|
HC PARTIAL REMOVAL BONE TARSAL/METATARSAL
|
Facility
|
IP
|
$9,426.02
|
|
|
Service Code
|
CPT 28122
|
| Hospital Charge Code |
76100406
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$7,069.52 |
| Max. Negotiated Rate |
$9,426.02 |
| Rate for Payer: Aetna Commercial |
$8,483.42
|
| Rate for Payer: ASR ASR |
$9,143.24
|
| Rate for Payer: BCBS Trust/PPO |
$7,740.65
|
| Rate for Payer: BCN Commercial |
$7,740.65
|
| Rate for Payer: Cash Price |
$7,540.82
|
| Rate for Payer: Cofinity Commercial |
$8,860.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,540.82
|
| Rate for Payer: Healthscope Commercial |
$9,143.24
|
| Rate for Payer: Healthscope Whirlpool |
$9,426.02
|
| Rate for Payer: Mclaren Commercial |
$8,483.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,012.12
|
| Rate for Payer: Nomi Health Commercial |
$7,729.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,069.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,294.90
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
OP
|
$8,104.44
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,686.93 |
| Max. Negotiated Rate |
$8,104.44 |
| Rate for Payer: Aetna Commercial |
$7,294.00
|
| Rate for Payer: Aetna Medicare |
$3,225.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: ASR ASR |
$7,861.31
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$6,682.11
|
| Rate for Payer: BCN Commercial |
$6,682.11
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cofinity Commercial |
$7,618.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,483.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Healthscope Commercial |
$7,861.31
|
| Rate for Payer: Healthscope Whirlpool |
$8,104.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,225.49
|
| Rate for Payer: Mclaren Commercial |
$7,294.00
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$1,771.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,888.77
|
| Rate for Payer: Nomi Health Commercial |
$6,645.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,078.33
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Commercial |
$3,548.04
|
| Rate for Payer: PHP Medicaid |
$1,728.86
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,101.11
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health Narrow Network |
$5,681.21
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,131.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Exchange |
$4,999.51
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP DNSP |
$3,225.49
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: VA VA |
$3,225.49
|
|
|
HC PARTIAL REMOVAL OF HYMEN
|
Facility
|
IP
|
$8,104.44
|
|
|
Service Code
|
CPT 56700
|
| Hospital Charge Code |
36100619
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,078.33 |
| Max. Negotiated Rate |
$8,104.44 |
| Rate for Payer: Aetna Commercial |
$7,294.00
|
| Rate for Payer: ASR ASR |
$7,861.31
|
| Rate for Payer: BCBS Trust/PPO |
$6,655.37
|
| Rate for Payer: BCN Commercial |
$6,655.37
|
| Rate for Payer: Cash Price |
$6,483.55
|
| Rate for Payer: Cofinity Commercial |
$7,618.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,483.55
|
| Rate for Payer: Healthscope Commercial |
$7,861.31
|
| Rate for Payer: Healthscope Whirlpool |
$8,104.44
|
| Rate for Payer: Mclaren Commercial |
$7,294.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,888.77
|
| Rate for Payer: Nomi Health Commercial |
$6,645.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,078.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,131.91
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
OP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.86 |
| Max. Negotiated Rate |
$61.73 |
| Rate for Payer: Aetna Commercial |
$24.21
|
| Rate for Payer: Aetna Medicare |
$15.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.79
|
| Rate for Payer: ASR ASR |
$26.09
|
| Rate for Payer: BCBS Complete |
$8.25
|
| Rate for Payer: BCBS MAPPO |
$15.03
|
| Rate for Payer: BCBS Trust/PPO |
$22.18
|
| Rate for Payer: BCN Commercial |
$22.18
|
| Rate for Payer: BCN Medicare Advantage |
$15.03
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$25.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$26.09
|
| Rate for Payer: Healthscope Whirlpool |
$26.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$15.03
|
| Rate for Payer: Mclaren Commercial |
$24.21
|
| Rate for Payer: Mclaren Medicaid |
$15.03
|
| Rate for Payer: Mclaren Medicare |
$15.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.78
|
| Rate for Payer: Meridian Medicaid |
$8.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PACE Medicare |
$14.28
|
| Rate for Payer: PACE SWMI |
$15.03
|
| Rate for Payer: PHP Commercial |
$16.53
|
| Rate for Payer: PHP Medicaid |
$8.06
|
| Rate for Payer: PHP Medicare Advantage |
$15.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$61.73
|
| Rate for Payer: Priority Health Medicare |
$15.03
|
| Rate for Payer: Priority Health Narrow Network |
$49.38
|
| Rate for Payer: Railroad Medicare Medicare |
$15.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.03
|
| Rate for Payer: UHC Exchange |
$23.30
|
| Rate for Payer: UHC Medicaid |
$7.86
|
| Rate for Payer: UHCCP DNSP |
$15.03
|
| Rate for Payer: UHCCP Medicaid |
$7.86
|
| Rate for Payer: VA VA |
$15.03
|
|
|
HC PARVOVIRUS B19 COMPONENT
|
Facility
|
IP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200314
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$20.18 |
| Max. Negotiated Rate |
$26.90 |
| Rate for Payer: Aetna Commercial |
$24.21
|
| Rate for Payer: ASR ASR |
$26.09
|
| Rate for Payer: BCBS Trust/PPO |
$22.09
|
| Rate for Payer: BCN Commercial |
$22.09
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$25.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Healthscope Commercial |
$26.09
|
| Rate for Payer: Healthscope Whirlpool |
$26.90
|
| Rate for Payer: Mclaren Commercial |
$24.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.67
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
IP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$20.18 |
| Max. Negotiated Rate |
$26.90 |
| Rate for Payer: Aetna Commercial |
$24.21
|
| Rate for Payer: ASR ASR |
$26.09
|
| Rate for Payer: BCBS Trust/PPO |
$22.09
|
| Rate for Payer: BCN Commercial |
$22.09
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$25.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Healthscope Commercial |
$26.09
|
| Rate for Payer: Healthscope Whirlpool |
$26.90
|
| Rate for Payer: Mclaren Commercial |
$24.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.67
|
|
|
HC PARVOVIRUS B19 IGG
|
Facility
|
OP
|
$26.90
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.86 |
| Max. Negotiated Rate |
$61.73 |
| Rate for Payer: Aetna Commercial |
$24.21
|
| Rate for Payer: Aetna Medicare |
$15.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.79
|
| Rate for Payer: ASR ASR |
$26.09
|
| Rate for Payer: BCBS Complete |
$8.25
|
| Rate for Payer: BCBS MAPPO |
$15.03
|
| Rate for Payer: BCBS Trust/PPO |
$22.18
|
| Rate for Payer: BCN Commercial |
$22.18
|
| Rate for Payer: BCN Medicare Advantage |
$15.03
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cash Price |
$21.52
|
| Rate for Payer: Cofinity Commercial |
$25.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$26.09
|
| Rate for Payer: Healthscope Whirlpool |
$26.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$15.03
|
| Rate for Payer: Mclaren Commercial |
$24.21
|
| Rate for Payer: Mclaren Medicaid |
$15.03
|
| Rate for Payer: Mclaren Medicare |
$15.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.78
|
| Rate for Payer: Meridian Medicaid |
$8.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.86
|
| Rate for Payer: Nomi Health Commercial |
$22.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.18
|
| Rate for Payer: PACE Medicare |
$14.28
|
| Rate for Payer: PACE SWMI |
$15.03
|
| Rate for Payer: PHP Commercial |
$16.53
|
| Rate for Payer: PHP Medicaid |
$8.06
|
| Rate for Payer: PHP Medicare Advantage |
$15.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$61.73
|
| Rate for Payer: Priority Health Medicare |
$15.03
|
| Rate for Payer: Priority Health Narrow Network |
$49.38
|
| Rate for Payer: Railroad Medicare Medicare |
$15.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.03
|
| Rate for Payer: UHC Exchange |
$23.30
|
| Rate for Payer: UHC Medicaid |
$7.86
|
| Rate for Payer: UHCCP DNSP |
$15.03
|
| Rate for Payer: UHCCP Medicaid |
$7.86
|
| Rate for Payer: VA VA |
$15.03
|
|
|
HC PASCAL PRECISION TRANSCATH VALVE REPAIR SYS MITRAL
|
Facility
|
OP
|
$38,250.00
|
|
| Hospital Charge Code |
27800163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14,152.50 |
| Max. Negotiated Rate |
$38,250.00 |
| Rate for Payer: Aetna Commercial |
$34,425.00
|
| Rate for Payer: Aetna Medicare |
$14,152.50
|
| Rate for Payer: ASR ASR |
$37,102.50
|
| Rate for Payer: BCBS Complete |
$15,300.00
|
| Rate for Payer: BCBS Trust/PPO |
$31,537.12
|
| Rate for Payer: BCN Commercial |
$31,537.12
|
| Rate for Payer: Cash Price |
$30,600.00
|
| Rate for Payer: Cofinity Commercial |
$35,955.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30,600.00
|
| Rate for Payer: Healthscope Commercial |
$37,102.50
|
| Rate for Payer: Healthscope Whirlpool |
$38,250.00
|
| Rate for Payer: Mclaren Commercial |
$34,425.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,600.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,512.50
|
| Rate for Payer: Nomi Health Commercial |
$31,365.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28,687.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$33,514.65
|
| Rate for Payer: Priority Health Narrow Network |
$26,813.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$33,660.00
|
|
|
HC PASCAL PRECISION TRANSCATH VALVE REPAIR SYS MITRAL
|
Facility
|
IP
|
$38,250.00
|
|
| Hospital Charge Code |
27800163
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$28,687.50 |
| Max. Negotiated Rate |
$38,250.00 |
| Rate for Payer: Aetna Commercial |
$34,425.00
|
| Rate for Payer: ASR ASR |
$37,102.50
|
| Rate for Payer: BCBS Trust/PPO |
$31,410.90
|
| Rate for Payer: BCN Commercial |
$31,410.90
|
| Rate for Payer: Cash Price |
$30,600.00
|
| Rate for Payer: Cofinity Commercial |
$35,955.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30,600.00
|
| Rate for Payer: Healthscope Commercial |
$37,102.50
|
| Rate for Payer: Healthscope Whirlpool |
$38,250.00
|
| Rate for Payer: Mclaren Commercial |
$34,425.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,512.50
|
| Rate for Payer: Nomi Health Commercial |
$31,365.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28,687.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$33,660.00
|
|
|
HC PASTE
|
Facility
|
IP
|
$31.71
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.78 |
| Max. Negotiated Rate |
$31.71 |
| Rate for Payer: Aetna Commercial |
$28.54
|
| Rate for Payer: ASR ASR |
$30.76
|
| Rate for Payer: BCBS Trust/PPO |
$26.04
|
| Rate for Payer: BCN Commercial |
$26.04
|
| Rate for Payer: Cash Price |
$25.37
|
| Rate for Payer: Cofinity Commercial |
$29.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$30.76
|
| Rate for Payer: Healthscope Whirlpool |
$31.71
|
| Rate for Payer: Mclaren Commercial |
$28.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.95
|
| Rate for Payer: Nomi Health Commercial |
$26.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.90
|
|
|
HC PASTE
|
Facility
|
OP
|
$31.71
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$31.71 |
| Rate for Payer: Aetna Commercial |
$28.54
|
| Rate for Payer: Aetna Medicare |
$11.73
|
| Rate for Payer: ASR ASR |
$30.76
|
| Rate for Payer: BCBS Complete |
$12.68
|
| Rate for Payer: BCBS Trust/PPO |
$26.14
|
| Rate for Payer: BCN Commercial |
$26.14
|
| Rate for Payer: Cash Price |
$25.37
|
| Rate for Payer: Cofinity Commercial |
$29.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$30.76
|
| Rate for Payer: Healthscope Whirlpool |
$31.71
|
| Rate for Payer: Mclaren Commercial |
$28.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.95
|
| Rate for Payer: Nomi Health Commercial |
$26.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$27.78
|
| Rate for Payer: Priority Health Narrow Network |
$22.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.90
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.13 |
| Max. Negotiated Rate |
$43.59 |
| Rate for Payer: Aetna Commercial |
$39.23
|
| Rate for Payer: Aetna Medicare |
$16.13
|
| Rate for Payer: ASR ASR |
$42.28
|
| Rate for Payer: BCBS Complete |
$17.44
|
| Rate for Payer: BCBS Trust/PPO |
$35.94
|
| Rate for Payer: BCN Commercial |
$35.94
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Commercial |
$40.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$42.28
|
| Rate for Payer: Healthscope Whirlpool |
$43.59
|
| Rate for Payer: Mclaren Commercial |
$39.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Nomi Health Commercial |
$35.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$38.19
|
| Rate for Payer: Priority Health Narrow Network |
$30.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.36
|
|
|
HC PASTE NO STING
|
Facility
|
IP
|
$43.59
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.69 |
| Max. Negotiated Rate |
$43.59 |
| Rate for Payer: Aetna Commercial |
$39.23
|
| Rate for Payer: ASR ASR |
$42.28
|
| Rate for Payer: BCBS Trust/PPO |
$35.80
|
| Rate for Payer: BCN Commercial |
$35.80
|
| Rate for Payer: Cash Price |
$34.87
|
| Rate for Payer: Cofinity Commercial |
$40.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$42.28
|
| Rate for Payer: Healthscope Whirlpool |
$43.59
|
| Rate for Payer: Mclaren Commercial |
$39.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.05
|
| Rate for Payer: Nomi Health Commercial |
$35.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.36
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$84.37 |
| Max. Negotiated Rate |
$112.49 |
| Rate for Payer: Aetna Commercial |
$101.24
|
| Rate for Payer: ASR ASR |
$109.12
|
| Rate for Payer: BCBS Trust/PPO |
$92.38
|
| Rate for Payer: BCN Commercial |
$92.38
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Commercial |
$105.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Healthscope Commercial |
$109.12
|
| Rate for Payer: Healthscope Whirlpool |
$112.49
|
| Rate for Payer: Mclaren Commercial |
$101.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Nomi Health Commercial |
$92.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.99
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$112.49
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$112.49 |
| Rate for Payer: Aetna Commercial |
$101.24
|
| Rate for Payer: Aetna Medicare |
$51.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: ASR ASR |
$109.12
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$92.75
|
| Rate for Payer: BCN Commercial |
$92.75
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cash Price |
$89.99
|
| Rate for Payer: Cofinity Commercial |
$105.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$109.12
|
| Rate for Payer: Healthscope Whirlpool |
$112.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.92
|
| Rate for Payer: Mclaren Commercial |
$101.24
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$28.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.62
|
| Rate for Payer: Nomi Health Commercial |
$92.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.37
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$57.11
|
| Rate for Payer: PHP Medicaid |
$27.83
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$98.56
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health Narrow Network |
$78.86
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.48
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP DNSP |
$51.92
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$78.00 |
| Max. Negotiated Rate |
$104.00 |
| Rate for Payer: Aetna Commercial |
$93.60
|
| Rate for Payer: ASR ASR |
$100.88
|
| Rate for Payer: BCBS Trust/PPO |
$85.40
|
| Rate for Payer: BCN Commercial |
$85.40
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$97.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Healthscope Commercial |
$100.88
|
| Rate for Payer: Healthscope Whirlpool |
$104.00
|
| Rate for Payer: Mclaren Commercial |
$93.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$85.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$91.52
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$104.00
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$183.99 |
| Rate for Payer: Aetna Commercial |
$93.60
|
| Rate for Payer: Aetna Medicare |
$51.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: ASR ASR |
$100.88
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$85.75
|
| Rate for Payer: BCN Commercial |
$85.75
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$97.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$100.88
|
| Rate for Payer: Healthscope Whirlpool |
$104.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.92
|
| Rate for Payer: Mclaren Commercial |
$93.60
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$28.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$85.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$57.11
|
| Rate for Payer: PHP Medicaid |
$27.83
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$183.99
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health Narrow Network |
$147.19
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$91.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.48
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP DNSP |
$51.92
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$34.38 |
| Max. Negotiated Rate |
$45.84 |
| Rate for Payer: Aetna Commercial |
$41.26
|
| Rate for Payer: ASR ASR |
$44.46
|
| Rate for Payer: BCBS Trust/PPO |
$37.64
|
| Rate for Payer: BCN Commercial |
$37.64
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Commercial |
$43.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Healthscope Commercial |
$44.46
|
| Rate for Payer: Healthscope Whirlpool |
$45.84
|
| Rate for Payer: Mclaren Commercial |
$41.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$37.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.34
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$45.84
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$15.07 |
| Max. Negotiated Rate |
$134.36 |
| Rate for Payer: Aetna Commercial |
$41.26
|
| Rate for Payer: Aetna Medicare |
$28.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: ASR ASR |
$44.46
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCBS Trust/PPO |
$37.80
|
| Rate for Payer: BCN Commercial |
$37.80
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cash Price |
$36.67
|
| Rate for Payer: Cofinity Commercial |
$43.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$44.46
|
| Rate for Payer: Healthscope Whirlpool |
$45.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$28.82
|
| Rate for Payer: Mclaren Commercial |
$41.26
|
| Rate for Payer: Mclaren Medicaid |
$28.82
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$15.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.96
|
| Rate for Payer: Nomi Health Commercial |
$37.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.38
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$31.70
|
| Rate for Payer: PHP Medicaid |
$15.45
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$134.36
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health Narrow Network |
$107.49
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$44.67
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP DNSP |
$28.82
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: VA VA |
$28.82
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$75.37 |
| Max. Negotiated Rate |
$100.49 |
| Rate for Payer: Aetna Commercial |
$90.44
|
| Rate for Payer: ASR ASR |
$97.48
|
| Rate for Payer: BCBS Trust/PPO |
$82.52
|
| Rate for Payer: BCN Commercial |
$82.52
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Commercial |
$94.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Healthscope Commercial |
$97.48
|
| Rate for Payer: Healthscope Whirlpool |
$100.49
|
| Rate for Payer: Mclaren Commercial |
$90.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Nomi Health Commercial |
$82.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.43
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$100.49
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$183.99 |
| Rate for Payer: Aetna Commercial |
$90.44
|
| Rate for Payer: Aetna Medicare |
$37.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: ASR ASR |
$97.48
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$82.85
|
| Rate for Payer: BCN Commercial |
$82.85
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cash Price |
$80.39
|
| Rate for Payer: Cofinity Commercial |
$94.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$97.48
|
| Rate for Payer: Healthscope Whirlpool |
$100.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$37.22
|
| Rate for Payer: Mclaren Commercial |
$90.44
|
| Rate for Payer: Mclaren Medicaid |
$37.22
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$20.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.42
|
| Rate for Payer: Nomi Health Commercial |
$82.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.37
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$40.94
|
| Rate for Payer: PHP Medicaid |
$19.95
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$183.99
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health Narrow Network |
$147.19
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$57.69
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP DNSP |
$37.22
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: VA VA |
$37.22
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$183.99 |
| Rate for Payer: Aetna Commercial |
$137.06
|
| Rate for Payer: Aetna Medicare |
$51.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: ASR ASR |
$147.72
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$125.56
|
| Rate for Payer: BCN Commercial |
$125.56
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Commercial |
$143.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$147.72
|
| Rate for Payer: Healthscope Whirlpool |
$152.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.92
|
| Rate for Payer: Mclaren Commercial |
$137.06
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$28.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Nomi Health Commercial |
$124.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$57.11
|
| Rate for Payer: PHP Medicaid |
$27.83
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$183.99
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health Narrow Network |
$147.19
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$134.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.48
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP DNSP |
$51.92
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$152.29
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$114.22 |
| Max. Negotiated Rate |
$152.29 |
| Rate for Payer: Aetna Commercial |
$137.06
|
| Rate for Payer: ASR ASR |
$147.72
|
| Rate for Payer: BCBS Trust/PPO |
$125.06
|
| Rate for Payer: BCN Commercial |
$125.06
|
| Rate for Payer: Cash Price |
$121.83
|
| Rate for Payer: Cofinity Commercial |
$143.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.83
|
| Rate for Payer: Healthscope Commercial |
$147.72
|
| Rate for Payer: Healthscope Whirlpool |
$152.29
|
| Rate for Payer: Mclaren Commercial |
$137.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.45
|
| Rate for Payer: Nomi Health Commercial |
$124.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$134.02
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
OP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.15 |
| Max. Negotiated Rate |
$213.30 |
| Rate for Payer: Aetna Commercial |
$191.97
|
| Rate for Payer: Aetna Medicare |
$51.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.90
|
| Rate for Payer: ASR ASR |
$206.90
|
| Rate for Payer: BCBS Complete |
$28.51
|
| Rate for Payer: BCBS MAPPO |
$51.92
|
| Rate for Payer: BCBS Trust/PPO |
$175.87
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$175.87
|
| Rate for Payer: BCN Medicare Advantage |
$51.92
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Commercial |
$200.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.92
|
| Rate for Payer: Healthscope Commercial |
$206.90
|
| Rate for Payer: Healthscope Whirlpool |
$213.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.92
|
| Rate for Payer: Mclaren Commercial |
$191.97
|
| Rate for Payer: Mclaren Medicaid |
$51.92
|
| Rate for Payer: Mclaren Medicare |
$51.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.52
|
| Rate for Payer: Meridian Medicaid |
$28.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Nomi Health Commercial |
$174.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: PACE Medicare |
$49.32
|
| Rate for Payer: PACE SWMI |
$51.92
|
| Rate for Payer: PHP Commercial |
$57.11
|
| Rate for Payer: PHP Medicaid |
$27.83
|
| Rate for Payer: PHP Medicare Advantage |
$51.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$183.99
|
| Rate for Payer: Priority Health Medicare |
$51.92
|
| Rate for Payer: Priority Health Narrow Network |
$147.19
|
| Rate for Payer: Railroad Medicare Medicare |
$51.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$187.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.92
|
| Rate for Payer: UHC Exchange |
$80.48
|
| Rate for Payer: UHC Medicaid |
$27.15
|
| Rate for Payer: UHCCP DNSP |
$51.92
|
| Rate for Payer: UHCCP Medicaid |
$27.15
|
| Rate for Payer: VA VA |
$51.92
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
IP
|
$213.30
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$159.97 |
| Max. Negotiated Rate |
$213.30 |
| Rate for Payer: Aetna Commercial |
$191.97
|
| Rate for Payer: ASR ASR |
$206.90
|
| Rate for Payer: BCBS Trust/PPO |
$175.16
|
| Rate for Payer: BCN Commercial |
$175.16
|
| Rate for Payer: Cash Price |
$170.64
|
| Rate for Payer: Cofinity Commercial |
$200.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$170.64
|
| Rate for Payer: Healthscope Commercial |
$206.90
|
| Rate for Payer: Healthscope Whirlpool |
$213.30
|
| Rate for Payer: Mclaren Commercial |
$191.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.31
|
| Rate for Payer: Nomi Health Commercial |
$174.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$187.70
|
|
