|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 14
|
Facility
|
OP
|
$1,439.03
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200028
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$253.70 |
| Max. Negotiated Rate |
$1,295.13 |
| Rate for Payer: Aetna Commercial |
$1,223.18
|
| Rate for Payer: Aetna Medicare |
$374.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$449.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$449.70
|
| Rate for Payer: BCBS Complete |
$266.36
|
| Rate for Payer: BCBS MAPPO |
$359.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.03
|
| Rate for Payer: BCN Commercial |
$1,183.03
|
| Rate for Payer: BCN Medicare Advantage |
$359.76
|
| 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: Health Alliance Plan Medicare Advantage |
$359.76
|
| Rate for Payer: Healthscope Commercial |
$1,295.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,079.27
|
| Rate for Payer: Mclaren Medicaid |
$253.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$377.75
|
| Rate for Payer: Meridian Medicaid |
$266.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$413.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$395.73
|
| 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: PACE Senior Care Partners |
$341.77
|
| Rate for Payer: PACE SWMI |
$359.76
|
| Rate for Payer: PHP Commercial |
$1,223.18
|
| Rate for Payer: PHP Medicare Advantage |
$359.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,251.96
|
| Rate for Payer: Priority Health Medicare |
$363.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,001.56
|
| Rate for Payer: Railroad Medicare Medicare |
$359.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,266.35
|
| Rate for Payer: UHC Core |
$1,201.59
|
| Rate for Payer: UHC Exchange |
$359.76
|
| Rate for Payer: UHC Medicaid |
$253.70
|
| Rate for Payer: UHC Medicare Advantage |
$359.76
|
| Rate for Payer: UHCCP Medicaid |
$253.70
|
| Rate for Payer: VA VA |
$359.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,079.27
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 37
|
Facility
|
IP
|
$3,700.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200377
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,575.20 |
| Max. Negotiated Rate |
$3,330.00 |
| Rate for Payer: Aetna Commercial |
$3,145.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,055.83
|
| Rate for Payer: BCN Commercial |
$3,055.83
|
| Rate for Payer: Cash Price |
$2,960.00
|
| Rate for Payer: Cofinity Commercial |
$3,182.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,960.00
|
| Rate for Payer: Healthscope Commercial |
$3,330.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,775.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,145.00
|
| Rate for Payer: Nomi Health Commercial |
$3,034.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,775.00
|
| Rate for Payer: PHP Commercial |
$3,145.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,219.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,575.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,256.00
|
| Rate for Payer: UHC Core |
$3,089.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,775.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 37
|
Facility
|
OP
|
$3,700.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200377
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$652.31 |
| Max. Negotiated Rate |
$3,330.00 |
| Rate for Payer: Aetna Commercial |
$3,145.00
|
| Rate for Payer: Aetna Medicare |
$962.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,156.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,156.25
|
| Rate for Payer: BCBS Complete |
$684.87
|
| Rate for Payer: BCBS MAPPO |
$925.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,041.77
|
| Rate for Payer: BCN Commercial |
$3,041.77
|
| Rate for Payer: BCN Medicare Advantage |
$925.00
|
| Rate for Payer: Cash Price |
$2,960.00
|
| Rate for Payer: Cofinity Commercial |
$3,182.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,960.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$925.00
|
| Rate for Payer: Healthscope Commercial |
$3,330.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,775.00
|
| Rate for Payer: Mclaren Medicaid |
$652.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$971.25
|
| Rate for Payer: Meridian Medicaid |
$684.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,063.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,017.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,145.00
|
| Rate for Payer: Nomi Health Commercial |
$3,034.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,775.00
|
| Rate for Payer: PACE Senior Care Partners |
$878.75
|
| Rate for Payer: PACE SWMI |
$925.00
|
| Rate for Payer: PHP Commercial |
$3,145.00
|
| Rate for Payer: PHP Medicare Advantage |
$925.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$652.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,219.00
|
| Rate for Payer: Priority Health Medicare |
$934.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,575.20
|
| Rate for Payer: Railroad Medicare Medicare |
$925.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,256.00
|
| Rate for Payer: UHC Core |
$3,089.50
|
| Rate for Payer: UHC Exchange |
$925.00
|
| Rate for Payer: UHC Medicaid |
$652.31
|
| Rate for Payer: UHC Medicare Advantage |
$925.00
|
| Rate for Payer: UHCCP Medicaid |
$652.31
|
| Rate for Payer: VA VA |
$925.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,775.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 40
|
Facility
|
OP
|
$4,082.37
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$719.72 |
| Max. Negotiated Rate |
$3,674.13 |
| Rate for Payer: Aetna Commercial |
$3,470.01
|
| Rate for Payer: Aetna Medicare |
$1,061.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,275.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,275.74
|
| Rate for Payer: BCBS Complete |
$755.65
|
| Rate for Payer: BCBS MAPPO |
$1,020.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,356.12
|
| Rate for Payer: BCN Commercial |
$3,356.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,020.59
|
| Rate for Payer: Cash Price |
$3,265.90
|
| Rate for Payer: Cofinity Commercial |
$3,510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,265.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,020.59
|
| Rate for Payer: Healthscope Commercial |
$3,674.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,061.78
|
| Rate for Payer: Mclaren Medicaid |
$719.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,071.62
|
| Rate for Payer: Meridian Medicaid |
$755.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,173.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,122.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,470.01
|
| Rate for Payer: Nomi Health Commercial |
$3,347.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,061.78
|
| Rate for Payer: PACE Senior Care Partners |
$969.56
|
| Rate for Payer: PACE SWMI |
$1,020.59
|
| Rate for Payer: PHP Commercial |
$3,470.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,020.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,551.66
|
| Rate for Payer: Priority Health Medicare |
$1,030.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,841.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,020.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,592.49
|
| Rate for Payer: UHC Core |
$3,408.78
|
| Rate for Payer: UHC Exchange |
$1,020.59
|
| Rate for Payer: UHC Medicaid |
$719.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,020.59
|
| Rate for Payer: UHCCP Medicaid |
$719.72
|
| Rate for Payer: VA VA |
$1,020.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,061.78
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 40
|
Facility
|
IP
|
$4,082.37
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,841.33 |
| Max. Negotiated Rate |
$3,674.13 |
| Rate for Payer: Aetna Commercial |
$3,470.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,371.63
|
| Rate for Payer: BCN Commercial |
$3,371.63
|
| Rate for Payer: Cash Price |
$3,265.90
|
| Rate for Payer: Cofinity Commercial |
$3,510.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,265.90
|
| Rate for Payer: Healthscope Commercial |
$3,674.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,061.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,470.01
|
| Rate for Payer: Nomi Health Commercial |
$3,347.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,061.78
|
| Rate for Payer: PHP Commercial |
$3,470.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,551.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,841.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,592.49
|
| Rate for Payer: UHC Core |
$3,408.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,061.78
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 41
|
Facility
|
IP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,853.60 |
| Max. Negotiated Rate |
$3,690.00 |
| Rate for Payer: Aetna Commercial |
$3,485.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,386.19
|
| Rate for Payer: BCN Commercial |
$3,386.19
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,526.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Healthscope Commercial |
$3,690.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,075.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,485.00
|
| Rate for Payer: Nomi Health Commercial |
$3,362.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,075.00
|
| Rate for Payer: PHP Commercial |
$3,485.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,567.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,853.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,608.00
|
| Rate for Payer: UHC Core |
$3,423.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,075.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 41
|
Facility
|
OP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$722.83 |
| Max. Negotiated Rate |
$3,690.00 |
| Rate for Payer: Aetna Commercial |
$3,485.00
|
| Rate for Payer: Aetna Medicare |
$1,066.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,281.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,281.25
|
| Rate for Payer: BCBS Complete |
$758.91
|
| Rate for Payer: BCBS MAPPO |
$1,025.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.61
|
| Rate for Payer: BCN Commercial |
$3,370.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,025.00
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,526.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,025.00
|
| Rate for Payer: Healthscope Commercial |
$3,690.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,075.00
|
| Rate for Payer: Mclaren Medicaid |
$722.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,076.25
|
| Rate for Payer: Meridian Medicaid |
$758.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,178.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,127.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,485.00
|
| Rate for Payer: Nomi Health Commercial |
$3,362.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,075.00
|
| Rate for Payer: PACE Senior Care Partners |
$973.75
|
| Rate for Payer: PACE SWMI |
$1,025.00
|
| Rate for Payer: PHP Commercial |
$3,485.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,025.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$722.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,567.00
|
| Rate for Payer: Priority Health Medicare |
$1,035.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,853.60
|
| Rate for Payer: Railroad Medicare Medicare |
$1,025.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,608.00
|
| Rate for Payer: UHC Core |
$3,423.50
|
| Rate for Payer: UHC Exchange |
$1,025.00
|
| Rate for Payer: UHC Medicaid |
$722.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,025.00
|
| Rate for Payer: UHCCP Medicaid |
$722.83
|
| Rate for Payer: VA VA |
$1,025.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,075.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 45
|
Facility
|
OP
|
$4,681.80
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$825.40 |
| Max. Negotiated Rate |
$4,213.62 |
| Rate for Payer: Aetna Commercial |
$3,979.53
|
| Rate for Payer: Aetna Medicare |
$1,217.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,463.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,463.06
|
| Rate for Payer: BCBS Complete |
$866.60
|
| Rate for Payer: BCBS MAPPO |
$1,170.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,848.91
|
| Rate for Payer: BCN Commercial |
$3,848.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,170.45
|
| Rate for Payer: Cash Price |
$3,745.44
|
| Rate for Payer: Cofinity Commercial |
$4,026.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,745.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,170.45
|
| Rate for Payer: Healthscope Commercial |
$4,213.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,511.35
|
| Rate for Payer: Mclaren Medicaid |
$825.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,228.97
|
| Rate for Payer: Meridian Medicaid |
$866.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,346.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,287.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,979.53
|
| Rate for Payer: Nomi Health Commercial |
$3,839.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,511.35
|
| Rate for Payer: PACE Senior Care Partners |
$1,111.93
|
| Rate for Payer: PACE SWMI |
$1,170.45
|
| Rate for Payer: PHP Commercial |
$3,979.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,170.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$825.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,073.17
|
| Rate for Payer: Priority Health Medicare |
$1,182.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,258.53
|
| Rate for Payer: Railroad Medicare Medicare |
$1,170.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,119.98
|
| Rate for Payer: UHC Core |
$3,909.30
|
| Rate for Payer: UHC Exchange |
$1,170.45
|
| Rate for Payer: UHC Medicaid |
$825.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,170.45
|
| Rate for Payer: UHCCP Medicaid |
$825.40
|
| Rate for Payer: VA VA |
$1,170.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,511.35
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 45
|
Facility
|
IP
|
$4,681.80
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,258.53 |
| Max. Negotiated Rate |
$4,213.62 |
| Rate for Payer: Aetna Commercial |
$3,979.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,866.70
|
| Rate for Payer: BCN Commercial |
$3,866.70
|
| Rate for Payer: Cash Price |
$3,745.44
|
| Rate for Payer: Cofinity Commercial |
$4,026.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,745.44
|
| Rate for Payer: Healthscope Commercial |
$4,213.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,511.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,979.53
|
| Rate for Payer: Nomi Health Commercial |
$3,839.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,511.35
|
| Rate for Payer: PHP Commercial |
$3,979.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,073.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,258.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,119.98
|
| Rate for Payer: UHC Core |
$3,909.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,511.35
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 62
|
Facility
|
IP
|
$6,374.09
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,436.37 |
| Max. Negotiated Rate |
$5,736.68 |
| Rate for Payer: Aetna Commercial |
$5,417.98
|
| Rate for Payer: BCBS Trust/PPO |
$5,264.36
|
| Rate for Payer: BCN Commercial |
$5,264.36
|
| Rate for Payer: Cash Price |
$5,099.27
|
| Rate for Payer: Cofinity Commercial |
$5,481.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,099.27
|
| Rate for Payer: Healthscope Commercial |
$5,736.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,780.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,417.98
|
| Rate for Payer: Nomi Health Commercial |
$5,226.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,780.57
|
| Rate for Payer: PHP Commercial |
$5,417.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,545.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,436.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,609.20
|
| Rate for Payer: UHC Core |
$5,322.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,780.57
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 62
|
Facility
|
OP
|
$6,374.09
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,123.75 |
| Max. Negotiated Rate |
$5,736.68 |
| Rate for Payer: Aetna Commercial |
$5,417.98
|
| Rate for Payer: Aetna Medicare |
$1,657.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,991.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,991.90
|
| Rate for Payer: BCBS Complete |
$1,179.84
|
| Rate for Payer: BCBS MAPPO |
$1,593.52
|
| Rate for Payer: BCBS Trust/PPO |
$5,240.14
|
| Rate for Payer: BCN Commercial |
$5,240.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,593.52
|
| Rate for Payer: Cash Price |
$5,099.27
|
| Rate for Payer: Cofinity Commercial |
$5,481.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,099.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,593.52
|
| Rate for Payer: Healthscope Commercial |
$5,736.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,780.57
|
| Rate for Payer: Mclaren Medicaid |
$1,123.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,673.20
|
| Rate for Payer: Meridian Medicaid |
$1,179.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,832.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,752.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,417.98
|
| Rate for Payer: Nomi Health Commercial |
$5,226.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,780.57
|
| Rate for Payer: PACE Senior Care Partners |
$1,513.85
|
| Rate for Payer: PACE SWMI |
$1,593.52
|
| Rate for Payer: PHP Commercial |
$5,417.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,593.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,123.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,545.46
|
| Rate for Payer: Priority Health Medicare |
$1,609.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,436.37
|
| Rate for Payer: Railroad Medicare Medicare |
$1,593.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,609.20
|
| Rate for Payer: UHC Core |
$5,322.37
|
| Rate for Payer: UHC Exchange |
$1,593.52
|
| Rate for Payer: UHC Medicaid |
$1,123.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,593.52
|
| Rate for Payer: UHCCP Medicaid |
$1,123.75
|
| Rate for Payer: VA VA |
$1,593.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,780.57
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 73
|
Facility
|
IP
|
$7,300.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,080.80 |
| Max. Negotiated Rate |
$6,570.00 |
| Rate for Payer: Aetna Commercial |
$6,205.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,029.07
|
| Rate for Payer: BCN Commercial |
$6,029.07
|
| Rate for Payer: Cash Price |
$5,840.00
|
| Rate for Payer: Cofinity Commercial |
$6,278.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,840.00
|
| Rate for Payer: Healthscope Commercial |
$6,570.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,475.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,205.00
|
| Rate for Payer: Nomi Health Commercial |
$5,986.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,475.00
|
| Rate for Payer: PHP Commercial |
$6,205.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,351.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,080.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,424.00
|
| Rate for Payer: UHC Core |
$6,095.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,475.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 73
|
Facility
|
OP
|
$7,300.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,286.99 |
| Max. Negotiated Rate |
$6,570.00 |
| Rate for Payer: Aetna Commercial |
$6,205.00
|
| Rate for Payer: Aetna Medicare |
$1,898.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,281.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,281.25
|
| Rate for Payer: BCBS Complete |
$1,351.23
|
| Rate for Payer: BCBS MAPPO |
$1,825.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,001.33
|
| Rate for Payer: BCN Commercial |
$6,001.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,825.00
|
| Rate for Payer: Cash Price |
$5,840.00
|
| Rate for Payer: Cofinity Commercial |
$6,278.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,840.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,825.00
|
| Rate for Payer: Healthscope Commercial |
$6,570.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,475.00
|
| Rate for Payer: Mclaren Medicaid |
$1,286.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,916.25
|
| Rate for Payer: Meridian Medicaid |
$1,351.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,098.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,007.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,205.00
|
| Rate for Payer: Nomi Health Commercial |
$5,986.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,475.00
|
| Rate for Payer: PACE Senior Care Partners |
$1,733.75
|
| Rate for Payer: PACE SWMI |
$1,825.00
|
| Rate for Payer: PHP Commercial |
$6,205.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,825.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,286.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,351.00
|
| Rate for Payer: Priority Health Medicare |
$1,843.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,080.80
|
| Rate for Payer: Railroad Medicare Medicare |
$1,825.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,424.00
|
| Rate for Payer: UHC Core |
$6,095.50
|
| Rate for Payer: UHC Exchange |
$1,825.00
|
| Rate for Payer: UHC Medicaid |
$1,286.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,825.00
|
| Rate for Payer: UHCCP Medicaid |
$1,286.99
|
| Rate for Payer: VA VA |
$1,825.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,475.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 83
|
Facility
|
IP
|
$8,394.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,842.22 |
| Max. Negotiated Rate |
$7,554.60 |
| Rate for Payer: Aetna Commercial |
$7,134.90
|
| Rate for Payer: BCBS Trust/PPO |
$6,932.60
|
| Rate for Payer: BCN Commercial |
$6,932.60
|
| Rate for Payer: Cash Price |
$6,715.20
|
| Rate for Payer: Cofinity Commercial |
$7,218.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,715.20
|
| Rate for Payer: Healthscope Commercial |
$7,554.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,295.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,134.90
|
| Rate for Payer: Nomi Health Commercial |
$6,883.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,295.50
|
| Rate for Payer: PHP Commercial |
$7,134.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,302.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,842.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,386.72
|
| Rate for Payer: UHC Core |
$7,008.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,295.50
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 83
|
Facility
|
OP
|
$8,394.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,479.86 |
| Max. Negotiated Rate |
$7,554.60 |
| Rate for Payer: Aetna Commercial |
$7,134.90
|
| Rate for Payer: Aetna Medicare |
$2,182.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,623.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,623.12
|
| Rate for Payer: BCBS Complete |
$1,553.73
|
| Rate for Payer: BCBS MAPPO |
$2,098.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,900.71
|
| Rate for Payer: BCN Commercial |
$6,900.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,098.50
|
| Rate for Payer: Cash Price |
$6,715.20
|
| Rate for Payer: Cofinity Commercial |
$7,218.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,715.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,098.50
|
| Rate for Payer: Healthscope Commercial |
$7,554.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,295.50
|
| Rate for Payer: Mclaren Medicaid |
$1,479.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,203.43
|
| Rate for Payer: Meridian Medicaid |
$1,553.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,413.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,308.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,134.90
|
| Rate for Payer: Nomi Health Commercial |
$6,883.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,295.50
|
| Rate for Payer: PACE Senior Care Partners |
$1,993.58
|
| Rate for Payer: PACE SWMI |
$2,098.50
|
| Rate for Payer: PHP Commercial |
$7,134.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,098.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,479.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,302.78
|
| Rate for Payer: Priority Health Medicare |
$2,119.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,842.22
|
| Rate for Payer: Railroad Medicare Medicare |
$2,098.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,386.72
|
| Rate for Payer: UHC Core |
$7,008.99
|
| Rate for Payer: UHC Exchange |
$2,098.50
|
| Rate for Payer: UHC Medicaid |
$1,479.86
|
| Rate for Payer: UHC Medicare Advantage |
$2,098.50
|
| Rate for Payer: UHCCP Medicaid |
$1,479.86
|
| Rate for Payer: VA VA |
$2,098.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,295.50
|
|
|
HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 66
|
Facility
|
OP
|
$6,691.20
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,179.66 |
| Max. Negotiated Rate |
$6,022.08 |
| Rate for Payer: Aetna Commercial |
$5,687.52
|
| Rate for Payer: Aetna Medicare |
$1,739.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,091.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,091.00
|
| Rate for Payer: BCBS Complete |
$1,238.54
|
| Rate for Payer: BCBS MAPPO |
$1,672.80
|
| Rate for Payer: BCBS Trust/PPO |
$5,500.84
|
| Rate for Payer: BCN Commercial |
$5,500.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,672.80
|
| Rate for Payer: Cash Price |
$5,352.96
|
| Rate for Payer: Cofinity Commercial |
$5,754.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,352.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,672.80
|
| Rate for Payer: Healthscope Commercial |
$6,022.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,018.40
|
| Rate for Payer: Mclaren Medicaid |
$1,179.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,756.44
|
| Rate for Payer: Meridian Medicaid |
$1,238.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,923.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,840.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,687.52
|
| Rate for Payer: Nomi Health Commercial |
$5,486.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,018.40
|
| Rate for Payer: PACE Senior Care Partners |
$1,589.16
|
| Rate for Payer: PACE SWMI |
$1,672.80
|
| Rate for Payer: PHP Commercial |
$5,687.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,672.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,179.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,821.34
|
| Rate for Payer: Priority Health Medicare |
$1,689.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,657.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,672.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,888.26
|
| Rate for Payer: UHC Core |
$5,587.15
|
| Rate for Payer: UHC Exchange |
$1,672.80
|
| Rate for Payer: UHC Medicaid |
$1,179.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,672.80
|
| Rate for Payer: UHCCP Medicaid |
$1,179.66
|
| Rate for Payer: VA VA |
$1,672.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,018.40
|
|
|
HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 66
|
Facility
|
IP
|
$6,691.20
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,657.08 |
| Max. Negotiated Rate |
$6,022.08 |
| Rate for Payer: Aetna Commercial |
$5,687.52
|
| Rate for Payer: BCBS Trust/PPO |
$5,526.26
|
| Rate for Payer: BCN Commercial |
$5,526.26
|
| Rate for Payer: Cash Price |
$5,352.96
|
| Rate for Payer: Cofinity Commercial |
$5,754.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,352.96
|
| Rate for Payer: Healthscope Commercial |
$6,022.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,018.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,687.52
|
| Rate for Payer: Nomi Health Commercial |
$5,486.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,018.40
|
| Rate for Payer: PHP Commercial |
$5,687.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,821.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,657.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,888.26
|
| Rate for Payer: UHC Core |
$5,587.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,018.40
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 12
|
Facility
|
IP
|
$1,232.87
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$858.08 |
| Max. Negotiated Rate |
$1,109.58 |
| Rate for Payer: Aetna Commercial |
$1,047.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.23
|
| Rate for Payer: BCN Commercial |
$1,018.23
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cofinity Commercial |
$1,060.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.30
|
| Rate for Payer: Healthscope Commercial |
$1,109.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$924.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.94
|
| Rate for Payer: Nomi Health Commercial |
$1,010.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$924.65
|
| Rate for Payer: PHP Commercial |
$1,047.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,072.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$858.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,084.93
|
| Rate for Payer: UHC Core |
$1,029.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$924.65
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 12
|
Facility
|
OP
|
$1,232.87
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$217.35 |
| Max. Negotiated Rate |
$1,109.58 |
| Rate for Payer: Aetna Commercial |
$1,047.94
|
| Rate for Payer: Aetna Medicare |
$320.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$385.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$385.27
|
| Rate for Payer: BCBS Complete |
$228.20
|
| Rate for Payer: BCBS MAPPO |
$308.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,013.54
|
| Rate for Payer: BCN Commercial |
$1,013.54
|
| Rate for Payer: BCN Medicare Advantage |
$308.22
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cofinity Commercial |
$1,060.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.22
|
| Rate for Payer: Healthscope Commercial |
$1,109.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$924.65
|
| Rate for Payer: Mclaren Medicaid |
$217.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.63
|
| Rate for Payer: Meridian Medicaid |
$228.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$354.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$339.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.94
|
| Rate for Payer: Nomi Health Commercial |
$1,010.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$924.65
|
| Rate for Payer: PACE Senior Care Partners |
$292.81
|
| Rate for Payer: PACE SWMI |
$308.22
|
| Rate for Payer: PHP Commercial |
$1,047.94
|
| Rate for Payer: PHP Medicare Advantage |
$308.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,072.60
|
| Rate for Payer: Priority Health Medicare |
$311.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$858.08
|
| Rate for Payer: Railroad Medicare Medicare |
$308.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,084.93
|
| Rate for Payer: UHC Core |
$1,029.45
|
| Rate for Payer: UHC Exchange |
$308.22
|
| Rate for Payer: UHC Medicaid |
$217.35
|
| Rate for Payer: UHC Medicare Advantage |
$308.22
|
| Rate for Payer: UHCCP Medicaid |
$217.35
|
| Rate for Payer: VA VA |
$308.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$924.65
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 28
|
Facility
|
IP
|
$2,871.30
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,998.42 |
| Max. Negotiated Rate |
$2,584.17 |
| Rate for Payer: Aetna Commercial |
$2,440.61
|
| Rate for Payer: BCBS Trust/PPO |
$2,371.41
|
| Rate for Payer: BCN Commercial |
$2,371.41
|
| Rate for Payer: Cash Price |
$2,297.04
|
| Rate for Payer: Cofinity Commercial |
$2,469.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,297.04
|
| Rate for Payer: Healthscope Commercial |
$2,584.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,153.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,440.61
|
| Rate for Payer: Nomi Health Commercial |
$2,354.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,153.47
|
| Rate for Payer: PHP Commercial |
$2,440.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,498.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,998.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,526.74
|
| Rate for Payer: UHC Core |
$2,397.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,153.47
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 28
|
Facility
|
OP
|
$2,871.30
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$506.21 |
| Max. Negotiated Rate |
$2,584.17 |
| Rate for Payer: Aetna Commercial |
$2,440.61
|
| Rate for Payer: Aetna Medicare |
$746.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$897.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$897.28
|
| Rate for Payer: BCBS Complete |
$531.48
|
| Rate for Payer: BCBS MAPPO |
$717.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,360.50
|
| Rate for Payer: BCN Commercial |
$2,360.50
|
| Rate for Payer: BCN Medicare Advantage |
$717.83
|
| Rate for Payer: Cash Price |
$2,297.04
|
| Rate for Payer: Cofinity Commercial |
$2,469.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,297.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$717.83
|
| Rate for Payer: Healthscope Commercial |
$2,584.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,153.47
|
| Rate for Payer: Mclaren Medicaid |
$506.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$753.72
|
| Rate for Payer: Meridian Medicaid |
$531.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$825.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$789.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,440.61
|
| Rate for Payer: Nomi Health Commercial |
$2,354.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,153.47
|
| Rate for Payer: PACE Senior Care Partners |
$681.93
|
| Rate for Payer: PACE SWMI |
$717.83
|
| Rate for Payer: PHP Commercial |
$2,440.61
|
| Rate for Payer: PHP Medicare Advantage |
$717.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,498.03
|
| Rate for Payer: Priority Health Medicare |
$725.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,998.42
|
| Rate for Payer: Railroad Medicare Medicare |
$717.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,526.74
|
| Rate for Payer: UHC Core |
$2,397.54
|
| Rate for Payer: UHC Exchange |
$717.83
|
| Rate for Payer: UHC Medicaid |
$506.21
|
| Rate for Payer: UHC Medicare Advantage |
$717.83
|
| Rate for Payer: UHCCP Medicaid |
$506.21
|
| Rate for Payer: VA VA |
$717.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,153.47
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 32
|
Facility
|
OP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$575.44 |
| Max. Negotiated Rate |
$2,937.60 |
| Rate for Payer: Aetna Commercial |
$2,774.40
|
| Rate for Payer: Aetna Medicare |
$848.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,020.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,020.00
|
| Rate for Payer: BCBS Complete |
$604.17
|
| Rate for Payer: BCBS MAPPO |
$816.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,683.33
|
| Rate for Payer: BCN Commercial |
$2,683.33
|
| Rate for Payer: BCN Medicare Advantage |
$816.00
|
| Rate for Payer: Cash Price |
$2,611.20
|
| Rate for Payer: Cofinity Commercial |
$2,807.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,611.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.00
|
| Rate for Payer: Healthscope Commercial |
$2,937.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,448.00
|
| Rate for Payer: Mclaren Medicaid |
$575.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$856.80
|
| Rate for Payer: Meridian Medicaid |
$604.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$938.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$897.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,774.40
|
| Rate for Payer: Nomi Health Commercial |
$2,676.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,448.00
|
| Rate for Payer: PACE Senior Care Partners |
$775.20
|
| Rate for Payer: PACE SWMI |
$816.00
|
| Rate for Payer: PHP Commercial |
$2,774.40
|
| Rate for Payer: PHP Medicare Advantage |
$816.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$575.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,839.68
|
| Rate for Payer: Priority Health Medicare |
$824.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,271.74
|
| Rate for Payer: Railroad Medicare Medicare |
$816.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,872.32
|
| Rate for Payer: UHC Core |
$2,725.44
|
| Rate for Payer: UHC Exchange |
$816.00
|
| Rate for Payer: UHC Medicaid |
$575.44
|
| Rate for Payer: UHC Medicare Advantage |
$816.00
|
| Rate for Payer: UHCCP Medicaid |
$575.44
|
| Rate for Payer: VA VA |
$816.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,448.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 32
|
Facility
|
IP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,271.74 |
| Max. Negotiated Rate |
$2,937.60 |
| Rate for Payer: Aetna Commercial |
$2,774.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,695.74
|
| Rate for Payer: BCN Commercial |
$2,695.74
|
| Rate for Payer: Cash Price |
$2,611.20
|
| Rate for Payer: Cofinity Commercial |
$2,807.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,611.20
|
| Rate for Payer: Healthscope Commercial |
$2,937.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,448.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,774.40
|
| Rate for Payer: Nomi Health Commercial |
$2,676.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,448.00
|
| Rate for Payer: PHP Commercial |
$2,774.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,839.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,271.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,872.32
|
| Rate for Payer: UHC Core |
$2,725.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,448.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 6
|
Facility
|
IP
|
$688.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$479.20 |
| Max. Negotiated Rate |
$619.65 |
| Rate for Payer: Aetna Commercial |
$585.23
|
| Rate for Payer: BCBS Trust/PPO |
$568.63
|
| Rate for Payer: BCN Commercial |
$568.63
|
| Rate for Payer: Cash Price |
$550.80
|
| Rate for Payer: Cofinity Commercial |
$592.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.80
|
| Rate for Payer: Healthscope Commercial |
$619.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.23
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$516.38
|
| Rate for Payer: PHP Commercial |
$585.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$599.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.88
|
| Rate for Payer: UHC Core |
$574.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.38
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 6
|
Facility
|
OP
|
$688.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.38 |
| Max. Negotiated Rate |
$619.65 |
| Rate for Payer: Aetna Commercial |
$585.23
|
| Rate for Payer: Aetna Medicare |
$179.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$215.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$215.16
|
| Rate for Payer: BCBS Complete |
$127.44
|
| Rate for Payer: BCBS MAPPO |
$172.12
|
| Rate for Payer: BCBS Trust/PPO |
$566.02
|
| Rate for Payer: BCN Commercial |
$566.02
|
| Rate for Payer: BCN Medicare Advantage |
$172.12
|
| Rate for Payer: Cash Price |
$550.80
|
| Rate for Payer: Cofinity Commercial |
$592.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.12
|
| Rate for Payer: Healthscope Commercial |
$619.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.38
|
| Rate for Payer: Mclaren Medicaid |
$121.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.73
|
| Rate for Payer: Meridian Medicaid |
$127.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$197.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$189.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.23
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$516.38
|
| Rate for Payer: PACE Senior Care Partners |
$163.52
|
| Rate for Payer: PACE SWMI |
$172.12
|
| Rate for Payer: PHP Commercial |
$585.23
|
| Rate for Payer: PHP Medicare Advantage |
$172.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$599.00
|
| Rate for Payer: Priority Health Medicare |
$173.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.20
|
| Rate for Payer: Railroad Medicare Medicare |
$172.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.88
|
| Rate for Payer: UHC Core |
$574.90
|
| Rate for Payer: UHC Exchange |
$172.12
|
| Rate for Payer: UHC Medicaid |
$121.38
|
| Rate for Payer: UHC Medicare Advantage |
$172.12
|
| Rate for Payer: UHCCP Medicaid |
$121.38
|
| Rate for Payer: VA VA |
$172.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.38
|
|
