|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
OP
|
$366.59
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$162.78 |
| Max. Negotiated Rate |
$470.74 |
| Rate for Payer: Aetna Commercial |
$329.93
|
| Rate for Payer: Aetna Medicare |
$303.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.62
|
| Rate for Payer: ASR ASR |
$355.59
|
| Rate for Payer: ASR Commercial |
$355.59
|
| Rate for Payer: BCBS Complete |
$170.92
|
| Rate for Payer: BCBS MAPPO |
$303.70
|
| Rate for Payer: BCBS Trust/PPO |
$300.20
|
| Rate for Payer: BCN Commercial |
$284.22
|
| Rate for Payer: BCN Medicare Advantage |
$303.70
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cofinity Commercial |
$344.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.70
|
| Rate for Payer: Healthscope Commercial |
$366.59
|
| Rate for Payer: Healthscope Whirlpool |
$355.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$303.70
|
| Rate for Payer: Mclaren Commercial |
$329.93
|
| Rate for Payer: Mclaren Medicaid |
$162.78
|
| Rate for Payer: Mclaren Medicare |
$303.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.88
|
| Rate for Payer: Meridian Medicaid |
$170.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.60
|
| Rate for Payer: Nomi Health Commercial |
$300.60
|
| Rate for Payer: PACE Medicare |
$288.51
|
| Rate for Payer: PACE SWMI |
$303.70
|
| Rate for Payer: PHP Commercial |
$334.07
|
| Rate for Payer: PHP Medicaid |
$162.78
|
| Rate for Payer: PHP Medicare Advantage |
$303.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$321.21
|
| Rate for Payer: Priority Health Medicare |
$303.70
|
| Rate for Payer: Priority Health Narrow Network |
$256.98
|
| Rate for Payer: Railroad Medicare Medicare |
$303.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.70
|
| Rate for Payer: UHC Exchange |
$470.74
|
| Rate for Payer: UHC Medicare Advantage |
$303.70
|
| Rate for Payer: UHCCP DNSP |
$303.70
|
| Rate for Payer: UHCCP Medicaid |
$162.78
|
| Rate for Payer: VA VA |
$303.70
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
IP
|
$366.59
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$238.28 |
| Max. Negotiated Rate |
$366.59 |
| Rate for Payer: Aetna Commercial |
$329.93
|
| Rate for Payer: ASR ASR |
$355.59
|
| Rate for Payer: ASR Commercial |
$355.59
|
| Rate for Payer: BCBS Trust/PPO |
$298.73
|
| Rate for Payer: BCN Commercial |
$284.22
|
| Rate for Payer: Cash Price |
$293.27
|
| Rate for Payer: Cofinity Commercial |
$344.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.27
|
| Rate for Payer: Healthscope Commercial |
$366.59
|
| Rate for Payer: Healthscope Whirlpool |
$355.59
|
| Rate for Payer: Mclaren Commercial |
$329.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.60
|
| Rate for Payer: Nomi Health Commercial |
$300.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.60
|
|
|
HC COLONOSCOPY
|
Facility
|
IP
|
$2,611.70
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,697.61 |
| Max. Negotiated Rate |
$2,611.70 |
| Rate for Payer: Aetna Commercial |
$2,350.53
|
| Rate for Payer: ASR ASR |
$2,533.35
|
| Rate for Payer: ASR Commercial |
$2,533.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,128.27
|
| Rate for Payer: BCN Commercial |
$2,024.85
|
| Rate for Payer: Cash Price |
$2,089.36
|
| Rate for Payer: Cofinity Commercial |
$2,455.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,089.36
|
| Rate for Payer: Healthscope Commercial |
$2,611.70
|
| Rate for Payer: Healthscope Whirlpool |
$2,533.35
|
| Rate for Payer: Mclaren Commercial |
$2,350.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,219.95
|
| Rate for Payer: Nomi Health Commercial |
$2,141.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,298.30
|
|
|
HC COLONOSCOPY
|
Facility
|
OP
|
$2,611.70
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,044.68 |
| Max. Negotiated Rate |
$2,611.70 |
| Rate for Payer: Aetna Commercial |
$2,350.53
|
| Rate for Payer: Aetna Medicare |
$1,305.85
|
| Rate for Payer: ASR ASR |
$2,533.35
|
| Rate for Payer: ASR Commercial |
$2,533.35
|
| Rate for Payer: BCBS Complete |
$1,044.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,138.72
|
| Rate for Payer: BCN Commercial |
$2,024.85
|
| Rate for Payer: Cash Price |
$2,089.36
|
| Rate for Payer: Cofinity Commercial |
$2,455.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,089.36
|
| Rate for Payer: Healthscope Commercial |
$2,611.70
|
| Rate for Payer: Healthscope Whirlpool |
$2,533.35
|
| Rate for Payer: Mclaren Commercial |
$2,350.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,219.95
|
| Rate for Payer: Nomi Health Commercial |
$2,141.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,288.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,830.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,298.30
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
OP
|
$2,800.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,120.02 |
| Max. Negotiated Rate |
$2,800.06 |
| Rate for Payer: Aetna Commercial |
$2,520.05
|
| Rate for Payer: Aetna Medicare |
$1,400.03
|
| Rate for Payer: ASR ASR |
$2,716.06
|
| Rate for Payer: ASR Commercial |
$2,716.06
|
| Rate for Payer: BCBS Complete |
$1,120.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,292.97
|
| Rate for Payer: BCN Commercial |
$2,170.89
|
| Rate for Payer: Cash Price |
$2,240.05
|
| Rate for Payer: Cofinity Commercial |
$2,632.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,240.05
|
| Rate for Payer: Healthscope Commercial |
$2,800.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,716.06
|
| Rate for Payer: Mclaren Commercial |
$2,520.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,380.05
|
| Rate for Payer: Nomi Health Commercial |
$2,296.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,453.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,962.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,464.05
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,800.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,820.04 |
| Max. Negotiated Rate |
$2,800.06 |
| Rate for Payer: Aetna Commercial |
$2,520.05
|
| Rate for Payer: ASR ASR |
$2,716.06
|
| Rate for Payer: ASR Commercial |
$2,716.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,281.77
|
| Rate for Payer: BCN Commercial |
$2,170.89
|
| Rate for Payer: Cash Price |
$2,240.05
|
| Rate for Payer: Cofinity Commercial |
$2,632.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,240.05
|
| Rate for Payer: Healthscope Commercial |
$2,800.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,716.06
|
| Rate for Payer: Mclaren Commercial |
$2,520.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,380.05
|
| Rate for Payer: Nomi Health Commercial |
$2,296.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,464.05
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$6,969.54
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,662.10 |
| Max. Negotiated Rate |
$6,969.54 |
| Rate for Payer: Aetna Commercial |
$6,272.59
|
| Rate for Payer: Aetna Medicare |
$3,100.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: ASR ASR |
$6,760.45
|
| Rate for Payer: ASR Commercial |
$6,760.45
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCBS Trust/PPO |
$5,707.36
|
| Rate for Payer: BCN Commercial |
$5,403.48
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cofinity Commercial |
$6,551.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,575.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$6,969.54
|
| Rate for Payer: Healthscope Whirlpool |
$6,760.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,100.93
|
| Rate for Payer: Mclaren Commercial |
$6,272.59
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,924.11
|
| Rate for Payer: Nomi Health Commercial |
$5,715.02
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$3,411.02
|
| Rate for Payer: PHP Medicaid |
$1,662.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,530.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,106.71
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health Narrow Network |
$4,885.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,133.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Exchange |
$4,806.44
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP DNSP |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,662.10
|
| Rate for Payer: VA VA |
$3,100.93
|
|
|
HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$6,969.54
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
76100328
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,530.20 |
| Max. Negotiated Rate |
$6,969.54 |
| Rate for Payer: Aetna Commercial |
$6,272.59
|
| Rate for Payer: ASR ASR |
$6,760.45
|
| Rate for Payer: ASR Commercial |
$6,760.45
|
| Rate for Payer: BCBS Trust/PPO |
$5,679.48
|
| Rate for Payer: BCN Commercial |
$5,403.48
|
| Rate for Payer: Cash Price |
$5,575.63
|
| Rate for Payer: Cofinity Commercial |
$6,551.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,575.63
|
| Rate for Payer: Healthscope Commercial |
$6,969.54
|
| Rate for Payer: Healthscope Whirlpool |
$6,760.45
|
| Rate for Payer: Mclaren Commercial |
$6,272.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,924.11
|
| Rate for Payer: Nomi Health Commercial |
$5,715.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,530.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,133.20
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$8,109.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,270.85 |
| Max. Negotiated Rate |
$8,109.00 |
| Rate for Payer: Aetna Commercial |
$7,298.10
|
| Rate for Payer: ASR ASR |
$7,865.73
|
| Rate for Payer: ASR Commercial |
$7,865.73
|
| Rate for Payer: BCBS Trust/PPO |
$6,608.02
|
| Rate for Payer: BCN Commercial |
$6,286.91
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cofinity Commercial |
$7,622.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,487.20
|
| Rate for Payer: Healthscope Commercial |
$8,109.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,865.73
|
| Rate for Payer: Mclaren Commercial |
$7,298.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,892.65
|
| Rate for Payer: Nomi Health Commercial |
$6,649.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,270.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,135.92
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$8,109.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,662.10 |
| Max. Negotiated Rate |
$8,109.00 |
| Rate for Payer: Aetna Commercial |
$7,298.10
|
| Rate for Payer: Aetna Medicare |
$3,100.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: ASR ASR |
$7,865.73
|
| Rate for Payer: ASR Commercial |
$7,865.73
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCBS Trust/PPO |
$6,640.46
|
| Rate for Payer: BCN Commercial |
$6,286.91
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cash Price |
$6,487.20
|
| Rate for Payer: Cofinity Commercial |
$7,622.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,487.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$8,109.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,865.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,100.93
|
| Rate for Payer: Mclaren Commercial |
$7,298.10
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,892.65
|
| Rate for Payer: Nomi Health Commercial |
$6,649.38
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$3,411.02
|
| Rate for Payer: PHP Medicaid |
$1,662.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,270.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,105.11
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health Narrow Network |
$5,684.41
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,135.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Exchange |
$4,806.44
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP DNSP |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,662.10
|
| Rate for Payer: VA VA |
$3,100.93
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
IP
|
$285.07
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.30 |
| Max. Negotiated Rate |
$285.07 |
| Rate for Payer: Aetna Commercial |
$256.56
|
| Rate for Payer: ASR ASR |
$276.52
|
| Rate for Payer: ASR Commercial |
$276.52
|
| Rate for Payer: BCBS Trust/PPO |
$232.30
|
| Rate for Payer: BCN Commercial |
$221.01
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cofinity Commercial |
$267.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.06
|
| Rate for Payer: Healthscope Commercial |
$285.07
|
| Rate for Payer: Healthscope Whirlpool |
$276.52
|
| Rate for Payer: Mclaren Commercial |
$256.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.31
|
| Rate for Payer: Nomi Health Commercial |
$233.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$250.86
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
OP
|
$285.07
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.16 |
| Max. Negotiated Rate |
$304.11 |
| Rate for Payer: Aetna Commercial |
$256.56
|
| Rate for Payer: Aetna Medicare |
$196.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$245.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$245.25
|
| Rate for Payer: ASR ASR |
$276.52
|
| Rate for Payer: ASR Commercial |
$276.52
|
| Rate for Payer: BCBS Complete |
$110.42
|
| Rate for Payer: BCBS MAPPO |
$196.20
|
| Rate for Payer: BCBS Trust/PPO |
$233.44
|
| Rate for Payer: BCN Commercial |
$221.01
|
| Rate for Payer: BCN Medicare Advantage |
$196.20
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cash Price |
$228.06
|
| Rate for Payer: Cofinity Commercial |
$267.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.20
|
| Rate for Payer: Healthscope Commercial |
$285.07
|
| Rate for Payer: Healthscope Whirlpool |
$276.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$196.20
|
| Rate for Payer: Mclaren Commercial |
$256.56
|
| Rate for Payer: Mclaren Medicaid |
$105.16
|
| Rate for Payer: Mclaren Medicare |
$196.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.01
|
| Rate for Payer: Meridian Medicaid |
$110.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$225.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.31
|
| Rate for Payer: Nomi Health Commercial |
$233.76
|
| Rate for Payer: PACE Medicare |
$186.39
|
| Rate for Payer: PACE SWMI |
$196.20
|
| Rate for Payer: PHP Commercial |
$215.82
|
| Rate for Payer: PHP Medicaid |
$105.16
|
| Rate for Payer: PHP Medicare Advantage |
$196.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.78
|
| Rate for Payer: Priority Health Medicare |
$196.20
|
| Rate for Payer: Priority Health Narrow Network |
$199.83
|
| Rate for Payer: Railroad Medicare Medicare |
$196.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$250.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$196.20
|
| Rate for Payer: UHC Exchange |
$304.11
|
| Rate for Payer: UHC Medicare Advantage |
$196.20
|
| Rate for Payer: UHCCP DNSP |
$196.20
|
| Rate for Payer: UHCCP Medicaid |
$105.16
|
| Rate for Payer: VA VA |
$196.20
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
IP
|
$426.04
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$276.93 |
| Max. Negotiated Rate |
$426.04 |
| Rate for Payer: Aetna Commercial |
$383.44
|
| Rate for Payer: ASR ASR |
$413.26
|
| Rate for Payer: ASR Commercial |
$413.26
|
| Rate for Payer: BCBS Trust/PPO |
$347.18
|
| Rate for Payer: BCN Commercial |
$330.31
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$400.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Healthscope Commercial |
$426.04
|
| Rate for Payer: Healthscope Whirlpool |
$413.26
|
| Rate for Payer: Mclaren Commercial |
$383.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
OP
|
$426.04
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.02 |
| Max. Negotiated Rate |
$459.84 |
| Rate for Payer: Aetna Commercial |
$383.44
|
| Rate for Payer: Aetna Medicare |
$296.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.84
|
| Rate for Payer: ASR ASR |
$413.26
|
| Rate for Payer: ASR Commercial |
$413.26
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$296.67
|
| Rate for Payer: BCBS Trust/PPO |
$348.88
|
| Rate for Payer: BCN Commercial |
$330.31
|
| Rate for Payer: BCN Medicare Advantage |
$296.67
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$400.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.67
|
| Rate for Payer: Healthscope Commercial |
$426.04
|
| Rate for Payer: Healthscope Whirlpool |
$413.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$296.67
|
| Rate for Payer: Mclaren Commercial |
$383.44
|
| Rate for Payer: Mclaren Medicaid |
$159.02
|
| Rate for Payer: Mclaren Medicare |
$296.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.50
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$341.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: PACE Medicare |
$281.84
|
| Rate for Payer: PACE SWMI |
$296.67
|
| Rate for Payer: PHP Commercial |
$326.34
|
| Rate for Payer: PHP Medicaid |
$159.02
|
| Rate for Payer: PHP Medicare Advantage |
$296.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$373.30
|
| Rate for Payer: Priority Health Medicare |
$296.67
|
| Rate for Payer: Priority Health Narrow Network |
$298.65
|
| Rate for Payer: Railroad Medicare Medicare |
$296.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.67
|
| Rate for Payer: UHC Exchange |
$459.84
|
| Rate for Payer: UHC Medicare Advantage |
$296.67
|
| Rate for Payer: UHCCP DNSP |
$296.67
|
| Rate for Payer: UHCCP Medicaid |
$159.02
|
| Rate for Payer: VA VA |
$296.67
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
IP
|
$426.04
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$276.93 |
| Max. Negotiated Rate |
$426.04 |
| Rate for Payer: Aetna Commercial |
$383.44
|
| Rate for Payer: ASR ASR |
$413.26
|
| Rate for Payer: ASR Commercial |
$413.26
|
| Rate for Payer: BCBS Trust/PPO |
$347.18
|
| Rate for Payer: BCN Commercial |
$330.31
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$400.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Healthscope Commercial |
$426.04
|
| Rate for Payer: Healthscope Whirlpool |
$413.26
|
| Rate for Payer: Mclaren Commercial |
$383.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.92
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
OP
|
$426.04
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.02 |
| Max. Negotiated Rate |
$459.84 |
| Rate for Payer: Aetna Commercial |
$383.44
|
| Rate for Payer: Aetna Medicare |
$296.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.84
|
| Rate for Payer: ASR ASR |
$413.26
|
| Rate for Payer: ASR Commercial |
$413.26
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$296.67
|
| Rate for Payer: BCBS Trust/PPO |
$348.88
|
| Rate for Payer: BCN Commercial |
$330.31
|
| Rate for Payer: BCN Medicare Advantage |
$296.67
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cash Price |
$340.83
|
| Rate for Payer: Cofinity Commercial |
$400.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.67
|
| Rate for Payer: Healthscope Commercial |
$426.04
|
| Rate for Payer: Healthscope Whirlpool |
$413.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$296.67
|
| Rate for Payer: Mclaren Commercial |
$383.44
|
| Rate for Payer: Mclaren Medicaid |
$159.02
|
| Rate for Payer: Mclaren Medicare |
$296.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.50
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$341.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$362.13
|
| Rate for Payer: Nomi Health Commercial |
$349.35
|
| Rate for Payer: PACE Medicare |
$281.84
|
| Rate for Payer: PACE SWMI |
$296.67
|
| Rate for Payer: PHP Commercial |
$326.34
|
| Rate for Payer: PHP Medicaid |
$159.02
|
| Rate for Payer: PHP Medicare Advantage |
$296.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$373.30
|
| Rate for Payer: Priority Health Medicare |
$296.67
|
| Rate for Payer: Priority Health Narrow Network |
$298.65
|
| Rate for Payer: Railroad Medicare Medicare |
$296.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.67
|
| Rate for Payer: UHC Exchange |
$459.84
|
| Rate for Payer: UHC Medicare Advantage |
$296.67
|
| Rate for Payer: UHCCP DNSP |
$296.67
|
| Rate for Payer: UHCCP Medicaid |
$159.02
|
| Rate for Payer: VA VA |
$296.67
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
IP
|
$368.30
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$239.40 |
| Max. Negotiated Rate |
$368.30 |
| Rate for Payer: Aetna Commercial |
$331.47
|
| Rate for Payer: ASR ASR |
$357.25
|
| Rate for Payer: ASR Commercial |
$357.25
|
| Rate for Payer: BCBS Trust/PPO |
$300.13
|
| Rate for Payer: BCN Commercial |
$285.54
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$346.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$294.64
|
| Rate for Payer: Healthscope Commercial |
$368.30
|
| Rate for Payer: Healthscope Whirlpool |
$357.25
|
| Rate for Payer: Mclaren Commercial |
$331.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.06
|
| Rate for Payer: Nomi Health Commercial |
$302.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$324.10
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
OP
|
$368.30
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.02 |
| Max. Negotiated Rate |
$459.84 |
| Rate for Payer: Aetna Commercial |
$331.47
|
| Rate for Payer: Aetna Medicare |
$296.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.84
|
| Rate for Payer: ASR ASR |
$357.25
|
| Rate for Payer: ASR Commercial |
$357.25
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$296.67
|
| Rate for Payer: BCBS Trust/PPO |
$301.60
|
| Rate for Payer: BCN Commercial |
$285.54
|
| Rate for Payer: BCN Medicare Advantage |
$296.67
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cash Price |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$346.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$294.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.67
|
| Rate for Payer: Healthscope Commercial |
$368.30
|
| Rate for Payer: Healthscope Whirlpool |
$357.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$296.67
|
| Rate for Payer: Mclaren Commercial |
$331.47
|
| Rate for Payer: Mclaren Medicaid |
$159.02
|
| Rate for Payer: Mclaren Medicare |
$296.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.50
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$341.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.06
|
| Rate for Payer: Nomi Health Commercial |
$302.01
|
| Rate for Payer: PACE Medicare |
$281.84
|
| Rate for Payer: PACE SWMI |
$296.67
|
| Rate for Payer: PHP Commercial |
$326.34
|
| Rate for Payer: PHP Medicaid |
$159.02
|
| Rate for Payer: PHP Medicare Advantage |
$296.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.70
|
| Rate for Payer: Priority Health Medicare |
$296.67
|
| Rate for Payer: Priority Health Narrow Network |
$258.18
|
| Rate for Payer: Railroad Medicare Medicare |
$296.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$324.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.67
|
| Rate for Payer: UHC Exchange |
$459.84
|
| Rate for Payer: UHC Medicare Advantage |
$296.67
|
| Rate for Payer: UHCCP DNSP |
$296.67
|
| Rate for Payer: UHCCP Medicaid |
$159.02
|
| Rate for Payer: VA VA |
$296.67
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
IP
|
$870.81
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
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 COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
OP
|
$870.81
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$455.18 |
| Max. Negotiated Rate |
$1,316.29 |
| Rate for Payer: Aetna Commercial |
$783.73
|
| Rate for Payer: Aetna Medicare |
$849.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,061.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,061.53
|
| Rate for Payer: ASR ASR |
$844.69
|
| Rate for Payer: ASR Commercial |
$844.69
|
| Rate for Payer: BCBS Complete |
$477.94
|
| Rate for Payer: BCBS MAPPO |
$849.22
|
| Rate for Payer: BCBS Trust/PPO |
$713.11
|
| Rate for Payer: BCN Commercial |
$675.14
|
| Rate for Payer: BCN Medicare Advantage |
$849.22
|
| Rate for Payer: Cash Price |
$696.65
|
| 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: Health Alliance Plan Medicare Advantage |
$849.22
|
| Rate for Payer: Healthscope Commercial |
$870.81
|
| Rate for Payer: Healthscope Whirlpool |
$844.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$849.22
|
| Rate for Payer: Mclaren Commercial |
$783.73
|
| Rate for Payer: Mclaren Medicaid |
$455.18
|
| Rate for Payer: Mclaren Medicare |
$849.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$891.68
|
| Rate for Payer: Meridian Medicaid |
$477.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$976.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$740.19
|
| Rate for Payer: Nomi Health Commercial |
$714.06
|
| Rate for Payer: PACE Medicare |
$806.76
|
| Rate for Payer: PACE SWMI |
$849.22
|
| Rate for Payer: PHP Commercial |
$934.14
|
| Rate for Payer: PHP Medicaid |
$455.18
|
| Rate for Payer: PHP Medicare Advantage |
$849.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$455.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$763.00
|
| Rate for Payer: Priority Health Medicare |
$849.22
|
| Rate for Payer: Priority Health Narrow Network |
$610.44
|
| Rate for Payer: Railroad Medicare Medicare |
$849.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$766.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$849.22
|
| Rate for Payer: UHC Exchange |
$1,316.29
|
| Rate for Payer: UHC Medicare Advantage |
$849.22
|
| Rate for Payer: UHCCP DNSP |
$849.22
|
| Rate for Payer: UHCCP Medicaid |
$455.18
|
| Rate for Payer: VA VA |
$849.22
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
IP
|
$422.48
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$274.61 |
| Max. Negotiated Rate |
$422.48 |
| Rate for Payer: Aetna Commercial |
$380.23
|
| Rate for Payer: ASR ASR |
$409.81
|
| Rate for Payer: ASR Commercial |
$409.81
|
| Rate for Payer: BCBS Trust/PPO |
$344.28
|
| Rate for Payer: BCN Commercial |
$327.55
|
| Rate for Payer: Cash Price |
$337.98
|
| Rate for Payer: Cofinity Commercial |
$397.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.98
|
| Rate for Payer: Healthscope Commercial |
$422.48
|
| Rate for Payer: Healthscope Whirlpool |
$409.81
|
| Rate for Payer: Mclaren Commercial |
$380.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.11
|
| Rate for Payer: Nomi Health Commercial |
$346.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$371.78
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
OP
|
$422.48
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.02 |
| Max. Negotiated Rate |
$459.84 |
| Rate for Payer: Aetna Commercial |
$380.23
|
| Rate for Payer: Aetna Medicare |
$296.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.84
|
| Rate for Payer: ASR ASR |
$409.81
|
| Rate for Payer: ASR Commercial |
$409.81
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$296.67
|
| Rate for Payer: BCBS Trust/PPO |
$345.97
|
| Rate for Payer: BCN Commercial |
$327.55
|
| Rate for Payer: BCN Medicare Advantage |
$296.67
|
| Rate for Payer: Cash Price |
$337.98
|
| Rate for Payer: Cash Price |
$337.98
|
| Rate for Payer: Cofinity Commercial |
$397.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.67
|
| Rate for Payer: Healthscope Commercial |
$422.48
|
| Rate for Payer: Healthscope Whirlpool |
$409.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$296.67
|
| Rate for Payer: Mclaren Commercial |
$380.23
|
| Rate for Payer: Mclaren Medicaid |
$159.02
|
| Rate for Payer: Mclaren Medicare |
$296.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.50
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$341.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.11
|
| Rate for Payer: Nomi Health Commercial |
$346.43
|
| Rate for Payer: PACE Medicare |
$281.84
|
| Rate for Payer: PACE SWMI |
$296.67
|
| Rate for Payer: PHP Commercial |
$326.34
|
| Rate for Payer: PHP Medicaid |
$159.02
|
| Rate for Payer: PHP Medicare Advantage |
$296.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$370.18
|
| Rate for Payer: Priority Health Medicare |
$296.67
|
| Rate for Payer: Priority Health Narrow Network |
$296.16
|
| Rate for Payer: Railroad Medicare Medicare |
$296.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$371.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.67
|
| Rate for Payer: UHC Exchange |
$459.84
|
| Rate for Payer: UHC Medicare Advantage |
$296.67
|
| Rate for Payer: UHCCP DNSP |
$296.67
|
| Rate for Payer: UHCCP Medicaid |
$159.02
|
| Rate for Payer: VA VA |
$296.67
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
IP
|
$328.77
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.70 |
| Max. Negotiated Rate |
$328.77 |
| Rate for Payer: Aetna Commercial |
$295.89
|
| Rate for Payer: ASR ASR |
$318.91
|
| Rate for Payer: ASR Commercial |
$318.91
|
| Rate for Payer: BCBS Trust/PPO |
$267.91
|
| Rate for Payer: BCN Commercial |
$254.90
|
| Rate for Payer: Cash Price |
$263.02
|
| Rate for Payer: Cofinity Commercial |
$309.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.02
|
| Rate for Payer: Healthscope Commercial |
$328.77
|
| Rate for Payer: Healthscope Whirlpool |
$318.91
|
| Rate for Payer: Mclaren Commercial |
$295.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.45
|
| Rate for Payer: Nomi Health Commercial |
$269.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$289.32
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
OP
|
$328.77
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.16 |
| Max. Negotiated Rate |
$328.77 |
| Rate for Payer: Aetna Commercial |
$295.89
|
| Rate for Payer: Aetna Medicare |
$196.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$245.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$245.25
|
| Rate for Payer: ASR ASR |
$318.91
|
| Rate for Payer: ASR Commercial |
$318.91
|
| Rate for Payer: BCBS Complete |
$110.42
|
| Rate for Payer: BCBS MAPPO |
$196.20
|
| Rate for Payer: BCBS Trust/PPO |
$269.23
|
| Rate for Payer: BCN Commercial |
$254.90
|
| Rate for Payer: BCN Medicare Advantage |
$196.20
|
| Rate for Payer: Cash Price |
$263.02
|
| Rate for Payer: Cash Price |
$263.02
|
| Rate for Payer: Cofinity Commercial |
$309.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.20
|
| Rate for Payer: Healthscope Commercial |
$328.77
|
| Rate for Payer: Healthscope Whirlpool |
$318.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$196.20
|
| Rate for Payer: Mclaren Commercial |
$295.89
|
| Rate for Payer: Mclaren Medicaid |
$105.16
|
| Rate for Payer: Mclaren Medicare |
$196.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.01
|
| Rate for Payer: Meridian Medicaid |
$110.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$225.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.45
|
| Rate for Payer: Nomi Health Commercial |
$269.59
|
| Rate for Payer: PACE Medicare |
$186.39
|
| Rate for Payer: PACE SWMI |
$196.20
|
| Rate for Payer: PHP Commercial |
$215.82
|
| Rate for Payer: PHP Medicaid |
$105.16
|
| Rate for Payer: PHP Medicare Advantage |
$196.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$288.07
|
| Rate for Payer: Priority Health Medicare |
$196.20
|
| Rate for Payer: Priority Health Narrow Network |
$230.47
|
| Rate for Payer: Railroad Medicare Medicare |
$196.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$289.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$196.20
|
| Rate for Payer: UHC Exchange |
$304.11
|
| Rate for Payer: UHC Medicare Advantage |
$196.20
|
| Rate for Payer: UHCCP DNSP |
$196.20
|
| Rate for Payer: UHCCP Medicaid |
$105.16
|
| Rate for Payer: VA VA |
$196.20
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$854.17
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$555.21 |
| Max. Negotiated Rate |
$854.17 |
| Rate for Payer: Aetna Commercial |
$768.75
|
| Rate for Payer: ASR ASR |
$828.54
|
| Rate for Payer: ASR Commercial |
$828.54
|
| Rate for Payer: BCBS Trust/PPO |
$696.06
|
| Rate for Payer: BCN Commercial |
$662.24
|
| Rate for Payer: Cash Price |
$683.34
|
| Rate for Payer: Cofinity Commercial |
$802.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.34
|
| Rate for Payer: Healthscope Commercial |
$854.17
|
| Rate for Payer: Healthscope Whirlpool |
$828.54
|
| Rate for Payer: Mclaren Commercial |
$768.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$726.04
|
| Rate for Payer: Nomi Health Commercial |
$700.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$555.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$751.67
|
|
