|
HC DRAINAGE OF FINGER ABSCESS
|
Facility
|
OP
|
$530.60
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
76100383
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.55 |
| Max. Negotiated Rate |
$530.60 |
| Rate for Payer: Aetna Commercial |
$477.54
|
| Rate for Payer: Aetna Medicare |
$199.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: ASR ASR |
$514.68
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$437.48
|
| Rate for Payer: BCN Commercial |
$437.48
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$424.48
|
| Rate for Payer: Cash Price |
$424.48
|
| Rate for Payer: Cofinity Commercial |
$498.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$424.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$514.68
|
| Rate for Payer: Healthscope Whirlpool |
$530.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$199.91
|
| Rate for Payer: Mclaren Commercial |
$477.54
|
| Rate for Payer: Mclaren Medicaid |
$199.91
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$109.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$451.01
|
| Rate for Payer: Nomi Health Commercial |
$435.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$397.95
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$219.90
|
| Rate for Payer: PHP Medicaid |
$107.15
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$257.01
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health Narrow Network |
$205.61
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$466.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.91
|
| Rate for Payer: UHC Exchange |
$309.86
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP DNSP |
$199.91
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: VA VA |
$199.91
|
|
|
HC DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH
|
Facility
|
IP
|
$2,136.37
|
|
|
Service Code
|
CPT 58822
|
| Hospital Charge Code |
36100259
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,602.28 |
| Max. Negotiated Rate |
$2,136.37 |
| Rate for Payer: Aetna Commercial |
$1,922.73
|
| Rate for Payer: ASR ASR |
$2,072.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,754.39
|
| Rate for Payer: BCN Commercial |
$1,754.39
|
| Rate for Payer: Cash Price |
$1,709.10
|
| Rate for Payer: Cofinity Commercial |
$2,008.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,709.10
|
| Rate for Payer: Healthscope Commercial |
$2,072.28
|
| Rate for Payer: Healthscope Whirlpool |
$2,136.37
|
| Rate for Payer: Mclaren Commercial |
$1,922.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,815.91
|
| Rate for Payer: Nomi Health Commercial |
$1,751.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,602.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,880.01
|
|
|
HC DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH
|
Facility
|
OP
|
$2,136.37
|
|
|
Service Code
|
CPT 58822
|
| Hospital Charge Code |
36100259
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$790.46 |
| Max. Negotiated Rate |
$3,055.00 |
| Rate for Payer: Aetna Commercial |
$1,922.73
|
| Rate for Payer: Aetna Medicare |
$790.46
|
| Rate for Payer: ASR ASR |
$2,072.28
|
| Rate for Payer: BCBS Complete |
$854.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.44
|
| Rate for Payer: BCN Commercial |
$1,761.44
|
| Rate for Payer: Cash Price |
$1,709.10
|
| Rate for Payer: Cash Price |
$1,709.10
|
| Rate for Payer: Cofinity Commercial |
$2,008.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,709.10
|
| Rate for Payer: Healthscope Commercial |
$2,072.28
|
| Rate for Payer: Healthscope Whirlpool |
$2,136.37
|
| Rate for Payer: Mclaren Commercial |
$1,922.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,709.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,815.91
|
| Rate for Payer: Nomi Health Commercial |
$1,751.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,602.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,871.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,497.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,880.01
|
| Rate for Payer: UHC Exchange |
$3,055.00
|
|
|
HC DRAINAGE PERITONEAL OR RETROPERITONEAL PERCUTANEOUS
|
Facility
|
IP
|
$4,350.95
|
|
|
Service Code
|
CPT 49406
|
| Hospital Charge Code |
36100433
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,263.21 |
| Max. Negotiated Rate |
$4,350.95 |
| Rate for Payer: Aetna Commercial |
$3,915.86
|
| Rate for Payer: ASR ASR |
$4,220.42
|
| Rate for Payer: BCBS Trust/PPO |
$3,573.00
|
| Rate for Payer: BCN Commercial |
$3,573.00
|
| Rate for Payer: Cash Price |
$3,480.76
|
| Rate for Payer: Cofinity Commercial |
$4,089.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,480.76
|
| Rate for Payer: Healthscope Commercial |
$4,220.42
|
| Rate for Payer: Healthscope Whirlpool |
$4,350.95
|
| Rate for Payer: Mclaren Commercial |
$3,915.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,698.31
|
| Rate for Payer: Nomi Health Commercial |
$3,567.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,263.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,828.84
|
|
|
HC DRAINAGE PERITONEAL OR RETROPERITONEAL PERCUTANEOUS
|
Facility
|
OP
|
$4,350.95
|
|
|
Service Code
|
CPT 49406
|
| Hospital Charge Code |
36100433
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$4,350.95 |
| Rate for Payer: Aetna Commercial |
$3,915.86
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$4,220.42
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,587.36
|
| Rate for Payer: BCN Commercial |
$3,587.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,480.76
|
| Rate for Payer: Cash Price |
$3,480.76
|
| Rate for Payer: Cofinity Commercial |
$4,089.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,480.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,220.42
|
| Rate for Payer: Healthscope Whirlpool |
$4,350.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,915.86
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,698.31
|
| Rate for Payer: Nomi Health Commercial |
$3,567.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,263.21
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,544.06
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,828.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC DRAINAGE PERITONEAL OR RETROPERITONEAL TRANSVAG OR TRANSRECTAL
|
Facility
|
OP
|
$3,216.67
|
|
|
Service Code
|
CPT 49407
|
| Hospital Charge Code |
36100434
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$765.19 |
| Max. Negotiated Rate |
$3,216.67 |
| Rate for Payer: Aetna Commercial |
$2,895.00
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$3,120.17
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,652.14
|
| Rate for Payer: BCN Commercial |
$2,652.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$2,573.34
|
| Rate for Payer: Cash Price |
$2,573.34
|
| Rate for Payer: Cofinity Commercial |
$3,023.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,573.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$3,120.17
|
| Rate for Payer: Healthscope Whirlpool |
$3,216.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$2,895.00
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,734.17
|
| Rate for Payer: Nomi Health Commercial |
$2,637.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,412.50
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$956.49
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$765.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,830.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC DRAINAGE PERITONEAL OR RETROPERITONEAL TRANSVAG OR TRANSRECTAL
|
Facility
|
IP
|
$3,216.67
|
|
|
Service Code
|
CPT 49407
|
| Hospital Charge Code |
36100434
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,412.50 |
| Max. Negotiated Rate |
$3,216.67 |
| Rate for Payer: Aetna Commercial |
$2,895.00
|
| Rate for Payer: ASR ASR |
$3,120.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,641.53
|
| Rate for Payer: BCN Commercial |
$2,641.53
|
| Rate for Payer: Cash Price |
$2,573.34
|
| Rate for Payer: Cofinity Commercial |
$3,023.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,573.34
|
| Rate for Payer: Healthscope Commercial |
$3,120.17
|
| Rate for Payer: Healthscope Whirlpool |
$3,216.67
|
| Rate for Payer: Mclaren Commercial |
$2,895.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,734.17
|
| Rate for Payer: Nomi Health Commercial |
$2,637.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,412.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,830.67
|
|
|
HC DRAINAGE SCROTAL WALL ABSCESS
|
Facility
|
OP
|
$2,184.92
|
|
|
Service Code
|
CPT 55100
|
| Hospital Charge Code |
76100278
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$1,966.43
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$2,119.37
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,801.47
|
| Rate for Payer: BCN Commercial |
$1,801.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$2,053.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,119.37
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,966.43
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,914.43
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,531.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,922.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC DRAINAGE SCROTAL WALL ABSCESS
|
Facility
|
IP
|
$2,184.92
|
|
|
Service Code
|
CPT 55100
|
| Hospital Charge Code |
76100278
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,638.69 |
| Max. Negotiated Rate |
$2,184.92 |
| Rate for Payer: Aetna Commercial |
$1,966.43
|
| Rate for Payer: ASR ASR |
$2,119.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,794.26
|
| Rate for Payer: BCN Commercial |
$1,794.26
|
| Rate for Payer: Cash Price |
$1,747.94
|
| Rate for Payer: Cofinity Commercial |
$2,053.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.94
|
| Rate for Payer: Healthscope Commercial |
$2,119.37
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.92
|
| Rate for Payer: Mclaren Commercial |
$1,966.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.18
|
| Rate for Payer: Nomi Health Commercial |
$1,791.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,638.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,922.73
|
|
|
HC DRAINAGE SOFT TISSUE W IMAGE GUIDANCE
|
Facility
|
OP
|
$3,238.15
|
|
|
Service Code
|
CPT 10030
|
| Hospital Charge Code |
36100422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$161.23 |
| Max. Negotiated Rate |
$3,238.15 |
| Rate for Payer: Aetna Commercial |
$2,914.34
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$3,141.01
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,669.85
|
| Rate for Payer: BCN Commercial |
$2,669.85
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$2,590.52
|
| Rate for Payer: Cash Price |
$2,590.52
|
| Rate for Payer: Cofinity Commercial |
$3,043.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,590.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$3,141.01
|
| Rate for Payer: Healthscope Whirlpool |
$3,238.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$2,914.34
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,752.43
|
| Rate for Payer: Nomi Health Commercial |
$2,655.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,428.61
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$201.54
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$161.23
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,849.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC DRAINAGE SOFT TISSUE W IMAGE GUIDANCE
|
Facility
|
IP
|
$3,238.15
|
|
|
Service Code
|
CPT 10030
|
| Hospital Charge Code |
36100422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,428.61 |
| Max. Negotiated Rate |
$3,238.15 |
| Rate for Payer: Aetna Commercial |
$2,914.34
|
| Rate for Payer: ASR ASR |
$3,141.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,659.17
|
| Rate for Payer: BCN Commercial |
$2,659.17
|
| Rate for Payer: Cash Price |
$2,590.52
|
| Rate for Payer: Cofinity Commercial |
$3,043.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,590.52
|
| Rate for Payer: Healthscope Commercial |
$3,141.01
|
| Rate for Payer: Healthscope Whirlpool |
$3,238.15
|
| Rate for Payer: Mclaren Commercial |
$2,914.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,752.43
|
| Rate for Payer: Nomi Health Commercial |
$2,655.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,428.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,849.57
|
|
|
HC DRAINAGE TENDON SHEATH DIGIT AND/OR PALM EACH
|
Facility
|
OP
|
$9,998.00
|
|
|
Service Code
|
CPT 26020
|
| Hospital Charge Code |
45000107
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$9,998.00 |
| Rate for Payer: Aetna Commercial |
$8,998.20
|
| Rate for Payer: Aetna Medicare |
$3,260.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: ASR ASR |
$9,698.06
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$8,243.35
|
| Rate for Payer: BCN Commercial |
$8,243.35
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$7,998.40
|
| Rate for Payer: Cash Price |
$7,998.40
|
| Rate for Payer: Cofinity Commercial |
$9,398.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,998.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$9,698.06
|
| Rate for Payer: Healthscope Whirlpool |
$9,998.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,260.23
|
| Rate for Payer: Mclaren Commercial |
$8,998.20
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$1,790.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,498.30
|
| Rate for Payer: Nomi Health Commercial |
$8,198.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,498.50
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$3,586.25
|
| Rate for Payer: PHP Medicaid |
$1,747.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$8,760.25
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health Narrow Network |
$7,008.60
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,798.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$5,053.36
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP DNSP |
$3,260.23
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: VA VA |
$3,260.23
|
|
|
HC DRAINAGE TENDON SHEATH DIGIT AND/OR PALM EACH
|
Facility
|
IP
|
$9,998.00
|
|
|
Service Code
|
CPT 26020
|
| Hospital Charge Code |
45000107
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$7,498.50 |
| Max. Negotiated Rate |
$9,998.00 |
| Rate for Payer: Aetna Commercial |
$8,998.20
|
| Rate for Payer: ASR ASR |
$9,698.06
|
| Rate for Payer: BCBS Trust/PPO |
$8,210.36
|
| Rate for Payer: BCN Commercial |
$8,210.36
|
| Rate for Payer: Cash Price |
$7,998.40
|
| Rate for Payer: Cofinity Commercial |
$9,398.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,998.40
|
| Rate for Payer: Healthscope Commercial |
$9,698.06
|
| Rate for Payer: Healthscope Whirlpool |
$9,998.00
|
| Rate for Payer: Mclaren Commercial |
$8,998.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,498.30
|
| Rate for Payer: Nomi Health Commercial |
$8,198.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,498.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,798.24
|
|
|
HC DRAINAGE VISCERAL
|
Facility
|
OP
|
$4,145.71
|
|
|
Service Code
|
CPT 49405
|
| Hospital Charge Code |
36100432
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$4,145.71 |
| Rate for Payer: Aetna Commercial |
$3,731.14
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$4,021.34
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,418.14
|
| Rate for Payer: BCN Commercial |
$3,418.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,316.57
|
| Rate for Payer: Cash Price |
$3,316.57
|
| Rate for Payer: Cofinity Commercial |
$3,896.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,316.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,021.34
|
| Rate for Payer: Healthscope Whirlpool |
$4,145.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,731.14
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,523.85
|
| Rate for Payer: Nomi Health Commercial |
$3,399.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,109.28
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,544.06
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,648.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC DRAINAGE VISCERAL
|
Facility
|
IP
|
$4,145.71
|
|
|
Service Code
|
CPT 49405
|
| Hospital Charge Code |
36100432
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,109.28 |
| Max. Negotiated Rate |
$4,145.71 |
| Rate for Payer: Aetna Commercial |
$3,731.14
|
| Rate for Payer: ASR ASR |
$4,021.34
|
| Rate for Payer: BCBS Trust/PPO |
$3,404.46
|
| Rate for Payer: BCN Commercial |
$3,404.46
|
| Rate for Payer: Cash Price |
$3,316.57
|
| Rate for Payer: Cofinity Commercial |
$3,896.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,316.57
|
| Rate for Payer: Healthscope Commercial |
$4,021.34
|
| Rate for Payer: Healthscope Whirlpool |
$4,145.71
|
| Rate for Payer: Mclaren Commercial |
$3,731.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,523.85
|
| Rate for Payer: Nomi Health Commercial |
$3,399.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,109.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,648.22
|
|
|
HC DRAIN EXTERNAL EAR ABSCESS/HEMATOMA CMPLX
|
Facility
|
IP
|
$4,176.90
|
|
|
Service Code
|
CPT 69005
|
| Hospital Charge Code |
76100479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,132.68 |
| Max. Negotiated Rate |
$4,176.90 |
| Rate for Payer: Aetna Commercial |
$3,759.21
|
| Rate for Payer: Aetna Commercial |
$5,638.81
|
| Rate for Payer: ASR ASR |
$4,051.59
|
| Rate for Payer: ASR ASR |
$6,077.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,430.07
|
| Rate for Payer: BCBS Trust/PPO |
$5,145.11
|
| Rate for Payer: BCN Commercial |
$3,430.07
|
| Rate for Payer: BCN Commercial |
$5,145.11
|
| Rate for Payer: Cash Price |
$5,012.28
|
| Rate for Payer: Cash Price |
$3,341.52
|
| Rate for Payer: Cofinity Commercial |
$5,889.43
|
| Rate for Payer: Cofinity Commercial |
$3,926.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,341.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,012.28
|
| Rate for Payer: Healthscope Commercial |
$4,051.59
|
| Rate for Payer: Healthscope Commercial |
$6,077.39
|
| Rate for Payer: Healthscope Whirlpool |
$6,265.35
|
| Rate for Payer: Healthscope Whirlpool |
$4,176.90
|
| Rate for Payer: Mclaren Commercial |
$5,638.81
|
| Rate for Payer: Mclaren Commercial |
$3,759.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,325.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,550.36
|
| Rate for Payer: Nomi Health Commercial |
$5,137.59
|
| Rate for Payer: Nomi Health Commercial |
$3,425.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,132.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,699.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,513.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,675.67
|
|
|
HC DRAIN EXTERNAL EAR ABSCESS/HEMATOMA CMPLX
|
Facility
|
OP
|
$4,176.90
|
|
|
Service Code
|
CPT 69005
|
| Hospital Charge Code |
76100479
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$4,176.90 |
| Rate for Payer: Aetna Commercial |
$3,759.21
|
| Rate for Payer: Aetna Commercial |
$5,638.81
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$6,077.39
|
| Rate for Payer: ASR ASR |
$4,051.59
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$5,165.78
|
| Rate for Payer: BCBS Trust/PPO |
$3,443.85
|
| Rate for Payer: BCN Commercial |
$3,443.85
|
| Rate for Payer: BCN Commercial |
$5,165.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,341.52
|
| Rate for Payer: Cash Price |
$3,341.52
|
| Rate for Payer: Cash Price |
$5,012.28
|
| Rate for Payer: Cash Price |
$5,012.28
|
| Rate for Payer: Cofinity Commercial |
$3,926.29
|
| Rate for Payer: Cofinity Commercial |
$5,889.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,341.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,012.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,051.59
|
| Rate for Payer: Healthscope Commercial |
$6,077.39
|
| Rate for Payer: Healthscope Whirlpool |
$6,265.35
|
| Rate for Payer: Healthscope Whirlpool |
$4,176.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$5,638.81
|
| Rate for Payer: Mclaren Commercial |
$3,759.21
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,325.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,550.36
|
| Rate for Payer: Nomi Health Commercial |
$3,425.06
|
| Rate for Payer: Nomi Health Commercial |
$5,137.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,699.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,132.68
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,659.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,489.70
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$2,928.01
|
| Rate for Payer: Priority Health Narrow Network |
$4,392.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,675.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,513.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC DRAIN EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE
|
Facility
|
IP
|
$1,485.16
|
|
|
Service Code
|
CPT 69000
|
| Hospital Charge Code |
76100298
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,113.87 |
| Max. Negotiated Rate |
$1,485.16 |
| Rate for Payer: Aetna Commercial |
$1,336.64
|
| Rate for Payer: Aetna Commercial |
$891.09
|
| Rate for Payer: ASR ASR |
$1,440.61
|
| Rate for Payer: ASR ASR |
$960.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,219.61
|
| Rate for Payer: BCBS Trust/PPO |
$813.07
|
| Rate for Payer: BCN Commercial |
$1,219.61
|
| Rate for Payer: BCN Commercial |
$813.07
|
| Rate for Payer: Cash Price |
$792.08
|
| Rate for Payer: Cash Price |
$1,188.13
|
| Rate for Payer: Cofinity Commercial |
$930.69
|
| Rate for Payer: Cofinity Commercial |
$1,396.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,188.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$792.08
|
| Rate for Payer: Healthscope Commercial |
$1,440.61
|
| Rate for Payer: Healthscope Commercial |
$960.40
|
| Rate for Payer: Healthscope Whirlpool |
$990.10
|
| Rate for Payer: Healthscope Whirlpool |
$1,485.16
|
| Rate for Payer: Mclaren Commercial |
$891.09
|
| Rate for Payer: Mclaren Commercial |
$1,336.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$841.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,262.39
|
| Rate for Payer: Nomi Health Commercial |
$811.88
|
| Rate for Payer: Nomi Health Commercial |
$1,217.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,113.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$742.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$871.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,306.94
|
|
|
HC DRAIN EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE
|
Facility
|
OP
|
$1,485.16
|
|
|
Service Code
|
CPT 69000
|
| Hospital Charge Code |
76100298
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$205.61 |
| Max. Negotiated Rate |
$1,485.16 |
| Rate for Payer: Aetna Commercial |
$1,336.64
|
| Rate for Payer: Aetna Commercial |
$891.09
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$1,440.61
|
| Rate for Payer: ASR ASR |
$960.40
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$816.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,224.51
|
| Rate for Payer: BCN Commercial |
$816.34
|
| Rate for Payer: BCN Commercial |
$1,224.51
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$1,188.13
|
| Rate for Payer: Cash Price |
$1,188.13
|
| Rate for Payer: Cash Price |
$792.08
|
| Rate for Payer: Cash Price |
$792.08
|
| Rate for Payer: Cofinity Commercial |
$1,396.05
|
| Rate for Payer: Cofinity Commercial |
$930.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$792.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,188.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$1,440.61
|
| Rate for Payer: Healthscope Commercial |
$960.40
|
| Rate for Payer: Healthscope Whirlpool |
$1,485.16
|
| Rate for Payer: Healthscope Whirlpool |
$990.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$891.09
|
| Rate for Payer: Mclaren Commercial |
$1,336.64
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,262.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$841.59
|
| Rate for Payer: Nomi Health Commercial |
$811.88
|
| Rate for Payer: Nomi Health Commercial |
$1,217.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,113.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$742.58
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$257.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$257.01
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$205.61
|
| Rate for Payer: Priority Health Narrow Network |
$205.61
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$871.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,306.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC DRAW VENIPUNCTURE
|
Facility
|
OP
|
$15.92
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
30000001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.88 |
| Max. Negotiated Rate |
$50.00 |
| Rate for Payer: Aetna Commercial |
$14.33
|
| Rate for Payer: Aetna Medicare |
$9.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.68
|
| Rate for Payer: ASR ASR |
$15.44
|
| Rate for Payer: BCBS Complete |
$5.13
|
| Rate for Payer: BCBS MAPPO |
$9.34
|
| Rate for Payer: BCBS Trust/PPO |
$13.13
|
| Rate for Payer: BCN Commercial |
$13.13
|
| Rate for Payer: BCN Medicare Advantage |
$9.34
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: City of Battle Creek Police Dept Commercial |
$50.00
|
| 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 |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$15.44
|
| Rate for Payer: Healthscope Whirlpool |
$15.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$9.34
|
| Rate for Payer: Mclaren Commercial |
$14.33
|
| Rate for Payer: Mclaren Medicaid |
$9.34
|
| Rate for Payer: Mclaren Medicare |
$9.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.81
|
| Rate for Payer: Meridian Medicaid |
$5.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.74
|
| Rate for Payer: Michigan State Police Michigan State Police |
$50.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.27
|
| 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 |
$8.87
|
| Rate for Payer: PACE SWMI |
$9.34
|
| Rate for Payer: PHP Commercial |
$10.27
|
| Rate for Payer: PHP Medicaid |
$5.01
|
| Rate for Payer: PHP Medicare Advantage |
$9.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13.92
|
| Rate for Payer: Priority Health Medicare |
$9.34
|
| Rate for Payer: Priority Health Narrow Network |
$11.14
|
| Rate for Payer: Railroad Medicare Medicare |
$9.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.34
|
| Rate for Payer: UHC Exchange |
$14.48
|
| Rate for Payer: UHC Medicaid |
$4.88
|
| Rate for Payer: UHCCP DNSP |
$9.34
|
| Rate for Payer: UHCCP Medicaid |
$4.88
|
| Rate for Payer: VA VA |
$9.34
|
|
|
HC DRAW VENIPUNCTURE
|
Facility
|
IP
|
$15.92
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
30000001
|
|
Hospital Revenue Code
|
300
|
| 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 DRSG MEPILEX AG FOAM 8X20
|
Facility
|
IP
|
$377.81
|
|
|
Service Code
|
HCPCS A6214
|
| Hospital Charge Code |
27000065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$283.36 |
| Max. Negotiated Rate |
$377.81 |
| Rate for Payer: Aetna Commercial |
$340.03
|
| Rate for Payer: ASR ASR |
$366.48
|
| Rate for Payer: BCBS Trust/PPO |
$310.26
|
| Rate for Payer: BCN Commercial |
$310.26
|
| Rate for Payer: Cash Price |
$302.25
|
| Rate for Payer: Cofinity Commercial |
$355.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.25
|
| Rate for Payer: Healthscope Commercial |
$366.48
|
| Rate for Payer: Healthscope Whirlpool |
$377.81
|
| Rate for Payer: Mclaren Commercial |
$340.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.14
|
| Rate for Payer: Nomi Health Commercial |
$309.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$332.47
|
|
|
HC DRSG MEPILEX AG FOAM 8X20
|
Facility
|
OP
|
$377.81
|
|
|
Service Code
|
HCPCS A6214
|
| Hospital Charge Code |
27000065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$139.79 |
| Max. Negotiated Rate |
$377.81 |
| Rate for Payer: Aetna Commercial |
$340.03
|
| Rate for Payer: Aetna Medicare |
$139.79
|
| Rate for Payer: ASR ASR |
$366.48
|
| Rate for Payer: BCBS Complete |
$151.12
|
| Rate for Payer: BCBS Trust/PPO |
$311.50
|
| Rate for Payer: BCN Commercial |
$311.50
|
| Rate for Payer: Cash Price |
$302.25
|
| Rate for Payer: Cofinity Commercial |
$355.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.25
|
| Rate for Payer: Healthscope Commercial |
$366.48
|
| Rate for Payer: Healthscope Whirlpool |
$377.81
|
| Rate for Payer: Mclaren Commercial |
$340.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.14
|
| Rate for Payer: Nomi Health Commercial |
$309.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$331.04
|
| Rate for Payer: Priority Health Narrow Network |
$264.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$332.47
|
|
|
HC DRSG MEPILEX BORDER LITE 4X5 EA
|
Facility
|
IP
|
$5.75
|
|
|
Service Code
|
HCPCS A6213
|
| Hospital Charge Code |
62300221
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.31 |
| Max. Negotiated Rate |
$5.75 |
| Rate for Payer: Aetna Commercial |
$5.17
|
| Rate for Payer: ASR ASR |
$5.58
|
| Rate for Payer: BCBS Trust/PPO |
$4.72
|
| Rate for Payer: BCN Commercial |
$4.72
|
| Rate for Payer: Cash Price |
$4.60
|
| Rate for Payer: Cofinity Commercial |
$5.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.60
|
| Rate for Payer: Healthscope Commercial |
$5.58
|
| Rate for Payer: Healthscope Whirlpool |
$5.75
|
| Rate for Payer: Mclaren Commercial |
$5.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.89
|
| Rate for Payer: Nomi Health Commercial |
$4.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.06
|
|
|
HC DRSG MEPILEX BORDER LITE 4X5 EA
|
Facility
|
OP
|
$5.75
|
|
|
Service Code
|
HCPCS A6213
|
| Hospital Charge Code |
62300221
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.13 |
| Max. Negotiated Rate |
$5.75 |
| Rate for Payer: Aetna Commercial |
$5.17
|
| Rate for Payer: Aetna Medicare |
$2.13
|
| Rate for Payer: ASR ASR |
$5.58
|
| Rate for Payer: BCBS Complete |
$2.30
|
| Rate for Payer: BCBS Trust/PPO |
$4.74
|
| Rate for Payer: BCN Commercial |
$4.74
|
| Rate for Payer: Cash Price |
$4.60
|
| Rate for Payer: Cofinity Commercial |
$5.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.60
|
| Rate for Payer: Healthscope Commercial |
$5.58
|
| Rate for Payer: Healthscope Whirlpool |
$5.75
|
| Rate for Payer: Mclaren Commercial |
$5.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.89
|
| Rate for Payer: Nomi Health Commercial |
$4.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5.04
|
| Rate for Payer: Priority Health Narrow Network |
$4.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.06
|
|
