|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
IP
|
$7,900.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,818.21 |
| Max. Negotiated Rate |
$7,110.00 |
| Rate for Payer: Aetna Commercial |
$6,715.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,105.12
|
| Rate for Payer: BCN Commercial |
$6,105.12
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cofinity Commercial |
$6,794.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,320.00
|
| Rate for Payer: Healthscope Commercial |
$7,110.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,925.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,715.00
|
| Rate for Payer: PHP Commercial |
$6,715.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,530.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,873.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,818.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,952.00
|
| Rate for Payer: UHC Core |
$6,596.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,925.00
|
|
|
HC BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Facility
|
OP
|
$7,900.00
|
|
|
Service Code
|
CPT 41105
|
| Hospital Charge Code |
76100463
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,876.25 |
| Max. Negotiated Rate |
$7,110.00 |
| Rate for Payer: Aetna Commercial |
$6,715.00
|
| Rate for Payer: Aetna Medicare |
$2,054.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,468.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,468.75
|
| Rate for Payer: BCBS Complete |
$2,217.64
|
| Rate for Payer: BCBS MAPPO |
$1,975.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,142.25
|
| Rate for Payer: BCN Commercial |
$6,142.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,975.00
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cash Price |
$6,320.00
|
| Rate for Payer: Cofinity Commercial |
$6,794.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,320.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,975.00
|
| Rate for Payer: Healthscope Commercial |
$7,110.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,925.00
|
| Rate for Payer: Mclaren Medicaid |
$2,112.04
|
| Rate for Payer: Meridian Medicaid |
$2,217.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,073.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,271.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,715.00
|
| Rate for Payer: PACE Senior Care Partners |
$1,876.25
|
| Rate for Payer: PACE SWMI |
$1,975.00
|
| Rate for Payer: PHP Commercial |
$6,715.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,975.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,112.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,530.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,873.00
|
| Rate for Payer: Priority Health Medicare |
$1,975.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,818.21
|
| Rate for Payer: Railroad Medicare Medicare |
$1,975.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,952.00
|
| Rate for Payer: UHC Core |
$6,596.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,975.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,034.25
|
| Rate for Payer: VA VA |
$1,975.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,925.00
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
OP
|
$1,644.96
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$390.68 |
| Max. Negotiated Rate |
$3,785.15 |
| Rate for Payer: Aetna Commercial |
$1,398.22
|
| Rate for Payer: Aetna Medicare |
$427.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$514.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$514.05
|
| Rate for Payer: BCBS Complete |
$3,785.15
|
| Rate for Payer: BCBS MAPPO |
$411.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,278.96
|
| Rate for Payer: BCN Commercial |
$1,278.96
|
| Rate for Payer: BCN Medicare Advantage |
$411.24
|
| Rate for Payer: Cash Price |
$1,315.97
|
| Rate for Payer: Cash Price |
$1,315.97
|
| Rate for Payer: Cofinity Commercial |
$1,414.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,315.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.24
|
| Rate for Payer: Healthscope Commercial |
$1,480.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,233.72
|
| Rate for Payer: Mclaren Medicaid |
$3,604.90
|
| Rate for Payer: Meridian Medicaid |
$3,785.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$472.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,398.22
|
| Rate for Payer: PACE Senior Care Partners |
$390.68
|
| Rate for Payer: PACE SWMI |
$411.24
|
| Rate for Payer: PHP Commercial |
$1,398.22
|
| Rate for Payer: PHP Medicare Advantage |
$411.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,604.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,151.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,431.12
|
| Rate for Payer: Priority Health Medicare |
$411.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,003.26
|
| Rate for Payer: Railroad Medicare Medicare |
$411.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,447.56
|
| Rate for Payer: UHC Core |
$1,373.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.24
|
| Rate for Payer: UHC Medicare Advantage |
$423.58
|
| Rate for Payer: VA VA |
$411.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,233.72
|
|
|
HC BIOPSY TRANSCATHETER
|
Facility
|
IP
|
$1,644.96
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
36100154
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,003.26 |
| Max. Negotiated Rate |
$1,480.46 |
| Rate for Payer: Aetna Commercial |
$1,398.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,271.23
|
| Rate for Payer: BCN Commercial |
$1,271.23
|
| Rate for Payer: Cash Price |
$1,315.97
|
| Rate for Payer: Cofinity Commercial |
$1,414.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,315.97
|
| Rate for Payer: Healthscope Commercial |
$1,480.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,233.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,398.22
|
| Rate for Payer: PHP Commercial |
$1,398.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,151.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,431.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,003.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,447.56
|
| Rate for Payer: UHC Core |
$1,373.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,233.72
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
OP
|
$1,350.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$320.62 |
| Max. Negotiated Rate |
$1,215.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$351.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$421.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$421.88
|
| Rate for Payer: BCBS Complete |
$378.97
|
| Rate for Payer: BCBS MAPPO |
$337.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.62
|
| Rate for Payer: BCN Commercial |
$1,049.62
|
| Rate for Payer: BCN Medicare Advantage |
$337.50
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$337.50
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Mclaren Medicaid |
$360.93
|
| Rate for Payer: Meridian Medicaid |
$378.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$354.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PACE Senior Care Partners |
$320.62
|
| Rate for Payer: PACE SWMI |
$337.50
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: PHP Medicare Advantage |
$337.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,174.50
|
| Rate for Payer: Priority Health Medicare |
$337.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.36
|
| Rate for Payer: Railroad Medicare Medicare |
$337.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.00
|
| Rate for Payer: UHC Core |
$1,127.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$337.50
|
| Rate for Payer: UHC Medicare Advantage |
$347.62
|
| Rate for Payer: VA VA |
$337.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY VESTIBULE MOUTH
|
Facility
|
IP
|
$1,350.00
|
|
|
Service Code
|
CPT 40808
|
| Hospital Charge Code |
76100460
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$823.36 |
| Max. Negotiated Rate |
$1,215.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.28
|
| Rate for Payer: BCN Commercial |
$1,043.28
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,161.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,080.00
|
| Rate for Payer: Healthscope Commercial |
$1,215.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,012.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,147.50
|
| Rate for Payer: PHP Commercial |
$1,147.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,174.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.00
|
| Rate for Payer: UHC Core |
$1,127.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,012.50
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
OP
|
$853.80
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$202.78 |
| Max. Negotiated Rate |
$768.42 |
| Rate for Payer: Aetna Commercial |
$725.73
|
| Rate for Payer: Aetna Medicare |
$221.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266.81
|
| Rate for Payer: BCBS Complete |
$553.73
|
| Rate for Payer: BCBS MAPPO |
$213.45
|
| Rate for Payer: BCBS Trust/PPO |
$663.83
|
| Rate for Payer: BCN Commercial |
$663.83
|
| Rate for Payer: BCN Medicare Advantage |
$213.45
|
| Rate for Payer: Cash Price |
$683.04
|
| Rate for Payer: Cash Price |
$683.04
|
| Rate for Payer: Cofinity Commercial |
$734.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.45
|
| Rate for Payer: Healthscope Commercial |
$768.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.35
|
| Rate for Payer: Mclaren Medicaid |
$527.36
|
| Rate for Payer: Meridian Medicaid |
$553.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$224.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.73
|
| Rate for Payer: PACE Senior Care Partners |
$202.78
|
| Rate for Payer: PACE SWMI |
$213.45
|
| Rate for Payer: PHP Commercial |
$725.73
|
| Rate for Payer: PHP Medicare Advantage |
$213.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$527.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.81
|
| Rate for Payer: Priority Health Medicare |
$213.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.73
|
| Rate for Payer: Railroad Medicare Medicare |
$213.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.34
|
| Rate for Payer: UHC Core |
$712.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$213.45
|
| Rate for Payer: UHC Medicare Advantage |
$219.85
|
| Rate for Payer: VA VA |
$213.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.35
|
|
|
HC BIOPSY VULVA PERINEUM ONE LESN
|
Facility
|
IP
|
$853.80
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
76100201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$520.73 |
| Max. Negotiated Rate |
$768.42 |
| Rate for Payer: Aetna Commercial |
$725.73
|
| Rate for Payer: BCBS Trust/PPO |
$659.82
|
| Rate for Payer: BCN Commercial |
$659.82
|
| Rate for Payer: Cash Price |
$683.04
|
| Rate for Payer: Cofinity Commercial |
$734.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$683.04
|
| Rate for Payer: Healthscope Commercial |
$768.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.73
|
| Rate for Payer: PHP Commercial |
$725.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.34
|
| Rate for Payer: UHC Core |
$712.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.35
|
|
|
HC BIOSENSE 8MM ABLATION CATHETER
|
Facility
|
IP
|
$4,590.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,799.44 |
| Max. Negotiated Rate |
$4,131.00 |
| Rate for Payer: Aetna Commercial |
$3,901.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,547.15
|
| Rate for Payer: BCN Commercial |
$3,547.15
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$3,947.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Healthscope Commercial |
$4,131.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,442.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,901.50
|
| Rate for Payer: PHP Commercial |
$3,901.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,213.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,993.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,799.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,039.20
|
| Rate for Payer: UHC Core |
$3,832.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,442.50
|
|
|
HC BIOSENSE 8MM ABLATION CATHETER
|
Facility
|
OP
|
$4,590.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,090.12 |
| Max. Negotiated Rate |
$4,131.00 |
| Rate for Payer: Aetna Commercial |
$3,901.50
|
| Rate for Payer: Aetna Medicare |
$1,193.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,434.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,434.38
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$1,147.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,568.72
|
| Rate for Payer: BCN Commercial |
$3,568.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,147.50
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$3,947.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,672.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,147.50
|
| Rate for Payer: Healthscope Commercial |
$4,131.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,442.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,204.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,319.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,901.50
|
| Rate for Payer: PACE Senior Care Partners |
$1,090.12
|
| Rate for Payer: PACE SWMI |
$1,147.50
|
| Rate for Payer: PHP Commercial |
$3,901.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,147.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,213.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,993.30
|
| Rate for Payer: Priority Health Medicare |
$1,147.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,799.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,147.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,039.20
|
| Rate for Payer: UHC Core |
$3,832.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,147.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,181.92
|
| Rate for Payer: VA VA |
$1,147.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,442.50
|
|
|
HC BIOSENSE ABLATION CATHETER
|
Facility
|
OP
|
$4,002.32
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$950.55 |
| Max. Negotiated Rate |
$3,602.09 |
| Rate for Payer: Aetna Commercial |
$3,401.97
|
| Rate for Payer: Aetna Medicare |
$1,040.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,250.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,250.72
|
| Rate for Payer: BCBS Complete |
$1,600.93
|
| Rate for Payer: BCBS MAPPO |
$1,000.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,111.80
|
| Rate for Payer: BCN Commercial |
$3,111.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.58
|
| Rate for Payer: Cash Price |
$3,201.86
|
| Rate for Payer: Cofinity Commercial |
$3,442.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,201.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.58
|
| Rate for Payer: Healthscope Commercial |
$3,602.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,001.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,050.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,150.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,401.97
|
| Rate for Payer: PACE Senior Care Partners |
$950.55
|
| Rate for Payer: PACE SWMI |
$1,000.58
|
| Rate for Payer: PHP Commercial |
$3,401.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,801.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,482.02
|
| Rate for Payer: Priority Health Medicare |
$1,000.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,441.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1,000.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,522.04
|
| Rate for Payer: UHC Core |
$3,341.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,000.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,030.60
|
| Rate for Payer: VA VA |
$1,000.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,001.74
|
|
|
HC BIOSENSE ABLATION CATHETER
|
Facility
|
IP
|
$4,002.32
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,441.01 |
| Max. Negotiated Rate |
$3,602.09 |
| Rate for Payer: Aetna Commercial |
$3,401.97
|
| Rate for Payer: BCBS Trust/PPO |
$3,092.99
|
| Rate for Payer: BCN Commercial |
$3,092.99
|
| Rate for Payer: Cash Price |
$3,201.86
|
| Rate for Payer: Cofinity Commercial |
$3,442.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,201.86
|
| Rate for Payer: Healthscope Commercial |
$3,602.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,001.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,401.97
|
| Rate for Payer: PHP Commercial |
$3,401.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,801.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,482.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,441.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,522.04
|
| Rate for Payer: UHC Core |
$3,341.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,001.74
|
|
|
HC BIOSENSE THERMOCOOL CATHETER
|
Facility
|
OP
|
$6,249.11
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,484.16 |
| Max. Negotiated Rate |
$5,624.20 |
| Rate for Payer: Aetna Commercial |
$5,311.74
|
| Rate for Payer: Aetna Medicare |
$1,624.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,952.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,952.85
|
| Rate for Payer: BCBS Complete |
$2,499.64
|
| Rate for Payer: BCBS MAPPO |
$1,562.28
|
| Rate for Payer: BCBS Trust/PPO |
$4,858.68
|
| Rate for Payer: BCN Commercial |
$4,858.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,562.28
|
| Rate for Payer: Cash Price |
$4,999.29
|
| Rate for Payer: Cofinity Commercial |
$5,374.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,999.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,562.28
|
| Rate for Payer: Healthscope Commercial |
$5,624.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,686.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,640.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,796.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,311.74
|
| Rate for Payer: PACE Senior Care Partners |
$1,484.16
|
| Rate for Payer: PACE SWMI |
$1,562.28
|
| Rate for Payer: PHP Commercial |
$5,311.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,562.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,374.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,436.73
|
| Rate for Payer: Priority Health Medicare |
$1,562.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,811.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,562.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,499.22
|
| Rate for Payer: UHC Core |
$5,218.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,562.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,609.15
|
| Rate for Payer: VA VA |
$1,562.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,686.83
|
|
|
HC BIOSENSE THERMOCOOL CATHETER
|
Facility
|
IP
|
$6,249.11
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,811.33 |
| Max. Negotiated Rate |
$5,624.20 |
| Rate for Payer: Aetna Commercial |
$5,311.74
|
| Rate for Payer: BCBS Trust/PPO |
$4,829.31
|
| Rate for Payer: BCN Commercial |
$4,829.31
|
| Rate for Payer: Cash Price |
$4,999.29
|
| Rate for Payer: Cofinity Commercial |
$5,374.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,999.29
|
| Rate for Payer: Healthscope Commercial |
$5,624.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,686.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,311.74
|
| Rate for Payer: PHP Commercial |
$5,311.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,374.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,436.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,811.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,499.22
|
| Rate for Payer: UHC Core |
$5,218.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,686.83
|
|
|
HC BIOTINIDASE
|
Facility
|
IP
|
$67.00
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$40.86 |
| Max. Negotiated Rate |
$60.30 |
| Rate for Payer: Aetna Commercial |
$56.95
|
| Rate for Payer: BCBS Trust/PPO |
$51.78
|
| Rate for Payer: BCN Commercial |
$51.78
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cofinity Commercial |
$57.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.60
|
| Rate for Payer: Healthscope Commercial |
$60.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.95
|
| Rate for Payer: PHP Commercial |
$56.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.96
|
| Rate for Payer: UHC Core |
$55.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.25
|
|
|
HC BIOTINIDASE
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
CPT 82261
|
| Hospital Charge Code |
30100119
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$60.30 |
| Rate for Payer: Aetna Commercial |
$56.95
|
| Rate for Payer: Aetna Medicare |
$17.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.94
|
| Rate for Payer: BCBS Complete |
$13.07
|
| Rate for Payer: BCBS MAPPO |
$16.75
|
| Rate for Payer: BCBS Trust/PPO |
$52.09
|
| Rate for Payer: BCN Commercial |
$52.09
|
| Rate for Payer: BCN Medicare Advantage |
$16.75
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cofinity Commercial |
$57.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.75
|
| Rate for Payer: Healthscope Commercial |
$60.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.25
|
| Rate for Payer: Mclaren Medicaid |
$12.45
|
| Rate for Payer: Meridian Medicaid |
$13.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.95
|
| Rate for Payer: PACE Senior Care Partners |
$15.91
|
| Rate for Payer: PACE SWMI |
$16.75
|
| Rate for Payer: PHP Commercial |
$56.95
|
| Rate for Payer: PHP Medicare Advantage |
$16.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.29
|
| Rate for Payer: Priority Health Medicare |
$16.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.86
|
| Rate for Payer: Railroad Medicare Medicare |
$16.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.96
|
| Rate for Payer: UHC Core |
$55.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.75
|
| Rate for Payer: UHC Medicare Advantage |
$17.25
|
| Rate for Payer: VA VA |
$16.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.25
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
IP
|
$9,442.85
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,759.19 |
| Max. Negotiated Rate |
$8,498.56 |
| Rate for Payer: Aetna Commercial |
$8,026.42
|
| Rate for Payer: BCBS Trust/PPO |
$7,297.43
|
| Rate for Payer: BCN Commercial |
$7,297.43
|
| Rate for Payer: Cash Price |
$7,554.28
|
| Rate for Payer: Cofinity Commercial |
$8,120.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,554.28
|
| Rate for Payer: Healthscope Commercial |
$8,498.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,082.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,026.42
|
| Rate for Payer: PHP Commercial |
$8,026.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,610.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,215.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,759.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,309.71
|
| Rate for Payer: UHC Core |
$7,884.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,082.14
|
|
|
HC BIOTRONIK DUAL PACEMAKER
|
Facility
|
OP
|
$9,442.85
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500002
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,242.68 |
| Max. Negotiated Rate |
$8,498.56 |
| Rate for Payer: Aetna Commercial |
$8,026.42
|
| Rate for Payer: Aetna Medicare |
$2,455.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,950.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,950.89
|
| Rate for Payer: BCBS Complete |
$3,777.14
|
| Rate for Payer: BCBS MAPPO |
$2,360.71
|
| Rate for Payer: BCBS Trust/PPO |
$7,341.82
|
| Rate for Payer: BCN Commercial |
$7,341.82
|
| Rate for Payer: BCN Medicare Advantage |
$2,360.71
|
| Rate for Payer: Cash Price |
$7,554.28
|
| Rate for Payer: Cofinity Commercial |
$8,120.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,554.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,360.71
|
| Rate for Payer: Healthscope Commercial |
$8,498.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,082.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,478.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,714.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,026.42
|
| Rate for Payer: PACE Senior Care Partners |
$2,242.68
|
| Rate for Payer: PACE SWMI |
$2,360.71
|
| Rate for Payer: PHP Commercial |
$8,026.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,360.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,610.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,215.28
|
| Rate for Payer: Priority Health Medicare |
$2,360.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,759.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,360.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,309.71
|
| Rate for Payer: UHC Core |
$7,884.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,360.71
|
| Rate for Payer: UHC Medicare Advantage |
$2,431.53
|
| Rate for Payer: VA VA |
$2,360.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,082.14
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
IP
|
$1,722.47
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,050.53 |
| Max. Negotiated Rate |
$1,550.22 |
| Rate for Payer: Aetna Commercial |
$1,464.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,331.12
|
| Rate for Payer: BCN Commercial |
$1,331.12
|
| Rate for Payer: Cash Price |
$1,377.98
|
| Rate for Payer: Cofinity Commercial |
$1,481.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,377.98
|
| Rate for Payer: Healthscope Commercial |
$1,550.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,291.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,464.10
|
| Rate for Payer: PHP Commercial |
$1,464.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,498.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,050.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,515.77
|
| Rate for Payer: UHC Core |
$1,438.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,291.85
|
|
|
HC BIPAL BIOPSY FORCEPS
|
Facility
|
OP
|
$1,722.47
|
|
| Hospital Charge Code |
27200113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$409.09 |
| Max. Negotiated Rate |
$1,550.22 |
| Rate for Payer: Aetna Commercial |
$1,464.10
|
| Rate for Payer: Aetna Medicare |
$447.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$538.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$538.27
|
| Rate for Payer: BCBS Complete |
$688.99
|
| Rate for Payer: BCBS MAPPO |
$430.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,339.22
|
| Rate for Payer: BCN Commercial |
$1,339.22
|
| Rate for Payer: BCN Medicare Advantage |
$430.62
|
| Rate for Payer: Cash Price |
$1,377.98
|
| Rate for Payer: Cofinity Commercial |
$1,481.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,377.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$430.62
|
| Rate for Payer: Healthscope Commercial |
$1,550.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,291.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$452.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$495.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,464.10
|
| Rate for Payer: PACE Senior Care Partners |
$409.09
|
| Rate for Payer: PACE SWMI |
$430.62
|
| Rate for Payer: PHP Commercial |
$1,464.10
|
| Rate for Payer: PHP Medicare Advantage |
$430.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,498.55
|
| Rate for Payer: Priority Health Medicare |
$430.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,050.53
|
| Rate for Payer: Railroad Medicare Medicare |
$430.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,515.77
|
| Rate for Payer: UHC Core |
$1,438.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$430.62
|
| Rate for Payer: UHC Medicare Advantage |
$443.54
|
| Rate for Payer: VA VA |
$430.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,291.85
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
OP
|
$857.95
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$139.92 |
| Max. Negotiated Rate |
$772.16 |
| Rate for Payer: Aetna Commercial |
$729.26
|
| Rate for Payer: Aetna Medicare |
$223.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.11
|
| Rate for Payer: BCBS Complete |
$146.91
|
| Rate for Payer: BCBS MAPPO |
$214.49
|
| Rate for Payer: BCBS Trust/PPO |
$667.06
|
| Rate for Payer: BCN Commercial |
$667.06
|
| Rate for Payer: BCN Medicare Advantage |
$214.49
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cofinity Commercial |
$737.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.49
|
| Rate for Payer: Healthscope Commercial |
$772.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.46
|
| Rate for Payer: Mclaren Medicaid |
$139.92
|
| Rate for Payer: Meridian Medicaid |
$146.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$225.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$246.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$729.26
|
| Rate for Payer: PACE Senior Care Partners |
$203.76
|
| Rate for Payer: PACE SWMI |
$214.49
|
| Rate for Payer: PHP Commercial |
$729.26
|
| Rate for Payer: PHP Medicare Advantage |
$214.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$139.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$746.42
|
| Rate for Payer: Priority Health Medicare |
$214.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$523.26
|
| Rate for Payer: Railroad Medicare Medicare |
$214.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$755.00
|
| Rate for Payer: UHC Core |
$716.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$214.49
|
| Rate for Payer: UHC Medicare Advantage |
$220.92
|
| Rate for Payer: VA VA |
$214.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.46
|
|
|
HC BIPAP / CPAP PER DAY
|
Facility
|
IP
|
$857.95
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$523.26 |
| Max. Negotiated Rate |
$772.16 |
| Rate for Payer: Aetna Commercial |
$729.26
|
| Rate for Payer: BCBS Trust/PPO |
$663.02
|
| Rate for Payer: BCN Commercial |
$663.02
|
| Rate for Payer: Cash Price |
$686.36
|
| Rate for Payer: Cofinity Commercial |
$737.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$686.36
|
| Rate for Payer: Healthscope Commercial |
$772.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$643.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$729.26
|
| Rate for Payer: PHP Commercial |
$729.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$746.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$523.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$755.00
|
| Rate for Payer: UHC Core |
$716.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$643.46
|
|
|
HC BIRCH IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC BIRCH IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC BIVENTRICULAR DELIVERY SYSTEM
|
Facility
|
OP
|
$1,998.72
|
|
| Hospital Charge Code |
27200114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$474.70 |
| Max. Negotiated Rate |
$1,798.85 |
| Rate for Payer: Aetna Commercial |
$1,698.91
|
| Rate for Payer: Aetna Medicare |
$519.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$624.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$624.60
|
| Rate for Payer: BCBS Complete |
$799.49
|
| Rate for Payer: BCBS MAPPO |
$499.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,554.00
|
| Rate for Payer: BCN Commercial |
$1,554.00
|
| Rate for Payer: BCN Medicare Advantage |
$499.68
|
| Rate for Payer: Cash Price |
$1,598.98
|
| Rate for Payer: Cofinity Commercial |
$1,718.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,598.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.68
|
| Rate for Payer: Healthscope Commercial |
$1,798.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,499.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$574.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,698.91
|
| Rate for Payer: PACE Senior Care Partners |
$474.70
|
| Rate for Payer: PACE SWMI |
$499.68
|
| Rate for Payer: PHP Commercial |
$1,698.91
|
| Rate for Payer: PHP Medicare Advantage |
$499.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,738.89
|
| Rate for Payer: Priority Health Medicare |
$499.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,219.02
|
| Rate for Payer: Railroad Medicare Medicare |
$499.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,758.87
|
| Rate for Payer: UHC Core |
$1,668.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.68
|
| Rate for Payer: UHC Medicare Advantage |
$514.67
|
| Rate for Payer: VA VA |
$499.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,499.04
|
|
