|
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
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,338.75
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$870.19 |
| Max. Negotiated Rate |
$1,204.88 |
| Rate for Payer: Aetna Commercial |
$1,137.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,092.82
|
| Rate for Payer: BCN Commercial |
$1,034.59
|
| Rate for Payer: Cash Price |
$1,071.00
|
| Rate for Payer: Cofinity Commercial |
$1,151.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Commercial |
$1,204.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,004.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.94
|
| Rate for Payer: Nomi Health Commercial |
$1,097.78
|
| Rate for Payer: PHP Commercial |
$1,137.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.19
|
| Rate for Payer: Priority Health HMO/PPO |
$1,164.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$896.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,178.10
|
| Rate for Payer: UHC Core |
$1,117.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,004.06
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,338.75
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$317.95 |
| Max. Negotiated Rate |
$1,204.88 |
| Rate for Payer: Aetna Commercial |
$1,137.94
|
| Rate for Payer: Aetna Medicare |
$348.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$418.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$418.36
|
| Rate for Payer: BCBS Complete |
$535.50
|
| Rate for Payer: BCBS MAPPO |
$334.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,100.59
|
| Rate for Payer: BCN Commercial |
$1,040.88
|
| Rate for Payer: BCN Medicare Advantage |
$334.69
|
| Rate for Payer: Cash Price |
$1,071.00
|
| Rate for Payer: Cofinity Commercial |
$1,151.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,071.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.69
|
| Rate for Payer: Healthscope Commercial |
$1,204.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,004.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$351.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$384.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.94
|
| Rate for Payer: Nomi Health Commercial |
$1,097.78
|
| Rate for Payer: PACE Senior Care Partners |
$317.95
|
| Rate for Payer: PACE SWMI |
$334.69
|
| Rate for Payer: PHP Commercial |
$1,137.94
|
| Rate for Payer: PHP Medicare Advantage |
$334.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.19
|
| Rate for Payer: Priority Health HMO/PPO |
$1,164.71
|
| Rate for Payer: Priority Health Medicare |
$338.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$896.96
|
| Rate for Payer: Railroad Medicare Medicare |
$334.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,178.10
|
| Rate for Payer: UHC Core |
$1,117.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.69
|
| Rate for Payer: UHC Exchange |
$334.69
|
| Rate for Payer: UHC Medicare Advantage |
$334.69
|
| Rate for Payer: VA VA |
$334.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,004.06
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,287.75
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$837.04 |
| Max. Negotiated Rate |
$1,158.97 |
| Rate for Payer: Aetna Commercial |
$1,094.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,051.19
|
| Rate for Payer: BCN Commercial |
$995.17
|
| Rate for Payer: Cash Price |
$1,030.20
|
| Rate for Payer: Cofinity Commercial |
$1,107.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,030.20
|
| Rate for Payer: Healthscope Commercial |
$1,158.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$965.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.59
|
| Rate for Payer: Nomi Health Commercial |
$1,055.95
|
| Rate for Payer: PHP Commercial |
$1,094.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.04
|
| Rate for Payer: Priority Health HMO/PPO |
$1,120.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$862.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,133.22
|
| Rate for Payer: UHC Core |
$1,075.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$965.81
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,287.75
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$305.84 |
| Max. Negotiated Rate |
$1,158.97 |
| Rate for Payer: Aetna Commercial |
$1,094.59
|
| Rate for Payer: Aetna Medicare |
$334.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$402.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$402.42
|
| Rate for Payer: BCBS Complete |
$515.10
|
| Rate for Payer: BCBS MAPPO |
$321.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.66
|
| Rate for Payer: BCN Commercial |
$1,001.23
|
| Rate for Payer: BCN Medicare Advantage |
$321.94
|
| Rate for Payer: Cash Price |
$1,030.20
|
| Rate for Payer: Cofinity Commercial |
$1,107.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,030.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$321.94
|
| Rate for Payer: Healthscope Commercial |
$1,158.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$965.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$370.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.59
|
| Rate for Payer: Nomi Health Commercial |
$1,055.95
|
| Rate for Payer: PACE Senior Care Partners |
$305.84
|
| Rate for Payer: PACE SWMI |
$321.94
|
| Rate for Payer: PHP Commercial |
$1,094.59
|
| Rate for Payer: PHP Medicare Advantage |
$321.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.04
|
| Rate for Payer: Priority Health HMO/PPO |
$1,120.34
|
| Rate for Payer: Priority Health Medicare |
$325.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$862.79
|
| Rate for Payer: Railroad Medicare Medicare |
$321.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,133.22
|
| Rate for Payer: UHC Core |
$1,075.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$321.94
|
| Rate for Payer: UHC Exchange |
$321.94
|
| Rate for Payer: UHC Medicare Advantage |
$321.94
|
| Rate for Payer: VA VA |
$321.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$965.81
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$70.38
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.72 |
| Max. Negotiated Rate |
$63.34 |
| Rate for Payer: Aetna Commercial |
$59.82
|
| Rate for Payer: Aetna Medicare |
$18.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.99
|
| Rate for Payer: BCBS Complete |
$28.15
|
| Rate for Payer: BCBS MAPPO |
$17.59
|
| Rate for Payer: BCBS Trust/PPO |
$57.86
|
| Rate for Payer: BCN Commercial |
$54.72
|
| Rate for Payer: BCN Medicare Advantage |
$17.59
|
| Rate for Payer: Cash Price |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$60.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.59
|
| Rate for Payer: Healthscope Commercial |
$63.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.82
|
| Rate for Payer: Nomi Health Commercial |
$57.71
|
| Rate for Payer: PACE Senior Care Partners |
$16.72
|
| Rate for Payer: PACE SWMI |
$17.59
|
| Rate for Payer: PHP Commercial |
$59.82
|
| Rate for Payer: PHP Medicare Advantage |
$17.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.75
|
| Rate for Payer: Priority Health HMO/PPO |
$61.23
|
| Rate for Payer: Priority Health Medicare |
$17.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.15
|
| Rate for Payer: Railroad Medicare Medicare |
$17.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.93
|
| Rate for Payer: UHC Core |
$58.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.59
|
| Rate for Payer: UHC Exchange |
$17.59
|
| Rate for Payer: UHC Medicare Advantage |
$17.59
|
| Rate for Payer: VA VA |
$17.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.78
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$70.38
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.75 |
| Max. Negotiated Rate |
$63.34 |
| Rate for Payer: Aetna Commercial |
$59.82
|
| Rate for Payer: BCBS Trust/PPO |
$57.45
|
| Rate for Payer: BCN Commercial |
$54.39
|
| Rate for Payer: Cash Price |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$60.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.30
|
| Rate for Payer: Healthscope Commercial |
$63.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.82
|
| Rate for Payer: Nomi Health Commercial |
$57.71
|
| Rate for Payer: PHP Commercial |
$59.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.75
|
| Rate for Payer: Priority Health HMO/PPO |
$61.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.93
|
| Rate for Payer: UHC Core |
$58.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.78
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$58.14
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$37.79 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: BCBS Trust/PPO |
$47.46
|
| Rate for Payer: BCN Commercial |
$44.93
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: Nomi Health Commercial |
$47.67
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health HMO/PPO |
$50.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.16
|
| Rate for Payer: UHC Core |
$48.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$58.14
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.81 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna Medicare |
$15.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.17
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$14.54
|
| Rate for Payer: BCBS Trust/PPO |
$47.80
|
| Rate for Payer: BCN Commercial |
$45.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.54
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.54
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: Nomi Health Commercial |
$47.67
|
| Rate for Payer: PACE Senior Care Partners |
$13.81
|
| Rate for Payer: PACE SWMI |
$14.54
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: PHP Medicare Advantage |
$14.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health HMO/PPO |
$50.58
|
| Rate for Payer: Priority Health Medicare |
$14.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.95
|
| Rate for Payer: Railroad Medicare Medicare |
$14.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.16
|
| Rate for Payer: UHC Core |
$48.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.54
|
| Rate for Payer: UHC Exchange |
$14.54
|
| Rate for Payer: UHC Medicare Advantage |
$14.54
|
| Rate for Payer: VA VA |
$14.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$302.94
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$71.95 |
| Max. Negotiated Rate |
$272.65 |
| Rate for Payer: Aetna Commercial |
$257.50
|
| Rate for Payer: Aetna Medicare |
$78.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$94.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$94.67
|
| Rate for Payer: BCBS Complete |
$121.18
|
| Rate for Payer: BCBS MAPPO |
$75.73
|
| Rate for Payer: BCBS Trust/PPO |
$249.05
|
| Rate for Payer: BCN Commercial |
$235.54
|
| Rate for Payer: BCN Medicare Advantage |
$75.73
|
| 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: Health Alliance Plan Medicare Advantage |
$75.73
|
| Rate for Payer: Healthscope Commercial |
$272.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$227.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$79.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.50
|
| Rate for Payer: Nomi Health Commercial |
$248.41
|
| Rate for Payer: PACE Senior Care Partners |
$71.95
|
| Rate for Payer: PACE SWMI |
$75.73
|
| Rate for Payer: PHP Commercial |
$257.50
|
| Rate for Payer: PHP Medicare Advantage |
$75.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.91
|
| Rate for Payer: Priority Health HMO/PPO |
$263.56
|
| Rate for Payer: Priority Health Medicare |
$76.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.97
|
| Rate for Payer: Railroad Medicare Medicare |
$75.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.59
|
| Rate for Payer: UHC Core |
$252.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$75.73
|
| Rate for Payer: UHC Exchange |
$75.73
|
| Rate for Payer: UHC Medicare Advantage |
$75.73
|
| Rate for Payer: VA VA |
$75.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$227.21
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$302.94
|
|
| Hospital Charge Code |
27000664
|
|
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 |
$227.21
|
| 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 |
$227.21
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$260.10
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$221.09
|
| Rate for Payer: Aetna Medicare |
$67.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.28
|
| Rate for Payer: BCBS Complete |
$104.04
|
| Rate for Payer: BCBS MAPPO |
$65.03
|
| Rate for Payer: BCBS Trust/PPO |
$213.83
|
| Rate for Payer: BCN Commercial |
$202.23
|
| Rate for Payer: BCN Medicare Advantage |
$65.03
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.03
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.09
|
| Rate for Payer: Nomi Health Commercial |
$213.28
|
| Rate for Payer: PACE Senior Care Partners |
$61.77
|
| Rate for Payer: PACE SWMI |
$65.03
|
| Rate for Payer: PHP Commercial |
$221.09
|
| Rate for Payer: PHP Medicare Advantage |
$65.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$169.06
|
| Rate for Payer: Priority Health HMO/PPO |
$226.29
|
| Rate for Payer: Priority Health Medicare |
$65.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$174.27
|
| Rate for Payer: Railroad Medicare Medicare |
$65.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.89
|
| Rate for Payer: UHC Core |
$217.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.03
|
| Rate for Payer: UHC Exchange |
$65.03
|
| Rate for Payer: UHC Medicare Advantage |
$65.03
|
| Rate for Payer: VA VA |
$65.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.07
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$260.10
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$169.06 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$221.09
|
| Rate for Payer: BCBS Trust/PPO |
$212.32
|
| Rate for Payer: BCN Commercial |
$201.01
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.09
|
| Rate for Payer: Nomi Health Commercial |
$213.28
|
| Rate for Payer: PHP Commercial |
$221.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$169.06
|
| Rate for Payer: Priority Health HMO/PPO |
$226.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$174.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.89
|
| Rate for Payer: UHC Core |
$217.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.07
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$208.08
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$49.42 |
| Max. Negotiated Rate |
$187.27 |
| Rate for Payer: Aetna Commercial |
$176.87
|
| Rate for Payer: Aetna Medicare |
$54.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.03
|
| Rate for Payer: BCBS Complete |
$83.23
|
| Rate for Payer: BCBS MAPPO |
$52.02
|
| Rate for Payer: BCBS Trust/PPO |
$171.06
|
| Rate for Payer: BCN Commercial |
$161.78
|
| Rate for Payer: BCN Medicare Advantage |
$52.02
|
| Rate for Payer: Cash Price |
$166.46
|
| Rate for Payer: Cofinity Commercial |
$178.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.02
|
| Rate for Payer: Healthscope Commercial |
$187.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.87
|
| Rate for Payer: Nomi Health Commercial |
$170.63
|
| Rate for Payer: PACE Senior Care Partners |
$49.42
|
| Rate for Payer: PACE SWMI |
$52.02
|
| Rate for Payer: PHP Commercial |
$176.87
|
| Rate for Payer: PHP Medicare Advantage |
$52.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.25
|
| Rate for Payer: Priority Health HMO/PPO |
$181.03
|
| Rate for Payer: Priority Health Medicare |
$52.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.41
|
| Rate for Payer: Railroad Medicare Medicare |
$52.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.11
|
| Rate for Payer: UHC Core |
$173.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.02
|
| Rate for Payer: UHC Exchange |
$52.02
|
| Rate for Payer: UHC Medicare Advantage |
$52.02
|
| Rate for Payer: VA VA |
$52.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.06
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$208.08
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.25 |
| Max. Negotiated Rate |
$187.27 |
| Rate for Payer: Aetna Commercial |
$176.87
|
| Rate for Payer: BCBS Trust/PPO |
$169.86
|
| Rate for Payer: BCN Commercial |
$160.80
|
| Rate for Payer: Cash Price |
$166.46
|
| Rate for Payer: Cofinity Commercial |
$178.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.46
|
| Rate for Payer: Healthscope Commercial |
$187.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.87
|
| Rate for Payer: Nomi Health Commercial |
$170.63
|
| Rate for Payer: PHP Commercial |
$176.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.25
|
| Rate for Payer: Priority Health HMO/PPO |
$181.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.11
|
| Rate for Payer: UHC Core |
$173.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.06
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$311.01
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.86 |
| Max. Negotiated Rate |
$279.91 |
| Rate for Payer: Aetna Commercial |
$264.36
|
| Rate for Payer: Aetna Medicare |
$80.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$97.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$97.19
|
| Rate for Payer: BCBS Complete |
$124.40
|
| Rate for Payer: BCBS MAPPO |
$77.75
|
| Rate for Payer: BCBS Trust/PPO |
$255.68
|
| Rate for Payer: BCN Commercial |
$241.81
|
| Rate for Payer: BCN Medicare Advantage |
$77.75
|
| Rate for Payer: Cash Price |
$248.81
|
| Rate for Payer: Cofinity Commercial |
$267.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.75
|
| Rate for Payer: Healthscope Commercial |
$279.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$89.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$264.36
|
| Rate for Payer: Nomi Health Commercial |
$255.03
|
| Rate for Payer: PACE Senior Care Partners |
$73.86
|
| Rate for Payer: PACE SWMI |
$77.75
|
| Rate for Payer: PHP Commercial |
$264.36
|
| Rate for Payer: PHP Medicare Advantage |
$77.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$202.16
|
| Rate for Payer: Priority Health HMO/PPO |
$270.58
|
| Rate for Payer: Priority Health Medicare |
$78.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$208.38
|
| Rate for Payer: Railroad Medicare Medicare |
$77.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.69
|
| Rate for Payer: UHC Core |
$259.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.75
|
| Rate for Payer: UHC Exchange |
$77.75
|
| Rate for Payer: UHC Medicare Advantage |
$77.75
|
| Rate for Payer: VA VA |
$77.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.26
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
IP
|
$311.01
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$202.16 |
| Max. Negotiated Rate |
$279.91 |
| Rate for Payer: Aetna Commercial |
$264.36
|
| Rate for Payer: BCBS Trust/PPO |
$253.88
|
| Rate for Payer: BCN Commercial |
$240.35
|
| Rate for Payer: Cash Price |
$248.81
|
| Rate for Payer: Cofinity Commercial |
$267.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.81
|
| Rate for Payer: Healthscope Commercial |
$279.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$264.36
|
| Rate for Payer: Nomi Health Commercial |
$255.03
|
| Rate for Payer: PHP Commercial |
$264.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$202.16
|
| Rate for Payer: Priority Health HMO/PPO |
$270.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$208.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.69
|
| Rate for Payer: UHC Core |
$259.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.26
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
IP
|
$35.19
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$22.87 |
| Max. Negotiated Rate |
$31.67 |
| Rate for Payer: Aetna Commercial |
$29.91
|
| Rate for Payer: BCBS Trust/PPO |
$28.73
|
| Rate for Payer: BCN Commercial |
$27.19
|
| Rate for Payer: Cash Price |
$28.15
|
| Rate for Payer: Cofinity Commercial |
$30.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.15
|
| Rate for Payer: Healthscope Commercial |
$31.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.91
|
| Rate for Payer: Nomi Health Commercial |
$28.86
|
| Rate for Payer: PHP Commercial |
$29.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.87
|
| Rate for Payer: Priority Health HMO/PPO |
$30.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.97
|
| Rate for Payer: UHC Core |
$29.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.39
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
OP
|
$35.19
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$31.67 |
| Rate for Payer: Aetna Commercial |
$29.91
|
| Rate for Payer: Aetna Medicare |
$9.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.00
|
| Rate for Payer: BCBS Complete |
$14.08
|
| Rate for Payer: BCBS MAPPO |
$8.80
|
| Rate for Payer: BCBS Trust/PPO |
$28.93
|
| Rate for Payer: BCN Commercial |
$27.36
|
| Rate for Payer: BCN Medicare Advantage |
$8.80
|
| Rate for Payer: Cash Price |
$28.15
|
| Rate for Payer: Cofinity Commercial |
$30.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.80
|
| Rate for Payer: Healthscope Commercial |
$31.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.91
|
| Rate for Payer: Nomi Health Commercial |
$28.86
|
| Rate for Payer: PACE Senior Care Partners |
$8.36
|
| Rate for Payer: PACE SWMI |
$8.80
|
| Rate for Payer: PHP Commercial |
$29.91
|
| Rate for Payer: PHP Medicare Advantage |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.87
|
| Rate for Payer: Priority Health HMO/PPO |
$30.62
|
| Rate for Payer: Priority Health Medicare |
$8.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.58
|
| Rate for Payer: Railroad Medicare Medicare |
$8.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.97
|
| Rate for Payer: UHC Core |
$29.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.80
|
| Rate for Payer: UHC Exchange |
$8.80
|
| Rate for Payer: UHC Medicare Advantage |
$8.80
|
| Rate for Payer: VA VA |
$8.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.39
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
OP
|
$85.68
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.35 |
| Max. Negotiated Rate |
$77.11 |
| Rate for Payer: Aetna Commercial |
$72.83
|
| Rate for Payer: Aetna Medicare |
$22.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.77
|
| Rate for Payer: BCBS Complete |
$34.27
|
| Rate for Payer: BCBS MAPPO |
$21.42
|
| Rate for Payer: BCBS Trust/PPO |
$70.44
|
| Rate for Payer: BCN Commercial |
$66.62
|
| Rate for Payer: BCN Medicare Advantage |
$21.42
|
| Rate for Payer: Cash Price |
$68.54
|
| Rate for Payer: Cofinity Commercial |
$73.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.42
|
| Rate for Payer: Healthscope Commercial |
$77.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.83
|
| Rate for Payer: Nomi Health Commercial |
$70.26
|
| Rate for Payer: PACE Senior Care Partners |
$20.35
|
| Rate for Payer: PACE SWMI |
$21.42
|
| Rate for Payer: PHP Commercial |
$72.83
|
| Rate for Payer: PHP Medicare Advantage |
$21.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.69
|
| Rate for Payer: Priority Health HMO/PPO |
$74.54
|
| Rate for Payer: Priority Health Medicare |
$21.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.41
|
| Rate for Payer: Railroad Medicare Medicare |
$21.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.40
|
| Rate for Payer: UHC Core |
$71.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.42
|
| Rate for Payer: UHC Exchange |
$21.42
|
| Rate for Payer: UHC Medicare Advantage |
$21.42
|
| Rate for Payer: VA VA |
$21.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.26
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
IP
|
$85.68
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.69 |
| Max. Negotiated Rate |
$77.11 |
| Rate for Payer: Aetna Commercial |
$72.83
|
| Rate for Payer: BCBS Trust/PPO |
$69.94
|
| Rate for Payer: BCN Commercial |
$66.21
|
| Rate for Payer: Cash Price |
$68.54
|
| Rate for Payer: Cofinity Commercial |
$73.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.54
|
| Rate for Payer: Healthscope Commercial |
$77.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.83
|
| Rate for Payer: Nomi Health Commercial |
$70.26
|
| Rate for Payer: PHP Commercial |
$72.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.69
|
| Rate for Payer: Priority Health HMO/PPO |
$74.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.40
|
| Rate for Payer: UHC Core |
$71.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.26
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
OP
|
$73.44
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.44 |
| Max. Negotiated Rate |
$66.10 |
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna Medicare |
$19.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.95
|
| Rate for Payer: BCBS Complete |
$29.38
|
| Rate for Payer: BCBS MAPPO |
$18.36
|
| Rate for Payer: BCBS Trust/PPO |
$60.38
|
| Rate for Payer: BCN Commercial |
$57.10
|
| Rate for Payer: BCN Medicare Advantage |
$18.36
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.36
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Nomi Health Commercial |
$60.22
|
| Rate for Payer: PACE Senior Care Partners |
$17.44
|
| Rate for Payer: PACE SWMI |
$18.36
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: PHP Medicare Advantage |
$18.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: Priority Health HMO/PPO |
$63.89
|
| Rate for Payer: Priority Health Medicare |
$18.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.20
|
| Rate for Payer: Railroad Medicare Medicare |
$18.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.63
|
| Rate for Payer: UHC Core |
$61.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.36
|
| Rate for Payer: UHC Exchange |
$18.36
|
| Rate for Payer: UHC Medicare Advantage |
$18.36
|
| Rate for Payer: VA VA |
$18.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.08
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
IP
|
$73.44
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$47.74 |
| Max. Negotiated Rate |
$66.10 |
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: BCBS Trust/PPO |
$59.95
|
| Rate for Payer: BCN Commercial |
$56.75
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Nomi Health Commercial |
$60.22
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: Priority Health HMO/PPO |
$63.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.63
|
| Rate for Payer: UHC Core |
$61.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.08
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
OP
|
$97.92
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$23.26 |
| Max. Negotiated Rate |
$88.13 |
| Rate for Payer: Aetna Commercial |
$83.23
|
| Rate for Payer: Aetna Medicare |
$25.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.60
|
| Rate for Payer: BCBS Complete |
$39.17
|
| Rate for Payer: BCBS MAPPO |
$24.48
|
| Rate for Payer: BCBS Trust/PPO |
$80.50
|
| Rate for Payer: BCN Commercial |
$76.13
|
| Rate for Payer: BCN Medicare Advantage |
$24.48
|
| Rate for Payer: Cash Price |
$78.34
|
| Rate for Payer: Cofinity Commercial |
$84.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.48
|
| Rate for Payer: Healthscope Commercial |
$88.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.23
|
| Rate for Payer: Nomi Health Commercial |
$80.29
|
| Rate for Payer: PACE Senior Care Partners |
$23.26
|
| Rate for Payer: PACE SWMI |
$24.48
|
| Rate for Payer: PHP Commercial |
$83.23
|
| Rate for Payer: PHP Medicare Advantage |
$24.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.65
|
| Rate for Payer: Priority Health HMO/PPO |
$85.19
|
| Rate for Payer: Priority Health Medicare |
$24.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.61
|
| Rate for Payer: Railroad Medicare Medicare |
$24.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.17
|
| Rate for Payer: UHC Core |
$81.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.48
|
| Rate for Payer: UHC Exchange |
$24.48
|
| Rate for Payer: UHC Medicare Advantage |
$24.48
|
| Rate for Payer: VA VA |
$24.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.44
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
IP
|
$97.92
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$63.65 |
| Max. Negotiated Rate |
$88.13 |
| Rate for Payer: Aetna Commercial |
$83.23
|
| Rate for Payer: BCBS Trust/PPO |
$79.93
|
| Rate for Payer: BCN Commercial |
$75.67
|
| Rate for Payer: Cash Price |
$78.34
|
| Rate for Payer: Cofinity Commercial |
$84.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.34
|
| Rate for Payer: Healthscope Commercial |
$88.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.23
|
| Rate for Payer: Nomi Health Commercial |
$80.29
|
| Rate for Payer: PHP Commercial |
$83.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.65
|
| Rate for Payer: Priority Health HMO/PPO |
$85.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.17
|
| Rate for Payer: UHC Core |
$81.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.44
|
|
