|
Pace Gen Change Dual Lead
|
Facility
|
OP
|
$2,891.00
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
3052390
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,473.25 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Aetna Commercial |
$2,705.98
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,585.71
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,593.52
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$867.30
|
| Rate for Payer: Cash Price |
$867.30
|
| Rate for Payer: Cash Price |
$867.30
|
| Rate for Payer: Cigna Commercial |
$2,766.11
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$2,675.91
|
| Rate for Payer: HFN Commercial |
$2,766.11
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$2,405.31
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$2,766.11
|
| Rate for Payer: Quartz Beloit One Network |
$1,473.25
|
| Rate for Payer: Quartz Commercial |
$1,954.32
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$1,653.65
|
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: WPS Commercial |
$2,226.94
|
|
|
Pace Gen Change Multi Lead System
|
Facility
|
IP
|
$2,475.00
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
4125705
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,261.26 |
| Max. Negotiated Rate |
$2,368.08 |
| Rate for Payer: Aetna Commercial |
$2,316.60
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,213.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,364.22
|
| Rate for Payer: Cash Price |
$742.50
|
| Rate for Payer: Cigna Commercial |
$2,368.08
|
| Rate for Payer: Health EOS Commercial |
$2,290.86
|
| Rate for Payer: HFN Commercial |
$2,368.08
|
| Rate for Payer: Multiplan Commercial |
$2,059.20
|
| Rate for Payer: Preferred Network Access Commercial |
$2,368.08
|
| Rate for Payer: Quartz Beloit One Network |
$1,261.26
|
| Rate for Payer: Quartz Commercial |
$1,544.40
|
| Rate for Payer: WEA Trust Commercial |
$1,415.70
|
| Rate for Payer: WPS Commercial |
$1,906.49
|
|
|
Pace Gen Change Multi Lead System
|
Facility
|
OP
|
$2,475.00
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
4125705
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,261.26 |
| Max. Negotiated Rate |
$81,083.18 |
| Rate for Payer: Aetna Commercial |
$2,316.60
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,213.64
|
| Rate for Payer: Aetna Managed Medicare |
$20,270.80
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$20,607.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,113.12
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$18,158.40
|
| Rate for Payer: Anthem Medicare Advantage |
$20,270.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,364.22
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$20,270.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$20,270.80
|
| Rate for Payer: Cash Price |
$742.50
|
| Rate for Payer: Cash Price |
$742.50
|
| Rate for Payer: Cash Price |
$742.50
|
| Rate for Payer: Cigna Commercial |
$2,368.08
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$20,270.80
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$20,270.80
|
| Rate for Payer: Health EOS Commercial |
$2,290.86
|
| Rate for Payer: HFN Commercial |
$2,368.08
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$75,407.36
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$20,270.80
|
| Rate for Payer: Independent Care Health Plan Medicare |
$20,270.80
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$20,270.80
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$20,270.80
|
| Rate for Payer: Multiplan Commercial |
$2,059.20
|
| Rate for Payer: NAPHCARE Commercial |
$30,406.19
|
| Rate for Payer: Preferred Network Access Commercial |
$2,368.08
|
| Rate for Payer: Quartz Beloit One Network |
$1,261.26
|
| Rate for Payer: Quartz Commercial |
$1,673.10
|
| Rate for Payer: Quartz Medicare Advantage |
$20,270.80
|
| Rate for Payer: The Alliance Commercial |
$81,083.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,270.80
|
| Rate for Payer: United Healthcare PPO |
$11,521.12
|
| Rate for Payer: WEA Trust Commercial |
$1,415.70
|
| Rate for Payer: Wellcare Medicare |
$20,270.80
|
| Rate for Payer: WPS Commercial |
$1,906.49
|
|
|
Pace Gen Change Single Lead System
|
Facility
|
OP
|
$2,796.00
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
4294731
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,424.84 |
| Max. Negotiated Rate |
$34,835.72 |
| Rate for Payer: Aetna Commercial |
$2,617.06
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,500.74
|
| Rate for Payer: Aetna Managed Medicare |
$8,708.93
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$8,708.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,541.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$8,708.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$8,708.93
|
| Rate for Payer: Cash Price |
$838.80
|
| Rate for Payer: Cash Price |
$838.80
|
| Rate for Payer: Cash Price |
$838.80
|
| Rate for Payer: Cigna Commercial |
$2,675.21
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$8,708.93
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$8,708.93
|
| Rate for Payer: Health EOS Commercial |
$2,587.98
|
| Rate for Payer: HFN Commercial |
$2,675.21
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$32,397.22
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$8,708.93
|
| Rate for Payer: Independent Care Health Plan Medicare |
$8,708.93
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$8,708.93
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$8,708.93
|
| Rate for Payer: Multiplan Commercial |
$2,326.27
|
| Rate for Payer: NAPHCARE Commercial |
$13,063.39
|
| Rate for Payer: Preferred Network Access Commercial |
$2,675.21
|
| Rate for Payer: Quartz Beloit One Network |
$1,424.84
|
| Rate for Payer: Quartz Commercial |
$1,890.10
|
| Rate for Payer: Quartz Medicare Advantage |
$8,708.93
|
| Rate for Payer: The Alliance Commercial |
$34,835.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,708.93
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$1,599.31
|
| Rate for Payer: Wellcare Medicare |
$8,708.93
|
| Rate for Payer: WPS Commercial |
$2,153.76
|
|
|
Pace Gen Change Single Lead System
|
Facility
|
IP
|
$2,796.00
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
4294731
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,424.84 |
| Max. Negotiated Rate |
$2,675.21 |
| Rate for Payer: Aetna Commercial |
$2,617.06
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,500.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,541.16
|
| Rate for Payer: Cash Price |
$838.80
|
| Rate for Payer: Cigna Commercial |
$2,675.21
|
| Rate for Payer: Health EOS Commercial |
$2,587.98
|
| Rate for Payer: HFN Commercial |
$2,675.21
|
| Rate for Payer: Multiplan Commercial |
$2,326.27
|
| Rate for Payer: Preferred Network Access Commercial |
$2,675.21
|
| Rate for Payer: Quartz Beloit One Network |
$1,424.84
|
| Rate for Payer: Quartz Commercial |
$1,744.70
|
| Rate for Payer: WEA Trust Commercial |
$1,599.31
|
| Rate for Payer: WPS Commercial |
$2,153.76
|
|
|
Pace Gen INS/Rep Plus Atrial Lead
|
Facility
|
OP
|
$6,812.00
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
3052372
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,471.40 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Aetna Commercial |
$6,376.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,092.65
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,754.77
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$2,043.60
|
| Rate for Payer: Cash Price |
$2,043.60
|
| Rate for Payer: Cash Price |
$2,043.60
|
| Rate for Payer: Cigna Commercial |
$6,517.72
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$6,305.19
|
| Rate for Payer: HFN Commercial |
$6,517.72
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$5,667.58
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$6,517.72
|
| Rate for Payer: Quartz Beloit One Network |
$3,471.40
|
| Rate for Payer: Quartz Commercial |
$4,604.91
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$3,896.46
|
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: WPS Commercial |
$5,247.28
|
|
|
Pace Gen INS/Rep Plus Atrial Lead
|
Facility
|
IP
|
$6,812.00
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
3052372
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,471.40 |
| Max. Negotiated Rate |
$6,517.72 |
| Rate for Payer: Aetna Commercial |
$6,376.03
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,092.65
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,754.77
|
| Rate for Payer: Cash Price |
$2,043.60
|
| Rate for Payer: Cigna Commercial |
$6,517.72
|
| Rate for Payer: Health EOS Commercial |
$6,305.19
|
| Rate for Payer: HFN Commercial |
$6,517.72
|
| Rate for Payer: Multiplan Commercial |
$5,667.58
|
| Rate for Payer: Preferred Network Access Commercial |
$6,517.72
|
| Rate for Payer: Quartz Beloit One Network |
$3,471.40
|
| Rate for Payer: Quartz Commercial |
$4,250.69
|
| Rate for Payer: WEA Trust Commercial |
$3,896.46
|
| Rate for Payer: WPS Commercial |
$5,247.28
|
|
|
Pace Gen Ins/Rep Plus AV + CS Leads
|
Facility
|
IP
|
$3,854.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
4308712
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,964.00 |
| Max. Negotiated Rate |
$3,687.51 |
| Rate for Payer: Aetna Commercial |
$3,607.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,447.02
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,124.32
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cigna Commercial |
$3,687.51
|
| Rate for Payer: Health EOS Commercial |
$3,567.26
|
| Rate for Payer: HFN Commercial |
$3,687.51
|
| Rate for Payer: Multiplan Commercial |
$3,206.53
|
| Rate for Payer: Preferred Network Access Commercial |
$3,687.51
|
| Rate for Payer: Quartz Beloit One Network |
$1,964.00
|
| Rate for Payer: Quartz Commercial |
$2,404.90
|
| Rate for Payer: WEA Trust Commercial |
$2,204.49
|
| Rate for Payer: WPS Commercial |
$2,968.74
|
|
|
Pace Gen Ins/Rep Plus AV + CS Leads
|
Facility
|
OP
|
$3,854.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
4308712
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,964.00 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Aetna Commercial |
$3,607.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,447.02
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,124.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cigna Commercial |
$3,687.51
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$3,567.26
|
| Rate for Payer: HFN Commercial |
$3,687.51
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$3,206.53
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$3,687.51
|
| Rate for Payer: Quartz Beloit One Network |
$1,964.00
|
| Rate for Payer: Quartz Commercial |
$2,605.30
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$2,204.49
|
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: WPS Commercial |
$2,968.74
|
|
|
Pace Gen Ins/Rep Plus AV Leads
|
Facility
|
IP
|
$3,854.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
4308833
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,964.00 |
| Max. Negotiated Rate |
$3,687.51 |
| Rate for Payer: Aetna Commercial |
$3,607.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,447.02
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,124.32
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cigna Commercial |
$3,687.51
|
| Rate for Payer: Health EOS Commercial |
$3,567.26
|
| Rate for Payer: HFN Commercial |
$3,687.51
|
| Rate for Payer: Multiplan Commercial |
$3,206.53
|
| Rate for Payer: Preferred Network Access Commercial |
$3,687.51
|
| Rate for Payer: Quartz Beloit One Network |
$1,964.00
|
| Rate for Payer: Quartz Commercial |
$2,404.90
|
| Rate for Payer: WEA Trust Commercial |
$2,204.49
|
| Rate for Payer: WPS Commercial |
$2,968.74
|
|
|
Pace Gen Ins/Rep Plus AV Leads
|
Facility
|
OP
|
$3,854.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
4308833
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,964.00 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Aetna Commercial |
$3,607.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,447.02
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,124.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cash Price |
$1,156.20
|
| Rate for Payer: Cigna Commercial |
$3,687.51
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$3,567.26
|
| Rate for Payer: HFN Commercial |
$3,687.51
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$3,206.53
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$3,687.51
|
| Rate for Payer: Quartz Beloit One Network |
$1,964.00
|
| Rate for Payer: Quartz Commercial |
$2,605.30
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$2,204.49
|
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: WPS Commercial |
$2,968.74
|
|
|
Pace Gen INS/Rep Plus A/V Leads
|
Facility
|
OP
|
$12,394.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
3052374
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,315.98 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Aetna Commercial |
$11,600.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,085.19
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,831.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$3,718.20
|
| Rate for Payer: Cash Price |
$3,718.20
|
| Rate for Payer: Cash Price |
$3,718.20
|
| Rate for Payer: Cigna Commercial |
$11,858.58
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$11,471.89
|
| Rate for Payer: HFN Commercial |
$11,858.58
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$10,311.81
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$11,858.58
|
| Rate for Payer: Quartz Beloit One Network |
$6,315.98
|
| Rate for Payer: Quartz Commercial |
$8,378.34
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$7,089.37
|
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: WPS Commercial |
$9,547.10
|
|
|
Pace Gen INS/Rep Plus A/V Leads
|
Facility
|
IP
|
$12,394.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
3052374
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,315.98 |
| Max. Negotiated Rate |
$11,858.58 |
| Rate for Payer: Aetna Commercial |
$11,600.78
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,085.19
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,831.57
|
| Rate for Payer: Cash Price |
$3,718.20
|
| Rate for Payer: Cigna Commercial |
$11,858.58
|
| Rate for Payer: Health EOS Commercial |
$11,471.89
|
| Rate for Payer: HFN Commercial |
$11,858.58
|
| Rate for Payer: Multiplan Commercial |
$10,311.81
|
| Rate for Payer: Preferred Network Access Commercial |
$11,858.58
|
| Rate for Payer: Quartz Beloit One Network |
$6,315.98
|
| Rate for Payer: Quartz Commercial |
$7,733.86
|
| Rate for Payer: WEA Trust Commercial |
$7,089.37
|
| Rate for Payer: WPS Commercial |
$9,547.10
|
|
|
Pace Gen Ins/Rep Plus Vent Lead
|
Facility
|
IP
|
$4,203.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
4308818
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,141.85 |
| Max. Negotiated Rate |
$4,021.43 |
| Rate for Payer: Aetna Commercial |
$3,934.01
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,759.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,316.69
|
| Rate for Payer: Cash Price |
$1,260.90
|
| Rate for Payer: Cigna Commercial |
$4,021.43
|
| Rate for Payer: Health EOS Commercial |
$3,890.30
|
| Rate for Payer: HFN Commercial |
$4,021.43
|
| Rate for Payer: Multiplan Commercial |
$3,496.90
|
| Rate for Payer: Preferred Network Access Commercial |
$4,021.43
|
| Rate for Payer: Quartz Beloit One Network |
$2,141.85
|
| Rate for Payer: Quartz Commercial |
$2,622.67
|
| Rate for Payer: WEA Trust Commercial |
$2,404.12
|
| Rate for Payer: WPS Commercial |
$3,237.57
|
|
|
Pace Gen Ins/Rep Plus Vent Lead
|
Facility
|
OP
|
$4,203.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
4308818
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,141.85 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: Aetna Commercial |
$3,934.01
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,759.16
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,316.69
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$1,260.90
|
| Rate for Payer: Cash Price |
$1,260.90
|
| Rate for Payer: Cash Price |
$1,260.90
|
| Rate for Payer: Cigna Commercial |
$4,021.43
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$3,890.30
|
| Rate for Payer: HFN Commercial |
$4,021.43
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$3,496.90
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$4,021.43
|
| Rate for Payer: Quartz Beloit One Network |
$2,141.85
|
| Rate for Payer: Quartz Commercial |
$2,841.23
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$2,404.12
|
| Rate for Payer: WPS Commercial |
$3,237.57
|
|
|
Pace Gen INS/Rep Plus Vent Lead
|
Facility
|
OP
|
$5,254.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
3052373
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,677.44 |
| Max. Negotiated Rate |
$43,998.28 |
| Rate for Payer: Aetna Commercial |
$4,917.74
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,699.18
|
| Rate for Payer: Aetna Managed Medicare |
$10,999.57
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,896.00
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,999.57
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,999.57
|
| Rate for Payer: Cash Price |
$1,576.20
|
| Rate for Payer: Cash Price |
$1,576.20
|
| Rate for Payer: Cash Price |
$1,576.20
|
| Rate for Payer: Cigna Commercial |
$5,027.03
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,999.57
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,999.57
|
| Rate for Payer: Health EOS Commercial |
$4,863.10
|
| Rate for Payer: HFN Commercial |
$5,027.03
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,918.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,999.57
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,999.57
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,999.57
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,999.57
|
| Rate for Payer: Multiplan Commercial |
$4,371.33
|
| Rate for Payer: NAPHCARE Commercial |
$16,499.36
|
| Rate for Payer: Preferred Network Access Commercial |
$5,027.03
|
| Rate for Payer: Quartz Beloit One Network |
$2,677.44
|
| Rate for Payer: Quartz Commercial |
$3,551.70
|
| Rate for Payer: Quartz Medicare Advantage |
$10,999.57
|
| Rate for Payer: The Alliance Commercial |
$43,998.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,999.57
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$3,005.29
|
| Rate for Payer: Wellcare Medicare |
$10,999.57
|
| Rate for Payer: WPS Commercial |
$4,047.16
|
|
|
Pace Gen INS/Rep Plus Vent Lead
|
Facility
|
IP
|
$5,254.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
3052373
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,677.44 |
| Max. Negotiated Rate |
$5,027.03 |
| Rate for Payer: Aetna Commercial |
$4,917.74
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$4,699.18
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,896.00
|
| Rate for Payer: Cash Price |
$1,576.20
|
| Rate for Payer: Cigna Commercial |
$5,027.03
|
| Rate for Payer: Health EOS Commercial |
$4,863.10
|
| Rate for Payer: HFN Commercial |
$5,027.03
|
| Rate for Payer: Multiplan Commercial |
$4,371.33
|
| Rate for Payer: Preferred Network Access Commercial |
$5,027.03
|
| Rate for Payer: Quartz Beloit One Network |
$2,677.44
|
| Rate for Payer: Quartz Commercial |
$3,278.50
|
| Rate for Payer: WEA Trust Commercial |
$3,005.29
|
| Rate for Payer: WPS Commercial |
$4,047.16
|
|
|
Pace Gen Removal W/O Replacement
|
Facility
|
OP
|
$1,499.00
|
|
|
Service Code
|
CPT 33233
|
| Hospital Charge Code |
3052393
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$763.89 |
| Max. Negotiated Rate |
$34,835.72 |
| Rate for Payer: Aetna Commercial |
$1,403.06
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,340.71
|
| Rate for Payer: Aetna Managed Medicare |
$8,708.93
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$8,708.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$826.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$8,708.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$8,708.93
|
| Rate for Payer: Cash Price |
$449.70
|
| Rate for Payer: Cash Price |
$449.70
|
| Rate for Payer: Cash Price |
$449.70
|
| Rate for Payer: Cigna Commercial |
$1,434.24
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$8,708.93
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$8,708.93
|
| Rate for Payer: Health EOS Commercial |
$1,387.47
|
| Rate for Payer: HFN Commercial |
$1,434.24
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$32,397.22
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$8,708.93
|
| Rate for Payer: Independent Care Health Plan Medicare |
$8,708.93
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$8,708.93
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$8,708.93
|
| Rate for Payer: Multiplan Commercial |
$1,247.17
|
| Rate for Payer: NAPHCARE Commercial |
$13,063.39
|
| Rate for Payer: Preferred Network Access Commercial |
$1,434.24
|
| Rate for Payer: Quartz Beloit One Network |
$763.89
|
| Rate for Payer: Quartz Commercial |
$1,013.32
|
| Rate for Payer: Quartz Medicare Advantage |
$8,708.93
|
| Rate for Payer: The Alliance Commercial |
$34,835.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,708.93
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$857.43
|
| Rate for Payer: Wellcare Medicare |
$8,708.93
|
| Rate for Payer: WPS Commercial |
$1,154.68
|
|
|
Pace Gen Removal W/O Replacement
|
Facility
|
IP
|
$1,499.00
|
|
|
Service Code
|
CPT 33233
|
| Hospital Charge Code |
3052393
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$763.89 |
| Max. Negotiated Rate |
$1,434.24 |
| Rate for Payer: Aetna Commercial |
$1,403.06
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,340.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$826.25
|
| Rate for Payer: Cash Price |
$449.70
|
| Rate for Payer: Cigna Commercial |
$1,434.24
|
| Rate for Payer: Health EOS Commercial |
$1,387.47
|
| Rate for Payer: HFN Commercial |
$1,434.24
|
| Rate for Payer: Multiplan Commercial |
$1,247.17
|
| Rate for Payer: Preferred Network Access Commercial |
$1,434.24
|
| Rate for Payer: Quartz Beloit One Network |
$763.89
|
| Rate for Payer: Quartz Commercial |
$935.38
|
| Rate for Payer: WEA Trust Commercial |
$857.43
|
| Rate for Payer: WPS Commercial |
$1,154.68
|
|
|
Pace/ICD AV + CS Leads Only
|
Facility
|
OP
|
$2,342.00
|
|
|
Service Code
|
CPT 33217
|
| Hospital Charge Code |
4308767
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,193.48 |
| Max. Negotiated Rate |
$34,835.72 |
| Rate for Payer: Aetna Commercial |
$2,192.11
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,094.68
|
| Rate for Payer: Aetna Managed Medicare |
$8,708.93
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,394.96
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,394.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$17,919.20
|
| Rate for Payer: Anthem Medicare Advantage |
$8,708.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,290.91
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$8,708.93
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$8,708.93
|
| Rate for Payer: Cash Price |
$702.60
|
| Rate for Payer: Cash Price |
$702.60
|
| Rate for Payer: Cash Price |
$702.60
|
| Rate for Payer: Cigna Commercial |
$2,240.83
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$8,708.93
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$8,708.93
|
| Rate for Payer: Health EOS Commercial |
$2,167.76
|
| Rate for Payer: HFN Commercial |
$2,240.83
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$32,397.22
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$8,708.93
|
| Rate for Payer: Independent Care Health Plan Medicare |
$8,708.93
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$8,708.93
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$8,708.93
|
| Rate for Payer: Multiplan Commercial |
$1,948.54
|
| Rate for Payer: NAPHCARE Commercial |
$13,063.39
|
| Rate for Payer: Preferred Network Access Commercial |
$2,240.83
|
| Rate for Payer: Quartz Beloit One Network |
$1,193.48
|
| Rate for Payer: Quartz Commercial |
$1,583.19
|
| Rate for Payer: Quartz Medicare Advantage |
$8,708.93
|
| Rate for Payer: The Alliance Commercial |
$34,835.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,708.93
|
| Rate for Payer: United Healthcare PPO |
$9,979.84
|
| Rate for Payer: WEA Trust Commercial |
$1,339.62
|
| Rate for Payer: Wellcare Medicare |
$8,708.93
|
| Rate for Payer: WPS Commercial |
$1,804.04
|
|
|
Pace/ICD AV + CS Leads Only
|
Facility
|
IP
|
$2,342.00
|
|
|
Service Code
|
CPT 33217
|
| Hospital Charge Code |
4308767
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,193.48 |
| Max. Negotiated Rate |
$2,240.83 |
| Rate for Payer: Aetna Commercial |
$2,192.11
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,094.68
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,290.91
|
| Rate for Payer: Cash Price |
$702.60
|
| Rate for Payer: Cigna Commercial |
$2,240.83
|
| Rate for Payer: Health EOS Commercial |
$2,167.76
|
| Rate for Payer: HFN Commercial |
$2,240.83
|
| Rate for Payer: Multiplan Commercial |
$1,948.54
|
| Rate for Payer: Preferred Network Access Commercial |
$2,240.83
|
| Rate for Payer: Quartz Beloit One Network |
$1,193.48
|
| Rate for Payer: Quartz Commercial |
$1,461.41
|
| Rate for Payer: WEA Trust Commercial |
$1,339.62
|
| Rate for Payer: WPS Commercial |
$1,804.04
|
|
|
Pace/ICD CS Lead Ins, New Gen +
|
Facility
|
OP
|
$3,433.00
|
|
|
Service Code
|
CPT 33225
|
| Hospital Charge Code |
4294736
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$999.69 |
| Max. Negotiated Rate |
$12,349.86 |
| Rate for Payer: Aetna Commercial |
$3,213.29
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,070.48
|
| Rate for Payer: Aetna Managed Medicare |
$999.69
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,320.71
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,785.16
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,713.75
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,892.27
|
| Rate for Payer: Cash Price |
$1,029.90
|
| Rate for Payer: Cash Price |
$1,029.90
|
| Rate for Payer: Cigna Commercial |
$3,284.69
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Health EOS Commercial |
$3,177.58
|
| Rate for Payer: HFN Commercial |
$3,284.69
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,677.74
|
| Rate for Payer: Multiplan Commercial |
$2,856.26
|
| Rate for Payer: NAPHCARE Commercial |
$2,142.19
|
| Rate for Payer: Preferred Network Access Commercial |
$3,284.69
|
| Rate for Payer: Quartz Beloit One Network |
$1,749.46
|
| Rate for Payer: Quartz Commercial |
$2,320.71
|
| Rate for Payer: Quartz Medicare Advantage |
$2,142.19
|
| Rate for Payer: The Alliance Commercial |
$1,446.93
|
| Rate for Payer: WEA Trust Commercial |
$1,963.68
|
| Rate for Payer: WPS Commercial |
$2,644.44
|
|
|
Pace/ICD CS Lead Ins, New Gen +
|
Facility
|
IP
|
$3,978.00
|
|
|
Service Code
|
CPT 33225
|
| Hospital Charge Code |
3052387
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,027.19 |
| Max. Negotiated Rate |
$3,806.15 |
| Rate for Payer: Aetna Commercial |
$3,723.41
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,557.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,192.67
|
| Rate for Payer: Cash Price |
$1,193.40
|
| Rate for Payer: Cigna Commercial |
$3,806.15
|
| Rate for Payer: Health EOS Commercial |
$3,682.04
|
| Rate for Payer: HFN Commercial |
$3,806.15
|
| Rate for Payer: Multiplan Commercial |
$3,309.70
|
| Rate for Payer: Preferred Network Access Commercial |
$3,806.15
|
| Rate for Payer: Quartz Beloit One Network |
$2,027.19
|
| Rate for Payer: Quartz Commercial |
$2,482.27
|
| Rate for Payer: WEA Trust Commercial |
$2,275.42
|
| Rate for Payer: WPS Commercial |
$3,064.25
|
|
|
Pace/ICD CS Lead Ins, New Gen +
|
Facility
|
OP
|
$3,978.00
|
|
|
Service Code
|
CPT 33225
|
| Hospital Charge Code |
3052387
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,158.39 |
| Max. Negotiated Rate |
$12,349.86 |
| Rate for Payer: Aetna Commercial |
$3,723.41
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,557.92
|
| Rate for Payer: Aetna Managed Medicare |
$1,158.39
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,689.13
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$2,068.56
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,985.82
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,192.67
|
| Rate for Payer: Cash Price |
$1,193.40
|
| Rate for Payer: Cash Price |
$1,193.40
|
| Rate for Payer: Cigna Commercial |
$3,806.15
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Health EOS Commercial |
$3,682.04
|
| Rate for Payer: HFN Commercial |
$3,806.15
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$3,102.84
|
| Rate for Payer: Multiplan Commercial |
$3,309.70
|
| Rate for Payer: NAPHCARE Commercial |
$2,482.27
|
| Rate for Payer: Preferred Network Access Commercial |
$3,806.15
|
| Rate for Payer: Quartz Beloit One Network |
$2,027.19
|
| Rate for Payer: Quartz Commercial |
$2,689.13
|
| Rate for Payer: Quartz Medicare Advantage |
$2,482.27
|
| Rate for Payer: The Alliance Commercial |
$1,446.93
|
| Rate for Payer: WEA Trust Commercial |
$2,275.42
|
| Rate for Payer: WPS Commercial |
$3,064.25
|
|
|
Pace/ICD CS Lead Ins, New Gen +
|
Facility
|
IP
|
$3,433.00
|
|
|
Service Code
|
CPT 33225
|
| Hospital Charge Code |
4294736
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,749.46 |
| Max. Negotiated Rate |
$3,284.69 |
| Rate for Payer: Aetna Commercial |
$3,213.29
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,070.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,892.27
|
| Rate for Payer: Cash Price |
$1,029.90
|
| Rate for Payer: Cigna Commercial |
$3,284.69
|
| Rate for Payer: Health EOS Commercial |
$3,177.58
|
| Rate for Payer: HFN Commercial |
$3,284.69
|
| Rate for Payer: Multiplan Commercial |
$2,856.26
|
| Rate for Payer: Preferred Network Access Commercial |
$3,284.69
|
| Rate for Payer: Quartz Beloit One Network |
$1,749.46
|
| Rate for Payer: Quartz Commercial |
$2,142.19
|
| Rate for Payer: WEA Trust Commercial |
$1,963.68
|
| Rate for Payer: WPS Commercial |
$2,644.44
|
|
