHP Commercial |
$3,717.15
|
| Rate for Payer: PHP Medicaid |
$1,811.27
|
| Rate for Payer: PHP Medicare Advantage |
$3,379.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,949.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,020.28
|
| Rate for Payer: Priority Health Medicare |
$3,379.23
|
| Rate for Payer: Priority Health Narrow Network |
$6,416.59
|
| Rate for Payer: Railroad Medicare Medicare |
$3,379.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,055.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,379.23
|
| Rate for Payer: UHC Exchange |
$5,237.81
|
| Rate for Payer: UHC Medicare Advantage |
$3,379.23
|
| Rate for Payer: UHCCP DNSP |
$3,379.23
|
| Rate for Payer: UHCCP Medicaid |
$1,811.27
|
| Rate for Payer: VA VA |
$3,379.23
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$9,153.48
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,949.76 |
| Max. Negotiated Rate |
$9,153.48 |
| Rate for Payer: Aetna Commercial |
$8,238.13
|
| Rate for Payer: ASR ASR |
$8,878.88
|
| Rate for Payer: ASR Commercial |
$8,878.88
|
| Rate for Payer: BCBS Trust/PPO |
$7,459.17
|
| Rate for Payer: BCN Commercial |
$7,096.69
|
| Rate for Payer: Cash Price |
$7,322.78
|
| Rate for Payer: Cofinity Commercial |
$8,604.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,322.78
|
| Rate for Payer: Healthscope Commercial |
$9,153.48
|
| Rate for Payer: Healthscope Whirlpool |
$8,878.88
|
| Rate for Payer: Mclaren Commercial |
$8,238.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,780.46
|
| Rate for Payer: Nomi Health Commercial |
$7,505.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,949.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,055.06
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$403.68
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$262.39 |
| Max. Negotiated Rate |
$403.68 |
| Rate for Payer: Aetna Commercial |
$363.31
|
| Rate for Payer: ASR ASR |
$391.57
|
| Rate for Payer: ASR Commercial |
$391.57
|
| Rate for Payer: BCBS Trust/PPO |
$328.96
|
| Rate for Payer: BCN Commercial |
$312.97
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cofinity Commercial |
$379.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.94
|
| Rate for Payer: Healthscope Commercial |
$403.68
|
| Rate for Payer: Healthscope Whirlpool |
$391.57
|
| Rate for Payer: Mclaren Commercial |
$363.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.13
|
| Rate for Payer: Nomi Health Commercial |
$331.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$262.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$355.24
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$403.68
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$262.39 |
| Max. Negotiated Rate |
$1,068.51 |
| Rate for Payer: Aetna Commercial |
$363.31
|
| 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 |
$391.57
|
| Rate for Payer: ASR Commercial |
$391.57
|
| Rate for Payer: BCBS Complete |
$387.97
|
| Rate for Payer: BCBS MAPPO |
$689.36
|
| Rate for Payer: BCBS Trust/PPO |
$330.57
|
| Rate for Payer: BCN Commercial |
$312.97
|
| Rate for Payer: BCN Medicare Advantage |
$689.36
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cash Price |
$322.94
|
| Rate for Payer: Cofinity Commercial |
$379.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.36
|
| Rate for Payer: Healthscope Commercial |
$403.68
|
| Rate for Payer: Healthscope Whirlpool |
$391.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$689.36
|
| Rate for Payer: Mclaren Commercial |
$363.31
|
| 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 |
$343.13
|
| Rate for Payer: Nomi Health Commercial |
$331.02
|
| 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 |
$262.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$693.95
|
| Rate for Payer: Priority Health Medicare |
$689.36
|
| Rate for Payer: Priority Health Narrow Network |
$555.16
|
| Rate for Payer: Railroad Medicare Medicare |
$689.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$355.24
|
| 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 TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,377.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$895.05 |
| Max. Negotiated Rate |
$1,377.00 |
| Rate for Payer: Aetna Commercial |
$1,239.30
|
| Rate for Payer: ASR ASR |
$1,335.69
|
| Rate for Payer: ASR Commercial |
$1,335.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,122.12
|
| Rate for Payer: BCN Commercial |
$1,067.59
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,294.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Healthscope Commercial |
$1,377.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,335.69
|
| Rate for Payer: Mclaren Commercial |
$1,239.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,211.76
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,377.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$267.44 |
| Max. Negotiated Rate |
$1,377.00 |
| Rate for Payer: Aetna Commercial |
$1,239.30
|
| Rate for Payer: Aetna Medicare |
$498.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$623.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$623.69
|
| Rate for Payer: ASR ASR |
$1,335.69
|
| Rate for Payer: ASR Commercial |
$1,335.69
|
| Rate for Payer: BCBS Complete |
$280.81
|
| Rate for Payer: BCBS MAPPO |
$498.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.63
|
| Rate for Payer: BCN Commercial |
$1,067.59
|
| Rate for Payer: BCN Medicare Advantage |
$498.95
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,294.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.95
|
| Rate for Payer: Healthscope Commercial |
$1,377.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,335.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$498.95
|
| Rate for Payer: Mclaren Commercial |
$1,239.30
|
| Rate for Payer: Mclaren Medicaid |
$267.44
|
| Rate for Payer: Mclaren Medicare |
$498.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.90
|
| Rate for Payer: Meridian Medicaid |
$280.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$573.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: PACE Medicare |
$474.00
|
| Rate for Payer: PACE SWMI |
$498.95
|
| Rate for Payer: PHP Commercial |
$548.84
|
| Rate for Payer: PHP Medicaid |
$267.44
|
| Rate for Payer: PHP Medicare Advantage |
$498.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,206.53
|
| Rate for Payer: Priority Health Medicare |
$498.95
|
| Rate for Payer: Priority Health Narrow Network |
$965.28
|
| Rate for Payer: Railroad Medicare Medicare |
$498.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,211.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$498.95
|
| Rate for Payer: UHC Exchange |
$773.37
|
| Rate for Payer: UHC Medicare Advantage |
$498.95
|
| Rate for Payer: UHCCP DNSP |
$498.95
|
| Rate for Payer: UHCCP Medicaid |
$267.44
|
| Rate for Payer: VA VA |
$498.95
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$8,058.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,237.70 |
| Max. Negotiated Rate |
$8,058.00 |
| Rate for Payer: Aetna Commercial |
$7,252.20
|
| Rate for Payer: ASR ASR |
$7,816.26
|
| Rate for Payer: ASR Commercial |
$7,816.26
|
| Rate for Payer: BCBS Trust/PPO |
$6,566.46
|
| Rate for Payer: BCN Commercial |
$6,247.37
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$7,574.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Healthscope Commercial |
$8,058.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,816.26
|
| Rate for Payer: Mclaren Commercial |
$7,252.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: Nomi Health Commercial |
$6,607.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,091.04
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$8,058.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,703.14 |
| Max. Negotiated Rate |
$8,058.00 |
| Rate for Payer: Aetna Commercial |
$7,252.20
|
| Rate for Payer: Aetna Medicare |
$3,177.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,971.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,971.88
|
| Rate for Payer: ASR ASR |
$7,816.26
|
| Rate for Payer: ASR Commercial |
$7,816.26
|
| Rate for Payer: BCBS Complete |
$1,788.30
|
| Rate for Payer: BCBS MAPPO |
$3,177.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,598.70
|
| Rate for Payer: BCN Commercial |
$6,247.37
|
| Rate for Payer: BCN Medicare Advantage |
$3,177.50
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cash Price |
$6,446.40
|
| Rate for Payer: Cofinity Commercial |
$7,574.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,446.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,177.50
|
| Rate for Payer: Healthscope Commercial |
$8,058.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,816.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,177.50
|
| Rate for Payer: Mclaren Commercial |
$7,252.20
|
| Rate for Payer: Mclaren Medicaid |
$1,703.14
|
| Rate for Payer: Mclaren Medicare |
$3,177.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,336.38
|
| Rate for Payer: Meridian Medicaid |
$1,788.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,654.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,849.30
|
| Rate for Payer: Nomi Health Commercial |
$6,607.56
|
| Rate for Payer: PACE Medicare |
$3,018.62
|
| Rate for Payer: PACE SWMI |
$3,177.50
|
| Rate for Payer: PHP Commercial |
$3,495.25
|
| Rate for Payer: PHP Medicaid |
$1,703.14
|
| Rate for Payer: PHP Medicare Advantage |
$3,177.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,237.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,060.42
|
| Rate for Payer: Priority Health Medicare |
$3,177.50
|
| Rate for Payer: Priority Health Narrow Network |
$5,648.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,177.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,091.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,177.50
|
| Rate for Payer: UHC Exchange |
$4,925.12
|
| Rate for Payer: UHC Medicare Advantage |
$3,177.50
|
| Rate for Payer: UHCCP DNSP |
$3,177.50
|
| Rate for Payer: UHCCP Medicaid |
$1,703.14
|
| Rate for Payer: VA VA |
$3,177.50
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,677.86
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,090.61 |
| Max. Negotiated Rate |
$8,209.42 |
| Rate for Payer: Aetna Commercial |
$1,510.07
|
| Rate for Payer: Aetna Medicare |
$5,296.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.50
|
| Rate for Payer: ASR ASR |
$1,627.52
|
| Rate for Payer: ASR Commercial |
$1,627.52
|
| Rate for Payer: BCBS Complete |
$2,980.81
|
| Rate for Payer: BCBS MAPPO |
$5,296.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,374.00
|
| Rate for Payer: BCN Commercial |
$1,300.84
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| Rate for Payer: Cash Price |
$1,342.29
|
| Rate for Payer: Cash Price |
$1,342.29
|
| Rate for Payer: Cofinity Commercial |
$1,577.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,342.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.40
|
| Rate for Payer: Healthscope Commercial |
$1,677.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,627.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,296.40
|
| Rate for Payer: Mclaren Commercial |
$1,510.07
|
| Rate for Payer: Mclaren Medicaid |
$2,838.87
|
| Rate for Payer: Mclaren Medicare |
$5,296.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,561.22
|
| Rate for Payer: Meridian Medicaid |
$2,980.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,426.18
|
| Rate for Payer: Nomi Health Commercial |
$1,375.85
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$5,826.04
|
| Rate for Payer: PHP Medicaid |
$2,838.87
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,838.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,470.14
|
| Rate for Payer: Priority Health Medicare |
$5,296.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,176.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,476.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$8,209.42
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP DNSP |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: VA VA |
$5,296.40
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,677.86
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,090.61 |
| Max. Negotiated Rate |
$1,677.86 |
| Rate for Payer: Aetna Commercial |
$1,510.07
|
| Rate for Payer: ASR ASR |
$1,627.52
|
| Rate for Payer: ASR Commercial |
$1,627.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.29
|
| Rate for Payer: BCN Commercial |
$1,300.84
|
| Rate for Payer: Cash Price |
$1,342.29
|
| Rate for Payer: Cofinity Commercial |
$1,577.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,342.29
|
| Rate for Payer: Healthscope Commercial |
$1,677.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,627.52
|
| Rate for Payer: Mclaren Commercial |
$1,510.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,426.18
|
| Rate for Payer: Nomi Health Commercial |
$1,375.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,476.52
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,377.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$267.44 |
| Max. Negotiated Rate |
$1,377.00 |
| Rate for Payer: Aetna Commercial |
$1,239.30
|
| Rate for Payer: Aetna Medicare |
$498.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$623.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$623.69
|
| Rate for Payer: ASR ASR |
$1,335.69
|
| Rate for Payer: ASR Commercial |
$1,335.69
|
| Rate for Payer: BCBS Complete |
$280.81
|
| Rate for Payer: BCBS MAPPO |
$498.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.63
|
| Rate for Payer: BCN Commercial |
$1,067.59
|
| Rate for Payer: BCN Medicare Advantage |
$498.95
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,294.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.95
|
| Rate for Payer: Healthscope Commercial |
$1,377.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,335.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$498.95
|
| Rate for Payer: Mclaren Commercial |
$1,239.30
|
| Rate for Payer: Mclaren Medicaid |
$267.44
|
| Rate for Payer: Mclaren Medicare |
$498.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.90
|
| Rate for Payer: Meridian Medicaid |
$280.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$573.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: PACE Medicare |
$474.00
|
| Rate for Payer: PACE SWMI |
$498.95
|
| Rate for Payer: PHP Commercial |
$548.84
|
| Rate for Payer: PHP Medicaid |
$267.44
|
| Rate for Payer: PHP Medicare Advantage |
$498.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$538.03
|
| Rate for Payer: Priority Health Medicare |
$498.95
|
| Rate for Payer: Priority Health Narrow Network |
$430.42
|
| Rate for Payer: Railroad Medicare Medicare |
$498.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,211.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$498.95
|
| Rate for Payer: UHC Exchange |
$773.37
|
| Rate for Payer: UHC Medicare Advantage |
$498.95
|
| Rate for Payer: UHCCP DNSP |
$498.95
|
| Rate for Payer: UHCCP Medicaid |
$267.44
|
| Rate for Payer: VA VA |
$498.95
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,377.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$895.05 |
| Max. Negotiated Rate |
$1,377.00 |
| Rate for Payer: Aetna Commercial |
$1,239.30
|
| Rate for Payer: ASR ASR |
$1,335.69
|
| Rate for Payer: ASR Commercial |
$1,335.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,122.12
|
| Rate for Payer: BCN Commercial |
$1,067.59
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,294.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,101.60
|
| Rate for Payer: Healthscope Commercial |
$1,377.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,335.69
|
| Rate for Payer: Mclaren Commercial |
$1,239.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.45
|
| Rate for Payer: Nomi Health Commercial |
$1,129.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,211.76
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$870.88
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$566.07 |
| Max. Negotiated Rate |
$870.88 |
| Rate for Payer: Aetna Commercial |
$783.79
|
| Rate for Payer: ASR ASR |
$844.75
|
| Rate for Payer: ASR Commercial |
$844.75
|
| Rate for Payer: BCBS Trust/PPO |
$709.68
|
| Rate for Payer: BCN Commercial |
$675.19
|
| Rate for Payer: Cash Price |
$696.70
|
| Rate for Payer: Cofinity Commercial |
$818.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.70
|
| Rate for Payer: Healthscope Commercial |
$870.88
|
| Rate for Payer: Healthscope Whirlpool |
$844.75
|
| Rate for Payer: Mclaren Commercial |
$783.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.25
|
| Rate for Payer: Nomi Health Commercial |
$714.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$766.37
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
OP
|
$870.88
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$457.28 |
| Max. Negotiated Rate |
$1,322.35 |
| Rate for Payer: Aetna Commercial |
$783.79
|
| Rate for Payer: Aetna Medicare |
$853.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,066.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,066.41
|
| Rate for Payer: ASR ASR |
$844.75
|
| Rate for Payer: ASR Commercial |
$844.75
|
| Rate for Payer: BCBS Complete |
$480.14
|
| Rate for Payer: BCBS MAPPO |
$853.13
|
| Rate for Payer: BCBS Trust/PPO |
$713.16
|
| Rate for Payer: BCN Commercial |
$675.19
|
| Rate for Payer: BCN Medicare Advantage |
$853.13
|
| Rate for Payer: Cash Price |
$696.70
|
| Rate for Payer: Cash Price |
$696.70
|
| Rate for Payer: Cofinity Commercial |
$818.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$696.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.13
|
| Rate for Payer: Healthscope Commercial |
$870.88
|
| Rate for Payer: Healthscope Whirlpool |
$844.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$853.13
|
| Rate for Payer: Mclaren Commercial |
$783.79
|
| Rate for Payer: Mclaren Medicaid |
$457.28
|
| Rate for Payer: Mclaren Medicare |
$853.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.79
|
| Rate for Payer: Meridian Medicaid |
$480.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$981.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.25
|
| Rate for Payer: Nomi Health Commercial |
$714.12
|
| Rate for Payer: PACE Medicare |
$810.47
|
| Rate for Payer: PACE SWMI |
$853.13
|
| Rate for Payer: PHP Commercial |
$938.44
|
| Rate for Payer: PHP Medicaid |
$457.28
|
| Rate for Payer: PHP Medicare Advantage |
$853.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$710.04
|
| Rate for Payer: Priority Health Medicare |
$853.13
|
| Rate for Payer: Priority Health Narrow Network |
$568.03
|
| Rate for Payer: Railroad Medicare Medicare |
$853.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$766.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$853.13
|
| Rate for Payer: UHC Exchange |
$1,322.35
|
| Rate for Payer: UHC Medicare Advantage |
$853.13
|
| Rate for Payer: UHCCP DNSP |
$853.13
|
| Rate for Payer: UHCCP Medicaid |
$457.28
|
| Rate for Payer: VA VA |
$853.13
|
|
|
HC BIOTINIDASE
|
Facility
|
IP
|
$68.34
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.42 |
| Max. Negotiated Rate |
$68.34 |
| Rate for Payer: Aetna Commercial |
$61.51
|
| Rate for Payer: ASR ASR |
$66.29
|
| Rate for Payer: ASR Commercial |
$66.29
|
| Rate for Payer: BCBS Trust/PPO |
$55.69
|
| Rate for Payer: BCN Commercial |
$52.98
|
| Rate for Payer: Cash Price |
$54.67
|
| Rate for Payer: Cofinity Commercial |
$64.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.67
|
| Rate for Payer: Healthscope Commercial |
$68.34
|
| Rate for Payer: Healthscope Whirlpool |
$66.29
|
| Rate for Payer: Mclaren Commercial |
$61.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.09
|
| Rate for Payer: Nomi Health Commercial |
$56.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.14
|
|
|
HC BIOTINIDASE
|
Facility
|
OP
|
$68.34
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.04 |
| Max. Negotiated Rate |
$68.34 |
| Rate for Payer: Aetna Commercial |
$61.51
|
| Rate for Payer: Aetna Medicare |
$16.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.09
|
| Rate for Payer: ASR ASR |
$66.29
|
| Rate for Payer: ASR Commercial |
$66.29
|
| Rate for Payer: BCBS Complete |
$9.49
|
| Rate for Payer: BCBS MAPPO |
$16.87
|
| Rate for Payer: BCBS Trust/PPO |
$55.96
|
| Rate for Payer: BCN Commercial |
$52.98
|
| Rate for Payer: BCN Medicare Advantage |
$16.87
|
| Rate for Payer: Cash Price |
$54.67
|
| Rate for Payer: Cash Price |
$54.67
|
| Rate for Payer: Cofinity Commercial |
$64.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.87
|
| Rate for Payer: Healthscope Commercial |
$68.34
|
| Rate for Payer: Healthscope Whirlpool |
$66.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.87
|
| Rate for Payer: Mclaren Commercial |
$61.51
|
| Rate for Payer: Mclaren Medicaid |
$9.04
|
| Rate for Payer: Mclaren Medicare |
$16.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.71
|
| Rate for Payer: Meridian Medicaid |
$9.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.09
|
| Rate for Payer: Nomi Health Commercial |
$56.04
|
| Rate for Payer: PACE Medicare |
$16.03
|
| Rate for Payer: PACE SWMI |
$16.87
|
| Rate for Payer: PHP Commercial |
$18.56
|
| Rate for Payer: PHP Medicaid |
$9.04
|
| Rate for Payer: PHP Medicare Advantage |
$16.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.88
|
| Rate for Payer: Priority Health Medicare |
$16.87
|
| Rate for Payer: Priority Health Narrow Network |
$47.91
|
| Rate for Payer: Railroad Medicare Medicare |
$16.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.87
|
| Rate for Payer: UHC Exchange |
$26.15
|
| Rate for Payer: UHC Medicare Advantage |
$16.87
|
| Rate for Payer: UHCCP DNSP |
$16.87
|
| Rate for Payer: UHCCP Medicaid |
$9.04
|
| Rate for Payer: VA VA |
$16.87
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
OP
|
$9,631.71
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,852.68 |
| Max. Negotiated Rate |
$9,631.71 |
| Rate for Payer: Aetna Commercial |
$8,668.54
|
| Rate for Payer: Aetna Medicare |
$4,815.86
|
| Rate for Payer: ASR ASR |
$9,342.76
|
| Rate for Payer: ASR Commercial |
$9,342.76
|
| Rate for Payer: BCBS Complete |
$3,852.68
|
| Rate for Payer: BCBS Trust/PPO |
$7,887.41
|
| Rate for Payer: BCN Commercial |
$7,467.46
|
| Rate for Payer: Cash Price |
$7,705.37
|
| Rate for Payer: Cofinity Commercial |
$9,053.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,705.37
|
| Rate for Payer: Healthscope Commercial |
$9,631.71
|
| Rate for Payer: Healthscope Whirlpool |
$9,342.76
|
| Rate for Payer: Mclaren Commercial |
$8,668.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,186.95
|
| Rate for Payer: Nomi Health Commercial |
$7,898.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,260.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,439.30
|
| Rate for Payer: Priority Health Narrow Network |
$6,751.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,475.90
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
IP
|
$9,631.71
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$6,260.61 |
| Max. Negotiated Rate |
$9,631.71 |
| Rate for Payer: Aetna Commercial |
$8,668.54
|
| Rate for Payer: ASR ASR |
$9,342.76
|
| Rate for Payer: ASR Commercial |
$9,342.76
|
| Rate for Payer: BCBS Trust/PPO |
$7,848.88
|
| Rate for Payer: BCN Commercial |
$7,467.46
|
| Rate for Payer: Cash Price |
$7,705.37
|
| Rate for Payer: Cofinity Commercial |
$9,053.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,705.37
|
| Rate for Payer: Healthscope Commercial |
$9,631.71
|
| Rate for Payer: Healthscope Whirlpool |
$9,342.76
|
| Rate for Payer: Mclaren Commercial |
$8,668.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,186.95
|
| Rate for Payer: Nomi Health Commercial |
$7,898.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,260.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,475.90
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
IP
|
$1,756.92
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,142.00 |
| Max. Negotiated Rate |
$1,756.92 |
| Rate for Payer: Aetna Commercial |
$1,581.23
|
| Rate for Payer: ASR ASR |
$1,704.21
|
| Rate for Payer: ASR Commercial |
$1,704.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,431.71
|
| Rate for Payer: BCN Commercial |
$1,362.14
|
| Rate for Payer: Cash Price |
$1,405.54
|
| Rate for Payer: Cofinity Commercial |
$1,651.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,405.54
|
| Rate for Payer: Healthscope Commercial |
$1,756.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,704.21
|
| Rate for Payer: Mclaren Commercial |
$1,581.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,493.38
|
| Rate for Payer: Nomi Health Commercial |
$1,440.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,546.09
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
OP
|
$1,756.92
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$702.77 |
| Max. Negotiated Rate |
$1,756.92 |
| Rate for Payer: Aetna Commercial |
$1,581.23
|
| Rate for Payer: Aetna Medicare |
$878.46
|
| Rate for Payer: ASR ASR |
$1,704.21
|
| Rate for Payer: ASR Commercial |
$1,704.21
|
| Rate for Payer: BCBS Complete |
$702.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,438.74
|
| Rate for Payer: BCN Commercial |
$1,362.14
|
| Rate for Payer: Cash Price |
$1,405.54
|
| Rate for Payer: Cofinity Commercial |
$1,651.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,405.54
|
| Rate for Payer: Healthscope Commercial |
$1,756.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,704.21
|
| Rate for Payer: Mclaren Commercial |
$1,581.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,493.38
|
| Rate for Payer: Nomi Health Commercial |
$1,440.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,539.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,231.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,546.09
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
OP
|
$875.11
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$106.81 |
| Max. Negotiated Rate |
$1,878.71 |
| Rate for Payer: Aetna Commercial |
$787.60
|
| Rate for Payer: Aetna Medicare |
$199.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.10
|
| Rate for Payer: ASR ASR |
$848.86
|
| Rate for Payer: ASR Commercial |
$848.86
|
| Rate for Payer: BCBS Complete |
$112.15
|
| Rate for Payer: BCBS MAPPO |
$199.28
|
| Rate for Payer: BCBS Trust/PPO |
$716.63
|
| Rate for Payer: BCN Commercial |
$678.47
|
| Rate for Payer: BCN Medicare Advantage |
$199.28
|
| Rate for Payer: Cash Price |
$700.09
|
| Rate for Payer: Cash Price |
$700.09
|
| Rate for Payer: Cofinity Commercial |
$822.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$700.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.28
|
| Rate for Payer: Healthscope Commercial |
$875.11
|
| Rate for Payer: Healthscope Whirlpool |
$848.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$199.28
|
| Rate for Payer: Mclaren Commercial |
$787.60
|
| Rate for Payer: Mclaren Medicaid |
$106.81
|
| Rate for Payer: Mclaren Medicare |
$199.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.24
|
| Rate for Payer: Meridian Medicaid |
$112.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.84
|
| Rate for Payer: Nomi Health Commercial |
$717.59
|
| Rate for Payer: PACE Medicare |
$189.32
|
| Rate for Payer: PACE SWMI |
$199.28
|
| Rate for Payer: PHP Commercial |
$219.21
|
| Rate for Payer: PHP Medicaid |
$106.81
|
| Rate for Payer: PHP Medicare Advantage |
$199.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$568.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,878.71
|
| Rate for Payer: Priority Health Medicare |
$199.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,502.97
|
| Rate for Payer: Railroad Medicare Medicare |
$199.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$770.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.28
|
| Rate for Payer: UHC Exchange |
$308.88
|
| Rate for Payer: UHC Medicare Advantage |
$199.28
|
| Rate for Payer: UHCCP DNSP |
$199.28
|
| Rate for Payer: UHCCP Medicaid |
$106.81
|
| Rate for Payer: VA VA |
$199.28
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
IP
|
$875.11
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$568.82 |
| Max. Negotiated Rate |
$875.11 |
| Rate for Payer: Aetna Commercial |
$787.60
|
| Rate for Payer: ASR ASR |
$848.86
|
| Rate for Payer: ASR Commercial |
$848.86
|
| Rate for Payer: BCBS Trust/PPO |
$713.13
|
| Rate for Payer: BCN Commercial |
$678.47
|
| Rate for Payer: Cash Price |
$700.09
|
| Rate for Payer: Cofinity Commercial |
$822.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$700.09
|
| Rate for Payer: Healthscope Commercial |
$875.11
|
| Rate for Payer: Healthscope Whirlpool |
$848.86
|
| Rate for Payer: Mclaren Commercial |
$787.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$743.84
|
| Rate for Payer: Nomi Health Commercial |
$717.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$568.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$770.10
|
|
|
HC BIRCH IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Trust/PPO |
$20.69
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
|
