|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
IP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$655.85 |
| Max. Negotiated Rate |
$1,009.00 |
| Rate for Payer: Aetna Commercial |
$908.10
|
| Rate for Payer: ASR ASR |
$978.73
|
| Rate for Payer: ASR Commercial |
$978.73
|
| Rate for Payer: BCBS Trust/PPO |
$822.23
|
| Rate for Payer: BCN Commercial |
$782.28
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$948.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Healthscope Commercial |
$1,009.00
|
| Rate for Payer: Healthscope Whirlpool |
$978.73
|
| Rate for Payer: Mclaren Commercial |
$908.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: Nomi Health Commercial |
$827.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$887.92
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$4,017.19 |
| Rate for Payer: Aetna Commercial |
$208.34
|
| Rate for Payer: Aetna Medicare |
$504.50
|
| Rate for Payer: BCBS Complete |
$52.11
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.63
|
| Rate for Payer: Priority Health Narrow Network |
$275.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.64
|
| Rate for Payer: UHC Exchange |
$207.64
|
| Rate for Payer: UHCCP Medicaid |
$49.63
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
OP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$478.80 |
| Max. Negotiated Rate |
$1,384.58 |
| Rate for Payer: Aetna Commercial |
$908.10
|
| Rate for Payer: Aetna Medicare |
$893.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,116.60
|
| Rate for Payer: ASR ASR |
$978.73
|
| Rate for Payer: ASR Commercial |
$978.73
|
| Rate for Payer: BCBS Complete |
$502.74
|
| Rate for Payer: BCBS MAPPO |
$893.28
|
| Rate for Payer: BCBS Trust/PPO |
$826.27
|
| Rate for Payer: BCN Commercial |
$782.28
|
| Rate for Payer: BCN Medicare Advantage |
$893.28
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$948.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$1,009.00
|
| Rate for Payer: Healthscope Whirlpool |
$978.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$893.28
|
| Rate for Payer: Mclaren Commercial |
$908.10
|
| Rate for Payer: Mclaren Medicaid |
$478.80
|
| Rate for Payer: Mclaren Medicare |
$893.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.94
|
| Rate for Payer: Meridian Medicaid |
$502.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,027.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: Nomi Health Commercial |
$827.38
|
| Rate for Payer: PACE Medicare |
$848.62
|
| Rate for Payer: PACE SWMI |
$893.28
|
| Rate for Payer: PHP Commercial |
$982.61
|
| Rate for Payer: PHP Medicaid |
$478.80
|
| Rate for Payer: PHP Medicare Advantage |
$893.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$884.09
|
| Rate for Payer: Priority Health Medicare |
$893.28
|
| Rate for Payer: Priority Health Narrow Network |
$707.31
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$887.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$1,384.58
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP DNSP |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: VA VA |
$893.28
|
|
|
PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$126.52 |
| Max. Negotiated Rate |
$3,079.46 |
| Rate for Payer: Aetna Commercial |
$264.41
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$132.85
|
| Rate for Payer: BCBS Trust/PPO |
$3,079.46
|
| Rate for Payer: BCN Commercial |
$568.82
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Meridian Medicaid |
$132.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$352.59
|
| Rate for Payer: Priority Health Narrow Network |
$352.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$275.28
|
| Rate for Payer: UHC Exchange |
$275.28
|
| Rate for Payer: UHCCP Medicaid |
$126.52
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,051.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$4,654.32 |
| Rate for Payer: Aetna Commercial |
$242.93
|
| Rate for Payer: Aetna Medicare |
$525.50
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS Trust/PPO |
$4,654.32
|
| Rate for Payer: BCN Commercial |
$817.56
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.77
|
| Rate for Payer: Priority Health Narrow Network |
$322.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$254.31
|
| Rate for Payer: UHC Exchange |
$254.31
|
| Rate for Payer: UHCCP Medicaid |
$115.66
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$619.21 |
| Max. Negotiated Rate |
$1,790.62 |
| Rate for Payer: Aetna Commercial |
$1,053.00
|
| Rate for Payer: Aetna Medicare |
$1,155.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: ASR ASR |
$1,134.90
|
| Rate for Payer: ASR Commercial |
$1,134.90
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$958.11
|
| Rate for Payer: BCN Commercial |
$907.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,099.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,170.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,134.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,155.24
|
| Rate for Payer: Mclaren Commercial |
$1,053.00
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: Nomi Health Commercial |
$959.40
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,270.76
|
| Rate for Payer: PHP Medicaid |
$619.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,025.15
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$820.17
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,029.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$1,790.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP DNSP |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$228.87
|
| Rate for Payer: Aetna Medicare |
$585.00
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.48
|
| Rate for Payer: Priority Health Narrow Network |
$302.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.85
|
| Rate for Payer: UHC Exchange |
$231.85
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$760.50 |
| Max. Negotiated Rate |
$1,170.00 |
| Rate for Payer: Aetna Commercial |
$1,053.00
|
| Rate for Payer: ASR ASR |
$1,134.90
|
| Rate for Payer: ASR Commercial |
$1,134.90
|
| Rate for Payer: BCBS Trust/PPO |
$953.43
|
| Rate for Payer: BCN Commercial |
$907.10
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,099.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Healthscope Commercial |
$1,170.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,134.90
|
| Rate for Payer: Mclaren Commercial |
$1,053.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: Nomi Health Commercial |
$959.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,029.60
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$228.87
|
| Rate for Payer: Aetna Medicare |
$585.00
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.48
|
| Rate for Payer: Priority Health Narrow Network |
$302.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.85
|
| Rate for Payer: UHC Exchange |
$231.85
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ
|
Professional
|
Both
|
$1,050.00
|
|
|
Service Code
|
HCPCS 44403
|
| Min. Negotiated Rate |
$190.85 |
| Max. Negotiated Rate |
$682.50 |
| Rate for Payer: Aetna Commercial |
$404.30
|
| Rate for Payer: Aetna Medicare |
$525.00
|
| Rate for Payer: BCBS Complete |
$200.39
|
| Rate for Payer: BCN Commercial |
$435.90
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Meridian Medicaid |
$200.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$190.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$682.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$534.56
|
| Rate for Payer: Priority Health Narrow Network |
$534.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$415.10
|
| Rate for Payer: UHC Exchange |
$415.10
|
| Rate for Payer: UHCCP Medicaid |
$190.85
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$164.22 |
| Max. Negotiated Rate |
$4,432.97 |
| Rate for Payer: Aetna Commercial |
$346.99
|
| Rate for Payer: Aetna Medicare |
$276.00
|
| Rate for Payer: BCBS Complete |
$172.43
|
| Rate for Payer: BCBS Trust/PPO |
$4,432.97
|
| Rate for Payer: BCN Commercial |
$374.82
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Meridian Medicaid |
$172.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$358.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$459.37
|
| Rate for Payer: Priority Health Narrow Network |
$459.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$345.79
|
| Rate for Payer: UHC Exchange |
$345.79
|
| Rate for Payer: UHCCP Medicaid |
$164.22
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$132.91 |
| Max. Negotiated Rate |
$3,813.27 |
| Rate for Payer: Aetna Commercial |
$279.62
|
| Rate for Payer: Aetna Medicare |
$585.00
|
| Rate for Payer: BCBS Complete |
$139.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,813.27
|
| Rate for Payer: BCN Commercial |
$593.26
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Meridian Medicaid |
$139.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.88
|
| Rate for Payer: Priority Health Narrow Network |
$369.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$278.56
|
| Rate for Payer: UHC Exchange |
$278.56
|
| Rate for Payer: UHCCP Medicaid |
$132.91
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$619.21 |
| Max. Negotiated Rate |
$1,790.62 |
| Rate for Payer: Aetna Commercial |
$1,233.90
|
| Rate for Payer: Aetna Medicare |
$1,155.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: ASR ASR |
$1,329.87
|
| Rate for Payer: ASR Commercial |
$1,329.87
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,122.71
|
| Rate for Payer: BCN Commercial |
$1,062.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,288.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,371.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,329.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,155.24
|
| Rate for Payer: Mclaren Commercial |
$1,233.90
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,270.76
|
| Rate for Payer: PHP Medicaid |
$619.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,201.27
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$961.07
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,206.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$1,790.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP DNSP |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$299.55
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.73
|
| Rate for Payer: Priority Health Narrow Network |
$396.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.74
|
| Rate for Payer: UHC Exchange |
$322.74
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$891.15 |
| Max. Negotiated Rate |
$1,371.00 |
| Rate for Payer: Aetna Commercial |
$1,233.90
|
| Rate for Payer: ASR ASR |
$1,329.87
|
| Rate for Payer: ASR Commercial |
$1,329.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.23
|
| Rate for Payer: BCN Commercial |
$1,062.94
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,288.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,371.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,329.87
|
| Rate for Payer: Mclaren Commercial |
$1,233.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,206.48
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$299.55
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.73
|
| Rate for Payer: Priority Health Narrow Network |
$396.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.74
|
| Rate for Payer: UHC Exchange |
$322.74
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$1,371.00 |
| Rate for Payer: Aetna Commercial |
$1,233.90
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: ASR ASR |
$1,329.87
|
| Rate for Payer: ASR Commercial |
$1,329.87
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,122.71
|
| Rate for Payer: BCN Commercial |
$1,062.94
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,288.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,371.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,329.87
|
| Rate for Payer: Mclaren Commercial |
$1,233.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,201.27
|
| Rate for Payer: Priority Health Narrow Network |
$961.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,206.48
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$891.15 |
| Max. Negotiated Rate |
$1,371.00 |
| Rate for Payer: Aetna Commercial |
$1,233.90
|
| Rate for Payer: ASR ASR |
$1,329.87
|
| Rate for Payer: ASR Commercial |
$1,329.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.23
|
| Rate for Payer: BCN Commercial |
$1,062.94
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,288.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,371.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,329.87
|
| Rate for Payer: Mclaren Commercial |
$1,233.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,206.48
|
|
|
PR COLONOSCOPY,TRANSENDOSCOPIC STENT
|
Professional
|
Both
|
$1,602.00
|
|
|
Service Code
|
HCPCS 45387
|
| Min. Negotiated Rate |
$640.80 |
| Max. Negotiated Rate |
$1,041.30 |
| Rate for Payer: Aetna Medicare |
$801.00
|
| Rate for Payer: BCBS Complete |
$640.80
|
| Rate for Payer: Cash Price |
$1,281.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,041.30
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 45380
|
| Hospital Charge Code |
45380
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$731.25 |
| Rate for Payer: Aetna Commercial |
$267.31
|
| Rate for Payer: Aetna Medicare |
$562.50
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.18
|
| Rate for Payer: Priority Health Narrow Network |
$353.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$326.19
|
| Rate for Payer: UHC Exchange |
$326.19
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,125.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$619.21 |
| Max. Negotiated Rate |
$1,790.62 |
| Rate for Payer: Aetna Commercial |
$1,012.50
|
| Rate for Payer: Aetna Medicare |
$1,155.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: ASR ASR |
$1,091.25
|
| Rate for Payer: ASR Commercial |
$1,091.25
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$921.26
|
| Rate for Payer: BCN Commercial |
$872.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$1,057.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$900.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,125.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,091.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,155.24
|
| Rate for Payer: Mclaren Commercial |
$1,012.50
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$956.25
|
| Rate for Payer: Nomi Health Commercial |
$922.50
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,270.76
|
| Rate for Payer: PHP Medicaid |
$619.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$985.72
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$788.62
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$990.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$1,790.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP DNSP |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,125.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$731.25 |
| Max. Negotiated Rate |
$1,125.00 |
| Rate for Payer: Aetna Commercial |
$1,012.50
|
| Rate for Payer: ASR ASR |
$1,091.25
|
| Rate for Payer: ASR Commercial |
$1,091.25
|
| Rate for Payer: BCBS Trust/PPO |
$916.76
|
| Rate for Payer: BCN Commercial |
$872.21
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$1,057.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$900.00
|
| Rate for Payer: Healthscope Commercial |
$1,125.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,091.25
|
| Rate for Payer: Mclaren Commercial |
$1,012.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$956.25
|
| Rate for Payer: Nomi Health Commercial |
$922.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$990.00
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 45380
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$731.25 |
| Rate for Payer: Aetna Commercial |
$267.31
|
| Rate for Payer: Aetna Medicare |
$562.50
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.18
|
| Rate for Payer: Priority Health Narrow Network |
$353.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$326.19
|
| Rate for Payer: UHC Exchange |
$326.19
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
