|
HC CANNULA CORONARY 14FR
|
Facility
|
IP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.36 |
| Max. Negotiated Rate |
$64.80 |
| Rate for Payer: Aetna Commercial |
$61.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.80
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Advantage |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$61.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$64.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: PHP Commercial |
$61.20
|
| Rate for Payer: Priority Health SBD |
$45.36
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$49.16 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.72
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Advantage |
$54.62
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health SBD |
$49.16
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.67 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$39.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.72
|
| Rate for Payer: BCBS Complete |
$31.21
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Advantage |
$54.62
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health SBD |
$49.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.72
|
| Rate for Payer: UHC Core |
$40.65
|
| Rate for Payer: UHC Exchange |
$30.67
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$219.25 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.77 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.77 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$219.25 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$201.55 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.73 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.73 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$201.55 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.77 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$219.25 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$219.25 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.77 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$201.55 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.73 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$201.55 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.73 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.05 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: Aetna Medicare |
$8.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.67
|
| Rate for Payer: BCBS Complete |
$7.18
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Advantage |
$12.56
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: Priority Health SBD |
$11.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.67
|
| Rate for Payer: UHC Core |
$9.35
|
| Rate for Payer: UHC Exchange |
$7.05
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
IP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.31 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.67
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Advantage |
$12.56
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: Priority Health SBD |
$11.31
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$297.37 |
| Max. Negotiated Rate |
$681.00 |
| Rate for Payer: Aetna Commercial |
$643.17
|
| Rate for Payer: Aetna Medicare |
$378.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$491.84
|
| Rate for Payer: BCBS Complete |
$302.67
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Advantage |
$529.67
|
| Rate for Payer: Cofinity Commercial |
$650.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$681.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$605.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: PHP Commercial |
$643.17
|
| Rate for Payer: Priority Health SBD |
$476.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$491.84
|
| Rate for Payer: UHC Core |
$394.23
|
| Rate for Payer: UHC Exchange |
$297.37
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$476.70 |
| Max. Negotiated Rate |
$681.00 |
| Rate for Payer: Aetna Commercial |
$643.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$491.84
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Advantage |
$529.67
|
| Rate for Payer: Cofinity Commercial |
$650.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$681.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: PHP Commercial |
$643.17
|
| Rate for Payer: Priority Health SBD |
$476.70
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$536.65 |
| Max. Negotiated Rate |
$1,228.98 |
| Rate for Payer: Aetna Commercial |
$1,160.70
|
| Rate for Payer: Aetna Medicare |
$682.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.59
|
| Rate for Payer: BCBS Complete |
$546.21
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Advantage |
$955.87
|
| Rate for Payer: Cofinity Commercial |
$1,174.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,092.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: PHP Commercial |
$1,160.70
|
| Rate for Payer: Priority Health SBD |
$860.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$887.59
|
| Rate for Payer: UHC Core |
$711.44
|
| Rate for Payer: UHC Exchange |
$536.65
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$860.28 |
| Max. Negotiated Rate |
$1,228.98 |
| Rate for Payer: Aetna Commercial |
$1,160.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.59
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Advantage |
$955.87
|
| Rate for Payer: Cofinity Commercial |
$1,174.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,228.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: PHP Commercial |
$1,160.70
|
| Rate for Payer: Priority Health SBD |
$860.28
|
|
