|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.48 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$170.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$197.60 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.46 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.46 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$197.60 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$214.95 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.48 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$170.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$214.95 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.48 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$170.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.46 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$197.60 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$197.60 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.46 |
| Max. Negotiated Rate |
$282.29 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
IP
|
$17.60
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.09 |
| Max. Negotiated Rate |
$15.84 |
| Rate for Payer: Aetna Commercial |
$14.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.44
|
| Rate for Payer: Cash Price |
$14.08
|
| Rate for Payer: Cofinity Commercial |
$12.32
|
| Rate for Payer: Cofinity Commercial |
$15.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.08
|
| Rate for Payer: Healthscope Commercial |
$15.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.96
|
| Rate for Payer: PHP Commercial |
$14.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.44
|
| Rate for Payer: Priority Health SBD |
$11.09
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.60
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.04 |
| Max. Negotiated Rate |
$15.84 |
| Rate for Payer: Aetna Commercial |
$14.96
|
| Rate for Payer: Aetna Medicare |
$8.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.44
|
| Rate for Payer: BCBS Complete |
$7.04
|
| Rate for Payer: Cash Price |
$14.08
|
| Rate for Payer: Cofinity Commercial |
$12.32
|
| Rate for Payer: Cofinity Commercial |
$15.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.08
|
| Rate for Payer: Healthscope Commercial |
$15.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.96
|
| Rate for Payer: PHP Commercial |
$14.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.44
|
| Rate for Payer: Priority Health SBD |
$11.09
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$741.83
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$467.35 |
| Max. Negotiated Rate |
$667.65 |
| Rate for Payer: Aetna Commercial |
$630.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.19
|
| Rate for Payer: Cash Price |
$593.46
|
| Rate for Payer: Cofinity Commercial |
$519.28
|
| Rate for Payer: Cofinity Commercial |
$637.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$519.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$593.46
|
| Rate for Payer: Healthscope Commercial |
$667.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$630.56
|
| Rate for Payer: PHP Commercial |
$630.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.19
|
| Rate for Payer: Priority Health SBD |
$467.35
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$741.83
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$296.73 |
| Max. Negotiated Rate |
$667.65 |
| Rate for Payer: Aetna Commercial |
$630.56
|
| Rate for Payer: Aetna Medicare |
$370.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.19
|
| Rate for Payer: BCBS Complete |
$296.73
|
| Rate for Payer: Cash Price |
$593.46
|
| Rate for Payer: Cofinity Commercial |
$519.28
|
| Rate for Payer: Cofinity Commercial |
$637.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$519.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$593.46
|
| Rate for Payer: Healthscope Commercial |
$667.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$630.56
|
| Rate for Payer: PHP Commercial |
$630.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.19
|
| Rate for Payer: Priority Health SBD |
$467.35
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,338.75
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$535.50 |
| Max. Negotiated Rate |
$1,204.88 |
| Rate for Payer: Aetna Commercial |
$1,137.94
|
| Rate for Payer: Aetna Medicare |
$669.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$870.19
|
| Rate for Payer: BCBS Complete |
$535.50
|
| Rate for Payer: Cash Price |
$1,071.00
|
| Rate for Payer: Cofinity Commercial |
$1,151.33
|
| Rate for Payer: Cofinity Commercial |
$937.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$937.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Commercial |
$1,204.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.94
|
| Rate for Payer: PHP Commercial |
$1,137.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.19
|
| Rate for Payer: Priority Health SBD |
$843.41
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,338.75
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$843.41 |
| Max. Negotiated Rate |
$1,204.88 |
| Rate for Payer: Aetna Commercial |
$1,137.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$870.19
|
| Rate for Payer: Cash Price |
$1,071.00
|
| Rate for Payer: Cofinity Commercial |
$1,151.33
|
| Rate for Payer: Cofinity Commercial |
$937.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$937.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Commercial |
$1,204.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.94
|
| Rate for Payer: PHP Commercial |
$1,137.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.19
|
| Rate for Payer: Priority Health SBD |
$843.41
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,287.75
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$515.10 |
| Max. Negotiated Rate |
$1,158.97 |
| Rate for Payer: Aetna Commercial |
$1,094.59
|
| Rate for Payer: Aetna Medicare |
$643.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.04
|
| Rate for Payer: BCBS Complete |
$515.10
|
| Rate for Payer: Cash Price |
$1,030.20
|
| Rate for Payer: Cofinity Commercial |
$1,107.46
|
| Rate for Payer: Cofinity Commercial |
$901.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$901.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,030.20
|
| Rate for Payer: Healthscope Commercial |
$1,158.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.59
|
| Rate for Payer: PHP Commercial |
$1,094.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.04
|
| Rate for Payer: Priority Health SBD |
$811.28
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,287.75
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$811.28 |
| Max. Negotiated Rate |
$1,158.97 |
| Rate for Payer: Aetna Commercial |
$1,094.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.04
|
| Rate for Payer: Cash Price |
$1,030.20
|
| Rate for Payer: Cofinity Commercial |
$1,107.46
|
| Rate for Payer: Cofinity Commercial |
$901.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$901.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,030.20
|
| Rate for Payer: Healthscope Commercial |
$1,158.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.59
|
| Rate for Payer: PHP Commercial |
$1,094.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.04
|
| Rate for Payer: Priority Health SBD |
$811.28
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$70.38
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.15 |
| Max. Negotiated Rate |
$63.34 |
| Rate for Payer: Aetna Commercial |
$59.82
|
| Rate for Payer: Aetna Medicare |
$35.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.75
|
| Rate for Payer: BCBS Complete |
$28.15
|
| Rate for Payer: Cash Price |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$49.27
|
| Rate for Payer: Cofinity Commercial |
$60.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.30
|
| Rate for Payer: Healthscope Commercial |
$63.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.82
|
| Rate for Payer: PHP Commercial |
$59.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.75
|
| Rate for Payer: Priority Health SBD |
$44.34
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$70.38
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$44.34 |
| Max. Negotiated Rate |
$63.34 |
| Rate for Payer: Aetna Commercial |
$59.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.75
|
| Rate for Payer: Cash Price |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$49.27
|
| Rate for Payer: Cofinity Commercial |
$60.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.30
|
| Rate for Payer: Healthscope Commercial |
$63.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.82
|
| Rate for Payer: PHP Commercial |
$59.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.75
|
| Rate for Payer: Priority Health SBD |
$44.34
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$58.14
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.26 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna Medicare |
$29.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$40.70
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health SBD |
$36.63
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$58.14
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.63 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$40.70
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health SBD |
$36.63
|
|