|
HC TENOTOMY
|
Facility
|
OP
|
$2,892.68
|
|
|
Service Code
|
CPT 27605
|
| Hospital Charge Code |
36100046
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$2,892.68 |
| Rate for Payer: Aetna Commercial |
$2,603.41
|
| Rate for Payer: Aetna Medicare |
$1,560.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: ASR ASR |
$2,805.90
|
| Rate for Payer: ASR Commercial |
$2,805.90
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,368.82
|
| Rate for Payer: BCN Commercial |
$2,242.69
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Cash Price |
$2,314.14
|
| Rate for Payer: Cash Price |
$2,314.14
|
| Rate for Payer: Cofinity Commercial |
$2,719.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Healthscope Commercial |
$2,892.68
|
| Rate for Payer: Healthscope Whirlpool |
$2,805.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,560.85
|
| Rate for Payer: Mclaren Commercial |
$2,603.41
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,458.78
|
| Rate for Payer: Nomi Health Commercial |
$2,372.00
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Commercial |
$1,716.93
|
| Rate for Payer: PHP Medicaid |
$836.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,880.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,534.57
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Priority Health Narrow Network |
$2,027.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,545.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,419.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP DNSP |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: VA VA |
$1,560.85
|
|
|
HC TENOTOMY ADDUCTOR OF HIP PERCUTANEOUS
|
Facility
|
OP
|
$4,277.92
|
|
| Hospital Charge Code |
36000096
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,711.17 |
| Max. Negotiated Rate |
$4,277.92 |
| Rate for Payer: Aetna Commercial |
$3,850.13
|
| Rate for Payer: Aetna Medicare |
$2,138.96
|
| Rate for Payer: ASR ASR |
$4,149.58
|
| Rate for Payer: ASR Commercial |
$4,149.58
|
| Rate for Payer: BCBS Complete |
$1,711.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,503.19
|
| Rate for Payer: BCN Commercial |
$3,316.67
|
| Rate for Payer: Cash Price |
$3,422.34
|
| Rate for Payer: Cofinity Commercial |
$4,021.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,422.34
|
| Rate for Payer: Healthscope Commercial |
$4,277.92
|
| Rate for Payer: Healthscope Whirlpool |
$4,149.58
|
| Rate for Payer: Mclaren Commercial |
$3,850.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,636.23
|
| Rate for Payer: Nomi Health Commercial |
$3,507.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,780.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,748.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,998.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,764.57
|
|
|
HC TENOTOMY ADDUCTOR OF HIP PERCUTANEOUS
|
Facility
|
IP
|
$4,277.92
|
|
| Hospital Charge Code |
36000096
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,780.65 |
| Max. Negotiated Rate |
$4,277.92 |
| Rate for Payer: Aetna Commercial |
$3,850.13
|
| Rate for Payer: ASR ASR |
$4,149.58
|
| Rate for Payer: ASR Commercial |
$4,149.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,486.08
|
| Rate for Payer: BCN Commercial |
$3,316.67
|
| Rate for Payer: Cash Price |
$3,422.34
|
| Rate for Payer: Cofinity Commercial |
$4,021.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,422.34
|
| Rate for Payer: Healthscope Commercial |
$4,277.92
|
| Rate for Payer: Healthscope Whirlpool |
$4,149.58
|
| Rate for Payer: Mclaren Commercial |
$3,850.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,636.23
|
| Rate for Payer: Nomi Health Commercial |
$3,507.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,780.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,764.57
|
|
|
HC TENOTOMY ELBOW LATERAL/MEDIAL PERC
|
Facility
|
OP
|
$4,494.21
|
|
|
Service Code
|
CPT 24357
|
| Hospital Charge Code |
76100408
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,696.12 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$4,044.79
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$4,359.38
|
| Rate for Payer: ASR Commercial |
$4,359.38
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,680.31
|
| Rate for Payer: BCN Commercial |
$3,484.36
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$4,224.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$4,494.21
|
| Rate for Payer: Healthscope Whirlpool |
$4,359.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$4,044.79
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,937.83
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$3,150.44
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,954.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
HC TENOTOMY ELBOW LATERAL/MEDIAL PERC
|
Facility
|
IP
|
$4,494.21
|
|
|
Service Code
|
CPT 24357
|
| Hospital Charge Code |
76100408
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,921.24 |
| Max. Negotiated Rate |
$4,494.21 |
| Rate for Payer: Aetna Commercial |
$4,044.79
|
| Rate for Payer: ASR ASR |
$4,359.38
|
| Rate for Payer: ASR Commercial |
$4,359.38
|
| Rate for Payer: BCBS Trust/PPO |
$3,662.33
|
| Rate for Payer: BCN Commercial |
$3,484.36
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$4,224.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Healthscope Commercial |
$4,494.21
|
| Rate for Payer: Healthscope Whirlpool |
$4,359.38
|
| Rate for Payer: Mclaren Commercial |
$4,044.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,954.90
|
|
|
HC TENOTOMY ELBOW LATERAL OR MEDIAL
|
Facility
|
IP
|
$4,494.21
|
|
| Hospital Charge Code |
36000093
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,921.24 |
| Max. Negotiated Rate |
$4,494.21 |
| Rate for Payer: Aetna Commercial |
$4,044.79
|
| Rate for Payer: ASR ASR |
$4,359.38
|
| Rate for Payer: ASR Commercial |
$4,359.38
|
| Rate for Payer: BCBS Trust/PPO |
$3,662.33
|
| Rate for Payer: BCN Commercial |
$3,484.36
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$4,224.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Healthscope Commercial |
$4,494.21
|
| Rate for Payer: Healthscope Whirlpool |
$4,359.38
|
| Rate for Payer: Mclaren Commercial |
$4,044.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,954.90
|
|
|
HC TENOTOMY ELBOW LATERAL OR MEDIAL
|
Facility
|
OP
|
$4,494.21
|
|
| Hospital Charge Code |
36000093
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,797.68 |
| Max. Negotiated Rate |
$4,494.21 |
| Rate for Payer: Aetna Commercial |
$4,044.79
|
| Rate for Payer: Aetna Medicare |
$2,247.11
|
| Rate for Payer: ASR ASR |
$4,359.38
|
| Rate for Payer: ASR Commercial |
$4,359.38
|
| Rate for Payer: BCBS Complete |
$1,797.68
|
| Rate for Payer: BCBS Trust/PPO |
$3,680.31
|
| Rate for Payer: BCN Commercial |
$3,484.36
|
| Rate for Payer: Cash Price |
$3,595.37
|
| Rate for Payer: Cofinity Commercial |
$4,224.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,595.37
|
| Rate for Payer: Healthscope Commercial |
$4,494.21
|
| Rate for Payer: Healthscope Whirlpool |
$4,359.38
|
| Rate for Payer: Mclaren Commercial |
$4,044.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,820.08
|
| Rate for Payer: Nomi Health Commercial |
$3,685.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,921.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,937.83
|
| Rate for Payer: Priority Health Narrow Network |
$3,150.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,954.90
|
|
|
HC TENOTOMY MULTIPLE TENDONS
|
Facility
|
OP
|
$5,235.97
|
|
| Hospital Charge Code |
36000095
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,094.39 |
| Max. Negotiated Rate |
$5,235.97 |
| Rate for Payer: Aetna Commercial |
$4,712.37
|
| Rate for Payer: Aetna Medicare |
$2,617.99
|
| Rate for Payer: ASR ASR |
$5,078.89
|
| Rate for Payer: ASR Commercial |
$5,078.89
|
| Rate for Payer: BCBS Complete |
$2,094.39
|
| Rate for Payer: BCBS Trust/PPO |
$4,287.74
|
| Rate for Payer: BCN Commercial |
$4,059.45
|
| Rate for Payer: Cash Price |
$4,188.78
|
| Rate for Payer: Cofinity Commercial |
$4,921.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,188.78
|
| Rate for Payer: Healthscope Commercial |
$5,235.97
|
| Rate for Payer: Healthscope Whirlpool |
$5,078.89
|
| Rate for Payer: Mclaren Commercial |
$4,712.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,450.57
|
| Rate for Payer: Nomi Health Commercial |
$4,293.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,403.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,587.76
|
| Rate for Payer: Priority Health Narrow Network |
$3,670.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,607.65
|
|
|
HC TENOTOMY MULTIPLE TENDONS
|
Facility
|
IP
|
$5,235.97
|
|
| Hospital Charge Code |
36000095
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,403.38 |
| Max. Negotiated Rate |
$5,235.97 |
| Rate for Payer: Aetna Commercial |
$4,712.37
|
| Rate for Payer: ASR ASR |
$5,078.89
|
| Rate for Payer: ASR Commercial |
$5,078.89
|
| Rate for Payer: BCBS Trust/PPO |
$4,266.79
|
| Rate for Payer: BCN Commercial |
$4,059.45
|
| Rate for Payer: Cash Price |
$4,188.78
|
| Rate for Payer: Cofinity Commercial |
$4,921.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,188.78
|
| Rate for Payer: Healthscope Commercial |
$5,235.97
|
| Rate for Payer: Healthscope Whirlpool |
$5,078.89
|
| Rate for Payer: Mclaren Commercial |
$4,712.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,450.57
|
| Rate for Payer: Nomi Health Commercial |
$4,293.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,403.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,607.65
|
|
|
HC TENOTOMY PERCUTANEOUS ACHILLES TENDON
|
Facility
|
OP
|
$3,737.88
|
|
| Hospital Charge Code |
36000097
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,495.15 |
| Max. Negotiated Rate |
$3,737.88 |
| Rate for Payer: Aetna Commercial |
$3,364.09
|
| Rate for Payer: Aetna Medicare |
$1,868.94
|
| Rate for Payer: ASR ASR |
$3,625.74
|
| Rate for Payer: ASR Commercial |
$3,625.74
|
| Rate for Payer: BCBS Complete |
$1,495.15
|
| Rate for Payer: BCBS Trust/PPO |
$3,060.95
|
| Rate for Payer: BCN Commercial |
$2,897.98
|
| Rate for Payer: Cash Price |
$2,990.30
|
| Rate for Payer: Cofinity Commercial |
$3,513.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,990.30
|
| Rate for Payer: Healthscope Commercial |
$3,737.88
|
| Rate for Payer: Healthscope Whirlpool |
$3,625.74
|
| Rate for Payer: Mclaren Commercial |
$3,364.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,177.20
|
| Rate for Payer: Nomi Health Commercial |
$3,065.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,429.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,275.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,620.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,289.33
|
|
|
HC TENOTOMY PERCUTANEOUS ACHILLES TENDON
|
Facility
|
IP
|
$3,737.88
|
|
| Hospital Charge Code |
36000097
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,429.62 |
| Max. Negotiated Rate |
$3,737.88 |
| Rate for Payer: Aetna Commercial |
$3,364.09
|
| Rate for Payer: ASR ASR |
$3,625.74
|
| Rate for Payer: ASR Commercial |
$3,625.74
|
| Rate for Payer: BCBS Trust/PPO |
$3,046.00
|
| Rate for Payer: BCN Commercial |
$2,897.98
|
| Rate for Payer: Cash Price |
$2,990.30
|
| Rate for Payer: Cofinity Commercial |
$3,513.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,990.30
|
| Rate for Payer: Healthscope Commercial |
$3,737.88
|
| Rate for Payer: Healthscope Whirlpool |
$3,625.74
|
| Rate for Payer: Mclaren Commercial |
$3,364.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,177.20
|
| Rate for Payer: Nomi Health Commercial |
$3,065.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,429.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,289.33
|
|
|
HC TENOTOMY PERCUTANEOUS ADDUCTOR OR HAMSTRING
|
Facility
|
OP
|
$3,570.03
|
|
| Hospital Charge Code |
36000094
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,428.01 |
| Max. Negotiated Rate |
$3,570.03 |
| Rate for Payer: Aetna Commercial |
$3,213.03
|
| Rate for Payer: Aetna Medicare |
$1,785.02
|
| Rate for Payer: ASR ASR |
$3,462.93
|
| Rate for Payer: ASR Commercial |
$3,462.93
|
| Rate for Payer: BCBS Complete |
$1,428.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,923.50
|
| Rate for Payer: BCN Commercial |
$2,767.84
|
| Rate for Payer: Cash Price |
$2,856.02
|
| Rate for Payer: Cofinity Commercial |
$3,355.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,856.02
|
| Rate for Payer: Healthscope Commercial |
$3,570.03
|
| Rate for Payer: Healthscope Whirlpool |
$3,462.93
|
| Rate for Payer: Mclaren Commercial |
$3,213.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,034.53
|
| Rate for Payer: Nomi Health Commercial |
$2,927.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,320.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,128.06
|
| Rate for Payer: Priority Health Narrow Network |
$2,502.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,141.63
|
|
|
HC TENOTOMY PERCUTANEOUS ADDUCTOR OR HAMSTRING
|
Facility
|
IP
|
$3,570.03
|
|
| Hospital Charge Code |
36000094
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,320.52 |
| Max. Negotiated Rate |
$3,570.03 |
| Rate for Payer: Aetna Commercial |
$3,213.03
|
| Rate for Payer: ASR ASR |
$3,462.93
|
| Rate for Payer: ASR Commercial |
$3,462.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,909.22
|
| Rate for Payer: BCN Commercial |
$2,767.84
|
| Rate for Payer: Cash Price |
$2,856.02
|
| Rate for Payer: Cofinity Commercial |
$3,355.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,856.02
|
| Rate for Payer: Healthscope Commercial |
$3,570.03
|
| Rate for Payer: Healthscope Whirlpool |
$3,462.93
|
| Rate for Payer: Mclaren Commercial |
$3,213.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,034.53
|
| Rate for Payer: Nomi Health Commercial |
$2,927.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,320.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,141.63
|
|
|
HC TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT
|
Facility
|
IP
|
$4,590.00
|
|
|
Service Code
|
CPT 26060
|
| Hospital Charge Code |
76100424
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,983.50 |
| Max. Negotiated Rate |
$4,590.00 |
| Rate for Payer: Aetna Commercial |
$4,131.00
|
| Rate for Payer: ASR ASR |
$4,452.30
|
| Rate for Payer: ASR Commercial |
$4,452.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,740.39
|
| Rate for Payer: BCN Commercial |
$3,558.63
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$4,314.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Healthscope Commercial |
$4,590.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,452.30
|
| Rate for Payer: Mclaren Commercial |
$4,131.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,901.50
|
| Rate for Payer: Nomi Health Commercial |
$3,763.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,039.20
|
|
|
HC TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT
|
Facility
|
OP
|
$4,590.00
|
|
|
Service Code
|
CPT 26060
|
| Hospital Charge Code |
76100424
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$4,590.00 |
| Rate for Payer: Aetna Commercial |
$4,131.00
|
| Rate for Payer: Aetna Medicare |
$1,560.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: ASR ASR |
$4,452.30
|
| Rate for Payer: ASR Commercial |
$4,452.30
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCBS Trust/PPO |
$3,758.75
|
| Rate for Payer: BCN Commercial |
$3,558.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$4,314.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Healthscope Commercial |
$4,590.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,452.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,560.85
|
| Rate for Payer: Mclaren Commercial |
$4,131.00
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,901.50
|
| Rate for Payer: Nomi Health Commercial |
$3,763.80
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Commercial |
$1,716.93
|
| Rate for Payer: PHP Medicaid |
$836.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,021.76
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Priority Health Narrow Network |
$3,217.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,039.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,419.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP DNSP |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: VA VA |
$1,560.85
|
|
|
HC TENOTOMY SHOULDER AREA SINGLE TENDON
|
Facility
|
OP
|
$4,826.31
|
|
| Hospital Charge Code |
36000098
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,930.52 |
| Max. Negotiated Rate |
$4,826.31 |
| Rate for Payer: Aetna Commercial |
$4,343.68
|
| Rate for Payer: Aetna Medicare |
$2,413.16
|
| Rate for Payer: ASR ASR |
$4,681.52
|
| Rate for Payer: ASR Commercial |
$4,681.52
|
| Rate for Payer: BCBS Complete |
$1,930.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,952.27
|
| Rate for Payer: BCN Commercial |
$3,741.84
|
| Rate for Payer: Cash Price |
$3,861.05
|
| Rate for Payer: Cofinity Commercial |
$4,536.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,861.05
|
| Rate for Payer: Healthscope Commercial |
$4,826.31
|
| Rate for Payer: Healthscope Whirlpool |
$4,681.52
|
| Rate for Payer: Mclaren Commercial |
$4,343.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,102.36
|
| Rate for Payer: Nomi Health Commercial |
$3,957.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,137.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,228.81
|
| Rate for Payer: Priority Health Narrow Network |
$3,383.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,247.15
|
|
|
HC TENOTOMY SHOULDER AREA SINGLE TENDON
|
Facility
|
IP
|
$4,826.31
|
|
| Hospital Charge Code |
36000098
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,137.10 |
| Max. Negotiated Rate |
$4,826.31 |
| Rate for Payer: Aetna Commercial |
$4,343.68
|
| Rate for Payer: ASR ASR |
$4,681.52
|
| Rate for Payer: ASR Commercial |
$4,681.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,932.96
|
| Rate for Payer: BCN Commercial |
$3,741.84
|
| Rate for Payer: Cash Price |
$3,861.05
|
| Rate for Payer: Cofinity Commercial |
$4,536.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,861.05
|
| Rate for Payer: Healthscope Commercial |
$4,826.31
|
| Rate for Payer: Healthscope Whirlpool |
$4,681.52
|
| Rate for Payer: Mclaren Commercial |
$4,343.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,102.36
|
| Rate for Payer: Nomi Health Commercial |
$3,957.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,137.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,247.15
|
|
|
HC TENOTOMY TOE SINGLE TENDON
|
Facility
|
IP
|
$2,219.15
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
45000092
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,442.45 |
| Max. Negotiated Rate |
$2,219.15 |
| Rate for Payer: Aetna Commercial |
$1,997.23
|
| Rate for Payer: ASR ASR |
$2,152.58
|
| Rate for Payer: ASR Commercial |
$2,152.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,808.39
|
| Rate for Payer: BCN Commercial |
$1,720.51
|
| Rate for Payer: Cash Price |
$1,775.32
|
| Rate for Payer: Cofinity Commercial |
$2,086.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,775.32
|
| Rate for Payer: Healthscope Commercial |
$2,219.15
|
| Rate for Payer: Healthscope Whirlpool |
$2,152.58
|
| Rate for Payer: Mclaren Commercial |
$1,997.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,886.28
|
| Rate for Payer: Nomi Health Commercial |
$1,819.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,442.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,952.85
|
|
|
HC TENOTOMY TOE SINGLE TENDON
|
Facility
|
OP
|
$2,219.15
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
45000092
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$2,419.32 |
| Rate for Payer: Aetna Commercial |
$1,997.23
|
| Rate for Payer: Aetna Medicare |
$1,560.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: ASR ASR |
$2,152.58
|
| Rate for Payer: ASR Commercial |
$2,152.58
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,817.26
|
| Rate for Payer: BCN Commercial |
$1,720.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Cash Price |
$1,775.32
|
| Rate for Payer: Cash Price |
$1,775.32
|
| Rate for Payer: Cofinity Commercial |
$2,086.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,775.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Healthscope Commercial |
$2,219.15
|
| Rate for Payer: Healthscope Whirlpool |
$2,152.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,560.85
|
| Rate for Payer: Mclaren Commercial |
$1,997.23
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,886.28
|
| Rate for Payer: Nomi Health Commercial |
$1,819.70
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Commercial |
$1,716.93
|
| Rate for Payer: PHP Medicaid |
$836.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,442.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,944.42
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,555.62
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,952.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,419.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP DNSP |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: VA VA |
$1,560.85
|
|
|
HC TESTOSTERONE BIOAVAILABLE
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 84402
|
| Hospital Charge Code |
30100429
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$78.03 |
| Rate for Payer: Aetna Commercial |
$70.23
|
| Rate for Payer: ASR ASR |
$75.69
|
| Rate for Payer: ASR Commercial |
$75.69
|
| Rate for Payer: BCBS Trust/PPO |
$63.59
|
| Rate for Payer: BCN Commercial |
$60.50
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$73.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$78.03
|
| Rate for Payer: Healthscope Whirlpool |
$75.69
|
| Rate for Payer: Mclaren Commercial |
$70.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.67
|
|
|
HC TESTOSTERONE BIOAVAILABLE
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 84402
|
| Hospital Charge Code |
30100429
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$78.03 |
| Rate for Payer: Aetna Commercial |
$70.23
|
| Rate for Payer: Aetna Medicare |
$25.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.84
|
| Rate for Payer: ASR ASR |
$75.69
|
| Rate for Payer: ASR Commercial |
$75.69
|
| Rate for Payer: BCBS Complete |
$14.33
|
| Rate for Payer: BCBS MAPPO |
$25.47
|
| Rate for Payer: BCBS Trust/PPO |
$63.90
|
| Rate for Payer: BCN Commercial |
$60.50
|
| Rate for Payer: BCN Medicare Advantage |
$25.47
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$73.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.47
|
| Rate for Payer: Healthscope Commercial |
$78.03
|
| Rate for Payer: Healthscope Whirlpool |
$75.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$25.47
|
| Rate for Payer: Mclaren Commercial |
$70.23
|
| Rate for Payer: Mclaren Medicaid |
$13.65
|
| Rate for Payer: Mclaren Medicare |
$25.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.74
|
| Rate for Payer: Meridian Medicaid |
$14.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: PACE Medicare |
$24.20
|
| Rate for Payer: PACE SWMI |
$25.47
|
| Rate for Payer: PHP Commercial |
$28.02
|
| Rate for Payer: PHP Medicaid |
$13.65
|
| Rate for Payer: PHP Medicare Advantage |
$25.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.37
|
| Rate for Payer: Priority Health Medicare |
$25.47
|
| Rate for Payer: Priority Health Narrow Network |
$54.70
|
| Rate for Payer: Railroad Medicare Medicare |
$25.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.47
|
| Rate for Payer: UHC Exchange |
$39.48
|
| Rate for Payer: UHC Medicare Advantage |
$25.47
|
| Rate for Payer: UHCCP DNSP |
$25.47
|
| Rate for Payer: UHCCP Medicaid |
$13.65
|
| Rate for Payer: VA VA |
$25.47
|
|
|
HC TESTOSTERONE FREE
|
Facility
|
OP
|
$44.79
|
|
|
Service Code
|
CPT 84402
|
| Hospital Charge Code |
30100428
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.65 |
| Max. Negotiated Rate |
$44.79 |
| Rate for Payer: Aetna Commercial |
$40.31
|
| Rate for Payer: Aetna Medicare |
$25.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.84
|
| Rate for Payer: ASR ASR |
$43.45
|
| Rate for Payer: ASR Commercial |
$43.45
|
| Rate for Payer: BCBS Complete |
$14.33
|
| Rate for Payer: BCBS MAPPO |
$25.47
|
| Rate for Payer: BCBS Trust/PPO |
$36.68
|
| Rate for Payer: BCN Commercial |
$34.73
|
| Rate for Payer: BCN Medicare Advantage |
$25.47
|
| Rate for Payer: Cash Price |
$35.83
|
| Rate for Payer: Cash Price |
$35.83
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.47
|
| Rate for Payer: Healthscope Commercial |
$44.79
|
| Rate for Payer: Healthscope Whirlpool |
$43.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$25.47
|
| Rate for Payer: Mclaren Commercial |
$40.31
|
| Rate for Payer: Mclaren Medicaid |
$13.65
|
| Rate for Payer: Mclaren Medicare |
$25.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.74
|
| Rate for Payer: Meridian Medicaid |
$14.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.07
|
| Rate for Payer: Nomi Health Commercial |
$36.73
|
| Rate for Payer: PACE Medicare |
$24.20
|
| Rate for Payer: PACE SWMI |
$25.47
|
| Rate for Payer: PHP Commercial |
$28.02
|
| Rate for Payer: PHP Medicaid |
$13.65
|
| Rate for Payer: PHP Medicare Advantage |
$25.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.24
|
| Rate for Payer: Priority Health Medicare |
$25.47
|
| Rate for Payer: Priority Health Narrow Network |
$31.40
|
| Rate for Payer: Railroad Medicare Medicare |
$25.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.47
|
| Rate for Payer: UHC Exchange |
$39.48
|
| Rate for Payer: UHC Medicare Advantage |
$25.47
|
| Rate for Payer: UHCCP DNSP |
$25.47
|
| Rate for Payer: UHCCP Medicaid |
$13.65
|
| Rate for Payer: VA VA |
$25.47
|
|
|
HC TESTOSTERONE FREE
|
Facility
|
IP
|
$44.79
|
|
|
Service Code
|
CPT 84402
|
| Hospital Charge Code |
30100428
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.11 |
| Max. Negotiated Rate |
$44.79 |
| Rate for Payer: Aetna Commercial |
$40.31
|
| Rate for Payer: ASR ASR |
$43.45
|
| Rate for Payer: ASR Commercial |
$43.45
|
| Rate for Payer: BCBS Trust/PPO |
$36.50
|
| Rate for Payer: BCN Commercial |
$34.73
|
| Rate for Payer: Cash Price |
$35.83
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.83
|
| Rate for Payer: Healthscope Commercial |
$44.79
|
| Rate for Payer: Healthscope Whirlpool |
$43.45
|
| Rate for Payer: Mclaren Commercial |
$40.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.07
|
| Rate for Payer: Nomi Health Commercial |
$36.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.42
|
|
|
HC TESTOSTERONE, FREE & WKLY BOUND
|
Facility
|
OP
|
$81.60
|
|
|
Service Code
|
CPT 84410
|
| Hospital Charge Code |
30100736
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.49 |
| Max. Negotiated Rate |
$81.60 |
| Rate for Payer: Aetna Commercial |
$73.44
|
| Rate for Payer: Aetna Medicare |
$51.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.10
|
| Rate for Payer: ASR ASR |
$79.15
|
| Rate for Payer: ASR Commercial |
$79.15
|
| Rate for Payer: BCBS Complete |
$28.86
|
| Rate for Payer: BCBS MAPPO |
$51.28
|
| Rate for Payer: BCBS Trust/PPO |
$66.82
|
| Rate for Payer: BCN Commercial |
$63.26
|
| Rate for Payer: BCN Medicare Advantage |
$51.28
|
| Rate for Payer: Cash Price |
$65.28
|
| Rate for Payer: Cash Price |
$65.28
|
| Rate for Payer: Cofinity Commercial |
$76.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.28
|
| Rate for Payer: Healthscope Commercial |
$81.60
|
| Rate for Payer: Healthscope Whirlpool |
$79.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.28
|
| Rate for Payer: Mclaren Commercial |
$73.44
|
| Rate for Payer: Mclaren Medicaid |
$27.49
|
| Rate for Payer: Mclaren Medicare |
$51.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.84
|
| Rate for Payer: Meridian Medicaid |
$28.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.36
|
| Rate for Payer: Nomi Health Commercial |
$66.91
|
| Rate for Payer: PACE Medicare |
$48.72
|
| Rate for Payer: PACE SWMI |
$51.28
|
| Rate for Payer: PHP Commercial |
$56.41
|
| Rate for Payer: PHP Medicaid |
$27.49
|
| Rate for Payer: PHP Medicare Advantage |
$51.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.50
|
| Rate for Payer: Priority Health Medicare |
$51.28
|
| Rate for Payer: Priority Health Narrow Network |
$57.20
|
| Rate for Payer: Railroad Medicare Medicare |
$51.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$71.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.28
|
| Rate for Payer: UHC Exchange |
$79.48
|
| Rate for Payer: UHC Medicare Advantage |
$51.28
|
| Rate for Payer: UHCCP DNSP |
$51.28
|
| Rate for Payer: UHCCP Medicaid |
$27.49
|
| Rate for Payer: VA VA |
$51.28
|
|
|
HC TESTOSTERONE, FREE & WKLY BOUND
|
Facility
|
IP
|
$81.60
|
|
|
Service Code
|
CPT 84410
|
| Hospital Charge Code |
30100736
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$53.04 |
| Max. Negotiated Rate |
$81.60 |
| Rate for Payer: Aetna Commercial |
$73.44
|
| Rate for Payer: ASR ASR |
$79.15
|
| Rate for Payer: ASR Commercial |
$79.15
|
| Rate for Payer: BCBS Trust/PPO |
$66.50
|
| Rate for Payer: BCN Commercial |
$63.26
|
| Rate for Payer: Cash Price |
$65.28
|
| Rate for Payer: Cofinity Commercial |
$76.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.28
|
| Rate for Payer: Healthscope Commercial |
$81.60
|
| Rate for Payer: Healthscope Whirlpool |
$79.15
|
| Rate for Payer: Mclaren Commercial |
$73.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.36
|
| Rate for Payer: Nomi Health Commercial |
$66.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$71.81
|
|
