|
HC EXC BENIGN LESION FACE, EAR, EYELID, NOSE, LIP, MUC MEMB 0.6 TO 1.0 CM
|
Facility
|
IP
|
$612.08
|
|
|
Service Code
|
CPT 11441
|
| Hospital Charge Code |
76100102
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$459.06 |
| Max. Negotiated Rate |
$612.08 |
| Rate for Payer: Aetna Commercial |
$550.87
|
| Rate for Payer: ASR ASR |
$593.72
|
| Rate for Payer: BCBS Trust/PPO |
$502.64
|
| Rate for Payer: BCN Commercial |
$502.64
|
| Rate for Payer: Cash Price |
$489.66
|
| Rate for Payer: Cofinity Commercial |
$575.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$489.66
|
| Rate for Payer: Healthscope Commercial |
$593.72
|
| Rate for Payer: Healthscope Whirlpool |
$612.08
|
| Rate for Payer: Mclaren Commercial |
$550.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$520.27
|
| Rate for Payer: Nomi Health Commercial |
$501.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$538.63
|
|
|
HC EXC BENIGN LESION FACE, EAR, EYELID, NOSE, LIP, MUC MEMB 1.1 TO 2.0 CM
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11442
|
| Hospital Charge Code |
76100103
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$369.02 |
| Max. Negotiated Rate |
$1,199.57 |
| Rate for Payer: Aetna Commercial |
$1,079.61
|
| 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 |
$1,163.58
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$989.05
|
| Rate for Payer: BCN Commercial |
$989.05
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,127.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$1,163.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,199.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$1,079.61
|
| 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 |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| 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 |
$1,051.06
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$840.90
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,055.62
|
| 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 EXC BENIGN LESION FACE, EAR, EYELID, NOSE, LIP, MUC MEMB 1.1 TO 2.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11442
|
| Hospital Charge Code |
76100103
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$899.68 |
| Max. Negotiated Rate |
$1,199.57 |
| Rate for Payer: Aetna Commercial |
$1,079.61
|
| Rate for Payer: ASR ASR |
$1,163.58
|
| Rate for Payer: BCBS Trust/PPO |
$985.09
|
| Rate for Payer: BCN Commercial |
$985.09
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,127.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,163.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,199.57
|
| Rate for Payer: Mclaren Commercial |
$1,079.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,055.62
|
|
|
HC EXC FACE MM BENIGN +MARG 2.1 - 3 CM
|
Facility
|
OP
|
$4,329.73
|
|
|
Service Code
|
CPT 11443
|
| Hospital Charge Code |
36000109
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$4,329.73 |
| Rate for Payer: Aetna Commercial |
$3,896.76
|
| 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 |
$4,199.84
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,569.86
|
| Rate for Payer: BCN Commercial |
$3,569.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,463.78
|
| Rate for Payer: Cash Price |
$3,463.78
|
| Rate for Payer: Cofinity Commercial |
$4,069.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,463.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,199.84
|
| Rate for Payer: Healthscope Whirlpool |
$4,329.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,896.76
|
| 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 |
$3,680.27
|
| Rate for Payer: Nomi Health Commercial |
$3,550.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,247.30
|
| 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 |
$3,793.71
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$3,035.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,810.16
|
| 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 EXC FACE MM BENIGN +MARG 2.1 - 3 CM
|
Facility
|
IP
|
$4,329.73
|
|
|
Service Code
|
CPT 11443
|
| Hospital Charge Code |
36000109
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,247.30 |
| Max. Negotiated Rate |
$4,329.73 |
| Rate for Payer: Aetna Commercial |
$3,896.76
|
| Rate for Payer: ASR ASR |
$4,199.84
|
| Rate for Payer: BCBS Trust/PPO |
$3,555.57
|
| Rate for Payer: BCN Commercial |
$3,555.57
|
| Rate for Payer: Cash Price |
$3,463.78
|
| Rate for Payer: Cofinity Commercial |
$4,069.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,463.78
|
| Rate for Payer: Healthscope Commercial |
$4,199.84
|
| Rate for Payer: Healthscope Whirlpool |
$4,329.73
|
| Rate for Payer: Mclaren Commercial |
$3,896.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,680.27
|
| Rate for Payer: Nomi Health Commercial |
$3,550.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,247.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,810.16
|
|
|
HC EXC FACE MM BENIGN +MARG 3.1 - 4 CM
|
Facility
|
OP
|
$4,329.73
|
|
|
Service Code
|
CPT 11444
|
| Hospital Charge Code |
36000108
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$4,329.73 |
| Rate for Payer: Aetna Commercial |
$3,896.76
|
| 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 |
$4,199.84
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,569.86
|
| Rate for Payer: BCN Commercial |
$3,569.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,463.78
|
| Rate for Payer: Cash Price |
$3,463.78
|
| Rate for Payer: Cofinity Commercial |
$4,069.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,463.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,199.84
|
| Rate for Payer: Healthscope Whirlpool |
$4,329.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,896.76
|
| 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 |
$3,680.27
|
| Rate for Payer: Nomi Health Commercial |
$3,550.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,247.30
|
| 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 |
$3,793.71
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$3,035.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,810.16
|
| 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 EXC FACE MM BENIGN +MARG 3.1 - 4 CM
|
Facility
|
IP
|
$4,329.73
|
|
|
Service Code
|
CPT 11444
|
| Hospital Charge Code |
36000108
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,247.30 |
| Max. Negotiated Rate |
$4,329.73 |
| Rate for Payer: Aetna Commercial |
$3,896.76
|
| Rate for Payer: ASR ASR |
$4,199.84
|
| Rate for Payer: BCBS Trust/PPO |
$3,555.57
|
| Rate for Payer: BCN Commercial |
$3,555.57
|
| Rate for Payer: Cash Price |
$3,463.78
|
| Rate for Payer: Cofinity Commercial |
$4,069.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,463.78
|
| Rate for Payer: Healthscope Commercial |
$4,199.84
|
| Rate for Payer: Healthscope Whirlpool |
$4,329.73
|
| Rate for Payer: Mclaren Commercial |
$3,896.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,680.27
|
| Rate for Payer: Nomi Health Commercial |
$3,550.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,247.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,810.16
|
|
|
HC EXC FACE MM BENIGN +MARG >4 CM
|
Facility
|
IP
|
$7,293.68
|
|
|
Service Code
|
CPT 11446
|
| Hospital Charge Code |
36000107
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5,470.26 |
| Max. Negotiated Rate |
$7,293.68 |
| Rate for Payer: Aetna Commercial |
$6,564.31
|
| Rate for Payer: ASR ASR |
$7,074.87
|
| Rate for Payer: BCBS Trust/PPO |
$5,989.57
|
| Rate for Payer: BCN Commercial |
$5,989.57
|
| Rate for Payer: Cash Price |
$5,834.94
|
| Rate for Payer: Cofinity Commercial |
$6,856.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,834.94
|
| Rate for Payer: Healthscope Commercial |
$7,074.87
|
| Rate for Payer: Healthscope Whirlpool |
$7,293.68
|
| Rate for Payer: Mclaren Commercial |
$6,564.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,199.63
|
| Rate for Payer: Nomi Health Commercial |
$5,980.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,470.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,418.44
|
|
|
HC EXC FACE MM BENIGN +MARG >4 CM
|
Facility
|
OP
|
$7,293.68
|
|
|
Service Code
|
CPT 11446
|
| Hospital Charge Code |
36000107
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,513.70 |
| Max. Negotiated Rate |
$7,293.68 |
| Rate for Payer: Aetna Commercial |
$6,564.31
|
| Rate for Payer: Aetna Medicare |
$2,894.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,617.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,617.84
|
| Rate for Payer: ASR ASR |
$7,074.87
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$6,013.64
|
| Rate for Payer: BCN Commercial |
$6,013.64
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$5,834.94
|
| Rate for Payer: Cash Price |
$5,834.94
|
| Rate for Payer: Cofinity Commercial |
$6,856.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,834.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$7,074.87
|
| Rate for Payer: Healthscope Whirlpool |
$7,293.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,894.27
|
| Rate for Payer: Mclaren Commercial |
$6,564.31
|
| Rate for Payer: Mclaren Medicaid |
$2,894.27
|
| Rate for Payer: Mclaren Medicare |
$2,894.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,038.98
|
| Rate for Payer: Meridian Medicaid |
$1,589.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,328.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,183.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,199.63
|
| Rate for Payer: Nomi Health Commercial |
$5,980.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,470.26
|
| Rate for Payer: PACE Medicare |
$2,749.56
|
| Rate for Payer: PACE SWMI |
$2,894.27
|
| Rate for Payer: PHP Commercial |
$3,183.70
|
| Rate for Payer: PHP Medicaid |
$1,551.33
|
| Rate for Payer: PHP Medicare Advantage |
$2,894.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,513.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,390.72
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health Narrow Network |
$5,112.87
|
| Rate for Payer: Railroad Medicare Medicare |
$2,894.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,418.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,894.27
|
| Rate for Payer: UHC Exchange |
$4,486.12
|
| Rate for Payer: UHC Medicaid |
$1,513.70
|
| Rate for Payer: UHCCP DNSP |
$2,894.27
|
| Rate for Payer: UHCCP Medicaid |
$1,513.70
|
| Rate for Payer: VA VA |
$2,894.27
|
|
|
HC EXCHANGE ABSCESS CYST DRAIN CATHETER
|
Facility
|
IP
|
$2,614.20
|
|
|
Service Code
|
CPT 49423
|
| Hospital Charge Code |
36100222
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,960.65 |
| Max. Negotiated Rate |
$2,614.20 |
| Rate for Payer: Aetna Commercial |
$2,352.78
|
| Rate for Payer: ASR ASR |
$2,535.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,146.78
|
| Rate for Payer: BCN Commercial |
$2,146.78
|
| Rate for Payer: Cash Price |
$2,091.36
|
| Rate for Payer: Cofinity Commercial |
$2,457.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,091.36
|
| Rate for Payer: Healthscope Commercial |
$2,535.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,614.20
|
| Rate for Payer: Mclaren Commercial |
$2,352.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,222.07
|
| Rate for Payer: Nomi Health Commercial |
$2,143.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,960.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,300.50
|
|
|
HC EXCHANGE ABSCESS CYST DRAIN CATHETER
|
Facility
|
OP
|
$2,614.20
|
|
|
Service Code
|
CPT 49423
|
| Hospital Charge Code |
36100222
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$999.98 |
| Max. Negotiated Rate |
$2,963.62 |
| Rate for Payer: Aetna Commercial |
$2,352.78
|
| Rate for Payer: Aetna Medicare |
$1,912.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,390.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,390.01
|
| Rate for Payer: ASR ASR |
$2,535.77
|
| Rate for Payer: BCBS Complete |
$1,050.08
|
| Rate for Payer: BCBS MAPPO |
$1,912.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,155.41
|
| Rate for Payer: BCN Commercial |
$2,155.41
|
| Rate for Payer: BCN Medicare Advantage |
$1,912.01
|
| Rate for Payer: Cash Price |
$2,091.36
|
| Rate for Payer: Cash Price |
$2,091.36
|
| Rate for Payer: Cofinity Commercial |
$2,457.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,091.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,912.01
|
| Rate for Payer: Healthscope Commercial |
$2,535.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,614.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,912.01
|
| Rate for Payer: Mclaren Commercial |
$2,352.78
|
| Rate for Payer: Mclaren Medicaid |
$1,912.01
|
| Rate for Payer: Mclaren Medicare |
$1,912.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,007.61
|
| Rate for Payer: Meridian Medicaid |
$1,050.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,198.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,103.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,222.07
|
| Rate for Payer: Nomi Health Commercial |
$2,143.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,960.65
|
| Rate for Payer: PACE Medicare |
$1,816.41
|
| Rate for Payer: PACE SWMI |
$1,912.01
|
| Rate for Payer: PHP Commercial |
$2,103.21
|
| Rate for Payer: PHP Medicaid |
$1,024.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,912.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$999.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,290.56
|
| Rate for Payer: Priority Health Medicare |
$1,912.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,832.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,912.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,300.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,912.01
|
| Rate for Payer: UHC Exchange |
$2,963.62
|
| Rate for Payer: UHC Medicaid |
$999.98
|
| Rate for Payer: UHCCP DNSP |
$1,912.01
|
| Rate for Payer: UHCCP Medicaid |
$999.98
|
| Rate for Payer: VA VA |
$1,912.01
|
|
|
HC EXCHANGE BILIARY DRAIN CATH
|
Facility
|
IP
|
$4,550.49
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
36100493
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,412.87 |
| Max. Negotiated Rate |
$4,550.49 |
| Rate for Payer: Aetna Commercial |
$4,095.44
|
| Rate for Payer: ASR ASR |
$4,413.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,736.86
|
| Rate for Payer: BCN Commercial |
$3,736.86
|
| Rate for Payer: Cash Price |
$3,640.39
|
| Rate for Payer: Cofinity Commercial |
$4,277.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,640.39
|
| Rate for Payer: Healthscope Commercial |
$4,413.98
|
| Rate for Payer: Healthscope Whirlpool |
$4,550.49
|
| Rate for Payer: Mclaren Commercial |
$4,095.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,867.92
|
| Rate for Payer: Nomi Health Commercial |
$3,731.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,412.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,004.43
|
|
|
HC EXCHANGE BILIARY DRAIN CATH
|
Facility
|
OP
|
$4,550.49
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
36100493
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,865.82 |
| Max. Negotiated Rate |
$5,529.67 |
| Rate for Payer: Aetna Commercial |
$4,095.44
|
| Rate for Payer: Aetna Medicare |
$3,567.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,459.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,459.41
|
| Rate for Payer: ASR ASR |
$4,413.98
|
| Rate for Payer: BCBS Complete |
$1,959.29
|
| Rate for Payer: BCBS MAPPO |
$3,567.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,751.88
|
| Rate for Payer: BCN Commercial |
$3,751.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,567.53
|
| Rate for Payer: Cash Price |
$3,640.39
|
| Rate for Payer: Cash Price |
$3,640.39
|
| Rate for Payer: Cofinity Commercial |
$4,277.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,640.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,567.53
|
| Rate for Payer: Healthscope Commercial |
$4,413.98
|
| Rate for Payer: Healthscope Whirlpool |
$4,550.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,567.53
|
| Rate for Payer: Mclaren Commercial |
$4,095.44
|
| Rate for Payer: Mclaren Medicaid |
$3,567.53
|
| Rate for Payer: Mclaren Medicare |
$3,567.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,745.91
|
| Rate for Payer: Meridian Medicaid |
$1,959.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,102.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,924.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,867.92
|
| Rate for Payer: Nomi Health Commercial |
$3,731.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,412.87
|
| Rate for Payer: PACE Medicare |
$3,389.15
|
| Rate for Payer: PACE SWMI |
$3,567.53
|
| Rate for Payer: PHP Commercial |
$3,924.28
|
| Rate for Payer: PHP Medicaid |
$1,912.20
|
| Rate for Payer: PHP Medicare Advantage |
$3,567.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,865.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,987.14
|
| Rate for Payer: Priority Health Medicare |
$3,567.53
|
| Rate for Payer: Priority Health Narrow Network |
$3,189.89
|
| Rate for Payer: Railroad Medicare Medicare |
$3,567.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,004.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,567.53
|
| Rate for Payer: UHC Exchange |
$5,529.67
|
| Rate for Payer: UHC Medicaid |
$1,865.82
|
| Rate for Payer: UHCCP DNSP |
$3,567.53
|
| Rate for Payer: UHCCP Medicaid |
$1,865.82
|
| Rate for Payer: VA VA |
$3,567.53
|
|
|
HC EXCHANGE NEPHROSTOMY CATHETER
|
Facility
|
IP
|
$3,719.45
|
|
|
Service Code
|
CPT 50435
|
| Hospital Charge Code |
36100507
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,789.59 |
| Max. Negotiated Rate |
$3,719.45 |
| Rate for Payer: Aetna Commercial |
$3,347.51
|
| Rate for Payer: ASR ASR |
$3,607.87
|
| Rate for Payer: BCBS Trust/PPO |
$3,054.41
|
| Rate for Payer: BCN Commercial |
$3,054.41
|
| Rate for Payer: Cash Price |
$2,975.56
|
| Rate for Payer: Cofinity Commercial |
$3,496.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,975.56
|
| Rate for Payer: Healthscope Commercial |
$3,607.87
|
| Rate for Payer: Healthscope Whirlpool |
$3,719.45
|
| Rate for Payer: Mclaren Commercial |
$3,347.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,161.53
|
| Rate for Payer: Nomi Health Commercial |
$3,049.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,789.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,273.12
|
|
|
HC EXCHANGE NEPHROSTOMY CATHETER
|
Facility
|
OP
|
$3,719.45
|
|
|
Service Code
|
CPT 50435
|
| Hospital Charge Code |
36100507
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,089.34 |
| Max. Negotiated Rate |
$3,719.45 |
| Rate for Payer: Aetna Commercial |
$3,347.51
|
| Rate for Payer: Aetna Medicare |
$2,082.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,603.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,603.59
|
| Rate for Payer: ASR ASR |
$3,607.87
|
| Rate for Payer: BCBS Complete |
$1,143.91
|
| Rate for Payer: BCBS MAPPO |
$2,082.87
|
| Rate for Payer: BCBS Trust/PPO |
$3,066.69
|
| Rate for Payer: BCN Commercial |
$3,066.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.87
|
| Rate for Payer: Cash Price |
$2,975.56
|
| Rate for Payer: Cash Price |
$2,975.56
|
| Rate for Payer: Cofinity Commercial |
$3,496.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,975.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.87
|
| Rate for Payer: Healthscope Commercial |
$3,607.87
|
| Rate for Payer: Healthscope Whirlpool |
$3,719.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,082.87
|
| Rate for Payer: Mclaren Commercial |
$3,347.51
|
| Rate for Payer: Mclaren Medicaid |
$2,082.87
|
| Rate for Payer: Mclaren Medicare |
$2,082.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,187.01
|
| Rate for Payer: Meridian Medicaid |
$1,143.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,395.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,291.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,161.53
|
| Rate for Payer: Nomi Health Commercial |
$3,049.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,789.59
|
| Rate for Payer: PACE Medicare |
$1,978.73
|
| Rate for Payer: PACE SWMI |
$2,082.87
|
| Rate for Payer: PHP Commercial |
$2,291.16
|
| Rate for Payer: PHP Medicaid |
$1,116.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,258.98
|
| Rate for Payer: Priority Health Medicare |
$2,082.87
|
| Rate for Payer: Priority Health Narrow Network |
$2,607.33
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,273.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.87
|
| Rate for Payer: UHC Exchange |
$3,228.45
|
| Rate for Payer: UHC Medicaid |
$1,089.34
|
| Rate for Payer: UHCCP DNSP |
$2,082.87
|
| Rate for Payer: UHCCP Medicaid |
$1,089.34
|
| Rate for Payer: VA VA |
$2,082.87
|
|
|
HC EXCHANGE TRANSFUSION NONINFANT
|
Facility
|
OP
|
$1,554.53
|
|
|
Service Code
|
CPT 36455
|
| Hospital Charge Code |
39100001
|
|
Hospital Revenue Code
|
391
|
| Min. Negotiated Rate |
$229.91 |
| Max. Negotiated Rate |
$1,554.53 |
| Rate for Payer: Aetna Commercial |
$1,399.08
|
| Rate for Payer: Aetna Medicare |
$439.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$549.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$549.49
|
| Rate for Payer: ASR ASR |
$1,507.89
|
| Rate for Payer: BCBS Complete |
$241.42
|
| Rate for Payer: BCBS MAPPO |
$439.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.71
|
| Rate for Payer: BCN Commercial |
$1,281.71
|
| Rate for Payer: BCN Medicare Advantage |
$439.59
|
| Rate for Payer: Cash Price |
$1,243.62
|
| Rate for Payer: Cash Price |
$1,243.62
|
| Rate for Payer: Cofinity Commercial |
$1,461.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,243.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$439.59
|
| Rate for Payer: Healthscope Commercial |
$1,507.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,554.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$439.59
|
| Rate for Payer: Mclaren Commercial |
$1,399.08
|
| Rate for Payer: Mclaren Medicaid |
$439.59
|
| Rate for Payer: Mclaren Medicare |
$439.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$461.57
|
| Rate for Payer: Meridian Medicaid |
$241.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$505.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$483.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,321.35
|
| Rate for Payer: Nomi Health Commercial |
$1,274.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,165.90
|
| Rate for Payer: PACE Medicare |
$417.61
|
| Rate for Payer: PACE SWMI |
$439.59
|
| Rate for Payer: PHP Commercial |
$483.55
|
| Rate for Payer: PHP Medicaid |
$235.62
|
| Rate for Payer: PHP Medicare Advantage |
$439.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,362.08
|
| Rate for Payer: Priority Health Medicare |
$439.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,089.73
|
| Rate for Payer: Railroad Medicare Medicare |
$439.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,367.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$439.59
|
| Rate for Payer: UHC Exchange |
$681.36
|
| Rate for Payer: UHC Medicaid |
$229.91
|
| Rate for Payer: UHCCP DNSP |
$439.59
|
| Rate for Payer: UHCCP Medicaid |
$229.91
|
| Rate for Payer: VA VA |
$439.59
|
|
|
HC EXCHANGE TRANSFUSION NONINFANT
|
Facility
|
IP
|
$1,554.53
|
|
|
Service Code
|
CPT 36455
|
| Hospital Charge Code |
39100001
|
|
Hospital Revenue Code
|
391
|
| Min. Negotiated Rate |
$1,165.90 |
| Max. Negotiated Rate |
$1,554.53 |
| Rate for Payer: Aetna Commercial |
$1,399.08
|
| Rate for Payer: ASR ASR |
$1,507.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,276.58
|
| Rate for Payer: BCN Commercial |
$1,276.58
|
| Rate for Payer: Cash Price |
$1,243.62
|
| Rate for Payer: Cofinity Commercial |
$1,461.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,243.62
|
| Rate for Payer: Healthscope Commercial |
$1,507.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,554.53
|
| Rate for Payer: Mclaren Commercial |
$1,399.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,321.35
|
| Rate for Payer: Nomi Health Commercial |
$1,274.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,165.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,367.99
|
|
|
HC EXCHANGE WIRE PTCA
|
Facility
|
IP
|
$561.27
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200029
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$420.95 |
| Max. Negotiated Rate |
$561.27 |
| Rate for Payer: Aetna Commercial |
$505.14
|
| Rate for Payer: ASR ASR |
$544.43
|
| Rate for Payer: BCBS Trust/PPO |
$460.91
|
| Rate for Payer: BCN Commercial |
$460.91
|
| Rate for Payer: Cash Price |
$449.02
|
| Rate for Payer: Cofinity Commercial |
$527.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.02
|
| Rate for Payer: Healthscope Commercial |
$544.43
|
| Rate for Payer: Healthscope Whirlpool |
$561.27
|
| Rate for Payer: Mclaren Commercial |
$505.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.08
|
| Rate for Payer: Nomi Health Commercial |
$460.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$420.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$493.92
|
|
|
HC EXCHANGE WIRE PTCA
|
Facility
|
OP
|
$561.27
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200029
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$207.67 |
| Max. Negotiated Rate |
$561.27 |
| Rate for Payer: Aetna Commercial |
$505.14
|
| Rate for Payer: Aetna Medicare |
$207.67
|
| Rate for Payer: ASR ASR |
$544.43
|
| Rate for Payer: BCBS Complete |
$224.51
|
| Rate for Payer: BCBS Trust/PPO |
$462.77
|
| Rate for Payer: BCN Commercial |
$462.77
|
| Rate for Payer: Cash Price |
$449.02
|
| Rate for Payer: Cofinity Commercial |
$527.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.02
|
| Rate for Payer: Healthscope Commercial |
$544.43
|
| Rate for Payer: Healthscope Whirlpool |
$561.27
|
| Rate for Payer: Mclaren Commercial |
$505.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$449.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.08
|
| Rate for Payer: Nomi Health Commercial |
$460.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$420.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$491.78
|
| Rate for Payer: Priority Health Narrow Network |
$393.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$493.92
|
|
|
HC EXCIS/DESTRUCT INTRANASAL LESION INT APPR
|
Facility
|
IP
|
$8,219.16
|
|
|
Service Code
|
CPT 30117
|
| Hospital Charge Code |
76100449
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,164.37 |
| Max. Negotiated Rate |
$8,219.16 |
| Rate for Payer: Aetna Commercial |
$7,397.24
|
| Rate for Payer: ASR ASR |
$7,972.59
|
| Rate for Payer: BCBS Trust/PPO |
$6,749.57
|
| Rate for Payer: BCN Commercial |
$6,749.57
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,726.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Healthscope Commercial |
$7,972.59
|
| Rate for Payer: Healthscope Whirlpool |
$8,219.16
|
| Rate for Payer: Mclaren Commercial |
$7,397.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,232.86
|
|
|
HC EXCIS/DESTRUCT INTRANASAL LESION INT APPR
|
Facility
|
OP
|
$8,219.16
|
|
|
Service Code
|
CPT 30117
|
| Hospital Charge Code |
76100449
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,727.75 |
| Max. Negotiated Rate |
$8,219.16 |
| Rate for Payer: Aetna Commercial |
$7,397.24
|
| Rate for Payer: Aetna Medicare |
$3,303.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,129.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,129.43
|
| Rate for Payer: ASR ASR |
$7,972.59
|
| Rate for Payer: BCBS Complete |
$1,814.30
|
| Rate for Payer: BCBS MAPPO |
$3,303.54
|
| Rate for Payer: BCBS Trust/PPO |
$6,776.70
|
| Rate for Payer: BCN Commercial |
$6,776.70
|
| Rate for Payer: BCN Medicare Advantage |
$3,303.54
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cash Price |
$6,575.33
|
| Rate for Payer: Cofinity Commercial |
$7,726.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,575.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,303.54
|
| Rate for Payer: Healthscope Commercial |
$7,972.59
|
| Rate for Payer: Healthscope Whirlpool |
$8,219.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,303.54
|
| Rate for Payer: Mclaren Commercial |
$7,397.24
|
| Rate for Payer: Mclaren Medicaid |
$3,303.54
|
| Rate for Payer: Mclaren Medicare |
$3,303.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,468.72
|
| Rate for Payer: Meridian Medicaid |
$1,814.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,799.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,633.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,986.29
|
| Rate for Payer: Nomi Health Commercial |
$6,739.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,164.37
|
| Rate for Payer: PACE Medicare |
$3,138.36
|
| Rate for Payer: PACE SWMI |
$3,303.54
|
| Rate for Payer: PHP Commercial |
$3,633.89
|
| Rate for Payer: PHP Medicaid |
$1,770.70
|
| Rate for Payer: PHP Medicare Advantage |
$3,303.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,727.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,201.63
|
| Rate for Payer: Priority Health Medicare |
$3,303.54
|
| Rate for Payer: Priority Health Narrow Network |
$5,761.63
|
| Rate for Payer: Railroad Medicare Medicare |
$3,303.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,232.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,303.54
|
| Rate for Payer: UHC Exchange |
$5,120.49
|
| Rate for Payer: UHC Medicaid |
$1,727.75
|
| Rate for Payer: UHCCP DNSP |
$3,303.54
|
| Rate for Payer: UHCCP Medicaid |
$1,727.75
|
| Rate for Payer: VA VA |
$3,303.54
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 CM OR LESS
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11420
|
| Hospital Charge Code |
76100095
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$899.68 |
| Max. Negotiated Rate |
$1,199.57 |
| Rate for Payer: Aetna Commercial |
$1,079.61
|
| Rate for Payer: ASR ASR |
$1,163.58
|
| Rate for Payer: BCBS Trust/PPO |
$985.09
|
| Rate for Payer: BCN Commercial |
$985.09
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,127.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,163.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,199.57
|
| Rate for Payer: Mclaren Commercial |
$1,079.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,055.62
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.5 CM OR LESS
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11420
|
| Hospital Charge Code |
76100095
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$840.90 |
| Max. Negotiated Rate |
$2,550.77 |
| Rate for Payer: Aetna Commercial |
$1,079.61
|
| 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 |
$1,163.58
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$989.05
|
| Rate for Payer: BCN Commercial |
$989.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,127.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,163.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,199.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,079.61
|
| 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 |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| 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 |
$1,051.06
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$840.90
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,055.62
|
| 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 EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.6 TO 1.0 CM
|
Facility
|
IP
|
$1,199.57
|
|
|
Service Code
|
CPT 11421
|
| Hospital Charge Code |
76100096
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$899.68 |
| Max. Negotiated Rate |
$1,199.57 |
| Rate for Payer: Aetna Commercial |
$1,079.61
|
| Rate for Payer: ASR ASR |
$1,163.58
|
| Rate for Payer: BCBS Trust/PPO |
$985.09
|
| Rate for Payer: BCN Commercial |
$985.09
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,127.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Healthscope Commercial |
$1,163.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,199.57
|
| Rate for Payer: Mclaren Commercial |
$1,079.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,055.62
|
|
|
HC EXCISE BENIGN LESION SCALP, NECK, HANDS, FEET, GENITALIA 0.6 TO 1.0 CM
|
Facility
|
OP
|
$1,199.57
|
|
|
Service Code
|
CPT 11421
|
| Hospital Charge Code |
76100096
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$369.02 |
| Max. Negotiated Rate |
$1,199.57 |
| Rate for Payer: Aetna Commercial |
$1,079.61
|
| 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 |
$1,163.58
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$989.05
|
| Rate for Payer: BCN Commercial |
$989.05
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cash Price |
$959.66
|
| Rate for Payer: Cofinity Commercial |
$1,127.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$959.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$1,163.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,199.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$1,079.61
|
| 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 |
$1,019.63
|
| Rate for Payer: Nomi Health Commercial |
$983.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.68
|
| 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 |
$1,051.06
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$840.90
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,055.62
|
| 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
|
|
