|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
IP
|
$777.55
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$583.16 |
| Max. Negotiated Rate |
$777.55 |
| Rate for Payer: Aetna Commercial |
$699.79
|
| Rate for Payer: ASR ASR |
$754.22
|
| Rate for Payer: BCBS Trust/PPO |
$638.52
|
| Rate for Payer: BCN Commercial |
$638.52
|
| Rate for Payer: Cash Price |
$622.04
|
| Rate for Payer: Cofinity Commercial |
$730.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$622.04
|
| Rate for Payer: Healthscope Commercial |
$754.22
|
| Rate for Payer: Healthscope Whirlpool |
$777.55
|
| Rate for Payer: Mclaren Commercial |
$699.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$660.92
|
| Rate for Payer: Nomi Health Commercial |
$637.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$583.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$684.24
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
OP
|
$777.55
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$330.34 |
| Max. Negotiated Rate |
$1,093.66 |
| Rate for Payer: Aetna Commercial |
$699.79
|
| 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 |
$754.22
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$641.09
|
| Rate for Payer: BCCCP Commercial |
$330.34
|
| Rate for Payer: BCN Commercial |
$641.09
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$622.04
|
| Rate for Payer: Cash Price |
$622.04
|
| Rate for Payer: Cofinity Commercial |
$730.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$622.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$754.22
|
| Rate for Payer: Healthscope Whirlpool |
$777.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$699.79
|
| 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 |
$660.92
|
| Rate for Payer: Nomi Health Commercial |
$637.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$583.16
|
| 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 |
$681.29
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$545.06
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$684.24
|
| 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 PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$442.62
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.77 |
| Max. Negotiated Rate |
$442.62 |
| Rate for Payer: Aetna Commercial |
$398.36
|
| Rate for Payer: Aetna Medicare |
$163.77
|
| Rate for Payer: ASR ASR |
$429.34
|
| Rate for Payer: BCBS Complete |
$177.05
|
| Rate for Payer: BCBS Trust/PPO |
$364.94
|
| Rate for Payer: BCCCP Commercial |
$276.28
|
| Rate for Payer: BCN Commercial |
$364.94
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cofinity Commercial |
$416.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.10
|
| Rate for Payer: Healthscope Commercial |
$429.34
|
| Rate for Payer: Healthscope Whirlpool |
$442.62
|
| Rate for Payer: Mclaren Commercial |
$398.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$354.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.23
|
| Rate for Payer: Nomi Health Commercial |
$362.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$387.82
|
| Rate for Payer: Priority Health Narrow Network |
$310.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$389.51
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
IP
|
$442.62
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$331.96 |
| Max. Negotiated Rate |
$442.62 |
| Rate for Payer: Aetna Commercial |
$398.36
|
| Rate for Payer: ASR ASR |
$429.34
|
| Rate for Payer: BCBS Trust/PPO |
$363.48
|
| Rate for Payer: BCN Commercial |
$363.48
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cofinity Commercial |
$416.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.10
|
| Rate for Payer: Healthscope Commercial |
$429.34
|
| Rate for Payer: Healthscope Whirlpool |
$442.62
|
| Rate for Payer: Mclaren Commercial |
$398.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.23
|
| Rate for Payer: Nomi Health Commercial |
$362.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$389.51
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,955.38
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,216.53 |
| Max. Negotiated Rate |
$6,955.38 |
| Rate for Payer: Aetna Commercial |
$6,259.84
|
| Rate for Payer: ASR ASR |
$6,746.72
|
| Rate for Payer: BCBS Trust/PPO |
$5,711.76
|
| Rate for Payer: BCN Commercial |
$5,711.76
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cofinity Commercial |
$6,538.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,564.30
|
| Rate for Payer: Healthscope Commercial |
$6,746.72
|
| Rate for Payer: Healthscope Whirlpool |
$6,955.38
|
| Rate for Payer: Mclaren Commercial |
$6,259.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,912.07
|
| Rate for Payer: Nomi Health Commercial |
$5,703.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,216.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,120.73
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,955.38
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,150.44 |
| Max. Negotiated Rate |
$9,336.87 |
| Rate for Payer: Aetna Commercial |
$6,259.84
|
| Rate for Payer: Aetna Medicare |
$6,023.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: ASR ASR |
$6,746.72
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$5,734.71
|
| Rate for Payer: BCN Commercial |
$5,734.71
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cofinity Commercial |
$6,538.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,564.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$6,746.72
|
| Rate for Payer: Healthscope Whirlpool |
$6,955.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,023.79
|
| Rate for Payer: Mclaren Commercial |
$6,259.84
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$3,308.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,912.07
|
| Rate for Payer: Nomi Health Commercial |
$5,703.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,216.53
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$6,626.17
|
| Rate for Payer: PHP Medicaid |
$3,228.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,094.30
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health Narrow Network |
$4,875.72
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,120.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Exchange |
$9,336.87
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP DNSP |
$6,023.79
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: VA VA |
$6,023.79
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,756.65
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,150.44 |
| Max. Negotiated Rate |
$9,336.87 |
| Rate for Payer: Aetna Commercial |
$6,080.98
|
| Rate for Payer: Aetna Medicare |
$6,023.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: ASR ASR |
$6,553.95
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$5,570.86
|
| Rate for Payer: BCN Commercial |
$5,570.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$6,351.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$6,553.95
|
| Rate for Payer: Healthscope Whirlpool |
$6,756.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,023.79
|
| Rate for Payer: Mclaren Commercial |
$6,080.98
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$3,308.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$6,626.17
|
| Rate for Payer: PHP Medicaid |
$3,228.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,920.18
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health Narrow Network |
$4,736.41
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,945.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Exchange |
$9,336.87
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP DNSP |
$6,023.79
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: VA VA |
$6,023.79
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,756.65
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,067.49 |
| Max. Negotiated Rate |
$6,756.65 |
| Rate for Payer: Aetna Commercial |
$6,080.98
|
| Rate for Payer: ASR ASR |
$6,553.95
|
| Rate for Payer: BCBS Trust/PPO |
$5,548.56
|
| Rate for Payer: BCN Commercial |
$5,548.56
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$6,351.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Healthscope Commercial |
$6,553.95
|
| Rate for Payer: Healthscope Whirlpool |
$6,756.65
|
| Rate for Payer: Mclaren Commercial |
$6,080.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,945.85
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,756.65
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,150.44 |
| Max. Negotiated Rate |
$9,336.87 |
| Rate for Payer: Aetna Commercial |
$6,080.98
|
| Rate for Payer: Aetna Medicare |
$6,023.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: ASR ASR |
$6,553.95
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$5,570.86
|
| Rate for Payer: BCN Commercial |
$5,570.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$6,351.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$6,553.95
|
| Rate for Payer: Healthscope Whirlpool |
$6,756.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,023.79
|
| Rate for Payer: Mclaren Commercial |
$6,080.98
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$3,308.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$6,626.17
|
| Rate for Payer: PHP Medicaid |
$3,228.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,920.18
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health Narrow Network |
$4,736.41
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,945.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Exchange |
$9,336.87
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP DNSP |
$6,023.79
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: VA VA |
$6,023.79
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
IP
|
$6,756.65
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,067.49 |
| Max. Negotiated Rate |
$6,756.65 |
| Rate for Payer: Aetna Commercial |
$6,080.98
|
| Rate for Payer: ASR ASR |
$6,553.95
|
| Rate for Payer: BCBS Trust/PPO |
$5,548.56
|
| Rate for Payer: BCN Commercial |
$5,548.56
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$6,351.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Healthscope Commercial |
$6,553.95
|
| Rate for Payer: Healthscope Whirlpool |
$6,756.65
|
| Rate for Payer: Mclaren Commercial |
$6,080.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,945.85
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$208.50
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$77.14 |
| Max. Negotiated Rate |
$208.50 |
| Rate for Payer: Aetna Commercial |
$187.65
|
| Rate for Payer: Aetna Medicare |
$77.14
|
| Rate for Payer: ASR ASR |
$202.25
|
| Rate for Payer: BCBS Complete |
$83.40
|
| Rate for Payer: BCBS Trust/PPO |
$171.91
|
| Rate for Payer: BCN Commercial |
$171.91
|
| Rate for Payer: Cash Price |
$166.80
|
| Rate for Payer: Cofinity Commercial |
$195.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.80
|
| Rate for Payer: Healthscope Commercial |
$202.25
|
| Rate for Payer: Healthscope Whirlpool |
$208.50
|
| Rate for Payer: Mclaren Commercial |
$187.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.22
|
| Rate for Payer: Nomi Health Commercial |
$170.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$182.69
|
| Rate for Payer: Priority Health Narrow Network |
$146.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$183.48
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$208.50
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$156.38 |
| Max. Negotiated Rate |
$208.50 |
| Rate for Payer: Aetna Commercial |
$187.65
|
| Rate for Payer: ASR ASR |
$202.25
|
| Rate for Payer: BCBS Trust/PPO |
$171.22
|
| Rate for Payer: BCN Commercial |
$171.22
|
| Rate for Payer: Cash Price |
$166.80
|
| Rate for Payer: Cofinity Commercial |
$195.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.80
|
| Rate for Payer: Healthscope Commercial |
$202.25
|
| Rate for Payer: Healthscope Whirlpool |
$208.50
|
| Rate for Payer: Mclaren Commercial |
$187.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.22
|
| Rate for Payer: Nomi Health Commercial |
$170.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$183.48
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
IP
|
$9,259.56
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,944.67 |
| Max. Negotiated Rate |
$9,259.56 |
| Rate for Payer: Aetna Commercial |
$8,333.60
|
| Rate for Payer: ASR ASR |
$8,981.77
|
| Rate for Payer: BCBS Trust/PPO |
$7,603.95
|
| Rate for Payer: BCN Commercial |
$7,603.95
|
| Rate for Payer: Cash Price |
$7,407.65
|
| Rate for Payer: Cofinity Commercial |
$8,703.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,407.65
|
| Rate for Payer: Healthscope Commercial |
$8,981.77
|
| Rate for Payer: Healthscope Whirlpool |
$9,259.56
|
| Rate for Payer: Mclaren Commercial |
$8,333.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,870.63
|
| Rate for Payer: Nomi Health Commercial |
$7,592.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,944.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,148.41
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
OP
|
$9,259.56
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,426.04 |
| Max. Negotiated Rate |
$9,259.56 |
| Rate for Payer: Aetna Commercial |
$8,333.60
|
| Rate for Payer: Aetna Medicare |
$3,426.04
|
| Rate for Payer: ASR ASR |
$8,981.77
|
| Rate for Payer: BCBS Complete |
$3,703.82
|
| Rate for Payer: BCBS Trust/PPO |
$7,634.51
|
| Rate for Payer: BCN Commercial |
$7,634.51
|
| Rate for Payer: Cash Price |
$7,407.65
|
| Rate for Payer: Cofinity Commercial |
$8,703.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,407.65
|
| Rate for Payer: Healthscope Commercial |
$8,981.77
|
| Rate for Payer: Healthscope Whirlpool |
$9,259.56
|
| Rate for Payer: Mclaren Commercial |
$8,333.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,407.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,870.63
|
| Rate for Payer: Nomi Health Commercial |
$7,592.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,944.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$8,113.23
|
| Rate for Payer: Priority Health Narrow Network |
$6,490.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,148.41
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
OP
|
$337.83
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$236.82 |
| Max. Negotiated Rate |
$5,444.08 |
| Rate for Payer: Aetna Commercial |
$304.05
|
| Rate for Payer: Aetna Medicare |
$3,512.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: ASR ASR |
$327.70
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$278.54
|
| Rate for Payer: BCN Commercial |
$278.54
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cofinity Commercial |
$317.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$327.70
|
| Rate for Payer: Healthscope Whirlpool |
$337.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,512.31
|
| Rate for Payer: Mclaren Commercial |
$304.05
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$1,928.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.16
|
| Rate for Payer: Nomi Health Commercial |
$277.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.37
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,863.54
|
| Rate for Payer: PHP Medicaid |
$1,882.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$296.01
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health Narrow Network |
$236.82
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$297.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$5,444.08
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP DNSP |
$3,512.31
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
IP
|
$337.83
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$253.37 |
| Max. Negotiated Rate |
$337.83 |
| Rate for Payer: Aetna Commercial |
$304.05
|
| Rate for Payer: ASR ASR |
$327.70
|
| Rate for Payer: BCBS Trust/PPO |
$277.43
|
| Rate for Payer: BCN Commercial |
$277.43
|
| Rate for Payer: Cash Price |
$270.26
|
| Rate for Payer: Cofinity Commercial |
$317.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.26
|
| Rate for Payer: Healthscope Commercial |
$327.70
|
| Rate for Payer: Healthscope Whirlpool |
$337.83
|
| Rate for Payer: Mclaren Commercial |
$304.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.16
|
| Rate for Payer: Nomi Health Commercial |
$277.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$297.29
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
IP
|
$3,716.17
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,787.13 |
| Max. Negotiated Rate |
$3,716.17 |
| Rate for Payer: Aetna Commercial |
$3,344.55
|
| Rate for Payer: ASR ASR |
$3,604.68
|
| Rate for Payer: BCBS Trust/PPO |
$3,051.72
|
| Rate for Payer: BCN Commercial |
$3,051.72
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cofinity Commercial |
$3,493.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,972.94
|
| Rate for Payer: Healthscope Commercial |
$3,604.68
|
| Rate for Payer: Healthscope Whirlpool |
$3,716.17
|
| Rate for Payer: Mclaren Commercial |
$3,344.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,158.74
|
| Rate for Payer: Nomi Health Commercial |
$3,047.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,787.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,270.23
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
OP
|
$3,716.17
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$5,444.08 |
| Rate for Payer: Aetna Commercial |
$3,344.55
|
| Rate for Payer: Aetna Medicare |
$3,512.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: ASR ASR |
$3,604.68
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$3,063.98
|
| Rate for Payer: BCN Commercial |
$3,063.98
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cash Price |
$2,972.94
|
| Rate for Payer: Cofinity Commercial |
$3,493.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,972.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$3,604.68
|
| Rate for Payer: Healthscope Whirlpool |
$3,716.17
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,512.31
|
| Rate for Payer: Mclaren Commercial |
$3,344.55
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$1,928.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,158.74
|
| Rate for Payer: Nomi Health Commercial |
$3,047.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,787.13
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,863.54
|
| Rate for Payer: PHP Medicaid |
$1,882.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,256.11
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,605.04
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,270.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$5,444.08
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP DNSP |
$3,512.31
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
IP
|
$3,825.47
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,869.10 |
| Max. Negotiated Rate |
$3,825.47 |
| Rate for Payer: Aetna Commercial |
$3,442.92
|
| Rate for Payer: ASR ASR |
$3,710.71
|
| Rate for Payer: BCBS Trust/PPO |
$3,141.48
|
| Rate for Payer: BCN Commercial |
$3,141.48
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cofinity Commercial |
$3,595.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,060.38
|
| Rate for Payer: Healthscope Commercial |
$3,710.71
|
| Rate for Payer: Healthscope Whirlpool |
$3,825.47
|
| Rate for Payer: Mclaren Commercial |
$3,442.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,251.65
|
| Rate for Payer: Nomi Health Commercial |
$3,136.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,869.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,366.41
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
OP
|
$3,825.47
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,836.94 |
| Max. Negotiated Rate |
$5,444.08 |
| Rate for Payer: Aetna Commercial |
$3,442.92
|
| Rate for Payer: Aetna Medicare |
$3,512.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,390.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,390.39
|
| Rate for Payer: ASR ASR |
$3,710.71
|
| Rate for Payer: BCBS Complete |
$1,928.96
|
| Rate for Payer: BCBS MAPPO |
$3,512.31
|
| Rate for Payer: BCBS Trust/PPO |
$3,154.10
|
| Rate for Payer: BCN Commercial |
$3,154.10
|
| Rate for Payer: BCN Medicare Advantage |
$3,512.31
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cash Price |
$3,060.38
|
| Rate for Payer: Cofinity Commercial |
$3,595.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,060.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,512.31
|
| Rate for Payer: Healthscope Commercial |
$3,710.71
|
| Rate for Payer: Healthscope Whirlpool |
$3,825.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,512.31
|
| Rate for Payer: Mclaren Commercial |
$3,442.92
|
| Rate for Payer: Mclaren Medicaid |
$3,512.31
|
| Rate for Payer: Mclaren Medicare |
$3,512.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,687.93
|
| Rate for Payer: Meridian Medicaid |
$1,928.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,039.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,863.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,251.65
|
| Rate for Payer: Nomi Health Commercial |
$3,136.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,869.10
|
| Rate for Payer: PACE Medicare |
$3,336.69
|
| Rate for Payer: PACE SWMI |
$3,512.31
|
| Rate for Payer: PHP Commercial |
$3,863.54
|
| Rate for Payer: PHP Medicaid |
$1,882.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,512.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,836.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,351.88
|
| Rate for Payer: Priority Health Medicare |
$3,512.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,681.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,512.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,366.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,512.31
|
| Rate for Payer: UHC Exchange |
$5,444.08
|
| Rate for Payer: UHC Medicaid |
$1,836.94
|
| Rate for Payer: UHCCP DNSP |
$3,512.31
|
| Rate for Payer: UHCCP Medicaid |
$1,836.94
|
| Rate for Payer: VA VA |
$3,512.31
|
|
|
HC PLASMA CELL PCPD FISH.
|
Facility
|
IP
|
$273.63
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31100044
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$205.22 |
| Max. Negotiated Rate |
$273.63 |
| Rate for Payer: Aetna Commercial |
$246.27
|
| Rate for Payer: ASR ASR |
$265.42
|
| Rate for Payer: BCBS Trust/PPO |
$224.70
|
| Rate for Payer: BCN Commercial |
$224.70
|
| Rate for Payer: Cash Price |
$218.90
|
| Rate for Payer: Cofinity Commercial |
$257.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$218.90
|
| Rate for Payer: Healthscope Commercial |
$265.42
|
| Rate for Payer: Healthscope Whirlpool |
$273.63
|
| Rate for Payer: Mclaren Commercial |
$246.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.59
|
| Rate for Payer: Nomi Health Commercial |
$224.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$205.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$240.79
|
|
|
HC PLASMA CELL PCPD FISH.
|
Facility
|
OP
|
$273.63
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31100044
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$11.20 |
| Max. Negotiated Rate |
$273.63 |
| Rate for Payer: Aetna Commercial |
$246.27
|
| Rate for Payer: Aetna Medicare |
$21.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.77
|
| Rate for Payer: ASR ASR |
$265.42
|
| Rate for Payer: BCBS Complete |
$11.76
|
| Rate for Payer: BCBS MAPPO |
$21.42
|
| Rate for Payer: BCBS Trust/PPO |
$225.61
|
| Rate for Payer: BCN Commercial |
$225.61
|
| Rate for Payer: BCN Medicare Advantage |
$21.42
|
| Rate for Payer: Cash Price |
$218.90
|
| Rate for Payer: Cash Price |
$218.90
|
| Rate for Payer: Cofinity Commercial |
$257.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$218.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.42
|
| Rate for Payer: Healthscope Commercial |
$265.42
|
| Rate for Payer: Healthscope Whirlpool |
$273.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.42
|
| Rate for Payer: Mclaren Commercial |
$246.27
|
| Rate for Payer: Mclaren Medicaid |
$21.42
|
| Rate for Payer: Mclaren Medicare |
$21.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.49
|
| Rate for Payer: Meridian Medicaid |
$11.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.59
|
| Rate for Payer: Nomi Health Commercial |
$224.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$205.22
|
| Rate for Payer: PACE Medicare |
$20.35
|
| Rate for Payer: PACE SWMI |
$21.42
|
| Rate for Payer: PHP Commercial |
$23.56
|
| Rate for Payer: PHP Medicaid |
$11.48
|
| Rate for Payer: PHP Medicare Advantage |
$21.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$239.75
|
| Rate for Payer: Priority Health Medicare |
$21.42
|
| Rate for Payer: Priority Health Narrow Network |
$191.81
|
| Rate for Payer: Railroad Medicare Medicare |
$21.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$240.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.42
|
| Rate for Payer: UHC Exchange |
$33.20
|
| Rate for Payer: UHC Medicaid |
$11.20
|
| Rate for Payer: UHCCP DNSP |
$21.42
|
| Rate for Payer: UHCCP Medicaid |
$11.20
|
| Rate for Payer: VA VA |
$21.42
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 1
|
Facility
|
OP
|
$161.53
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31000139
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$52.31 |
| Max. Negotiated Rate |
$553.60 |
| Rate for Payer: Aetna Commercial |
$145.38
|
| Rate for Payer: Aetna Medicare |
$357.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$446.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$446.45
|
| Rate for Payer: ASR ASR |
$156.68
|
| Rate for Payer: BCBS Complete |
$196.15
|
| Rate for Payer: BCBS MAPPO |
$357.16
|
| Rate for Payer: BCBS Trust/PPO |
$133.18
|
| Rate for Payer: BCN Commercial |
$133.18
|
| Rate for Payer: BCN Medicare Advantage |
$357.16
|
| Rate for Payer: Cash Price |
$129.22
|
| Rate for Payer: Cash Price |
$129.22
|
| Rate for Payer: Cofinity Commercial |
$151.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.16
|
| Rate for Payer: Healthscope Commercial |
$156.68
|
| Rate for Payer: Healthscope Whirlpool |
$161.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$357.16
|
| Rate for Payer: Mclaren Commercial |
$145.38
|
| Rate for Payer: Mclaren Medicaid |
$357.16
|
| Rate for Payer: Mclaren Medicare |
$357.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.02
|
| Rate for Payer: Meridian Medicaid |
$196.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$410.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$392.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.30
|
| Rate for Payer: Nomi Health Commercial |
$132.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.15
|
| Rate for Payer: PACE Medicare |
$339.30
|
| Rate for Payer: PACE SWMI |
$357.16
|
| Rate for Payer: PHP Commercial |
$392.88
|
| Rate for Payer: PHP Medicaid |
$191.44
|
| Rate for Payer: PHP Medicare Advantage |
$357.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$65.38
|
| Rate for Payer: Priority Health Medicare |
$357.16
|
| Rate for Payer: Priority Health Narrow Network |
$52.31
|
| Rate for Payer: Railroad Medicare Medicare |
$357.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$142.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$357.16
|
| Rate for Payer: UHC Exchange |
$553.60
|
| Rate for Payer: UHC Medicaid |
$186.79
|
| Rate for Payer: UHCCP DNSP |
$357.16
|
| Rate for Payer: UHCCP Medicaid |
$186.79
|
| Rate for Payer: VA VA |
$357.16
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 1
|
Facility
|
IP
|
$161.53
|
|
|
Service Code
|
CPT 88184
|
| Hospital Charge Code |
31000139
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$121.15 |
| Max. Negotiated Rate |
$161.53 |
| Rate for Payer: Aetna Commercial |
$145.38
|
| Rate for Payer: ASR ASR |
$156.68
|
| Rate for Payer: BCBS Trust/PPO |
$132.65
|
| Rate for Payer: BCN Commercial |
$132.65
|
| Rate for Payer: Cash Price |
$129.22
|
| Rate for Payer: Cofinity Commercial |
$151.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.22
|
| Rate for Payer: Healthscope Commercial |
$156.68
|
| Rate for Payer: Healthscope Whirlpool |
$161.53
|
| Rate for Payer: Mclaren Commercial |
$145.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.30
|
| Rate for Payer: Nomi Health Commercial |
$132.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$142.15
|
|
|
HC PLASMA CELL PROLIFERATION, MARROW CMPT 2
|
Facility
|
OP
|
$53.28
|
|
|
Service Code
|
CPT 88185
|
| Hospital Charge Code |
31000140
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$19.71 |
| Max. Negotiated Rate |
$65.38 |
| Rate for Payer: Aetna Commercial |
$47.95
|
| Rate for Payer: Aetna Medicare |
$19.71
|
| Rate for Payer: ASR ASR |
$51.68
|
| Rate for Payer: BCBS Complete |
$21.31
|
| Rate for Payer: BCBS Trust/PPO |
$43.93
|
| Rate for Payer: BCN Commercial |
$43.93
|
| Rate for Payer: Cash Price |
$42.62
|
| Rate for Payer: Cash Price |
$42.62
|
| Rate for Payer: Cofinity Commercial |
$50.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.62
|
| Rate for Payer: Healthscope Commercial |
$51.68
|
| Rate for Payer: Healthscope Whirlpool |
$53.28
|
| Rate for Payer: Mclaren Commercial |
$47.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.29
|
| Rate for Payer: Nomi Health Commercial |
$43.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$65.38
|
| Rate for Payer: Priority Health Narrow Network |
$52.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.89
|
|
