|
HC CANN/INTRO FEM ART 17,19,21 FR
|
Facility
|
OP
|
$867.00
|
|
| Hospital Charge Code |
27000274
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$205.91 |
| Max. Negotiated Rate |
$780.30 |
| Rate for Payer: Aetna Commercial |
$736.95
|
| Rate for Payer: Aetna Medicare |
$225.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$270.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$270.94
|
| Rate for Payer: BCBS Complete |
$346.80
|
| Rate for Payer: BCBS MAPPO |
$216.75
|
| Rate for Payer: BCBS Trust/PPO |
$674.09
|
| Rate for Payer: BCN Commercial |
$674.09
|
| Rate for Payer: BCN Medicare Advantage |
$216.75
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$745.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$693.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.75
|
| Rate for Payer: Healthscope Commercial |
$780.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$650.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$227.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$249.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$736.95
|
| Rate for Payer: PACE Senior Care Partners |
$205.91
|
| Rate for Payer: PACE SWMI |
$216.75
|
| Rate for Payer: PHP Commercial |
$736.95
|
| Rate for Payer: PHP Medicare Advantage |
$216.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$606.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$754.29
|
| Rate for Payer: Priority Health Medicare |
$216.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$528.78
|
| Rate for Payer: Railroad Medicare Medicare |
$216.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$762.96
|
| Rate for Payer: UHC Core |
$723.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.75
|
| Rate for Payer: UHC Medicare Advantage |
$223.25
|
| Rate for Payer: VA VA |
$216.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$650.25
|
|
|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
OP
|
$297.00
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$70.54 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: Aetna Medicare |
$77.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92.81
|
| Rate for Payer: BCBS Complete |
$118.80
|
| Rate for Payer: BCBS MAPPO |
$74.25
|
| Rate for Payer: BCBS Trust/PPO |
$230.92
|
| Rate for Payer: BCN Commercial |
$230.92
|
| Rate for Payer: BCN Medicare Advantage |
$74.25
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.25
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PACE Senior Care Partners |
$70.54
|
| Rate for Payer: PACE SWMI |
$74.25
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: PHP Medicare Advantage |
$74.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.39
|
| Rate for Payer: Priority Health Medicare |
$74.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.14
|
| Rate for Payer: Railroad Medicare Medicare |
$74.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$261.36
|
| Rate for Payer: UHC Core |
$248.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.25
|
| Rate for Payer: UHC Medicare Advantage |
$76.48
|
| Rate for Payer: VA VA |
$74.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
IP
|
$297.00
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$181.14 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: BCBS Trust/PPO |
$229.52
|
| Rate for Payer: BCN Commercial |
$229.52
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$261.36
|
| Rate for Payer: UHC Core |
$248.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
IP
|
$114.00
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$69.53 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: BCBS Trust/PPO |
$88.10
|
| Rate for Payer: BCN Commercial |
$88.10
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.90
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.32
|
| Rate for Payer: UHC Core |
$95.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
OP
|
$114.00
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.08 |
| Max. Negotiated Rate |
$102.60 |
| Rate for Payer: Aetna Commercial |
$96.90
|
| Rate for Payer: Aetna Medicare |
$29.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.62
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: BCBS MAPPO |
$28.50
|
| Rate for Payer: BCBS Trust/PPO |
$88.64
|
| Rate for Payer: BCN Commercial |
$88.64
|
| Rate for Payer: BCN Medicare Advantage |
$28.50
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.50
|
| Rate for Payer: Healthscope Commercial |
$102.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.90
|
| Rate for Payer: PACE Senior Care Partners |
$27.08
|
| Rate for Payer: PACE SWMI |
$28.50
|
| Rate for Payer: PHP Commercial |
$96.90
|
| Rate for Payer: PHP Medicare Advantage |
$28.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99.18
|
| Rate for Payer: Priority Health Medicare |
$28.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.53
|
| Rate for Payer: Railroad Medicare Medicare |
$28.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.32
|
| Rate for Payer: UHC Core |
$95.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.50
|
| Rate for Payer: UHC Medicare Advantage |
$29.36
|
| Rate for Payer: VA VA |
$28.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.50
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
IP
|
$24.00
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.64 |
| Max. Negotiated Rate |
$21.60 |
| Rate for Payer: Aetna Commercial |
$20.40
|
| Rate for Payer: BCBS Trust/PPO |
$18.55
|
| Rate for Payer: BCN Commercial |
$18.55
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$20.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$21.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.40
|
| Rate for Payer: PHP Commercial |
$20.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.12
|
| Rate for Payer: UHC Core |
$20.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.00
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
OP
|
$24.00
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.70 |
| Max. Negotiated Rate |
$21.60 |
| Rate for Payer: Aetna Commercial |
$20.40
|
| Rate for Payer: Aetna Medicare |
$6.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.50
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS MAPPO |
$6.00
|
| Rate for Payer: BCBS Trust/PPO |
$18.66
|
| Rate for Payer: BCN Commercial |
$18.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.00
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$20.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.00
|
| Rate for Payer: Healthscope Commercial |
$21.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.40
|
| Rate for Payer: PACE Senior Care Partners |
$5.70
|
| Rate for Payer: PACE SWMI |
$6.00
|
| Rate for Payer: PHP Commercial |
$20.40
|
| Rate for Payer: PHP Medicare Advantage |
$6.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.88
|
| Rate for Payer: Priority Health Medicare |
$6.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.64
|
| Rate for Payer: Railroad Medicare Medicare |
$6.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.12
|
| Rate for Payer: UHC Core |
$20.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.00
|
| Rate for Payer: UHC Medicare Advantage |
$6.18
|
| Rate for Payer: VA VA |
$6.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.00
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
OP
|
$1,444.58
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$343.09 |
| Max. Negotiated Rate |
$1,300.12 |
| Rate for Payer: Aetna Commercial |
$1,227.89
|
| Rate for Payer: Aetna Medicare |
$375.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$451.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$451.43
|
| Rate for Payer: BCBS Complete |
$577.83
|
| Rate for Payer: BCBS MAPPO |
$361.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,123.16
|
| Rate for Payer: BCN Commercial |
$1,123.16
|
| Rate for Payer: BCN Medicare Advantage |
$361.14
|
| Rate for Payer: Cash Price |
$1,155.66
|
| Rate for Payer: Cofinity Commercial |
$1,242.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,155.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$361.14
|
| Rate for Payer: Healthscope Commercial |
$1,300.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,083.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$379.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$415.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,227.89
|
| Rate for Payer: PACE Senior Care Partners |
$343.09
|
| Rate for Payer: PACE SWMI |
$361.14
|
| Rate for Payer: PHP Commercial |
$1,227.89
|
| Rate for Payer: PHP Medicare Advantage |
$361.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,011.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,256.78
|
| Rate for Payer: Priority Health Medicare |
$361.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$881.05
|
| Rate for Payer: Railroad Medicare Medicare |
$361.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,271.23
|
| Rate for Payer: UHC Core |
$1,206.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$361.14
|
| Rate for Payer: UHC Medicare Advantage |
$371.98
|
| Rate for Payer: VA VA |
$361.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,083.44
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
IP
|
$1,444.58
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$881.05 |
| Max. Negotiated Rate |
$1,300.12 |
| Rate for Payer: Aetna Commercial |
$1,227.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,116.37
|
| Rate for Payer: BCN Commercial |
$1,116.37
|
| Rate for Payer: Cash Price |
$1,155.66
|
| Rate for Payer: Cofinity Commercial |
$1,242.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,155.66
|
| Rate for Payer: Healthscope Commercial |
$1,300.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,083.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,227.89
|
| Rate for Payer: PHP Commercial |
$1,227.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,011.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,256.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$881.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,271.23
|
| Rate for Payer: UHC Core |
$1,206.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,083.44
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$46.50
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.04 |
| Max. Negotiated Rate |
$41.85 |
| Rate for Payer: Aetna Commercial |
$39.52
|
| Rate for Payer: Aetna Medicare |
$12.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.53
|
| Rate for Payer: BCBS Complete |
$18.60
|
| Rate for Payer: BCBS MAPPO |
$11.62
|
| Rate for Payer: BCBS Trust/PPO |
$36.15
|
| Rate for Payer: BCN Commercial |
$36.15
|
| Rate for Payer: BCN Medicare Advantage |
$11.62
|
| Rate for Payer: Cash Price |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$39.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.62
|
| Rate for Payer: Healthscope Commercial |
$41.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.52
|
| Rate for Payer: PACE Senior Care Partners |
$11.04
|
| Rate for Payer: PACE SWMI |
$11.62
|
| Rate for Payer: PHP Commercial |
$39.52
|
| Rate for Payer: PHP Medicare Advantage |
$11.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.46
|
| Rate for Payer: Priority Health Medicare |
$11.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.36
|
| Rate for Payer: Railroad Medicare Medicare |
$11.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.92
|
| Rate for Payer: UHC Core |
$38.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.62
|
| Rate for Payer: UHC Medicare Advantage |
$11.97
|
| Rate for Payer: VA VA |
$11.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.88
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
IP
|
$46.50
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.36 |
| Max. Negotiated Rate |
$41.85 |
| Rate for Payer: Aetna Commercial |
$39.52
|
| Rate for Payer: BCBS Trust/PPO |
$35.94
|
| Rate for Payer: BCN Commercial |
$35.94
|
| Rate for Payer: Cash Price |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$39.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.20
|
| Rate for Payer: Healthscope Commercial |
$41.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.52
|
| Rate for Payer: PHP Commercial |
$39.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.92
|
| Rate for Payer: UHC Core |
$38.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.88
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$316.73
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$75.22 |
| Max. Negotiated Rate |
$285.06 |
| Rate for Payer: Aetna Commercial |
$269.22
|
| Rate for Payer: Aetna Medicare |
$82.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$98.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$98.98
|
| Rate for Payer: BCBS Complete |
$126.69
|
| Rate for Payer: BCBS MAPPO |
$79.18
|
| Rate for Payer: BCBS Trust/PPO |
$246.26
|
| Rate for Payer: BCN Commercial |
$246.26
|
| Rate for Payer: BCN Medicare Advantage |
$79.18
|
| Rate for Payer: Cash Price |
$253.38
|
| Rate for Payer: Cofinity Commercial |
$272.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.18
|
| Rate for Payer: Healthscope Commercial |
$285.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$269.22
|
| Rate for Payer: PACE Senior Care Partners |
$75.22
|
| Rate for Payer: PACE SWMI |
$79.18
|
| Rate for Payer: PHP Commercial |
$269.22
|
| Rate for Payer: PHP Medicare Advantage |
$79.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.56
|
| Rate for Payer: Priority Health Medicare |
$79.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$193.17
|
| Rate for Payer: Railroad Medicare Medicare |
$79.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$278.72
|
| Rate for Payer: UHC Core |
$264.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.18
|
| Rate for Payer: UHC Medicare Advantage |
$81.56
|
| Rate for Payer: VA VA |
$79.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.55
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$316.73
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$193.17 |
| Max. Negotiated Rate |
$285.06 |
| Rate for Payer: Aetna Commercial |
$269.22
|
| Rate for Payer: BCBS Trust/PPO |
$244.77
|
| Rate for Payer: BCN Commercial |
$244.77
|
| Rate for Payer: Cash Price |
$253.38
|
| Rate for Payer: Cofinity Commercial |
$272.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.38
|
| Rate for Payer: Healthscope Commercial |
$285.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$269.22
|
| Rate for Payer: PHP Commercial |
$269.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$193.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$278.72
|
| Rate for Payer: UHC Core |
$264.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.55
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$187.54 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: BCBS Trust/PPO |
$237.64
|
| Rate for Payer: BCN Commercial |
$237.64
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.60
|
| Rate for Payer: UHC Core |
$256.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.03 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna Medicare |
$79.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.09
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: BCBS MAPPO |
$76.88
|
| Rate for Payer: BCBS Trust/PPO |
$239.08
|
| Rate for Payer: BCN Commercial |
$239.08
|
| Rate for Payer: BCN Medicare Advantage |
$76.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.88
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PACE Senior Care Partners |
$73.03
|
| Rate for Payer: PACE SWMI |
$76.88
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: PHP Medicare Advantage |
$76.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.52
|
| Rate for Payer: Priority Health Medicare |
$76.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.54
|
| Rate for Payer: Railroad Medicare Medicare |
$76.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.60
|
| Rate for Payer: UHC Core |
$256.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.88
|
| Rate for Payer: UHC Medicare Advantage |
$79.18
|
| Rate for Payer: VA VA |
$76.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$75.00
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.81 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.44
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS MAPPO |
$18.75
|
| Rate for Payer: BCBS Trust/PPO |
$58.31
|
| Rate for Payer: BCN Commercial |
$58.31
|
| Rate for Payer: BCN Medicare Advantage |
$18.75
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.75
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: PACE Senior Care Partners |
$17.81
|
| Rate for Payer: PACE SWMI |
$18.75
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: PHP Medicare Advantage |
$18.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.25
|
| Rate for Payer: Priority Health Medicare |
$18.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.74
|
| Rate for Payer: Railroad Medicare Medicare |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.00
|
| Rate for Payer: UHC Core |
$62.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.75
|
| Rate for Payer: UHC Medicare Advantage |
$19.31
|
| Rate for Payer: VA VA |
$18.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$75.00
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.74 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: BCBS Trust/PPO |
$57.96
|
| Rate for Payer: BCN Commercial |
$57.96
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.00
|
| Rate for Payer: UHC Core |
$62.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$79.44 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna Medicare |
$86.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.53
|
| Rate for Payer: BCBS Complete |
$133.80
|
| Rate for Payer: BCBS MAPPO |
$83.62
|
| Rate for Payer: BCBS Trust/PPO |
$260.07
|
| Rate for Payer: BCN Commercial |
$260.07
|
| Rate for Payer: BCN Medicare Advantage |
$83.62
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.62
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PACE Senior Care Partners |
$79.44
|
| Rate for Payer: PACE SWMI |
$83.62
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: PHP Medicare Advantage |
$83.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.02
|
| Rate for Payer: Priority Health Medicare |
$83.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.01
|
| Rate for Payer: Railroad Medicare Medicare |
$83.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.36
|
| Rate for Payer: UHC Core |
$279.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.62
|
| Rate for Payer: UHC Medicare Advantage |
$86.13
|
| Rate for Payer: VA VA |
$83.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$204.01 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: BCBS Trust/PPO |
$258.50
|
| Rate for Payer: BCN Commercial |
$258.50
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.36
|
| Rate for Payer: UHC Core |
$279.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$204.01 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: BCBS Trust/PPO |
$258.50
|
| Rate for Payer: BCN Commercial |
$258.50
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.36
|
| Rate for Payer: UHC Core |
$279.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$79.44 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna Medicare |
$86.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.53
|
| Rate for Payer: BCBS Complete |
$133.80
|
| Rate for Payer: BCBS MAPPO |
$83.62
|
| Rate for Payer: BCBS Trust/PPO |
$260.07
|
| Rate for Payer: BCN Commercial |
$260.07
|
| Rate for Payer: BCN Medicare Advantage |
$83.62
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.62
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$96.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PACE Senior Care Partners |
$79.44
|
| Rate for Payer: PACE SWMI |
$83.62
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: PHP Medicare Advantage |
$83.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.02
|
| Rate for Payer: Priority Health Medicare |
$83.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.01
|
| Rate for Payer: Railroad Medicare Medicare |
$83.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.36
|
| Rate for Payer: UHC Core |
$279.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.62
|
| Rate for Payer: UHC Medicare Advantage |
$86.13
|
| Rate for Payer: VA VA |
$83.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.03 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna Medicare |
$79.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.09
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: BCBS MAPPO |
$76.88
|
| Rate for Payer: BCBS Trust/PPO |
$239.08
|
| Rate for Payer: BCN Commercial |
$239.08
|
| Rate for Payer: BCN Medicare Advantage |
$76.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.88
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PACE Senior Care Partners |
$73.03
|
| Rate for Payer: PACE SWMI |
$76.88
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: PHP Medicare Advantage |
$76.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.52
|
| Rate for Payer: Priority Health Medicare |
$76.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.54
|
| Rate for Payer: Railroad Medicare Medicare |
$76.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.60
|
| Rate for Payer: UHC Core |
$256.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.88
|
| Rate for Payer: UHC Medicare Advantage |
$79.18
|
| Rate for Payer: VA VA |
$76.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$187.54 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: BCBS Trust/PPO |
$237.64
|
| Rate for Payer: BCN Commercial |
$237.64
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.60
|
| Rate for Payer: UHC Core |
$256.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$187.54 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: BCBS Trust/PPO |
$237.64
|
| Rate for Payer: BCN Commercial |
$237.64
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.60
|
| Rate for Payer: UHC Core |
$256.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.03 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna Medicare |
$79.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.09
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: BCBS MAPPO |
$76.88
|
| Rate for Payer: BCBS Trust/PPO |
$239.08
|
| Rate for Payer: BCN Commercial |
$239.08
|
| Rate for Payer: BCN Medicare Advantage |
$76.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.88
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PACE Senior Care Partners |
$73.03
|
| Rate for Payer: PACE SWMI |
$76.88
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: PHP Medicare Advantage |
$76.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.52
|
| Rate for Payer: Priority Health Medicare |
$76.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.54
|
| Rate for Payer: Railroad Medicare Medicare |
$76.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.60
|
| Rate for Payer: UHC Core |
$256.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.88
|
| Rate for Payer: UHC Medicare Advantage |
$79.18
|
| Rate for Payer: VA VA |
$76.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
