|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006710
|
|
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 RT ANG 5MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006710
|
|
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 RT ANG 6MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006711
|
|
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 RT ANG 6MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006711
|
|
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 RT ANG 7MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006712
|
|
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 RT ANG 7MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006712
|
|
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 8MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006713
|
|
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 8MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006713
|
|
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 (DUCKBILL)
|
Facility
|
IP
|
$17.25
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.52 |
| Max. Negotiated Rate |
$15.52 |
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: BCBS Trust/PPO |
$13.33
|
| Rate for Payer: BCN Commercial |
$13.33
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.80
|
| Rate for Payer: Healthscope Commercial |
$15.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.66
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.18
|
| Rate for Payer: UHC Core |
$14.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.25
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.10 |
| Max. Negotiated Rate |
$15.52 |
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna Medicare |
$4.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.39
|
| Rate for Payer: BCBS Complete |
$6.90
|
| Rate for Payer: BCBS MAPPO |
$4.31
|
| Rate for Payer: BCBS Trust/PPO |
$13.41
|
| Rate for Payer: BCN Commercial |
$13.41
|
| Rate for Payer: BCN Medicare Advantage |
$4.31
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.31
|
| Rate for Payer: Healthscope Commercial |
$15.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.66
|
| Rate for Payer: PACE Senior Care Partners |
$4.10
|
| Rate for Payer: PACE SWMI |
$4.31
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: PHP Medicare Advantage |
$4.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.01
|
| Rate for Payer: Priority Health Medicare |
$4.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.52
|
| Rate for Payer: Railroad Medicare Medicare |
$4.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.18
|
| Rate for Payer: UHC Core |
$14.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.31
|
| Rate for Payer: UHC Medicare Advantage |
$4.44
|
| Rate for Payer: VA VA |
$4.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$727.28
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$172.73 |
| Max. Negotiated Rate |
$654.55 |
| Rate for Payer: Aetna Commercial |
$618.19
|
| Rate for Payer: Aetna Medicare |
$189.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$227.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$227.28
|
| Rate for Payer: BCBS Complete |
$290.91
|
| Rate for Payer: BCBS MAPPO |
$181.82
|
| Rate for Payer: BCBS Trust/PPO |
$565.46
|
| Rate for Payer: BCN Commercial |
$565.46
|
| Rate for Payer: BCN Medicare Advantage |
$181.82
|
| Rate for Payer: Cash Price |
$581.82
|
| Rate for Payer: Cofinity Commercial |
$625.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$581.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.82
|
| Rate for Payer: Healthscope Commercial |
$654.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$545.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$209.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$618.19
|
| Rate for Payer: PACE Senior Care Partners |
$172.73
|
| Rate for Payer: PACE SWMI |
$181.82
|
| Rate for Payer: PHP Commercial |
$618.19
|
| Rate for Payer: PHP Medicare Advantage |
$181.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$509.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$632.73
|
| Rate for Payer: Priority Health Medicare |
$181.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$443.57
|
| Rate for Payer: Railroad Medicare Medicare |
$181.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$640.01
|
| Rate for Payer: UHC Core |
$607.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$181.82
|
| Rate for Payer: UHC Medicare Advantage |
$187.27
|
| Rate for Payer: VA VA |
$181.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$545.46
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$727.28
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$443.57 |
| Max. Negotiated Rate |
$654.55 |
| Rate for Payer: Aetna Commercial |
$618.19
|
| Rate for Payer: BCBS Trust/PPO |
$562.04
|
| Rate for Payer: BCN Commercial |
$562.04
|
| Rate for Payer: Cash Price |
$581.82
|
| Rate for Payer: Cofinity Commercial |
$625.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$581.82
|
| Rate for Payer: Healthscope Commercial |
$654.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$545.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$618.19
|
| Rate for Payer: PHP Commercial |
$618.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$509.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$632.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$443.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$640.01
|
| Rate for Payer: UHC Core |
$607.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$545.46
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,312.50
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$311.72 |
| Max. Negotiated Rate |
$1,181.25 |
| Rate for Payer: Aetna Commercial |
$1,115.62
|
| Rate for Payer: Aetna Medicare |
$341.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$410.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$410.16
|
| Rate for Payer: BCBS Complete |
$525.00
|
| Rate for Payer: BCBS MAPPO |
$328.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,020.47
|
| Rate for Payer: BCN Commercial |
$1,020.47
|
| Rate for Payer: BCN Medicare Advantage |
$328.12
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cofinity Commercial |
$1,128.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.12
|
| Rate for Payer: Healthscope Commercial |
$1,181.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$344.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$377.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,115.62
|
| Rate for Payer: PACE Senior Care Partners |
$311.72
|
| Rate for Payer: PACE SWMI |
$328.12
|
| Rate for Payer: PHP Commercial |
$1,115.62
|
| Rate for Payer: PHP Medicare Advantage |
$328.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,141.88
|
| Rate for Payer: Priority Health Medicare |
$328.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$800.49
|
| Rate for Payer: Railroad Medicare Medicare |
$328.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,155.00
|
| Rate for Payer: UHC Core |
$1,095.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$328.12
|
| Rate for Payer: UHC Medicare Advantage |
$337.97
|
| Rate for Payer: VA VA |
$328.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.38
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,312.50
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$800.49 |
| Max. Negotiated Rate |
$1,181.25 |
| Rate for Payer: Aetna Commercial |
$1,115.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.30
|
| Rate for Payer: BCN Commercial |
$1,014.30
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cofinity Commercial |
$1,128.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.00
|
| Rate for Payer: Healthscope Commercial |
$1,181.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,115.62
|
| Rate for Payer: PHP Commercial |
$1,115.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,141.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$800.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,155.00
|
| Rate for Payer: UHC Core |
$1,095.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.38
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,262.50
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$299.84 |
| Max. Negotiated Rate |
$1,136.25 |
| Rate for Payer: Aetna Commercial |
$1,073.12
|
| Rate for Payer: Aetna Medicare |
$328.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$394.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$394.53
|
| Rate for Payer: BCBS Complete |
$505.00
|
| Rate for Payer: BCBS MAPPO |
$315.62
|
| Rate for Payer: BCBS Trust/PPO |
$981.59
|
| Rate for Payer: BCN Commercial |
$981.59
|
| Rate for Payer: BCN Medicare Advantage |
$315.62
|
| Rate for Payer: Cash Price |
$1,010.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,010.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.62
|
| Rate for Payer: Healthscope Commercial |
$1,136.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$946.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$331.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$362.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,073.12
|
| Rate for Payer: PACE Senior Care Partners |
$299.84
|
| Rate for Payer: PACE SWMI |
$315.62
|
| Rate for Payer: PHP Commercial |
$1,073.12
|
| Rate for Payer: PHP Medicare Advantage |
$315.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,098.38
|
| Rate for Payer: Priority Health Medicare |
$315.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.00
|
| Rate for Payer: Railroad Medicare Medicare |
$315.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,111.00
|
| Rate for Payer: UHC Core |
$1,054.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.62
|
| Rate for Payer: UHC Medicare Advantage |
$325.09
|
| Rate for Payer: VA VA |
$315.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$946.88
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,262.50
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$770.00 |
| Max. Negotiated Rate |
$1,136.25 |
| Rate for Payer: Aetna Commercial |
$1,073.12
|
| Rate for Payer: BCBS Trust/PPO |
$975.66
|
| Rate for Payer: BCN Commercial |
$975.66
|
| Rate for Payer: Cash Price |
$1,010.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,010.00
|
| Rate for Payer: Healthscope Commercial |
$1,136.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$946.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,073.12
|
| Rate for Payer: PHP Commercial |
$1,073.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,098.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,111.00
|
| Rate for Payer: UHC Core |
$1,054.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$946.88
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$69.00
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.39 |
| Max. Negotiated Rate |
$62.10 |
| Rate for Payer: Aetna Commercial |
$58.65
|
| Rate for Payer: Aetna Medicare |
$17.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.56
|
| Rate for Payer: BCBS Complete |
$27.60
|
| Rate for Payer: BCBS MAPPO |
$17.25
|
| Rate for Payer: BCBS Trust/PPO |
$53.65
|
| Rate for Payer: BCN Commercial |
$53.65
|
| Rate for Payer: BCN Medicare Advantage |
$17.25
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cofinity Commercial |
$59.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.25
|
| Rate for Payer: Healthscope Commercial |
$62.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58.65
|
| Rate for Payer: PACE Senior Care Partners |
$16.39
|
| Rate for Payer: PACE SWMI |
$17.25
|
| Rate for Payer: PHP Commercial |
$58.65
|
| Rate for Payer: PHP Medicare Advantage |
$17.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.03
|
| Rate for Payer: Priority Health Medicare |
$17.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.08
|
| Rate for Payer: Railroad Medicare Medicare |
$17.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.72
|
| Rate for Payer: UHC Core |
$57.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.25
|
| Rate for Payer: UHC Medicare Advantage |
$17.77
|
| Rate for Payer: VA VA |
$17.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.75
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$69.00
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.08 |
| Max. Negotiated Rate |
$62.10 |
| Rate for Payer: Aetna Commercial |
$58.65
|
| Rate for Payer: BCBS Trust/PPO |
$53.32
|
| Rate for Payer: BCN Commercial |
$53.32
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cofinity Commercial |
$59.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.20
|
| Rate for Payer: Healthscope Commercial |
$62.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58.65
|
| Rate for Payer: PHP Commercial |
$58.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.72
|
| Rate for Payer: UHC Core |
$57.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.75
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$57.00
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.76 |
| Max. Negotiated Rate |
$51.30 |
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: BCBS Trust/PPO |
$44.05
|
| Rate for Payer: BCN Commercial |
$44.05
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$49.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.60
|
| Rate for Payer: Healthscope Commercial |
$51.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.45
|
| Rate for Payer: PHP Commercial |
$48.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.16
|
| Rate for Payer: UHC Core |
$47.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.75
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$57.00
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.54 |
| Max. Negotiated Rate |
$51.30 |
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: Aetna Medicare |
$14.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.81
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS MAPPO |
$14.25
|
| Rate for Payer: BCBS Trust/PPO |
$44.32
|
| Rate for Payer: BCN Commercial |
$44.32
|
| Rate for Payer: BCN Medicare Advantage |
$14.25
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$49.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.25
|
| Rate for Payer: Healthscope Commercial |
$51.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.45
|
| Rate for Payer: PACE Senior Care Partners |
$13.54
|
| Rate for Payer: PACE SWMI |
$14.25
|
| Rate for Payer: PHP Commercial |
$48.45
|
| Rate for Payer: PHP Medicare Advantage |
$14.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.59
|
| Rate for Payer: Priority Health Medicare |
$14.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.76
|
| Rate for Payer: Railroad Medicare Medicare |
$14.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.16
|
| Rate for Payer: UHC Core |
$47.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.25
|
| Rate for Payer: UHC Medicare Advantage |
$14.68
|
| Rate for Payer: VA VA |
$14.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.75
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$297.00
|
|
| Hospital Charge Code |
27000664
|
|
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 CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$297.00
|
|
| Hospital Charge Code |
27000664
|
|
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 RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$255.00
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$155.52 |
| Max. Negotiated Rate |
$229.50 |
| Rate for Payer: Aetna Commercial |
$216.75
|
| Rate for Payer: BCBS Trust/PPO |
$197.06
|
| Rate for Payer: BCN Commercial |
$197.06
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$219.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.00
|
| Rate for Payer: Healthscope Commercial |
$229.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$191.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$216.75
|
| Rate for Payer: PHP Commercial |
$216.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.40
|
| Rate for Payer: UHC Core |
$212.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$191.25
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$255.00
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$60.56 |
| Max. Negotiated Rate |
$229.50 |
| Rate for Payer: Aetna Commercial |
$216.75
|
| Rate for Payer: Aetna Medicare |
$66.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$79.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$79.69
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: BCBS MAPPO |
$63.75
|
| Rate for Payer: BCBS Trust/PPO |
$198.26
|
| Rate for Payer: BCN Commercial |
$198.26
|
| Rate for Payer: BCN Medicare Advantage |
$63.75
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$219.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.75
|
| Rate for Payer: Healthscope Commercial |
$229.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$191.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$66.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$216.75
|
| Rate for Payer: PACE Senior Care Partners |
$60.56
|
| Rate for Payer: PACE SWMI |
$63.75
|
| Rate for Payer: PHP Commercial |
$216.75
|
| Rate for Payer: PHP Medicare Advantage |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.85
|
| Rate for Payer: Priority Health Medicare |
$63.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.52
|
| Rate for Payer: Railroad Medicare Medicare |
$63.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.40
|
| Rate for Payer: UHC Core |
$212.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.75
|
| Rate for Payer: UHC Medicare Advantage |
$65.66
|
| Rate for Payer: VA VA |
$63.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$191.25
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$204.00
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$124.42 |
| Max. Negotiated Rate |
$183.60 |
| Rate for Payer: Aetna Commercial |
$173.40
|
| Rate for Payer: BCBS Trust/PPO |
$157.65
|
| Rate for Payer: BCN Commercial |
$157.65
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$175.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.20
|
| Rate for Payer: Healthscope Commercial |
$183.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$173.40
|
| Rate for Payer: PHP Commercial |
$173.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$177.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$124.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.52
|
| Rate for Payer: UHC Core |
$170.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.00
|
|
