|
HC CATHETER INTRADISCAL
|
Facility
|
OP
|
$1,562.73
|
|
|
Service Code
|
CPT C1754
|
| Hospital Charge Code |
27200357
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$275.51 |
| Max. Negotiated Rate |
$1,406.46 |
| Rate for Payer: Aetna Commercial |
$1,328.32
|
| Rate for Payer: Aetna Medicare |
$406.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$488.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$488.35
|
| Rate for Payer: BCBS Complete |
$289.26
|
| Rate for Payer: BCBS MAPPO |
$390.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,284.72
|
| Rate for Payer: BCN Commercial |
$1,284.72
|
| Rate for Payer: BCN Medicare Advantage |
$390.68
|
| Rate for Payer: Cash Price |
$1,250.18
|
| Rate for Payer: Cofinity Commercial |
$1,343.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,250.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$390.68
|
| Rate for Payer: Healthscope Commercial |
$1,406.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,172.05
|
| Rate for Payer: Mclaren Medicaid |
$275.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.22
|
| Rate for Payer: Meridian Medicaid |
$289.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$449.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$429.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,328.32
|
| Rate for Payer: Nomi Health Commercial |
$1,281.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,172.05
|
| Rate for Payer: PACE Senior Care Partners |
$371.15
|
| Rate for Payer: PACE SWMI |
$390.68
|
| Rate for Payer: PHP Commercial |
$1,328.32
|
| Rate for Payer: PHP Medicare Advantage |
$390.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$275.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,359.58
|
| Rate for Payer: Priority Health Medicare |
$394.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,087.66
|
| Rate for Payer: Railroad Medicare Medicare |
$390.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,375.20
|
| Rate for Payer: UHC Core |
$1,304.88
|
| Rate for Payer: UHC Exchange |
$390.68
|
| Rate for Payer: UHC Medicaid |
$275.51
|
| Rate for Payer: UHC Medicare Advantage |
$390.68
|
| Rate for Payer: UHCCP Medicaid |
$275.51
|
| Rate for Payer: VA VA |
$390.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,172.05
|
|
|
HC CATHETER INTRADISCAL
|
Facility
|
IP
|
$1,562.73
|
|
|
Service Code
|
CPT C1754
|
| Hospital Charge Code |
27200357
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,087.66 |
| Max. Negotiated Rate |
$1,406.46 |
| Rate for Payer: Aetna Commercial |
$1,328.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,290.66
|
| Rate for Payer: BCN Commercial |
$1,290.66
|
| Rate for Payer: Cash Price |
$1,250.18
|
| Rate for Payer: Cofinity Commercial |
$1,343.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,250.18
|
| Rate for Payer: Healthscope Commercial |
$1,406.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,172.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,328.32
|
| Rate for Payer: Nomi Health Commercial |
$1,281.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,172.05
|
| Rate for Payer: PHP Commercial |
$1,328.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,359.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,087.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,375.20
|
| Rate for Payer: UHC Core |
$1,304.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,172.05
|
|
|
HC CATHETERIZATION FOR COLLECTION OF SPECIMEN
|
Facility
|
IP
|
$30.77
|
|
|
Service Code
|
CPT P9612
|
| Hospital Charge Code |
30000114
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$21.42 |
| Max. Negotiated Rate |
$27.69 |
| Rate for Payer: Aetna Commercial |
$26.15
|
| Rate for Payer: BCBS Trust/PPO |
$25.41
|
| Rate for Payer: BCN Commercial |
$25.41
|
| Rate for Payer: Cash Price |
$24.62
|
| Rate for Payer: Cofinity Commercial |
$26.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.62
|
| Rate for Payer: Healthscope Commercial |
$27.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.15
|
| Rate for Payer: Nomi Health Commercial |
$25.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.08
|
| Rate for Payer: PHP Commercial |
$26.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.08
|
| Rate for Payer: UHC Core |
$25.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.08
|
|
|
HC CATHETERIZATION FOR COLLECTION OF SPECIMEN
|
Facility
|
OP
|
$30.77
|
|
|
Service Code
|
CPT P9612
|
| Hospital Charge Code |
30000114
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$5.42 |
| Max. Negotiated Rate |
$27.69 |
| Rate for Payer: Aetna Commercial |
$26.15
|
| Rate for Payer: Aetna Medicare |
$8.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.62
|
| Rate for Payer: BCBS Complete |
$5.70
|
| Rate for Payer: BCBS MAPPO |
$7.69
|
| Rate for Payer: BCBS Trust/PPO |
$25.30
|
| Rate for Payer: BCN Commercial |
$25.30
|
| Rate for Payer: BCN Medicare Advantage |
$7.69
|
| Rate for Payer: Cash Price |
$24.62
|
| Rate for Payer: Cofinity Commercial |
$26.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.69
|
| Rate for Payer: Healthscope Commercial |
$27.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.08
|
| Rate for Payer: Mclaren Medicaid |
$5.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.08
|
| Rate for Payer: Meridian Medicaid |
$5.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.15
|
| Rate for Payer: Nomi Health Commercial |
$25.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.08
|
| Rate for Payer: PACE Senior Care Partners |
$7.31
|
| Rate for Payer: PACE SWMI |
$7.69
|
| Rate for Payer: PHP Commercial |
$26.15
|
| Rate for Payer: PHP Medicare Advantage |
$7.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26.77
|
| Rate for Payer: Priority Health Medicare |
$7.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.42
|
| Rate for Payer: Railroad Medicare Medicare |
$7.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.08
|
| Rate for Payer: UHC Core |
$25.69
|
| Rate for Payer: UHC Exchange |
$7.69
|
| Rate for Payer: UHC Medicaid |
$5.42
|
| Rate for Payer: UHC Medicare Advantage |
$7.69
|
| Rate for Payer: UHCCP Medicaid |
$5.42
|
| Rate for Payer: VA VA |
$7.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.08
|
|
|
HC CATHETER NOS LVL 1
|
Facility
|
IP
|
$67.32
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800126
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$46.85 |
| Max. Negotiated Rate |
$60.59 |
| Rate for Payer: Aetna Commercial |
$57.22
|
| Rate for Payer: BCBS Trust/PPO |
$55.60
|
| Rate for Payer: BCN Commercial |
$55.60
|
| Rate for Payer: Cash Price |
$53.86
|
| Rate for Payer: Cofinity Commercial |
$57.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.86
|
| Rate for Payer: Healthscope Commercial |
$60.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.22
|
| Rate for Payer: Nomi Health Commercial |
$55.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.49
|
| Rate for Payer: PHP Commercial |
$57.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.24
|
| Rate for Payer: UHC Core |
$56.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.49
|
|
|
HC CATHETER NOS LVL 1
|
Facility
|
OP
|
$67.32
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800126
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.87 |
| Max. Negotiated Rate |
$60.59 |
| Rate for Payer: Aetna Commercial |
$57.22
|
| Rate for Payer: Aetna Medicare |
$17.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.04
|
| Rate for Payer: BCBS Complete |
$12.46
|
| Rate for Payer: BCBS MAPPO |
$16.83
|
| Rate for Payer: BCBS Trust/PPO |
$55.34
|
| Rate for Payer: BCN Commercial |
$55.34
|
| Rate for Payer: BCN Medicare Advantage |
$16.83
|
| Rate for Payer: Cash Price |
$53.86
|
| Rate for Payer: Cofinity Commercial |
$57.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.83
|
| Rate for Payer: Healthscope Commercial |
$60.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.49
|
| Rate for Payer: Mclaren Medicaid |
$11.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.67
|
| Rate for Payer: Meridian Medicaid |
$12.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.22
|
| Rate for Payer: Nomi Health Commercial |
$55.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.49
|
| Rate for Payer: PACE Senior Care Partners |
$15.99
|
| Rate for Payer: PACE SWMI |
$16.83
|
| Rate for Payer: PHP Commercial |
$57.22
|
| Rate for Payer: PHP Medicare Advantage |
$16.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.57
|
| Rate for Payer: Priority Health Medicare |
$17.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.85
|
| Rate for Payer: Railroad Medicare Medicare |
$16.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.24
|
| Rate for Payer: UHC Core |
$56.21
|
| Rate for Payer: UHC Exchange |
$16.83
|
| Rate for Payer: UHC Medicaid |
$11.87
|
| Rate for Payer: UHC Medicare Advantage |
$16.83
|
| Rate for Payer: UHCCP Medicaid |
$11.87
|
| Rate for Payer: VA VA |
$16.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.49
|
|
|
HC CATHETER NOS LVL 2
|
Facility
|
OP
|
$357.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800127
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$62.94 |
| Max. Negotiated Rate |
$321.30 |
| Rate for Payer: Aetna Commercial |
$303.45
|
| Rate for Payer: Aetna Medicare |
$92.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$111.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$111.56
|
| Rate for Payer: BCBS Complete |
$66.08
|
| Rate for Payer: BCBS MAPPO |
$89.25
|
| Rate for Payer: BCBS Trust/PPO |
$293.49
|
| Rate for Payer: BCN Commercial |
$293.49
|
| Rate for Payer: BCN Medicare Advantage |
$89.25
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cofinity Commercial |
$307.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.25
|
| Rate for Payer: Healthscope Commercial |
$321.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$267.75
|
| Rate for Payer: Mclaren Medicaid |
$62.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.71
|
| Rate for Payer: Meridian Medicaid |
$66.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$102.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$98.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.45
|
| Rate for Payer: Nomi Health Commercial |
$292.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.75
|
| Rate for Payer: PACE Senior Care Partners |
$84.79
|
| Rate for Payer: PACE SWMI |
$89.25
|
| Rate for Payer: PHP Commercial |
$303.45
|
| Rate for Payer: PHP Medicare Advantage |
$89.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$62.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$310.59
|
| Rate for Payer: Priority Health Medicare |
$90.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.47
|
| Rate for Payer: Railroad Medicare Medicare |
$89.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.16
|
| Rate for Payer: UHC Core |
$298.10
|
| Rate for Payer: UHC Exchange |
$89.25
|
| Rate for Payer: UHC Medicaid |
$62.94
|
| Rate for Payer: UHC Medicare Advantage |
$89.25
|
| Rate for Payer: UHCCP Medicaid |
$62.94
|
| Rate for Payer: VA VA |
$89.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$267.75
|
|
|
HC CATHETER NOS LVL 2
|
Facility
|
IP
|
$357.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800127
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$248.47 |
| Max. Negotiated Rate |
$321.30 |
| Rate for Payer: Aetna Commercial |
$303.45
|
| Rate for Payer: BCBS Trust/PPO |
$294.85
|
| Rate for Payer: BCN Commercial |
$294.85
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cofinity Commercial |
$307.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.60
|
| Rate for Payer: Healthscope Commercial |
$321.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$267.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.45
|
| Rate for Payer: Nomi Health Commercial |
$292.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.75
|
| Rate for Payer: PHP Commercial |
$303.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$310.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.16
|
| Rate for Payer: UHC Core |
$298.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$267.75
|
|
|
HC CATHETER PRESSURE GENERATING ONE WAY INTERMED OCCLUSIVE
|
Facility
|
IP
|
$12,094.65
|
|
|
Service Code
|
CPT C1982
|
| Hospital Charge Code |
27800147
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,417.88 |
| Max. Negotiated Rate |
$10,885.18 |
| Rate for Payer: Aetna Commercial |
$10,280.45
|
| Rate for Payer: BCBS Trust/PPO |
$9,988.97
|
| Rate for Payer: BCN Commercial |
$9,988.97
|
| Rate for Payer: Cash Price |
$9,675.72
|
| Rate for Payer: Cofinity Commercial |
$10,401.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,675.72
|
| Rate for Payer: Healthscope Commercial |
$10,885.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,070.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,280.45
|
| Rate for Payer: Nomi Health Commercial |
$9,917.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,070.99
|
| Rate for Payer: PHP Commercial |
$10,280.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,522.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,417.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,643.29
|
| Rate for Payer: UHC Core |
$10,099.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,070.99
|
|
|
HC CATHETER PRESSURE GENERATING ONE WAY INTERMED OCCLUSIVE
|
Facility
|
OP
|
$12,094.65
|
|
|
Service Code
|
CPT C1982
|
| Hospital Charge Code |
27800147
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,132.29 |
| Max. Negotiated Rate |
$10,885.18 |
| Rate for Payer: Aetna Commercial |
$10,280.45
|
| Rate for Payer: Aetna Medicare |
$3,144.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,779.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,779.58
|
| Rate for Payer: BCBS Complete |
$2,238.72
|
| Rate for Payer: BCBS MAPPO |
$3,023.66
|
| Rate for Payer: BCBS Trust/PPO |
$9,943.01
|
| Rate for Payer: BCN Commercial |
$9,943.01
|
| Rate for Payer: BCN Medicare Advantage |
$3,023.66
|
| Rate for Payer: Cash Price |
$9,675.72
|
| Rate for Payer: Cofinity Commercial |
$10,401.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,675.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,023.66
|
| Rate for Payer: Healthscope Commercial |
$10,885.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,070.99
|
| Rate for Payer: Mclaren Medicaid |
$2,132.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,174.85
|
| Rate for Payer: Meridian Medicaid |
$2,238.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,477.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,326.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,280.45
|
| Rate for Payer: Nomi Health Commercial |
$9,917.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,070.99
|
| Rate for Payer: PACE Senior Care Partners |
$2,872.48
|
| Rate for Payer: PACE SWMI |
$3,023.66
|
| Rate for Payer: PHP Commercial |
$10,280.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,023.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,132.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,522.35
|
| Rate for Payer: Priority Health Medicare |
$3,053.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,417.88
|
| Rate for Payer: Railroad Medicare Medicare |
$3,023.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,643.29
|
| Rate for Payer: UHC Core |
$10,099.03
|
| Rate for Payer: UHC Exchange |
$3,023.66
|
| Rate for Payer: UHC Medicaid |
$2,132.29
|
| Rate for Payer: UHC Medicare Advantage |
$3,023.66
|
| Rate for Payer: UHCCP Medicaid |
$2,132.29
|
| Rate for Payer: VA VA |
$3,023.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,070.99
|
|
|
HC CATHETER SINGLE
|
Facility
|
IP
|
$194.37
|
|
|
Service Code
|
HCPCS C1881
|
| Hospital Charge Code |
27200018
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$135.28 |
| Max. Negotiated Rate |
$174.93 |
| Rate for Payer: Aetna Commercial |
$165.21
|
| Rate for Payer: BCBS Trust/PPO |
$160.53
|
| Rate for Payer: BCN Commercial |
$160.53
|
| Rate for Payer: Cash Price |
$155.50
|
| Rate for Payer: Cofinity Commercial |
$167.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.50
|
| Rate for Payer: Healthscope Commercial |
$174.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.21
|
| Rate for Payer: Nomi Health Commercial |
$159.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$145.78
|
| Rate for Payer: PHP Commercial |
$165.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$169.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.05
|
| Rate for Payer: UHC Core |
$162.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.78
|
|
|
HC CATHETER SINGLE
|
Facility
|
OP
|
$194.37
|
|
|
Service Code
|
HCPCS C1881
|
| Hospital Charge Code |
27200018
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.27 |
| Max. Negotiated Rate |
$174.93 |
| Rate for Payer: Aetna Commercial |
$165.21
|
| Rate for Payer: Aetna Medicare |
$50.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.74
|
| Rate for Payer: BCBS Complete |
$35.98
|
| Rate for Payer: BCBS MAPPO |
$48.59
|
| Rate for Payer: BCBS Trust/PPO |
$159.79
|
| Rate for Payer: BCN Commercial |
$159.79
|
| Rate for Payer: BCN Medicare Advantage |
$48.59
|
| Rate for Payer: Cash Price |
$155.50
|
| Rate for Payer: Cofinity Commercial |
$167.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.59
|
| Rate for Payer: Healthscope Commercial |
$174.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.78
|
| Rate for Payer: Mclaren Medicaid |
$34.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.02
|
| Rate for Payer: Meridian Medicaid |
$35.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$53.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.21
|
| Rate for Payer: Nomi Health Commercial |
$159.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$145.78
|
| Rate for Payer: PACE Senior Care Partners |
$46.16
|
| Rate for Payer: PACE SWMI |
$48.59
|
| Rate for Payer: PHP Commercial |
$165.21
|
| Rate for Payer: PHP Medicare Advantage |
$48.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$169.10
|
| Rate for Payer: Priority Health Medicare |
$49.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.28
|
| Rate for Payer: Railroad Medicare Medicare |
$48.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.05
|
| Rate for Payer: UHC Core |
$162.30
|
| Rate for Payer: UHC Exchange |
$48.59
|
| Rate for Payer: UHC Medicaid |
$34.27
|
| Rate for Payer: UHC Medicare Advantage |
$48.59
|
| Rate for Payer: UHCCP Medicaid |
$34.27
|
| Rate for Payer: VA VA |
$48.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.78
|
|
|
HC CATHETER TLA DRUG COATED NON LASER
|
Facility
|
OP
|
$1,671.40
|
|
|
Service Code
|
HCPCS C2623
|
| Hospital Charge Code |
27200302
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$294.67 |
| Max. Negotiated Rate |
$1,504.26 |
| Rate for Payer: Aetna Commercial |
$1,420.69
|
| Rate for Payer: Aetna Medicare |
$434.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$522.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$522.31
|
| Rate for Payer: BCBS Complete |
$309.38
|
| Rate for Payer: BCBS MAPPO |
$417.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,374.06
|
| Rate for Payer: BCN Commercial |
$1,374.06
|
| Rate for Payer: BCN Medicare Advantage |
$417.85
|
| Rate for Payer: Cash Price |
$1,337.12
|
| Rate for Payer: Cofinity Commercial |
$1,437.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,337.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.85
|
| Rate for Payer: Healthscope Commercial |
$1,504.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,253.55
|
| Rate for Payer: Mclaren Medicaid |
$294.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.74
|
| Rate for Payer: Meridian Medicaid |
$309.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$480.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$459.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,420.69
|
| Rate for Payer: Nomi Health Commercial |
$1,370.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,253.55
|
| Rate for Payer: PACE Senior Care Partners |
$396.96
|
| Rate for Payer: PACE SWMI |
$417.85
|
| Rate for Payer: PHP Commercial |
$1,420.69
|
| Rate for Payer: PHP Medicare Advantage |
$417.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,454.12
|
| Rate for Payer: Priority Health Medicare |
$422.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,163.29
|
| Rate for Payer: Railroad Medicare Medicare |
$417.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,470.83
|
| Rate for Payer: UHC Core |
$1,395.62
|
| Rate for Payer: UHC Exchange |
$417.85
|
| Rate for Payer: UHC Medicaid |
$294.67
|
| Rate for Payer: UHC Medicare Advantage |
$417.85
|
| Rate for Payer: UHCCP Medicaid |
$294.67
|
| Rate for Payer: VA VA |
$417.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,253.55
|
|
|
HC CATHETER TLA DRUG COATED NON LASER
|
Facility
|
IP
|
$1,671.40
|
|
|
Service Code
|
HCPCS C2623
|
| Hospital Charge Code |
27200302
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,163.29 |
| Max. Negotiated Rate |
$1,504.26 |
| Rate for Payer: Aetna Commercial |
$1,420.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,380.41
|
| Rate for Payer: BCN Commercial |
$1,380.41
|
| Rate for Payer: Cash Price |
$1,337.12
|
| Rate for Payer: Cofinity Commercial |
$1,437.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,337.12
|
| Rate for Payer: Healthscope Commercial |
$1,504.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,253.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,420.69
|
| Rate for Payer: Nomi Health Commercial |
$1,370.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,253.55
|
| Rate for Payer: PHP Commercial |
$1,420.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,454.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,163.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,470.83
|
| Rate for Payer: UHC Core |
$1,395.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,253.55
|
|
|
HC CATHETER TRANSLUM ATHERECT DIRECTIONAL
|
Facility
|
OP
|
$7,849.99
|
|
|
Service Code
|
HCPCS C1714
|
| Hospital Charge Code |
27200294
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,383.95 |
| Max. Negotiated Rate |
$7,064.99 |
| Rate for Payer: Aetna Commercial |
$6,672.49
|
| Rate for Payer: Aetna Medicare |
$2,041.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,453.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,453.12
|
| Rate for Payer: BCBS Complete |
$1,453.03
|
| Rate for Payer: BCBS MAPPO |
$1,962.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,453.48
|
| Rate for Payer: BCN Commercial |
$6,453.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,962.50
|
| Rate for Payer: Cash Price |
$6,279.99
|
| Rate for Payer: Cofinity Commercial |
$6,750.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,279.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,962.50
|
| Rate for Payer: Healthscope Commercial |
$7,064.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,887.49
|
| Rate for Payer: Mclaren Medicaid |
$1,383.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,060.62
|
| Rate for Payer: Meridian Medicaid |
$1,453.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,256.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,158.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,672.49
|
| Rate for Payer: Nomi Health Commercial |
$6,436.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,887.49
|
| Rate for Payer: PACE Senior Care Partners |
$1,864.37
|
| Rate for Payer: PACE SWMI |
$1,962.50
|
| Rate for Payer: PHP Commercial |
$6,672.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,962.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,383.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,829.49
|
| Rate for Payer: Priority Health Medicare |
$1,982.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,463.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,962.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,907.99
|
| Rate for Payer: UHC Core |
$6,554.74
|
| Rate for Payer: UHC Exchange |
$1,962.50
|
| Rate for Payer: UHC Medicaid |
$1,383.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,962.50
|
| Rate for Payer: UHCCP Medicaid |
$1,383.95
|
| Rate for Payer: VA VA |
$1,962.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,887.49
|
|
|
HC CATHETER TRANSLUM ATHERECT DIRECTIONAL
|
Facility
|
IP
|
$7,849.99
|
|
|
Service Code
|
HCPCS C1714
|
| Hospital Charge Code |
27200294
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,463.59 |
| Max. Negotiated Rate |
$7,064.99 |
| Rate for Payer: Aetna Commercial |
$6,672.49
|
| Rate for Payer: BCBS Trust/PPO |
$6,483.31
|
| Rate for Payer: BCN Commercial |
$6,483.31
|
| Rate for Payer: Cash Price |
$6,279.99
|
| Rate for Payer: Cofinity Commercial |
$6,750.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,279.99
|
| Rate for Payer: Healthscope Commercial |
$7,064.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,887.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,672.49
|
| Rate for Payer: Nomi Health Commercial |
$6,436.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,887.49
|
| Rate for Payer: PHP Commercial |
$6,672.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,829.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,463.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,907.99
|
| Rate for Payer: UHC Core |
$6,554.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,887.49
|
|
|
HC CATHETER TRANSLUM INTRAVAS LITHOTRIPSY CORONARY
|
Facility
|
OP
|
$9,904.61
|
|
|
Service Code
|
CPT C1761
|
| Hospital Charge Code |
27200350
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,746.18 |
| Max. Negotiated Rate |
$8,914.15 |
| Rate for Payer: Aetna Commercial |
$8,418.92
|
| Rate for Payer: Aetna Medicare |
$2,575.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,095.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,095.19
|
| Rate for Payer: BCBS Complete |
$1,833.34
|
| Rate for Payer: BCBS MAPPO |
$2,476.15
|
| Rate for Payer: BCBS Trust/PPO |
$8,142.58
|
| Rate for Payer: BCN Commercial |
$8,142.58
|
| Rate for Payer: BCN Medicare Advantage |
$2,476.15
|
| Rate for Payer: Cash Price |
$7,923.69
|
| Rate for Payer: Cofinity Commercial |
$8,517.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,923.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,476.15
|
| Rate for Payer: Healthscope Commercial |
$8,914.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,428.46
|
| Rate for Payer: Mclaren Medicaid |
$1,746.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,599.96
|
| Rate for Payer: Meridian Medicaid |
$1,833.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,847.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,723.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,418.92
|
| Rate for Payer: Nomi Health Commercial |
$8,121.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,428.46
|
| Rate for Payer: PACE Senior Care Partners |
$2,352.34
|
| Rate for Payer: PACE SWMI |
$2,476.15
|
| Rate for Payer: PHP Commercial |
$8,418.92
|
| Rate for Payer: PHP Medicare Advantage |
$2,476.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,746.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,617.01
|
| Rate for Payer: Priority Health Medicare |
$2,500.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,893.61
|
| Rate for Payer: Railroad Medicare Medicare |
$2,476.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,716.06
|
| Rate for Payer: UHC Core |
$8,270.35
|
| Rate for Payer: UHC Exchange |
$2,476.15
|
| Rate for Payer: UHC Medicaid |
$1,746.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,476.15
|
| Rate for Payer: UHCCP Medicaid |
$1,746.18
|
| Rate for Payer: VA VA |
$2,476.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,428.46
|
|
|
HC CATHETER TRANSLUM INTRAVAS LITHOTRIPSY CORONARY
|
Facility
|
IP
|
$9,904.61
|
|
|
Service Code
|
CPT C1761
|
| Hospital Charge Code |
27200350
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6,893.61 |
| Max. Negotiated Rate |
$8,914.15 |
| Rate for Payer: Aetna Commercial |
$8,418.92
|
| Rate for Payer: BCBS Trust/PPO |
$8,180.22
|
| Rate for Payer: BCN Commercial |
$8,180.22
|
| Rate for Payer: Cash Price |
$7,923.69
|
| Rate for Payer: Cofinity Commercial |
$8,517.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,923.69
|
| Rate for Payer: Healthscope Commercial |
$8,914.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,428.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,418.92
|
| Rate for Payer: Nomi Health Commercial |
$8,121.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,428.46
|
| Rate for Payer: PHP Commercial |
$8,418.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,617.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,893.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,716.06
|
| Rate for Payer: UHC Core |
$8,270.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,428.46
|
|
|
HC CATH LAB STANDBY
|
Facility
|
IP
|
$509.70
|
|
| Hospital Charge Code |
27000042
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$354.75 |
| Max. Negotiated Rate |
$458.73 |
| Rate for Payer: Aetna Commercial |
$433.25
|
| Rate for Payer: BCBS Trust/PPO |
$420.96
|
| Rate for Payer: BCN Commercial |
$420.96
|
| Rate for Payer: Cash Price |
$407.76
|
| Rate for Payer: Cofinity Commercial |
$438.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$407.76
|
| Rate for Payer: Healthscope Commercial |
$458.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.25
|
| Rate for Payer: Nomi Health Commercial |
$417.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.27
|
| Rate for Payer: PHP Commercial |
$433.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$443.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$354.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.54
|
| Rate for Payer: UHC Core |
$425.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.27
|
|
|
HC CATH LAB STANDBY
|
Facility
|
OP
|
$509.70
|
|
| Hospital Charge Code |
27000042
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$89.86 |
| Max. Negotiated Rate |
$458.73 |
| Rate for Payer: Aetna Commercial |
$433.25
|
| Rate for Payer: Aetna Medicare |
$132.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$159.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$159.28
|
| Rate for Payer: BCBS Complete |
$94.35
|
| Rate for Payer: BCBS MAPPO |
$127.42
|
| Rate for Payer: BCBS Trust/PPO |
$419.02
|
| Rate for Payer: BCN Commercial |
$419.02
|
| Rate for Payer: BCN Medicare Advantage |
$127.42
|
| Rate for Payer: Cash Price |
$407.76
|
| Rate for Payer: Cofinity Commercial |
$438.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$407.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.42
|
| Rate for Payer: Healthscope Commercial |
$458.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.27
|
| Rate for Payer: Mclaren Medicaid |
$89.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.80
|
| Rate for Payer: Meridian Medicaid |
$94.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$140.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.25
|
| Rate for Payer: Nomi Health Commercial |
$417.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.27
|
| Rate for Payer: PACE Senior Care Partners |
$121.05
|
| Rate for Payer: PACE SWMI |
$127.42
|
| Rate for Payer: PHP Commercial |
$433.25
|
| Rate for Payer: PHP Medicare Advantage |
$127.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$443.44
|
| Rate for Payer: Priority Health Medicare |
$128.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$354.75
|
| Rate for Payer: Railroad Medicare Medicare |
$127.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.54
|
| Rate for Payer: UHC Core |
$425.60
|
| Rate for Payer: UHC Exchange |
$127.42
|
| Rate for Payer: UHC Medicaid |
$89.86
|
| Rate for Payer: UHC Medicare Advantage |
$127.42
|
| Rate for Payer: UHCCP Medicaid |
$89.86
|
| Rate for Payer: VA VA |
$127.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.27
|
|
|
HC CATH PULM ART VENT 14FR
|
Facility
|
OP
|
$156.06
|
|
| Hospital Charge Code |
27000284
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.51 |
| Max. Negotiated Rate |
$140.45 |
| Rate for Payer: Aetna Commercial |
$132.65
|
| Rate for Payer: Aetna Medicare |
$40.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.77
|
| Rate for Payer: BCBS Complete |
$28.89
|
| Rate for Payer: BCBS MAPPO |
$39.02
|
| Rate for Payer: BCBS Trust/PPO |
$128.30
|
| Rate for Payer: BCN Commercial |
$128.30
|
| Rate for Payer: BCN Medicare Advantage |
$39.02
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Commercial |
$134.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.02
|
| Rate for Payer: Healthscope Commercial |
$140.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.05
|
| Rate for Payer: Mclaren Medicaid |
$27.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.97
|
| Rate for Payer: Meridian Medicaid |
$28.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Nomi Health Commercial |
$127.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.05
|
| Rate for Payer: PACE Senior Care Partners |
$37.06
|
| Rate for Payer: PACE SWMI |
$39.02
|
| Rate for Payer: PHP Commercial |
$132.65
|
| Rate for Payer: PHP Medicare Advantage |
$39.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.77
|
| Rate for Payer: Priority Health Medicare |
$39.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$108.62
|
| Rate for Payer: Railroad Medicare Medicare |
$39.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.33
|
| Rate for Payer: UHC Core |
$130.31
|
| Rate for Payer: UHC Exchange |
$39.02
|
| Rate for Payer: UHC Medicaid |
$27.51
|
| Rate for Payer: UHC Medicare Advantage |
$39.02
|
| Rate for Payer: UHCCP Medicaid |
$27.51
|
| Rate for Payer: VA VA |
$39.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.05
|
|
|
HC CATH PULM ART VENT 14FR
|
Facility
|
IP
|
$156.06
|
|
| Hospital Charge Code |
27000284
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$108.62 |
| Max. Negotiated Rate |
$140.45 |
| Rate for Payer: Aetna Commercial |
$132.65
|
| Rate for Payer: BCBS Trust/PPO |
$128.89
|
| Rate for Payer: BCN Commercial |
$128.89
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Commercial |
$134.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Healthscope Commercial |
$140.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Nomi Health Commercial |
$127.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.05
|
| Rate for Payer: PHP Commercial |
$132.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$108.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.33
|
| Rate for Payer: UHC Core |
$130.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.05
|
|
|
HC CATHTER NOS LVL 7
|
Facility
|
OP
|
$734.40
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800352
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.47 |
| Max. Negotiated Rate |
$660.96 |
| Rate for Payer: Aetna Commercial |
$624.24
|
| Rate for Payer: Aetna Medicare |
$190.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$229.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$229.50
|
| Rate for Payer: BCBS Complete |
$135.94
|
| Rate for Payer: BCBS MAPPO |
$183.60
|
| Rate for Payer: BCBS Trust/PPO |
$603.75
|
| Rate for Payer: BCN Commercial |
$603.75
|
| Rate for Payer: BCN Medicare Advantage |
$183.60
|
| Rate for Payer: Cash Price |
$587.52
|
| Rate for Payer: Cofinity Commercial |
$631.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$587.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.60
|
| Rate for Payer: Healthscope Commercial |
$660.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$550.80
|
| Rate for Payer: Mclaren Medicaid |
$129.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.78
|
| Rate for Payer: Meridian Medicaid |
$135.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$211.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$201.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.24
|
| Rate for Payer: Nomi Health Commercial |
$602.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$550.80
|
| Rate for Payer: PACE Senior Care Partners |
$174.42
|
| Rate for Payer: PACE SWMI |
$183.60
|
| Rate for Payer: PHP Commercial |
$624.24
|
| Rate for Payer: PHP Medicare Advantage |
$183.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$638.93
|
| Rate for Payer: Priority Health Medicare |
$185.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$511.14
|
| Rate for Payer: Railroad Medicare Medicare |
$183.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$646.27
|
| Rate for Payer: UHC Core |
$613.22
|
| Rate for Payer: UHC Exchange |
$183.60
|
| Rate for Payer: UHC Medicaid |
$129.47
|
| Rate for Payer: UHC Medicare Advantage |
$183.60
|
| Rate for Payer: UHCCP Medicaid |
$129.47
|
| Rate for Payer: VA VA |
$183.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$550.80
|
|
|
HC CATHTER NOS LVL 7
|
Facility
|
IP
|
$734.40
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
27800352
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$511.14 |
| Max. Negotiated Rate |
$660.96 |
| Rate for Payer: Aetna Commercial |
$624.24
|
| Rate for Payer: BCBS Trust/PPO |
$606.54
|
| Rate for Payer: BCN Commercial |
$606.54
|
| Rate for Payer: Cash Price |
$587.52
|
| Rate for Payer: Cofinity Commercial |
$631.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$587.52
|
| Rate for Payer: Healthscope Commercial |
$660.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$550.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.24
|
| Rate for Payer: Nomi Health Commercial |
$602.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$550.80
|
| Rate for Payer: PHP Commercial |
$624.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$638.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$511.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$646.27
|
| Rate for Payer: UHC Core |
$613.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$550.80
|
|
|
HC CAT IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200031
|
|
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
|
|
