|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
IP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$1,261.00 |
| Max. Negotiated Rate |
$1,940.00 |
| Rate for Payer: Aetna Commercial |
$1,746.00
|
| Rate for Payer: ASR ASR |
$1,881.80
|
| Rate for Payer: ASR Commercial |
$1,881.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,580.91
|
| Rate for Payer: BCN Commercial |
$1,504.08
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,823.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Healthscope Commercial |
$1,940.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,881.80
|
| Rate for Payer: Mclaren Commercial |
$1,746.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: Nomi Health Commercial |
$1,590.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,707.20
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$516.61 |
| Max. Negotiated Rate |
$1,261.00 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$516.61
|
| Rate for Payer: BCBS Complete |
$776.00
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Healthscope Commercial |
$619.93
|
| Rate for Payer: Healthscope Whirlpool |
$619.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health Medicare |
$516.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP DNSP |
$516.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$516.61 |
| Max. Negotiated Rate |
$1,261.00 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$516.61
|
| Rate for Payer: BCBS Complete |
$776.00
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Healthscope Commercial |
$619.93
|
| Rate for Payer: Healthscope Whirlpool |
$619.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health Medicare |
$516.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP DNSP |
$516.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
OP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$1,261.00 |
| Max. Negotiated Rate |
$10,799.07 |
| Rate for Payer: Aetna Commercial |
$1,746.00
|
| Rate for Payer: Aetna Medicare |
$6,967.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: ASR ASR |
$1,881.80
|
| Rate for Payer: ASR Commercial |
$1,881.80
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,588.67
|
| Rate for Payer: BCN Commercial |
$1,504.08
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,823.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$1,940.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,881.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,967.14
|
| Rate for Payer: Mclaren Commercial |
$1,746.00
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: Nomi Health Commercial |
$1,590.80
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$7,663.85
|
| Rate for Payer: PHP Medicaid |
$3,734.39
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,699.83
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,359.94
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,707.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$10,799.07
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP DNSP |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: VA VA |
$6,967.14
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Min. Negotiated Rate |
$565.90 |
| Max. Negotiated Rate |
$1,303.90 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$565.90
|
| Rate for Payer: BCBS Complete |
$802.40
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Healthscope Commercial |
$679.08
|
| Rate for Payer: Healthscope Whirlpool |
$679.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health Medicare |
$565.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP DNSP |
$565.90
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$565.90 |
| Max. Negotiated Rate |
$1,303.90 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$565.90
|
| Rate for Payer: BCBS Complete |
$802.40
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Healthscope Commercial |
$679.08
|
| Rate for Payer: Healthscope Whirlpool |
$679.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health Medicare |
$565.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP DNSP |
$565.90
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
IP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$1,303.90 |
| Max. Negotiated Rate |
$2,006.00 |
| Rate for Payer: Aetna Commercial |
$1,805.40
|
| Rate for Payer: ASR ASR |
$1,945.82
|
| Rate for Payer: ASR Commercial |
$1,945.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.69
|
| Rate for Payer: BCN Commercial |
$1,555.25
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,885.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Healthscope Commercial |
$2,006.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,945.82
|
| Rate for Payer: Mclaren Commercial |
$1,805.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: Nomi Health Commercial |
$1,644.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,765.28
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
OP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$1,303.90 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$1,805.40
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$1,945.82
|
| Rate for Payer: ASR Commercial |
$1,945.82
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,642.71
|
| Rate for Payer: BCN Commercial |
$1,555.25
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,885.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,006.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,945.82
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$1,805.40
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: Nomi Health Commercial |
$1,644.92
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.66
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,406.21
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,765.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
IP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,998.10 |
| Max. Negotiated Rate |
$3,074.00 |
| Rate for Payer: Aetna Commercial |
$2,766.60
|
| Rate for Payer: ASR ASR |
$2,981.78
|
| Rate for Payer: ASR Commercial |
$2,981.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,505.00
|
| Rate for Payer: BCN Commercial |
$2,383.27
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,889.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Healthscope Commercial |
$3,074.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,981.78
|
| Rate for Payer: Mclaren Commercial |
$2,766.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$2,520.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,705.12
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$994.07 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$994.07
|
| Rate for Payer: BCBS Complete |
$1,229.60
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Healthscope Commercial |
$1,192.88
|
| Rate for Payer: Healthscope Whirlpool |
$1,192.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health Medicare |
$994.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP DNSP |
$994.07
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$994.07 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$994.07
|
| Rate for Payer: BCBS Complete |
$1,229.60
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Healthscope Commercial |
$1,192.88
|
| Rate for Payer: Healthscope Whirlpool |
$1,192.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health Medicare |
$994.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP DNSP |
$994.07
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,998.10 |
| Max. Negotiated Rate |
$10,799.07 |
| Rate for Payer: Aetna Commercial |
$2,766.60
|
| Rate for Payer: Aetna Medicare |
$6,967.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: ASR ASR |
$2,981.78
|
| Rate for Payer: ASR Commercial |
$2,981.78
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCBS Trust/PPO |
$2,517.30
|
| Rate for Payer: BCN Commercial |
$2,383.27
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,889.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$3,074.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,981.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,967.14
|
| Rate for Payer: Mclaren Commercial |
$2,766.60
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$2,520.68
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$7,663.85
|
| Rate for Payer: PHP Medicaid |
$3,734.39
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,693.44
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health Narrow Network |
$2,154.87
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,705.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$10,799.07
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP DNSP |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: VA VA |
$6,967.14
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,409.85 |
| Max. Negotiated Rate |
$2,169.00 |
| Rate for Payer: Aetna Commercial |
$1,952.10
|
| Rate for Payer: ASR ASR |
$2,103.93
|
| Rate for Payer: ASR Commercial |
$2,103.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,767.52
|
| Rate for Payer: BCN Commercial |
$1,681.63
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$2,038.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Healthscope Commercial |
$2,169.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,103.93
|
| Rate for Payer: Mclaren Commercial |
$1,952.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$1,778.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,908.72
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,409.85 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$1,952.10
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$2,103.93
|
| Rate for Payer: ASR Commercial |
$2,103.93
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,776.19
|
| Rate for Payer: BCN Commercial |
$1,681.63
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$2,038.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,169.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,103.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$1,952.10
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$1,778.58
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,900.48
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,520.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,908.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$566.11 |
| Max. Negotiated Rate |
$1,409.85 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$566.11
|
| Rate for Payer: BCBS Complete |
$867.60
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Healthscope Commercial |
$679.33
|
| Rate for Payer: Healthscope Whirlpool |
$679.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health Medicare |
$566.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP DNSP |
$566.11
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$566.11 |
| Max. Negotiated Rate |
$1,409.85 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$566.11
|
| Rate for Payer: BCBS Complete |
$867.60
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Healthscope Commercial |
$679.33
|
| Rate for Payer: Healthscope Whirlpool |
$679.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health Medicare |
$566.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP DNSP |
$566.11
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
IP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$2,209.35 |
| Max. Negotiated Rate |
$3,399.00 |
| Rate for Payer: Aetna Commercial |
$3,059.10
|
| Rate for Payer: ASR ASR |
$3,297.03
|
| Rate for Payer: ASR Commercial |
$3,297.03
|
| Rate for Payer: BCBS Trust/PPO |
$2,769.85
|
| Rate for Payer: BCN Commercial |
$2,635.24
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$3,195.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Healthscope Commercial |
$3,399.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,297.03
|
| Rate for Payer: Mclaren Commercial |
$3,059.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: Nomi Health Commercial |
$2,787.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,991.12
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,399.00
|
|
|
Service Code
|
HCPCS 29827
|
| Min. Negotiated Rate |
$1,027.37 |
| Max. Negotiated Rate |
$2,209.35 |
| Rate for Payer: Aetna Commercial |
$1,376.68
|
| Rate for Payer: Aetna Medicare |
$1,027.37
|
| Rate for Payer: BCBS Complete |
$1,359.60
|
| Rate for Payer: BCBS MAPPO |
$1,027.37
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.37
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$1,479.41
|
| Rate for Payer: Cofinity Commercial |
$1,376.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.37
|
| Rate for Payer: Healthscope Commercial |
$1,232.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,232.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.74
|
| Rate for Payer: Nomi Health Commercial |
$1,232.84
|
| Rate for Payer: PACE SWMI |
$1,027.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health Medicare |
$1,027.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.37
|
| Rate for Payer: UHCCP DNSP |
$1,027.37
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,399.00
|
|
|
Service Code
|
HCPCS 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$1,027.37 |
| Max. Negotiated Rate |
$2,209.35 |
| Rate for Payer: Aetna Commercial |
$1,376.68
|
| Rate for Payer: Aetna Medicare |
$1,027.37
|
| Rate for Payer: BCBS Complete |
$1,359.60
|
| Rate for Payer: BCBS MAPPO |
$1,027.37
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.37
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$1,479.41
|
| Rate for Payer: Cofinity Commercial |
$1,376.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.37
|
| Rate for Payer: Healthscope Commercial |
$1,232.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,232.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.74
|
| Rate for Payer: Nomi Health Commercial |
$1,232.84
|
| Rate for Payer: PACE SWMI |
$1,027.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health Medicare |
$1,027.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.37
|
| Rate for Payer: UHCCP DNSP |
$1,027.37
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
OP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$2,209.35 |
| Max. Negotiated Rate |
$10,799.07 |
| Rate for Payer: Aetna Commercial |
$3,059.10
|
| Rate for Payer: Aetna Medicare |
$6,967.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: ASR ASR |
$3,297.03
|
| Rate for Payer: ASR Commercial |
$3,297.03
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCBS Trust/PPO |
$2,783.44
|
| Rate for Payer: BCN Commercial |
$2,635.24
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$3,195.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$3,399.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,297.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,967.14
|
| Rate for Payer: Mclaren Commercial |
$3,059.10
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: Nomi Health Commercial |
$2,787.18
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$7,663.85
|
| Rate for Payer: PHP Medicaid |
$3,734.39
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,978.20
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health Narrow Network |
$2,382.70
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,991.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$10,799.07
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP DNSP |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: VA VA |
$6,967.14
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29823
|
| Min. Negotiated Rate |
$571.54 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$765.86
|
| Rate for Payer: Aetna Medicare |
$571.54
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$571.54
|
| Rate for Payer: BCN Medicare Advantage |
$571.54
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$823.02
|
| Rate for Payer: Cofinity Commercial |
$765.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.54
|
| Rate for Payer: Healthscope Commercial |
$685.85
|
| Rate for Payer: Healthscope Whirlpool |
$685.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$600.12
|
| Rate for Payer: Nomi Health Commercial |
$685.85
|
| Rate for Payer: PACE SWMI |
$571.54
|
| Rate for Payer: PHP Medicare Advantage |
$571.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$571.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.54
|
| Rate for Payer: UHC Medicare Advantage |
$571.54
|
| Rate for Payer: UHCCP DNSP |
$571.54
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$1,641.25 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,272.50
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$2,449.25
|
| Rate for Payer: ASR Commercial |
$2,449.25
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,067.72
|
| Rate for Payer: BCN Commercial |
$1,957.63
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,373.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,525.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,449.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,272.50
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,212.41
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,770.03
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,222.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
IP
|
$2,525.00
|
|
|
Service Code
|
CPT 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$1,641.25 |
| Max. Negotiated Rate |
$2,525.00 |
| Rate for Payer: Aetna Commercial |
$2,272.50
|
| Rate for Payer: ASR ASR |
$2,449.25
|
| Rate for Payer: ASR Commercial |
$2,449.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,057.62
|
| Rate for Payer: BCN Commercial |
$1,957.63
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,373.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,525.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,449.25
|
| Rate for Payer: Mclaren Commercial |
$2,272.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,222.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$571.54 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$765.86
|
| Rate for Payer: Aetna Medicare |
$571.54
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$571.54
|
| Rate for Payer: BCN Medicare Advantage |
$571.54
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$823.02
|
| Rate for Payer: Cofinity Commercial |
$765.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.54
|
| Rate for Payer: Healthscope Commercial |
$685.85
|
| Rate for Payer: Healthscope Whirlpool |
$685.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$600.12
|
| Rate for Payer: Nomi Health Commercial |
$685.85
|
| Rate for Payer: PACE SWMI |
$571.54
|
| Rate for Payer: PHP Medicare Advantage |
$571.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$571.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.54
|
| Rate for Payer: UHC Medicare Advantage |
$571.54
|
| Rate for Payer: UHCCP DNSP |
$571.54
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$1,010.00 |
| Max. Negotiated Rate |
$2,525.00 |
| Rate for Payer: Aetna Commercial |
$2,272.50
|
| Rate for Payer: Aetna Medicare |
$1,262.50
|
| Rate for Payer: ASR ASR |
$2,449.25
|
| Rate for Payer: ASR Commercial |
$2,449.25
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,067.72
|
| Rate for Payer: BCN Commercial |
$1,957.63
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,373.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,525.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,449.25
|
| Rate for Payer: Mclaren Commercial |
$2,272.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,212.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,770.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,222.00
|
|
