Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 39

Facility

$3,988.00

Service Code	HCPCS C1732
Hospital Charge Code	27200371
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$3,589.20
Rate for Payer: Aetna Commercial	$3,389.80
Rate for Payer: Aetna Medicare	$1,994.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,592.20
Rate for Payer: BCBS Complete	$1,595.20
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$3,190.40
Rate for Payer: Cash Price	$3,190.40
Rate for Payer: Cofinity Commercial	$2,791.60
Rate for Payer: Cofinity Commercial	$3,429.68
Rate for Payer: Cofinity Medicare Advantage	$2,791.60
Rate for Payer: Encore Health Key Benefits Commercial	$3,190.40
Rate for Payer: Healthscope Commercial	$3,589.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,389.80
Rate for Payer: PHP Commercial	$3,389.80
Rate for Payer: Priority Health Cigna Priority Health	$2,592.20
Rate for Payer: Priority Health SBD	$2,512.44

HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46

Facility

$4,620.00

Service Code	HCPCS C1732
Hospital Charge Code	27200372
Hospital Revenue Code	272
Min. Negotiated Rate	$2,910.60
Max. Negotiated Rate	$4,158.00
Rate for Payer: Aetna Commercial	$3,927.00
Rate for Payer: Aetna New Business (MI Preferred)	$3,003.00
Rate for Payer: Cash Price	$3,696.00
Rate for Payer: Cofinity Commercial	$3,234.00
Rate for Payer: Cofinity Commercial	$3,973.20
Rate for Payer: Cofinity Medicare Advantage	$3,234.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,696.00
Rate for Payer: Healthscope Commercial	$4,158.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,927.00
Rate for Payer: PHP Commercial	$3,927.00
Rate for Payer: Priority Health Cigna Priority Health	$3,003.00
Rate for Payer: Priority Health SBD	$2,910.60

HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46

Facility

$4,620.00

Service Code	HCPCS C1732
Hospital Charge Code	27200372
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$4,158.00
Rate for Payer: Aetna Commercial	$3,927.00
Rate for Payer: Aetna Medicare	$2,310.00
Rate for Payer: Aetna New Business (MI Preferred)	$3,003.00
Rate for Payer: BCBS Complete	$1,848.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$3,696.00
Rate for Payer: Cash Price	$3,696.00
Rate for Payer: Cofinity Commercial	$3,234.00
Rate for Payer: Cofinity Commercial	$3,973.20
Rate for Payer: Cofinity Medicare Advantage	$3,234.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,696.00
Rate for Payer: Healthscope Commercial	$4,158.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,927.00
Rate for Payer: PHP Commercial	$3,927.00
Rate for Payer: Priority Health Cigna Priority Health	$3,003.00
Rate for Payer: Priority Health SBD	$2,910.60

HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47

Facility

$4,788.00

Service Code	HCPCS C1732
Hospital Charge Code	27200373
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$4,309.20
Rate for Payer: Aetna Commercial	$4,069.80
Rate for Payer: Aetna Medicare	$2,394.00
Rate for Payer: Aetna New Business (MI Preferred)	$3,112.20
Rate for Payer: BCBS Complete	$1,915.20
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$3,830.40
Rate for Payer: Cash Price	$3,830.40
Rate for Payer: Cofinity Commercial	$3,351.60
Rate for Payer: Cofinity Commercial	$4,117.68
Rate for Payer: Cofinity Medicare Advantage	$3,351.60
Rate for Payer: Encore Health Key Benefits Commercial	$3,830.40
Rate for Payer: Healthscope Commercial	$4,309.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,069.80
Rate for Payer: PHP Commercial	$4,069.80
Rate for Payer: Priority Health Cigna Priority Health	$3,112.20
Rate for Payer: Priority Health SBD	$3,016.44

HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47

Facility

$4,788.00

Service Code	HCPCS C1732
Hospital Charge Code	27200373
Hospital Revenue Code	272
Min. Negotiated Rate	$3,016.44
Max. Negotiated Rate	$4,309.20
Rate for Payer: Aetna Commercial	$4,069.80
Rate for Payer: Aetna New Business (MI Preferred)	$3,112.20
Rate for Payer: Cash Price	$3,830.40
Rate for Payer: Cofinity Commercial	$3,351.60
Rate for Payer: Cofinity Commercial	$4,117.68
Rate for Payer: Cofinity Medicare Advantage	$3,351.60
Rate for Payer: Encore Health Key Benefits Commercial	$3,830.40
Rate for Payer: Healthscope Commercial	$4,309.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,069.80
Rate for Payer: PHP Commercial	$4,069.80
Rate for Payer: Priority Health Cigna Priority Health	$3,112.20
Rate for Payer: Priority Health SBD	$3,016.44

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11

Facility

$1,119.00

Service Code	HCPCS C1730
Hospital Charge Code	27200361
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$1,007.10
Rate for Payer: Aetna Commercial	$951.15
Rate for Payer: Aetna Medicare	$559.50
Rate for Payer: Aetna New Business (MI Preferred)	$727.35
Rate for Payer: BCBS Complete	$447.60
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$895.20
Rate for Payer: Cash Price	$895.20
Rate for Payer: Cofinity Commercial	$783.30
Rate for Payer: Cofinity Commercial	$962.34
Rate for Payer: Cofinity Medicare Advantage	$783.30
Rate for Payer: Encore Health Key Benefits Commercial	$895.20
Rate for Payer: Healthscope Commercial	$1,007.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$951.15
Rate for Payer: PHP Commercial	$951.15
Rate for Payer: Priority Health Cigna Priority Health	$727.35
Rate for Payer: Priority Health SBD	$704.97

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11

Facility

$1,119.00

Service Code	HCPCS C1730
Hospital Charge Code	27200361
Hospital Revenue Code	272
Min. Negotiated Rate	$704.97
Max. Negotiated Rate	$1,007.10
Rate for Payer: Aetna Commercial	$951.15
Rate for Payer: Aetna New Business (MI Preferred)	$727.35
Rate for Payer: Cash Price	$895.20
Rate for Payer: Cofinity Commercial	$783.30
Rate for Payer: Cofinity Commercial	$962.34
Rate for Payer: Cofinity Medicare Advantage	$783.30
Rate for Payer: Encore Health Key Benefits Commercial	$895.20
Rate for Payer: Healthscope Commercial	$1,007.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$951.15
Rate for Payer: PHP Commercial	$951.15
Rate for Payer: Priority Health Cigna Priority Health	$727.35
Rate for Payer: Priority Health SBD	$704.97

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13

Facility

$1,342.50

Service Code	HCPCS C1730
Hospital Charge Code	27200375
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$1,208.25
Rate for Payer: Aetna Commercial	$1,141.12
Rate for Payer: Aetna Medicare	$671.25
Rate for Payer: Aetna New Business (MI Preferred)	$872.62
Rate for Payer: BCBS Complete	$537.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$1,074.00
Rate for Payer: Cash Price	$1,074.00
Rate for Payer: Cofinity Commercial	$1,154.55
Rate for Payer: Cofinity Commercial	$939.75
Rate for Payer: Cofinity Medicare Advantage	$939.75
Rate for Payer: Encore Health Key Benefits Commercial	$1,074.00
Rate for Payer: Healthscope Commercial	$1,208.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,141.12
Rate for Payer: PHP Commercial	$1,141.12
Rate for Payer: Priority Health Cigna Priority Health	$872.62
Rate for Payer: Priority Health SBD	$845.78

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13

Facility

$1,342.50

Service Code	HCPCS C1730
Hospital Charge Code	27200375
Hospital Revenue Code	272
Min. Negotiated Rate	$845.78
Max. Negotiated Rate	$1,208.25
Rate for Payer: Aetna Commercial	$1,141.12
Rate for Payer: Aetna New Business (MI Preferred)	$872.62
Rate for Payer: Cash Price	$1,074.00
Rate for Payer: Cofinity Commercial	$1,154.55
Rate for Payer: Cofinity Commercial	$939.75
Rate for Payer: Cofinity Medicare Advantage	$939.75
Rate for Payer: Encore Health Key Benefits Commercial	$1,074.00
Rate for Payer: Healthscope Commercial	$1,208.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,141.12
Rate for Payer: PHP Commercial	$1,141.12
Rate for Payer: Priority Health Cigna Priority Health	$872.62
Rate for Payer: Priority Health SBD	$845.78

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15

Facility

$1,537.50

Service Code	HCPCS C1730
Hospital Charge Code	27200363
Hospital Revenue Code	272
Min. Negotiated Rate	$968.62
Max. Negotiated Rate	$1,383.75
Rate for Payer: Aetna Commercial	$1,306.88
Rate for Payer: Aetna New Business (MI Preferred)	$999.38
Rate for Payer: Cash Price	$1,230.00
Rate for Payer: Cofinity Commercial	$1,076.25
Rate for Payer: Cofinity Commercial	$1,322.25
Rate for Payer: Cofinity Medicare Advantage	$1,076.25
Rate for Payer: Encore Health Key Benefits Commercial	$1,230.00
Rate for Payer: Healthscope Commercial	$1,383.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,306.88
Rate for Payer: PHP Commercial	$1,306.88
Rate for Payer: Priority Health Cigna Priority Health	$999.38
Rate for Payer: Priority Health SBD	$968.62

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15

Facility

$1,537.50

Service Code	HCPCS C1730
Hospital Charge Code	27200363
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$1,383.75
Rate for Payer: Aetna Commercial	$1,306.88
Rate for Payer: Aetna Medicare	$768.75
Rate for Payer: Aetna New Business (MI Preferred)	$999.38
Rate for Payer: BCBS Complete	$615.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$1,230.00
Rate for Payer: Cash Price	$1,230.00
Rate for Payer: Cofinity Commercial	$1,076.25
Rate for Payer: Cofinity Commercial	$1,322.25
Rate for Payer: Cofinity Medicare Advantage	$1,076.25
Rate for Payer: Encore Health Key Benefits Commercial	$1,230.00
Rate for Payer: Healthscope Commercial	$1,383.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,306.88
Rate for Payer: PHP Commercial	$1,306.88
Rate for Payer: Priority Health Cigna Priority Health	$999.38
Rate for Payer: Priority Health SBD	$968.62

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37

Facility

$3,750.00

Service Code	HCPCS C1730
Hospital Charge Code	27200365
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$3,187.50
Rate for Payer: Aetna Medicare	$1,875.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,437.50
Rate for Payer: BCBS Complete	$1,500.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$3,000.00
Rate for Payer: Cash Price	$3,000.00
Rate for Payer: Cofinity Commercial	$2,625.00
Rate for Payer: Cofinity Commercial	$3,225.00
Rate for Payer: Cofinity Medicare Advantage	$2,625.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,000.00
Rate for Payer: Healthscope Commercial	$3,375.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,187.50
Rate for Payer: PHP Commercial	$3,187.50
Rate for Payer: Priority Health Cigna Priority Health	$2,437.50
Rate for Payer: Priority Health SBD	$2,362.50

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37

Facility

$3,750.00

Service Code	HCPCS C1730
Hospital Charge Code	27200365
Hospital Revenue Code	272
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$3,187.50
Rate for Payer: Aetna New Business (MI Preferred)	$2,437.50
Rate for Payer: Cash Price	$3,000.00
Rate for Payer: Cofinity Commercial	$2,625.00
Rate for Payer: Cofinity Commercial	$3,225.00
Rate for Payer: Cofinity Medicare Advantage	$2,625.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,000.00
Rate for Payer: Healthscope Commercial	$3,375.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,187.50
Rate for Payer: PHP Commercial	$3,187.50
Rate for Payer: Priority Health Cigna Priority Health	$2,437.50
Rate for Payer: Priority Health SBD	$2,362.50

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4

Facility

$438.60

Service Code	HCPCS C1730
Hospital Charge Code	27200360
Hospital Revenue Code	272
Min. Negotiated Rate	$276.32
Max. Negotiated Rate	$394.74
Rate for Payer: Aetna Commercial	$372.81
Rate for Payer: Aetna New Business (MI Preferred)	$285.09
Rate for Payer: Cash Price	$350.88
Rate for Payer: Cofinity Commercial	$307.02
Rate for Payer: Cofinity Commercial	$377.20
Rate for Payer: Cofinity Medicare Advantage	$307.02
Rate for Payer: Encore Health Key Benefits Commercial	$350.88
Rate for Payer: Healthscope Commercial	$394.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$372.81
Rate for Payer: PHP Commercial	$372.81
Rate for Payer: Priority Health Cigna Priority Health	$285.09
Rate for Payer: Priority Health SBD	$276.32

HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4

Facility

$438.60

Service Code	HCPCS C1730
Hospital Charge Code	27200360
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$394.74
Rate for Payer: Aetna Commercial	$372.81
Rate for Payer: Aetna Medicare	$219.30
Rate for Payer: Aetna New Business (MI Preferred)	$285.09
Rate for Payer: BCBS Complete	$175.44
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$350.88
Rate for Payer: Cash Price	$350.88
Rate for Payer: Cofinity Commercial	$307.02
Rate for Payer: Cofinity Commercial	$377.20
Rate for Payer: Cofinity Medicare Advantage	$307.02
Rate for Payer: Encore Health Key Benefits Commercial	$350.88
Rate for Payer: Healthscope Commercial	$394.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$372.81
Rate for Payer: PHP Commercial	$372.81
Rate for Payer: Priority Health Cigna Priority Health	$285.09
Rate for Payer: Priority Health SBD	$276.32

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25

Facility

$2,500.00

Service Code	HCPCS C1731
Hospital Charge Code	27200367
Hospital Revenue Code	272
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$2,125.00
Rate for Payer: Aetna New Business (MI Preferred)	$1,625.00
Rate for Payer: Cash Price	$2,000.00
Rate for Payer: Cofinity Commercial	$1,750.00
Rate for Payer: Cofinity Commercial	$2,150.00
Rate for Payer: Cofinity Medicare Advantage	$1,750.00
Rate for Payer: Encore Health Key Benefits Commercial	$2,000.00
Rate for Payer: Healthscope Commercial	$2,250.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,125.00
Rate for Payer: PHP Commercial	$2,125.00
Rate for Payer: Priority Health Cigna Priority Health	$1,625.00
Rate for Payer: Priority Health SBD	$1,575.00

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25

Facility

$2,500.00

Service Code	HCPCS C1731
Hospital Charge Code	27200367
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$2,125.00
Rate for Payer: Aetna Medicare	$1,250.00
Rate for Payer: Aetna New Business (MI Preferred)	$1,625.00
Rate for Payer: BCBS Complete	$1,000.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$2,000.00
Rate for Payer: Cash Price	$2,000.00
Rate for Payer: Cofinity Commercial	$1,750.00
Rate for Payer: Cofinity Commercial	$2,150.00
Rate for Payer: Cofinity Medicare Advantage	$1,750.00
Rate for Payer: Encore Health Key Benefits Commercial	$2,000.00
Rate for Payer: Healthscope Commercial	$2,250.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,125.00
Rate for Payer: PHP Commercial	$2,125.00
Rate for Payer: Priority Health Cigna Priority Health	$1,625.00
Rate for Payer: Priority Health SBD	$1,575.00

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32

Facility

$3,242.50

Service Code	HCPCS C1731
Hospital Charge Code	27200368
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$2,918.25
Rate for Payer: Aetna Commercial	$2,756.12
Rate for Payer: Aetna Medicare	$1,621.25
Rate for Payer: Aetna New Business (MI Preferred)	$2,107.62
Rate for Payer: BCBS Complete	$1,297.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$2,594.00
Rate for Payer: Cash Price	$2,594.00
Rate for Payer: Cofinity Commercial	$2,269.75
Rate for Payer: Cofinity Commercial	$2,788.55
Rate for Payer: Cofinity Medicare Advantage	$2,269.75
Rate for Payer: Encore Health Key Benefits Commercial	$2,594.00
Rate for Payer: Healthscope Commercial	$2,918.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,756.12
Rate for Payer: PHP Commercial	$2,756.12
Rate for Payer: Priority Health Cigna Priority Health	$2,107.62
Rate for Payer: Priority Health SBD	$2,042.78

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32

Facility

$3,242.50

Service Code	HCPCS C1731
Hospital Charge Code	27200368
Hospital Revenue Code	272
Min. Negotiated Rate	$2,042.78
Max. Negotiated Rate	$2,918.25
Rate for Payer: Aetna Commercial	$2,756.12
Rate for Payer: Aetna New Business (MI Preferred)	$2,107.62
Rate for Payer: Cash Price	$2,594.00
Rate for Payer: Cofinity Commercial	$2,269.75
Rate for Payer: Cofinity Commercial	$2,788.55
Rate for Payer: Cofinity Medicare Advantage	$2,269.75
Rate for Payer: Encore Health Key Benefits Commercial	$2,594.00
Rate for Payer: Healthscope Commercial	$2,918.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,756.12
Rate for Payer: PHP Commercial	$2,756.12
Rate for Payer: Priority Health Cigna Priority Health	$2,107.62
Rate for Payer: Priority Health SBD	$2,042.78

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 8

Facility

$825.00

Service Code	HCPCS C1732
Hospital Charge Code	27200376
Hospital Revenue Code	272
Min. Negotiated Rate	$519.75
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$701.25
Rate for Payer: Aetna New Business (MI Preferred)	$536.25
Rate for Payer: Cash Price	$660.00
Rate for Payer: Cofinity Commercial	$577.50
Rate for Payer: Cofinity Commercial	$709.50
Rate for Payer: Cofinity Medicare Advantage	$577.50
Rate for Payer: Encore Health Key Benefits Commercial	$660.00
Rate for Payer: Healthscope Commercial	$742.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$701.25
Rate for Payer: PHP Commercial	$701.25
Rate for Payer: Priority Health Cigna Priority Health	$536.25
Rate for Payer: Priority Health SBD	$519.75

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 8

Facility

$825.00

Service Code	HCPCS C1732
Hospital Charge Code	27200376
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$701.25
Rate for Payer: Aetna Medicare	$412.50
Rate for Payer: Aetna New Business (MI Preferred)	$536.25
Rate for Payer: BCBS Complete	$330.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$660.00
Rate for Payer: Cash Price	$660.00
Rate for Payer: Cofinity Commercial	$577.50
Rate for Payer: Cofinity Commercial	$709.50
Rate for Payer: Cofinity Medicare Advantage	$577.50
Rate for Payer: Encore Health Key Benefits Commercial	$660.00
Rate for Payer: Healthscope Commercial	$742.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$701.25
Rate for Payer: PHP Commercial	$701.25
Rate for Payer: Priority Health Cigna Priority Health	$536.25
Rate for Payer: Priority Health SBD	$519.75

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 9

Facility

$900.00

Service Code	CPT C1731
Hospital Charge Code	27200366
Hospital Revenue Code	272
Min. Negotiated Rate	$567.00
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$765.00
Rate for Payer: Aetna New Business (MI Preferred)	$585.00
Rate for Payer: Cash Price	$720.00
Rate for Payer: Cofinity Commercial	$630.00
Rate for Payer: Cofinity Commercial	$774.00
Rate for Payer: Cofinity Medicare Advantage	$630.00
Rate for Payer: Encore Health Key Benefits Commercial	$720.00
Rate for Payer: Healthscope Commercial	$810.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$765.00
Rate for Payer: PHP Commercial	$765.00
Rate for Payer: Priority Health Cigna Priority Health	$585.00
Rate for Payer: Priority Health SBD	$567.00

HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 9

Facility

$900.00

Service Code	CPT C1731
Hospital Charge Code	27200366
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$810.00
Rate for Payer: Aetna Commercial	$765.00
Rate for Payer: Aetna Medicare	$450.00
Rate for Payer: Aetna New Business (MI Preferred)	$585.00
Rate for Payer: BCBS Complete	$360.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$720.00
Rate for Payer: Cash Price	$720.00
Rate for Payer: Cofinity Commercial	$630.00
Rate for Payer: Cofinity Commercial	$774.00
Rate for Payer: Cofinity Medicare Advantage	$630.00
Rate for Payer: Encore Health Key Benefits Commercial	$720.00
Rate for Payer: Healthscope Commercial	$810.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$765.00
Rate for Payer: PHP Commercial	$765.00
Rate for Payer: Priority Health Cigna Priority Health	$585.00
Rate for Payer: Priority Health SBD	$567.00

HC ELECTROPHYSIOLOGY CATH NO 3D OR VECTOR MAP OTHER THAN COOL TIP LVL 32

Facility

$3,250.00

Service Code	HCPCS C1732
Hospital Charge Code	27200370
Hospital Revenue Code	272
Min. Negotiated Rate	$2,047.50
Max. Negotiated Rate	$2,925.00
Rate for Payer: Aetna Commercial	$2,762.50
Rate for Payer: Aetna New Business (MI Preferred)	$2,112.50
Rate for Payer: Cash Price	$2,600.00
Rate for Payer: Cofinity Commercial	$2,275.00
Rate for Payer: Cofinity Commercial	$2,795.00
Rate for Payer: Cofinity Medicare Advantage	$2,275.00
Rate for Payer: Encore Health Key Benefits Commercial	$2,600.00
Rate for Payer: Healthscope Commercial	$2,925.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,762.50
Rate for Payer: PHP Commercial	$2,762.50
Rate for Payer: Priority Health Cigna Priority Health	$2,112.50
Rate for Payer: Priority Health SBD	$2,047.50

HC ELECTROPHYSIOLOGY CATH NO 3D OR VECTOR MAP OTHER THAN COOL TIP LVL 32

Facility

$3,250.00

Service Code	HCPCS C1732
Hospital Charge Code	27200370
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$2,925.00
Rate for Payer: Aetna Commercial	$2,762.50
Rate for Payer: Aetna Medicare	$1,625.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,112.50
Rate for Payer: BCBS Complete	$1,300.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: BCN Commercial	$0.03
Rate for Payer: Cash Price	$2,600.00
Rate for Payer: Cash Price	$2,600.00
Rate for Payer: Cofinity Commercial	$2,275.00
Rate for Payer: Cofinity Commercial	$2,795.00
Rate for Payer: Cofinity Medicare Advantage	$2,275.00
Rate for Payer: Encore Health Key Benefits Commercial	$2,600.00
Rate for Payer: Healthscope Commercial	$2,925.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,762.50
Rate for Payer: PHP Commercial	$2,762.50
Rate for Payer: Priority Health Cigna Priority Health	$2,112.50
Rate for Payer: Priority Health SBD	$2,047.50

Know your out-of-pocket cost for care.

All Charges