|
HC BIOPSY FLOOR MOUTH
|
Facility
|
OP
|
$4,100.00
|
|
|
Service Code
|
CPT 41108
|
| Hospital Charge Code |
76100464
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$4,100.00 |
| Rate for Payer: Aetna Commercial |
$3,690.00
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$3,977.00
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,178.73
|
| Rate for Payer: BCN Commercial |
$3,178.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,854.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$4,100.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,977.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$3,690.00
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,485.00
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,870.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,731.00
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,911.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,608.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
IP
|
$3,950.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,765.00 |
| Max. Negotiated Rate |
$3,950.00 |
| Rate for Payer: Aetna Commercial |
$3,555.00
|
| Rate for Payer: ASR ASR |
$3,831.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,062.44
|
| Rate for Payer: BCN Commercial |
$3,062.44
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,713.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Healthscope Commercial |
$3,950.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,831.50
|
| Rate for Payer: Mclaren Commercial |
$3,555.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,476.00
|
|
|
HC BIOPSY INTRANASAL
|
Facility
|
OP
|
$3,950.00
|
|
|
Service Code
|
CPT 30100
|
| Hospital Charge Code |
76100448
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.50 |
| Max. Negotiated Rate |
$3,950.00 |
| Rate for Payer: Aetna Commercial |
$3,555.00
|
| Rate for Payer: Aetna Medicare |
$1,355.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,694.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,694.48
|
| Rate for Payer: ASR ASR |
$3,831.50
|
| Rate for Payer: BCBS Complete |
$778.65
|
| Rate for Payer: BCBS MAPPO |
$1,355.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,062.44
|
| Rate for Payer: BCN Commercial |
$3,062.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,713.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$3,950.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,831.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,355.58
|
| Rate for Payer: Mclaren Commercial |
$3,555.00
|
| Rate for Payer: Mclaren Medicaid |
$741.50
|
| Rate for Payer: Mclaren Medicare |
$1,355.58
|
| Rate for Payer: Meridian Medicaid |
$778.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,423.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,558.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PACE Medicare |
$1,287.80
|
| Rate for Payer: PACE SWMI |
$1,355.58
|
| Rate for Payer: PHP Commercial |
$1,491.14
|
| Rate for Payer: PHP Medicaid |
$741.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,355.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,594.50
|
| Rate for Payer: Priority Health Medicare |
$1,355.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,804.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,476.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: VA VA |
$1,355.58
|
|
|
HC BIOPSY LIVER
|
Facility
|
IP
|
$1,619.89
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,133.92 |
| Max. Negotiated Rate |
$1,619.89 |
| Rate for Payer: Aetna Commercial |
$1,457.90
|
| Rate for Payer: ASR ASR |
$1,571.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,255.90
|
| Rate for Payer: BCN Commercial |
$1,255.90
|
| Rate for Payer: Cash Price |
$1,295.91
|
| Rate for Payer: Cofinity Commercial |
$1,522.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.91
|
| Rate for Payer: Healthscope Commercial |
$1,619.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,571.29
|
| Rate for Payer: Mclaren Commercial |
$1,457.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,376.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,425.50
|
|
|
HC BIOPSY LIVER
|
Facility
|
OP
|
$1,619.89
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
36100197
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$1,457.90
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$1,571.29
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,255.90
|
| Rate for Payer: BCN Commercial |
$1,255.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,295.91
|
| Rate for Payer: Cash Price |
$1,295.91
|
| Rate for Payer: Cofinity Commercial |
$1,522.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,295.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,619.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,571.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,457.90
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,376.91
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.11
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,100.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,425.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
OP
|
$1,845.23
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$182.50 |
| Max. Negotiated Rate |
$2,855.85 |
| Rate for Payer: Aetna Commercial |
$1,660.71
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$1,789.87
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,430.61
|
| Rate for Payer: BCCCP Commercial |
$182.50
|
| Rate for Payer: BCN Commercial |
$1,430.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,476.18
|
| Rate for Payer: Cash Price |
$1,476.18
|
| Rate for Payer: Cofinity Commercial |
$1,734.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,476.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,845.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,789.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,660.71
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,568.45
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,291.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,855.85
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,284.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,623.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY LYMPH NODE
|
Facility
|
IP
|
$1,845.23
|
|
|
Service Code
|
CPT 38505
|
| Hospital Charge Code |
36100186
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,291.66 |
| Max. Negotiated Rate |
$1,845.23 |
| Rate for Payer: Aetna Commercial |
$1,660.71
|
| Rate for Payer: ASR ASR |
$1,789.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,430.61
|
| Rate for Payer: BCN Commercial |
$1,430.61
|
| Rate for Payer: Cash Price |
$1,476.18
|
| Rate for Payer: Cofinity Commercial |
$1,734.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,476.18
|
| Rate for Payer: Healthscope Commercial |
$1,845.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,789.87
|
| Rate for Payer: Mclaren Commercial |
$1,660.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,568.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,291.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,623.80
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
OP
|
$1,887.46
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$1,887.46 |
| Rate for Payer: Aetna Commercial |
$1,698.71
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$1,830.84
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,463.35
|
| Rate for Payer: BCN Commercial |
$1,463.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,509.97
|
| Rate for Payer: Cash Price |
$1,509.97
|
| Rate for Payer: Cofinity Commercial |
$1,774.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,509.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,887.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,830.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,698.71
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,604.34
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,321.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,150.35
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$920.28
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,660.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY MUSCLE
|
Facility
|
IP
|
$1,887.46
|
|
|
Service Code
|
CPT 20206
|
| Hospital Charge Code |
36100017
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,321.22 |
| Max. Negotiated Rate |
$1,887.46 |
| Rate for Payer: Aetna Commercial |
$1,698.71
|
| Rate for Payer: ASR ASR |
$1,830.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,463.35
|
| Rate for Payer: BCN Commercial |
$1,463.35
|
| Rate for Payer: Cash Price |
$1,509.97
|
| Rate for Payer: Cofinity Commercial |
$1,774.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,509.97
|
| Rate for Payer: Healthscope Commercial |
$1,887.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,830.84
|
| Rate for Payer: Mclaren Commercial |
$1,698.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,604.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,321.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,660.96
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
OP
|
$2,158.09
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$2,158.09 |
| Rate for Payer: Aetna Commercial |
$1,942.28
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$2,093.35
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.17
|
| Rate for Payer: BCN Commercial |
$1,673.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cofinity Commercial |
$2,028.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$2,158.09
|
| Rate for Payer: Healthscope Whirlpool |
$2,093.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,942.28
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.38
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,963.86
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,532.24
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,899.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY MUSCLE TISSUE SUPERFICIAL
|
Facility
|
IP
|
$2,158.09
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
36100447
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,510.66 |
| Max. Negotiated Rate |
$2,158.09 |
| Rate for Payer: Aetna Commercial |
$1,942.28
|
| Rate for Payer: ASR ASR |
$2,093.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.17
|
| Rate for Payer: BCN Commercial |
$1,673.17
|
| Rate for Payer: Cash Price |
$1,726.47
|
| Rate for Payer: Cofinity Commercial |
$2,028.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,726.47
|
| Rate for Payer: Healthscope Commercial |
$2,158.09
|
| Rate for Payer: Healthscope Whirlpool |
$2,093.35
|
| Rate for Payer: Mclaren Commercial |
$1,942.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,834.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,510.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,899.12
|
|
|
HC BIOPSY OF LIP
|
Facility
|
OP
|
$650.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$118.76 |
| Max. Negotiated Rate |
$650.00 |
| Rate for Payer: Aetna Commercial |
$585.00
|
| Rate for Payer: Aetna Medicare |
$217.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$271.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$271.40
|
| Rate for Payer: ASR ASR |
$630.50
|
| Rate for Payer: BCBS Complete |
$124.71
|
| Rate for Payer: BCBS MAPPO |
$217.12
|
| Rate for Payer: BCBS Trust/PPO |
$503.94
|
| Rate for Payer: BCN Commercial |
$503.94
|
| Rate for Payer: BCN Medicare Advantage |
$217.12
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$611.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.12
|
| Rate for Payer: Healthscope Commercial |
$650.00
|
| Rate for Payer: Healthscope Whirlpool |
$630.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$217.12
|
| Rate for Payer: Mclaren Commercial |
$585.00
|
| Rate for Payer: Mclaren Medicaid |
$118.76
|
| Rate for Payer: Mclaren Medicare |
$217.12
|
| Rate for Payer: Meridian Medicaid |
$124.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$227.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$249.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.50
|
| Rate for Payer: PACE Medicare |
$206.26
|
| Rate for Payer: PACE SWMI |
$217.12
|
| Rate for Payer: PHP Commercial |
$238.83
|
| Rate for Payer: PHP Medicaid |
$118.76
|
| Rate for Payer: PHP Medicare Advantage |
$217.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$591.50
|
| Rate for Payer: Priority Health Medicare |
$217.12
|
| Rate for Payer: Priority Health Narrow Network |
$461.50
|
| Rate for Payer: Railroad Medicare Medicare |
$217.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$572.00
|
| Rate for Payer: UHC Medicare Advantage |
$223.63
|
| Rate for Payer: VA VA |
$217.12
|
|
|
HC BIOPSY OF LIP
|
Facility
|
IP
|
$650.00
|
|
|
Service Code
|
CPT 40490
|
| Hospital Charge Code |
76100456
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$455.00 |
| Max. Negotiated Rate |
$650.00 |
| Rate for Payer: Aetna Commercial |
$585.00
|
| Rate for Payer: ASR ASR |
$630.50
|
| Rate for Payer: BCBS Trust/PPO |
$503.94
|
| Rate for Payer: BCN Commercial |
$503.94
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$611.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.00
|
| Rate for Payer: Healthscope Commercial |
$650.00
|
| Rate for Payer: Healthscope Whirlpool |
$630.50
|
| Rate for Payer: Mclaren Commercial |
$585.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$552.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$572.00
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
OP
|
$9,288.24
|
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,715.30 |
| Max. Negotiated Rate |
$9,288.24 |
| Rate for Payer: Aetna Commercial |
$8,359.42
|
| Rate for Payer: ASR ASR |
$9,009.59
|
| Rate for Payer: BCBS Complete |
$3,715.30
|
| Rate for Payer: BCBS Trust/PPO |
$7,201.17
|
| Rate for Payer: BCN Commercial |
$7,201.17
|
| Rate for Payer: Cash Price |
$7,430.59
|
| Rate for Payer: Cofinity Commercial |
$8,730.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,430.59
|
| Rate for Payer: Healthscope Commercial |
$9,288.24
|
| Rate for Payer: Healthscope Whirlpool |
$9,009.59
|
| Rate for Payer: Mclaren Commercial |
$8,359.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,895.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,501.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,452.30
|
| Rate for Payer: Priority Health Narrow Network |
$6,594.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,173.65
|
|
|
HC BIOPSY OF PROSTATE,INCISIONAL
|
Facility
|
IP
|
$9,288.24
|
|
| Hospital Charge Code |
76100359
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,501.77 |
| Max. Negotiated Rate |
$9,288.24 |
| Rate for Payer: Aetna Commercial |
$8,359.42
|
| Rate for Payer: ASR ASR |
$9,009.59
|
| Rate for Payer: BCBS Trust/PPO |
$7,201.17
|
| Rate for Payer: BCN Commercial |
$7,201.17
|
| Rate for Payer: Cash Price |
$7,430.59
|
| Rate for Payer: Cofinity Commercial |
$8,730.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,430.59
|
| Rate for Payer: Healthscope Commercial |
$9,288.24
|
| Rate for Payer: Healthscope Whirlpool |
$9,009.59
|
| Rate for Payer: Mclaren Commercial |
$8,359.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,895.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,501.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,173.65
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
OP
|
$853.74
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$390.88 |
| Max. Negotiated Rate |
$1,008.12 |
| Rate for Payer: Aetna Commercial |
$768.37
|
| Rate for Payer: Aetna Medicare |
$714.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$893.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$893.22
|
| Rate for Payer: ASR ASR |
$828.13
|
| Rate for Payer: BCBS Complete |
$410.45
|
| Rate for Payer: BCBS MAPPO |
$714.58
|
| Rate for Payer: BCBS Trust/PPO |
$661.90
|
| Rate for Payer: BCN Commercial |
$661.90
|
| Rate for Payer: BCN Medicare Advantage |
$714.58
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$802.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.58
|
| Rate for Payer: Healthscope Commercial |
$853.74
|
| Rate for Payer: Healthscope Whirlpool |
$828.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$714.58
|
| Rate for Payer: Mclaren Commercial |
$768.37
|
| Rate for Payer: Mclaren Medicaid |
$390.88
|
| Rate for Payer: Mclaren Medicare |
$714.58
|
| Rate for Payer: Meridian Medicaid |
$410.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$750.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$821.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PACE Medicare |
$678.85
|
| Rate for Payer: PACE SWMI |
$714.58
|
| Rate for Payer: PHP Commercial |
$786.04
|
| Rate for Payer: PHP Medicaid |
$390.88
|
| Rate for Payer: PHP Medicare Advantage |
$714.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$390.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,008.12
|
| Rate for Payer: Priority Health Medicare |
$714.58
|
| Rate for Payer: Priority Health Narrow Network |
$806.50
|
| Rate for Payer: Railroad Medicare Medicare |
$714.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$751.29
|
| Rate for Payer: UHC Medicare Advantage |
$736.02
|
| Rate for Payer: VA VA |
$714.58
|
|
|
HC BIOPSY OF VAGINA, SIMPLE
|
Facility
|
IP
|
$853.74
|
|
|
Service Code
|
CPT 57100
|
| Hospital Charge Code |
76100222
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$597.62 |
| Max. Negotiated Rate |
$853.74 |
| Rate for Payer: Aetna Commercial |
$768.37
|
| Rate for Payer: ASR ASR |
$828.13
|
| Rate for Payer: BCBS Trust/PPO |
$661.90
|
| Rate for Payer: BCN Commercial |
$661.90
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$802.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Healthscope Commercial |
$853.74
|
| Rate for Payer: Healthscope Whirlpool |
$828.13
|
| Rate for Payer: Mclaren Commercial |
$768.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$751.29
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
OP
|
$3,937.00
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.50 |
| Max. Negotiated Rate |
$3,937.00 |
| Rate for Payer: Aetna Commercial |
$3,543.30
|
| Rate for Payer: Aetna Medicare |
$1,355.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,694.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,694.48
|
| Rate for Payer: ASR ASR |
$3,818.89
|
| Rate for Payer: BCBS Complete |
$778.65
|
| Rate for Payer: BCBS MAPPO |
$1,355.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,052.36
|
| Rate for Payer: BCN Commercial |
$3,052.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cofinity Commercial |
$3,700.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,149.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$3,937.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,818.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,355.58
|
| Rate for Payer: Mclaren Commercial |
$3,543.30
|
| Rate for Payer: Mclaren Medicaid |
$741.50
|
| Rate for Payer: Mclaren Medicare |
$1,355.58
|
| Rate for Payer: Meridian Medicaid |
$778.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,423.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,558.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,346.45
|
| Rate for Payer: PACE Medicare |
$1,287.80
|
| Rate for Payer: PACE SWMI |
$1,355.58
|
| Rate for Payer: PHP Commercial |
$1,491.14
|
| Rate for Payer: PHP Medicaid |
$741.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,355.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,755.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,582.67
|
| Rate for Payer: Priority Health Medicare |
$1,355.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,795.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,464.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: VA VA |
$1,355.58
|
|
|
HC BIOPSY OROPHARYNX
|
Facility
|
IP
|
$3,937.00
|
|
|
Service Code
|
CPT 42800
|
| Hospital Charge Code |
76100475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,755.90 |
| Max. Negotiated Rate |
$3,937.00 |
| Rate for Payer: Aetna Commercial |
$3,543.30
|
| Rate for Payer: ASR ASR |
$3,818.89
|
| Rate for Payer: BCBS Trust/PPO |
$3,052.36
|
| Rate for Payer: BCN Commercial |
$3,052.36
|
| Rate for Payer: Cash Price |
$3,149.60
|
| Rate for Payer: Cofinity Commercial |
$3,700.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,149.60
|
| Rate for Payer: Healthscope Commercial |
$3,937.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,818.89
|
| Rate for Payer: Mclaren Commercial |
$3,543.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,346.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,755.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,464.56
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
IP
|
$3,950.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,765.00 |
| Max. Negotiated Rate |
$3,950.00 |
| Rate for Payer: Aetna Commercial |
$3,555.00
|
| Rate for Payer: ASR ASR |
$3,831.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,062.44
|
| Rate for Payer: BCN Commercial |
$3,062.44
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,713.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Healthscope Commercial |
$3,950.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,831.50
|
| Rate for Payer: Mclaren Commercial |
$3,555.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,476.00
|
|
|
HC BIOPSY PALATE UVULA
|
Facility
|
OP
|
$3,950.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
76100466
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.50 |
| Max. Negotiated Rate |
$3,950.00 |
| Rate for Payer: Aetna Commercial |
$3,555.00
|
| Rate for Payer: Aetna Medicare |
$1,355.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,694.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,694.48
|
| Rate for Payer: ASR ASR |
$3,831.50
|
| Rate for Payer: BCBS Complete |
$778.65
|
| Rate for Payer: BCBS MAPPO |
$1,355.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,062.44
|
| Rate for Payer: BCN Commercial |
$3,062.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$3,713.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$3,950.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,831.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,355.58
|
| Rate for Payer: Mclaren Commercial |
$3,555.00
|
| Rate for Payer: Mclaren Medicaid |
$741.50
|
| Rate for Payer: Mclaren Medicare |
$1,355.58
|
| Rate for Payer: Meridian Medicaid |
$778.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,423.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,558.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,357.50
|
| Rate for Payer: PACE Medicare |
$1,287.80
|
| Rate for Payer: PACE SWMI |
$1,355.58
|
| Rate for Payer: PHP Commercial |
$1,491.14
|
| Rate for Payer: PHP Medicaid |
$741.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,355.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,765.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,594.50
|
| Rate for Payer: Priority Health Medicare |
$1,355.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,804.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,476.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: VA VA |
$1,355.58
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
OP
|
$1,043.87
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$730.71 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$939.48
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$1,012.55
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$809.31
|
| Rate for Payer: BCN Commercial |
$809.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cofinity Commercial |
$981.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$835.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,043.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,012.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$939.48
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$887.29
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.11
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,100.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$918.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY PANCREAS
|
Facility
|
IP
|
$1,043.87
|
|
|
Service Code
|
CPT 48102
|
| Hospital Charge Code |
36100211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$730.71 |
| Max. Negotiated Rate |
$1,043.87 |
| Rate for Payer: Aetna Commercial |
$939.48
|
| Rate for Payer: ASR ASR |
$1,012.55
|
| Rate for Payer: BCBS Trust/PPO |
$809.31
|
| Rate for Payer: BCN Commercial |
$809.31
|
| Rate for Payer: Cash Price |
$835.10
|
| Rate for Payer: Cofinity Commercial |
$981.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$835.10
|
| Rate for Payer: Healthscope Commercial |
$1,043.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,012.55
|
| Rate for Payer: Mclaren Commercial |
$939.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$887.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$918.61
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
IP
|
$7,162.95
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$5,014.06 |
| Max. Negotiated Rate |
$7,162.95 |
| Rate for Payer: Aetna Commercial |
$6,446.66
|
| Rate for Payer: ASR ASR |
$6,948.06
|
| Rate for Payer: BCBS Trust/PPO |
$5,553.44
|
| Rate for Payer: BCN Commercial |
$5,553.44
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cofinity Commercial |
$6,733.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.36
|
| Rate for Payer: Healthscope Commercial |
$7,162.95
|
| Rate for Payer: Healthscope Whirlpool |
$6,948.06
|
| Rate for Payer: Mclaren Commercial |
$6,446.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,088.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,014.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,303.40
|
|
|
HC BIOPSY PENIS DEEP STRUCTURES
|
Facility
|
OP
|
$7,162.95
|
|
|
Service Code
|
CPT 54105
|
| Hospital Charge Code |
76100348
|
|
Hospital Revenue Code
|
760
|
| Min. Negotiated Rate |
$1,381.58 |
| Max. Negotiated Rate |
$7,162.95 |
| Rate for Payer: Aetna Commercial |
$6,446.66
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$6,948.06
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$5,553.44
|
| Rate for Payer: BCN Commercial |
$5,553.44
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cash Price |
$5,730.36
|
| Rate for Payer: Cofinity Commercial |
$6,733.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,730.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$7,162.95
|
| Rate for Payer: Healthscope Whirlpool |
$6,948.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$6,446.66
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,088.51
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,014.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,518.28
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$5,085.69
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,303.40
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
