|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$59,333.40
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,159.80 |
| Max. Negotiated Rate |
$53,400.06 |
| Rate for Payer: Aetna Commercial |
$50,433.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38,566.71
|
| Rate for Payer: BCBS Complete |
$23,733.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,787.82
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cofinity Commercial |
$41,533.38
|
| Rate for Payer: Cofinity Commercial |
$51,026.72
|
| Rate for Payer: Healthscope Commercial |
$53,400.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50,433.39
|
| Rate for Payer: PHP Commercial |
$50,433.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,533.38
|
| Rate for Payer: Priority Health SBD |
$37,380.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,275.78
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Exchange |
$1,159.80
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$19,722.15
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$373.94 |
| Max. Negotiated Rate |
$26,217.10 |
| Rate for Payer: Aetna Commercial |
$16,763.83
|
| Rate for Payer: Aetna Medicare |
$21,812.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,819.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,217.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,217.10
|
| Rate for Payer: BCBS Complete |
$12,047.28
|
| Rate for Payer: BCBS MAPPO |
$20,973.68
|
| Rate for Payer: BCBS Trust/PPO |
$19,599.04
|
| Rate for Payer: BCN Medicare Advantage |
$20,973.68
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cofinity Commercial |
$13,805.50
|
| Rate for Payer: Cofinity Commercial |
$16,961.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,973.68
|
| Rate for Payer: Healthscope Commercial |
$17,749.94
|
| Rate for Payer: Mclaren Medicaid |
$11,472.60
|
| Rate for Payer: Mclaren Medicare |
$20,973.68
|
| Rate for Payer: Meridian Medicaid |
$12,047.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22,022.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,119.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,763.83
|
| Rate for Payer: PACE Medicare |
$19,925.00
|
| Rate for Payer: PACE SWMI |
$20,973.68
|
| Rate for Payer: PHP Commercial |
$16,763.83
|
| Rate for Payer: PHP Medicare Advantage |
$20,973.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,472.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,805.50
|
| Rate for Payer: Priority Health Medicare |
$20,973.68
|
| Rate for Payer: Priority Health SBD |
$12,424.95
|
| Rate for Payer: Railroad Medicare Medicare |
$20,973.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.33
|
| Rate for Payer: UHC Core |
$15,010.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,973.68
|
| Rate for Payer: UHC Exchange |
$373.94
|
| Rate for Payer: UHC Medicare Advantage |
$21,602.89
|
| Rate for Payer: VA VA |
$20,973.68
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$19,722.15
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,424.95 |
| Max. Negotiated Rate |
$17,749.94 |
| Rate for Payer: Aetna Commercial |
$16,763.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,819.40
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cofinity Commercial |
$13,805.50
|
| Rate for Payer: Cofinity Commercial |
$16,961.05
|
| Rate for Payer: Healthscope Commercial |
$17,749.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,763.83
|
| Rate for Payer: PHP Commercial |
$16,763.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,805.50
|
| Rate for Payer: Priority Health SBD |
$12,424.95
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$16,106.64
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,147.18 |
| Max. Negotiated Rate |
$14,495.98 |
| Rate for Payer: Aetna Commercial |
$13,690.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,469.32
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cofinity Commercial |
$11,274.65
|
| Rate for Payer: Cofinity Commercial |
$13,851.71
|
| Rate for Payer: Healthscope Commercial |
$14,495.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13,690.64
|
| Rate for Payer: PHP Commercial |
$13,690.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,274.65
|
| Rate for Payer: Priority Health SBD |
$10,147.18
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$16,106.64
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$342.83 |
| Max. Negotiated Rate |
$32,375.08 |
| Rate for Payer: Aetna Commercial |
$13,690.64
|
| Rate for Payer: Aetna Medicare |
$9,881.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,469.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,876.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,876.80
|
| Rate for Payer: BCBS Complete |
$5,457.63
|
| Rate for Payer: BCBS MAPPO |
$9,501.44
|
| Rate for Payer: BCBS Trust/PPO |
$4,698.72
|
| Rate for Payer: BCN Medicare Advantage |
$9,501.44
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cofinity Commercial |
$11,274.65
|
| Rate for Payer: Cofinity Commercial |
$13,851.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,501.44
|
| Rate for Payer: Healthscope Commercial |
$14,495.98
|
| Rate for Payer: Mclaren Medicaid |
$5,197.29
|
| Rate for Payer: Mclaren Medicare |
$9,501.44
|
| Rate for Payer: Meridian Medicaid |
$5,457.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,976.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,926.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13,690.64
|
| Rate for Payer: PACE Medicare |
$9,026.37
|
| Rate for Payer: PACE SWMI |
$9,501.44
|
| Rate for Payer: PHP Commercial |
$13,690.64
|
| Rate for Payer: PHP Medicare Advantage |
$9,501.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,197.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,274.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,375.08
|
| Rate for Payer: Priority Health Medicare |
$9,501.44
|
| Rate for Payer: Priority Health Narrow Network |
$25,900.06
|
| Rate for Payer: Priority Health SBD |
$10,147.18
|
| Rate for Payer: Railroad Medicare Medicare |
$9,501.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.11
|
| Rate for Payer: UHC Core |
$8,819.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,501.44
|
| Rate for Payer: UHC Exchange |
$342.83
|
| Rate for Payer: UHC Medicare Advantage |
$9,786.48
|
| Rate for Payer: VA VA |
$9,501.44
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$2,992.48
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,885.26 |
| Max. Negotiated Rate |
$2,693.23 |
| Rate for Payer: Aetna Commercial |
$2,543.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.11
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cofinity Commercial |
$2,094.74
|
| Rate for Payer: Cofinity Commercial |
$2,573.53
|
| Rate for Payer: Healthscope Commercial |
$2,693.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,543.61
|
| Rate for Payer: PHP Commercial |
$2,543.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,094.74
|
| Rate for Payer: Priority Health SBD |
$1,885.26
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$2,992.48
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$197.77 |
| Max. Negotiated Rate |
$8,913.25 |
| Rate for Payer: Aetna Commercial |
$2,543.61
|
| Rate for Payer: Aetna Medicare |
$2,949.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,545.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,545.25
|
| Rate for Payer: BCBS Complete |
$1,629.11
|
| Rate for Payer: BCBS MAPPO |
$2,836.20
|
| Rate for Payer: BCBS Trust/PPO |
$999.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,836.20
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cofinity Commercial |
$2,573.53
|
| Rate for Payer: Cofinity Commercial |
$2,094.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,836.20
|
| Rate for Payer: Healthscope Commercial |
$2,693.23
|
| Rate for Payer: Mclaren Medicaid |
$1,551.40
|
| Rate for Payer: Mclaren Medicare |
$2,836.20
|
| Rate for Payer: Meridian Medicaid |
$1,629.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,978.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,261.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,543.61
|
| Rate for Payer: PACE Medicare |
$2,694.39
|
| Rate for Payer: PACE SWMI |
$2,836.20
|
| Rate for Payer: PHP Commercial |
$2,543.61
|
| Rate for Payer: PHP Medicare Advantage |
$2,836.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,551.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,094.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,913.25
|
| Rate for Payer: Priority Health Medicare |
$2,836.20
|
| Rate for Payer: Priority Health Narrow Network |
$7,130.60
|
| Rate for Payer: Priority Health SBD |
$1,885.26
|
| Rate for Payer: Railroad Medicare Medicare |
$2,836.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.55
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,836.20
|
| Rate for Payer: UHC Exchange |
$197.77
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.29
|
| Rate for Payer: VA VA |
$2,836.20
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,613.44
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$270.14 |
| Max. Negotiated Rate |
$8,913.25 |
| Rate for Payer: Aetna Commercial |
$2,221.42
|
| Rate for Payer: Aetna Medicare |
$2,949.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,698.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,545.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,545.25
|
| Rate for Payer: BCBS Complete |
$1,629.11
|
| Rate for Payer: BCBS MAPPO |
$2,836.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,107.31
|
| Rate for Payer: BCN Medicare Advantage |
$2,836.20
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cofinity Commercial |
$1,829.41
|
| Rate for Payer: Cofinity Commercial |
$2,247.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,836.20
|
| Rate for Payer: Healthscope Commercial |
$2,352.10
|
| Rate for Payer: Mclaren Medicaid |
$1,551.40
|
| Rate for Payer: Mclaren Medicare |
$2,836.20
|
| Rate for Payer: Meridian Medicaid |
$1,629.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,978.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,261.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,221.42
|
| Rate for Payer: PACE Medicare |
$2,694.39
|
| Rate for Payer: PACE SWMI |
$2,836.20
|
| Rate for Payer: PHP Commercial |
$2,221.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,836.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,551.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,829.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,913.25
|
| Rate for Payer: Priority Health Medicare |
$2,836.20
|
| Rate for Payer: Priority Health Narrow Network |
$7,130.60
|
| Rate for Payer: Priority Health SBD |
$1,646.47
|
| Rate for Payer: Railroad Medicare Medicare |
$2,836.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.15
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,836.20
|
| Rate for Payer: UHC Exchange |
$270.14
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.29
|
| Rate for Payer: VA VA |
$2,836.20
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,613.44
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,646.47 |
| Max. Negotiated Rate |
$2,352.10 |
| Rate for Payer: Aetna Commercial |
$2,221.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,698.74
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cofinity Commercial |
$1,829.41
|
| Rate for Payer: Cofinity Commercial |
$2,247.56
|
| Rate for Payer: Healthscope Commercial |
$2,352.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,221.42
|
| Rate for Payer: PHP Commercial |
$2,221.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,829.41
|
| Rate for Payer: Priority Health SBD |
$1,646.47
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,442.05
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$62.54 |
| Max. Negotiated Rate |
$4,461.38 |
| Rate for Payer: Aetna Commercial |
$1,225.74
|
| Rate for Payer: Aetna Medicare |
$1,482.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$937.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,781.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,781.30
|
| Rate for Payer: BCBS Complete |
$818.54
|
| Rate for Payer: BCBS MAPPO |
$1,425.04
|
| Rate for Payer: BCBS Trust/PPO |
$374.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,425.04
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cofinity Commercial |
$1,009.44
|
| Rate for Payer: Cofinity Commercial |
$1,240.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,425.04
|
| Rate for Payer: Healthscope Commercial |
$1,297.84
|
| Rate for Payer: Mclaren Medicaid |
$779.50
|
| Rate for Payer: Mclaren Medicare |
$1,425.04
|
| Rate for Payer: Meridian Medicaid |
$818.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,496.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,638.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,225.74
|
| Rate for Payer: PACE Medicare |
$1,353.79
|
| Rate for Payer: PACE SWMI |
$1,425.04
|
| Rate for Payer: PHP Commercial |
$1,225.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,425.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$779.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,009.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,461.38
|
| Rate for Payer: Priority Health Medicare |
$1,425.04
|
| Rate for Payer: Priority Health Narrow Network |
$3,569.10
|
| Rate for Payer: Priority Health SBD |
$908.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,425.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.79
|
| Rate for Payer: UHC Core |
$1,463.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,425.04
|
| Rate for Payer: UHC Exchange |
$62.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,467.79
|
| Rate for Payer: VA VA |
$1,425.04
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,442.05
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$908.49 |
| Max. Negotiated Rate |
$1,297.84 |
| Rate for Payer: Aetna Commercial |
$1,225.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$937.33
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cofinity Commercial |
$1,009.44
|
| Rate for Payer: Cofinity Commercial |
$1,240.16
|
| Rate for Payer: Healthscope Commercial |
$1,297.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,225.74
|
| Rate for Payer: PHP Commercial |
$1,225.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,009.44
|
| Rate for Payer: Priority Health SBD |
$908.49
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,484.14
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$277.67 |
| Max. Negotiated Rate |
$8,913.25 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna Medicare |
$2,949.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,545.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,545.25
|
| Rate for Payer: BCBS Complete |
$1,629.11
|
| Rate for Payer: BCBS MAPPO |
$2,836.20
|
| Rate for Payer: BCBS Trust/PPO |
$999.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,836.20
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,836.20
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Mclaren Medicaid |
$1,551.40
|
| Rate for Payer: Mclaren Medicare |
$2,836.20
|
| Rate for Payer: Meridian Medicaid |
$1,629.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,978.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,261.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PACE Medicare |
$2,694.39
|
| Rate for Payer: PACE SWMI |
$2,836.20
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: PHP Medicare Advantage |
$2,836.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,551.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,913.25
|
| Rate for Payer: Priority Health Medicare |
$2,836.20
|
| Rate for Payer: Priority Health Narrow Network |
$7,130.60
|
| Rate for Payer: Priority Health SBD |
$2,825.01
|
| Rate for Payer: Railroad Medicare Medicare |
$2,836.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.44
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,836.20
|
| Rate for Payer: UHC Exchange |
$277.67
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.29
|
| Rate for Payer: VA VA |
$2,836.20
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,484.14
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,825.01 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health SBD |
$2,825.01
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,484.14
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,825.01 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health SBD |
$2,825.01
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
OP
|
$4,484.14
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$322.20 |
| Max. Negotiated Rate |
$15,411.76 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna Medicare |
$5,085.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,112.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,112.15
|
| Rate for Payer: BCBS Complete |
$2,808.66
|
| Rate for Payer: BCBS MAPPO |
$4,889.72
|
| Rate for Payer: BCBS Trust/PPO |
$3,124.01
|
| Rate for Payer: BCN Medicare Advantage |
$4,889.72
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,889.72
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Mclaren Medicaid |
$2,674.68
|
| Rate for Payer: Mclaren Medicare |
$4,889.72
|
| Rate for Payer: Meridian Medicaid |
$2,808.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,134.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,623.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PACE Medicare |
$4,645.23
|
| Rate for Payer: PACE SWMI |
$4,889.72
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: PHP Medicare Advantage |
$4,889.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,674.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,411.76
|
| Rate for Payer: Priority Health Medicare |
$4,889.72
|
| Rate for Payer: Priority Health Narrow Network |
$12,329.41
|
| Rate for Payer: Priority Health SBD |
$2,825.01
|
| Rate for Payer: Railroad Medicare Medicare |
$4,889.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$354.42
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,889.72
|
| Rate for Payer: UHC Exchange |
$322.20
|
| Rate for Payer: UHC Medicare Advantage |
$5,036.41
|
| Rate for Payer: VA VA |
$4,889.72
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,228.32
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$176.16 |
| Max. Negotiated Rate |
$8,913.25 |
| Rate for Payer: Aetna Commercial |
$2,744.07
|
| Rate for Payer: Aetna Medicare |
$2,949.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,098.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,545.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,545.25
|
| Rate for Payer: BCBS Complete |
$1,629.11
|
| Rate for Payer: BCBS MAPPO |
$2,836.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,430.89
|
| Rate for Payer: BCN Medicare Advantage |
$2,836.20
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cofinity Commercial |
$2,259.82
|
| Rate for Payer: Cofinity Commercial |
$2,776.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,836.20
|
| Rate for Payer: Healthscope Commercial |
$2,905.49
|
| Rate for Payer: Mclaren Medicaid |
$1,551.40
|
| Rate for Payer: Mclaren Medicare |
$2,836.20
|
| Rate for Payer: Meridian Medicaid |
$1,629.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,978.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,261.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,744.07
|
| Rate for Payer: PACE Medicare |
$2,694.39
|
| Rate for Payer: PACE SWMI |
$2,836.20
|
| Rate for Payer: PHP Commercial |
$2,744.07
|
| Rate for Payer: PHP Medicare Advantage |
$2,836.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,551.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,259.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,913.25
|
| Rate for Payer: Priority Health Medicare |
$2,836.20
|
| Rate for Payer: Priority Health Narrow Network |
$7,130.60
|
| Rate for Payer: Priority Health SBD |
$2,033.84
|
| Rate for Payer: Railroad Medicare Medicare |
$2,836.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.78
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,836.20
|
| Rate for Payer: UHC Exchange |
$176.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.29
|
| Rate for Payer: VA VA |
$2,836.20
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,228.32
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,033.84 |
| Max. Negotiated Rate |
$2,905.49 |
| Rate for Payer: Aetna Commercial |
$2,744.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,098.41
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cofinity Commercial |
$2,776.36
|
| Rate for Payer: Cofinity Commercial |
$2,259.82
|
| Rate for Payer: Healthscope Commercial |
$2,905.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,744.07
|
| Rate for Payer: PHP Commercial |
$2,744.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,259.82
|
| Rate for Payer: Priority Health SBD |
$2,033.84
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$1,931.55
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,216.88 |
| Max. Negotiated Rate |
$1,738.40 |
| Rate for Payer: Aetna Commercial |
$1,641.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,255.51
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cofinity Commercial |
$1,352.08
|
| Rate for Payer: Cofinity Commercial |
$1,661.13
|
| Rate for Payer: Healthscope Commercial |
$1,738.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,641.82
|
| Rate for Payer: PHP Commercial |
$1,641.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,352.08
|
| Rate for Payer: Priority Health SBD |
$1,216.88
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$1,931.55
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$55.99 |
| Max. Negotiated Rate |
$4,461.38 |
| Rate for Payer: Aetna Commercial |
$1,641.82
|
| Rate for Payer: Aetna Medicare |
$1,482.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,255.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,781.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,781.30
|
| Rate for Payer: BCBS Complete |
$818.54
|
| Rate for Payer: BCBS MAPPO |
$1,425.04
|
| Rate for Payer: BCBS Trust/PPO |
$524.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,425.04
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cofinity Commercial |
$1,661.13
|
| Rate for Payer: Cofinity Commercial |
$1,352.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,425.04
|
| Rate for Payer: Healthscope Commercial |
$1,738.40
|
| Rate for Payer: Mclaren Medicaid |
$779.50
|
| Rate for Payer: Mclaren Medicare |
$1,425.04
|
| Rate for Payer: Meridian Medicaid |
$818.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,496.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,638.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,641.82
|
| Rate for Payer: PACE Medicare |
$1,353.79
|
| Rate for Payer: PACE SWMI |
$1,425.04
|
| Rate for Payer: PHP Commercial |
$1,641.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,425.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$779.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,352.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,461.38
|
| Rate for Payer: Priority Health Medicare |
$1,425.04
|
| Rate for Payer: Priority Health Narrow Network |
$3,569.10
|
| Rate for Payer: Priority Health SBD |
$1,216.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,425.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.59
|
| Rate for Payer: UHC Core |
$1,463.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,425.04
|
| Rate for Payer: UHC Exchange |
$55.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,467.79
|
| Rate for Payer: VA VA |
$1,425.04
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,043.46
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$305.76 |
| Max. Negotiated Rate |
$1,683.01 |
| Rate for Payer: Aetna Commercial |
$886.94
|
| Rate for Payer: Aetna Medicare |
$581.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$698.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$698.71
|
| Rate for Payer: BCBS Complete |
$321.07
|
| Rate for Payer: BCBS MAPPO |
$558.97
|
| Rate for Payer: BCBS Trust/PPO |
$356.11
|
| Rate for Payer: BCN Medicare Advantage |
$558.97
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cofinity Commercial |
$897.38
|
| Rate for Payer: Cofinity Commercial |
$730.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.97
|
| Rate for Payer: Healthscope Commercial |
$939.11
|
| Rate for Payer: Mclaren Medicaid |
$305.76
|
| Rate for Payer: Mclaren Medicare |
$558.97
|
| Rate for Payer: Meridian Medicaid |
$321.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$886.94
|
| Rate for Payer: PACE Medicare |
$531.02
|
| Rate for Payer: PACE SWMI |
$558.97
|
| Rate for Payer: PHP Commercial |
$886.94
|
| Rate for Payer: PHP Medicare Advantage |
$558.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,683.01
|
| Rate for Payer: Priority Health Medicare |
$558.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,346.40
|
| Rate for Payer: Priority Health SBD |
$657.38
|
| Rate for Payer: Railroad Medicare Medicare |
$558.97
|
| Rate for Payer: UHC Core |
$1,463.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.97
|
| Rate for Payer: UHC Medicare Advantage |
$575.74
|
| Rate for Payer: VA VA |
$558.97
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,043.46
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$657.38 |
| Max. Negotiated Rate |
$939.11 |
| Rate for Payer: Aetna Commercial |
$886.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.25
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cofinity Commercial |
$730.42
|
| Rate for Payer: Cofinity Commercial |
$897.38
|
| Rate for Payer: Healthscope Commercial |
$939.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$886.94
|
| Rate for Payer: PHP Commercial |
$886.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.42
|
| Rate for Payer: Priority Health SBD |
$657.38
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$19,921.38
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,550.47 |
| Max. Negotiated Rate |
$17,929.24 |
| Rate for Payer: Aetna Commercial |
$16,933.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,948.90
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cofinity Commercial |
$13,944.97
|
| Rate for Payer: Cofinity Commercial |
$17,132.39
|
| Rate for Payer: Healthscope Commercial |
$17,929.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,933.17
|
| Rate for Payer: PHP Commercial |
$16,933.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,944.97
|
| Rate for Payer: Priority Health SBD |
$12,550.47
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
OP
|
$19,921.38
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$389.98 |
| Max. Negotiated Rate |
$36,591.72 |
| Rate for Payer: Aetna Commercial |
$16,933.17
|
| Rate for Payer: Aetna Medicare |
$30,444.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,948.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,591.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,591.72
|
| Rate for Payer: BCBS Complete |
$16,814.63
|
| Rate for Payer: BCBS MAPPO |
$29,273.38
|
| Rate for Payer: BCBS Trust/PPO |
$22,638.50
|
| Rate for Payer: BCN Medicare Advantage |
$29,273.38
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cofinity Commercial |
$17,132.39
|
| Rate for Payer: Cofinity Commercial |
$13,944.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,273.38
|
| Rate for Payer: Healthscope Commercial |
$17,929.24
|
| Rate for Payer: Mclaren Medicaid |
$16,012.54
|
| Rate for Payer: Mclaren Medicare |
$29,273.38
|
| Rate for Payer: Meridian Medicaid |
$16,814.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,737.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,664.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,933.17
|
| Rate for Payer: PACE Medicare |
$27,809.71
|
| Rate for Payer: PACE SWMI |
$29,273.38
|
| Rate for Payer: PHP Commercial |
$16,933.17
|
| Rate for Payer: PHP Medicare Advantage |
$29,273.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,012.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,944.97
|
| Rate for Payer: Priority Health Medicare |
$29,273.38
|
| Rate for Payer: Priority Health SBD |
$12,550.47
|
| Rate for Payer: Railroad Medicare Medicare |
$29,273.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$428.98
|
| Rate for Payer: UHC Core |
$15,010.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,273.38
|
| Rate for Payer: UHC Exchange |
$389.98
|
| Rate for Payer: UHC Medicare Advantage |
$30,151.58
|
| Rate for Payer: VA VA |
$29,273.38
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
IP
|
$16,800.36
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,584.23 |
| Max. Negotiated Rate |
$15,120.32 |
| Rate for Payer: Aetna Commercial |
$14,280.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,920.23
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cofinity Commercial |
$11,760.25
|
| Rate for Payer: Cofinity Commercial |
$14,448.31
|
| Rate for Payer: Healthscope Commercial |
$15,120.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,280.31
|
| Rate for Payer: PHP Commercial |
$14,280.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,760.25
|
| Rate for Payer: Priority Health SBD |
$10,584.23
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
OP
|
$16,800.36
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$360.51 |
| Max. Negotiated Rate |
$57,988.60 |
| Rate for Payer: Aetna Commercial |
$14,280.31
|
| Rate for Payer: Aetna Medicare |
$18,031.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,920.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,672.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,672.26
|
| Rate for Payer: BCBS Complete |
$9,958.84
|
| Rate for Payer: BCBS MAPPO |
$17,337.81
|
| Rate for Payer: BCBS Trust/PPO |
$9,120.72
|
| Rate for Payer: BCN Medicare Advantage |
$17,337.81
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cofinity Commercial |
$11,760.25
|
| Rate for Payer: Cofinity Commercial |
$14,448.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,337.81
|
| Rate for Payer: Healthscope Commercial |
$15,120.32
|
| Rate for Payer: Mclaren Medicaid |
$9,483.78
|
| Rate for Payer: Mclaren Medicare |
$17,337.81
|
| Rate for Payer: Meridian Medicaid |
$9,958.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,204.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,938.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,280.31
|
| Rate for Payer: PACE Medicare |
$16,470.92
|
| Rate for Payer: PACE SWMI |
$17,337.81
|
| Rate for Payer: PHP Commercial |
$14,280.31
|
| Rate for Payer: PHP Medicare Advantage |
$17,337.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,483.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,760.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57,988.60
|
| Rate for Payer: Priority Health Medicare |
$17,337.81
|
| Rate for Payer: Priority Health Narrow Network |
$46,390.88
|
| Rate for Payer: Priority Health SBD |
$10,584.23
|
| Rate for Payer: Railroad Medicare Medicare |
$17,337.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.56
|
| Rate for Payer: UHC Core |
$8,819.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,337.81
|
| Rate for Payer: UHC Exchange |
$360.51
|
| Rate for Payer: UHC Medicare Advantage |
$17,857.94
|
| Rate for Payer: VA VA |
$17,337.81
|
|
