|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$516.21 |
| Max. Negotiated Rate |
$1,182.16 |
| Rate for Payer: Aetna Commercial |
$1,116.48
|
| Rate for Payer: Aetna Medicare |
$656.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.78
|
| Rate for Payer: BCBS Complete |
$525.40
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Advantage |
$919.46
|
| Rate for Payer: Cofinity Commercial |
$1,129.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,182.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,050.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: PHP Commercial |
$1,116.48
|
| Rate for Payer: Priority Health SBD |
$827.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$853.78
|
| Rate for Payer: UHC Core |
$684.34
|
| Rate for Payer: UHC Exchange |
$516.21
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$827.51 |
| Max. Negotiated Rate |
$1,182.16 |
| Rate for Payer: Aetna Commercial |
$1,116.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.78
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Advantage |
$919.46
|
| Rate for Payer: Cofinity Commercial |
$1,129.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,182.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: PHP Commercial |
$1,116.48
|
| Rate for Payer: Priority Health SBD |
$827.51
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.23 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.66
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Advantage |
$50.25
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: Priority Health SBD |
$45.23
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.21 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.66
|
| Rate for Payer: BCBS Complete |
$28.72
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Advantage |
$50.25
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: Priority Health SBD |
$45.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.66
|
| Rate for Payer: UHC Core |
$37.40
|
| Rate for Payer: UHC Exchange |
$28.21
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$37.36 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.55
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Advantage |
$41.51
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: Priority Health SBD |
$37.36
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.30 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: Aetna Medicare |
$29.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.55
|
| Rate for Payer: BCBS Complete |
$23.72
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Advantage |
$41.51
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: Priority Health SBD |
$37.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.55
|
| Rate for Payer: UHC Core |
$30.90
|
| Rate for Payer: UHC Exchange |
$23.30
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$121.44 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: Aetna Medicare |
$154.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.85
|
| Rate for Payer: BCBS Complete |
$123.60
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Advantage |
$216.30
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: Priority Health SBD |
$194.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.85
|
| Rate for Payer: UHC Core |
$160.99
|
| Rate for Payer: UHC Exchange |
$121.44
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$194.67 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.85
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Advantage |
$216.30
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: Priority Health SBD |
$194.67
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$167.14 |
| Max. Negotiated Rate |
$238.77 |
| Rate for Payer: Aetna Commercial |
$225.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.44
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Advantage |
$185.71
|
| Rate for Payer: Cofinity Commercial |
$228.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$238.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: PHP Commercial |
$225.50
|
| Rate for Payer: Priority Health SBD |
$167.14
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$104.26 |
| Max. Negotiated Rate |
$238.77 |
| Rate for Payer: Aetna Commercial |
$225.50
|
| Rate for Payer: Aetna Medicare |
$132.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.44
|
| Rate for Payer: BCBS Complete |
$106.12
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Advantage |
$185.71
|
| Rate for Payer: Cofinity Commercial |
$228.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$238.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: PHP Commercial |
$225.50
|
| Rate for Payer: Priority Health SBD |
$167.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.44
|
| Rate for Payer: UHC Core |
$138.22
|
| Rate for Payer: UHC Exchange |
$104.26
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$133.71 |
| Max. Negotiated Rate |
$191.02 |
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.96
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Advantage |
$148.57
|
| Rate for Payer: Cofinity Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$191.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: PHP Commercial |
$180.40
|
| Rate for Payer: Priority Health SBD |
$133.71
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$83.41 |
| Max. Negotiated Rate |
$191.02 |
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna Medicare |
$106.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.96
|
| Rate for Payer: BCBS Complete |
$84.90
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Advantage |
$148.57
|
| Rate for Payer: Cofinity Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$191.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$169.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: PHP Commercial |
$180.40
|
| Rate for Payer: Priority Health SBD |
$133.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.96
|
| Rate for Payer: UHC Core |
$110.58
|
| Rate for Payer: UHC Exchange |
$83.41
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$124.67 |
| Max. Negotiated Rate |
$285.51 |
| Rate for Payer: Aetna Commercial |
$269.65
|
| Rate for Payer: Aetna Medicare |
$158.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.20
|
| Rate for Payer: BCBS Complete |
$126.89
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Advantage |
$222.06
|
| Rate for Payer: Cofinity Commercial |
$272.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$285.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$253.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: PHP Commercial |
$269.65
|
| Rate for Payer: Priority Health SBD |
$199.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$206.20
|
| Rate for Payer: UHC Core |
$165.28
|
| Rate for Payer: UHC Exchange |
$124.67
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
IP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$199.85 |
| Max. Negotiated Rate |
$285.51 |
| Rate for Payer: Aetna Commercial |
$269.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.20
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Advantage |
$222.06
|
| Rate for Payer: Cofinity Commercial |
$272.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$285.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: PHP Commercial |
$269.65
|
| Rate for Payer: Priority Health SBD |
$199.85
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
IP
|
$35.89
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$22.61 |
| Max. Negotiated Rate |
$32.30 |
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.33
|
| Rate for Payer: Cash Price |
$28.71
|
| Rate for Payer: Cofinity Advantage |
$25.12
|
| Rate for Payer: Cofinity Commercial |
$30.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.71
|
| Rate for Payer: Healthscope Commercial |
$32.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.92
|
| Rate for Payer: PHP Commercial |
$30.51
|
| Rate for Payer: Priority Health SBD |
$22.61
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
OP
|
$35.89
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.10 |
| Max. Negotiated Rate |
$32.30 |
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: Aetna Medicare |
$17.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.33
|
| Rate for Payer: BCBS Complete |
$14.36
|
| Rate for Payer: Cash Price |
$28.71
|
| Rate for Payer: Cofinity Advantage |
$25.12
|
| Rate for Payer: Cofinity Commercial |
$30.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.71
|
| Rate for Payer: Healthscope Commercial |
$32.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.92
|
| Rate for Payer: PHP Commercial |
$30.51
|
| Rate for Payer: Priority Health SBD |
$22.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.33
|
| Rate for Payer: UHC Core |
$18.70
|
| Rate for Payer: UHC Exchange |
$14.10
|
|
|
HC CANNULA VENOUS 26FR
|
Facility
|
OP
|
$186.00
|
|
| Hospital Charge Code |
27000715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.10 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: Aetna Medicare |
$93.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.90
|
| Rate for Payer: BCBS Complete |
$74.40
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Advantage |
$130.20
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: Priority Health SBD |
$117.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.90
|
| Rate for Payer: UHC Core |
$96.91
|
| Rate for Payer: UHC Exchange |
$73.10
|
|
|
HC CANNULA VENOUS 26FR
|
Facility
|
IP
|
$186.00
|
|
| Hospital Charge Code |
27000715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$117.18 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.90
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Advantage |
$130.20
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: Priority Health SBD |
$117.18
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
IP
|
$87.39
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.06 |
| Max. Negotiated Rate |
$78.65 |
| Rate for Payer: Aetna Commercial |
$74.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.80
|
| Rate for Payer: Cash Price |
$69.91
|
| Rate for Payer: Cofinity Advantage |
$61.17
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.91
|
| Rate for Payer: Healthscope Commercial |
$78.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.54
|
| Rate for Payer: PHP Commercial |
$74.28
|
| Rate for Payer: Priority Health SBD |
$55.06
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
OP
|
$87.39
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.34 |
| Max. Negotiated Rate |
$78.65 |
| Rate for Payer: Aetna Commercial |
$74.28
|
| Rate for Payer: Aetna Medicare |
$43.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.80
|
| Rate for Payer: BCBS Complete |
$34.96
|
| Rate for Payer: Cash Price |
$69.91
|
| Rate for Payer: Cofinity Advantage |
$61.17
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.91
|
| Rate for Payer: Healthscope Commercial |
$78.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.54
|
| Rate for Payer: PHP Commercial |
$74.28
|
| Rate for Payer: Priority Health SBD |
$55.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.80
|
| Rate for Payer: UHC Core |
$45.53
|
| Rate for Payer: UHC Exchange |
$34.34
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
OP
|
$74.91
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$29.44 |
| Max. Negotiated Rate |
$67.42 |
| Rate for Payer: Aetna Commercial |
$63.67
|
| Rate for Payer: Aetna Medicare |
$37.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.69
|
| Rate for Payer: BCBS Complete |
$29.96
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Advantage |
$52.44
|
| Rate for Payer: Cofinity Commercial |
$64.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Healthscope Commercial |
$67.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: PHP Commercial |
$63.67
|
| Rate for Payer: Priority Health SBD |
$47.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.69
|
| Rate for Payer: UHC Core |
$39.03
|
| Rate for Payer: UHC Exchange |
$29.44
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
IP
|
$74.91
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$47.19 |
| Max. Negotiated Rate |
$67.42 |
| Rate for Payer: Aetna Commercial |
$63.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.69
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Advantage |
$52.44
|
| Rate for Payer: Cofinity Commercial |
$64.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Healthscope Commercial |
$67.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: PHP Commercial |
$63.67
|
| Rate for Payer: Priority Health SBD |
$47.19
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
IP
|
$99.88
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$62.92 |
| Max. Negotiated Rate |
$89.89 |
| Rate for Payer: Aetna Commercial |
$84.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.92
|
| Rate for Payer: Cash Price |
$79.90
|
| Rate for Payer: Cofinity Advantage |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.90
|
| Rate for Payer: Healthscope Commercial |
$89.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.91
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: Priority Health SBD |
$62.92
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
OP
|
$99.88
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.25 |
| Max. Negotiated Rate |
$89.89 |
| Rate for Payer: Aetna Commercial |
$84.90
|
| Rate for Payer: Aetna Medicare |
$49.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.92
|
| Rate for Payer: BCBS Complete |
$39.95
|
| Rate for Payer: Cash Price |
$79.90
|
| Rate for Payer: Cofinity Advantage |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.90
|
| Rate for Payer: Healthscope Commercial |
$89.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.91
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: Priority Health SBD |
$62.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.92
|
| Rate for Payer: UHC Core |
$52.04
|
| Rate for Payer: UHC Exchange |
$39.25
|
|
|
HC CANNULA VEN TRIPLE STAGE
|
Facility
|
IP
|
$74.91
|
|
| Hospital Charge Code |
27000035
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$47.19 |
| Max. Negotiated Rate |
$67.42 |
| Rate for Payer: Aetna Commercial |
$63.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.69
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Advantage |
$52.44
|
| Rate for Payer: Cofinity Commercial |
$64.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Healthscope Commercial |
$67.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: PHP Commercial |
$63.67
|
| Rate for Payer: Priority Health SBD |
$47.19
|
|