|
HC PARVOVIRUS B19 IGG
|
Facility
|
OP
|
$24.58
|
|
|
Service Code
|
CPT 86747
|
| Hospital Charge Code |
30200313
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.06 |
| Max. Negotiated Rate |
$55.99 |
| Rate for Payer: Aetna Commercial |
$22.12
|
| 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 |
$23.84
|
| Rate for Payer: ASR Commercial |
$23.84
|
| Rate for Payer: BCBS Complete |
$8.46
|
| Rate for Payer: BCBS MAPPO |
$15.03
|
| Rate for Payer: BCBS Trust/PPO |
$20.13
|
| Rate for Payer: BCN Commercial |
$19.06
|
| Rate for Payer: BCN Medicare Advantage |
$15.03
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cash Price |
$19.66
|
| Rate for Payer: Cofinity Commercial |
$23.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$24.58
|
| Rate for Payer: Healthscope Whirlpool |
$23.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$15.03
|
| Rate for Payer: Mclaren Commercial |
$22.12
|
| Rate for Payer: Mclaren Medicaid |
$8.06
|
| 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 |
$8.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$20.16
|
| 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 |
$8.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.99
|
| Rate for Payer: Priority Health Medicare |
$15.03
|
| Rate for Payer: Priority Health Narrow Network |
$44.79
|
| Rate for Payer: Railroad Medicare Medicare |
$15.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.03
|
| Rate for Payer: UHC Exchange |
$23.30
|
| Rate for Payer: UHC Medicare Advantage |
$15.03
|
| Rate for Payer: UHCCP DNSP |
$15.03
|
| Rate for Payer: UHCCP Medicaid |
$8.06
|
| Rate for Payer: VA VA |
$15.03
|
|
|
HC PASTE
|
Facility
|
OP
|
$31.09
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.44 |
| Max. Negotiated Rate |
$31.09 |
| Rate for Payer: Aetna Commercial |
$27.98
|
| Rate for Payer: Aetna Medicare |
$15.54
|
| Rate for Payer: ASR ASR |
$30.16
|
| Rate for Payer: ASR Commercial |
$30.16
|
| Rate for Payer: BCBS Complete |
$12.44
|
| Rate for Payer: BCBS Trust/PPO |
$25.46
|
| Rate for Payer: BCN Commercial |
$24.10
|
| Rate for Payer: Cash Price |
$24.87
|
| Rate for Payer: Cofinity Commercial |
$29.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.87
|
| Rate for Payer: Healthscope Commercial |
$31.09
|
| Rate for Payer: Healthscope Whirlpool |
$30.16
|
| Rate for Payer: Mclaren Commercial |
$27.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.43
|
| Rate for Payer: Nomi Health Commercial |
$25.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27.24
|
| Rate for Payer: Priority Health Narrow Network |
$21.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.36
|
|
|
HC PASTE
|
Facility
|
IP
|
$31.09
|
|
| Hospital Charge Code |
27000131
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.21 |
| Max. Negotiated Rate |
$31.09 |
| Rate for Payer: Aetna Commercial |
$27.98
|
| Rate for Payer: ASR ASR |
$30.16
|
| Rate for Payer: ASR Commercial |
$30.16
|
| Rate for Payer: BCBS Trust/PPO |
$25.34
|
| Rate for Payer: BCN Commercial |
$24.10
|
| Rate for Payer: Cash Price |
$24.87
|
| Rate for Payer: Cofinity Commercial |
$29.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.87
|
| Rate for Payer: Healthscope Commercial |
$31.09
|
| Rate for Payer: Healthscope Whirlpool |
$30.16
|
| Rate for Payer: Mclaren Commercial |
$27.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.43
|
| Rate for Payer: Nomi Health Commercial |
$25.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.36
|
|
|
HC PASTE NO STING
|
Facility
|
OP
|
$42.74
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.10 |
| Max. Negotiated Rate |
$42.74 |
| Rate for Payer: Aetna Commercial |
$38.47
|
| Rate for Payer: Aetna Medicare |
$21.37
|
| Rate for Payer: ASR ASR |
$41.46
|
| Rate for Payer: ASR Commercial |
$41.46
|
| Rate for Payer: BCBS Complete |
$17.10
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$33.14
|
| Rate for Payer: Cash Price |
$34.19
|
| Rate for Payer: Cofinity Commercial |
$40.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.19
|
| Rate for Payer: Healthscope Commercial |
$42.74
|
| Rate for Payer: Healthscope Whirlpool |
$41.46
|
| Rate for Payer: Mclaren Commercial |
$38.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.33
|
| Rate for Payer: Nomi Health Commercial |
$35.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.45
|
| Rate for Payer: Priority Health Narrow Network |
$29.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.61
|
|
|
HC PASTE NO STING
|
Facility
|
IP
|
$42.74
|
|
|
Service Code
|
HCPCS A4406
|
| Hospital Charge Code |
27000627
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.78 |
| Max. Negotiated Rate |
$42.74 |
| Rate for Payer: Aetna Commercial |
$38.47
|
| Rate for Payer: ASR ASR |
$41.46
|
| Rate for Payer: ASR Commercial |
$41.46
|
| Rate for Payer: BCBS Trust/PPO |
$34.83
|
| Rate for Payer: BCN Commercial |
$33.14
|
| Rate for Payer: Cash Price |
$34.19
|
| Rate for Payer: Cofinity Commercial |
$40.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.19
|
| Rate for Payer: Healthscope Commercial |
$42.74
|
| Rate for Payer: Healthscope Whirlpool |
$41.46
|
| Rate for Payer: Mclaren Commercial |
$38.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.33
|
| Rate for Payer: Nomi Health Commercial |
$35.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.61
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
IP
|
$110.28
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$71.68 |
| Max. Negotiated Rate |
$110.28 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: ASR ASR |
$106.97
|
| Rate for Payer: ASR Commercial |
$106.97
|
| Rate for Payer: BCBS Trust/PPO |
$89.87
|
| Rate for Payer: BCN Commercial |
$85.50
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$103.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Healthscope Commercial |
$110.28
|
| Rate for Payer: Healthscope Whirlpool |
$106.97
|
| Rate for Payer: Mclaren Commercial |
$99.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$97.05
|
|
|
HC PATH CONSULT ON REFERRAL WITH SLIDE PREP
|
Facility
|
OP
|
$110.28
|
|
|
Service Code
|
CPT 88323
|
| Hospital Charge Code |
31000113
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$110.28 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: Aetna Medicare |
$52.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.44
|
| Rate for Payer: ASR ASR |
$106.97
|
| Rate for Payer: ASR Commercial |
$106.97
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCBS Trust/PPO |
$90.31
|
| Rate for Payer: BCN Commercial |
$85.50
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$103.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Healthscope Commercial |
$110.28
|
| Rate for Payer: Healthscope Whirlpool |
$106.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.35
|
| Rate for Payer: Mclaren Commercial |
$99.25
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Mclaren Medicare |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: PACE Medicare |
$49.73
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$57.58
|
| Rate for Payer: PHP Medicaid |
$28.06
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$96.63
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$77.31
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$97.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.35
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UHC Medicare Advantage |
$52.35
|
| Rate for Payer: UHCCP DNSP |
$52.35
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$52.35
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
OP
|
$101.96
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$166.89 |
| Rate for Payer: Aetna Commercial |
$91.76
|
| Rate for Payer: Aetna Medicare |
$52.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.44
|
| Rate for Payer: ASR ASR |
$98.90
|
| Rate for Payer: ASR Commercial |
$98.90
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCBS Trust/PPO |
$83.50
|
| Rate for Payer: BCN Commercial |
$79.05
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$81.57
|
| Rate for Payer: Cash Price |
$81.57
|
| Rate for Payer: Cofinity Commercial |
$95.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Healthscope Commercial |
$101.96
|
| Rate for Payer: Healthscope Whirlpool |
$98.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.35
|
| Rate for Payer: Mclaren Commercial |
$91.76
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Mclaren Medicare |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.67
|
| Rate for Payer: Nomi Health Commercial |
$83.61
|
| Rate for Payer: PACE Medicare |
$49.73
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$57.58
|
| Rate for Payer: PHP Medicaid |
$28.06
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.89
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$133.51
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$89.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.35
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UHC Medicare Advantage |
$52.35
|
| Rate for Payer: UHCCP DNSP |
$52.35
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$52.35
|
|
|
HC PATHOLOGY III DERM
|
Facility
|
IP
|
$101.96
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000111
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$66.27 |
| Max. Negotiated Rate |
$101.96 |
| Rate for Payer: Aetna Commercial |
$91.76
|
| Rate for Payer: ASR ASR |
$98.90
|
| Rate for Payer: ASR Commercial |
$98.90
|
| Rate for Payer: BCBS Trust/PPO |
$83.09
|
| Rate for Payer: BCN Commercial |
$79.05
|
| Rate for Payer: Cash Price |
$81.57
|
| Rate for Payer: Cofinity Commercial |
$95.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.57
|
| Rate for Payer: Healthscope Commercial |
$101.96
|
| Rate for Payer: Healthscope Whirlpool |
$98.90
|
| Rate for Payer: Mclaren Commercial |
$91.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.67
|
| Rate for Payer: Nomi Health Commercial |
$83.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$89.72
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
OP
|
$44.94
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$12.86 |
| Max. Negotiated Rate |
$121.87 |
| Rate for Payer: Aetna Commercial |
$40.45
|
| Rate for Payer: Aetna Medicare |
$23.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.99
|
| Rate for Payer: ASR ASR |
$43.59
|
| Rate for Payer: ASR Commercial |
$43.59
|
| Rate for Payer: BCBS Complete |
$13.50
|
| Rate for Payer: BCBS MAPPO |
$23.99
|
| Rate for Payer: BCBS Trust/PPO |
$36.80
|
| Rate for Payer: BCN Commercial |
$34.84
|
| Rate for Payer: BCN Medicare Advantage |
$23.99
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$42.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.99
|
| Rate for Payer: Healthscope Commercial |
$44.94
|
| Rate for Payer: Healthscope Whirlpool |
$43.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$23.99
|
| Rate for Payer: Mclaren Commercial |
$40.45
|
| Rate for Payer: Mclaren Medicaid |
$12.86
|
| Rate for Payer: Mclaren Medicare |
$23.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.19
|
| Rate for Payer: Meridian Medicaid |
$13.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$36.85
|
| Rate for Payer: PACE Medicare |
$22.79
|
| Rate for Payer: PACE SWMI |
$23.99
|
| Rate for Payer: PHP Commercial |
$26.39
|
| Rate for Payer: PHP Medicaid |
$12.86
|
| Rate for Payer: PHP Medicare Advantage |
$23.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$121.87
|
| Rate for Payer: Priority Health Medicare |
$23.99
|
| Rate for Payer: Priority Health Narrow Network |
$97.50
|
| Rate for Payer: Railroad Medicare Medicare |
$23.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.99
|
| Rate for Payer: UHC Exchange |
$37.18
|
| Rate for Payer: UHC Medicare Advantage |
$23.99
|
| Rate for Payer: UHCCP DNSP |
$23.99
|
| Rate for Payer: UHCCP Medicaid |
$12.86
|
| Rate for Payer: VA VA |
$23.99
|
|
|
HC PATHOLOGY LEVEL I
|
Facility
|
IP
|
$44.94
|
|
|
Service Code
|
CPT 88300
|
| Hospital Charge Code |
31000045
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$29.21 |
| Max. Negotiated Rate |
$44.94 |
| Rate for Payer: Aetna Commercial |
$40.45
|
| Rate for Payer: ASR ASR |
$43.59
|
| Rate for Payer: ASR Commercial |
$43.59
|
| Rate for Payer: BCBS Trust/PPO |
$36.62
|
| Rate for Payer: BCN Commercial |
$34.84
|
| Rate for Payer: Cash Price |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$42.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.95
|
| Rate for Payer: Healthscope Commercial |
$44.94
|
| Rate for Payer: Healthscope Whirlpool |
$43.59
|
| Rate for Payer: Mclaren Commercial |
$40.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.20
|
| Rate for Payer: Nomi Health Commercial |
$36.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.55
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
OP
|
$98.52
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$20.61 |
| Max. Negotiated Rate |
$166.89 |
| Rate for Payer: Aetna Commercial |
$88.67
|
| Rate for Payer: Aetna Medicare |
$38.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.08
|
| Rate for Payer: ASR ASR |
$95.56
|
| Rate for Payer: ASR Commercial |
$95.56
|
| Rate for Payer: BCBS Complete |
$21.65
|
| Rate for Payer: BCBS MAPPO |
$38.46
|
| Rate for Payer: BCBS Trust/PPO |
$80.68
|
| Rate for Payer: BCN Commercial |
$76.38
|
| Rate for Payer: BCN Medicare Advantage |
$38.46
|
| Rate for Payer: Cash Price |
$78.82
|
| Rate for Payer: Cash Price |
$78.82
|
| Rate for Payer: Cofinity Commercial |
$92.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.46
|
| Rate for Payer: Healthscope Commercial |
$98.52
|
| Rate for Payer: Healthscope Whirlpool |
$95.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$38.46
|
| Rate for Payer: Mclaren Commercial |
$88.67
|
| Rate for Payer: Mclaren Medicaid |
$20.61
|
| Rate for Payer: Mclaren Medicare |
$38.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.38
|
| Rate for Payer: Meridian Medicaid |
$21.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.74
|
| Rate for Payer: Nomi Health Commercial |
$80.79
|
| Rate for Payer: PACE Medicare |
$36.54
|
| Rate for Payer: PACE SWMI |
$38.46
|
| Rate for Payer: PHP Commercial |
$42.31
|
| Rate for Payer: PHP Medicaid |
$20.61
|
| Rate for Payer: PHP Medicare Advantage |
$38.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.89
|
| Rate for Payer: Priority Health Medicare |
$38.46
|
| Rate for Payer: Priority Health Narrow Network |
$133.51
|
| Rate for Payer: Railroad Medicare Medicare |
$38.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$86.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.46
|
| Rate for Payer: UHC Exchange |
$59.61
|
| Rate for Payer: UHC Medicare Advantage |
$38.46
|
| Rate for Payer: UHCCP DNSP |
$38.46
|
| Rate for Payer: UHCCP Medicaid |
$20.61
|
| Rate for Payer: VA VA |
$38.46
|
|
|
HC PATHOLOGY LEVEL II
|
Facility
|
IP
|
$98.52
|
|
|
Service Code
|
CPT 88302
|
| Hospital Charge Code |
31000046
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$64.04 |
| Max. Negotiated Rate |
$98.52 |
| Rate for Payer: Aetna Commercial |
$88.67
|
| Rate for Payer: ASR ASR |
$95.56
|
| Rate for Payer: ASR Commercial |
$95.56
|
| Rate for Payer: BCBS Trust/PPO |
$80.28
|
| Rate for Payer: BCN Commercial |
$76.38
|
| Rate for Payer: Cash Price |
$78.82
|
| Rate for Payer: Cofinity Commercial |
$92.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.82
|
| Rate for Payer: Healthscope Commercial |
$98.52
|
| Rate for Payer: Healthscope Whirlpool |
$95.56
|
| Rate for Payer: Mclaren Commercial |
$88.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.74
|
| Rate for Payer: Nomi Health Commercial |
$80.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$86.70
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
IP
|
$149.30
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$97.04 |
| Max. Negotiated Rate |
$149.30 |
| Rate for Payer: Aetna Commercial |
$134.37
|
| Rate for Payer: ASR ASR |
$144.82
|
| Rate for Payer: ASR Commercial |
$144.82
|
| Rate for Payer: BCBS Trust/PPO |
$121.66
|
| Rate for Payer: BCN Commercial |
$115.75
|
| Rate for Payer: Cash Price |
$119.44
|
| Rate for Payer: Cofinity Commercial |
$140.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.44
|
| Rate for Payer: Healthscope Commercial |
$149.30
|
| Rate for Payer: Healthscope Whirlpool |
$144.82
|
| Rate for Payer: Mclaren Commercial |
$134.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.90
|
| Rate for Payer: Nomi Health Commercial |
$122.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$131.38
|
|
|
HC PATHOLOGY LEVEL III
|
Facility
|
OP
|
$149.30
|
|
|
Service Code
|
CPT 88304
|
| Hospital Charge Code |
31000047
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$166.89 |
| Rate for Payer: Aetna Commercial |
$134.37
|
| Rate for Payer: Aetna Medicare |
$52.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.44
|
| Rate for Payer: ASR ASR |
$144.82
|
| Rate for Payer: ASR Commercial |
$144.82
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCBS Trust/PPO |
$122.26
|
| Rate for Payer: BCN Commercial |
$115.75
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$119.44
|
| Rate for Payer: Cash Price |
$119.44
|
| Rate for Payer: Cofinity Commercial |
$140.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Healthscope Commercial |
$149.30
|
| Rate for Payer: Healthscope Whirlpool |
$144.82
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.35
|
| Rate for Payer: Mclaren Commercial |
$134.37
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Mclaren Medicare |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.90
|
| Rate for Payer: Nomi Health Commercial |
$122.43
|
| Rate for Payer: PACE Medicare |
$49.73
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$57.58
|
| Rate for Payer: PHP Medicaid |
$28.06
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.89
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$133.51
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$131.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.35
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UHC Medicare Advantage |
$52.35
|
| Rate for Payer: UHCCP DNSP |
$52.35
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$52.35
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
IP
|
$209.12
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$135.93 |
| Max. Negotiated Rate |
$209.12 |
| Rate for Payer: Aetna Commercial |
$188.21
|
| Rate for Payer: ASR ASR |
$202.85
|
| Rate for Payer: ASR Commercial |
$202.85
|
| Rate for Payer: BCBS Trust/PPO |
$170.41
|
| Rate for Payer: BCN Commercial |
$162.13
|
| Rate for Payer: Cash Price |
$167.30
|
| Rate for Payer: Cofinity Commercial |
$196.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.30
|
| Rate for Payer: Healthscope Commercial |
$209.12
|
| Rate for Payer: Healthscope Whirlpool |
$202.85
|
| Rate for Payer: Mclaren Commercial |
$188.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.75
|
| Rate for Payer: Nomi Health Commercial |
$171.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.03
|
|
|
HC PATHOLOGY LEVEL IV
|
Facility
|
OP
|
$209.12
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000048
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$209.12 |
| Rate for Payer: Aetna Commercial |
$188.21
|
| Rate for Payer: Aetna Medicare |
$52.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.44
|
| Rate for Payer: ASR ASR |
$202.85
|
| Rate for Payer: ASR Commercial |
$202.85
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCBS Trust/PPO |
$171.25
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$162.13
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$167.30
|
| Rate for Payer: Cash Price |
$167.30
|
| Rate for Payer: Cofinity Commercial |
$196.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Healthscope Commercial |
$209.12
|
| Rate for Payer: Healthscope Whirlpool |
$202.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.35
|
| Rate for Payer: Mclaren Commercial |
$188.21
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Mclaren Medicare |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.75
|
| Rate for Payer: Nomi Health Commercial |
$171.48
|
| Rate for Payer: PACE Medicare |
$49.73
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$57.58
|
| Rate for Payer: PHP Medicaid |
$28.06
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.89
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$133.51
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.35
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UHC Medicare Advantage |
$52.35
|
| Rate for Payer: UHCCP DNSP |
$52.35
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$52.35
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
OP
|
$112.20
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$166.89 |
| Rate for Payer: Aetna Commercial |
$100.98
|
| Rate for Payer: Aetna Medicare |
$52.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.44
|
| Rate for Payer: ASR ASR |
$108.83
|
| Rate for Payer: ASR Commercial |
$108.83
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCBS Trust/PPO |
$91.88
|
| Rate for Payer: BCCCP Commercial |
$67.27
|
| Rate for Payer: BCN Commercial |
$86.99
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$89.76
|
| Rate for Payer: Cash Price |
$89.76
|
| Rate for Payer: Cofinity Commercial |
$105.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Healthscope Commercial |
$112.20
|
| Rate for Payer: Healthscope Whirlpool |
$108.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.35
|
| Rate for Payer: Mclaren Commercial |
$100.98
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Mclaren Medicare |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.37
|
| Rate for Payer: Nomi Health Commercial |
$92.00
|
| Rate for Payer: PACE Medicare |
$49.73
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$57.58
|
| Rate for Payer: PHP Medicaid |
$28.06
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.89
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$133.51
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.35
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UHC Medicare Advantage |
$52.35
|
| Rate for Payer: UHCCP DNSP |
$52.35
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$52.35
|
|
|
HC PATHOLOGY LEVEL IV DERM
|
Facility
|
IP
|
$112.20
|
|
|
Service Code
|
CPT 88305
|
| Hospital Charge Code |
31000106
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$72.93 |
| Max. Negotiated Rate |
$112.20 |
| Rate for Payer: Aetna Commercial |
$100.98
|
| Rate for Payer: ASR ASR |
$108.83
|
| Rate for Payer: ASR Commercial |
$108.83
|
| Rate for Payer: BCBS Trust/PPO |
$91.43
|
| Rate for Payer: BCN Commercial |
$86.99
|
| Rate for Payer: Cash Price |
$89.76
|
| Rate for Payer: Cofinity Commercial |
$105.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.76
|
| Rate for Payer: Healthscope Commercial |
$112.20
|
| Rate for Payer: Healthscope Whirlpool |
$108.83
|
| Rate for Payer: Mclaren Commercial |
$100.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.37
|
| Rate for Payer: Nomi Health Commercial |
$92.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.74
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
OP
|
$524.15
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$158.11 |
| Max. Negotiated Rate |
$546.30 |
| Rate for Payer: Aetna Commercial |
$471.74
|
| Rate for Payer: Aetna Medicare |
$352.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$440.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$440.56
|
| Rate for Payer: ASR ASR |
$508.43
|
| Rate for Payer: ASR Commercial |
$508.43
|
| Rate for Payer: BCBS Complete |
$198.36
|
| Rate for Payer: BCBS MAPPO |
$352.45
|
| Rate for Payer: BCBS Trust/PPO |
$429.23
|
| Rate for Payer: BCCCP Commercial |
$267.07
|
| Rate for Payer: BCN Commercial |
$406.37
|
| Rate for Payer: BCN Medicare Advantage |
$352.45
|
| Rate for Payer: Cash Price |
$419.32
|
| Rate for Payer: Cash Price |
$419.32
|
| Rate for Payer: Cofinity Commercial |
$492.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$419.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$352.45
|
| Rate for Payer: Healthscope Commercial |
$524.15
|
| Rate for Payer: Healthscope Whirlpool |
$508.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$352.45
|
| Rate for Payer: Mclaren Commercial |
$471.74
|
| Rate for Payer: Mclaren Medicaid |
$188.91
|
| Rate for Payer: Mclaren Medicare |
$352.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$370.07
|
| Rate for Payer: Meridian Medicaid |
$198.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$405.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$445.53
|
| Rate for Payer: Nomi Health Commercial |
$429.80
|
| Rate for Payer: PACE Medicare |
$334.83
|
| Rate for Payer: PACE SWMI |
$352.45
|
| Rate for Payer: PHP Commercial |
$387.70
|
| Rate for Payer: PHP Medicaid |
$188.91
|
| Rate for Payer: PHP Medicare Advantage |
$352.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$340.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.64
|
| Rate for Payer: Priority Health Medicare |
$352.45
|
| Rate for Payer: Priority Health Narrow Network |
$158.11
|
| Rate for Payer: Railroad Medicare Medicare |
$352.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$461.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$352.45
|
| Rate for Payer: UHC Exchange |
$546.30
|
| Rate for Payer: UHC Medicare Advantage |
$352.45
|
| Rate for Payer: UHCCP DNSP |
$352.45
|
| Rate for Payer: UHCCP Medicaid |
$188.91
|
| Rate for Payer: VA VA |
$352.45
|
|
|
HC PATHOLOGY LEVEL V
|
Facility
|
IP
|
$524.15
|
|
|
Service Code
|
CPT 88307
|
| Hospital Charge Code |
31000049
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$340.70 |
| Max. Negotiated Rate |
$524.15 |
| Rate for Payer: Aetna Commercial |
$471.74
|
| Rate for Payer: ASR ASR |
$508.43
|
| Rate for Payer: ASR Commercial |
$508.43
|
| Rate for Payer: BCBS Trust/PPO |
$427.13
|
| Rate for Payer: BCN Commercial |
$406.37
|
| Rate for Payer: Cash Price |
$419.32
|
| Rate for Payer: Cofinity Commercial |
$492.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$419.32
|
| Rate for Payer: Healthscope Commercial |
$524.15
|
| Rate for Payer: Healthscope Whirlpool |
$508.43
|
| Rate for Payer: Mclaren Commercial |
$471.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$445.53
|
| Rate for Payer: Nomi Health Commercial |
$429.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$340.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$461.25
|
|
|
HC PATHOLOGY LEVEL VI
|
Facility
|
IP
|
$771.67
|
|
|
Service Code
|
CPT 88309
|
| Hospital Charge Code |
31000050
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$501.59 |
| Max. Negotiated Rate |
$771.67 |
| Rate for Payer: Aetna Commercial |
$694.50
|
| Rate for Payer: ASR ASR |
$748.52
|
| Rate for Payer: ASR Commercial |
$748.52
|
| Rate for Payer: BCBS Trust/PPO |
$628.83
|
| Rate for Payer: BCN Commercial |
$598.28
|
| Rate for Payer: Cash Price |
$617.34
|
| Rate for Payer: Cofinity Commercial |
$725.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$617.34
|
| Rate for Payer: Healthscope Commercial |
$771.67
|
| Rate for Payer: Healthscope Whirlpool |
$748.52
|
| Rate for Payer: Mclaren Commercial |
$694.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.92
|
| Rate for Payer: Nomi Health Commercial |
$632.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$501.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$679.07
|
|
|
HC PATHOLOGY LEVEL VI
|
Facility
|
OP
|
$771.67
|
|
|
Service Code
|
CPT 88309
|
| Hospital Charge Code |
31000050
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$167.78 |
| Max. Negotiated Rate |
$1,240.59 |
| Rate for Payer: Aetna Commercial |
$694.50
|
| Rate for Payer: Aetna Medicare |
$800.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,000.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,000.48
|
| Rate for Payer: ASR ASR |
$748.52
|
| Rate for Payer: ASR Commercial |
$748.52
|
| Rate for Payer: BCBS Complete |
$450.45
|
| Rate for Payer: BCBS MAPPO |
$800.38
|
| Rate for Payer: BCBS Trust/PPO |
$631.92
|
| Rate for Payer: BCN Commercial |
$598.28
|
| Rate for Payer: BCN Medicare Advantage |
$800.38
|
| Rate for Payer: Cash Price |
$617.34
|
| Rate for Payer: Cash Price |
$617.34
|
| Rate for Payer: Cofinity Commercial |
$725.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$617.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$800.38
|
| Rate for Payer: Healthscope Commercial |
$771.67
|
| Rate for Payer: Healthscope Whirlpool |
$748.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$800.38
|
| Rate for Payer: Mclaren Commercial |
$694.50
|
| Rate for Payer: Mclaren Medicaid |
$429.00
|
| Rate for Payer: Mclaren Medicare |
$800.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$840.40
|
| Rate for Payer: Meridian Medicaid |
$450.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$920.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.92
|
| Rate for Payer: Nomi Health Commercial |
$632.77
|
| Rate for Payer: PACE Medicare |
$760.36
|
| Rate for Payer: PACE SWMI |
$800.38
|
| Rate for Payer: PHP Commercial |
$880.42
|
| Rate for Payer: PHP Medicaid |
$429.00
|
| Rate for Payer: PHP Medicare Advantage |
$800.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$501.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$209.72
|
| Rate for Payer: Priority Health Medicare |
$800.38
|
| Rate for Payer: Priority Health Narrow Network |
$167.78
|
| Rate for Payer: Railroad Medicare Medicare |
$800.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$679.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$800.38
|
| Rate for Payer: UHC Exchange |
$1,240.59
|
| Rate for Payer: UHC Medicare Advantage |
$800.38
|
| Rate for Payer: UHCCP DNSP |
$800.38
|
| Rate for Payer: UHCCP Medicaid |
$429.00
|
| Rate for Payer: VA VA |
$800.38
|
|
|
HC PATH SURGERY CYTO ADDITIONAL
|
Facility
|
IP
|
$57.22
|
|
|
Service Code
|
CPT 88334
|
| Hospital Charge Code |
30000068
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$37.19 |
| Max. Negotiated Rate |
$57.22 |
| Rate for Payer: Aetna Commercial |
$51.50
|
| Rate for Payer: ASR ASR |
$55.50
|
| Rate for Payer: ASR Commercial |
$55.50
|
| Rate for Payer: BCBS Trust/PPO |
$46.63
|
| Rate for Payer: BCN Commercial |
$44.36
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$53.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Healthscope Commercial |
$57.22
|
| Rate for Payer: Healthscope Whirlpool |
$55.50
|
| Rate for Payer: Mclaren Commercial |
$51.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.35
|
|
|
HC PATH SURGERY CYTO ADDITIONAL
|
Facility
|
OP
|
$57.22
|
|
|
Service Code
|
CPT 88334
|
| Hospital Charge Code |
30000068
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$22.89 |
| Max. Negotiated Rate |
$57.22 |
| Rate for Payer: Aetna Commercial |
$51.50
|
| Rate for Payer: Aetna Medicare |
$28.61
|
| Rate for Payer: ASR ASR |
$55.50
|
| Rate for Payer: ASR Commercial |
$55.50
|
| Rate for Payer: BCBS Complete |
$22.89
|
| Rate for Payer: BCBS Trust/PPO |
$46.86
|
| Rate for Payer: BCN Commercial |
$44.36
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$53.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Healthscope Commercial |
$57.22
|
| Rate for Payer: Healthscope Whirlpool |
$55.50
|
| Rate for Payer: Mclaren Commercial |
$51.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.14
|
| Rate for Payer: Priority Health Narrow Network |
$40.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.35
|
|
