|
PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$2,086.00
|
|
|
Service Code
|
HCPCS 57282
|
| Min. Negotiated Rate |
$445.60 |
| Max. Negotiated Rate |
$2,780.44 |
| Rate for Payer: Aetna Commercial |
$921.68
|
| Rate for Payer: Aetna Medicare |
$687.82
|
| Rate for Payer: BCBS Complete |
$467.88
|
| Rate for Payer: BCBS MAPPO |
$687.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,780.44
|
| Rate for Payer: BCN Commercial |
$1,017.43
|
| Rate for Payer: BCN Medicare Advantage |
$687.82
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cofinity Commercial |
$990.46
|
| Rate for Payer: Cofinity Commercial |
$921.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.82
|
| Rate for Payer: Healthscope Commercial |
$825.38
|
| Rate for Payer: Healthscope Whirlpool |
$825.38
|
| Rate for Payer: Meridian Medicaid |
$467.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$722.21
|
| Rate for Payer: PACE SWMI |
$687.82
|
| Rate for Payer: PHP Medicare Advantage |
$687.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,460.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$985.67
|
| Rate for Payer: Priority Health Medicare |
$687.82
|
| Rate for Payer: Priority Health Narrow Network |
$985.67
|
| Rate for Payer: UHC Medicare Advantage |
$708.45
|
|
|
PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$1,141.00
|
|
|
Service Code
|
HCPCS 57283
|
| Min. Negotiated Rate |
$448.79 |
| Max. Negotiated Rate |
$3,053.05 |
| Rate for Payer: Aetna Commercial |
$929.92
|
| Rate for Payer: Aetna Medicare |
$693.97
|
| Rate for Payer: BCBS Complete |
$471.23
|
| Rate for Payer: BCBS MAPPO |
$693.97
|
| Rate for Payer: BCBS Trust/PPO |
$3,053.05
|
| Rate for Payer: BCN Commercial |
$1,026.22
|
| Rate for Payer: BCN Medicare Advantage |
$693.97
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cofinity Commercial |
$999.32
|
| Rate for Payer: Cofinity Commercial |
$929.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$693.97
|
| Rate for Payer: Healthscope Commercial |
$832.76
|
| Rate for Payer: Healthscope Whirlpool |
$832.76
|
| Rate for Payer: Meridian Medicaid |
$471.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$728.67
|
| Rate for Payer: PACE SWMI |
$693.97
|
| Rate for Payer: PHP Medicare Advantage |
$693.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$448.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$994.19
|
| Rate for Payer: Priority Health Medicare |
$693.97
|
| Rate for Payer: Priority Health Narrow Network |
$994.19
|
| Rate for Payer: UHC Medicare Advantage |
$714.79
|
|
|
PR COLPORRHAPHY SUTURE INJURY VAGINA
|
Professional
|
Both
|
$858.00
|
|
|
Service Code
|
HCPCS 57200
|
| Min. Negotiated Rate |
$214.92 |
| Max. Negotiated Rate |
$2,224.14 |
| Rate for Payer: Aetna Commercial |
$436.10
|
| Rate for Payer: Aetna Medicare |
$325.45
|
| Rate for Payer: BCBS Complete |
$225.67
|
| Rate for Payer: BCBS MAPPO |
$325.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,224.14
|
| Rate for Payer: BCN Commercial |
$487.70
|
| Rate for Payer: BCN Medicare Advantage |
$325.45
|
| Rate for Payer: Cash Price |
$686.40
|
| Rate for Payer: Cash Price |
$686.40
|
| Rate for Payer: Cofinity Commercial |
$468.65
|
| Rate for Payer: Cofinity Commercial |
$436.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.45
|
| Rate for Payer: Healthscope Commercial |
$390.54
|
| Rate for Payer: Healthscope Whirlpool |
$390.54
|
| Rate for Payer: Meridian Medicaid |
$225.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.72
|
| Rate for Payer: PACE SWMI |
$325.45
|
| Rate for Payer: PHP Medicare Advantage |
$325.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$472.47
|
| Rate for Payer: Priority Health Medicare |
$325.45
|
| Rate for Payer: Priority Health Narrow Network |
$472.47
|
| Rate for Payer: UHC Medicare Advantage |
$335.21
|
|
|
PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS 57454
|
| Min. Negotiated Rate |
$85.41 |
| Max. Negotiated Rate |
$247.80 |
| Rate for Payer: Aetna Commercial |
$176.01
|
| Rate for Payer: Aetna Medicare |
$131.35
|
| Rate for Payer: BCBS Complete |
$89.68
|
| Rate for Payer: BCBS MAPPO |
$131.35
|
| Rate for Payer: BCBS Trust/PPO |
$246.72
|
| Rate for Payer: BCN Commercial |
$199.48
|
| Rate for Payer: BCN Medicare Advantage |
$131.35
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cofinity Commercial |
$189.14
|
| Rate for Payer: Cofinity Commercial |
$176.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.35
|
| Rate for Payer: Healthscope Commercial |
$157.62
|
| Rate for Payer: Healthscope Whirlpool |
$157.62
|
| Rate for Payer: Meridian Medicaid |
$89.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$137.92
|
| Rate for Payer: PACE SWMI |
$131.35
|
| Rate for Payer: PHP Medicare Advantage |
$131.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$187.47
|
| Rate for Payer: Priority Health Medicare |
$131.35
|
| Rate for Payer: Priority Health Narrow Network |
$187.47
|
| Rate for Payer: UHC Medicare Advantage |
$135.29
|
|
|
PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 57456
|
| Min. Negotiated Rate |
$64.54 |
| Max. Negotiated Rate |
$1,290.64 |
| Rate for Payer: Aetna Commercial |
$134.24
|
| Rate for Payer: Aetna Medicare |
$100.18
|
| Rate for Payer: BCBS Complete |
$67.77
|
| Rate for Payer: BCBS MAPPO |
$100.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,290.64
|
| Rate for Payer: BCN Commercial |
$179.84
|
| Rate for Payer: BCN Medicare Advantage |
$100.18
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cofinity Commercial |
$134.24
|
| Rate for Payer: Cofinity Commercial |
$144.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.18
|
| Rate for Payer: Healthscope Commercial |
$120.22
|
| Rate for Payer: Healthscope Whirlpool |
$120.22
|
| Rate for Payer: Meridian Medicaid |
$67.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.19
|
| Rate for Payer: PACE SWMI |
$100.18
|
| Rate for Payer: PHP Medicare Advantage |
$100.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$142.50
|
| Rate for Payer: Priority Health Medicare |
$100.18
|
| Rate for Payer: Priority Health Narrow Network |
$142.50
|
| Rate for Payer: UHC Medicare Advantage |
$103.19
|
|
|
PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA
|
Professional
|
Both
|
$274.00
|
|
|
Service Code
|
HCPCS 57452
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$304.30 |
| Rate for Payer: Aetna Commercial |
$120.04
|
| Rate for Payer: Aetna Medicare |
$89.58
|
| Rate for Payer: BCBS Complete |
$61.06
|
| Rate for Payer: BCBS MAPPO |
$89.58
|
| Rate for Payer: BCBS Trust/PPO |
$304.30
|
| Rate for Payer: BCN Commercial |
$150.00
|
| Rate for Payer: BCN Medicare Advantage |
$89.58
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cofinity Commercial |
$129.00
|
| Rate for Payer: Cofinity Commercial |
$120.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.58
|
| Rate for Payer: Healthscope Commercial |
$107.50
|
| Rate for Payer: Healthscope Whirlpool |
$107.50
|
| Rate for Payer: Meridian Medicaid |
$61.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.06
|
| Rate for Payer: PACE SWMI |
$89.58
|
| Rate for Payer: PHP Medicare Advantage |
$89.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128.29
|
| Rate for Payer: Priority Health Medicare |
$89.58
|
| Rate for Payer: Priority Health Narrow Network |
$128.29
|
| Rate for Payer: UHC Medicare Advantage |
$92.27
|
|
|
PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 57455
|
| Min. Negotiated Rate |
$69.23 |
| Max. Negotiated Rate |
$1,460.22 |
| Rate for Payer: Aetna Commercial |
$143.98
|
| Rate for Payer: Aetna Medicare |
$107.45
|
| Rate for Payer: BCBS Complete |
$72.69
|
| Rate for Payer: BCBS MAPPO |
$107.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,460.22
|
| Rate for Payer: BCN Commercial |
$190.44
|
| Rate for Payer: BCN Medicare Advantage |
$107.45
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cofinity Commercial |
$154.73
|
| Rate for Payer: Cofinity Commercial |
$143.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.45
|
| Rate for Payer: Healthscope Commercial |
$128.94
|
| Rate for Payer: Healthscope Whirlpool |
$128.94
|
| Rate for Payer: Meridian Medicaid |
$72.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$112.82
|
| Rate for Payer: PACE SWMI |
$107.45
|
| Rate for Payer: PHP Medicare Advantage |
$107.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.92
|
| Rate for Payer: Priority Health Medicare |
$107.45
|
| Rate for Payer: Priority Health Narrow Network |
$152.92
|
| Rate for Payer: UHC Medicare Advantage |
$110.67
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 57461
|
| Min. Negotiated Rate |
$116.51 |
| Max. Negotiated Rate |
$1,582.26 |
| Rate for Payer: Aetna Commercial |
$243.92
|
| Rate for Payer: Aetna Medicare |
$182.03
|
| Rate for Payer: BCBS Complete |
$122.34
|
| Rate for Payer: BCBS MAPPO |
$182.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.26
|
| Rate for Payer: BCN Commercial |
$518.49
|
| Rate for Payer: BCN Medicare Advantage |
$182.03
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$262.12
|
| Rate for Payer: Cofinity Commercial |
$243.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.03
|
| Rate for Payer: Healthscope Commercial |
$218.44
|
| Rate for Payer: Healthscope Whirlpool |
$218.44
|
| Rate for Payer: Meridian Medicaid |
$122.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.13
|
| Rate for Payer: PACE SWMI |
$182.03
|
| Rate for Payer: PHP Medicare Advantage |
$182.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.48
|
| Rate for Payer: Priority Health Medicare |
$182.03
|
| Rate for Payer: Priority Health Narrow Network |
$258.48
|
| Rate for Payer: UHC Medicare Advantage |
$187.49
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$941.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$370.46 |
| Max. Negotiated Rate |
$3,473.69 |
| Rate for Payer: Aetna Commercial |
$846.90
|
| Rate for Payer: Aetna Medicare |
$2,778.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,473.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,473.69
|
| Rate for Payer: ASR ASR |
$912.77
|
| Rate for Payer: BCBS Complete |
$1,596.23
|
| Rate for Payer: BCBS MAPPO |
$2,778.95
|
| Rate for Payer: BCBS Trust/PPO |
$729.56
|
| Rate for Payer: BCCCP Commercial |
$370.46
|
| Rate for Payer: BCN Commercial |
$729.56
|
| Rate for Payer: BCN Medicare Advantage |
$2,778.95
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$884.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,778.95
|
| Rate for Payer: Healthscope Commercial |
$941.00
|
| Rate for Payer: Healthscope Whirlpool |
$912.77
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,778.95
|
| Rate for Payer: Mclaren Commercial |
$846.90
|
| Rate for Payer: Mclaren Medicaid |
$1,520.09
|
| Rate for Payer: Mclaren Medicare |
$2,778.95
|
| Rate for Payer: Meridian Medicaid |
$1,596.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,917.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,195.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$799.85
|
| Rate for Payer: PACE Medicare |
$2,640.00
|
| Rate for Payer: PACE SWMI |
$2,778.95
|
| Rate for Payer: PHP Commercial |
$3,056.84
|
| Rate for Payer: PHP Medicaid |
$1,520.09
|
| Rate for Payer: PHP Medicare Advantage |
$2,778.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,520.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$856.31
|
| Rate for Payer: Priority Health Medicare |
$2,778.95
|
| Rate for Payer: Priority Health Narrow Network |
$668.11
|
| Rate for Payer: Railroad Medicare Medicare |
$2,778.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$828.08
|
| Rate for Payer: UHC Medicare Advantage |
$2,862.32
|
| Rate for Payer: VA VA |
$2,778.95
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$941.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$658.70 |
| Max. Negotiated Rate |
$941.00 |
| Rate for Payer: Aetna Commercial |
$846.90
|
| Rate for Payer: ASR ASR |
$912.77
|
| Rate for Payer: BCBS Trust/PPO |
$729.56
|
| Rate for Payer: BCN Commercial |
$729.56
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$884.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.80
|
| Rate for Payer: Healthscope Commercial |
$941.00
|
| Rate for Payer: Healthscope Whirlpool |
$912.77
|
| Rate for Payer: Mclaren Commercial |
$846.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$799.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$828.08
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$116.51 |
| Max. Negotiated Rate |
$1,582.26 |
| Rate for Payer: Aetna Commercial |
$243.92
|
| Rate for Payer: Aetna Medicare |
$182.03
|
| Rate for Payer: BCBS Complete |
$122.34
|
| Rate for Payer: BCBS MAPPO |
$182.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.26
|
| Rate for Payer: BCN Commercial |
$518.49
|
| Rate for Payer: BCN Medicare Advantage |
$182.03
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$243.92
|
| Rate for Payer: Cofinity Commercial |
$262.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.03
|
| Rate for Payer: Healthscope Commercial |
$218.44
|
| Rate for Payer: Healthscope Whirlpool |
$218.44
|
| Rate for Payer: Meridian Medicaid |
$122.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.13
|
| Rate for Payer: PACE SWMI |
$182.03
|
| Rate for Payer: PHP Medicare Advantage |
$182.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.48
|
| Rate for Payer: Priority Health Medicare |
$182.03
|
| Rate for Payer: Priority Health Narrow Network |
$258.48
|
| Rate for Payer: UHC Medicare Advantage |
$187.49
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$634.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$443.80 |
| Max. Negotiated Rate |
$634.00 |
| Rate for Payer: Aetna Commercial |
$570.60
|
| Rate for Payer: ASR ASR |
$614.98
|
| Rate for Payer: BCBS Trust/PPO |
$491.54
|
| Rate for Payer: BCN Commercial |
$491.54
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$595.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$507.20
|
| Rate for Payer: Healthscope Commercial |
$634.00
|
| Rate for Payer: Healthscope Whirlpool |
$614.98
|
| Rate for Payer: Mclaren Commercial |
$570.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$538.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$557.92
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$634.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$101.81 |
| Max. Negotiated Rate |
$1,524.15 |
| Rate for Payer: Aetna Commercial |
$211.38
|
| Rate for Payer: Aetna Medicare |
$157.75
|
| Rate for Payer: BCBS Complete |
$106.90
|
| Rate for Payer: BCBS MAPPO |
$157.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,524.15
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$157.75
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$211.38
|
| Rate for Payer: Cofinity Commercial |
$227.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.75
|
| Rate for Payer: Healthscope Commercial |
$189.30
|
| Rate for Payer: Healthscope Whirlpool |
$189.30
|
| Rate for Payer: Meridian Medicaid |
$106.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$165.64
|
| Rate for Payer: PACE SWMI |
$157.75
|
| Rate for Payer: PHP Medicare Advantage |
$157.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.87
|
| Rate for Payer: Priority Health Medicare |
$157.75
|
| Rate for Payer: Priority Health Narrow Network |
$224.87
|
| Rate for Payer: UHC Medicare Advantage |
$162.48
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$634.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$101.81 |
| Max. Negotiated Rate |
$1,524.15 |
| Rate for Payer: Aetna Commercial |
$211.38
|
| Rate for Payer: Aetna Medicare |
$157.75
|
| Rate for Payer: BCBS Complete |
$106.90
|
| Rate for Payer: BCBS MAPPO |
$157.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,524.15
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$157.75
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$227.16
|
| Rate for Payer: Cofinity Commercial |
$211.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.75
|
| Rate for Payer: Healthscope Commercial |
$189.30
|
| Rate for Payer: Healthscope Whirlpool |
$189.30
|
| Rate for Payer: Meridian Medicaid |
$106.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$165.64
|
| Rate for Payer: PACE SWMI |
$157.75
|
| Rate for Payer: PHP Medicare Advantage |
$157.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.87
|
| Rate for Payer: Priority Health Medicare |
$157.75
|
| Rate for Payer: Priority Health Narrow Network |
$224.87
|
| Rate for Payer: UHC Medicare Advantage |
$162.48
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$634.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$331.36 |
| Max. Negotiated Rate |
$3,473.69 |
| Rate for Payer: Aetna Commercial |
$570.60
|
| Rate for Payer: Aetna Medicare |
$2,778.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,473.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,473.69
|
| Rate for Payer: ASR ASR |
$614.98
|
| Rate for Payer: BCBS Complete |
$1,596.23
|
| Rate for Payer: BCBS MAPPO |
$2,778.95
|
| Rate for Payer: BCBS Trust/PPO |
$491.54
|
| Rate for Payer: BCCCP Commercial |
$331.36
|
| Rate for Payer: BCN Commercial |
$491.54
|
| Rate for Payer: BCN Medicare Advantage |
$2,778.95
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$595.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$507.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,778.95
|
| Rate for Payer: Healthscope Commercial |
$634.00
|
| Rate for Payer: Healthscope Whirlpool |
$614.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,778.95
|
| Rate for Payer: Mclaren Commercial |
$570.60
|
| Rate for Payer: Mclaren Medicaid |
$1,520.09
|
| Rate for Payer: Mclaren Medicare |
$2,778.95
|
| Rate for Payer: Meridian Medicaid |
$1,596.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,917.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,195.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$538.90
|
| Rate for Payer: PACE Medicare |
$2,640.00
|
| Rate for Payer: PACE SWMI |
$2,778.95
|
| Rate for Payer: PHP Commercial |
$3,056.84
|
| Rate for Payer: PHP Medicaid |
$1,520.09
|
| Rate for Payer: PHP Medicare Advantage |
$2,778.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,520.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$576.94
|
| Rate for Payer: Priority Health Medicare |
$2,778.95
|
| Rate for Payer: Priority Health Narrow Network |
$450.14
|
| Rate for Payer: Railroad Medicare Medicare |
$2,778.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$557.92
|
| Rate for Payer: UHC Medicare Advantage |
$2,862.32
|
| Rate for Payer: VA VA |
$2,778.95
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$57.30 |
| Max. Negotiated Rate |
$1,752.90 |
| Rate for Payer: Aetna Commercial |
$118.38
|
| Rate for Payer: Aetna Medicare |
$88.34
|
| Rate for Payer: BCBS Complete |
$60.16
|
| Rate for Payer: BCBS MAPPO |
$88.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,752.90
|
| Rate for Payer: BCN Commercial |
$194.49
|
| Rate for Payer: BCN Medicare Advantage |
$88.34
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$127.21
|
| Rate for Payer: Cofinity Commercial |
$118.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.34
|
| Rate for Payer: Healthscope Commercial |
$106.01
|
| Rate for Payer: Healthscope Whirlpool |
$106.01
|
| Rate for Payer: Meridian Medicaid |
$60.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$92.76
|
| Rate for Payer: PACE SWMI |
$88.34
|
| Rate for Payer: PHP Medicare Advantage |
$88.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$125.93
|
| Rate for Payer: Priority Health Medicare |
$88.34
|
| Rate for Payer: Priority Health Narrow Network |
$125.93
|
| Rate for Payer: UHC Medicare Advantage |
$90.99
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$77.75 |
| Max. Negotiated Rate |
$260.95 |
| Rate for Payer: Aetna Commercial |
$160.92
|
| Rate for Payer: Aetna Medicare |
$120.09
|
| Rate for Payer: BCBS Complete |
$81.64
|
| Rate for Payer: BCBS MAPPO |
$120.09
|
| Rate for Payer: BCBS Trust/PPO |
$122.57
|
| Rate for Payer: BCN Commercial |
$260.95
|
| Rate for Payer: BCN Medicare Advantage |
$120.09
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$172.93
|
| Rate for Payer: Cofinity Commercial |
$160.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.09
|
| Rate for Payer: Healthscope Commercial |
$144.11
|
| Rate for Payer: Healthscope Whirlpool |
$144.11
|
| Rate for Payer: Meridian Medicaid |
$81.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.09
|
| Rate for Payer: PACE SWMI |
$120.09
|
| Rate for Payer: PHP Medicare Advantage |
$120.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.90
|
| Rate for Payer: Priority Health Medicare |
$120.09
|
| Rate for Payer: Priority Health Narrow Network |
$170.90
|
| Rate for Payer: UHC Medicare Advantage |
$123.69
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$53.68 |
| Max. Negotiated Rate |
$1,801.50 |
| Rate for Payer: Aetna Commercial |
$112.18
|
| Rate for Payer: Aetna Medicare |
$83.72
|
| Rate for Payer: BCBS Complete |
$56.36
|
| Rate for Payer: BCBS MAPPO |
$83.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,801.50
|
| Rate for Payer: BCN Commercial |
$184.23
|
| Rate for Payer: BCN Medicare Advantage |
$83.72
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$112.18
|
| Rate for Payer: Cofinity Commercial |
$120.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.72
|
| Rate for Payer: Healthscope Commercial |
$100.46
|
| Rate for Payer: Healthscope Whirlpool |
$100.46
|
| Rate for Payer: Meridian Medicaid |
$56.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.91
|
| Rate for Payer: PACE SWMI |
$83.72
|
| Rate for Payer: PHP Medicare Advantage |
$83.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$119.31
|
| Rate for Payer: Priority Health Medicare |
$83.72
|
| Rate for Payer: Priority Health Narrow Network |
$119.31
|
| Rate for Payer: UHC Medicare Advantage |
$86.23
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$150.72
|
| Rate for Payer: Aetna Medicare |
$112.48
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$112.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$112.48
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$161.97
|
| Rate for Payer: Cofinity Commercial |
$150.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.48
|
| Rate for Payer: Healthscope Commercial |
$134.98
|
| Rate for Payer: Healthscope Whirlpool |
$134.98
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$118.10
|
| Rate for Payer: PACE SWMI |
$112.48
|
| Rate for Payer: PHP Medicare Advantage |
$112.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.02
|
| Rate for Payer: Priority Health Medicare |
$112.48
|
| Rate for Payer: Priority Health Narrow Network |
$160.02
|
| Rate for Payer: UHC Medicare Advantage |
$115.85
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$344.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$240.80 |
| Max. Negotiated Rate |
$344.00 |
| Rate for Payer: Aetna Commercial |
$309.60
|
| Rate for Payer: ASR ASR |
$333.68
|
| Rate for Payer: BCBS Trust/PPO |
$266.70
|
| Rate for Payer: BCN Commercial |
$266.70
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$323.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$275.20
|
| Rate for Payer: Healthscope Commercial |
$344.00
|
| Rate for Payer: Healthscope Whirlpool |
$333.68
|
| Rate for Payer: Mclaren Commercial |
$309.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$292.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$302.72
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$344.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$155.98 |
| Max. Negotiated Rate |
$356.45 |
| Rate for Payer: Aetna Commercial |
$309.60
|
| Rate for Payer: Aetna Medicare |
$285.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$356.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$356.45
|
| Rate for Payer: ASR ASR |
$333.68
|
| Rate for Payer: BCBS Complete |
$163.80
|
| Rate for Payer: BCBS MAPPO |
$285.16
|
| Rate for Payer: BCBS Trust/PPO |
$266.70
|
| Rate for Payer: BCN Commercial |
$266.70
|
| Rate for Payer: BCN Medicare Advantage |
$285.16
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$323.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$275.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.16
|
| Rate for Payer: Healthscope Commercial |
$344.00
|
| Rate for Payer: Healthscope Whirlpool |
$333.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$285.16
|
| Rate for Payer: Mclaren Commercial |
$309.60
|
| Rate for Payer: Mclaren Medicaid |
$155.98
|
| Rate for Payer: Mclaren Medicare |
$285.16
|
| Rate for Payer: Meridian Medicaid |
$163.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$327.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$292.40
|
| Rate for Payer: PACE Medicare |
$270.90
|
| Rate for Payer: PACE SWMI |
$285.16
|
| Rate for Payer: PHP Commercial |
$313.68
|
| Rate for Payer: PHP Medicaid |
$155.98
|
| Rate for Payer: PHP Medicare Advantage |
$285.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$155.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$313.04
|
| Rate for Payer: Priority Health Medicare |
$285.16
|
| Rate for Payer: Priority Health Narrow Network |
$244.24
|
| Rate for Payer: Railroad Medicare Medicare |
$285.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$302.72
|
| Rate for Payer: UHC Medicare Advantage |
$293.71
|
| Rate for Payer: VA VA |
$285.16
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$150.72
|
| Rate for Payer: Aetna Medicare |
$112.48
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$112.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$112.48
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$161.97
|
| Rate for Payer: Cofinity Commercial |
$150.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.48
|
| Rate for Payer: Healthscope Commercial |
$134.98
|
| Rate for Payer: Healthscope Whirlpool |
$134.98
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$118.10
|
| Rate for Payer: PACE SWMI |
$112.48
|
| Rate for Payer: PHP Medicare Advantage |
$112.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.02
|
| Rate for Payer: Priority Health Medicare |
$112.48
|
| Rate for Payer: Priority Health Narrow Network |
$160.02
|
| Rate for Payer: UHC Medicare Advantage |
$115.85
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$983.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$295.43 |
| Max. Negotiated Rate |
$1,747.09 |
| Rate for Payer: Aetna Commercial |
$606.56
|
| Rate for Payer: Aetna Medicare |
$452.66
|
| Rate for Payer: BCBS Complete |
$310.20
|
| Rate for Payer: BCBS MAPPO |
$452.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,747.09
|
| Rate for Payer: BCN Commercial |
$673.89
|
| Rate for Payer: BCN Medicare Advantage |
$452.66
|
| Rate for Payer: Cash Price |
$786.40
|
| Rate for Payer: Cash Price |
$786.40
|
| Rate for Payer: Cofinity Commercial |
$606.56
|
| Rate for Payer: Cofinity Commercial |
$651.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$452.66
|
| Rate for Payer: Healthscope Commercial |
$543.19
|
| Rate for Payer: Healthscope Whirlpool |
$543.19
|
| Rate for Payer: Meridian Medicaid |
$310.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$475.29
|
| Rate for Payer: PACE SWMI |
$452.66
|
| Rate for Payer: PHP Medicare Advantage |
$452.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$652.85
|
| Rate for Payer: Priority Health Medicare |
$452.66
|
| Rate for Payer: Priority Health Narrow Network |
$652.85
|
| Rate for Payer: UHC Medicare Advantage |
$466.24
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
OP
|
$1,396.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$573.77 |
| Max. Negotiated Rate |
$1,396.00 |
| Rate for Payer: Aetna Commercial |
$1,256.40
|
| Rate for Payer: Aetna Medicare |
$1,048.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: ASR ASR |
$1,354.12
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,082.32
|
| Rate for Payer: BCN Commercial |
$1,082.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$1,312.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Healthscope Commercial |
$1,396.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,354.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,048.94
|
| Rate for Payer: Mclaren Commercial |
$1,256.40
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,186.60
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Commercial |
$1,153.83
|
| Rate for Payer: PHP Medicaid |
$573.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,270.36
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$991.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,228.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
IP
|
$1,396.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$977.20 |
| Max. Negotiated Rate |
$1,396.00 |
| Rate for Payer: Aetna Commercial |
$1,256.40
|
| Rate for Payer: ASR ASR |
$1,354.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,082.32
|
| Rate for Payer: BCN Commercial |
$1,082.32
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$1,312.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.80
|
| Rate for Payer: Healthscope Commercial |
$1,396.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,354.12
|
| Rate for Payer: Mclaren Commercial |
$1,256.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,186.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,228.48
|
|
