Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

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	$1,000.00
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: 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	$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 32

Facility

$3,242.50

Service Code	HCPCS C1731
Hospital Charge Code	27200368
Hospital Revenue Code	272
Min. Negotiated Rate	$1,297.00
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: 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	$330.00
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: 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	$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 9

Facility

$900.00

Service Code	CPT C1731
Hospital Charge Code	27200366
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
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: 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	$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 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	$1,300.00
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: 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 CATHS 3D OR VECTOR MAPPING LEVEL 14

Facility

$1,439.03

Service Code	HCPCS C1732
Hospital Charge Code	27200028
Hospital Revenue Code	272
Min. Negotiated Rate	$575.61
Max. Negotiated Rate	$1,295.13
Rate for Payer: Aetna Commercial	$1,223.18
Rate for Payer: Aetna Medicare	$719.51
Rate for Payer: Aetna New Business (MI Preferred)	$935.37
Rate for Payer: BCBS Complete	$575.61
Rate for Payer: Cash Price	$1,151.22
Rate for Payer: Cofinity Commercial	$1,007.32
Rate for Payer: Cofinity Commercial	$1,237.57
Rate for Payer: Cofinity Medicare Advantage	$1,007.32
Rate for Payer: Encore Health Key Benefits Commercial	$1,151.22
Rate for Payer: Healthscope Commercial	$1,295.13
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,223.18
Rate for Payer: PHP Commercial	$1,223.18
Rate for Payer: Priority Health Cigna Priority Health	$935.37
Rate for Payer: Priority Health SBD	$906.59

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 14

Facility

$1,439.03

Service Code	HCPCS C1732
Hospital Charge Code	27200028
Hospital Revenue Code	272
Min. Negotiated Rate	$906.59
Max. Negotiated Rate	$1,295.13
Rate for Payer: Aetna Commercial	$1,223.18
Rate for Payer: Aetna New Business (MI Preferred)	$935.37
Rate for Payer: Cash Price	$1,151.22
Rate for Payer: Cofinity Commercial	$1,007.32
Rate for Payer: Cofinity Commercial	$1,237.57
Rate for Payer: Cofinity Medicare Advantage	$1,007.32
Rate for Payer: Encore Health Key Benefits Commercial	$1,151.22
Rate for Payer: Healthscope Commercial	$1,295.13
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,223.18
Rate for Payer: PHP Commercial	$1,223.18
Rate for Payer: Priority Health Cigna Priority Health	$935.37
Rate for Payer: Priority Health SBD	$906.59

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 37

Facility

$3,700.00

Service Code	HCPCS C1732
Hospital Charge Code	27200377
Hospital Revenue Code	272
Min. Negotiated Rate	$2,331.00
Max. Negotiated Rate	$3,330.00
Rate for Payer: Aetna Commercial	$3,145.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,405.00
Rate for Payer: Cash Price	$2,960.00
Rate for Payer: Cofinity Commercial	$2,590.00
Rate for Payer: Cofinity Commercial	$3,182.00
Rate for Payer: Cofinity Medicare Advantage	$2,590.00
Rate for Payer: Encore Health Key Benefits Commercial	$2,960.00
Rate for Payer: Healthscope Commercial	$3,330.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,145.00
Rate for Payer: PHP Commercial	$3,145.00
Rate for Payer: Priority Health Cigna Priority Health	$2,405.00
Rate for Payer: Priority Health SBD	$2,331.00

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 37

Facility

$3,700.00

Service Code	HCPCS C1732
Hospital Charge Code	27200377
Hospital Revenue Code	272
Min. Negotiated Rate	$1,480.00
Max. Negotiated Rate	$3,330.00
Rate for Payer: Aetna Commercial	$3,145.00
Rate for Payer: Aetna Medicare	$1,850.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,405.00
Rate for Payer: BCBS Complete	$1,480.00
Rate for Payer: Cash Price	$2,960.00
Rate for Payer: Cofinity Commercial	$2,590.00
Rate for Payer: Cofinity Commercial	$3,182.00
Rate for Payer: Cofinity Medicare Advantage	$2,590.00
Rate for Payer: Encore Health Key Benefits Commercial	$2,960.00
Rate for Payer: Healthscope Commercial	$3,330.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,145.00
Rate for Payer: PHP Commercial	$3,145.00
Rate for Payer: Priority Health Cigna Priority Health	$2,405.00
Rate for Payer: Priority Health SBD	$2,331.00

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 40

Facility

$4,082.37

Service Code	HCPCS C1732
Hospital Charge Code	27200014
Hospital Revenue Code	272
Min. Negotiated Rate	$2,571.89
Max. Negotiated Rate	$3,674.13
Rate for Payer: Aetna Commercial	$3,470.01
Rate for Payer: Aetna New Business (MI Preferred)	$2,653.54
Rate for Payer: Cash Price	$3,265.90
Rate for Payer: Cofinity Commercial	$2,857.66
Rate for Payer: Cofinity Commercial	$3,510.84
Rate for Payer: Cofinity Medicare Advantage	$2,857.66
Rate for Payer: Encore Health Key Benefits Commercial	$3,265.90
Rate for Payer: Healthscope Commercial	$3,674.13
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,470.01
Rate for Payer: PHP Commercial	$3,470.01
Rate for Payer: Priority Health Cigna Priority Health	$2,653.54
Rate for Payer: Priority Health SBD	$2,571.89

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 40

Facility

$4,082.37

Service Code	HCPCS C1732
Hospital Charge Code	27200014
Hospital Revenue Code	272
Min. Negotiated Rate	$1,632.95
Max. Negotiated Rate	$3,674.13
Rate for Payer: Aetna Commercial	$3,470.01
Rate for Payer: Aetna Medicare	$2,041.18
Rate for Payer: Aetna New Business (MI Preferred)	$2,653.54
Rate for Payer: BCBS Complete	$1,632.95
Rate for Payer: Cash Price	$3,265.90
Rate for Payer: Cofinity Commercial	$2,857.66
Rate for Payer: Cofinity Commercial	$3,510.84
Rate for Payer: Cofinity Medicare Advantage	$2,857.66
Rate for Payer: Encore Health Key Benefits Commercial	$3,265.90
Rate for Payer: Healthscope Commercial	$3,674.13
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,470.01
Rate for Payer: PHP Commercial	$3,470.01
Rate for Payer: Priority Health Cigna Priority Health	$2,653.54
Rate for Payer: Priority Health SBD	$2,571.89

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 41

Facility

$4,100.00

Service Code	HCPCS C1732
Hospital Charge Code	27200380
Hospital Revenue Code	272
Min. Negotiated Rate	$2,583.00
Max. Negotiated Rate	$3,690.00
Rate for Payer: Aetna Commercial	$3,485.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,665.00
Rate for Payer: Cash Price	$3,280.00
Rate for Payer: Cofinity Commercial	$2,870.00
Rate for Payer: Cofinity Commercial	$3,526.00
Rate for Payer: Cofinity Medicare Advantage	$2,870.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,280.00
Rate for Payer: Healthscope Commercial	$3,690.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,485.00
Rate for Payer: PHP Commercial	$3,485.00
Rate for Payer: Priority Health Cigna Priority Health	$2,665.00
Rate for Payer: Priority Health SBD	$2,583.00

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 41

Facility

$4,100.00

Service Code	HCPCS C1732
Hospital Charge Code	27200380
Hospital Revenue Code	272
Min. Negotiated Rate	$1,640.00
Max. Negotiated Rate	$3,690.00
Rate for Payer: Aetna Commercial	$3,485.00
Rate for Payer: Aetna Medicare	$2,050.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,665.00
Rate for Payer: BCBS Complete	$1,640.00
Rate for Payer: Cash Price	$3,280.00
Rate for Payer: Cofinity Commercial	$2,870.00
Rate for Payer: Cofinity Commercial	$3,526.00
Rate for Payer: Cofinity Medicare Advantage	$2,870.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,280.00
Rate for Payer: Healthscope Commercial	$3,690.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,485.00
Rate for Payer: PHP Commercial	$3,485.00
Rate for Payer: Priority Health Cigna Priority Health	$2,665.00
Rate for Payer: Priority Health SBD	$2,583.00

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 45

Facility

$4,681.80

Service Code	HCPCS C1732
Hospital Charge Code	27200013
Hospital Revenue Code	272
Min. Negotiated Rate	$2,949.53
Max. Negotiated Rate	$4,213.62
Rate for Payer: Aetna Commercial	$3,979.53
Rate for Payer: Aetna New Business (MI Preferred)	$3,043.17
Rate for Payer: Cash Price	$3,745.44
Rate for Payer: Cofinity Commercial	$3,277.26
Rate for Payer: Cofinity Commercial	$4,026.35
Rate for Payer: Cofinity Medicare Advantage	$3,277.26
Rate for Payer: Encore Health Key Benefits Commercial	$3,745.44
Rate for Payer: Healthscope Commercial	$4,213.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,979.53
Rate for Payer: PHP Commercial	$3,979.53
Rate for Payer: Priority Health Cigna Priority Health	$3,043.17
Rate for Payer: Priority Health SBD	$2,949.53

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 45

Facility

$4,681.80

Service Code	HCPCS C1732
Hospital Charge Code	27200013
Hospital Revenue Code	272
Min. Negotiated Rate	$1,872.72
Max. Negotiated Rate	$4,213.62
Rate for Payer: Aetna Commercial	$3,979.53
Rate for Payer: Aetna Medicare	$2,340.90
Rate for Payer: Aetna New Business (MI Preferred)	$3,043.17
Rate for Payer: BCBS Complete	$1,872.72
Rate for Payer: Cash Price	$3,745.44
Rate for Payer: Cofinity Commercial	$3,277.26
Rate for Payer: Cofinity Commercial	$4,026.35
Rate for Payer: Cofinity Medicare Advantage	$3,277.26
Rate for Payer: Encore Health Key Benefits Commercial	$3,745.44
Rate for Payer: Healthscope Commercial	$4,213.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,979.53
Rate for Payer: PHP Commercial	$3,979.53
Rate for Payer: Priority Health Cigna Priority Health	$3,043.17
Rate for Payer: Priority Health SBD	$2,949.53

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 62

Facility

$6,374.09

Service Code	HCPCS C1732
Hospital Charge Code	27200015
Hospital Revenue Code	272
Min. Negotiated Rate	$4,015.68
Max. Negotiated Rate	$5,736.68
Rate for Payer: Aetna Commercial	$5,417.98
Rate for Payer: Aetna New Business (MI Preferred)	$4,143.16
Rate for Payer: Cash Price	$5,099.27
Rate for Payer: Cofinity Commercial	$4,461.86
Rate for Payer: Cofinity Commercial	$5,481.72
Rate for Payer: Cofinity Medicare Advantage	$4,461.86
Rate for Payer: Encore Health Key Benefits Commercial	$5,099.27
Rate for Payer: Healthscope Commercial	$5,736.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,417.98
Rate for Payer: PHP Commercial	$5,417.98
Rate for Payer: Priority Health Cigna Priority Health	$4,143.16
Rate for Payer: Priority Health SBD	$4,015.68

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 62

Facility

$6,374.09

Service Code	HCPCS C1732
Hospital Charge Code	27200015
Hospital Revenue Code	272
Min. Negotiated Rate	$2,549.64
Max. Negotiated Rate	$5,736.68
Rate for Payer: Aetna Commercial	$5,417.98
Rate for Payer: Aetna Medicare	$3,187.05
Rate for Payer: Aetna New Business (MI Preferred)	$4,143.16
Rate for Payer: BCBS Complete	$2,549.64
Rate for Payer: Cash Price	$5,099.27
Rate for Payer: Cofinity Commercial	$4,461.86
Rate for Payer: Cofinity Commercial	$5,481.72
Rate for Payer: Cofinity Medicare Advantage	$4,461.86
Rate for Payer: Encore Health Key Benefits Commercial	$5,099.27
Rate for Payer: Healthscope Commercial	$5,736.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,417.98
Rate for Payer: PHP Commercial	$5,417.98
Rate for Payer: Priority Health Cigna Priority Health	$4,143.16
Rate for Payer: Priority Health SBD	$4,015.68

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 73

Facility

$7,300.00

Service Code	HCPCS C1732
Hospital Charge Code	27200378
Hospital Revenue Code	272
Min. Negotiated Rate	$4,599.00
Max. Negotiated Rate	$6,570.00
Rate for Payer: Aetna Commercial	$6,205.00
Rate for Payer: Aetna New Business (MI Preferred)	$4,745.00
Rate for Payer: Cash Price	$5,840.00
Rate for Payer: Cofinity Commercial	$5,110.00
Rate for Payer: Cofinity Commercial	$6,278.00
Rate for Payer: Cofinity Medicare Advantage	$5,110.00
Rate for Payer: Encore Health Key Benefits Commercial	$5,840.00
Rate for Payer: Healthscope Commercial	$6,570.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6,205.00
Rate for Payer: PHP Commercial	$6,205.00
Rate for Payer: Priority Health Cigna Priority Health	$4,745.00
Rate for Payer: Priority Health SBD	$4,599.00

HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 73

Facility

$7,300.00

Service Code	HCPCS C1732
Hospital Charge Code	27200378
Hospital Revenue Code	272
Min. Negotiated Rate	$2,920.00
Max. Negotiated Rate	$6,570.00
Rate for Payer: Aetna Commercial	$6,205.00
Rate for Payer: Aetna Medicare	$3,650.00
Rate for Payer: Aetna New Business (MI Preferred)	$4,745.00
Rate for Payer: BCBS Complete	$2,920.00
Rate for Payer: Cash Price	$5,840.00
Rate for Payer: Cofinity Commercial	$5,110.00
Rate for Payer: Cofinity Commercial	$6,278.00
Rate for Payer: Cofinity Medicare Advantage	$5,110.00
Rate for Payer: Encore Health Key Benefits Commercial	$5,840.00
Rate for Payer: Healthscope Commercial	$6,570.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6,205.00
Rate for Payer: PHP Commercial	$6,205.00
Rate for Payer: Priority Health Cigna Priority Health	$4,745.00
Rate for Payer: Priority Health SBD	$4,599.00

HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 66

Facility

$6,691.20

Service Code	HCPCS C1733
Hospital Charge Code	27200300
Hospital Revenue Code	272
Min. Negotiated Rate	$2,676.48
Max. Negotiated Rate	$6,022.08
Rate for Payer: Aetna Commercial	$5,687.52
Rate for Payer: Aetna Medicare	$3,345.60
Rate for Payer: Aetna New Business (MI Preferred)	$4,349.28
Rate for Payer: BCBS Complete	$2,676.48
Rate for Payer: Cash Price	$5,352.96
Rate for Payer: Cofinity Commercial	$4,683.84
Rate for Payer: Cofinity Commercial	$5,754.43
Rate for Payer: Cofinity Medicare Advantage	$4,683.84
Rate for Payer: Encore Health Key Benefits Commercial	$5,352.96
Rate for Payer: Healthscope Commercial	$6,022.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,687.52
Rate for Payer: PHP Commercial	$5,687.52
Rate for Payer: Priority Health Cigna Priority Health	$4,349.28
Rate for Payer: Priority Health SBD	$4,215.46

HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 66

Facility

$6,691.20

Service Code	HCPCS C1733
Hospital Charge Code	27200300
Hospital Revenue Code	272
Min. Negotiated Rate	$4,215.46
Max. Negotiated Rate	$6,022.08
Rate for Payer: Aetna Commercial	$5,687.52
Rate for Payer: Aetna New Business (MI Preferred)	$4,349.28
Rate for Payer: Cash Price	$5,352.96
Rate for Payer: Cofinity Commercial	$4,683.84
Rate for Payer: Cofinity Commercial	$5,754.43
Rate for Payer: Cofinity Medicare Advantage	$4,683.84
Rate for Payer: Encore Health Key Benefits Commercial	$5,352.96
Rate for Payer: Healthscope Commercial	$6,022.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,687.52
Rate for Payer: PHP Commercial	$5,687.52
Rate for Payer: Priority Health Cigna Priority Health	$4,349.28
Rate for Payer: Priority Health SBD	$4,215.46

Know your out-of-pocket cost for care.

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