|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46
|
Facility
|
IP
|
$4,620.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,215.52 |
| Max. Negotiated Rate |
$4,158.00 |
| Rate for Payer: Aetna Commercial |
$3,927.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,815.66
|
| Rate for Payer: BCN Commercial |
$3,815.66
|
| Rate for Payer: Cash Price |
$3,696.00
|
| Rate for Payer: Cofinity Commercial |
$3,973.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,696.00
|
| Rate for Payer: Healthscope Commercial |
$4,158.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,465.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,927.00
|
| Rate for Payer: Nomi Health Commercial |
$3,788.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,465.00
|
| Rate for Payer: PHP Commercial |
$3,927.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,019.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,215.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,065.60
|
| Rate for Payer: UHC Core |
$3,857.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,465.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46
|
Facility
|
OP
|
$4,620.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$814.51 |
| Max. Negotiated Rate |
$4,158.00 |
| Rate for Payer: Aetna Commercial |
$3,927.00
|
| Rate for Payer: Aetna Medicare |
$1,201.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,443.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,443.75
|
| Rate for Payer: BCBS Complete |
$855.16
|
| Rate for Payer: BCBS MAPPO |
$1,155.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,798.10
|
| Rate for Payer: BCN Commercial |
$3,798.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.00
|
| Rate for Payer: Cash Price |
$3,696.00
|
| Rate for Payer: Cofinity Commercial |
$3,973.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,696.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.00
|
| Rate for Payer: Healthscope Commercial |
$4,158.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,465.00
|
| Rate for Payer: Mclaren Medicaid |
$814.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,212.75
|
| Rate for Payer: Meridian Medicaid |
$855.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,270.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,927.00
|
| Rate for Payer: Nomi Health Commercial |
$3,788.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,465.00
|
| Rate for Payer: PACE Senior Care Partners |
$1,097.25
|
| Rate for Payer: PACE SWMI |
$1,155.00
|
| Rate for Payer: PHP Commercial |
$3,927.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$814.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,019.40
|
| Rate for Payer: Priority Health Medicare |
$1,166.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,215.52
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,065.60
|
| Rate for Payer: UHC Core |
$3,857.70
|
| Rate for Payer: UHC Exchange |
$1,155.00
|
| Rate for Payer: UHC Medicaid |
$814.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.00
|
| Rate for Payer: UHCCP Medicaid |
$814.51
|
| Rate for Payer: VA VA |
$1,155.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,465.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47
|
Facility
|
IP
|
$4,788.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200373
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,332.45 |
| Max. Negotiated Rate |
$4,309.20 |
| Rate for Payer: Aetna Commercial |
$4,069.80
|
| Rate for Payer: BCBS Trust/PPO |
$3,954.41
|
| Rate for Payer: BCN Commercial |
$3,954.41
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cofinity Commercial |
$4,117.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,830.40
|
| Rate for Payer: Healthscope Commercial |
$4,309.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,591.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,069.80
|
| Rate for Payer: Nomi Health Commercial |
$3,926.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,591.00
|
| Rate for Payer: PHP Commercial |
$4,069.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,165.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,332.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,213.44
|
| Rate for Payer: UHC Core |
$3,997.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,591.00
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47
|
Facility
|
OP
|
$4,788.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200373
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$844.12 |
| Max. Negotiated Rate |
$4,309.20 |
| Rate for Payer: Aetna Commercial |
$4,069.80
|
| Rate for Payer: Aetna Medicare |
$1,244.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,496.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,496.25
|
| Rate for Payer: BCBS Complete |
$886.26
|
| Rate for Payer: BCBS MAPPO |
$1,197.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,936.21
|
| Rate for Payer: BCN Commercial |
$3,936.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,197.00
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cofinity Commercial |
$4,117.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,830.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,197.00
|
| Rate for Payer: Healthscope Commercial |
$4,309.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,591.00
|
| Rate for Payer: Mclaren Medicaid |
$844.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,256.85
|
| Rate for Payer: Meridian Medicaid |
$886.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,376.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,316.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,069.80
|
| Rate for Payer: Nomi Health Commercial |
$3,926.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,591.00
|
| Rate for Payer: PACE Senior Care Partners |
$1,137.15
|
| Rate for Payer: PACE SWMI |
$1,197.00
|
| Rate for Payer: PHP Commercial |
$4,069.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,197.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$844.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,165.56
|
| Rate for Payer: Priority Health Medicare |
$1,208.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,332.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1,197.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,213.44
|
| Rate for Payer: UHC Core |
$3,997.98
|
| Rate for Payer: UHC Exchange |
$1,197.00
|
| Rate for Payer: UHC Medicaid |
$844.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,197.00
|
| Rate for Payer: UHCCP Medicaid |
$844.12
|
| Rate for Payer: VA VA |
$1,197.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,591.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11
|
Facility
|
IP
|
$1,119.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$778.82 |
| Max. Negotiated Rate |
$1,007.10 |
| Rate for Payer: Aetna Commercial |
$951.15
|
| Rate for Payer: BCBS Trust/PPO |
$924.18
|
| Rate for Payer: BCN Commercial |
$924.18
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Commercial |
$962.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.20
|
| Rate for Payer: Healthscope Commercial |
$1,007.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$839.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$951.15
|
| Rate for Payer: Nomi Health Commercial |
$917.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$839.25
|
| Rate for Payer: PHP Commercial |
$951.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$973.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$778.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$984.72
|
| Rate for Payer: UHC Core |
$934.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$839.25
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11
|
Facility
|
OP
|
$1,119.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$197.28 |
| Max. Negotiated Rate |
$1,007.10 |
| Rate for Payer: Aetna Commercial |
$951.15
|
| Rate for Payer: Aetna Medicare |
$290.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$349.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$349.69
|
| Rate for Payer: BCBS Complete |
$207.13
|
| Rate for Payer: BCBS MAPPO |
$279.75
|
| Rate for Payer: BCBS Trust/PPO |
$919.93
|
| Rate for Payer: BCN Commercial |
$919.93
|
| Rate for Payer: BCN Medicare Advantage |
$279.75
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Commercial |
$962.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.75
|
| Rate for Payer: Healthscope Commercial |
$1,007.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$839.25
|
| Rate for Payer: Mclaren Medicaid |
$197.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.74
|
| Rate for Payer: Meridian Medicaid |
$207.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$321.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$307.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$951.15
|
| Rate for Payer: Nomi Health Commercial |
$917.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$839.25
|
| Rate for Payer: PACE Senior Care Partners |
$265.76
|
| Rate for Payer: PACE SWMI |
$279.75
|
| Rate for Payer: PHP Commercial |
$951.15
|
| Rate for Payer: PHP Medicare Advantage |
$279.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$973.53
|
| Rate for Payer: Priority Health Medicare |
$282.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$778.82
|
| Rate for Payer: Railroad Medicare Medicare |
$279.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$984.72
|
| Rate for Payer: UHC Core |
$934.37
|
| Rate for Payer: UHC Exchange |
$279.75
|
| Rate for Payer: UHC Medicaid |
$197.28
|
| Rate for Payer: UHC Medicare Advantage |
$279.75
|
| Rate for Payer: UHCCP Medicaid |
$197.28
|
| Rate for Payer: VA VA |
$279.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$839.25
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13
|
Facility
|
IP
|
$1,342.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200375
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$934.38 |
| Max. Negotiated Rate |
$1,208.25 |
| Rate for Payer: Aetna Commercial |
$1,141.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,108.77
|
| Rate for Payer: BCN Commercial |
$1,108.77
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cofinity Commercial |
$1,154.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.00
|
| Rate for Payer: Healthscope Commercial |
$1,208.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,006.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.12
|
| Rate for Payer: Nomi Health Commercial |
$1,100.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,006.88
|
| Rate for Payer: PHP Commercial |
$1,141.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,167.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$934.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,181.40
|
| Rate for Payer: UHC Core |
$1,120.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,006.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13
|
Facility
|
OP
|
$1,342.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200375
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$236.68 |
| Max. Negotiated Rate |
$1,208.25 |
| Rate for Payer: Aetna Commercial |
$1,141.12
|
| Rate for Payer: Aetna Medicare |
$349.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$419.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$419.53
|
| Rate for Payer: BCBS Complete |
$248.50
|
| Rate for Payer: BCBS MAPPO |
$335.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,103.67
|
| Rate for Payer: BCN Commercial |
$1,103.67
|
| Rate for Payer: BCN Medicare Advantage |
$335.62
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cofinity Commercial |
$1,154.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.62
|
| Rate for Payer: Healthscope Commercial |
$1,208.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,006.88
|
| Rate for Payer: Mclaren Medicaid |
$236.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.41
|
| Rate for Payer: Meridian Medicaid |
$248.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$385.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$369.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.12
|
| Rate for Payer: Nomi Health Commercial |
$1,100.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,006.88
|
| Rate for Payer: PACE Senior Care Partners |
$318.84
|
| Rate for Payer: PACE SWMI |
$335.62
|
| Rate for Payer: PHP Commercial |
$1,141.12
|
| Rate for Payer: PHP Medicare Advantage |
$335.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,167.97
|
| Rate for Payer: Priority Health Medicare |
$338.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$934.38
|
| Rate for Payer: Railroad Medicare Medicare |
$335.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,181.40
|
| Rate for Payer: UHC Core |
$1,120.99
|
| Rate for Payer: UHC Exchange |
$335.62
|
| Rate for Payer: UHC Medicaid |
$236.68
|
| Rate for Payer: UHC Medicare Advantage |
$335.62
|
| Rate for Payer: UHCCP Medicaid |
$236.68
|
| Rate for Payer: VA VA |
$335.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,006.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15
|
Facility
|
IP
|
$1,537.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200363
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,070.10 |
| Max. Negotiated Rate |
$1,383.75 |
| Rate for Payer: Aetna Commercial |
$1,306.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,269.82
|
| Rate for Payer: BCN Commercial |
$1,269.82
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cofinity Commercial |
$1,322.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,230.00
|
| Rate for Payer: Healthscope Commercial |
$1,383.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,153.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.88
|
| Rate for Payer: Nomi Health Commercial |
$1,260.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,153.12
|
| Rate for Payer: PHP Commercial |
$1,306.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,337.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,070.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,353.00
|
| Rate for Payer: UHC Core |
$1,283.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,153.12
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15
|
Facility
|
OP
|
$1,537.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200363
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$271.06 |
| Max. Negotiated Rate |
$1,383.75 |
| Rate for Payer: Aetna Commercial |
$1,306.88
|
| Rate for Payer: Aetna Medicare |
$399.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$480.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$480.47
|
| Rate for Payer: BCBS Complete |
$284.59
|
| Rate for Payer: BCBS MAPPO |
$384.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,263.98
|
| Rate for Payer: BCN Commercial |
$1,263.98
|
| Rate for Payer: BCN Medicare Advantage |
$384.38
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cofinity Commercial |
$1,322.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,230.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$384.38
|
| Rate for Payer: Healthscope Commercial |
$1,383.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,153.12
|
| Rate for Payer: Mclaren Medicaid |
$271.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$403.59
|
| Rate for Payer: Meridian Medicaid |
$284.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$442.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$422.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.88
|
| Rate for Payer: Nomi Health Commercial |
$1,260.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,153.12
|
| Rate for Payer: PACE Senior Care Partners |
$365.16
|
| Rate for Payer: PACE SWMI |
$384.38
|
| Rate for Payer: PHP Commercial |
$1,306.88
|
| Rate for Payer: PHP Medicare Advantage |
$384.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,337.62
|
| Rate for Payer: Priority Health Medicare |
$388.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,070.10
|
| Rate for Payer: Railroad Medicare Medicare |
$384.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,353.00
|
| Rate for Payer: UHC Core |
$1,283.81
|
| Rate for Payer: UHC Exchange |
$384.38
|
| Rate for Payer: UHC Medicaid |
$271.06
|
| Rate for Payer: UHC Medicare Advantage |
$384.38
|
| Rate for Payer: UHCCP Medicaid |
$271.06
|
| Rate for Payer: VA VA |
$384.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,153.12
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37
|
Facility
|
IP
|
$3,750.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200365
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,610.00 |
| Max. Negotiated Rate |
$3,375.00 |
| Rate for Payer: Aetna Commercial |
$3,187.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,097.12
|
| Rate for Payer: BCN Commercial |
$3,097.12
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cofinity Commercial |
$3,225.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,000.00
|
| Rate for Payer: Healthscope Commercial |
$3,375.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,812.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,187.50
|
| Rate for Payer: Nomi Health Commercial |
$3,075.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,812.50
|
| Rate for Payer: PHP Commercial |
$3,187.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,262.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,610.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,300.00
|
| Rate for Payer: UHC Core |
$3,131.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,812.50
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37
|
Facility
|
OP
|
$3,750.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200365
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$661.12 |
| Max. Negotiated Rate |
$3,375.00 |
| Rate for Payer: Aetna Commercial |
$3,187.50
|
| Rate for Payer: Aetna Medicare |
$975.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,171.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,171.88
|
| Rate for Payer: BCBS Complete |
$694.12
|
| Rate for Payer: BCBS MAPPO |
$937.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,082.88
|
| Rate for Payer: BCN Commercial |
$3,082.88
|
| Rate for Payer: BCN Medicare Advantage |
$937.50
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cofinity Commercial |
$3,225.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,000.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$937.50
|
| Rate for Payer: Healthscope Commercial |
$3,375.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,812.50
|
| Rate for Payer: Mclaren Medicaid |
$661.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$984.38
|
| Rate for Payer: Meridian Medicaid |
$694.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,078.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,031.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,187.50
|
| Rate for Payer: Nomi Health Commercial |
$3,075.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,812.50
|
| Rate for Payer: PACE Senior Care Partners |
$890.62
|
| Rate for Payer: PACE SWMI |
$937.50
|
| Rate for Payer: PHP Commercial |
$3,187.50
|
| Rate for Payer: PHP Medicare Advantage |
$937.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$661.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,262.50
|
| Rate for Payer: Priority Health Medicare |
$946.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,610.00
|
| Rate for Payer: Railroad Medicare Medicare |
$937.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,300.00
|
| Rate for Payer: UHC Core |
$3,131.25
|
| Rate for Payer: UHC Exchange |
$937.50
|
| Rate for Payer: UHC Medicaid |
$661.12
|
| Rate for Payer: UHC Medicare Advantage |
$937.50
|
| Rate for Payer: UHCCP Medicaid |
$661.12
|
| Rate for Payer: VA VA |
$937.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,812.50
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4
|
Facility
|
OP
|
$438.60
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$77.33 |
| Max. Negotiated Rate |
$394.74 |
| Rate for Payer: Aetna Commercial |
$372.81
|
| Rate for Payer: Aetna Medicare |
$114.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$137.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$137.06
|
| Rate for Payer: BCBS Complete |
$81.18
|
| Rate for Payer: BCBS MAPPO |
$109.65
|
| Rate for Payer: BCBS Trust/PPO |
$360.57
|
| Rate for Payer: BCN Commercial |
$360.57
|
| Rate for Payer: BCN Medicare Advantage |
$109.65
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cofinity Commercial |
$377.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.65
|
| Rate for Payer: Healthscope Commercial |
$394.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.95
|
| Rate for Payer: Mclaren Medicaid |
$77.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.13
|
| Rate for Payer: Meridian Medicaid |
$81.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$126.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$372.81
|
| Rate for Payer: Nomi Health Commercial |
$359.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$328.95
|
| Rate for Payer: PACE Senior Care Partners |
$104.17
|
| Rate for Payer: PACE SWMI |
$109.65
|
| Rate for Payer: PHP Commercial |
$372.81
|
| Rate for Payer: PHP Medicare Advantage |
$109.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$381.58
|
| Rate for Payer: Priority Health Medicare |
$110.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.27
|
| Rate for Payer: Railroad Medicare Medicare |
$109.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.97
|
| Rate for Payer: UHC Core |
$366.23
|
| Rate for Payer: UHC Exchange |
$109.65
|
| Rate for Payer: UHC Medicaid |
$77.33
|
| Rate for Payer: UHC Medicare Advantage |
$109.65
|
| Rate for Payer: UHCCP Medicaid |
$77.33
|
| Rate for Payer: VA VA |
$109.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.95
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4
|
Facility
|
IP
|
$438.60
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$305.27 |
| Max. Negotiated Rate |
$394.74 |
| Rate for Payer: Aetna Commercial |
$372.81
|
| Rate for Payer: BCBS Trust/PPO |
$362.24
|
| Rate for Payer: BCN Commercial |
$362.24
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cofinity Commercial |
$377.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.88
|
| Rate for Payer: Healthscope Commercial |
$394.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$372.81
|
| Rate for Payer: Nomi Health Commercial |
$359.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$328.95
|
| Rate for Payer: PHP Commercial |
$372.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$381.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.97
|
| Rate for Payer: UHC Core |
$366.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.95
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25
|
Facility
|
IP
|
$2,500.00
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,740.00 |
| Max. Negotiated Rate |
$2,250.00 |
| Rate for Payer: Aetna Commercial |
$2,125.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.75
|
| Rate for Payer: BCN Commercial |
$2,064.75
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cofinity Commercial |
$2,150.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,000.00
|
| Rate for Payer: Healthscope Commercial |
$2,250.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,875.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Nomi Health Commercial |
$2,050.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.00
|
| Rate for Payer: PHP Commercial |
$2,125.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,175.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,740.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,200.00
|
| Rate for Payer: UHC Core |
$2,087.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,875.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25
|
Facility
|
OP
|
$2,500.00
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$440.75 |
| Max. Negotiated Rate |
$2,250.00 |
| Rate for Payer: Aetna Commercial |
$2,125.00
|
| Rate for Payer: Aetna Medicare |
$650.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.25
|
| Rate for Payer: BCBS Complete |
$462.75
|
| Rate for Payer: BCBS MAPPO |
$625.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,055.25
|
| Rate for Payer: BCN Commercial |
$2,055.25
|
| Rate for Payer: BCN Medicare Advantage |
$625.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cofinity Commercial |
$2,150.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,000.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.00
|
| Rate for Payer: Healthscope Commercial |
$2,250.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,875.00
|
| Rate for Payer: Mclaren Medicaid |
$440.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.25
|
| Rate for Payer: Meridian Medicaid |
$462.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$718.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$687.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Nomi Health Commercial |
$2,050.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.00
|
| Rate for Payer: PACE Senior Care Partners |
$593.75
|
| Rate for Payer: PACE SWMI |
$625.00
|
| Rate for Payer: PHP Commercial |
$2,125.00
|
| Rate for Payer: PHP Medicare Advantage |
$625.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,175.00
|
| Rate for Payer: Priority Health Medicare |
$631.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,740.00
|
| Rate for Payer: Railroad Medicare Medicare |
$625.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,200.00
|
| Rate for Payer: UHC Core |
$2,087.50
|
| Rate for Payer: UHC Exchange |
$625.00
|
| Rate for Payer: UHC Medicaid |
$440.75
|
| Rate for Payer: UHC Medicare Advantage |
$625.00
|
| Rate for Payer: UHCCP Medicaid |
$440.75
|
| Rate for Payer: VA VA |
$625.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,875.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32
|
Facility
|
OP
|
$3,242.50
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$571.65 |
| Max. Negotiated Rate |
$2,918.25 |
| Rate for Payer: Aetna Commercial |
$2,756.12
|
| Rate for Payer: Aetna Medicare |
$843.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,013.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,013.28
|
| Rate for Payer: BCBS Complete |
$600.19
|
| Rate for Payer: BCBS MAPPO |
$810.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,665.66
|
| Rate for Payer: BCN Commercial |
$2,665.66
|
| Rate for Payer: BCN Medicare Advantage |
$810.62
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cofinity Commercial |
$2,788.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,594.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$810.62
|
| Rate for Payer: Healthscope Commercial |
$2,918.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,431.88
|
| Rate for Payer: Mclaren Medicaid |
$571.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$851.16
|
| Rate for Payer: Meridian Medicaid |
$600.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$932.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$891.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.12
|
| Rate for Payer: Nomi Health Commercial |
$2,658.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,431.88
|
| Rate for Payer: PACE Senior Care Partners |
$770.09
|
| Rate for Payer: PACE SWMI |
$810.62
|
| Rate for Payer: PHP Commercial |
$2,756.12
|
| Rate for Payer: PHP Medicare Advantage |
$810.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$571.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,820.97
|
| Rate for Payer: Priority Health Medicare |
$818.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,256.78
|
| Rate for Payer: Railroad Medicare Medicare |
$810.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,853.40
|
| Rate for Payer: UHC Core |
$2,707.49
|
| Rate for Payer: UHC Exchange |
$810.62
|
| Rate for Payer: UHC Medicaid |
$571.65
|
| Rate for Payer: UHC Medicare Advantage |
$810.62
|
| Rate for Payer: UHCCP Medicaid |
$571.65
|
| Rate for Payer: VA VA |
$810.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,431.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32
|
Facility
|
IP
|
$3,242.50
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,256.78 |
| Max. Negotiated Rate |
$2,918.25 |
| Rate for Payer: Aetna Commercial |
$2,756.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,677.98
|
| Rate for Payer: BCN Commercial |
$2,677.98
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cofinity Commercial |
$2,788.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,594.00
|
| Rate for Payer: Healthscope Commercial |
$2,918.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,431.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.12
|
| Rate for Payer: Nomi Health Commercial |
$2,658.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,431.88
|
| Rate for Payer: PHP Commercial |
$2,756.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,820.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,256.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,853.40
|
| Rate for Payer: UHC Core |
$2,707.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,431.88
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 8
|
Facility
|
OP
|
$825.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200376
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$145.45 |
| Max. Negotiated Rate |
$742.50 |
| Rate for Payer: Aetna Commercial |
$701.25
|
| Rate for Payer: Aetna Medicare |
$214.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$257.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$257.81
|
| Rate for Payer: BCBS Complete |
$152.71
|
| Rate for Payer: BCBS MAPPO |
$206.25
|
| Rate for Payer: BCBS Trust/PPO |
$678.23
|
| Rate for Payer: BCN Commercial |
$678.23
|
| Rate for Payer: BCN Medicare Advantage |
$206.25
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$709.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$206.25
|
| Rate for Payer: Healthscope Commercial |
$742.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$618.75
|
| Rate for Payer: Mclaren Medicaid |
$145.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.56
|
| Rate for Payer: Meridian Medicaid |
$152.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$237.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$226.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.25
|
| Rate for Payer: Nomi Health Commercial |
$676.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$618.75
|
| Rate for Payer: PACE Senior Care Partners |
$195.94
|
| Rate for Payer: PACE SWMI |
$206.25
|
| Rate for Payer: PHP Commercial |
$701.25
|
| Rate for Payer: PHP Medicare Advantage |
$206.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$717.75
|
| Rate for Payer: Priority Health Medicare |
$208.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$574.20
|
| Rate for Payer: Railroad Medicare Medicare |
$206.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.00
|
| Rate for Payer: UHC Core |
$688.88
|
| Rate for Payer: UHC Exchange |
$206.25
|
| Rate for Payer: UHC Medicaid |
$145.45
|
| Rate for Payer: UHC Medicare Advantage |
$206.25
|
| Rate for Payer: UHCCP Medicaid |
$145.45
|
| Rate for Payer: VA VA |
$206.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$618.75
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 8
|
Facility
|
IP
|
$825.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200376
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$574.20 |
| Max. Negotiated Rate |
$742.50 |
| Rate for Payer: Aetna Commercial |
$701.25
|
| Rate for Payer: BCBS Trust/PPO |
$681.37
|
| Rate for Payer: BCN Commercial |
$681.37
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$709.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.00
|
| Rate for Payer: Healthscope Commercial |
$742.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$618.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.25
|
| Rate for Payer: Nomi Health Commercial |
$676.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$618.75
|
| Rate for Payer: PHP Commercial |
$701.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$717.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$574.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.00
|
| Rate for Payer: UHC Core |
$688.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$618.75
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 9
|
Facility
|
IP
|
$900.00
|
|
|
Service Code
|
CPT C1731
|
| Hospital Charge Code |
27200366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$626.40 |
| Max. Negotiated Rate |
$810.00 |
| Rate for Payer: Aetna Commercial |
$765.00
|
| Rate for Payer: BCBS Trust/PPO |
$743.31
|
| Rate for Payer: BCN Commercial |
$743.31
|
| Rate for Payer: Cash Price |
$720.00
|
| Rate for Payer: Cofinity Commercial |
$774.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.00
|
| Rate for Payer: Healthscope Commercial |
$810.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$765.00
|
| Rate for Payer: Nomi Health Commercial |
$738.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$675.00
|
| Rate for Payer: PHP Commercial |
$765.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$783.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$626.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.00
|
| Rate for Payer: UHC Core |
$751.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 9
|
Facility
|
OP
|
$900.00
|
|
|
Service Code
|
CPT C1731
|
| Hospital Charge Code |
27200366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$158.67 |
| Max. Negotiated Rate |
$810.00 |
| Rate for Payer: Aetna Commercial |
$765.00
|
| Rate for Payer: Aetna Medicare |
$234.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$281.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$281.25
|
| Rate for Payer: BCBS Complete |
$166.59
|
| Rate for Payer: BCBS MAPPO |
$225.00
|
| Rate for Payer: BCBS Trust/PPO |
$739.89
|
| Rate for Payer: BCN Commercial |
$739.89
|
| Rate for Payer: BCN Medicare Advantage |
$225.00
|
| Rate for Payer: Cash Price |
$720.00
|
| Rate for Payer: Cofinity Commercial |
$774.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.00
|
| Rate for Payer: Healthscope Commercial |
$810.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.00
|
| Rate for Payer: Mclaren Medicaid |
$158.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.25
|
| Rate for Payer: Meridian Medicaid |
$166.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$258.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$247.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$765.00
|
| Rate for Payer: Nomi Health Commercial |
$738.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$675.00
|
| Rate for Payer: PACE Senior Care Partners |
$213.75
|
| Rate for Payer: PACE SWMI |
$225.00
|
| Rate for Payer: PHP Commercial |
$765.00
|
| Rate for Payer: PHP Medicare Advantage |
$225.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$783.00
|
| Rate for Payer: Priority Health Medicare |
$227.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$626.40
|
| Rate for Payer: Railroad Medicare Medicare |
$225.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.00
|
| Rate for Payer: UHC Core |
$751.50
|
| Rate for Payer: UHC Exchange |
$225.00
|
| Rate for Payer: UHC Medicaid |
$158.67
|
| Rate for Payer: UHC Medicare Advantage |
$225.00
|
| Rate for Payer: UHCCP Medicaid |
$158.67
|
| Rate for Payer: VA VA |
$225.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D OR VECTOR MAP OTHER THAN COOL TIP LVL 32
|
Facility
|
IP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,262.00 |
| Max. Negotiated Rate |
$2,925.00 |
| Rate for Payer: Aetna Commercial |
$2,762.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,684.18
|
| Rate for Payer: BCN Commercial |
$2,684.18
|
| Rate for Payer: Cash Price |
$2,600.00
|
| Rate for Payer: Cofinity Commercial |
$2,795.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,600.00
|
| Rate for Payer: Healthscope Commercial |
$2,925.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,437.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,762.50
|
| Rate for Payer: Nomi Health Commercial |
$2,665.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,437.50
|
| Rate for Payer: PHP Commercial |
$2,762.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,827.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,262.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,860.00
|
| Rate for Payer: UHC Core |
$2,713.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,437.50
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D OR VECTOR MAP OTHER THAN COOL TIP LVL 32
|
Facility
|
OP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$572.98 |
| Max. Negotiated Rate |
$2,925.00 |
| Rate for Payer: Aetna Commercial |
$2,762.50
|
| Rate for Payer: Aetna Medicare |
$845.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.62
|
| Rate for Payer: BCBS Complete |
$601.58
|
| Rate for Payer: BCBS MAPPO |
$812.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,671.82
|
| Rate for Payer: BCN Commercial |
$2,671.82
|
| Rate for Payer: BCN Medicare Advantage |
$812.50
|
| Rate for Payer: Cash Price |
$2,600.00
|
| Rate for Payer: Cofinity Commercial |
$2,795.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.50
|
| Rate for Payer: Healthscope Commercial |
$2,925.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,437.50
|
| Rate for Payer: Mclaren Medicaid |
$572.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$853.12
|
| Rate for Payer: Meridian Medicaid |
$601.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$893.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,762.50
|
| Rate for Payer: Nomi Health Commercial |
$2,665.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,437.50
|
| Rate for Payer: PACE Senior Care Partners |
$771.88
|
| Rate for Payer: PACE SWMI |
$812.50
|
| Rate for Payer: PHP Commercial |
$2,762.50
|
| Rate for Payer: PHP Medicare Advantage |
$812.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$572.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,827.50
|
| Rate for Payer: Priority Health Medicare |
$820.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,262.00
|
| Rate for Payer: Railroad Medicare Medicare |
$812.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,860.00
|
| Rate for Payer: UHC Core |
$2,713.75
|
| Rate for Payer: UHC Exchange |
$812.50
|
| Rate for Payer: UHC Medicaid |
$572.98
|
| Rate for Payer: UHC Medicare Advantage |
$812.50
|
| Rate for Payer: UHCCP Medicaid |
$572.98
|
| Rate for Payer: VA VA |
$812.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,437.50
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 14
|
Facility
|
IP
|
$1,439.03
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200028
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,001.56 |
| Max. Negotiated Rate |
$1,295.13 |
| Rate for Payer: Aetna Commercial |
$1,223.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,188.49
|
| Rate for Payer: BCN Commercial |
$1,188.49
|
| Rate for Payer: Cash Price |
$1,151.22
|
| Rate for Payer: Cofinity Commercial |
$1,237.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,151.22
|
| Rate for Payer: Healthscope Commercial |
$1,295.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,079.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.18
|
| Rate for Payer: Nomi Health Commercial |
$1,180.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,079.27
|
| Rate for Payer: PHP Commercial |
$1,223.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,251.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,001.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,266.35
|
| Rate for Payer: UHC Core |
$1,201.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,079.27
|
|
