|
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 |
$242.29
|
| 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 |
$242.29
|
|
|
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 |
$80.77
|
| Rate for Payer: BCBS Trust/PPO |
$265.59
|
| Rate for Payer: BCN Commercial |
$251.18
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| 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 |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$290.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.29
|
| 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 |
$80.77
|
| Rate for Payer: PHP Commercial |
$274.60
|
| Rate for Payer: PHP Medicare Advantage |
$80.77
|
| 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 |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.29
|
| Rate for Payer: UHC Core |
$269.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.77
|
| Rate for Payer: UHC Exchange |
$80.77
|
| Rate for Payer: UHC Medicare Advantage |
$80.77
|
| Rate for Payer: VA VA |
$80.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.29
|
|
|
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 |
$282.29 |
| 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 |
$282.29
|
| 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 |
$282.29 |
| 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 |
$282.29
|
| 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 |
$65.03
|
| 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 |
$65.03
|
| 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 |
$65.03
|
| Rate for Payer: PHP Medicare Advantage |
$19.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.73
|
| 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 |
$49.73 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna Commercial |
$65.03
|
| 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 |
$65.03
|
| Rate for Payer: Nomi Health Commercial |
$62.73
|
| Rate for Payer: PHP Commercial |
$65.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.73
|
| 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
|
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 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 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 |
$282.29 |
| 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 |
$282.29
|
| 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 |
$282.29 |
| 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 |
$282.29
|
| 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 |
$282.29 |
| 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 |
$282.29
|
| 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 |
$282.29 |
| 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 |
$282.29
|
| 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
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006711
|
|
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 6MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006711
|
|
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 RT ANG 7MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$203.87 |
| Max. Negotiated Rate |
$282.29 |
| 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 |
$282.29
|
| 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 7MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$74.49 |
| Max. Negotiated Rate |
$282.29 |
| 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 |
$282.29
|
| 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 8MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$203.87 |
| Max. Negotiated Rate |
$282.29 |
| 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 |
$282.29
|
| 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 8MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$74.49 |
| Max. Negotiated Rate |
$282.29 |
| 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 |
$282.29
|
| 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 (DUCKBILL)
|
Facility
|
IP
|
$17.60
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.44 |
| Max. Negotiated Rate |
$15.84 |
| Rate for Payer: Aetna Commercial |
$14.96
|
| Rate for Payer: BCBS Trust/PPO |
$14.37
|
| Rate for Payer: BCN Commercial |
$13.60
|
| Rate for Payer: Cash Price |
$14.08
|
| Rate for Payer: Cofinity Commercial |
$15.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.08
|
| Rate for Payer: Healthscope Commercial |
$15.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.96
|
| Rate for Payer: Nomi Health Commercial |
$14.43
|
| Rate for Payer: PHP Commercial |
$14.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.44
|
| Rate for Payer: Priority Health HMO/PPO |
$15.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.49
|
| Rate for Payer: UHC Core |
$14.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.20
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.60
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.18 |
| Max. Negotiated Rate |
$15.84 |
| Rate for Payer: Aetna Commercial |
$14.96
|
| Rate for Payer: Aetna Medicare |
$4.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.50
|
| Rate for Payer: BCBS Complete |
$7.04
|
| Rate for Payer: BCBS MAPPO |
$4.40
|
| Rate for Payer: BCBS Trust/PPO |
$14.47
|
| Rate for Payer: BCN Commercial |
$13.68
|
| Rate for Payer: BCN Medicare Advantage |
$4.40
|
| Rate for Payer: Cash Price |
$14.08
|
| Rate for Payer: Cofinity Commercial |
$15.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.40
|
| Rate for Payer: Healthscope Commercial |
$15.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.96
|
| Rate for Payer: Nomi Health Commercial |
$14.43
|
| Rate for Payer: PACE Senior Care Partners |
$4.18
|
| Rate for Payer: PACE SWMI |
$4.40
|
| Rate for Payer: PHP Commercial |
$14.96
|
| Rate for Payer: PHP Medicare Advantage |
$4.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.44
|
| Rate for Payer: Priority Health HMO/PPO |
$15.31
|
| Rate for Payer: Priority Health Medicare |
$4.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.79
|
| Rate for Payer: Railroad Medicare Medicare |
$4.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.49
|
| Rate for Payer: UHC Core |
$14.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.40
|
| Rate for Payer: UHC Exchange |
$4.40
|
| Rate for Payer: UHC Medicare Advantage |
$4.40
|
| Rate for Payer: VA VA |
$4.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.20
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$741.83
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$176.18 |
| Max. Negotiated Rate |
$667.65 |
| Rate for Payer: Aetna Commercial |
$630.56
|
| Rate for Payer: Aetna Medicare |
$192.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$231.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$231.82
|
| Rate for Payer: BCBS Complete |
$296.73
|
| Rate for Payer: BCBS MAPPO |
$185.46
|
| Rate for Payer: BCBS Trust/PPO |
$609.86
|
| Rate for Payer: BCN Commercial |
$576.77
|
| Rate for Payer: BCN Medicare Advantage |
$185.46
|
| Rate for Payer: Cash Price |
$593.46
|
| Rate for Payer: Cofinity Commercial |
$637.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$593.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.46
|
| Rate for Payer: Healthscope Commercial |
$667.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$556.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$213.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$630.56
|
| Rate for Payer: Nomi Health Commercial |
$608.30
|
| Rate for Payer: PACE Senior Care Partners |
$176.18
|
| Rate for Payer: PACE SWMI |
$185.46
|
| Rate for Payer: PHP Commercial |
$630.56
|
| Rate for Payer: PHP Medicare Advantage |
$185.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.19
|
| Rate for Payer: Priority Health HMO/PPO |
$645.39
|
| Rate for Payer: Priority Health Medicare |
$187.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$497.03
|
| Rate for Payer: Railroad Medicare Medicare |
$185.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$652.81
|
| Rate for Payer: UHC Core |
$619.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.46
|
| Rate for Payer: UHC Exchange |
$185.46
|
| Rate for Payer: UHC Medicare Advantage |
$185.46
|
| Rate for Payer: VA VA |
$185.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$556.37
|
|
