|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$4,200.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,940.00 |
| Max. Negotiated Rate |
$4,200.00 |
| Rate for Payer: Aetna Commercial |
$3,780.00
|
| Rate for Payer: ASR ASR |
$4,074.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,256.26
|
| Rate for Payer: BCN Commercial |
$3,256.26
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$3,948.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,360.00
|
| Rate for Payer: Healthscope Commercial |
$4,200.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,074.00
|
| Rate for Payer: Mclaren Commercial |
$3,780.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,570.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,940.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,696.00
|
|
|
HC BIOPSY PENIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$4,200.00
|
|
|
Service Code
|
CPT 54100
|
| Hospital Charge Code |
76100388
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$4,200.00 |
| Rate for Payer: Aetna Commercial |
$3,780.00
|
| 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 |
$4,074.00
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,256.26
|
| Rate for Payer: BCN Commercial |
$3,256.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$3,948.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,360.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$4,200.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,074.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$3,780.00
|
| 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 |
$3,570.00
|
| 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 |
$2,940.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,822.00
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,982.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,696.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY PLEURA
|
Facility
|
OP
|
$907.70
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$635.39 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$816.93
|
| 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 |
$880.47
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$703.74
|
| Rate for Payer: BCN Commercial |
$703.74
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cofinity Commercial |
$853.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$907.70
|
| Rate for Payer: Healthscope Whirlpool |
$880.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$816.93
|
| 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 |
$771.54
|
| 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 |
$635.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$826.01
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$644.47
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$798.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY PLEURA
|
Facility
|
IP
|
$907.70
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
36100048
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$635.39 |
| Max. Negotiated Rate |
$907.70 |
| Rate for Payer: Aetna Commercial |
$816.93
|
| Rate for Payer: ASR ASR |
$880.47
|
| Rate for Payer: BCBS Trust/PPO |
$703.74
|
| Rate for Payer: BCN Commercial |
$703.74
|
| Rate for Payer: Cash Price |
$726.16
|
| Rate for Payer: Cofinity Commercial |
$853.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.16
|
| Rate for Payer: Healthscope Commercial |
$907.70
|
| Rate for Payer: Healthscope Whirlpool |
$880.47
|
| Rate for Payer: Mclaren Commercial |
$816.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$771.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$635.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$798.78
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
IP
|
$1,976.45
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,383.52 |
| Max. Negotiated Rate |
$1,976.45 |
| Rate for Payer: Aetna Commercial |
$1,778.80
|
| Rate for Payer: ASR ASR |
$1,917.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,532.34
|
| Rate for Payer: BCN Commercial |
$1,532.34
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,857.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,581.16
|
| Rate for Payer: Healthscope Commercial |
$1,976.45
|
| Rate for Payer: Healthscope Whirlpool |
$1,917.16
|
| Rate for Payer: Mclaren Commercial |
$1,778.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,679.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,739.28
|
|
|
HC BIOPSY PROSTATE
|
Facility
|
OP
|
$1,976.45
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
36100255
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$990.33 |
| Max. Negotiated Rate |
$2,263.10 |
| Rate for Payer: Aetna Commercial |
$1,778.80
|
| Rate for Payer: Aetna Medicare |
$1,810.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,263.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,263.10
|
| Rate for Payer: ASR ASR |
$1,917.16
|
| Rate for Payer: BCBS Complete |
$1,039.94
|
| Rate for Payer: BCBS MAPPO |
$1,810.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,532.34
|
| Rate for Payer: BCN Commercial |
$1,532.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.48
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cash Price |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,857.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,581.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.48
|
| Rate for Payer: Healthscope Commercial |
$1,976.45
|
| Rate for Payer: Healthscope Whirlpool |
$1,917.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,810.48
|
| Rate for Payer: Mclaren Commercial |
$1,778.80
|
| Rate for Payer: Mclaren Medicaid |
$990.33
|
| Rate for Payer: Mclaren Medicare |
$1,810.48
|
| Rate for Payer: Meridian Medicaid |
$1,039.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,901.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,082.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,679.98
|
| Rate for Payer: PACE Medicare |
$1,719.96
|
| Rate for Payer: PACE SWMI |
$1,810.48
|
| Rate for Payer: PHP Commercial |
$1,991.53
|
| Rate for Payer: PHP Medicaid |
$990.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$990.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,798.57
|
| Rate for Payer: Priority Health Medicare |
$1,810.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,403.28
|
| Rate for Payer: Railroad Medicare Medicare |
$1,810.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,739.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,864.79
|
| Rate for Payer: VA VA |
$1,810.48
|
|
|
HC BIOPSY RENAL
|
Facility
|
IP
|
$1,653.46
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,157.42 |
| Max. Negotiated Rate |
$1,653.46 |
| Rate for Payer: Aetna Commercial |
$1,488.11
|
| Rate for Payer: ASR ASR |
$1,603.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.93
|
| Rate for Payer: BCN Commercial |
$1,281.93
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cofinity Commercial |
$1,554.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
| Rate for Payer: Healthscope Commercial |
$1,653.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,603.86
|
| Rate for Payer: Mclaren Commercial |
$1,488.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,405.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,157.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,455.04
|
|
|
HC BIOPSY RENAL
|
Facility
|
OP
|
$1,653.46
|
|
|
Service Code
|
CPT 50200
|
| Hospital Charge Code |
36100235
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$1,488.11
|
| 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 |
$1,603.86
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,281.93
|
| Rate for Payer: BCN Commercial |
$1,281.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cash Price |
$1,322.77
|
| Rate for Payer: Cofinity Commercial |
$1,554.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,322.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,653.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,603.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,488.11
|
| 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 |
$1,405.44
|
| 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 |
$1,157.42
|
| 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 |
$1,455.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
OP
|
$898.05
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$342.09 |
| Max. Negotiated Rate |
$898.05 |
| Rate for Payer: Aetna Commercial |
$808.24
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$871.11
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$696.26
|
| Rate for Payer: BCN Commercial |
$696.26
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cofinity Commercial |
$844.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$718.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$898.05
|
| Rate for Payer: Healthscope Whirlpool |
$871.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$808.24
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$763.34
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$817.23
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$637.62
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$790.28
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
HC BIOPSY SALIVARY GLAND
|
Facility
|
IP
|
$898.05
|
|
|
Service Code
|
CPT 42400
|
| Hospital Charge Code |
36100189
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$628.64 |
| Max. Negotiated Rate |
$898.05 |
| Rate for Payer: Aetna Commercial |
$808.24
|
| Rate for Payer: ASR ASR |
$871.11
|
| Rate for Payer: BCBS Trust/PPO |
$696.26
|
| Rate for Payer: BCN Commercial |
$696.26
|
| Rate for Payer: Cash Price |
$718.44
|
| Rate for Payer: Cofinity Commercial |
$844.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$718.44
|
| Rate for Payer: Healthscope Commercial |
$898.05
|
| Rate for Payer: Healthscope Whirlpool |
$871.11
|
| Rate for Payer: Mclaren Commercial |
$808.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$763.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$790.28
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
IP
|
$4,000.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,800.00 |
| Max. Negotiated Rate |
$4,000.00 |
| Rate for Payer: Aetna Commercial |
$3,600.00
|
| Rate for Payer: ASR ASR |
$3,880.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,101.20
|
| Rate for Payer: BCN Commercial |
$3,101.20
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$3,760.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Healthscope Commercial |
$4,000.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,880.00
|
| Rate for Payer: Mclaren Commercial |
$3,600.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,800.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,520.00
|
|
|
HC BIOPSY SALIVARY GLAND INCISIONAL
|
Facility
|
OP
|
$4,000.00
|
|
|
Service Code
|
CPT 42405
|
| Hospital Charge Code |
76100471
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.50 |
| Max. Negotiated Rate |
$4,000.00 |
| Rate for Payer: Aetna Commercial |
$3,600.00
|
| 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 |
$3,880.00
|
| Rate for Payer: BCBS Complete |
$778.65
|
| Rate for Payer: BCBS MAPPO |
$1,355.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,101.20
|
| Rate for Payer: BCN Commercial |
$3,101.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,355.58
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cash Price |
$3,200.00
|
| Rate for Payer: Cofinity Commercial |
$3,760.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,200.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,355.58
|
| Rate for Payer: Healthscope Commercial |
$4,000.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,880.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,355.58
|
| Rate for Payer: Mclaren Commercial |
$3,600.00
|
| 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 |
$3,400.00
|
| 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 |
$2,800.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,640.00
|
| Rate for Payer: Priority Health Medicare |
$1,355.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,840.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,355.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,520.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,396.25
|
| Rate for Payer: VA VA |
$1,355.58
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
IP
|
$2,473.30
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,731.31 |
| Max. Negotiated Rate |
$2,473.30 |
| Rate for Payer: Aetna Commercial |
$2,225.97
|
| Rate for Payer: ASR ASR |
$2,399.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,917.55
|
| Rate for Payer: BCN Commercial |
$1,917.55
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cofinity Commercial |
$2,324.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,978.64
|
| Rate for Payer: Healthscope Commercial |
$2,473.30
|
| Rate for Payer: Healthscope Whirlpool |
$2,399.10
|
| Rate for Payer: Mclaren Commercial |
$2,225.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,102.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,731.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,176.50
|
|
|
HC BIOPSY SOFT TISSUE FLANK DEEP
|
Facility
|
OP
|
$2,473.30
|
|
|
Service Code
|
CPT 21925
|
| Hospital Charge Code |
36100029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$2,473.30 |
| Rate for Payer: Aetna Commercial |
$2,225.97
|
| 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 |
$2,399.10
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,917.55
|
| Rate for Payer: BCN Commercial |
$1,917.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cash Price |
$1,978.64
|
| Rate for Payer: Cofinity Commercial |
$2,324.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,978.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$2,473.30
|
| Rate for Payer: Healthscope Whirlpool |
$2,399.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$2,225.97
|
| 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 |
$2,102.30
|
| 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 |
$1,731.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,250.70
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,756.04
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,176.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
OP
|
$1,632.85
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$2,555.18 |
| Rate for Payer: Aetna Commercial |
$1,469.56
|
| 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 |
$1,583.86
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,265.95
|
| Rate for Payer: BCN Commercial |
$1,265.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cofinity Commercial |
$1,534.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,306.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,632.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,583.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,469.56
|
| 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 |
$1,387.92
|
| 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 |
$1,143.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,555.18
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,044.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,436.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
HC BIOPSY SOFT TISSUE NECK THORAX
|
Facility
|
IP
|
$1,632.85
|
|
|
Service Code
|
CPT 21550
|
| Hospital Charge Code |
36100028
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,143.00 |
| Max. Negotiated Rate |
$1,632.85 |
| Rate for Payer: Aetna Commercial |
$1,469.56
|
| Rate for Payer: ASR ASR |
$1,583.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,265.95
|
| Rate for Payer: BCN Commercial |
$1,265.95
|
| Rate for Payer: Cash Price |
$1,306.28
|
| Rate for Payer: Cofinity Commercial |
$1,534.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,306.28
|
| Rate for Payer: Healthscope Commercial |
$1,632.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,583.86
|
| Rate for Payer: Mclaren Commercial |
$1,469.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,387.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,143.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,436.91
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$8,950.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,265.00 |
| Max. Negotiated Rate |
$8,950.00 |
| Rate for Payer: Aetna Commercial |
$8,055.00
|
| Rate for Payer: ASR ASR |
$8,681.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,938.94
|
| Rate for Payer: BCN Commercial |
$6,938.94
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cofinity Commercial |
$8,413.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,160.00
|
| Rate for Payer: Healthscope Commercial |
$8,950.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,681.50
|
| Rate for Payer: Mclaren Commercial |
$8,055.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,607.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,265.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,876.00
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$8,950.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100387
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,695.03 |
| Max. Negotiated Rate |
$8,950.00 |
| Rate for Payer: Aetna Commercial |
$8,055.00
|
| Rate for Payer: Aetna Medicare |
$3,098.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: ASR ASR |
$8,681.50
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$6,938.94
|
| Rate for Payer: BCN Commercial |
$6,938.94
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cash Price |
$7,160.00
|
| Rate for Payer: Cofinity Commercial |
$8,413.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,160.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$8,950.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,681.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,098.77
|
| Rate for Payer: Mclaren Commercial |
$8,055.00
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,607.50
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$3,408.65
|
| Rate for Payer: PHP Medicaid |
$1,695.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,265.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,144.50
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$6,354.50
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,876.00
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: VA VA |
$3,098.77
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
OP
|
$8,974.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,695.03 |
| Max. Negotiated Rate |
$8,974.00 |
| Rate for Payer: Aetna Commercial |
$8,076.60
|
| Rate for Payer: Aetna Medicare |
$3,098.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: ASR ASR |
$8,704.78
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$6,957.54
|
| Rate for Payer: BCN Commercial |
$6,957.54
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cofinity Commercial |
$8,435.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,179.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$8,974.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,704.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,098.77
|
| Rate for Payer: Mclaren Commercial |
$8,076.60
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,627.90
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$3,408.65
|
| Rate for Payer: PHP Medicaid |
$1,695.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,281.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,166.34
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$6,371.54
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,897.12
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: VA VA |
$3,098.77
|
|
|
HC BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE BIL
|
Facility
|
IP
|
$8,974.00
|
|
|
Service Code
|
CPT 54505
|
| Hospital Charge Code |
76100392
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,281.80 |
| Max. Negotiated Rate |
$8,974.00 |
| Rate for Payer: Aetna Commercial |
$8,076.60
|
| Rate for Payer: ASR ASR |
$8,704.78
|
| Rate for Payer: BCBS Trust/PPO |
$6,957.54
|
| Rate for Payer: BCN Commercial |
$6,957.54
|
| Rate for Payer: Cash Price |
$7,179.20
|
| Rate for Payer: Cofinity Commercial |
$8,435.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,179.20
|
| Rate for Payer: Healthscope Commercial |
$8,974.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,704.78
|
| Rate for Payer: Mclaren Commercial |
$8,076.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,627.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,281.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,897.12
|
|
|
HC BIOPSY THYROID
|
Facility
|
OP
|
$395.76
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$277.03 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$356.18
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$383.89
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$306.83
|
| Rate for Payer: BCN Commercial |
$306.83
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cofinity Commercial |
$372.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$395.76
|
| Rate for Payer: Healthscope Whirlpool |
$383.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$356.18
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$336.40
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.55
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$518.84
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.27
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
HC BIOPSY THYROID
|
Facility
|
IP
|
$395.76
|
|
|
Service Code
|
CPT 60100
|
| Hospital Charge Code |
36100265
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$277.03 |
| Max. Negotiated Rate |
$395.76 |
| Rate for Payer: Aetna Commercial |
$356.18
|
| Rate for Payer: ASR ASR |
$383.89
|
| Rate for Payer: BCBS Trust/PPO |
$306.83
|
| Rate for Payer: BCN Commercial |
$306.83
|
| Rate for Payer: Cash Price |
$316.61
|
| Rate for Payer: Cofinity Commercial |
$372.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.61
|
| Rate for Payer: Healthscope Commercial |
$395.76
|
| Rate for Payer: Healthscope Whirlpool |
$383.89
|
| Rate for Payer: Mclaren Commercial |
$356.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$336.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.27
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
IP
|
$1,350.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$945.00 |
| Max. Negotiated Rate |
$1,350.00 |
| Rate for Payer: Aetna Commercial |
$1,215.00
|
| Rate for Payer: ASR ASR |
$1,309.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,046.66
|
| Rate for Payer: BCN Commercial |
$1,046.66
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,269.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Healthscope Commercial |
$1,350.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,309.50
|
| Rate for Payer: Mclaren Commercial |
$1,215.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,188.00
|
|
|
HC BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Facility
|
OP
|
$1,350.00
|
|
|
Service Code
|
CPT 41100
|
| Hospital Charge Code |
76100462
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$267.52 |
| Max. Negotiated Rate |
$1,350.00 |
| Rate for Payer: Aetna Commercial |
$1,215.00
|
| Rate for Payer: Aetna Medicare |
$489.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$611.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$611.32
|
| Rate for Payer: ASR ASR |
$1,309.50
|
| Rate for Payer: BCBS Complete |
$280.92
|
| Rate for Payer: BCBS MAPPO |
$489.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,046.66
|
| Rate for Payer: BCN Commercial |
$1,046.66
|
| Rate for Payer: BCN Medicare Advantage |
$489.06
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,269.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.06
|
| Rate for Payer: Healthscope Commercial |
$1,350.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,309.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$489.06
|
| Rate for Payer: Mclaren Commercial |
$1,215.00
|
| Rate for Payer: Mclaren Medicaid |
$267.52
|
| Rate for Payer: Mclaren Medicare |
$489.06
|
| Rate for Payer: Meridian Medicaid |
$280.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$562.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PACE Medicare |
$464.61
|
| Rate for Payer: PACE SWMI |
$489.06
|
| Rate for Payer: PHP Commercial |
$537.97
|
| Rate for Payer: PHP Medicaid |
$267.52
|
| Rate for Payer: PHP Medicare Advantage |
$489.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,228.50
|
| Rate for Payer: Priority Health Medicare |
$489.06
|
| Rate for Payer: Priority Health Narrow Network |
$958.50
|
| Rate for Payer: Railroad Medicare Medicare |
$489.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,188.00
|
| Rate for Payer: UHC Medicare Advantage |
$503.73
|
| Rate for Payer: VA VA |
$489.06
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$7,900.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,565.43 |
| Max. Negotiated Rate |
$7,900.00 |
| Rate for Payer: Aetna Commercial |
$7,110.00
|
| Rate for Payer: Aetna Medicare |
$2,861.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,577.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,577.30
|
| Rate for Payer: ASR ASR |
$7,663.00
|
| Rate for Payer: BCBS Complete |
$1,643.84
|
| Rate for Payer: BCBS MAPPO |
$2,861.84
|
| Rate for Payer: BCBS Trust/PPO |
$6,124.87
|
| Rate for Payer: BCN Commercial |
$6,124.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,861.84
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cofinity Commercial |
$7,426.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,320.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,861.84
|
| Rate for Payer: Healthscope Commercial |
$7,900.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,663.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,861.84
|
| Rate for Payer: Mclaren Commercial |
$7,110.00
|
| Rate for Payer: Mclaren Medicaid |
$1,565.43
|
| Rate for Payer: Mclaren Medicare |
$2,861.84
|
| Rate for Payer: Meridian Medicaid |
$1,643.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,004.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,291.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,715.00
|
| Rate for Payer: PACE Medicare |
$2,718.75
|
| Rate for Payer: PACE SWMI |
$2,861.84
|
| Rate for Payer: PHP Commercial |
$3,148.02
|
| Rate for Payer: PHP Medicaid |
$1,565.43
|
| Rate for Payer: PHP Medicare Advantage |
$2,861.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,565.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,530.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,189.00
|
| Rate for Payer: Priority Health Medicare |
$2,861.84
|
| Rate for Payer: Priority Health Narrow Network |
$5,609.00
|
| Rate for Payer: Railroad Medicare Medicare |
$2,861.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,952.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,947.70
|
| Rate for Payer: VA VA |
$2,861.84
|
|
