|
HC CHOLESTEROL
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100155
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.92 |
| Max. Negotiated Rate |
$21.23 |
| Rate for Payer: Aetna Commercial |
$19.11
|
| Rate for Payer: ASR ASR |
$20.59
|
| Rate for Payer: BCBS Trust/PPO |
$17.43
|
| Rate for Payer: BCN Commercial |
$17.43
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$19.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$20.59
|
| Rate for Payer: Healthscope Whirlpool |
$21.23
|
| Rate for Payer: Mclaren Commercial |
$19.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.68
|
|
|
HC CHOLESTEROL, TOTAL LMPP
|
Facility
|
OP
|
$15.92
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100688
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.28 |
| Max. Negotiated Rate |
$27.25 |
| Rate for Payer: Aetna Commercial |
$14.33
|
| Rate for Payer: Aetna Medicare |
$4.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.44
|
| Rate for Payer: ASR ASR |
$15.44
|
| Rate for Payer: BCBS Complete |
$2.39
|
| Rate for Payer: BCBS MAPPO |
$4.35
|
| Rate for Payer: BCBS Trust/PPO |
$13.13
|
| Rate for Payer: BCN Commercial |
$13.13
|
| Rate for Payer: BCN Medicare Advantage |
$4.35
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.35
|
| Rate for Payer: Healthscope Commercial |
$15.44
|
| Rate for Payer: Healthscope Whirlpool |
$15.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$4.35
|
| Rate for Payer: Mclaren Commercial |
$14.33
|
| Rate for Payer: Mclaren Medicaid |
$4.35
|
| Rate for Payer: Mclaren Medicare |
$4.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Meridian Medicaid |
$2.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.53
|
| Rate for Payer: Nomi Health Commercial |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.94
|
| Rate for Payer: PACE Medicare |
$4.13
|
| Rate for Payer: PACE SWMI |
$4.35
|
| Rate for Payer: PHP Commercial |
$4.79
|
| Rate for Payer: PHP Medicaid |
$2.33
|
| Rate for Payer: PHP Medicare Advantage |
$4.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$27.25
|
| Rate for Payer: Priority Health Medicare |
$4.35
|
| Rate for Payer: Priority Health Narrow Network |
$21.80
|
| Rate for Payer: Railroad Medicare Medicare |
$4.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.35
|
| Rate for Payer: UHC Exchange |
$6.74
|
| Rate for Payer: UHC Medicaid |
$2.28
|
| Rate for Payer: UHCCP DNSP |
$4.35
|
| Rate for Payer: UHCCP Medicaid |
$2.28
|
| Rate for Payer: VA VA |
$4.35
|
|
|
HC CHOLESTEROL, TOTAL LMPP
|
Facility
|
IP
|
$15.92
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100688
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.94 |
| Max. Negotiated Rate |
$15.92 |
| Rate for Payer: Aetna Commercial |
$14.33
|
| Rate for Payer: ASR ASR |
$15.44
|
| Rate for Payer: BCBS Trust/PPO |
$13.07
|
| Rate for Payer: BCN Commercial |
$13.07
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.74
|
| Rate for Payer: Healthscope Commercial |
$15.44
|
| Rate for Payer: Healthscope Whirlpool |
$15.92
|
| Rate for Payer: Mclaren Commercial |
$14.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.53
|
| Rate for Payer: Nomi Health Commercial |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.01
|
|
|
HC CHOLETEC PER STUDY
|
Facility
|
OP
|
$473.22
|
|
|
Service Code
|
HCPCS A9537
|
| Hospital Charge Code |
34300003
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$169.97 |
| Max. Negotiated Rate |
$473.22 |
| Rate for Payer: Aetna Commercial |
$425.90
|
| Rate for Payer: Aetna Medicare |
$175.09
|
| Rate for Payer: ASR ASR |
$459.02
|
| Rate for Payer: BCBS Complete |
$189.29
|
| Rate for Payer: BCBS Trust/PPO |
$390.17
|
| Rate for Payer: BCN Commercial |
$390.17
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cofinity Commercial |
$444.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$459.02
|
| Rate for Payer: Healthscope Whirlpool |
$473.22
|
| Rate for Payer: Mclaren Commercial |
$425.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$378.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.24
|
| Rate for Payer: Nomi Health Commercial |
$388.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$212.46
|
| Rate for Payer: Priority Health Narrow Network |
$169.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$416.43
|
|
|
HC CHOLETEC PER STUDY
|
Facility
|
IP
|
$473.22
|
|
|
Service Code
|
HCPCS A9537
|
| Hospital Charge Code |
34300003
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$354.92 |
| Max. Negotiated Rate |
$473.22 |
| Rate for Payer: Aetna Commercial |
$425.90
|
| Rate for Payer: ASR ASR |
$459.02
|
| Rate for Payer: BCBS Trust/PPO |
$388.61
|
| Rate for Payer: BCN Commercial |
$388.61
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cofinity Commercial |
$444.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$459.02
|
| Rate for Payer: Healthscope Whirlpool |
$473.22
|
| Rate for Payer: Mclaren Commercial |
$425.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.24
|
| Rate for Payer: Nomi Health Commercial |
$388.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$416.43
|
|
|
HC CHOLINESTERASE RBC
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 82482
|
| Hospital Charge Code |
30100157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.13 |
| Max. Negotiated Rate |
$67.63 |
| Rate for Payer: Aetna Commercial |
$60.87
|
| Rate for Payer: Aetna Medicare |
$9.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.26
|
| Rate for Payer: ASR ASR |
$65.60
|
| Rate for Payer: BCBS Complete |
$5.39
|
| Rate for Payer: BCBS MAPPO |
$9.81
|
| Rate for Payer: BCBS Trust/PPO |
$55.76
|
| Rate for Payer: BCN Commercial |
$55.76
|
| Rate for Payer: BCN Medicare Advantage |
$9.81
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Commercial |
$63.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.81
|
| Rate for Payer: Healthscope Commercial |
$65.60
|
| Rate for Payer: Healthscope Whirlpool |
$67.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$9.81
|
| Rate for Payer: Mclaren Commercial |
$60.87
|
| Rate for Payer: Mclaren Medicaid |
$9.81
|
| Rate for Payer: Mclaren Medicare |
$9.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.30
|
| Rate for Payer: Meridian Medicaid |
$5.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Medicare |
$9.32
|
| Rate for Payer: PACE SWMI |
$9.81
|
| Rate for Payer: PHP Commercial |
$10.79
|
| Rate for Payer: PHP Medicaid |
$5.26
|
| Rate for Payer: PHP Medicare Advantage |
$9.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$59.26
|
| Rate for Payer: Priority Health Medicare |
$9.81
|
| Rate for Payer: Priority Health Narrow Network |
$47.41
|
| Rate for Payer: Railroad Medicare Medicare |
$9.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.81
|
| Rate for Payer: UHC Exchange |
$15.21
|
| Rate for Payer: UHC Medicaid |
$5.13
|
| Rate for Payer: UHCCP DNSP |
$9.81
|
| Rate for Payer: UHCCP Medicaid |
$5.13
|
| Rate for Payer: VA VA |
$9.81
|
|
|
HC CHOLINESTERASE RBC
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 82482
|
| Hospital Charge Code |
30100157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$67.63 |
| Rate for Payer: Aetna Commercial |
$60.87
|
| Rate for Payer: ASR ASR |
$65.60
|
| Rate for Payer: BCBS Trust/PPO |
$55.54
|
| Rate for Payer: BCN Commercial |
$55.54
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Commercial |
$63.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$65.60
|
| Rate for Payer: Healthscope Whirlpool |
$67.63
|
| Rate for Payer: Mclaren Commercial |
$60.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.51
|
|
|
HC CHORIONIC VILLUS SAMPLING
|
Facility
|
IP
|
$694.03
|
|
|
Service Code
|
CPT 59015
|
| Hospital Charge Code |
40200003
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$520.52 |
| Max. Negotiated Rate |
$694.03 |
| Rate for Payer: Aetna Commercial |
$624.63
|
| Rate for Payer: ASR ASR |
$673.21
|
| Rate for Payer: BCBS Trust/PPO |
$569.94
|
| Rate for Payer: BCN Commercial |
$569.94
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cofinity Commercial |
$652.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$555.22
|
| Rate for Payer: Healthscope Commercial |
$673.21
|
| Rate for Payer: Healthscope Whirlpool |
$694.03
|
| Rate for Payer: Mclaren Commercial |
$624.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.93
|
| Rate for Payer: Nomi Health Commercial |
$569.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$520.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$610.75
|
|
|
HC CHORIONIC VILLUS SAMPLING
|
Facility
|
OP
|
$694.03
|
|
|
Service Code
|
CPT 59015
|
| Hospital Charge Code |
40200003
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$479.98 |
| Max. Negotiated Rate |
$1,422.50 |
| Rate for Payer: Aetna Commercial |
$624.63
|
| Rate for Payer: Aetna Medicare |
$917.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,147.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,147.17
|
| Rate for Payer: ASR ASR |
$673.21
|
| Rate for Payer: BCBS Complete |
$504.02
|
| Rate for Payer: BCBS MAPPO |
$917.74
|
| Rate for Payer: BCBS Trust/PPO |
$572.23
|
| Rate for Payer: BCN Commercial |
$572.23
|
| Rate for Payer: BCN Medicare Advantage |
$917.74
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cofinity Commercial |
$652.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$555.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$917.74
|
| Rate for Payer: Healthscope Commercial |
$673.21
|
| Rate for Payer: Healthscope Whirlpool |
$694.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$917.74
|
| Rate for Payer: Mclaren Commercial |
$624.63
|
| Rate for Payer: Mclaren Medicaid |
$917.74
|
| Rate for Payer: Mclaren Medicare |
$917.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$963.63
|
| Rate for Payer: Meridian Medicaid |
$504.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,055.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,009.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.93
|
| Rate for Payer: Nomi Health Commercial |
$569.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$520.52
|
| Rate for Payer: PACE Medicare |
$871.85
|
| Rate for Payer: PACE SWMI |
$917.74
|
| Rate for Payer: PHP Commercial |
$1,009.51
|
| Rate for Payer: PHP Medicaid |
$491.91
|
| Rate for Payer: PHP Medicare Advantage |
$917.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$608.11
|
| Rate for Payer: Priority Health Medicare |
$917.74
|
| Rate for Payer: Priority Health Narrow Network |
$486.52
|
| Rate for Payer: Railroad Medicare Medicare |
$917.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$610.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$917.74
|
| Rate for Payer: UHC Exchange |
$1,422.50
|
| Rate for Payer: UHC Medicaid |
$479.98
|
| Rate for Payer: UHCCP DNSP |
$917.74
|
| Rate for Payer: UHCCP Medicaid |
$479.98
|
| Rate for Payer: VA VA |
$917.74
|
|
|
HC CHROM ANALYSIS METAPHASE <20 AND 20 TO 25
|
Facility
|
OP
|
$258.87
|
|
|
Service Code
|
CPT 88264
|
| Hospital Charge Code |
31000020
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$75.63 |
| Max. Negotiated Rate |
$258.87 |
| Rate for Payer: Aetna Commercial |
$232.98
|
| Rate for Payer: Aetna Medicare |
$144.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$180.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$180.76
|
| Rate for Payer: ASR ASR |
$251.10
|
| Rate for Payer: BCBS Complete |
$79.42
|
| Rate for Payer: BCBS MAPPO |
$144.61
|
| Rate for Payer: BCBS Trust/PPO |
$213.44
|
| Rate for Payer: BCN Commercial |
$213.44
|
| Rate for Payer: BCN Medicare Advantage |
$144.61
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cofinity Commercial |
$243.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.61
|
| Rate for Payer: Healthscope Commercial |
$251.10
|
| Rate for Payer: Healthscope Whirlpool |
$258.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$144.61
|
| Rate for Payer: Mclaren Commercial |
$232.98
|
| Rate for Payer: Mclaren Medicaid |
$144.61
|
| Rate for Payer: Mclaren Medicare |
$144.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.84
|
| Rate for Payer: Meridian Medicaid |
$79.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.04
|
| Rate for Payer: Nomi Health Commercial |
$212.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.15
|
| Rate for Payer: PACE Medicare |
$137.38
|
| Rate for Payer: PACE SWMI |
$144.61
|
| Rate for Payer: PHP Commercial |
$159.07
|
| Rate for Payer: PHP Medicaid |
$77.51
|
| Rate for Payer: PHP Medicare Advantage |
$144.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$226.82
|
| Rate for Payer: Priority Health Medicare |
$144.61
|
| Rate for Payer: Priority Health Narrow Network |
$181.47
|
| Rate for Payer: Railroad Medicare Medicare |
$144.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$227.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$144.61
|
| Rate for Payer: UHC Exchange |
$224.15
|
| Rate for Payer: UHC Medicaid |
$75.63
|
| Rate for Payer: UHCCP DNSP |
$144.61
|
| Rate for Payer: UHCCP Medicaid |
$75.63
|
| Rate for Payer: VA VA |
$144.61
|
|
|
HC CHROM ANALYSIS METAPHASE <20 AND 20 TO 25
|
Facility
|
IP
|
$258.87
|
|
|
Service Code
|
CPT 88264
|
| Hospital Charge Code |
31000020
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$194.15 |
| Max. Negotiated Rate |
$258.87 |
| Rate for Payer: Aetna Commercial |
$232.98
|
| Rate for Payer: ASR ASR |
$251.10
|
| Rate for Payer: BCBS Trust/PPO |
$212.58
|
| Rate for Payer: BCN Commercial |
$212.58
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cofinity Commercial |
$243.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.10
|
| Rate for Payer: Healthscope Commercial |
$251.10
|
| Rate for Payer: Healthscope Whirlpool |
$258.87
|
| Rate for Payer: Mclaren Commercial |
$232.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.04
|
| Rate for Payer: Nomi Health Commercial |
$212.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$227.81
|
|
|
HC CHROMATIN DNP
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$26.90 |
| Max. Negotiated Rate |
$35.87 |
| Rate for Payer: Aetna Commercial |
$32.28
|
| Rate for Payer: ASR ASR |
$34.79
|
| Rate for Payer: BCBS Trust/PPO |
$29.46
|
| Rate for Payer: BCN Commercial |
$29.46
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$33.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$34.79
|
| Rate for Payer: Healthscope Whirlpool |
$35.87
|
| Rate for Payer: Mclaren Commercial |
$32.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.57
|
|
|
HC CHROMATIN DNP
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$169.49 |
| Rate for Payer: Aetna Commercial |
$32.28
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: ASR ASR |
$34.79
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$29.57
|
| Rate for Payer: BCN Commercial |
$29.57
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$33.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$34.79
|
| Rate for Payer: Healthscope Whirlpool |
$35.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.93
|
| Rate for Payer: Mclaren Commercial |
$32.28
|
| Rate for Payer: Mclaren Medicaid |
$17.93
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$9.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$19.72
|
| Rate for Payer: PHP Medicaid |
$9.61
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.49
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$135.59
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$27.79
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP DNSP |
$17.93
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: VA VA |
$17.93
|
|
|
HC CHROMIUM
|
Facility
|
IP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$47.59 |
| Max. Negotiated Rate |
$63.46 |
| Rate for Payer: Aetna Commercial |
$57.11
|
| Rate for Payer: ASR ASR |
$61.56
|
| Rate for Payer: BCBS Trust/PPO |
$52.11
|
| Rate for Payer: BCN Commercial |
$52.11
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Commercial |
$59.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Healthscope Commercial |
$61.56
|
| Rate for Payer: Healthscope Whirlpool |
$63.46
|
| Rate for Payer: Mclaren Commercial |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Nomi Health Commercial |
$52.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$55.84
|
|
|
HC CHROMIUM
|
Facility
|
OP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$63.46 |
| Rate for Payer: Aetna Commercial |
$57.11
|
| Rate for Payer: Aetna Medicare |
$20.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.35
|
| Rate for Payer: ASR ASR |
$61.56
|
| Rate for Payer: BCBS Complete |
$11.14
|
| Rate for Payer: BCBS MAPPO |
$20.28
|
| Rate for Payer: BCBS Trust/PPO |
$52.32
|
| Rate for Payer: BCN Commercial |
$52.32
|
| Rate for Payer: BCN Medicare Advantage |
$20.28
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Commercial |
$59.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.28
|
| Rate for Payer: Healthscope Commercial |
$61.56
|
| Rate for Payer: Healthscope Whirlpool |
$63.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$20.28
|
| Rate for Payer: Mclaren Commercial |
$57.11
|
| Rate for Payer: Mclaren Medicaid |
$20.28
|
| Rate for Payer: Mclaren Medicare |
$20.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.29
|
| Rate for Payer: Meridian Medicaid |
$11.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Nomi Health Commercial |
$52.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PACE Medicare |
$19.27
|
| Rate for Payer: PACE SWMI |
$20.28
|
| Rate for Payer: PHP Commercial |
$22.31
|
| Rate for Payer: PHP Medicaid |
$10.87
|
| Rate for Payer: PHP Medicare Advantage |
$20.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$55.60
|
| Rate for Payer: Priority Health Medicare |
$20.28
|
| Rate for Payer: Priority Health Narrow Network |
$44.49
|
| Rate for Payer: Railroad Medicare Medicare |
$20.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$55.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.28
|
| Rate for Payer: UHC Exchange |
$31.43
|
| Rate for Payer: UHC Medicaid |
$10.61
|
| Rate for Payer: UHCCP DNSP |
$20.28
|
| Rate for Payer: UHCCP Medicaid |
$10.61
|
| Rate for Payer: VA VA |
$20.28
|
|
|
HC CHROMOGRANIN A
|
Facility
|
IP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$46.96 |
| Max. Negotiated Rate |
$62.61 |
| Rate for Payer: Aetna Commercial |
$56.35
|
| Rate for Payer: ASR ASR |
$60.73
|
| Rate for Payer: BCBS Trust/PPO |
$51.42
|
| Rate for Payer: BCN Commercial |
$51.42
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Commercial |
$58.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Healthscope Commercial |
$60.73
|
| Rate for Payer: Healthscope Whirlpool |
$62.61
|
| Rate for Payer: Mclaren Commercial |
$56.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Nomi Health Commercial |
$51.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$55.10
|
|
|
HC CHROMOGRANIN A
|
Facility
|
OP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.88 |
| Max. Negotiated Rate |
$94.43 |
| Rate for Payer: Aetna Commercial |
$56.35
|
| Rate for Payer: Aetna Medicare |
$20.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.01
|
| Rate for Payer: ASR ASR |
$60.73
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$51.62
|
| Rate for Payer: BCN Commercial |
$51.62
|
| Rate for Payer: BCN Medicare Advantage |
$20.81
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Commercial |
$58.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$60.73
|
| Rate for Payer: Healthscope Whirlpool |
$62.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$20.81
|
| Rate for Payer: Mclaren Commercial |
$56.35
|
| Rate for Payer: Mclaren Medicaid |
$20.81
|
| Rate for Payer: Mclaren Medicare |
$20.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.85
|
| Rate for Payer: Meridian Medicaid |
$11.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Nomi Health Commercial |
$51.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PACE Medicare |
$19.77
|
| Rate for Payer: PACE SWMI |
$20.81
|
| Rate for Payer: PHP Commercial |
$22.89
|
| Rate for Payer: PHP Medicaid |
$11.15
|
| Rate for Payer: PHP Medicare Advantage |
$20.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$94.43
|
| Rate for Payer: Priority Health Medicare |
$20.81
|
| Rate for Payer: Priority Health Narrow Network |
$75.54
|
| Rate for Payer: Railroad Medicare Medicare |
$20.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$55.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.81
|
| Rate for Payer: UHC Exchange |
$32.26
|
| Rate for Payer: UHC Medicaid |
$10.88
|
| Rate for Payer: UHCCP DNSP |
$20.81
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: VA VA |
$20.81
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
OP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$438.40 |
| Max. Negotiated Rate |
$2,496.96 |
| Rate for Payer: Aetna Commercial |
$2,247.26
|
| Rate for Payer: Aetna Medicare |
$1,160.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,450.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,450.00
|
| Rate for Payer: ASR ASR |
$2,422.05
|
| Rate for Payer: BCBS Complete |
$637.07
|
| Rate for Payer: BCBS MAPPO |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,058.74
|
| Rate for Payer: BCN Commercial |
$2,058.74
|
| Rate for Payer: BCN Medicare Advantage |
$1,160.00
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Commercial |
$2,347.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,160.00
|
| Rate for Payer: Healthscope Commercial |
$2,422.05
|
| Rate for Payer: Healthscope Whirlpool |
$2,496.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,160.00
|
| Rate for Payer: Mclaren Commercial |
$2,247.26
|
| Rate for Payer: Mclaren Medicaid |
$1,160.00
|
| Rate for Payer: Mclaren Medicare |
$1,160.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,218.00
|
| Rate for Payer: Meridian Medicaid |
$637.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,334.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Nomi Health Commercial |
$2,047.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PACE Medicare |
$1,102.00
|
| Rate for Payer: PACE SWMI |
$1,160.00
|
| Rate for Payer: PHP Commercial |
$1,276.00
|
| Rate for Payer: PHP Medicaid |
$621.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,160.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$548.00
|
| Rate for Payer: Priority Health Medicare |
$1,160.00
|
| Rate for Payer: Priority Health Narrow Network |
$438.40
|
| Rate for Payer: Railroad Medicare Medicare |
$1,160.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,197.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,160.00
|
| Rate for Payer: UHC Exchange |
$1,798.00
|
| Rate for Payer: UHC Medicaid |
$606.68
|
| Rate for Payer: UHCCP DNSP |
$1,160.00
|
| Rate for Payer: UHCCP Medicaid |
$606.68
|
| Rate for Payer: VA VA |
$1,160.00
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
IP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,872.72 |
| Max. Negotiated Rate |
$2,496.96 |
| Rate for Payer: Aetna Commercial |
$2,247.26
|
| Rate for Payer: ASR ASR |
$2,422.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,050.50
|
| Rate for Payer: BCN Commercial |
$2,050.50
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Commercial |
$2,347.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Healthscope Commercial |
$2,422.05
|
| Rate for Payer: Healthscope Whirlpool |
$2,496.96
|
| Rate for Payer: Mclaren Commercial |
$2,247.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Nomi Health Commercial |
$2,047.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,197.32
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
OP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$438.40 |
| Max. Negotiated Rate |
$1,979.21 |
| Rate for Payer: Aetna Commercial |
$1,781.29
|
| Rate for Payer: Aetna Medicare |
$1,160.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,450.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,450.00
|
| Rate for Payer: ASR ASR |
$1,919.83
|
| Rate for Payer: BCBS Complete |
$637.07
|
| Rate for Payer: BCBS MAPPO |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,631.86
|
| Rate for Payer: BCN Commercial |
$1,631.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,160.00
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Commercial |
$1,860.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,160.00
|
| Rate for Payer: Healthscope Commercial |
$1,919.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,979.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,160.00
|
| Rate for Payer: Mclaren Commercial |
$1,781.29
|
| Rate for Payer: Mclaren Medicaid |
$1,160.00
|
| Rate for Payer: Mclaren Medicare |
$1,160.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,218.00
|
| Rate for Payer: Meridian Medicaid |
$637.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,334.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Nomi Health Commercial |
$1,622.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PACE Medicare |
$1,102.00
|
| Rate for Payer: PACE SWMI |
$1,160.00
|
| Rate for Payer: PHP Commercial |
$1,276.00
|
| Rate for Payer: PHP Medicaid |
$621.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,160.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$606.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$548.00
|
| Rate for Payer: Priority Health Medicare |
$1,160.00
|
| Rate for Payer: Priority Health Narrow Network |
$438.40
|
| Rate for Payer: Railroad Medicare Medicare |
$1,160.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,741.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,160.00
|
| Rate for Payer: UHC Exchange |
$1,798.00
|
| Rate for Payer: UHC Medicaid |
$606.68
|
| Rate for Payer: UHCCP DNSP |
$1,160.00
|
| Rate for Payer: UHCCP Medicaid |
$606.68
|
| Rate for Payer: VA VA |
$1,160.00
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
IP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,484.41 |
| Max. Negotiated Rate |
$1,979.21 |
| Rate for Payer: Aetna Commercial |
$1,781.29
|
| Rate for Payer: ASR ASR |
$1,919.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,625.33
|
| Rate for Payer: BCN Commercial |
$1,625.33
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Commercial |
$1,860.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Healthscope Commercial |
$1,919.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,979.21
|
| Rate for Payer: Mclaren Commercial |
$1,781.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Nomi Health Commercial |
$1,622.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,741.70
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.86 |
| Max. Negotiated Rate |
$37.14 |
| Rate for Payer: Aetna Commercial |
$33.43
|
| Rate for Payer: ASR ASR |
$36.03
|
| Rate for Payer: BCBS Trust/PPO |
$30.50
|
| Rate for Payer: BCN Commercial |
$30.50
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$34.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$36.03
|
| Rate for Payer: Healthscope Whirlpool |
$37.14
|
| Rate for Payer: Mclaren Commercial |
$33.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.68
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$17.50 |
| Max. Negotiated Rate |
$51.88 |
| Rate for Payer: Aetna Commercial |
$33.43
|
| Rate for Payer: Aetna Medicare |
$33.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.84
|
| Rate for Payer: ASR ASR |
$36.03
|
| Rate for Payer: BCBS Complete |
$18.38
|
| Rate for Payer: BCBS MAPPO |
$33.47
|
| Rate for Payer: BCBS Trust/PPO |
$30.62
|
| Rate for Payer: BCN Commercial |
$30.62
|
| Rate for Payer: BCN Medicare Advantage |
$33.47
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$34.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.47
|
| Rate for Payer: Healthscope Commercial |
$36.03
|
| Rate for Payer: Healthscope Whirlpool |
$37.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$33.47
|
| Rate for Payer: Mclaren Commercial |
$33.43
|
| Rate for Payer: Mclaren Medicaid |
$33.47
|
| Rate for Payer: Mclaren Medicare |
$33.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.14
|
| Rate for Payer: Meridian Medicaid |
$18.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Medicare |
$31.80
|
| Rate for Payer: PACE SWMI |
$33.47
|
| Rate for Payer: PHP Commercial |
$36.82
|
| Rate for Payer: PHP Medicaid |
$17.94
|
| Rate for Payer: PHP Medicare Advantage |
$33.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$32.54
|
| Rate for Payer: Priority Health Medicare |
$33.47
|
| Rate for Payer: Priority Health Narrow Network |
$26.04
|
| Rate for Payer: Railroad Medicare Medicare |
$33.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.47
|
| Rate for Payer: UHC Exchange |
$51.88
|
| Rate for Payer: UHC Medicaid |
$17.50
|
| Rate for Payer: UHCCP DNSP |
$33.47
|
| Rate for Payer: UHCCP Medicaid |
$17.50
|
| Rate for Payer: VA VA |
$33.47
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
IP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$158.38 |
| Max. Negotiated Rate |
$211.18 |
| Rate for Payer: Aetna Commercial |
$190.06
|
| Rate for Payer: ASR ASR |
$204.84
|
| Rate for Payer: BCBS Trust/PPO |
$173.42
|
| Rate for Payer: BCN Commercial |
$173.42
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Commercial |
$198.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Healthscope Commercial |
$204.84
|
| Rate for Payer: Healthscope Whirlpool |
$211.18
|
| Rate for Payer: Mclaren Commercial |
$190.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Nomi Health Commercial |
$173.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$185.84
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
OP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$90.82 |
| Max. Negotiated Rate |
$269.17 |
| Rate for Payer: Aetna Commercial |
$190.06
|
| Rate for Payer: Aetna Medicare |
$173.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$217.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$217.07
|
| Rate for Payer: ASR ASR |
$204.84
|
| Rate for Payer: BCBS Complete |
$95.37
|
| Rate for Payer: BCBS MAPPO |
$173.66
|
| Rate for Payer: BCBS Trust/PPO |
$174.12
|
| Rate for Payer: BCN Commercial |
$174.12
|
| Rate for Payer: BCN Medicare Advantage |
$173.66
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Commercial |
$198.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.66
|
| Rate for Payer: Healthscope Commercial |
$204.84
|
| Rate for Payer: Healthscope Whirlpool |
$211.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$173.66
|
| Rate for Payer: Mclaren Commercial |
$190.06
|
| Rate for Payer: Mclaren Medicaid |
$173.66
|
| Rate for Payer: Mclaren Medicare |
$173.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.34
|
| Rate for Payer: Meridian Medicaid |
$95.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$199.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Nomi Health Commercial |
$173.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PACE Medicare |
$164.98
|
| Rate for Payer: PACE SWMI |
$173.66
|
| Rate for Payer: PHP Commercial |
$191.03
|
| Rate for Payer: PHP Medicaid |
$93.08
|
| Rate for Payer: PHP Medicare Advantage |
$173.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$185.04
|
| Rate for Payer: Priority Health Medicare |
$173.66
|
| Rate for Payer: Priority Health Narrow Network |
$148.04
|
| Rate for Payer: Railroad Medicare Medicare |
$173.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$185.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.66
|
| Rate for Payer: UHC Exchange |
$269.17
|
| Rate for Payer: UHC Medicaid |
$90.82
|
| Rate for Payer: UHCCP DNSP |
$173.66
|
| Rate for Payer: UHCCP Medicaid |
$90.82
|
| Rate for Payer: VA VA |
$173.66
|
|
