|
HC CANNULA CORONARY 14FR
|
Facility
|
OP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.69 |
| Max. Negotiated Rate |
$64.80 |
| Rate for Payer: Aetna Commercial |
$61.20
|
| Rate for Payer: Aetna Medicare |
$18.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.50
|
| Rate for Payer: BCBS Complete |
$13.33
|
| Rate for Payer: BCBS MAPPO |
$18.00
|
| Rate for Payer: BCBS Trust/PPO |
$59.19
|
| Rate for Payer: BCN Commercial |
$59.19
|
| Rate for Payer: BCN Medicare Advantage |
$18.00
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$61.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.00
|
| Rate for Payer: Healthscope Commercial |
$64.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.00
|
| Rate for Payer: Mclaren Medicaid |
$12.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.90
|
| Rate for Payer: Meridian Medicaid |
$13.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.20
|
| Rate for Payer: Nomi Health Commercial |
$59.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: PACE Senior Care Partners |
$17.10
|
| Rate for Payer: PACE SWMI |
$18.00
|
| Rate for Payer: PHP Commercial |
$61.20
|
| Rate for Payer: PHP Medicare Advantage |
$18.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.64
|
| Rate for Payer: Priority Health Medicare |
$18.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.11
|
| Rate for Payer: Railroad Medicare Medicare |
$18.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.36
|
| Rate for Payer: UHC Core |
$60.12
|
| Rate for Payer: UHC Exchange |
$18.00
|
| Rate for Payer: UHC Medicaid |
$12.69
|
| Rate for Payer: UHC Medicare Advantage |
$18.00
|
| Rate for Payer: UHCCP Medicaid |
$12.69
|
| Rate for Payer: VA VA |
$18.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.00
|
|
|
HC CANNULA CORONARY 14FR
|
Facility
|
IP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.11 |
| Max. Negotiated Rate |
$64.80 |
| Rate for Payer: Aetna Commercial |
$61.20
|
| Rate for Payer: BCBS Trust/PPO |
$59.46
|
| Rate for Payer: BCN Commercial |
$59.46
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$61.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$64.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.20
|
| Rate for Payer: Nomi Health Commercial |
$59.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: PHP Commercial |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.36
|
| Rate for Payer: UHC Core |
$60.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.00
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.31 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$64.44
|
| Rate for Payer: BCN Commercial |
$64.44
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$14.44
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$64.15
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$13.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicaid |
$13.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$13.76
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.35 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$90.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.75
|
| Rate for Payer: BCBS Complete |
$64.42
|
| Rate for Payer: BCBS MAPPO |
$87.00
|
| Rate for Payer: BCBS Trust/PPO |
$286.10
|
| Rate for Payer: BCN Commercial |
$286.10
|
| Rate for Payer: BCN Medicare Advantage |
$87.00
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.00
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Mclaren Medicaid |
$61.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.35
|
| Rate for Payer: Meridian Medicaid |
$64.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PACE Senior Care Partners |
$82.65
|
| Rate for Payer: PACE SWMI |
$87.00
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: PHP Medicare Advantage |
$87.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Medicare |
$87.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: Railroad Medicare Medicare |
$87.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: UHC Exchange |
$87.00
|
| Rate for Payer: UHC Medicaid |
$61.35
|
| Rate for Payer: UHC Medicare Advantage |
$87.00
|
| Rate for Payer: UHCCP Medicaid |
$61.35
|
| Rate for Payer: VA VA |
$87.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$242.21 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: BCBS Trust/PPO |
$287.42
|
| Rate for Payer: BCN Commercial |
$287.42
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$242.21 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: BCBS Trust/PPO |
$287.42
|
| Rate for Payer: BCN Commercial |
$287.42
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.35 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$90.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.75
|
| Rate for Payer: BCBS Complete |
$64.42
|
| Rate for Payer: BCBS MAPPO |
$87.00
|
| Rate for Payer: BCBS Trust/PPO |
$286.10
|
| Rate for Payer: BCN Commercial |
$286.10
|
| Rate for Payer: BCN Medicare Advantage |
$87.00
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.00
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Mclaren Medicaid |
$61.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.35
|
| Rate for Payer: Meridian Medicaid |
$64.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PACE Senior Care Partners |
$82.65
|
| Rate for Payer: PACE SWMI |
$87.00
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: PHP Medicare Advantage |
$87.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Medicare |
$87.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: Railroad Medicare Medicare |
$87.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: UHC Exchange |
$87.00
|
| Rate for Payer: UHC Medicaid |
$61.35
|
| Rate for Payer: UHC Medicare Advantage |
$87.00
|
| Rate for Payer: UHCCP Medicaid |
$61.35
|
| Rate for Payer: VA VA |
$87.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$222.66 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: BCBS Trust/PPO |
$264.22
|
| Rate for Payer: BCN Commercial |
$264.22
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$56.40 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$83.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.97
|
| Rate for Payer: BCBS Complete |
$59.22
|
| Rate for Payer: BCBS MAPPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$263.01
|
| Rate for Payer: BCN Commercial |
$263.01
|
| Rate for Payer: BCN Medicare Advantage |
$79.98
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.98
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Mclaren Medicaid |
$56.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.98
|
| Rate for Payer: Meridian Medicaid |
$59.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PACE Senior Care Partners |
$75.98
|
| Rate for Payer: PACE SWMI |
$79.98
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: PHP Medicare Advantage |
$79.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Medicare |
$80.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$79.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: UHC Exchange |
$79.98
|
| Rate for Payer: UHC Medicaid |
$56.40
|
| Rate for Payer: UHC Medicare Advantage |
$79.98
|
| Rate for Payer: UHCCP Medicaid |
$56.40
|
| Rate for Payer: VA VA |
$79.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$56.40 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$83.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.97
|
| Rate for Payer: BCBS Complete |
$59.22
|
| Rate for Payer: BCBS MAPPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$263.01
|
| Rate for Payer: BCN Commercial |
$263.01
|
| Rate for Payer: BCN Medicare Advantage |
$79.98
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.98
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Mclaren Medicaid |
$56.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.98
|
| Rate for Payer: Meridian Medicaid |
$59.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PACE Senior Care Partners |
$75.98
|
| Rate for Payer: PACE SWMI |
$79.98
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: PHP Medicare Advantage |
$79.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Medicare |
$80.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$79.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: UHC Exchange |
$79.98
|
| Rate for Payer: UHC Medicaid |
$56.40
|
| Rate for Payer: UHC Medicare Advantage |
$79.98
|
| Rate for Payer: UHCCP Medicaid |
$56.40
|
| Rate for Payer: VA VA |
$79.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$222.66 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: BCBS Trust/PPO |
$264.22
|
| Rate for Payer: BCN Commercial |
$264.22
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$242.21 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: BCBS Trust/PPO |
$287.42
|
| Rate for Payer: BCN Commercial |
$287.42
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.35 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$90.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.75
|
| Rate for Payer: BCBS Complete |
$64.42
|
| Rate for Payer: BCBS MAPPO |
$87.00
|
| Rate for Payer: BCBS Trust/PPO |
$286.10
|
| Rate for Payer: BCN Commercial |
$286.10
|
| Rate for Payer: BCN Medicare Advantage |
$87.00
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.00
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Mclaren Medicaid |
$61.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.35
|
| Rate for Payer: Meridian Medicaid |
$64.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PACE Senior Care Partners |
$82.65
|
| Rate for Payer: PACE SWMI |
$87.00
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: PHP Medicare Advantage |
$87.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Medicare |
$87.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: Railroad Medicare Medicare |
$87.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: UHC Exchange |
$87.00
|
| Rate for Payer: UHC Medicaid |
$61.35
|
| Rate for Payer: UHC Medicare Advantage |
$87.00
|
| Rate for Payer: UHCCP Medicaid |
$61.35
|
| Rate for Payer: VA VA |
$87.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$242.21 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: BCBS Trust/PPO |
$287.42
|
| Rate for Payer: BCN Commercial |
$287.42
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.35 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$90.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.75
|
| Rate for Payer: BCBS Complete |
$64.42
|
| Rate for Payer: BCBS MAPPO |
$87.00
|
| Rate for Payer: BCBS Trust/PPO |
$286.10
|
| Rate for Payer: BCN Commercial |
$286.10
|
| Rate for Payer: BCN Medicare Advantage |
$87.00
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.00
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Mclaren Medicaid |
$61.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.35
|
| Rate for Payer: Meridian Medicaid |
$64.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PACE Senior Care Partners |
$82.65
|
| Rate for Payer: PACE SWMI |
$87.00
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: PHP Medicare Advantage |
$87.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$302.77
|
| Rate for Payer: Priority Health Medicare |
$87.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.21
|
| Rate for Payer: Railroad Medicare Medicare |
$87.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.25
|
| Rate for Payer: UHC Core |
$290.59
|
| Rate for Payer: UHC Exchange |
$87.00
|
| Rate for Payer: UHC Medicaid |
$61.35
|
| Rate for Payer: UHC Medicare Advantage |
$87.00
|
| Rate for Payer: UHCCP Medicaid |
$61.35
|
| Rate for Payer: VA VA |
$87.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$56.40 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$83.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.97
|
| Rate for Payer: BCBS Complete |
$59.22
|
| Rate for Payer: BCBS MAPPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$263.01
|
| Rate for Payer: BCN Commercial |
$263.01
|
| Rate for Payer: BCN Medicare Advantage |
$79.98
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.98
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Mclaren Medicaid |
$56.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.98
|
| Rate for Payer: Meridian Medicaid |
$59.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PACE Senior Care Partners |
$75.98
|
| Rate for Payer: PACE SWMI |
$79.98
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: PHP Medicare Advantage |
$79.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Medicare |
$80.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$79.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: UHC Exchange |
$79.98
|
| Rate for Payer: UHC Medicaid |
$56.40
|
| Rate for Payer: UHC Medicare Advantage |
$79.98
|
| Rate for Payer: UHCCP Medicaid |
$56.40
|
| Rate for Payer: VA VA |
$79.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$222.66 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: BCBS Trust/PPO |
$264.22
|
| Rate for Payer: BCN Commercial |
$264.22
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$222.66 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: BCBS Trust/PPO |
$264.22
|
| Rate for Payer: BCN Commercial |
$264.22
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$56.40 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$83.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.97
|
| Rate for Payer: BCBS Complete |
$59.22
|
| Rate for Payer: BCBS MAPPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$263.01
|
| Rate for Payer: BCN Commercial |
$263.01
|
| Rate for Payer: BCN Medicare Advantage |
$79.98
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.98
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Mclaren Medicaid |
$56.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.98
|
| Rate for Payer: Meridian Medicaid |
$59.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PACE Senior Care Partners |
$75.98
|
| Rate for Payer: PACE SWMI |
$79.98
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: PHP Medicare Advantage |
$79.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Medicare |
$80.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$79.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: UHC Exchange |
$79.98
|
| Rate for Payer: UHC Medicaid |
$56.40
|
| Rate for Payer: UHC Medicare Advantage |
$79.98
|
| Rate for Payer: UHCCP Medicaid |
$56.40
|
| Rate for Payer: VA VA |
$79.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.16 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: Aetna Medicare |
$4.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.61
|
| Rate for Payer: BCBS Complete |
$3.32
|
| Rate for Payer: BCBS MAPPO |
$4.49
|
| Rate for Payer: BCBS Trust/PPO |
$14.76
|
| Rate for Payer: BCN Commercial |
$14.76
|
| Rate for Payer: BCN Medicare Advantage |
$4.49
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.49
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.46
|
| Rate for Payer: Mclaren Medicaid |
$3.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.71
|
| Rate for Payer: Meridian Medicaid |
$3.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Nomi Health Commercial |
$14.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: PACE Senior Care Partners |
$4.26
|
| Rate for Payer: PACE SWMI |
$4.49
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: PHP Medicare Advantage |
$4.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.62
|
| Rate for Payer: Priority Health Medicare |
$4.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.49
|
| Rate for Payer: Railroad Medicare Medicare |
$4.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.80
|
| Rate for Payer: UHC Core |
$14.99
|
| Rate for Payer: UHC Exchange |
$4.49
|
| Rate for Payer: UHC Medicaid |
$3.16
|
| Rate for Payer: UHC Medicare Advantage |
$4.49
|
| Rate for Payer: UHCCP Medicaid |
$3.16
|
| Rate for Payer: VA VA |
$4.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.46
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
IP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.49 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: BCBS Trust/PPO |
$14.82
|
| Rate for Payer: BCN Commercial |
$14.82
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Nomi Health Commercial |
$14.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.80
|
| Rate for Payer: UHC Core |
$14.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.46
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$526.64 |
| Max. Negotiated Rate |
$681.00 |
| Rate for Payer: Aetna Commercial |
$643.17
|
| Rate for Payer: BCBS Trust/PPO |
$624.93
|
| Rate for Payer: BCN Commercial |
$624.93
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Commercial |
$650.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$681.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$567.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Nomi Health Commercial |
$620.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: PHP Commercial |
$643.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$658.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$526.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.87
|
| Rate for Payer: UHC Core |
$631.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$567.50
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$133.40 |
| Max. Negotiated Rate |
$681.00 |
| Rate for Payer: Aetna Commercial |
$643.17
|
| Rate for Payer: Aetna Medicare |
$196.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$236.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$236.46
|
| Rate for Payer: BCBS Complete |
$140.06
|
| Rate for Payer: BCBS MAPPO |
$189.17
|
| Rate for Payer: BCBS Trust/PPO |
$622.06
|
| Rate for Payer: BCN Commercial |
$622.06
|
| Rate for Payer: BCN Medicare Advantage |
$189.17
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Commercial |
$650.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.17
|
| Rate for Payer: Healthscope Commercial |
$681.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$567.50
|
| Rate for Payer: Mclaren Medicaid |
$133.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.63
|
| Rate for Payer: Meridian Medicaid |
$140.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$217.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$208.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Nomi Health Commercial |
$620.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: PACE Senior Care Partners |
$179.71
|
| Rate for Payer: PACE SWMI |
$189.17
|
| Rate for Payer: PHP Commercial |
$643.17
|
| Rate for Payer: PHP Medicare Advantage |
$189.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$658.30
|
| Rate for Payer: Priority Health Medicare |
$191.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$526.64
|
| Rate for Payer: Railroad Medicare Medicare |
$189.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.87
|
| Rate for Payer: UHC Core |
$631.82
|
| Rate for Payer: UHC Exchange |
$189.17
|
| Rate for Payer: UHC Medicaid |
$133.40
|
| Rate for Payer: UHC Medicare Advantage |
$189.17
|
| Rate for Payer: UHCCP Medicaid |
$133.40
|
| Rate for Payer: VA VA |
$189.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$567.50
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$950.41 |
| Max. Negotiated Rate |
$1,228.98 |
| Rate for Payer: Aetna Commercial |
$1,160.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.79
|
| Rate for Payer: BCN Commercial |
$1,127.79
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Commercial |
$1,174.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,228.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,024.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Nomi Health Commercial |
$1,119.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: PHP Commercial |
$1,160.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,188.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$950.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,201.67
|
| Rate for Payer: UHC Core |
$1,140.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,024.15
|
|
