|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$240.74 |
| Max. Negotiated Rate |
$1,228.98 |
| Rate for Payer: Aetna Commercial |
$1,160.70
|
| Rate for Payer: Aetna Medicare |
$355.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$426.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$426.73
|
| Rate for Payer: BCBS Complete |
$252.76
|
| Rate for Payer: BCBS MAPPO |
$341.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,122.60
|
| Rate for Payer: BCN Commercial |
$1,122.60
|
| Rate for Payer: BCN Medicare Advantage |
$341.38
|
| 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: Health Alliance Plan Medicare Advantage |
$341.38
|
| Rate for Payer: Healthscope Commercial |
$1,228.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,024.15
|
| Rate for Payer: Mclaren Medicaid |
$240.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$358.45
|
| Rate for Payer: Meridian Medicaid |
$252.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$392.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$375.52
|
| 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: PACE Senior Care Partners |
$324.31
|
| Rate for Payer: PACE SWMI |
$341.38
|
| Rate for Payer: PHP Commercial |
$1,160.70
|
| Rate for Payer: PHP Medicare Advantage |
$341.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,188.01
|
| Rate for Payer: Priority Health Medicare |
$344.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$950.41
|
| Rate for Payer: Railroad Medicare Medicare |
$341.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,201.67
|
| Rate for Payer: UHC Core |
$1,140.22
|
| Rate for Payer: UHC Exchange |
$341.38
|
| Rate for Payer: UHC Medicaid |
$240.74
|
| Rate for Payer: UHC Medicare Advantage |
$341.38
|
| Rate for Payer: UHCCP Medicaid |
$240.74
|
| Rate for Payer: VA VA |
$341.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,024.15
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$914.20 |
| Max. Negotiated Rate |
$1,182.16 |
| Rate for Payer: Aetna Commercial |
$1,116.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.83
|
| Rate for Payer: BCN Commercial |
$1,084.83
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Commercial |
$1,129.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,182.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$985.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Nomi Health Commercial |
$1,077.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: PHP Commercial |
$1,116.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,142.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$914.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,155.89
|
| Rate for Payer: UHC Core |
$1,096.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$985.13
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$231.57 |
| Max. Negotiated Rate |
$1,182.16 |
| Rate for Payer: Aetna Commercial |
$1,116.48
|
| Rate for Payer: Aetna Medicare |
$341.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$410.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$410.47
|
| Rate for Payer: BCBS Complete |
$243.13
|
| Rate for Payer: BCBS MAPPO |
$328.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.84
|
| Rate for Payer: BCN Commercial |
$1,079.84
|
| Rate for Payer: BCN Medicare Advantage |
$328.38
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Commercial |
$1,129.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.38
|
| Rate for Payer: Healthscope Commercial |
$1,182.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$985.13
|
| Rate for Payer: Mclaren Medicaid |
$231.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$344.80
|
| Rate for Payer: Meridian Medicaid |
$243.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$377.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$361.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Nomi Health Commercial |
$1,077.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: PACE Senior Care Partners |
$311.96
|
| Rate for Payer: PACE SWMI |
$328.38
|
| Rate for Payer: PHP Commercial |
$1,116.48
|
| Rate for Payer: PHP Medicare Advantage |
$328.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,142.75
|
| Rate for Payer: Priority Health Medicare |
$331.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$914.20
|
| Rate for Payer: Railroad Medicare Medicare |
$328.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,155.89
|
| Rate for Payer: UHC Core |
$1,096.78
|
| Rate for Payer: UHC Exchange |
$328.38
|
| Rate for Payer: UHC Medicaid |
$231.57
|
| Rate for Payer: UHC Medicare Advantage |
$328.38
|
| Rate for Payer: UHCCP Medicaid |
$231.57
|
| Rate for Payer: VA VA |
$328.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$985.13
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$49.97 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: BCBS Trust/PPO |
$59.29
|
| Rate for Payer: BCN Commercial |
$59.29
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Nomi Health Commercial |
$58.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.18
|
| Rate for Payer: UHC Core |
$59.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.66 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: Aetna Medicare |
$18.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.43
|
| Rate for Payer: BCBS Complete |
$13.29
|
| Rate for Payer: BCBS MAPPO |
$17.95
|
| Rate for Payer: BCBS Trust/PPO |
$59.02
|
| Rate for Payer: BCN Commercial |
$59.02
|
| Rate for Payer: BCN Medicare Advantage |
$17.95
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.95
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Mclaren Medicaid |
$12.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.84
|
| Rate for Payer: Meridian Medicaid |
$13.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Nomi Health Commercial |
$58.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PACE Senior Care Partners |
$17.05
|
| Rate for Payer: PACE SWMI |
$17.95
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: PHP Medicare Advantage |
$17.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.46
|
| Rate for Payer: Priority Health Medicare |
$18.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.97
|
| Rate for Payer: Railroad Medicare Medicare |
$17.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.18
|
| Rate for Payer: UHC Core |
$59.94
|
| Rate for Payer: UHC Exchange |
$17.95
|
| Rate for Payer: UHC Medicaid |
$12.66
|
| Rate for Payer: UHC Medicare Advantage |
$17.95
|
| Rate for Payer: UHCCP Medicaid |
$12.66
|
| Rate for Payer: VA VA |
$17.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$41.27 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: BCBS Trust/PPO |
$48.98
|
| Rate for Payer: BCN Commercial |
$48.98
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Nomi Health Commercial |
$48.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.18
|
| Rate for Payer: UHC Core |
$49.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.48
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.45 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: Aetna Medicare |
$15.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.53
|
| Rate for Payer: BCBS Complete |
$10.98
|
| Rate for Payer: BCBS MAPPO |
$14.82
|
| Rate for Payer: BCBS Trust/PPO |
$48.75
|
| Rate for Payer: BCN Commercial |
$48.75
|
| Rate for Payer: BCN Medicare Advantage |
$14.82
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.82
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.48
|
| Rate for Payer: Mclaren Medicaid |
$10.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.57
|
| Rate for Payer: Meridian Medicaid |
$10.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Nomi Health Commercial |
$48.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PACE Senior Care Partners |
$14.08
|
| Rate for Payer: PACE SWMI |
$14.82
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: PHP Medicare Advantage |
$14.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.59
|
| Rate for Payer: Priority Health Medicare |
$14.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.27
|
| Rate for Payer: Railroad Medicare Medicare |
$14.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.18
|
| Rate for Payer: UHC Core |
$49.52
|
| Rate for Payer: UHC Exchange |
$14.82
|
| Rate for Payer: UHC Medicaid |
$10.45
|
| Rate for Payer: UHC Medicare Advantage |
$14.82
|
| Rate for Payer: UHCCP Medicaid |
$10.45
|
| Rate for Payer: VA VA |
$14.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.48
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: Aetna Medicare |
$80.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.56
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$77.25
|
| Rate for Payer: BCBS Trust/PPO |
$254.03
|
| Rate for Payer: BCN Commercial |
$254.03
|
| Rate for Payer: BCN Medicare Advantage |
$77.25
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.25
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.75
|
| Rate for Payer: Mclaren Medicaid |
$54.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.11
|
| Rate for Payer: Meridian Medicaid |
$57.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$84.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$253.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PACE Senior Care Partners |
$73.39
|
| Rate for Payer: PACE SWMI |
$77.25
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: PHP Medicare Advantage |
$77.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$268.83
|
| Rate for Payer: Priority Health Medicare |
$78.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.06
|
| Rate for Payer: Railroad Medicare Medicare |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.92
|
| Rate for Payer: UHC Core |
$258.01
|
| Rate for Payer: UHC Exchange |
$77.25
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHC Medicare Advantage |
$77.25
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$77.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.75
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$215.06 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: BCBS Trust/PPO |
$255.20
|
| Rate for Payer: BCN Commercial |
$255.20
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$253.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$268.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.92
|
| Rate for Payer: UHC Core |
$258.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.75
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$46.77 |
| Max. Negotiated Rate |
$238.77 |
| Rate for Payer: Aetna Commercial |
$225.50
|
| Rate for Payer: Aetna Medicare |
$68.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$82.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$82.91
|
| Rate for Payer: BCBS Complete |
$49.11
|
| Rate for Payer: BCBS MAPPO |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$218.10
|
| Rate for Payer: BCN Commercial |
$218.10
|
| Rate for Payer: BCN Medicare Advantage |
$66.33
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Commercial |
$228.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.33
|
| Rate for Payer: Healthscope Commercial |
$238.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.97
|
| Rate for Payer: Mclaren Medicaid |
$46.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.64
|
| Rate for Payer: Meridian Medicaid |
$49.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$76.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Nomi Health Commercial |
$217.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: PACE Senior Care Partners |
$63.01
|
| Rate for Payer: PACE SWMI |
$66.33
|
| Rate for Payer: PHP Commercial |
$225.50
|
| Rate for Payer: PHP Medicare Advantage |
$66.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$230.81
|
| Rate for Payer: Priority Health Medicare |
$66.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.65
|
| Rate for Payer: Railroad Medicare Medicare |
$66.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$233.46
|
| Rate for Payer: UHC Core |
$221.53
|
| Rate for Payer: UHC Exchange |
$66.33
|
| Rate for Payer: UHC Medicaid |
$46.77
|
| Rate for Payer: UHC Medicare Advantage |
$66.33
|
| Rate for Payer: UHCCP Medicaid |
$46.77
|
| Rate for Payer: VA VA |
$66.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.97
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$184.65 |
| Max. Negotiated Rate |
$238.77 |
| Rate for Payer: Aetna Commercial |
$225.50
|
| Rate for Payer: BCBS Trust/PPO |
$219.11
|
| Rate for Payer: BCN Commercial |
$219.11
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Commercial |
$228.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$238.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Nomi Health Commercial |
$217.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: PHP Commercial |
$225.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$230.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$233.46
|
| Rate for Payer: UHC Core |
$221.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.97
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$37.42 |
| Max. Negotiated Rate |
$191.02 |
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna Medicare |
$55.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66.33
|
| Rate for Payer: BCBS Complete |
$39.29
|
| Rate for Payer: BCBS MAPPO |
$53.06
|
| Rate for Payer: BCBS Trust/PPO |
$174.48
|
| Rate for Payer: BCN Commercial |
$174.48
|
| Rate for Payer: BCN Medicare Advantage |
$53.06
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.06
|
| Rate for Payer: Healthscope Commercial |
$191.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.18
|
| Rate for Payer: Mclaren Medicaid |
$37.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.71
|
| Rate for Payer: Meridian Medicaid |
$39.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Nomi Health Commercial |
$174.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: PACE Senior Care Partners |
$50.41
|
| Rate for Payer: PACE SWMI |
$53.06
|
| Rate for Payer: PHP Commercial |
$180.40
|
| Rate for Payer: PHP Medicare Advantage |
$53.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$184.65
|
| Rate for Payer: Priority Health Medicare |
$53.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.72
|
| Rate for Payer: Railroad Medicare Medicare |
$53.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$186.77
|
| Rate for Payer: UHC Core |
$177.22
|
| Rate for Payer: UHC Exchange |
$53.06
|
| Rate for Payer: UHC Medicaid |
$37.42
|
| Rate for Payer: UHC Medicare Advantage |
$53.06
|
| Rate for Payer: UHCCP Medicaid |
$37.42
|
| Rate for Payer: VA VA |
$53.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.18
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$147.72 |
| Max. Negotiated Rate |
$191.02 |
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: BCBS Trust/PPO |
$175.29
|
| Rate for Payer: BCN Commercial |
$175.29
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$191.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Nomi Health Commercial |
$174.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: PHP Commercial |
$180.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$184.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$186.77
|
| Rate for Payer: UHC Core |
$177.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.18
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
IP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$220.79 |
| Max. Negotiated Rate |
$285.51 |
| Rate for Payer: Aetna Commercial |
$269.65
|
| Rate for Payer: BCBS Trust/PPO |
$262.00
|
| Rate for Payer: BCN Commercial |
$262.00
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Commercial |
$272.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$285.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: PHP Commercial |
$269.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$275.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.16
|
| Rate for Payer: UHC Core |
$264.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.92
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.93 |
| Max. Negotiated Rate |
$285.51 |
| Rate for Payer: Aetna Commercial |
$269.65
|
| Rate for Payer: Aetna Medicare |
$82.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.13
|
| Rate for Payer: BCBS Complete |
$58.72
|
| Rate for Payer: BCBS MAPPO |
$79.31
|
| Rate for Payer: BCBS Trust/PPO |
$260.79
|
| Rate for Payer: BCN Commercial |
$260.79
|
| Rate for Payer: BCN Medicare Advantage |
$79.31
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Commercial |
$272.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.31
|
| Rate for Payer: Healthscope Commercial |
$285.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.92
|
| Rate for Payer: Mclaren Medicaid |
$55.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.27
|
| Rate for Payer: Meridian Medicaid |
$58.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: PACE Senior Care Partners |
$75.34
|
| Rate for Payer: PACE SWMI |
$79.31
|
| Rate for Payer: PHP Commercial |
$269.65
|
| Rate for Payer: PHP Medicare Advantage |
$79.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$275.99
|
| Rate for Payer: Priority Health Medicare |
$80.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.79
|
| Rate for Payer: Railroad Medicare Medicare |
$79.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.16
|
| Rate for Payer: UHC Core |
$264.89
|
| Rate for Payer: UHC Exchange |
$79.31
|
| Rate for Payer: UHC Medicaid |
$55.93
|
| Rate for Payer: UHC Medicare Advantage |
$79.31
|
| Rate for Payer: UHCCP Medicaid |
$55.93
|
| Rate for Payer: VA VA |
$79.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.92
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
OP
|
$35.89
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.33 |
| Max. Negotiated Rate |
$32.30 |
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: Aetna Medicare |
$9.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.22
|
| Rate for Payer: BCBS Complete |
$6.64
|
| Rate for Payer: BCBS MAPPO |
$8.97
|
| Rate for Payer: BCBS Trust/PPO |
$29.51
|
| Rate for Payer: BCN Commercial |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$8.97
|
| Rate for Payer: Cash Price |
$28.71
|
| Rate for Payer: Cofinity Commercial |
$30.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.97
|
| Rate for Payer: Healthscope Commercial |
$32.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.92
|
| Rate for Payer: Mclaren Medicaid |
$6.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.42
|
| Rate for Payer: Meridian Medicaid |
$6.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.51
|
| Rate for Payer: Nomi Health Commercial |
$29.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.92
|
| Rate for Payer: PACE Senior Care Partners |
$8.52
|
| Rate for Payer: PACE SWMI |
$8.97
|
| Rate for Payer: PHP Commercial |
$30.51
|
| Rate for Payer: PHP Medicare Advantage |
$8.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.22
|
| Rate for Payer: Priority Health Medicare |
$9.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.98
|
| Rate for Payer: Railroad Medicare Medicare |
$8.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.58
|
| Rate for Payer: UHC Core |
$29.97
|
| Rate for Payer: UHC Exchange |
$8.97
|
| Rate for Payer: UHC Medicaid |
$6.33
|
| Rate for Payer: UHC Medicare Advantage |
$8.97
|
| Rate for Payer: UHCCP Medicaid |
$6.33
|
| Rate for Payer: VA VA |
$8.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.92
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
IP
|
$35.89
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.98 |
| Max. Negotiated Rate |
$32.30 |
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: BCBS Trust/PPO |
$29.64
|
| Rate for Payer: BCN Commercial |
$29.64
|
| Rate for Payer: Cash Price |
$28.71
|
| Rate for Payer: Cofinity Commercial |
$30.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.71
|
| Rate for Payer: Healthscope Commercial |
$32.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.51
|
| Rate for Payer: Nomi Health Commercial |
$29.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.92
|
| Rate for Payer: PHP Commercial |
$30.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.58
|
| Rate for Payer: UHC Core |
$29.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.92
|
|
|
HC CANNULA VENOUS 26FR
|
Facility
|
IP
|
$186.00
|
|
| Hospital Charge Code |
27000715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$129.46 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: BCBS Trust/PPO |
$153.62
|
| Rate for Payer: BCN Commercial |
$153.62
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Nomi Health Commercial |
$152.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$161.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.68
|
| Rate for Payer: UHC Core |
$155.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.50
|
|
|
HC CANNULA VENOUS 26FR
|
Facility
|
OP
|
$186.00
|
|
| Hospital Charge Code |
27000715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.79 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: Aetna Medicare |
$48.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58.12
|
| Rate for Payer: BCBS Complete |
$34.43
|
| Rate for Payer: BCBS MAPPO |
$46.50
|
| Rate for Payer: BCBS Trust/PPO |
$152.91
|
| Rate for Payer: BCN Commercial |
$152.91
|
| Rate for Payer: BCN Medicare Advantage |
$46.50
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.50
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.50
|
| Rate for Payer: Mclaren Medicaid |
$32.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.83
|
| Rate for Payer: Meridian Medicaid |
$34.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Nomi Health Commercial |
$152.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE Senior Care Partners |
$44.17
|
| Rate for Payer: PACE SWMI |
$46.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: PHP Medicare Advantage |
$46.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$161.82
|
| Rate for Payer: Priority Health Medicare |
$46.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.46
|
| Rate for Payer: Railroad Medicare Medicare |
$46.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.68
|
| Rate for Payer: UHC Core |
$155.31
|
| Rate for Payer: UHC Exchange |
$46.50
|
| Rate for Payer: UHC Medicaid |
$32.79
|
| Rate for Payer: UHC Medicare Advantage |
$46.50
|
| Rate for Payer: UHCCP Medicaid |
$32.79
|
| Rate for Payer: VA VA |
$46.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.50
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
IP
|
$87.39
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$60.82 |
| Max. Negotiated Rate |
$78.65 |
| Rate for Payer: Aetna Commercial |
$74.28
|
| Rate for Payer: BCBS Trust/PPO |
$72.18
|
| Rate for Payer: BCN Commercial |
$72.18
|
| Rate for Payer: Cash Price |
$69.91
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.91
|
| Rate for Payer: Healthscope Commercial |
$78.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.28
|
| Rate for Payer: Nomi Health Commercial |
$71.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.54
|
| Rate for Payer: PHP Commercial |
$74.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$76.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.90
|
| Rate for Payer: UHC Core |
$72.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.54
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
OP
|
$87.39
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.41 |
| Max. Negotiated Rate |
$78.65 |
| Rate for Payer: Aetna Commercial |
$74.28
|
| Rate for Payer: Aetna Medicare |
$22.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27.31
|
| Rate for Payer: BCBS Complete |
$16.18
|
| Rate for Payer: BCBS MAPPO |
$21.85
|
| Rate for Payer: BCBS Trust/PPO |
$71.84
|
| Rate for Payer: BCN Commercial |
$71.84
|
| Rate for Payer: BCN Medicare Advantage |
$21.85
|
| Rate for Payer: Cash Price |
$69.91
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.85
|
| Rate for Payer: Healthscope Commercial |
$78.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.54
|
| Rate for Payer: Mclaren Medicaid |
$15.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.94
|
| Rate for Payer: Meridian Medicaid |
$16.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.28
|
| Rate for Payer: Nomi Health Commercial |
$71.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.54
|
| Rate for Payer: PACE Senior Care Partners |
$20.76
|
| Rate for Payer: PACE SWMI |
$21.85
|
| Rate for Payer: PHP Commercial |
$74.28
|
| Rate for Payer: PHP Medicare Advantage |
$21.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$76.03
|
| Rate for Payer: Priority Health Medicare |
$22.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.82
|
| Rate for Payer: Railroad Medicare Medicare |
$21.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.90
|
| Rate for Payer: UHC Core |
$72.97
|
| Rate for Payer: UHC Exchange |
$21.85
|
| Rate for Payer: UHC Medicaid |
$15.41
|
| Rate for Payer: UHC Medicare Advantage |
$21.85
|
| Rate for Payer: UHCCP Medicaid |
$15.41
|
| Rate for Payer: VA VA |
$21.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.54
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
OP
|
$74.91
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.21 |
| Max. Negotiated Rate |
$67.42 |
| Rate for Payer: Aetna Commercial |
$63.67
|
| Rate for Payer: Aetna Medicare |
$19.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.41
|
| Rate for Payer: BCBS Complete |
$13.87
|
| Rate for Payer: BCBS MAPPO |
$18.73
|
| Rate for Payer: BCBS Trust/PPO |
$61.58
|
| Rate for Payer: BCN Commercial |
$61.58
|
| Rate for Payer: BCN Medicare Advantage |
$18.73
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Commercial |
$64.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.73
|
| Rate for Payer: Healthscope Commercial |
$67.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.18
|
| Rate for Payer: Mclaren Medicaid |
$13.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.66
|
| Rate for Payer: Meridian Medicaid |
$13.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Nomi Health Commercial |
$61.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: PACE Senior Care Partners |
$17.79
|
| Rate for Payer: PACE SWMI |
$18.73
|
| Rate for Payer: PHP Commercial |
$63.67
|
| Rate for Payer: PHP Medicare Advantage |
$18.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$65.17
|
| Rate for Payer: Priority Health Medicare |
$18.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.14
|
| Rate for Payer: Railroad Medicare Medicare |
$18.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.92
|
| Rate for Payer: UHC Core |
$62.55
|
| Rate for Payer: UHC Exchange |
$18.73
|
| Rate for Payer: UHC Medicaid |
$13.21
|
| Rate for Payer: UHC Medicare Advantage |
$18.73
|
| Rate for Payer: UHCCP Medicaid |
$13.21
|
| Rate for Payer: VA VA |
$18.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.18
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
IP
|
$74.91
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$52.14 |
| Max. Negotiated Rate |
$67.42 |
| Rate for Payer: Aetna Commercial |
$63.67
|
| Rate for Payer: BCBS Trust/PPO |
$61.87
|
| Rate for Payer: BCN Commercial |
$61.87
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Commercial |
$64.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Healthscope Commercial |
$67.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Nomi Health Commercial |
$61.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: PHP Commercial |
$63.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$65.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.92
|
| Rate for Payer: UHC Core |
$62.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.18
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
OP
|
$99.88
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.61 |
| Max. Negotiated Rate |
$89.89 |
| Rate for Payer: Aetna Commercial |
$84.90
|
| Rate for Payer: Aetna Medicare |
$25.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.21
|
| Rate for Payer: BCBS Complete |
$18.49
|
| Rate for Payer: BCBS MAPPO |
$24.97
|
| Rate for Payer: BCBS Trust/PPO |
$82.11
|
| Rate for Payer: BCN Commercial |
$82.11
|
| Rate for Payer: BCN Medicare Advantage |
$24.97
|
| Rate for Payer: Cash Price |
$79.90
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$89.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.91
|
| Rate for Payer: Mclaren Medicaid |
$17.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.22
|
| Rate for Payer: Meridian Medicaid |
$18.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.90
|
| Rate for Payer: Nomi Health Commercial |
$81.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.91
|
| Rate for Payer: PACE Senior Care Partners |
$23.72
|
| Rate for Payer: PACE SWMI |
$24.97
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: PHP Medicare Advantage |
$24.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.90
|
| Rate for Payer: Priority Health Medicare |
$25.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.52
|
| Rate for Payer: Railroad Medicare Medicare |
$24.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.89
|
| Rate for Payer: UHC Core |
$83.40
|
| Rate for Payer: UHC Exchange |
$24.97
|
| Rate for Payer: UHC Medicaid |
$17.61
|
| Rate for Payer: UHC Medicare Advantage |
$24.97
|
| Rate for Payer: UHCCP Medicaid |
$17.61
|
| Rate for Payer: VA VA |
$24.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.91
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
IP
|
$99.88
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$69.52 |
| Max. Negotiated Rate |
$89.89 |
| Rate for Payer: Aetna Commercial |
$84.90
|
| Rate for Payer: BCBS Trust/PPO |
$82.49
|
| Rate for Payer: BCN Commercial |
$82.49
|
| Rate for Payer: Cash Price |
$79.90
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.90
|
| Rate for Payer: Healthscope Commercial |
$89.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.90
|
| Rate for Payer: Nomi Health Commercial |
$81.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.91
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.89
|
| Rate for Payer: UHC Core |
$83.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.91
|
|
