|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,457.53
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,178.24 |
| Max. Negotiated Rate |
$3,111.78 |
| Rate for Payer: Aetna Commercial |
$2,938.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,247.39
|
| Rate for Payer: Cash Price |
$2,766.02
|
| Rate for Payer: Cofinity Advantage |
$2,420.27
|
| Rate for Payer: Cofinity Commercial |
$2,973.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.02
|
| Rate for Payer: Healthscope Commercial |
$3,111.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,593.15
|
| Rate for Payer: PHP Commercial |
$2,938.90
|
| Rate for Payer: Priority Health SBD |
$2,178.24
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,457.53
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,645.43 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna Commercial |
$2,938.90
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,247.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,887.33
|
| Rate for Payer: BCN Commercial |
$1,887.33
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,766.02
|
| Rate for Payer: Cash Price |
$2,766.02
|
| Rate for Payer: Cash Price |
$2,766.02
|
| Rate for Payer: Cofinity Advantage |
$2,420.27
|
| Rate for Payer: Cofinity Commercial |
$2,973.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,111.78
|
| Rate for Payer: Mclaren Medicaid |
$1,645.43
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.90
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,593.15
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$2,938.90
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,178.24
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$2,009.58
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,266.04 |
| Max. Negotiated Rate |
$1,808.62 |
| Rate for Payer: Aetna Commercial |
$1,708.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,306.23
|
| Rate for Payer: Cash Price |
$1,607.66
|
| Rate for Payer: Cofinity Advantage |
$1,406.71
|
| Rate for Payer: Cofinity Commercial |
$1,728.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,607.66
|
| Rate for Payer: Healthscope Commercial |
$1,808.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,708.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.18
|
| Rate for Payer: PHP Commercial |
$1,708.14
|
| Rate for Payer: Priority Health SBD |
$1,266.04
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$2,009.58
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$691.84 |
| Max. Negotiated Rate |
$5,072.36 |
| Rate for Payer: Aetna Commercial |
$1,708.14
|
| Rate for Payer: Aetna Medicare |
$1,631.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,306.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$691.84
|
| Rate for Payer: BCN Commercial |
$691.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,607.66
|
| Rate for Payer: Cash Price |
$1,607.66
|
| Rate for Payer: Cash Price |
$1,607.66
|
| Rate for Payer: Cofinity Advantage |
$1,406.71
|
| Rate for Payer: Cofinity Commercial |
$1,728.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,607.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,808.62
|
| Rate for Payer: Mclaren Medicaid |
$820.32
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$1,646.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,708.14
|
| Rate for Payer: Nomi Health Commercial |
$4,705.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.18
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,708.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,072.36
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health SBD |
$1,266.04
|
| Rate for Payer: Priority Health Tiered Network |
$4,057.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,117.55
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$326.90 |
| Max. Negotiated Rate |
$2,021.35 |
| Rate for Payer: Aetna Commercial |
$949.92
|
| Rate for Payer: Aetna Medicare |
$650.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$726.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.31
|
| Rate for Payer: BCBS Complete |
$343.28
|
| Rate for Payer: BCBS MAPPO |
$625.05
|
| Rate for Payer: BCBS Trust/PPO |
$469.70
|
| Rate for Payer: BCN Commercial |
$469.70
|
| Rate for Payer: BCN Medicare Advantage |
$625.05
|
| Rate for Payer: Cash Price |
$894.04
|
| Rate for Payer: Cash Price |
$894.04
|
| Rate for Payer: Cash Price |
$894.04
|
| Rate for Payer: Cofinity Advantage |
$782.28
|
| Rate for Payer: Cofinity Commercial |
$961.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$894.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.05
|
| Rate for Payer: Healthscope Commercial |
$1,005.79
|
| Rate for Payer: Mclaren Medicaid |
$326.90
|
| Rate for Payer: Mclaren Medicare |
$625.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.30
|
| Rate for Payer: Meridian Medicaid |
$656.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$718.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$687.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$949.92
|
| Rate for Payer: Nomi Health Commercial |
$1,875.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$838.16
|
| Rate for Payer: PACE Medicare |
$593.80
|
| Rate for Payer: PACE SWMI |
$625.05
|
| Rate for Payer: PHP Commercial |
$949.92
|
| Rate for Payer: PHP Medicare Advantage |
$625.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,021.35
|
| Rate for Payer: Priority Health Medicare |
$625.05
|
| Rate for Payer: Priority Health SBD |
$704.06
|
| Rate for Payer: Priority Health Tiered Network |
$1,617.08
|
| Rate for Payer: Railroad Medicare Medicare |
$625.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$625.05
|
| Rate for Payer: UHC Medicaid |
$326.90
|
| Rate for Payer: UHCCP Medicaid |
$326.90
|
| Rate for Payer: VA VA |
$625.05
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,117.55
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$704.06 |
| Max. Negotiated Rate |
$1,005.79 |
| Rate for Payer: Aetna Commercial |
$949.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$726.41
|
| Rate for Payer: Cash Price |
$894.04
|
| Rate for Payer: Cofinity Advantage |
$782.28
|
| Rate for Payer: Cofinity Commercial |
$961.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$894.04
|
| Rate for Payer: Healthscope Commercial |
$1,005.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$949.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$838.16
|
| Rate for Payer: PHP Commercial |
$949.92
|
| Rate for Payer: Priority Health SBD |
$704.06
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$23,009.20
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,495.80 |
| Max. Negotiated Rate |
$20,708.28 |
| Rate for Payer: Aetna Commercial |
$19,557.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,955.98
|
| Rate for Payer: Cash Price |
$18,407.36
|
| Rate for Payer: Cofinity Advantage |
$16,106.44
|
| Rate for Payer: Cofinity Commercial |
$19,787.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,407.36
|
| Rate for Payer: Healthscope Commercial |
$20,708.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,557.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,256.90
|
| Rate for Payer: PHP Commercial |
$19,557.82
|
| Rate for Payer: Priority Health SBD |
$14,495.80
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
OP
|
$23,009.20
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,495.80 |
| Max. Negotiated Rate |
$101,143.75 |
| Rate for Payer: Aetna Commercial |
$19,557.82
|
| Rate for Payer: Aetna Medicare |
$32,527.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,955.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,094.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,094.99
|
| Rate for Payer: BCBS Complete |
$17,176.77
|
| Rate for Payer: BCBS MAPPO |
$31,275.99
|
| Rate for Payer: BCBS Trust/PPO |
$29,859.93
|
| Rate for Payer: BCN Commercial |
$29,859.93
|
| Rate for Payer: BCN Medicare Advantage |
$31,275.99
|
| Rate for Payer: Cash Price |
$18,407.36
|
| Rate for Payer: Cash Price |
$18,407.36
|
| Rate for Payer: Cash Price |
$18,407.36
|
| Rate for Payer: Cofinity Advantage |
$16,106.44
|
| Rate for Payer: Cofinity Commercial |
$19,787.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,407.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,275.99
|
| Rate for Payer: Healthscope Commercial |
$20,708.28
|
| Rate for Payer: Mclaren Medicaid |
$16,357.34
|
| Rate for Payer: Mclaren Medicare |
$31,275.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,839.79
|
| Rate for Payer: Meridian Medicaid |
$32,839.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,967.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$34,403.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,557.82
|
| Rate for Payer: Nomi Health Commercial |
$93,827.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,256.90
|
| Rate for Payer: PACE Medicare |
$29,712.19
|
| Rate for Payer: PACE SWMI |
$31,275.99
|
| Rate for Payer: PHP Commercial |
$19,557.82
|
| Rate for Payer: PHP Medicare Advantage |
$31,275.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,357.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$101,143.75
|
| Rate for Payer: Priority Health Medicare |
$31,275.99
|
| Rate for Payer: Priority Health SBD |
$14,495.80
|
| Rate for Payer: Priority Health Tiered Network |
$80,915.00
|
| Rate for Payer: Railroad Medicare Medicare |
$31,275.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31,275.99
|
| Rate for Payer: UHC Medicaid |
$16,357.34
|
| Rate for Payer: UHCCP Medicaid |
$16,357.34
|
| Rate for Payer: VA VA |
$31,275.99
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
IP
|
$19,404.42
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,224.78 |
| Max. Negotiated Rate |
$17,463.98 |
| Rate for Payer: Aetna Commercial |
$16,493.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,612.87
|
| Rate for Payer: Cash Price |
$15,523.54
|
| Rate for Payer: Cofinity Advantage |
$13,583.09
|
| Rate for Payer: Cofinity Commercial |
$16,687.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,523.54
|
| Rate for Payer: Healthscope Commercial |
$17,463.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,493.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,553.32
|
| Rate for Payer: PHP Commercial |
$16,493.76
|
| Rate for Payer: Priority Health SBD |
$12,224.78
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
OP
|
$19,404.42
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,037.64 |
| Max. Negotiated Rate |
$62,066.59 |
| Rate for Payer: Aetna Commercial |
$16,493.76
|
| Rate for Payer: Aetna Medicare |
$19,960.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,612.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,990.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,990.54
|
| Rate for Payer: BCBS Complete |
$10,540.48
|
| Rate for Payer: BCBS MAPPO |
$19,192.43
|
| Rate for Payer: BCBS Trust/PPO |
$12,030.13
|
| Rate for Payer: BCN Commercial |
$12,030.13
|
| Rate for Payer: BCN Medicare Advantage |
$19,192.43
|
| Rate for Payer: Cash Price |
$15,523.54
|
| Rate for Payer: Cash Price |
$15,523.54
|
| Rate for Payer: Cash Price |
$15,523.54
|
| Rate for Payer: Cofinity Advantage |
$13,583.09
|
| Rate for Payer: Cofinity Commercial |
$16,687.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,523.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,192.43
|
| Rate for Payer: Healthscope Commercial |
$17,463.98
|
| Rate for Payer: Mclaren Medicaid |
$10,037.64
|
| Rate for Payer: Mclaren Medicare |
$19,192.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,152.05
|
| Rate for Payer: Meridian Medicaid |
$20,152.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,071.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$21,111.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,493.76
|
| Rate for Payer: Nomi Health Commercial |
$57,577.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,553.32
|
| Rate for Payer: PACE Medicare |
$18,232.81
|
| Rate for Payer: PACE SWMI |
$19,192.43
|
| Rate for Payer: PHP Commercial |
$16,493.76
|
| Rate for Payer: PHP Medicare Advantage |
$19,192.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,037.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62,066.59
|
| Rate for Payer: Priority Health Medicare |
$19,192.43
|
| Rate for Payer: Priority Health SBD |
$12,224.78
|
| Rate for Payer: Priority Health Tiered Network |
$49,653.27
|
| Rate for Payer: Railroad Medicare Medicare |
$19,192.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$19,192.43
|
| Rate for Payer: UHC Medicaid |
$10,037.64
|
| Rate for Payer: UHCCP Medicaid |
$10,037.64
|
| Rate for Payer: VA VA |
$19,192.43
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
OP
|
$18,775.50
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,591.56 |
| Max. Negotiated Rate |
$71,675.05 |
| Rate for Payer: Aetna Commercial |
$15,959.17
|
| Rate for Payer: Aetna Medicare |
$23,050.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,204.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,704.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,704.49
|
| Rate for Payer: BCBS Complete |
$12,172.24
|
| Rate for Payer: BCBS MAPPO |
$22,163.59
|
| Rate for Payer: BCBS Trust/PPO |
$21,024.44
|
| Rate for Payer: BCN Commercial |
$21,024.44
|
| Rate for Payer: BCN Medicare Advantage |
$22,163.59
|
| Rate for Payer: Cash Price |
$15,020.40
|
| Rate for Payer: Cash Price |
$15,020.40
|
| Rate for Payer: Cash Price |
$15,020.40
|
| Rate for Payer: Cofinity Advantage |
$13,142.85
|
| Rate for Payer: Cofinity Commercial |
$16,146.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,020.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,163.59
|
| Rate for Payer: Healthscope Commercial |
$16,897.95
|
| Rate for Payer: Mclaren Medicaid |
$11,591.56
|
| Rate for Payer: Mclaren Medicare |
$22,163.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,271.77
|
| Rate for Payer: Meridian Medicaid |
$23,271.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,488.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,379.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,959.17
|
| Rate for Payer: Nomi Health Commercial |
$66,490.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,081.62
|
| Rate for Payer: PACE Medicare |
$21,055.41
|
| Rate for Payer: PACE SWMI |
$22,163.59
|
| Rate for Payer: PHP Commercial |
$15,959.17
|
| Rate for Payer: PHP Medicare Advantage |
$22,163.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,591.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$71,675.05
|
| Rate for Payer: Priority Health Medicare |
$22,163.59
|
| Rate for Payer: Priority Health SBD |
$11,828.57
|
| Rate for Payer: Priority Health Tiered Network |
$57,340.04
|
| Rate for Payer: Railroad Medicare Medicare |
$22,163.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22,163.59
|
| Rate for Payer: UHC Medicaid |
$11,591.56
|
| Rate for Payer: UHCCP Medicaid |
$11,591.56
|
| Rate for Payer: VA VA |
$22,163.59
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
IP
|
$18,775.50
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,828.57 |
| Max. Negotiated Rate |
$16,897.95 |
| Rate for Payer: Aetna Commercial |
$15,959.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,204.08
|
| Rate for Payer: Cash Price |
$15,020.40
|
| Rate for Payer: Cofinity Advantage |
$13,142.85
|
| Rate for Payer: Cofinity Commercial |
$16,146.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,020.40
|
| Rate for Payer: Healthscope Commercial |
$16,897.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,959.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,081.62
|
| Rate for Payer: PHP Commercial |
$15,959.17
|
| Rate for Payer: Priority Health SBD |
$11,828.57
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
IP
|
$12,424.69
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,827.55 |
| Max. Negotiated Rate |
$11,182.22 |
| Rate for Payer: Aetna Commercial |
$10,560.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,076.05
|
| Rate for Payer: Cash Price |
$9,939.75
|
| Rate for Payer: Cofinity Advantage |
$8,697.28
|
| Rate for Payer: Cofinity Commercial |
$10,685.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,939.75
|
| Rate for Payer: Healthscope Commercial |
$11,182.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,560.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,318.52
|
| Rate for Payer: PHP Commercial |
$10,560.99
|
| Rate for Payer: Priority Health SBD |
$7,827.55
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
OP
|
$12,424.69
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,312.46 |
| Max. Negotiated Rate |
$26,665.62 |
| Rate for Payer: Aetna Commercial |
$10,560.99
|
| Rate for Payer: Aetna Medicare |
$8,575.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,076.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,307.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,307.04
|
| Rate for Payer: BCBS Complete |
$4,528.50
|
| Rate for Payer: BCBS MAPPO |
$8,245.63
|
| Rate for Payer: BCBS Trust/PPO |
$7,549.88
|
| Rate for Payer: BCN Commercial |
$7,549.88
|
| Rate for Payer: BCN Medicare Advantage |
$8,245.63
|
| Rate for Payer: Cash Price |
$9,939.75
|
| Rate for Payer: Cash Price |
$9,939.75
|
| Rate for Payer: Cash Price |
$9,939.75
|
| Rate for Payer: Cofinity Advantage |
$8,697.28
|
| Rate for Payer: Cofinity Commercial |
$10,685.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,939.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,245.63
|
| Rate for Payer: Healthscope Commercial |
$11,182.22
|
| Rate for Payer: Mclaren Medicaid |
$4,312.46
|
| Rate for Payer: Mclaren Medicare |
$8,245.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,657.91
|
| Rate for Payer: Meridian Medicaid |
$8,657.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,482.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,070.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,560.99
|
| Rate for Payer: Nomi Health Commercial |
$24,736.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,318.52
|
| Rate for Payer: PACE Medicare |
$7,833.35
|
| Rate for Payer: PACE SWMI |
$8,245.63
|
| Rate for Payer: PHP Commercial |
$10,560.99
|
| Rate for Payer: PHP Medicare Advantage |
$8,245.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,312.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$26,665.62
|
| Rate for Payer: Priority Health Medicare |
$8,245.63
|
| Rate for Payer: Priority Health SBD |
$7,827.55
|
| Rate for Payer: Priority Health Tiered Network |
$21,332.50
|
| Rate for Payer: Railroad Medicare Medicare |
$8,245.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,245.63
|
| Rate for Payer: UHC Medicaid |
$4,312.46
|
| Rate for Payer: UHCCP Medicaid |
$4,312.46
|
| Rate for Payer: VA VA |
$8,245.63
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
OP
|
$36,955.60
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,591.56 |
| Max. Negotiated Rate |
$71,675.05 |
| Rate for Payer: Aetna Commercial |
$31,412.26
|
| Rate for Payer: Aetna Medicare |
$23,050.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24,021.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,704.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,704.49
|
| Rate for Payer: BCBS Complete |
$12,172.24
|
| Rate for Payer: BCBS MAPPO |
$22,163.59
|
| Rate for Payer: BCBS Trust/PPO |
$21,024.44
|
| Rate for Payer: BCN Commercial |
$21,024.44
|
| Rate for Payer: BCN Medicare Advantage |
$22,163.59
|
| Rate for Payer: Cash Price |
$29,564.48
|
| Rate for Payer: Cash Price |
$29,564.48
|
| Rate for Payer: Cash Price |
$29,564.48
|
| Rate for Payer: Cofinity Advantage |
$25,868.92
|
| Rate for Payer: Cofinity Commercial |
$31,781.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29,564.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,163.59
|
| Rate for Payer: Healthscope Commercial |
$33,260.04
|
| Rate for Payer: Mclaren Medicaid |
$11,591.56
|
| Rate for Payer: Mclaren Medicare |
$22,163.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,271.77
|
| Rate for Payer: Meridian Medicaid |
$23,271.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,488.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,379.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,412.26
|
| Rate for Payer: Nomi Health Commercial |
$66,490.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27,716.70
|
| Rate for Payer: PACE Medicare |
$21,055.41
|
| Rate for Payer: PACE SWMI |
$22,163.59
|
| Rate for Payer: PHP Commercial |
$31,412.26
|
| Rate for Payer: PHP Medicare Advantage |
$22,163.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,591.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$71,675.05
|
| Rate for Payer: Priority Health Medicare |
$22,163.59
|
| Rate for Payer: Priority Health SBD |
$23,282.03
|
| Rate for Payer: Priority Health Tiered Network |
$57,340.04
|
| Rate for Payer: Railroad Medicare Medicare |
$22,163.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22,163.59
|
| Rate for Payer: UHC Medicaid |
$11,591.56
|
| Rate for Payer: UHCCP Medicaid |
$11,591.56
|
| Rate for Payer: VA VA |
$22,163.59
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
IP
|
$36,955.60
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$23,282.03 |
| Max. Negotiated Rate |
$33,260.04 |
| Rate for Payer: Aetna Commercial |
$31,412.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24,021.14
|
| Rate for Payer: Cash Price |
$29,564.48
|
| Rate for Payer: Cofinity Advantage |
$25,868.92
|
| Rate for Payer: Cofinity Commercial |
$31,781.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29,564.48
|
| Rate for Payer: Healthscope Commercial |
$33,260.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,412.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27,716.70
|
| Rate for Payer: PHP Commercial |
$31,412.26
|
| Rate for Payer: Priority Health SBD |
$23,282.03
|
|
|
HC REPOSITION CVAC
|
Facility
|
IP
|
$2,559.00
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,612.17 |
| Max. Negotiated Rate |
$2,303.10 |
| Rate for Payer: Aetna Commercial |
$2,175.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,663.35
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cofinity Advantage |
$1,791.30
|
| Rate for Payer: Cofinity Commercial |
$2,200.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,047.20
|
| Rate for Payer: Healthscope Commercial |
$2,303.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,175.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,919.25
|
| Rate for Payer: PHP Commercial |
$2,175.15
|
| Rate for Payer: Priority Health SBD |
$1,612.17
|
|
|
HC REPOSITION CVAC
|
Facility
|
OP
|
$2,559.00
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$597.92 |
| Max. Negotiated Rate |
$5,072.36 |
| Rate for Payer: Aetna Commercial |
$2,175.15
|
| Rate for Payer: Aetna Medicare |
$1,631.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,663.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$597.92
|
| Rate for Payer: BCN Commercial |
$597.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cofinity Advantage |
$1,791.30
|
| Rate for Payer: Cofinity Commercial |
$2,200.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,047.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$2,303.10
|
| Rate for Payer: Mclaren Medicaid |
$820.32
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$1,646.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,175.15
|
| Rate for Payer: Nomi Health Commercial |
$4,705.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,919.25
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$2,175.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,072.36
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health SBD |
$1,612.17
|
| Rate for Payer: Priority Health Tiered Network |
$4,057.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,663.35
|
| Rate for Payer: UHC Core |
$1,333.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$1,005.69
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
OP
|
$3,000.46
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$827.85 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna Commercial |
$2,550.39
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,950.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$827.85
|
| Rate for Payer: BCN Commercial |
$827.85
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,400.37
|
| Rate for Payer: Cash Price |
$2,400.37
|
| Rate for Payer: Cash Price |
$2,400.37
|
| Rate for Payer: Cofinity Advantage |
$2,100.32
|
| Rate for Payer: Cofinity Commercial |
$2,580.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,400.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$2,700.41
|
| Rate for Payer: Mclaren Medicaid |
$1,645.43
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,550.39
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,250.34
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$2,550.39
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$1,890.29
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
IP
|
$3,000.46
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,890.29 |
| Max. Negotiated Rate |
$2,700.41 |
| Rate for Payer: Aetna Commercial |
$2,550.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,950.30
|
| Rate for Payer: Cash Price |
$2,400.37
|
| Rate for Payer: Cofinity Advantage |
$2,100.32
|
| Rate for Payer: Cofinity Commercial |
$2,580.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,400.37
|
| Rate for Payer: Healthscope Commercial |
$2,700.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,550.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,250.34
|
| Rate for Payer: PHP Commercial |
$2,550.39
|
| Rate for Payer: Priority Health SBD |
$1,890.29
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
OP
|
$109.24
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.93 |
| Max. Negotiated Rate |
$98.32 |
| Rate for Payer: Aetna Commercial |
$92.85
|
| Rate for Payer: Aetna Medicare |
$54.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.01
|
| Rate for Payer: BCBS Complete |
$43.70
|
| Rate for Payer: Cash Price |
$87.39
|
| Rate for Payer: Cofinity Advantage |
$76.47
|
| Rate for Payer: Cofinity Commercial |
$93.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.39
|
| Rate for Payer: Healthscope Commercial |
$98.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.93
|
| Rate for Payer: PHP Commercial |
$92.85
|
| Rate for Payer: Priority Health SBD |
$68.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.01
|
| Rate for Payer: UHC Core |
$56.91
|
| Rate for Payer: UHC Exchange |
$42.93
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
IP
|
$109.24
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$68.82 |
| Max. Negotiated Rate |
$98.32 |
| Rate for Payer: Aetna Commercial |
$92.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.01
|
| Rate for Payer: Cash Price |
$87.39
|
| Rate for Payer: Cofinity Advantage |
$76.47
|
| Rate for Payer: Cofinity Commercial |
$93.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.39
|
| Rate for Payer: Healthscope Commercial |
$98.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.93
|
| Rate for Payer: PHP Commercial |
$92.85
|
| Rate for Payer: Priority Health SBD |
$68.82
|
|
|
HC RESERVOIR OUTLET Y
|
Facility
|
OP
|
$31.21
|
|
| Hospital Charge Code |
27000668
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.27 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna Medicare |
$15.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.29
|
| Rate for Payer: BCBS Complete |
$12.48
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Advantage |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: Priority Health SBD |
$19.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.29
|
| Rate for Payer: UHC Core |
$16.26
|
| Rate for Payer: UHC Exchange |
$12.27
|
|
|
HC RESERVOIR OUTLET Y
|
Facility
|
IP
|
$31.21
|
|
| Hospital Charge Code |
27000668
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.66 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.29
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Advantage |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: Priority Health SBD |
$19.66
|
|
|
HC RESERVOIR TANDEM Y
|
Facility
|
OP
|
$31.21
|
|
| Hospital Charge Code |
27000667
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.27 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna Medicare |
$15.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.29
|
| Rate for Payer: BCBS Complete |
$12.48
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Advantage |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: Priority Health SBD |
$19.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.29
|
| Rate for Payer: UHC Core |
$16.26
|
| Rate for Payer: UHC Exchange |
$12.27
|
|
