|
HC BALLOONS CATH TRANSLUMINAL LVL 1
|
Facility
|
OP
|
$82.47
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
27200262
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.54 |
| Max. Negotiated Rate |
$74.22 |
| Rate for Payer: Aetna Commercial |
$70.10
|
| Rate for Payer: Aetna Medicare |
$21.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.77
|
| Rate for Payer: BCBS Complete |
$15.27
|
| Rate for Payer: BCBS MAPPO |
$20.62
|
| Rate for Payer: BCBS Trust/PPO |
$67.80
|
| Rate for Payer: BCN Commercial |
$67.80
|
| Rate for Payer: BCN Medicare Advantage |
$20.62
|
| Rate for Payer: Cash Price |
$65.98
|
| Rate for Payer: Cofinity Commercial |
$70.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.62
|
| Rate for Payer: Healthscope Commercial |
$74.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.85
|
| Rate for Payer: Mclaren Medicaid |
$14.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.65
|
| Rate for Payer: Meridian Medicaid |
$15.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.10
|
| Rate for Payer: Nomi Health Commercial |
$67.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.85
|
| Rate for Payer: PACE Senior Care Partners |
$19.59
|
| Rate for Payer: PACE SWMI |
$20.62
|
| Rate for Payer: PHP Commercial |
$70.10
|
| Rate for Payer: PHP Medicare Advantage |
$20.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.75
|
| Rate for Payer: Priority Health Medicare |
$20.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.40
|
| Rate for Payer: Railroad Medicare Medicare |
$20.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.57
|
| Rate for Payer: UHC Core |
$68.86
|
| Rate for Payer: UHC Exchange |
$20.62
|
| Rate for Payer: UHC Medicaid |
$14.54
|
| Rate for Payer: UHC Medicare Advantage |
$20.62
|
| Rate for Payer: UHCCP Medicaid |
$14.54
|
| Rate for Payer: VA VA |
$20.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.85
|
|
|
HC BALLOONS CATH TRANSLUMINAL LVL 1
|
Facility
|
IP
|
$82.47
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
27200262
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.40 |
| Max. Negotiated Rate |
$74.22 |
| Rate for Payer: Aetna Commercial |
$70.10
|
| Rate for Payer: BCBS Trust/PPO |
$68.11
|
| Rate for Payer: BCN Commercial |
$68.11
|
| Rate for Payer: Cash Price |
$65.98
|
| Rate for Payer: Cofinity Commercial |
$70.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.98
|
| Rate for Payer: Healthscope Commercial |
$74.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.10
|
| Rate for Payer: Nomi Health Commercial |
$67.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.85
|
| Rate for Payer: PHP Commercial |
$70.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.57
|
| Rate for Payer: UHC Core |
$68.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.85
|
|
|
HC BALLOONS CATH TRANSLUMINAL LVL 2
|
Facility
|
IP
|
$249.07
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
27200263
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$173.35 |
| Max. Negotiated Rate |
$224.16 |
| Rate for Payer: Aetna Commercial |
$211.71
|
| Rate for Payer: BCBS Trust/PPO |
$205.71
|
| Rate for Payer: BCN Commercial |
$205.71
|
| Rate for Payer: Cash Price |
$199.26
|
| Rate for Payer: Cofinity Commercial |
$214.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.26
|
| Rate for Payer: Healthscope Commercial |
$224.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$186.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$211.71
|
| Rate for Payer: Nomi Health Commercial |
$204.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.80
|
| Rate for Payer: PHP Commercial |
$211.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$216.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.18
|
| Rate for Payer: UHC Core |
$207.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$186.80
|
|
|
HC BALLOONS CATH TRANSLUMINAL LVL 2
|
Facility
|
OP
|
$249.07
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
27200263
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.91 |
| Max. Negotiated Rate |
$224.16 |
| Rate for Payer: Aetna Commercial |
$211.71
|
| Rate for Payer: Aetna Medicare |
$64.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.83
|
| Rate for Payer: BCBS Complete |
$46.10
|
| Rate for Payer: BCBS MAPPO |
$62.27
|
| Rate for Payer: BCBS Trust/PPO |
$204.76
|
| Rate for Payer: BCN Commercial |
$204.76
|
| Rate for Payer: BCN Medicare Advantage |
$62.27
|
| Rate for Payer: Cash Price |
$199.26
|
| Rate for Payer: Cofinity Commercial |
$214.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.27
|
| Rate for Payer: Healthscope Commercial |
$224.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$186.80
|
| Rate for Payer: Mclaren Medicaid |
$43.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.38
|
| Rate for Payer: Meridian Medicaid |
$46.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$211.71
|
| Rate for Payer: Nomi Health Commercial |
$204.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.80
|
| Rate for Payer: PACE Senior Care Partners |
$59.15
|
| Rate for Payer: PACE SWMI |
$62.27
|
| Rate for Payer: PHP Commercial |
$211.71
|
| Rate for Payer: PHP Medicare Advantage |
$62.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$216.69
|
| Rate for Payer: Priority Health Medicare |
$62.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.35
|
| Rate for Payer: Railroad Medicare Medicare |
$62.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.18
|
| Rate for Payer: UHC Core |
$207.97
|
| Rate for Payer: UHC Exchange |
$62.27
|
| Rate for Payer: UHC Medicaid |
$43.91
|
| Rate for Payer: UHC Medicare Advantage |
$62.27
|
| Rate for Payer: UHCCP Medicaid |
$43.91
|
| Rate for Payer: VA VA |
$62.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$186.80
|
|
|
HC BALLOON STONE EXTRACTION
|
Facility
|
OP
|
$3,253.01
|
|
| Hospital Charge Code |
36000008
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$573.51 |
| Max. Negotiated Rate |
$2,927.71 |
| Rate for Payer: Aetna Commercial |
$2,765.06
|
| Rate for Payer: Aetna Medicare |
$845.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,016.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,016.57
|
| Rate for Payer: BCBS Complete |
$602.13
|
| Rate for Payer: BCBS MAPPO |
$813.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,674.30
|
| Rate for Payer: BCN Commercial |
$2,674.30
|
| Rate for Payer: BCN Medicare Advantage |
$813.25
|
| Rate for Payer: Cash Price |
$2,602.41
|
| Rate for Payer: Cofinity Commercial |
$2,797.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,602.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$813.25
|
| Rate for Payer: Healthscope Commercial |
$2,927.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,439.76
|
| Rate for Payer: Mclaren Medicaid |
$573.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$853.92
|
| Rate for Payer: Meridian Medicaid |
$602.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$935.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$894.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,765.06
|
| Rate for Payer: Nomi Health Commercial |
$2,667.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,439.76
|
| Rate for Payer: PACE Senior Care Partners |
$772.59
|
| Rate for Payer: PACE SWMI |
$813.25
|
| Rate for Payer: PHP Commercial |
$2,765.06
|
| Rate for Payer: PHP Medicare Advantage |
$813.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,830.12
|
| Rate for Payer: Priority Health Medicare |
$821.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,264.09
|
| Rate for Payer: Railroad Medicare Medicare |
$813.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,862.65
|
| Rate for Payer: UHC Core |
$2,716.26
|
| Rate for Payer: UHC Exchange |
$813.25
|
| Rate for Payer: UHC Medicaid |
$573.51
|
| Rate for Payer: UHC Medicare Advantage |
$813.25
|
| Rate for Payer: UHCCP Medicaid |
$573.51
|
| Rate for Payer: VA VA |
$813.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,439.76
|
|
|
HC BALLOON STONE EXTRACTION
|
Facility
|
IP
|
$3,253.01
|
|
| Hospital Charge Code |
36000008
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,264.09 |
| Max. Negotiated Rate |
$2,927.71 |
| Rate for Payer: Aetna Commercial |
$2,765.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,686.66
|
| Rate for Payer: BCN Commercial |
$2,686.66
|
| Rate for Payer: Cash Price |
$2,602.41
|
| Rate for Payer: Cofinity Commercial |
$2,797.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,602.41
|
| Rate for Payer: Healthscope Commercial |
$2,927.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,439.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,765.06
|
| Rate for Payer: Nomi Health Commercial |
$2,667.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,439.76
|
| Rate for Payer: PHP Commercial |
$2,765.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,830.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,264.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,862.65
|
| Rate for Payer: UHC Core |
$2,716.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,439.76
|
|
|
HC BANANA IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200073
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC BANANA IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200073
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC BANDAGE SCISSORS
|
Facility
|
IP
|
$13.96
|
|
| Hospital Charge Code |
27000029
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.72 |
| Max. Negotiated Rate |
$12.56 |
| Rate for Payer: Aetna Commercial |
$11.87
|
| Rate for Payer: BCBS Trust/PPO |
$11.53
|
| Rate for Payer: BCN Commercial |
$11.53
|
| Rate for Payer: Cash Price |
$11.17
|
| Rate for Payer: Cofinity Commercial |
$12.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.17
|
| Rate for Payer: Healthscope Commercial |
$12.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.87
|
| Rate for Payer: Nomi Health Commercial |
$11.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.47
|
| Rate for Payer: PHP Commercial |
$11.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.28
|
| Rate for Payer: UHC Core |
$11.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.47
|
|
|
HC BANDAGE SCISSORS
|
Facility
|
OP
|
$13.96
|
|
| Hospital Charge Code |
27000029
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.46 |
| Max. Negotiated Rate |
$12.56 |
| Rate for Payer: Aetna Commercial |
$11.87
|
| Rate for Payer: Aetna Medicare |
$3.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.36
|
| Rate for Payer: BCBS Complete |
$2.58
|
| Rate for Payer: BCBS MAPPO |
$3.49
|
| Rate for Payer: BCBS Trust/PPO |
$11.48
|
| Rate for Payer: BCN Commercial |
$11.48
|
| Rate for Payer: BCN Medicare Advantage |
$3.49
|
| Rate for Payer: Cash Price |
$11.17
|
| Rate for Payer: Cofinity Commercial |
$12.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.49
|
| Rate for Payer: Healthscope Commercial |
$12.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.47
|
| Rate for Payer: Mclaren Medicaid |
$2.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.66
|
| Rate for Payer: Meridian Medicaid |
$2.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.87
|
| Rate for Payer: Nomi Health Commercial |
$11.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.47
|
| Rate for Payer: PACE Senior Care Partners |
$3.32
|
| Rate for Payer: PACE SWMI |
$3.49
|
| Rate for Payer: PHP Commercial |
$11.87
|
| Rate for Payer: PHP Medicare Advantage |
$3.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.15
|
| Rate for Payer: Priority Health Medicare |
$3.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.72
|
| Rate for Payer: Railroad Medicare Medicare |
$3.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.28
|
| Rate for Payer: UHC Core |
$11.66
|
| Rate for Payer: UHC Exchange |
$3.49
|
| Rate for Payer: UHC Medicaid |
$2.46
|
| Rate for Payer: UHC Medicare Advantage |
$3.49
|
| Rate for Payer: UHCCP Medicaid |
$2.46
|
| Rate for Payer: VA VA |
$3.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.47
|
|
|
HC BANDING
|
Facility
|
IP
|
$984.95
|
|
| Hospital Charge Code |
36000009
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$685.53 |
| Max. Negotiated Rate |
$886.46 |
| Rate for Payer: Aetna Commercial |
$837.21
|
| Rate for Payer: BCBS Trust/PPO |
$813.47
|
| Rate for Payer: BCN Commercial |
$813.47
|
| Rate for Payer: Cash Price |
$787.96
|
| Rate for Payer: Cofinity Commercial |
$847.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$787.96
|
| Rate for Payer: Healthscope Commercial |
$886.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$738.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$837.21
|
| Rate for Payer: Nomi Health Commercial |
$807.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$738.71
|
| Rate for Payer: PHP Commercial |
$837.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$856.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$685.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$866.76
|
| Rate for Payer: UHC Core |
$822.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$738.71
|
|
|
HC BANDING
|
Facility
|
OP
|
$984.95
|
|
| Hospital Charge Code |
36000009
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$173.65 |
| Max. Negotiated Rate |
$886.46 |
| Rate for Payer: Aetna Commercial |
$837.21
|
| Rate for Payer: Aetna Medicare |
$256.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$307.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$307.80
|
| Rate for Payer: BCBS Complete |
$182.31
|
| Rate for Payer: BCBS MAPPO |
$246.24
|
| Rate for Payer: BCBS Trust/PPO |
$809.73
|
| Rate for Payer: BCN Commercial |
$809.73
|
| Rate for Payer: BCN Medicare Advantage |
$246.24
|
| Rate for Payer: Cash Price |
$787.96
|
| Rate for Payer: Cofinity Commercial |
$847.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$787.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.24
|
| Rate for Payer: Healthscope Commercial |
$886.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$738.71
|
| Rate for Payer: Mclaren Medicaid |
$173.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$258.55
|
| Rate for Payer: Meridian Medicaid |
$182.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$283.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$270.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$837.21
|
| Rate for Payer: Nomi Health Commercial |
$807.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$738.71
|
| Rate for Payer: PACE Senior Care Partners |
$233.93
|
| Rate for Payer: PACE SWMI |
$246.24
|
| Rate for Payer: PHP Commercial |
$837.21
|
| Rate for Payer: PHP Medicare Advantage |
$246.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$173.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$856.91
|
| Rate for Payer: Priority Health Medicare |
$248.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$685.53
|
| Rate for Payer: Railroad Medicare Medicare |
$246.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$866.76
|
| Rate for Payer: UHC Core |
$822.43
|
| Rate for Payer: UHC Exchange |
$246.24
|
| Rate for Payer: UHC Medicaid |
$173.65
|
| Rate for Payer: UHC Medicare Advantage |
$246.24
|
| Rate for Payer: UHCCP Medicaid |
$173.65
|
| Rate for Payer: VA VA |
$246.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$738.71
|
|
|
HC BARBITURATE URIN
|
Facility
|
IP
|
$111.25
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000137
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$77.43 |
| Max. Negotiated Rate |
$100.12 |
| Rate for Payer: Aetna Commercial |
$94.56
|
| Rate for Payer: BCBS Trust/PPO |
$91.88
|
| Rate for Payer: BCN Commercial |
$91.88
|
| Rate for Payer: Cash Price |
$89.00
|
| Rate for Payer: Cofinity Commercial |
$95.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.00
|
| Rate for Payer: Healthscope Commercial |
$100.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.56
|
| Rate for Payer: Nomi Health Commercial |
$91.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.44
|
| Rate for Payer: PHP Commercial |
$94.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.90
|
| Rate for Payer: UHC Core |
$92.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.44
|
|
|
HC BARBITURATE URIN
|
Facility
|
OP
|
$111.25
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000137
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$19.61 |
| Max. Negotiated Rate |
$100.12 |
| Rate for Payer: Aetna Commercial |
$94.56
|
| Rate for Payer: Aetna Medicare |
$28.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.77
|
| Rate for Payer: BCBS Complete |
$20.59
|
| Rate for Payer: BCBS MAPPO |
$27.81
|
| Rate for Payer: BCBS Trust/PPO |
$91.46
|
| Rate for Payer: BCN Commercial |
$91.46
|
| Rate for Payer: BCN Medicare Advantage |
$27.81
|
| Rate for Payer: Cash Price |
$89.00
|
| Rate for Payer: Cofinity Commercial |
$95.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.81
|
| Rate for Payer: Healthscope Commercial |
$100.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.44
|
| Rate for Payer: Mclaren Medicaid |
$19.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.20
|
| Rate for Payer: Meridian Medicaid |
$20.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.56
|
| Rate for Payer: Nomi Health Commercial |
$91.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.44
|
| Rate for Payer: PACE Senior Care Partners |
$26.42
|
| Rate for Payer: PACE SWMI |
$27.81
|
| Rate for Payer: PHP Commercial |
$94.56
|
| Rate for Payer: PHP Medicare Advantage |
$27.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.79
|
| Rate for Payer: Priority Health Medicare |
$28.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.43
|
| Rate for Payer: Railroad Medicare Medicare |
$27.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.90
|
| Rate for Payer: UHC Core |
$92.89
|
| Rate for Payer: UHC Exchange |
$27.81
|
| Rate for Payer: UHC Medicaid |
$19.61
|
| Rate for Payer: UHC Medicare Advantage |
$27.81
|
| Rate for Payer: UHCCP Medicaid |
$19.61
|
| Rate for Payer: VA VA |
$27.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.44
|
|
|
HC BARBITURATE URINE CONFIRM
|
Facility
|
IP
|
$64.50
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
30100571
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.89 |
| Max. Negotiated Rate |
$58.05 |
| Rate for Payer: Aetna Commercial |
$54.83
|
| Rate for Payer: BCBS Trust/PPO |
$53.27
|
| Rate for Payer: BCN Commercial |
$53.27
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Commercial |
$55.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Healthscope Commercial |
$58.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Nomi Health Commercial |
$52.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.38
|
| Rate for Payer: PHP Commercial |
$54.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$56.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.76
|
| Rate for Payer: UHC Core |
$53.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.38
|
|
|
HC BARBITURATE URINE CONFIRM
|
Facility
|
OP
|
$64.50
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
30100571
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.37 |
| Max. Negotiated Rate |
$58.05 |
| Rate for Payer: Aetna Commercial |
$54.83
|
| Rate for Payer: Aetna Medicare |
$16.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.16
|
| Rate for Payer: BCBS Complete |
$11.94
|
| Rate for Payer: BCBS MAPPO |
$16.12
|
| Rate for Payer: BCBS Trust/PPO |
$53.03
|
| Rate for Payer: BCN Commercial |
$53.03
|
| Rate for Payer: BCN Medicare Advantage |
$16.12
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Commercial |
$55.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.12
|
| Rate for Payer: Healthscope Commercial |
$58.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.38
|
| Rate for Payer: Mclaren Medicaid |
$11.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.93
|
| Rate for Payer: Meridian Medicaid |
$11.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Nomi Health Commercial |
$52.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.38
|
| Rate for Payer: PACE Senior Care Partners |
$15.32
|
| Rate for Payer: PACE SWMI |
$16.12
|
| Rate for Payer: PHP Commercial |
$54.83
|
| Rate for Payer: PHP Medicare Advantage |
$16.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$56.12
|
| Rate for Payer: Priority Health Medicare |
$16.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.89
|
| Rate for Payer: Railroad Medicare Medicare |
$16.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.76
|
| Rate for Payer: UHC Core |
$53.86
|
| Rate for Payer: UHC Exchange |
$16.12
|
| Rate for Payer: UHC Medicaid |
$11.37
|
| Rate for Payer: UHC Medicare Advantage |
$16.12
|
| Rate for Payer: UHCCP Medicaid |
$11.37
|
| Rate for Payer: VA VA |
$16.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.38
|
|
|
HC BARRIER ADHESION
|
Facility
|
OP
|
$601.76
|
|
|
Service Code
|
HCPCS C1765
|
| Hospital Charge Code |
27000463
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$106.09 |
| Max. Negotiated Rate |
$541.58 |
| Rate for Payer: Aetna Commercial |
$511.50
|
| Rate for Payer: Aetna Medicare |
$156.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$188.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$188.05
|
| Rate for Payer: BCBS Complete |
$111.39
|
| Rate for Payer: BCBS MAPPO |
$150.44
|
| Rate for Payer: BCBS Trust/PPO |
$494.71
|
| Rate for Payer: BCN Commercial |
$494.71
|
| Rate for Payer: BCN Medicare Advantage |
$150.44
|
| Rate for Payer: Cash Price |
$481.41
|
| Rate for Payer: Cofinity Commercial |
$517.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$481.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.44
|
| Rate for Payer: Healthscope Commercial |
$541.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$451.32
|
| Rate for Payer: Mclaren Medicaid |
$106.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.96
|
| Rate for Payer: Meridian Medicaid |
$111.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$173.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$511.50
|
| Rate for Payer: Nomi Health Commercial |
$493.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$451.32
|
| Rate for Payer: PACE Senior Care Partners |
$142.92
|
| Rate for Payer: PACE SWMI |
$150.44
|
| Rate for Payer: PHP Commercial |
$511.50
|
| Rate for Payer: PHP Medicare Advantage |
$150.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$523.53
|
| Rate for Payer: Priority Health Medicare |
$151.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.82
|
| Rate for Payer: Railroad Medicare Medicare |
$150.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$529.55
|
| Rate for Payer: UHC Core |
$502.47
|
| Rate for Payer: UHC Exchange |
$150.44
|
| Rate for Payer: UHC Medicaid |
$106.09
|
| Rate for Payer: UHC Medicare Advantage |
$150.44
|
| Rate for Payer: UHCCP Medicaid |
$106.09
|
| Rate for Payer: VA VA |
$150.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$451.32
|
|
|
HC BARRIER ADHESION
|
Facility
|
IP
|
$601.76
|
|
|
Service Code
|
HCPCS C1765
|
| Hospital Charge Code |
27000463
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$418.82 |
| Max. Negotiated Rate |
$541.58 |
| Rate for Payer: Aetna Commercial |
$511.50
|
| Rate for Payer: BCBS Trust/PPO |
$496.99
|
| Rate for Payer: BCN Commercial |
$496.99
|
| Rate for Payer: Cash Price |
$481.41
|
| Rate for Payer: Cofinity Commercial |
$517.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$481.41
|
| Rate for Payer: Healthscope Commercial |
$541.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$451.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$511.50
|
| Rate for Payer: Nomi Health Commercial |
$493.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$451.32
|
| Rate for Payer: PHP Commercial |
$511.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$523.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$529.55
|
| Rate for Payer: UHC Core |
$502.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$451.32
|
|
|
HC BARRX 360 EXPRESS CATH BALLOON
|
Facility
|
OP
|
$5,835.28
|
|
| Hospital Charge Code |
27200286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,028.76 |
| Max. Negotiated Rate |
$5,251.75 |
| Rate for Payer: Aetna Commercial |
$4,959.99
|
| Rate for Payer: Aetna Medicare |
$1,517.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,823.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,823.53
|
| Rate for Payer: BCBS Complete |
$1,080.11
|
| Rate for Payer: BCBS MAPPO |
$1,458.82
|
| Rate for Payer: BCBS Trust/PPO |
$4,797.18
|
| Rate for Payer: BCN Commercial |
$4,797.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,458.82
|
| Rate for Payer: Cash Price |
$4,668.22
|
| Rate for Payer: Cofinity Commercial |
$5,018.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,668.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,458.82
|
| Rate for Payer: Healthscope Commercial |
$5,251.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,376.46
|
| Rate for Payer: Mclaren Medicaid |
$1,028.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,531.76
|
| Rate for Payer: Meridian Medicaid |
$1,080.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,677.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,604.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,959.99
|
| Rate for Payer: Nomi Health Commercial |
$4,784.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,376.46
|
| Rate for Payer: PACE Senior Care Partners |
$1,385.88
|
| Rate for Payer: PACE SWMI |
$1,458.82
|
| Rate for Payer: PHP Commercial |
$4,959.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,458.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,028.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,076.69
|
| Rate for Payer: Priority Health Medicare |
$1,473.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,061.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,458.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,135.05
|
| Rate for Payer: UHC Core |
$4,872.46
|
| Rate for Payer: UHC Exchange |
$1,458.82
|
| Rate for Payer: UHC Medicaid |
$1,028.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,458.82
|
| Rate for Payer: UHCCP Medicaid |
$1,028.76
|
| Rate for Payer: VA VA |
$1,458.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,376.46
|
|
|
HC BARRX 360 EXPRESS CATH BALLOON
|
Facility
|
IP
|
$5,835.28
|
|
| Hospital Charge Code |
27200286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,061.35 |
| Max. Negotiated Rate |
$5,251.75 |
| Rate for Payer: Aetna Commercial |
$4,959.99
|
| Rate for Payer: BCBS Trust/PPO |
$4,819.36
|
| Rate for Payer: BCN Commercial |
$4,819.36
|
| Rate for Payer: Cash Price |
$4,668.22
|
| Rate for Payer: Cofinity Commercial |
$5,018.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,668.22
|
| Rate for Payer: Healthscope Commercial |
$5,251.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,376.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,959.99
|
| Rate for Payer: Nomi Health Commercial |
$4,784.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,376.46
|
| Rate for Payer: PHP Commercial |
$4,959.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,076.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,061.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,135.05
|
| Rate for Payer: UHC Core |
$4,872.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,376.46
|
|
|
HC BARRX 90 RFA FOCAL CATHETER
|
Facility
|
OP
|
$4,437.90
|
|
| Hospital Charge Code |
27200287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$782.40 |
| Max. Negotiated Rate |
$3,994.11 |
| Rate for Payer: Aetna Commercial |
$3,772.22
|
| Rate for Payer: Aetna Medicare |
$1,153.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,386.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,386.84
|
| Rate for Payer: BCBS Complete |
$821.46
|
| Rate for Payer: BCBS MAPPO |
$1,109.47
|
| Rate for Payer: BCBS Trust/PPO |
$3,648.40
|
| Rate for Payer: BCN Commercial |
$3,648.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,109.47
|
| Rate for Payer: Cash Price |
$3,550.32
|
| Rate for Payer: Cofinity Commercial |
$3,816.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,550.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,109.47
|
| Rate for Payer: Healthscope Commercial |
$3,994.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,328.43
|
| Rate for Payer: Mclaren Medicaid |
$782.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,164.95
|
| Rate for Payer: Meridian Medicaid |
$821.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,275.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,220.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,772.22
|
| Rate for Payer: Nomi Health Commercial |
$3,639.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,328.43
|
| Rate for Payer: PACE Senior Care Partners |
$1,054.00
|
| Rate for Payer: PACE SWMI |
$1,109.47
|
| Rate for Payer: PHP Commercial |
$3,772.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,109.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,860.97
|
| Rate for Payer: Priority Health Medicare |
$1,120.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,088.78
|
| Rate for Payer: Railroad Medicare Medicare |
$1,109.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,905.35
|
| Rate for Payer: UHC Core |
$3,705.65
|
| Rate for Payer: UHC Exchange |
$1,109.47
|
| Rate for Payer: UHC Medicaid |
$782.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,109.47
|
| Rate for Payer: UHCCP Medicaid |
$782.40
|
| Rate for Payer: VA VA |
$1,109.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,328.43
|
|
|
HC BARRX 90 RFA FOCAL CATHETER
|
Facility
|
IP
|
$4,437.90
|
|
| Hospital Charge Code |
27200287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,088.78 |
| Max. Negotiated Rate |
$3,994.11 |
| Rate for Payer: Aetna Commercial |
$3,772.22
|
| Rate for Payer: BCBS Trust/PPO |
$3,665.26
|
| Rate for Payer: BCN Commercial |
$3,665.26
|
| Rate for Payer: Cash Price |
$3,550.32
|
| Rate for Payer: Cofinity Commercial |
$3,816.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,550.32
|
| Rate for Payer: Healthscope Commercial |
$3,994.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,328.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,772.22
|
| Rate for Payer: Nomi Health Commercial |
$3,639.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,328.43
|
| Rate for Payer: PHP Commercial |
$3,772.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,860.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,088.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,905.35
|
| Rate for Payer: UHC Core |
$3,705.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,328.43
|
|
|
HC BARRX RFA
|
Facility
|
IP
|
$2,085.28
|
|
| Hospital Charge Code |
36000101
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,451.35 |
| Max. Negotiated Rate |
$1,876.75 |
| Rate for Payer: Aetna Commercial |
$1,772.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,722.23
|
| Rate for Payer: BCN Commercial |
$1,722.23
|
| Rate for Payer: Cash Price |
$1,668.22
|
| Rate for Payer: Cofinity Commercial |
$1,793.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,668.22
|
| Rate for Payer: Healthscope Commercial |
$1,876.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,563.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,772.49
|
| Rate for Payer: Nomi Health Commercial |
$1,709.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,563.96
|
| Rate for Payer: PHP Commercial |
$1,772.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,814.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,451.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,835.05
|
| Rate for Payer: UHC Core |
$1,741.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,563.96
|
|
|
HC BARRX RFA
|
Facility
|
OP
|
$2,085.28
|
|
| Hospital Charge Code |
36000101
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$367.63 |
| Max. Negotiated Rate |
$1,876.75 |
| Rate for Payer: Aetna Commercial |
$1,772.49
|
| Rate for Payer: Aetna Medicare |
$542.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$651.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$651.65
|
| Rate for Payer: BCBS Complete |
$385.99
|
| Rate for Payer: BCBS MAPPO |
$521.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,714.31
|
| Rate for Payer: BCN Commercial |
$1,714.31
|
| Rate for Payer: BCN Medicare Advantage |
$521.32
|
| Rate for Payer: Cash Price |
$1,668.22
|
| Rate for Payer: Cofinity Commercial |
$1,793.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,668.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$521.32
|
| Rate for Payer: Healthscope Commercial |
$1,876.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,563.96
|
| Rate for Payer: Mclaren Medicaid |
$367.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$547.39
|
| Rate for Payer: Meridian Medicaid |
$385.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$599.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$573.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,772.49
|
| Rate for Payer: Nomi Health Commercial |
$1,709.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,563.96
|
| Rate for Payer: PACE Senior Care Partners |
$495.25
|
| Rate for Payer: PACE SWMI |
$521.32
|
| Rate for Payer: PHP Commercial |
$1,772.49
|
| Rate for Payer: PHP Medicare Advantage |
$521.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,814.19
|
| Rate for Payer: Priority Health Medicare |
$526.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,451.35
|
| Rate for Payer: Railroad Medicare Medicare |
$521.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,835.05
|
| Rate for Payer: UHC Core |
$1,741.21
|
| Rate for Payer: UHC Exchange |
$521.32
|
| Rate for Payer: UHC Medicaid |
$367.63
|
| Rate for Payer: UHC Medicare Advantage |
$521.32
|
| Rate for Payer: UHCCP Medicaid |
$367.63
|
| Rate for Payer: VA VA |
$521.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,563.96
|
|
|
HC BARRX ULTRA LONG RFA FOCAL CATHETER
|
Facility
|
OP
|
$4,508.53
|
|
| Hospital Charge Code |
27200288
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$794.85 |
| Max. Negotiated Rate |
$4,057.68 |
| Rate for Payer: Aetna Commercial |
$3,832.25
|
| Rate for Payer: Aetna Medicare |
$1,172.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,408.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,408.92
|
| Rate for Payer: BCBS Complete |
$834.53
|
| Rate for Payer: BCBS MAPPO |
$1,127.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,706.46
|
| Rate for Payer: BCN Commercial |
$3,706.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,127.13
|
| Rate for Payer: Cash Price |
$3,606.82
|
| Rate for Payer: Cofinity Commercial |
$3,877.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,606.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,127.13
|
| Rate for Payer: Healthscope Commercial |
$4,057.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,381.40
|
| Rate for Payer: Mclaren Medicaid |
$794.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,183.49
|
| Rate for Payer: Meridian Medicaid |
$834.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,296.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,239.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,832.25
|
| Rate for Payer: Nomi Health Commercial |
$3,696.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,381.40
|
| Rate for Payer: PACE Senior Care Partners |
$1,070.78
|
| Rate for Payer: PACE SWMI |
$1,127.13
|
| Rate for Payer: PHP Commercial |
$3,832.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,127.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$794.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,922.42
|
| Rate for Payer: Priority Health Medicare |
$1,138.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,137.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,127.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,967.51
|
| Rate for Payer: UHC Core |
$3,764.62
|
| Rate for Payer: UHC Exchange |
$1,127.13
|
| Rate for Payer: UHC Medicaid |
$794.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,127.13
|
| Rate for Payer: UHCCP Medicaid |
$794.85
|
| Rate for Payer: VA VA |
$1,127.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,381.40
|
|
