|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
IP
|
$302.94
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$196.91 |
| Max. Negotiated Rate |
$272.65 |
| Rate for Payer: Aetna Commercial |
$257.50
|
| Rate for Payer: BCBS Trust/PPO |
$247.29
|
| Rate for Payer: BCN Commercial |
$234.11
|
| Rate for Payer: Cash Price |
$242.35
|
| Rate for Payer: Cofinity Commercial |
$260.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.35
|
| Rate for Payer: Healthscope Commercial |
$272.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$227.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.50
|
| Rate for Payer: Nomi Health Commercial |
$248.41
|
| Rate for Payer: PHP Commercial |
$257.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.91
|
| Rate for Payer: Priority Health HMO/PPO |
$263.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.59
|
| Rate for Payer: UHC Core |
$252.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$227.20
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
OP
|
$116.28
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.62 |
| Max. Negotiated Rate |
$104.65 |
| Rate for Payer: Aetna Commercial |
$98.84
|
| Rate for Payer: Aetna Medicare |
$30.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.34
|
| Rate for Payer: BCBS Complete |
$46.51
|
| Rate for Payer: BCBS MAPPO |
$29.07
|
| Rate for Payer: BCBS Trust/PPO |
$95.59
|
| Rate for Payer: BCN Commercial |
$90.41
|
| Rate for Payer: BCN Medicare Advantage |
$29.07
|
| Rate for Payer: Cash Price |
$93.02
|
| Rate for Payer: Cofinity Commercial |
$100.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.07
|
| Rate for Payer: Healthscope Commercial |
$104.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.84
|
| Rate for Payer: Nomi Health Commercial |
$95.35
|
| Rate for Payer: PACE Senior Care Partners |
$27.62
|
| Rate for Payer: PACE SWMI |
$29.07
|
| Rate for Payer: PHP Commercial |
$98.84
|
| Rate for Payer: PHP Medicare Advantage |
$29.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.58
|
| Rate for Payer: Priority Health HMO/PPO |
$101.16
|
| Rate for Payer: Priority Health Medicare |
$29.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.91
|
| Rate for Payer: Railroad Medicare Medicare |
$29.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.33
|
| Rate for Payer: UHC Core |
$97.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.07
|
| Rate for Payer: UHC Exchange |
$29.07
|
| Rate for Payer: UHC Medicare Advantage |
$29.07
|
| Rate for Payer: VA VA |
$29.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.21
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
IP
|
$116.28
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$75.58 |
| Max. Negotiated Rate |
$104.65 |
| Rate for Payer: Aetna Commercial |
$98.84
|
| Rate for Payer: BCBS Trust/PPO |
$94.92
|
| Rate for Payer: BCN Commercial |
$89.86
|
| Rate for Payer: Cash Price |
$93.02
|
| Rate for Payer: Cofinity Commercial |
$100.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.02
|
| Rate for Payer: Healthscope Commercial |
$104.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.84
|
| Rate for Payer: Nomi Health Commercial |
$95.35
|
| Rate for Payer: PHP Commercial |
$98.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.58
|
| Rate for Payer: Priority Health HMO/PPO |
$101.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.33
|
| Rate for Payer: UHC Core |
$97.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.21
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
OP
|
$24.48
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.81 |
| Max. Negotiated Rate |
$22.03 |
| Rate for Payer: Aetna Commercial |
$20.81
|
| Rate for Payer: Aetna Medicare |
$6.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.65
|
| Rate for Payer: BCBS Complete |
$9.79
|
| Rate for Payer: BCBS MAPPO |
$6.12
|
| Rate for Payer: BCBS Trust/PPO |
$20.13
|
| Rate for Payer: BCN Commercial |
$19.03
|
| Rate for Payer: BCN Medicare Advantage |
$6.12
|
| Rate for Payer: Cash Price |
$19.58
|
| Rate for Payer: Cofinity Commercial |
$21.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.12
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.81
|
| Rate for Payer: Nomi Health Commercial |
$20.07
|
| Rate for Payer: PACE Senior Care Partners |
$5.81
|
| Rate for Payer: PACE SWMI |
$6.12
|
| Rate for Payer: PHP Commercial |
$20.81
|
| Rate for Payer: PHP Medicare Advantage |
$6.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.91
|
| Rate for Payer: Priority Health HMO/PPO |
$21.30
|
| Rate for Payer: Priority Health Medicare |
$6.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.40
|
| Rate for Payer: Railroad Medicare Medicare |
$6.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.54
|
| Rate for Payer: UHC Core |
$20.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.12
|
| Rate for Payer: UHC Exchange |
$6.12
|
| Rate for Payer: UHC Medicare Advantage |
$6.12
|
| Rate for Payer: VA VA |
$6.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.36
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
IP
|
$24.48
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.91 |
| Max. Negotiated Rate |
$22.03 |
| Rate for Payer: Aetna Commercial |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$19.98
|
| Rate for Payer: BCN Commercial |
$18.92
|
| Rate for Payer: Cash Price |
$19.58
|
| Rate for Payer: Cofinity Commercial |
$21.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.58
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.81
|
| Rate for Payer: Nomi Health Commercial |
$20.07
|
| Rate for Payer: PHP Commercial |
$20.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.91
|
| Rate for Payer: Priority Health HMO/PPO |
$21.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.54
|
| Rate for Payer: UHC Core |
$20.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.36
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
OP
|
$1,473.47
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$349.95 |
| Max. Negotiated Rate |
$1,326.12 |
| Rate for Payer: Aetna Commercial |
$1,252.45
|
| Rate for Payer: Aetna Medicare |
$383.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$460.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$460.46
|
| Rate for Payer: BCBS Complete |
$589.39
|
| Rate for Payer: BCBS MAPPO |
$368.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,211.34
|
| Rate for Payer: BCN Commercial |
$1,145.62
|
| Rate for Payer: BCN Medicare Advantage |
$368.37
|
| Rate for Payer: Cash Price |
$1,178.78
|
| Rate for Payer: Cofinity Commercial |
$1,267.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,178.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.37
|
| Rate for Payer: Healthscope Commercial |
$1,326.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,105.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$423.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,252.45
|
| Rate for Payer: Nomi Health Commercial |
$1,208.25
|
| Rate for Payer: PACE Senior Care Partners |
$349.95
|
| Rate for Payer: PACE SWMI |
$368.37
|
| Rate for Payer: PHP Commercial |
$1,252.45
|
| Rate for Payer: PHP Medicare Advantage |
$368.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$957.76
|
| Rate for Payer: Priority Health HMO/PPO |
$1,281.92
|
| Rate for Payer: Priority Health Medicare |
$372.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.22
|
| Rate for Payer: Railroad Medicare Medicare |
$368.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,296.65
|
| Rate for Payer: UHC Core |
$1,230.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$368.37
|
| Rate for Payer: UHC Exchange |
$368.37
|
| Rate for Payer: UHC Medicare Advantage |
$368.37
|
| Rate for Payer: VA VA |
$368.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,105.10
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
IP
|
$1,473.47
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$957.76 |
| Max. Negotiated Rate |
$1,326.12 |
| Rate for Payer: Aetna Commercial |
$1,252.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.79
|
| Rate for Payer: BCN Commercial |
$1,138.70
|
| Rate for Payer: Cash Price |
$1,178.78
|
| Rate for Payer: Cofinity Commercial |
$1,267.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,178.78
|
| Rate for Payer: Healthscope Commercial |
$1,326.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,105.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,252.45
|
| Rate for Payer: Nomi Health Commercial |
$1,208.25
|
| Rate for Payer: PHP Commercial |
$1,252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$957.76
|
| Rate for Payer: Priority Health HMO/PPO |
$1,281.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,296.65
|
| Rate for Payer: UHC Core |
$1,230.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,105.10
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
IP
|
$47.43
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.83 |
| Max. Negotiated Rate |
$42.69 |
| Rate for Payer: Aetna Commercial |
$40.32
|
| Rate for Payer: BCBS Trust/PPO |
$38.72
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: Cash Price |
$37.94
|
| Rate for Payer: Cofinity Commercial |
$40.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.94
|
| Rate for Payer: Healthscope Commercial |
$42.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.32
|
| Rate for Payer: Nomi Health Commercial |
$38.89
|
| Rate for Payer: PHP Commercial |
$40.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.83
|
| Rate for Payer: Priority Health HMO/PPO |
$41.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.74
|
| Rate for Payer: UHC Core |
$39.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.57
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$47.43
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.26 |
| Max. Negotiated Rate |
$42.69 |
| Rate for Payer: Aetna Commercial |
$40.32
|
| Rate for Payer: Aetna Medicare |
$12.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.82
|
| Rate for Payer: BCBS Complete |
$18.97
|
| Rate for Payer: BCBS MAPPO |
$11.86
|
| Rate for Payer: BCBS Trust/PPO |
$38.99
|
| Rate for Payer: BCN Commercial |
$36.88
|
| Rate for Payer: BCN Medicare Advantage |
$11.86
|
| Rate for Payer: Cash Price |
$37.94
|
| Rate for Payer: Cofinity Commercial |
$40.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.86
|
| Rate for Payer: Healthscope Commercial |
$42.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.32
|
| Rate for Payer: Nomi Health Commercial |
$38.89
|
| Rate for Payer: PACE Senior Care Partners |
$11.26
|
| Rate for Payer: PACE SWMI |
$11.86
|
| Rate for Payer: PHP Commercial |
$40.32
|
| Rate for Payer: PHP Medicare Advantage |
$11.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.83
|
| Rate for Payer: Priority Health HMO/PPO |
$41.26
|
| Rate for Payer: Priority Health Medicare |
$11.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.78
|
| Rate for Payer: Railroad Medicare Medicare |
$11.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.74
|
| Rate for Payer: UHC Core |
$39.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.86
|
| Rate for Payer: UHC Exchange |
$11.86
|
| Rate for Payer: UHC Medicare Advantage |
$11.86
|
| Rate for Payer: VA VA |
$11.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.57
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$323.06
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$209.99 |
| Max. Negotiated Rate |
$290.75 |
| Rate for Payer: Aetna Commercial |
$274.60
|
| Rate for Payer: BCBS Trust/PPO |
$263.71
|
| Rate for Payer: BCN Commercial |
$249.66
|
| Rate for Payer: Cash Price |
$258.45
|
| Rate for Payer: Cofinity Commercial |
$277.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.45
|
| Rate for Payer: Healthscope Commercial |
$290.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.60
|
| Rate for Payer: Nomi Health Commercial |
$264.91
|
| Rate for Payer: PHP Commercial |
$274.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.99
|
| Rate for Payer: Priority Health HMO/PPO |
$281.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$216.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.29
|
| Rate for Payer: UHC Core |
$269.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.30
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$323.06
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$76.73 |
| Max. Negotiated Rate |
$290.75 |
| Rate for Payer: Aetna Commercial |
$274.60
|
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.96
|
| Rate for Payer: BCBS Complete |
$129.22
|
| Rate for Payer: BCBS MAPPO |
$80.76
|
| Rate for Payer: BCBS Trust/PPO |
$265.59
|
| Rate for Payer: BCN Commercial |
$251.18
|
| Rate for Payer: BCN Medicare Advantage |
$80.76
|
| Rate for Payer: Cash Price |
$258.45
|
| Rate for Payer: Cofinity Commercial |
$277.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.76
|
| Rate for Payer: Healthscope Commercial |
$290.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.60
|
| Rate for Payer: Nomi Health Commercial |
$264.91
|
| Rate for Payer: PACE Senior Care Partners |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.76
|
| Rate for Payer: PHP Commercial |
$274.60
|
| Rate for Payer: PHP Medicare Advantage |
$80.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.99
|
| Rate for Payer: Priority Health HMO/PPO |
$281.06
|
| Rate for Payer: Priority Health Medicare |
$81.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$216.45
|
| Rate for Payer: Railroad Medicare Medicare |
$80.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.29
|
| Rate for Payer: UHC Core |
$269.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.76
|
| Rate for Payer: UHC Exchange |
$80.76
|
| Rate for Payer: UHC Medicare Advantage |
$80.76
|
| Rate for Payer: VA VA |
$80.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.30
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$203.87 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: BCBS Trust/PPO |
$256.03
|
| Rate for Payer: BCN Commercial |
$242.39
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$257.19
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health HMO/PPO |
$272.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.01
|
| Rate for Payer: UHC Core |
$261.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$74.49 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$81.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$98.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$98.02
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: BCBS MAPPO |
$78.41
|
| Rate for Payer: BCBS Trust/PPO |
$257.85
|
| Rate for Payer: BCN Commercial |
$243.86
|
| Rate for Payer: BCN Medicare Advantage |
$78.41
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.41
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$90.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$257.19
|
| Rate for Payer: PACE Senior Care Partners |
$74.49
|
| Rate for Payer: PACE SWMI |
$78.41
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: PHP Medicare Advantage |
$78.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health HMO/PPO |
$272.88
|
| Rate for Payer: Priority Health Medicare |
$79.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.15
|
| Rate for Payer: Railroad Medicare Medicare |
$78.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.01
|
| Rate for Payer: UHC Core |
$261.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.41
|
| Rate for Payer: UHC Exchange |
$78.41
|
| Rate for Payer: UHC Medicare Advantage |
$78.41
|
| Rate for Payer: VA VA |
$78.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$76.50
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.17 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna Commercial |
$65.02
|
| Rate for Payer: Aetna Medicare |
$19.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.91
|
| Rate for Payer: BCBS Complete |
$30.60
|
| Rate for Payer: BCBS MAPPO |
$19.12
|
| Rate for Payer: BCBS Trust/PPO |
$62.89
|
| Rate for Payer: BCN Commercial |
$59.48
|
| Rate for Payer: BCN Medicare Advantage |
$19.12
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.12
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.02
|
| Rate for Payer: Nomi Health Commercial |
$62.73
|
| Rate for Payer: PACE Senior Care Partners |
$18.17
|
| Rate for Payer: PACE SWMI |
$19.12
|
| Rate for Payer: PHP Commercial |
$65.02
|
| Rate for Payer: PHP Medicare Advantage |
$19.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.72
|
| Rate for Payer: Priority Health HMO/PPO |
$66.56
|
| Rate for Payer: Priority Health Medicare |
$19.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.26
|
| Rate for Payer: Railroad Medicare Medicare |
$19.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.32
|
| Rate for Payer: UHC Core |
$63.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.12
|
| Rate for Payer: UHC Exchange |
$19.12
|
| Rate for Payer: UHC Medicare Advantage |
$19.12
|
| Rate for Payer: VA VA |
$19.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.38
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$76.50
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$49.72 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna Commercial |
$65.02
|
| Rate for Payer: BCBS Trust/PPO |
$62.45
|
| Rate for Payer: BCN Commercial |
$59.12
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.02
|
| Rate for Payer: Nomi Health Commercial |
$62.73
|
| Rate for Payer: PHP Commercial |
$65.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.72
|
| Rate for Payer: Priority Health HMO/PPO |
$66.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.32
|
| Rate for Payer: UHC Core |
$63.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.38
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$221.77 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: BCBS Trust/PPO |
$278.51
|
| Rate for Payer: BCN Commercial |
$263.67
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: Nomi Health Commercial |
$279.78
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health HMO/PPO |
$296.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.25
|
| Rate for Payer: UHC Core |
$284.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$81.03 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$88.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$106.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$106.62
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: BCBS MAPPO |
$85.30
|
| Rate for Payer: BCBS Trust/PPO |
$280.49
|
| Rate for Payer: BCN Commercial |
$265.28
|
| Rate for Payer: BCN Medicare Advantage |
$85.30
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.30
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: Nomi Health Commercial |
$279.78
|
| Rate for Payer: PACE Senior Care Partners |
$81.03
|
| Rate for Payer: PACE SWMI |
$85.30
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: PHP Medicare Advantage |
$85.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health HMO/PPO |
$296.84
|
| Rate for Payer: Priority Health Medicare |
$86.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.60
|
| Rate for Payer: Railroad Medicare Medicare |
$85.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.25
|
| Rate for Payer: UHC Core |
$284.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.30
|
| Rate for Payer: UHC Exchange |
$85.30
|
| Rate for Payer: UHC Medicare Advantage |
$85.30
|
| Rate for Payer: VA VA |
$85.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$221.77 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: BCBS Trust/PPO |
$278.51
|
| Rate for Payer: BCN Commercial |
$263.67
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: Nomi Health Commercial |
$279.78
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health HMO/PPO |
$296.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.25
|
| Rate for Payer: UHC Core |
$284.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$81.03 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$88.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$106.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$106.62
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: BCBS MAPPO |
$85.30
|
| Rate for Payer: BCBS Trust/PPO |
$280.49
|
| Rate for Payer: BCN Commercial |
$265.28
|
| Rate for Payer: BCN Medicare Advantage |
$85.30
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.30
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: Nomi Health Commercial |
$279.78
|
| Rate for Payer: PACE Senior Care Partners |
$81.03
|
| Rate for Payer: PACE SWMI |
$85.30
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: PHP Medicare Advantage |
$85.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health HMO/PPO |
$296.84
|
| Rate for Payer: Priority Health Medicare |
$86.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.60
|
| Rate for Payer: Railroad Medicare Medicare |
$85.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.25
|
| Rate for Payer: UHC Core |
$284.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.30
|
| Rate for Payer: UHC Exchange |
$85.30
|
| Rate for Payer: UHC Medicare Advantage |
$85.30
|
| Rate for Payer: VA VA |
$85.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$203.87 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: BCBS Trust/PPO |
$256.03
|
| Rate for Payer: BCN Commercial |
$242.39
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$257.19
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health HMO/PPO |
$272.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.01
|
| Rate for Payer: UHC Core |
$261.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$74.49 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$81.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$98.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$98.02
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: BCBS MAPPO |
$78.41
|
| Rate for Payer: BCBS Trust/PPO |
$257.85
|
| Rate for Payer: BCN Commercial |
$243.86
|
| Rate for Payer: BCN Medicare Advantage |
$78.41
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.41
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$90.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$257.19
|
| Rate for Payer: PACE Senior Care Partners |
$74.49
|
| Rate for Payer: PACE SWMI |
$78.41
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: PHP Medicare Advantage |
$78.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health HMO/PPO |
$272.88
|
| Rate for Payer: Priority Health Medicare |
$79.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.15
|
| Rate for Payer: Railroad Medicare Medicare |
$78.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.01
|
| Rate for Payer: UHC Core |
$261.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.41
|
| Rate for Payer: UHC Exchange |
$78.41
|
| Rate for Payer: UHC Medicare Advantage |
$78.41
|
| Rate for Payer: VA VA |
$78.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$74.49 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$81.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$98.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$98.02
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: BCBS MAPPO |
$78.41
|
| Rate for Payer: BCBS Trust/PPO |
$257.85
|
| Rate for Payer: BCN Commercial |
$243.86
|
| Rate for Payer: BCN Medicare Advantage |
$78.41
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.41
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$90.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$257.19
|
| Rate for Payer: PACE Senior Care Partners |
$74.49
|
| Rate for Payer: PACE SWMI |
$78.41
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: PHP Medicare Advantage |
$78.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health HMO/PPO |
$272.88
|
| Rate for Payer: Priority Health Medicare |
$79.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.15
|
| Rate for Payer: Railroad Medicare Medicare |
$78.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.01
|
| Rate for Payer: UHC Core |
$261.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.41
|
| Rate for Payer: UHC Exchange |
$78.41
|
| Rate for Payer: UHC Medicare Advantage |
$78.41
|
| Rate for Payer: VA VA |
$78.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$203.87 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: BCBS Trust/PPO |
$256.03
|
| Rate for Payer: BCN Commercial |
$242.39
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$257.19
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health HMO/PPO |
$272.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.01
|
| Rate for Payer: UHC Core |
$261.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$81.03 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$88.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$106.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$106.62
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: BCBS MAPPO |
$85.30
|
| Rate for Payer: BCBS Trust/PPO |
$280.49
|
| Rate for Payer: BCN Commercial |
$265.28
|
| Rate for Payer: BCN Medicare Advantage |
$85.30
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.30
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: Nomi Health Commercial |
$279.78
|
| Rate for Payer: PACE Senior Care Partners |
$81.03
|
| Rate for Payer: PACE SWMI |
$85.30
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: PHP Medicare Advantage |
$85.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health HMO/PPO |
$296.84
|
| Rate for Payer: Priority Health Medicare |
$86.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.60
|
| Rate for Payer: Railroad Medicare Medicare |
$85.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.25
|
| Rate for Payer: UHC Core |
$284.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.30
|
| Rate for Payer: UHC Exchange |
$85.30
|
| Rate for Payer: UHC Medicare Advantage |
$85.30
|
| Rate for Payer: VA VA |
$85.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$221.77 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: BCBS Trust/PPO |
$278.51
|
| Rate for Payer: BCN Commercial |
$263.67
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: Nomi Health Commercial |
$279.78
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health HMO/PPO |
$296.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.25
|
| Rate for Payer: UHC Core |
$284.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
