|
PR SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR
|
Professional
|
Both
|
$720.00
|
|
|
Service Code
|
HCPCS 31820
|
| Min. Negotiated Rate |
$214.28 |
| Max. Negotiated Rate |
$1,141.66 |
| Rate for Payer: Aetna Commercial |
$436.92
|
| Rate for Payer: Aetna Medicare |
$326.06
|
| Rate for Payer: BCBS Complete |
$224.99
|
| Rate for Payer: BCBS MAPPO |
$326.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,141.66
|
| Rate for Payer: BCN Commercial |
$656.30
|
| Rate for Payer: BCN Medicare Advantage |
$326.06
|
| Rate for Payer: Cash Price |
$576.00
|
| Rate for Payer: Cash Price |
$576.00
|
| Rate for Payer: Cofinity Commercial |
$436.92
|
| Rate for Payer: Cofinity Commercial |
$469.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$326.06
|
| Rate for Payer: Healthscope Commercial |
$391.27
|
| Rate for Payer: Healthscope Whirlpool |
$391.27
|
| Rate for Payer: Meridian Medicaid |
$224.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$342.36
|
| Rate for Payer: PACE SWMI |
$326.06
|
| Rate for Payer: PHP Medicare Advantage |
$326.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$504.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$462.11
|
| Rate for Payer: Priority Health Medicare |
$326.06
|
| Rate for Payer: Priority Health Narrow Network |
$462.11
|
| Rate for Payer: UHC Medicare Advantage |
$335.84
|
|
|
PR SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR
|
Professional
|
Both
|
$1,011.00
|
|
|
Service Code
|
HCPCS 31825
|
| Min. Negotiated Rate |
$313.11 |
| Max. Negotiated Rate |
$1,118.94 |
| Rate for Payer: Aetna Commercial |
$640.90
|
| Rate for Payer: Aetna Medicare |
$478.28
|
| Rate for Payer: BCBS Complete |
$328.77
|
| Rate for Payer: BCBS MAPPO |
$478.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,118.94
|
| Rate for Payer: BCN Commercial |
$906.01
|
| Rate for Payer: BCN Medicare Advantage |
$478.28
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cofinity Commercial |
$640.90
|
| Rate for Payer: Cofinity Commercial |
$688.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$478.28
|
| Rate for Payer: Healthscope Commercial |
$573.94
|
| Rate for Payer: Healthscope Whirlpool |
$573.94
|
| Rate for Payer: Meridian Medicaid |
$328.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$502.19
|
| Rate for Payer: PACE SWMI |
$478.28
|
| Rate for Payer: PHP Medicare Advantage |
$478.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$676.51
|
| Rate for Payer: Priority Health Medicare |
$478.28
|
| Rate for Payer: Priority Health Narrow Network |
$676.51
|
| Rate for Payer: UHC Medicare Advantage |
$492.63
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Facility
|
OP
|
$2,919.00
|
|
|
Service Code
|
CPT 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$2,043.30 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,627.10
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$2,831.43
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,263.10
|
| Rate for Payer: BCN Commercial |
$2,263.10
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cofinity Commercial |
$2,743.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,335.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$2,919.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,831.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,627.10
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,481.15
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,043.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,656.29
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,072.49
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,568.72
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$2,919.00
|
|
|
Service Code
|
HCPCS 29828
|
| Min. Negotiated Rate |
$590.22 |
| Max. Negotiated Rate |
$2,043.30 |
| Rate for Payer: Aetna Commercial |
$1,209.26
|
| Rate for Payer: Aetna Medicare |
$902.43
|
| Rate for Payer: BCBS Complete |
$619.73
|
| Rate for Payer: BCBS MAPPO |
$902.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.88
|
| Rate for Payer: BCN Commercial |
$1,343.38
|
| Rate for Payer: BCN Medicare Advantage |
$902.43
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cofinity Commercial |
$1,299.50
|
| Rate for Payer: Cofinity Commercial |
$1,209.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.43
|
| Rate for Payer: Healthscope Commercial |
$1,082.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,082.92
|
| Rate for Payer: Meridian Medicaid |
$619.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$947.55
|
| Rate for Payer: PACE SWMI |
$902.43
|
| Rate for Payer: PHP Medicare Advantage |
$902.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,043.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,403.78
|
| Rate for Payer: Priority Health Medicare |
$902.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,403.78
|
| Rate for Payer: UHC Medicare Advantage |
$929.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$2,919.00
|
|
|
Service Code
|
HCPCS 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$590.22 |
| Max. Negotiated Rate |
$2,043.30 |
| Rate for Payer: Aetna Commercial |
$1,209.26
|
| Rate for Payer: Aetna Medicare |
$902.43
|
| Rate for Payer: BCBS Complete |
$619.73
|
| Rate for Payer: BCBS MAPPO |
$902.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.88
|
| Rate for Payer: BCN Commercial |
$1,343.38
|
| Rate for Payer: BCN Medicare Advantage |
$902.43
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cofinity Commercial |
$1,209.26
|
| Rate for Payer: Cofinity Commercial |
$1,299.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.43
|
| Rate for Payer: Healthscope Commercial |
$1,082.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,082.92
|
| Rate for Payer: Meridian Medicaid |
$619.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$947.55
|
| Rate for Payer: PACE SWMI |
$902.43
|
| Rate for Payer: PHP Medicare Advantage |
$902.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,043.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,403.78
|
| Rate for Payer: Priority Health Medicare |
$902.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,403.78
|
| Rate for Payer: UHC Medicare Advantage |
$929.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Facility
|
IP
|
$2,919.00
|
|
|
Service Code
|
CPT 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$2,043.30 |
| Max. Negotiated Rate |
$2,919.00 |
| Rate for Payer: Aetna Commercial |
$2,627.10
|
| Rate for Payer: ASR ASR |
$2,831.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,263.10
|
| Rate for Payer: BCN Commercial |
$2,263.10
|
| Rate for Payer: Cash Price |
$2,335.20
|
| Rate for Payer: Cofinity Commercial |
$2,743.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,335.20
|
| Rate for Payer: Healthscope Commercial |
$2,919.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,831.43
|
| Rate for Payer: Mclaren Commercial |
$2,627.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,481.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,043.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,568.72
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,173.00
|
|
|
Service Code
|
HCPCS 29806
|
| Min. Negotiated Rate |
$682.03 |
| Max. Negotiated Rate |
$2,221.10 |
| Rate for Payer: Aetna Commercial |
$1,395.80
|
| Rate for Payer: Aetna Medicare |
$1,041.64
|
| Rate for Payer: BCBS Complete |
$716.13
|
| Rate for Payer: BCBS MAPPO |
$1,041.64
|
| Rate for Payer: BCBS Trust/PPO |
$846.86
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,041.64
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$1,499.96
|
| Rate for Payer: Cofinity Commercial |
$1,395.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,041.64
|
| Rate for Payer: Healthscope Commercial |
$1,249.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,249.97
|
| Rate for Payer: Meridian Medicaid |
$716.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,093.72
|
| Rate for Payer: PACE SWMI |
$1,041.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,041.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$682.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,620.29
|
| Rate for Payer: Priority Health Medicare |
$1,041.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,620.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,072.89
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Facility
|
OP
|
$3,173.00
|
|
|
Service Code
|
CPT 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$2,221.10 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,855.70
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$3,077.81
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,460.03
|
| Rate for Payer: BCN Commercial |
$2,460.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$2,982.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,538.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$3,173.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,077.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,855.70
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,697.05
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,887.43
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,252.83
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,792.24
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,173.00
|
|
|
Service Code
|
HCPCS 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$682.03 |
| Max. Negotiated Rate |
$2,221.10 |
| Rate for Payer: Aetna Commercial |
$1,395.80
|
| Rate for Payer: Aetna Medicare |
$1,041.64
|
| Rate for Payer: BCBS Complete |
$716.13
|
| Rate for Payer: BCBS MAPPO |
$1,041.64
|
| Rate for Payer: BCBS Trust/PPO |
$846.86
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,041.64
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$1,395.80
|
| Rate for Payer: Cofinity Commercial |
$1,499.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,041.64
|
| Rate for Payer: Healthscope Commercial |
$1,249.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,249.97
|
| Rate for Payer: Meridian Medicaid |
$716.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,093.72
|
| Rate for Payer: PACE SWMI |
$1,041.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,041.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$682.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,620.29
|
| Rate for Payer: Priority Health Medicare |
$1,041.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,620.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,072.89
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Facility
|
IP
|
$3,173.00
|
|
|
Service Code
|
CPT 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$2,221.10 |
| Max. Negotiated Rate |
$3,173.00 |
| Rate for Payer: Aetna Commercial |
$2,855.70
|
| Rate for Payer: ASR ASR |
$3,077.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,460.03
|
| Rate for Payer: BCN Commercial |
$2,460.03
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$2,982.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,538.40
|
| Rate for Payer: Healthscope Commercial |
$3,173.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,077.81
|
| Rate for Payer: Mclaren Commercial |
$2,855.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,697.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,792.24
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY
|
Professional
|
Both
|
$2,223.00
|
|
|
Service Code
|
HCPCS 29821
|
| Min. Negotiated Rate |
$384.04 |
| Max. Negotiated Rate |
$1,682.64 |
| Rate for Payer: Aetna Commercial |
$784.32
|
| Rate for Payer: Aetna Medicare |
$585.31
|
| Rate for Payer: BCBS Complete |
$403.24
|
| Rate for Payer: BCBS MAPPO |
$585.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,682.64
|
| Rate for Payer: BCN Commercial |
$875.23
|
| Rate for Payer: BCN Medicare Advantage |
$585.31
|
| Rate for Payer: Cash Price |
$1,778.40
|
| Rate for Payer: Cash Price |
$1,778.40
|
| Rate for Payer: Cofinity Commercial |
$784.32
|
| Rate for Payer: Cofinity Commercial |
$842.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.31
|
| Rate for Payer: Healthscope Commercial |
$702.37
|
| Rate for Payer: Healthscope Whirlpool |
$702.37
|
| Rate for Payer: Meridian Medicaid |
$403.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$614.58
|
| Rate for Payer: PACE SWMI |
$585.31
|
| Rate for Payer: PHP Medicare Advantage |
$585.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$914.57
|
| Rate for Payer: Priority Health Medicare |
$585.31
|
| Rate for Payer: Priority Health Narrow Network |
$914.57
|
| Rate for Payer: UHC Medicare Advantage |
$602.87
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
OP
|
$2,062.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$1,443.40 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,855.80
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,000.14
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.67
|
| Rate for Payer: BCN Commercial |
$1,598.67
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$1,938.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,649.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,062.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,000.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,855.80
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,752.70
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,443.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,876.42
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,464.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,814.56
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
IP
|
$2,062.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$1,443.40 |
| Max. Negotiated Rate |
$2,062.00 |
| Rate for Payer: Aetna Commercial |
$1,855.80
|
| Rate for Payer: ASR ASR |
$2,000.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.67
|
| Rate for Payer: BCN Commercial |
$1,598.67
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$1,938.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,649.60
|
| Rate for Payer: Healthscope Commercial |
$2,062.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,000.14
|
| Rate for Payer: Mclaren Commercial |
$1,855.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,752.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,443.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,814.56
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,062.00
|
|
|
Service Code
|
HCPCS 29824
|
| Min. Negotiated Rate |
$438.57 |
| Max. Negotiated Rate |
$1,443.40 |
| Rate for Payer: Aetna Commercial |
$894.05
|
| Rate for Payer: Aetna Medicare |
$667.20
|
| Rate for Payer: BCBS Complete |
$460.50
|
| Rate for Payer: BCBS MAPPO |
$667.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$667.20
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$960.77
|
| Rate for Payer: Cofinity Commercial |
$894.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.20
|
| Rate for Payer: Healthscope Commercial |
$800.64
|
| Rate for Payer: Healthscope Whirlpool |
$800.64
|
| Rate for Payer: Meridian Medicaid |
$460.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$700.56
|
| Rate for Payer: PACE SWMI |
$667.20
|
| Rate for Payer: PHP Medicare Advantage |
$667.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,443.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,042.75
|
| Rate for Payer: Priority Health Medicare |
$667.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,042.75
|
| Rate for Payer: UHC Medicare Advantage |
$687.22
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,062.00
|
|
|
Service Code
|
HCPCS 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$438.57 |
| Max. Negotiated Rate |
$1,443.40 |
| Rate for Payer: Aetna Commercial |
$894.05
|
| Rate for Payer: Aetna Medicare |
$667.20
|
| Rate for Payer: BCBS Complete |
$460.50
|
| Rate for Payer: BCBS MAPPO |
$667.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$667.20
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$960.77
|
| Rate for Payer: Cofinity Commercial |
$894.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.20
|
| Rate for Payer: Healthscope Commercial |
$800.64
|
| Rate for Payer: Healthscope Whirlpool |
$800.64
|
| Rate for Payer: Meridian Medicaid |
$460.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$700.56
|
| Rate for Payer: PACE SWMI |
$667.20
|
| Rate for Payer: PHP Medicare Advantage |
$667.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,443.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,042.75
|
| Rate for Payer: Priority Health Medicare |
$667.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,042.75
|
| Rate for Payer: UHC Medicare Advantage |
$687.22
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,158.00
|
|
|
Service Code
|
HCPCS 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$351.45 |
| Max. Negotiated Rate |
$2,288.07 |
| Rate for Payer: Aetna Commercial |
$714.13
|
| Rate for Payer: Aetna Medicare |
$532.93
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$532.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$532.93
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cofinity Commercial |
$714.13
|
| Rate for Payer: Cofinity Commercial |
$767.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.93
|
| Rate for Payer: Healthscope Commercial |
$639.52
|
| Rate for Payer: Healthscope Whirlpool |
$639.52
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$559.58
|
| Rate for Payer: PACE SWMI |
$532.93
|
| Rate for Payer: PHP Medicare Advantage |
$532.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.89
|
| Rate for Payer: Priority Health Medicare |
$532.93
|
| Rate for Payer: Priority Health Narrow Network |
$833.89
|
| Rate for Payer: UHC Medicare Advantage |
$548.92
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
IP
|
$2,158.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$1,510.60 |
| Max. Negotiated Rate |
$2,158.00 |
| Rate for Payer: Aetna Commercial |
$1,942.20
|
| Rate for Payer: ASR ASR |
$2,093.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.10
|
| Rate for Payer: BCN Commercial |
$1,673.10
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cofinity Commercial |
$2,028.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.40
|
| Rate for Payer: Healthscope Commercial |
$2,158.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,093.26
|
| Rate for Payer: Mclaren Commercial |
$1,942.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,899.04
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,158.00
|
|
|
Service Code
|
HCPCS 29822
|
| Min. Negotiated Rate |
$351.45 |
| Max. Negotiated Rate |
$2,288.07 |
| Rate for Payer: Aetna Commercial |
$714.13
|
| Rate for Payer: Aetna Medicare |
$532.93
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$532.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$532.93
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cofinity Commercial |
$767.42
|
| Rate for Payer: Cofinity Commercial |
$714.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.93
|
| Rate for Payer: Healthscope Commercial |
$639.52
|
| Rate for Payer: Healthscope Whirlpool |
$639.52
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$559.58
|
| Rate for Payer: PACE SWMI |
$532.93
|
| Rate for Payer: PHP Medicare Advantage |
$532.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.89
|
| Rate for Payer: Priority Health Medicare |
$532.93
|
| Rate for Payer: Priority Health Narrow Network |
$833.89
|
| Rate for Payer: UHC Medicare Advantage |
$548.92
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
OP
|
$2,158.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$1,510.60 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,942.20
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,093.26
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.10
|
| Rate for Payer: BCN Commercial |
$1,673.10
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cash Price |
$1,726.40
|
| Rate for Payer: Cofinity Commercial |
$2,028.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,158.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,093.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,942.20
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.30
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,963.78
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,532.18
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,899.04
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,902.00
|
|
|
Service Code
|
HCPCS 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$345.70 |
| Max. Negotiated Rate |
$1,598.64 |
| Rate for Payer: Aetna Commercial |
$704.93
|
| Rate for Payer: Aetna Medicare |
$526.07
|
| Rate for Payer: BCBS Complete |
$362.98
|
| Rate for Payer: BCBS MAPPO |
$526.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$526.07
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cofinity Commercial |
$757.54
|
| Rate for Payer: Cofinity Commercial |
$704.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.07
|
| Rate for Payer: Healthscope Commercial |
$631.28
|
| Rate for Payer: Healthscope Whirlpool |
$631.28
|
| Rate for Payer: Meridian Medicaid |
$362.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.37
|
| Rate for Payer: PACE SWMI |
$526.07
|
| Rate for Payer: PHP Medicare Advantage |
$526.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$345.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$821.64
|
| Rate for Payer: Priority Health Medicare |
$526.07
|
| Rate for Payer: Priority Health Narrow Network |
$821.64
|
| Rate for Payer: UHC Medicare Advantage |
$541.85
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,902.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$345.70 |
| Max. Negotiated Rate |
$1,598.64 |
| Rate for Payer: Aetna Commercial |
$704.93
|
| Rate for Payer: Aetna Medicare |
$526.07
|
| Rate for Payer: BCBS Complete |
$362.98
|
| Rate for Payer: BCBS MAPPO |
$526.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$526.07
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cofinity Commercial |
$757.54
|
| Rate for Payer: Cofinity Commercial |
$704.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.07
|
| Rate for Payer: Healthscope Commercial |
$631.28
|
| Rate for Payer: Healthscope Whirlpool |
$631.28
|
| Rate for Payer: Meridian Medicaid |
$362.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.37
|
| Rate for Payer: PACE SWMI |
$526.07
|
| Rate for Payer: PHP Medicare Advantage |
$526.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$345.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$821.64
|
| Rate for Payer: Priority Health Medicare |
$526.07
|
| Rate for Payer: Priority Health Narrow Network |
$821.64
|
| Rate for Payer: UHC Medicare Advantage |
$541.85
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
IP
|
$1,902.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$1,331.40 |
| Max. Negotiated Rate |
$1,902.00 |
| Rate for Payer: Aetna Commercial |
$1,711.80
|
| Rate for Payer: ASR ASR |
$1,844.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,474.62
|
| Rate for Payer: BCN Commercial |
$1,474.62
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cofinity Commercial |
$1,787.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,521.60
|
| Rate for Payer: Healthscope Commercial |
$1,902.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,844.94
|
| Rate for Payer: Mclaren Commercial |
$1,711.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,616.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,673.76
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
OP
|
$1,902.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$1,331.40 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$1,711.80
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$1,844.94
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,474.62
|
| Rate for Payer: BCN Commercial |
$1,474.62
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cofinity Commercial |
$1,787.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$1,902.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,844.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$1,711.80
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,616.70
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,331.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,730.82
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,350.42
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,673.76
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
IP
|
$1,967.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$1,376.90 |
| Max. Negotiated Rate |
$1,967.00 |
| Rate for Payer: Aetna Commercial |
$1,770.30
|
| Rate for Payer: ASR ASR |
$1,907.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,525.02
|
| Rate for Payer: BCN Commercial |
$1,525.02
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cofinity Commercial |
$1,848.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,573.60
|
| Rate for Payer: Healthscope Commercial |
$1,967.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,907.99
|
| Rate for Payer: Mclaren Commercial |
$1,770.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,671.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,730.96
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
OP
|
$1,967.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$1,376.90 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,770.30
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$1,907.99
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,525.02
|
| Rate for Payer: BCN Commercial |
$1,525.02
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cofinity Commercial |
$1,848.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,573.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$1,967.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,907.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,770.30
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,671.95
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,789.97
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,396.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,730.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
