|
HC IR ARTERIOGRAM
|
Facility
|
OP
|
$3,712.59
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$881.74 |
| Max. Negotiated Rate |
$3,341.33 |
| Rate for Payer: Aetna Commercial |
$3,155.70
|
| Rate for Payer: Aetna Medicare |
$965.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,160.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,160.18
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$928.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,886.54
|
| Rate for Payer: BCN Commercial |
$2,886.54
|
| Rate for Payer: BCN Medicare Advantage |
$928.15
|
| Rate for Payer: Cash Price |
$2,970.07
|
| Rate for Payer: Cash Price |
$2,970.07
|
| Rate for Payer: Cofinity Commercial |
$3,192.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,970.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$928.15
|
| Rate for Payer: Healthscope Commercial |
$3,341.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,784.44
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$974.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,067.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,155.70
|
| Rate for Payer: PACE Senior Care Partners |
$881.74
|
| Rate for Payer: PACE SWMI |
$928.15
|
| Rate for Payer: PHP Commercial |
$3,155.70
|
| Rate for Payer: PHP Medicare Advantage |
$928.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,598.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,229.95
|
| Rate for Payer: Priority Health Medicare |
$928.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,264.31
|
| Rate for Payer: Railroad Medicare Medicare |
$928.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,267.08
|
| Rate for Payer: UHC Core |
$3,100.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$928.15
|
| Rate for Payer: UHC Medicare Advantage |
$955.99
|
| Rate for Payer: VA VA |
$928.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,784.44
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
IP
|
$3,712.59
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,264.31 |
| Max. Negotiated Rate |
$3,341.33 |
| Rate for Payer: Aetna Commercial |
$3,155.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,869.09
|
| Rate for Payer: BCN Commercial |
$2,869.09
|
| Rate for Payer: Cash Price |
$2,970.07
|
| Rate for Payer: Cofinity Commercial |
$3,192.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,970.07
|
| Rate for Payer: Healthscope Commercial |
$3,341.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,784.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,155.70
|
| Rate for Payer: PHP Commercial |
$3,155.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,598.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,229.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,264.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,267.08
|
| Rate for Payer: UHC Core |
$3,100.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,784.44
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
IP
|
$3,111.90
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,897.95 |
| Max. Negotiated Rate |
$2,800.71 |
| Rate for Payer: Aetna Commercial |
$2,645.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,404.88
|
| Rate for Payer: BCN Commercial |
$2,404.88
|
| Rate for Payer: Cash Price |
$2,489.52
|
| Rate for Payer: Cofinity Commercial |
$2,676.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,489.52
|
| Rate for Payer: Healthscope Commercial |
$2,800.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,333.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,645.12
|
| Rate for Payer: PHP Commercial |
$2,645.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,178.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,707.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,897.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,738.47
|
| Rate for Payer: UHC Core |
$2,598.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,333.92
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
OP
|
$3,111.90
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$739.08 |
| Max. Negotiated Rate |
$2,800.71 |
| Rate for Payer: Aetna Commercial |
$2,645.12
|
| Rate for Payer: Aetna Medicare |
$809.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$972.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$972.47
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$777.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,419.50
|
| Rate for Payer: BCN Commercial |
$2,419.50
|
| Rate for Payer: BCN Medicare Advantage |
$777.98
|
| Rate for Payer: Cash Price |
$2,489.52
|
| Rate for Payer: Cash Price |
$2,489.52
|
| Rate for Payer: Cofinity Commercial |
$2,676.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,489.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$777.98
|
| Rate for Payer: Healthscope Commercial |
$2,800.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,333.92
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$816.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$894.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,645.12
|
| Rate for Payer: PACE Senior Care Partners |
$739.08
|
| Rate for Payer: PACE SWMI |
$777.98
|
| Rate for Payer: PHP Commercial |
$2,645.12
|
| Rate for Payer: PHP Medicare Advantage |
$777.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,178.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,707.35
|
| Rate for Payer: Priority Health Medicare |
$777.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,897.95
|
| Rate for Payer: Railroad Medicare Medicare |
$777.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,738.47
|
| Rate for Payer: UHC Core |
$2,598.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$777.98
|
| Rate for Payer: UHC Medicare Advantage |
$801.31
|
| Rate for Payer: VA VA |
$777.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,333.92
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
OP
|
$19,641.83
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,664.93 |
| Max. Negotiated Rate |
$17,677.65 |
| Rate for Payer: Aetna Commercial |
$16,695.56
|
| Rate for Payer: Aetna Medicare |
$5,106.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,138.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,138.07
|
| Rate for Payer: BCBS Complete |
$12,078.04
|
| Rate for Payer: BCBS MAPPO |
$4,910.46
|
| Rate for Payer: BCBS Trust/PPO |
$15,271.52
|
| Rate for Payer: BCN Commercial |
$15,271.52
|
| Rate for Payer: BCN Medicare Advantage |
$4,910.46
|
| Rate for Payer: Cash Price |
$15,713.46
|
| Rate for Payer: Cash Price |
$15,713.46
|
| Rate for Payer: Cofinity Commercial |
$16,891.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,713.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,910.46
|
| Rate for Payer: Healthscope Commercial |
$17,677.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,731.37
|
| Rate for Payer: Mclaren Medicaid |
$11,502.90
|
| Rate for Payer: Meridian Medicaid |
$12,078.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,155.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,647.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,695.56
|
| Rate for Payer: PACE Senior Care Partners |
$4,664.93
|
| Rate for Payer: PACE SWMI |
$4,910.46
|
| Rate for Payer: PHP Commercial |
$16,695.56
|
| Rate for Payer: PHP Medicare Advantage |
$4,910.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,749.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,088.39
|
| Rate for Payer: Priority Health Medicare |
$4,910.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,979.55
|
| Rate for Payer: Railroad Medicare Medicare |
$4,910.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,284.81
|
| Rate for Payer: UHC Core |
$16,400.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,910.46
|
| Rate for Payer: UHC Medicare Advantage |
$5,057.77
|
| Rate for Payer: VA VA |
$4,910.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,731.37
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
IP
|
$19,641.83
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,979.55 |
| Max. Negotiated Rate |
$17,677.65 |
| Rate for Payer: Aetna Commercial |
$16,695.56
|
| Rate for Payer: BCBS Trust/PPO |
$15,179.21
|
| Rate for Payer: BCN Commercial |
$15,179.21
|
| Rate for Payer: Cash Price |
$15,713.46
|
| Rate for Payer: Cofinity Commercial |
$16,891.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,713.46
|
| Rate for Payer: Healthscope Commercial |
$17,677.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,731.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,695.56
|
| Rate for Payer: PHP Commercial |
$16,695.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,749.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,088.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,979.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,284.81
|
| Rate for Payer: UHC Core |
$16,400.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,731.37
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
IP
|
$16,997.42
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,366.73 |
| Max. Negotiated Rate |
$15,297.68 |
| Rate for Payer: Aetna Commercial |
$14,447.81
|
| Rate for Payer: BCBS Trust/PPO |
$13,135.61
|
| Rate for Payer: BCN Commercial |
$13,135.61
|
| Rate for Payer: Cash Price |
$13,597.94
|
| Rate for Payer: Cofinity Commercial |
$14,617.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,597.94
|
| Rate for Payer: Healthscope Commercial |
$15,297.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,748.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,447.81
|
| Rate for Payer: PHP Commercial |
$14,447.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,898.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,787.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,366.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,957.73
|
| Rate for Payer: UHC Core |
$14,192.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,748.06
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
OP
|
$16,997.42
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,036.89 |
| Max. Negotiated Rate |
$15,297.68 |
| Rate for Payer: Aetna Commercial |
$14,447.81
|
| Rate for Payer: Aetna Medicare |
$4,419.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,311.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,311.69
|
| Rate for Payer: BCBS Complete |
$12,078.04
|
| Rate for Payer: BCBS MAPPO |
$4,249.36
|
| Rate for Payer: BCBS Trust/PPO |
$13,215.49
|
| Rate for Payer: BCN Commercial |
$13,215.49
|
| Rate for Payer: BCN Medicare Advantage |
$4,249.36
|
| Rate for Payer: Cash Price |
$13,597.94
|
| Rate for Payer: Cash Price |
$13,597.94
|
| Rate for Payer: Cofinity Commercial |
$14,617.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,597.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,249.36
|
| Rate for Payer: Healthscope Commercial |
$15,297.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,748.06
|
| Rate for Payer: Mclaren Medicaid |
$11,502.90
|
| Rate for Payer: Meridian Medicaid |
$12,078.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,461.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,886.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,447.81
|
| Rate for Payer: PACE Senior Care Partners |
$4,036.89
|
| Rate for Payer: PACE SWMI |
$4,249.36
|
| Rate for Payer: PHP Commercial |
$14,447.81
|
| Rate for Payer: PHP Medicare Advantage |
$4,249.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,898.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,787.76
|
| Rate for Payer: Priority Health Medicare |
$4,249.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,366.73
|
| Rate for Payer: Railroad Medicare Medicare |
$4,249.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,957.73
|
| Rate for Payer: UHC Core |
$14,192.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,249.36
|
| Rate for Payer: UHC Medicare Advantage |
$4,376.84
|
| Rate for Payer: VA VA |
$4,249.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,748.06
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
IP
|
$19,694.46
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,011.65 |
| Max. Negotiated Rate |
$17,725.01 |
| Rate for Payer: Aetna Commercial |
$16,740.29
|
| Rate for Payer: BCBS Trust/PPO |
$15,219.88
|
| Rate for Payer: BCN Commercial |
$15,219.88
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cofinity Commercial |
$16,937.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,755.57
|
| Rate for Payer: Healthscope Commercial |
$17,725.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,770.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,740.29
|
| Rate for Payer: PHP Commercial |
$16,740.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,786.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,134.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,011.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,331.12
|
| Rate for Payer: UHC Core |
$16,444.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,770.84
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
OP
|
$19,694.46
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,677.43 |
| Max. Negotiated Rate |
$17,725.01 |
| Rate for Payer: Aetna Commercial |
$16,740.29
|
| Rate for Payer: Aetna Medicare |
$5,120.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,154.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,154.52
|
| Rate for Payer: BCBS Complete |
$12,078.04
|
| Rate for Payer: BCBS MAPPO |
$4,923.62
|
| Rate for Payer: BCBS Trust/PPO |
$15,312.44
|
| Rate for Payer: BCN Commercial |
$15,312.44
|
| Rate for Payer: BCN Medicare Advantage |
$4,923.62
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cofinity Commercial |
$16,937.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,755.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,923.62
|
| Rate for Payer: Healthscope Commercial |
$17,725.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,770.84
|
| Rate for Payer: Mclaren Medicaid |
$11,502.90
|
| Rate for Payer: Meridian Medicaid |
$12,078.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,169.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,662.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,740.29
|
| Rate for Payer: PACE Senior Care Partners |
$4,677.43
|
| Rate for Payer: PACE SWMI |
$4,923.62
|
| Rate for Payer: PHP Commercial |
$16,740.29
|
| Rate for Payer: PHP Medicare Advantage |
$4,923.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,786.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,134.18
|
| Rate for Payer: Priority Health Medicare |
$4,923.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,011.65
|
| Rate for Payer: Railroad Medicare Medicare |
$4,923.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,331.12
|
| Rate for Payer: UHC Core |
$16,444.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,923.62
|
| Rate for Payer: UHC Medicare Advantage |
$5,071.32
|
| Rate for Payer: VA VA |
$4,923.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,770.84
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
OP
|
$21,529.00
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,113.14 |
| Max. Negotiated Rate |
$19,376.10 |
| Rate for Payer: Aetna Commercial |
$18,299.65
|
| Rate for Payer: Aetna Medicare |
$5,597.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,727.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,727.81
|
| Rate for Payer: BCBS Complete |
$12,078.04
|
| Rate for Payer: BCBS MAPPO |
$5,382.25
|
| Rate for Payer: BCBS Trust/PPO |
$16,738.80
|
| Rate for Payer: BCN Commercial |
$16,738.80
|
| Rate for Payer: BCN Medicare Advantage |
$5,382.25
|
| Rate for Payer: Cash Price |
$17,223.20
|
| Rate for Payer: Cash Price |
$17,223.20
|
| Rate for Payer: Cofinity Commercial |
$18,514.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,223.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,382.25
|
| Rate for Payer: Healthscope Commercial |
$19,376.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,146.75
|
| Rate for Payer: Mclaren Medicaid |
$11,502.90
|
| Rate for Payer: Meridian Medicaid |
$12,078.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,651.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,189.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18,299.65
|
| Rate for Payer: PACE Senior Care Partners |
$5,113.14
|
| Rate for Payer: PACE SWMI |
$5,382.25
|
| Rate for Payer: PHP Commercial |
$18,299.65
|
| Rate for Payer: PHP Medicare Advantage |
$5,382.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15,070.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,730.23
|
| Rate for Payer: Priority Health Medicare |
$5,382.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,130.54
|
| Rate for Payer: Railroad Medicare Medicare |
$5,382.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,945.52
|
| Rate for Payer: UHC Core |
$17,976.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,382.25
|
| Rate for Payer: UHC Medicare Advantage |
$5,543.72
|
| Rate for Payer: VA VA |
$5,382.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,146.75
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
IP
|
$21,529.00
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,130.54 |
| Max. Negotiated Rate |
$19,376.10 |
| Rate for Payer: Aetna Commercial |
$18,299.65
|
| Rate for Payer: BCBS Trust/PPO |
$16,637.61
|
| Rate for Payer: BCN Commercial |
$16,637.61
|
| Rate for Payer: Cash Price |
$17,223.20
|
| Rate for Payer: Cofinity Commercial |
$18,514.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,223.20
|
| Rate for Payer: Healthscope Commercial |
$19,376.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,146.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18,299.65
|
| Rate for Payer: PHP Commercial |
$18,299.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15,070.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,730.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,130.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,945.52
|
| Rate for Payer: UHC Core |
$17,976.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,146.75
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$9,329.13
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,215.67 |
| Max. Negotiated Rate |
$8,396.22 |
| Rate for Payer: Aetna Commercial |
$7,929.76
|
| Rate for Payer: Aetna Medicare |
$2,425.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,915.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,915.35
|
| Rate for Payer: BCBS Complete |
$3,731.65
|
| Rate for Payer: BCBS MAPPO |
$2,332.28
|
| Rate for Payer: BCBS Trust/PPO |
$7,253.40
|
| Rate for Payer: BCN Commercial |
$7,253.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,332.28
|
| Rate for Payer: Cash Price |
$7,463.30
|
| Rate for Payer: Cofinity Commercial |
$8,023.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,463.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,332.28
|
| Rate for Payer: Healthscope Commercial |
$8,396.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,996.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,448.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,682.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,929.76
|
| Rate for Payer: PACE Senior Care Partners |
$2,215.67
|
| Rate for Payer: PACE SWMI |
$2,332.28
|
| Rate for Payer: PHP Commercial |
$7,929.76
|
| Rate for Payer: PHP Medicare Advantage |
$2,332.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,530.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,116.34
|
| Rate for Payer: Priority Health Medicare |
$2,332.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,689.84
|
| Rate for Payer: Railroad Medicare Medicare |
$2,332.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,209.63
|
| Rate for Payer: UHC Core |
$7,789.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,332.28
|
| Rate for Payer: UHC Medicare Advantage |
$2,402.25
|
| Rate for Payer: VA VA |
$2,332.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,996.85
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$9,329.13
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,689.84 |
| Max. Negotiated Rate |
$8,396.22 |
| Rate for Payer: Aetna Commercial |
$7,929.76
|
| Rate for Payer: BCBS Trust/PPO |
$7,209.55
|
| Rate for Payer: BCN Commercial |
$7,209.55
|
| Rate for Payer: Cash Price |
$7,463.30
|
| Rate for Payer: Cofinity Commercial |
$8,023.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,463.30
|
| Rate for Payer: Healthscope Commercial |
$8,396.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,996.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,929.76
|
| Rate for Payer: PHP Commercial |
$7,929.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,530.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,116.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,689.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,209.63
|
| Rate for Payer: UHC Core |
$7,789.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,996.85
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
IP
|
$19,694.46
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,011.65 |
| Max. Negotiated Rate |
$17,725.01 |
| Rate for Payer: Aetna Commercial |
$16,740.29
|
| Rate for Payer: BCBS Trust/PPO |
$15,219.88
|
| Rate for Payer: BCN Commercial |
$15,219.88
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cofinity Commercial |
$16,937.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,755.57
|
| Rate for Payer: Healthscope Commercial |
$17,725.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,770.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,740.29
|
| Rate for Payer: PHP Commercial |
$16,740.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,786.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,134.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,011.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,331.12
|
| Rate for Payer: UHC Core |
$16,444.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,770.84
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
OP
|
$19,694.46
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,677.43 |
| Max. Negotiated Rate |
$17,725.01 |
| Rate for Payer: Aetna Commercial |
$16,740.29
|
| Rate for Payer: Aetna Medicare |
$5,120.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,154.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,154.52
|
| Rate for Payer: BCBS Complete |
$12,078.04
|
| Rate for Payer: BCBS MAPPO |
$4,923.62
|
| Rate for Payer: BCBS Trust/PPO |
$15,312.44
|
| Rate for Payer: BCN Commercial |
$15,312.44
|
| Rate for Payer: BCN Medicare Advantage |
$4,923.62
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cash Price |
$15,755.57
|
| Rate for Payer: Cofinity Commercial |
$16,937.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,755.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,923.62
|
| Rate for Payer: Healthscope Commercial |
$17,725.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,770.84
|
| Rate for Payer: Mclaren Medicaid |
$11,502.90
|
| Rate for Payer: Meridian Medicaid |
$12,078.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,169.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,662.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,740.29
|
| Rate for Payer: PACE Senior Care Partners |
$4,677.43
|
| Rate for Payer: PACE SWMI |
$4,923.62
|
| Rate for Payer: PHP Commercial |
$16,740.29
|
| Rate for Payer: PHP Medicare Advantage |
$4,923.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,786.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,134.18
|
| Rate for Payer: Priority Health Medicare |
$4,923.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,011.65
|
| Rate for Payer: Railroad Medicare Medicare |
$4,923.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,331.12
|
| Rate for Payer: UHC Core |
$16,444.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,923.62
|
| Rate for Payer: UHC Medicare Advantage |
$5,071.32
|
| Rate for Payer: VA VA |
$4,923.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,770.84
|
|
|
HC IR CATHETER
|
Facility
|
IP
|
$43.86
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.75 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: BCBS Trust/PPO |
$33.90
|
| Rate for Payer: BCN Commercial |
$33.90
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$37.28
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.60
|
| Rate for Payer: UHC Core |
$36.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC IR CATHETER
|
Facility
|
OP
|
$43.86
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.42 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: Aetna Medicare |
$11.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.71
|
| Rate for Payer: BCBS Complete |
$17.54
|
| Rate for Payer: BCBS MAPPO |
$10.96
|
| Rate for Payer: BCBS Trust/PPO |
$34.10
|
| Rate for Payer: BCN Commercial |
$34.10
|
| Rate for Payer: BCN Medicare Advantage |
$10.96
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.96
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$37.28
|
| Rate for Payer: PACE Senior Care Partners |
$10.42
|
| Rate for Payer: PACE SWMI |
$10.96
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: PHP Medicare Advantage |
$10.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.16
|
| Rate for Payer: Priority Health Medicare |
$10.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.75
|
| Rate for Payer: Railroad Medicare Medicare |
$10.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.60
|
| Rate for Payer: UHC Core |
$36.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.96
|
| Rate for Payer: UHC Medicare Advantage |
$11.29
|
| Rate for Payer: VA VA |
$10.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC IR CATHETER.
|
Facility
|
IP
|
$229.50
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$139.97 |
| Max. Negotiated Rate |
$206.55 |
| Rate for Payer: Aetna Commercial |
$195.08
|
| Rate for Payer: BCBS Trust/PPO |
$177.36
|
| Rate for Payer: BCN Commercial |
$177.36
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cofinity Commercial |
$197.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.60
|
| Rate for Payer: Healthscope Commercial |
$206.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$172.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$195.08
|
| Rate for Payer: PHP Commercial |
$195.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.96
|
| Rate for Payer: UHC Core |
$191.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$172.12
|
|
|
HC IR CATHETER.
|
Facility
|
OP
|
$229.50
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.51 |
| Max. Negotiated Rate |
$206.55 |
| Rate for Payer: Aetna Commercial |
$195.08
|
| Rate for Payer: Aetna Medicare |
$59.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71.72
|
| Rate for Payer: BCBS Complete |
$91.80
|
| Rate for Payer: BCBS MAPPO |
$57.38
|
| Rate for Payer: BCBS Trust/PPO |
$178.44
|
| Rate for Payer: BCN Commercial |
$178.44
|
| Rate for Payer: BCN Medicare Advantage |
$57.38
|
| Rate for Payer: Cash Price |
$183.60
|
| Rate for Payer: Cofinity Commercial |
$197.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.38
|
| Rate for Payer: Healthscope Commercial |
$206.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$172.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$60.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$195.08
|
| Rate for Payer: PACE Senior Care Partners |
$54.51
|
| Rate for Payer: PACE SWMI |
$57.38
|
| Rate for Payer: PHP Commercial |
$195.08
|
| Rate for Payer: PHP Medicare Advantage |
$57.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.66
|
| Rate for Payer: Priority Health Medicare |
$57.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.97
|
| Rate for Payer: Railroad Medicare Medicare |
$57.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.96
|
| Rate for Payer: UHC Core |
$191.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.38
|
| Rate for Payer: UHC Medicare Advantage |
$59.10
|
| Rate for Payer: VA VA |
$57.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$172.12
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
IP
|
$544.76
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$332.25 |
| Max. Negotiated Rate |
$490.28 |
| Rate for Payer: Aetna Commercial |
$463.05
|
| Rate for Payer: BCBS Trust/PPO |
$420.99
|
| Rate for Payer: BCN Commercial |
$420.99
|
| Rate for Payer: Cash Price |
$435.81
|
| Rate for Payer: Cofinity Commercial |
$468.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$435.81
|
| Rate for Payer: Healthscope Commercial |
$490.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$408.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$463.05
|
| Rate for Payer: PHP Commercial |
$463.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$381.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$473.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$332.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.39
|
| Rate for Payer: UHC Core |
$454.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$408.57
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
OP
|
$544.76
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$129.38 |
| Max. Negotiated Rate |
$490.28 |
| Rate for Payer: Aetna Commercial |
$463.05
|
| Rate for Payer: Aetna Medicare |
$141.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$170.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$170.24
|
| Rate for Payer: BCBS Complete |
$147.63
|
| Rate for Payer: BCBS MAPPO |
$136.19
|
| Rate for Payer: BCBS Trust/PPO |
$423.55
|
| Rate for Payer: BCN Commercial |
$423.55
|
| Rate for Payer: BCN Medicare Advantage |
$136.19
|
| Rate for Payer: Cash Price |
$435.81
|
| Rate for Payer: Cash Price |
$435.81
|
| Rate for Payer: Cofinity Commercial |
$468.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$435.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.19
|
| Rate for Payer: Healthscope Commercial |
$490.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$408.57
|
| Rate for Payer: Mclaren Medicaid |
$140.60
|
| Rate for Payer: Meridian Medicaid |
$147.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$143.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$156.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$463.05
|
| Rate for Payer: PACE Senior Care Partners |
$129.38
|
| Rate for Payer: PACE SWMI |
$136.19
|
| Rate for Payer: PHP Commercial |
$463.05
|
| Rate for Payer: PHP Medicare Advantage |
$136.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$381.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$473.94
|
| Rate for Payer: Priority Health Medicare |
$136.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$332.25
|
| Rate for Payer: Railroad Medicare Medicare |
$136.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.39
|
| Rate for Payer: UHC Core |
$454.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$136.19
|
| Rate for Payer: UHC Medicare Advantage |
$140.28
|
| Rate for Payer: VA VA |
$136.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$408.57
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
IP
|
$3,490.95
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,129.13 |
| Max. Negotiated Rate |
$3,141.86 |
| Rate for Payer: Aetna Commercial |
$2,967.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,697.81
|
| Rate for Payer: BCN Commercial |
$2,697.81
|
| Rate for Payer: Cash Price |
$2,792.76
|
| Rate for Payer: Cofinity Commercial |
$3,002.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,792.76
|
| Rate for Payer: Healthscope Commercial |
$3,141.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,618.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,967.31
|
| Rate for Payer: PHP Commercial |
$2,967.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,443.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,037.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,129.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,072.04
|
| Rate for Payer: UHC Core |
$2,914.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,618.21
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
OP
|
$3,490.95
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$829.10 |
| Max. Negotiated Rate |
$3,141.86 |
| Rate for Payer: Aetna Commercial |
$2,967.31
|
| Rate for Payer: Aetna Medicare |
$907.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,090.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,090.92
|
| Rate for Payer: BCBS Complete |
$1,402.94
|
| Rate for Payer: BCBS MAPPO |
$872.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,714.21
|
| Rate for Payer: BCN Commercial |
$2,714.21
|
| Rate for Payer: BCN Medicare Advantage |
$872.74
|
| Rate for Payer: Cash Price |
$2,792.76
|
| Rate for Payer: Cash Price |
$2,792.76
|
| Rate for Payer: Cofinity Commercial |
$3,002.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,792.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$872.74
|
| Rate for Payer: Healthscope Commercial |
$3,141.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,618.21
|
| Rate for Payer: Mclaren Medicaid |
$1,336.13
|
| Rate for Payer: Meridian Medicaid |
$1,402.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$916.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,003.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,967.31
|
| Rate for Payer: PACE Senior Care Partners |
$829.10
|
| Rate for Payer: PACE SWMI |
$872.74
|
| Rate for Payer: PHP Commercial |
$2,967.31
|
| Rate for Payer: PHP Medicare Advantage |
$872.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,336.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,443.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,037.13
|
| Rate for Payer: Priority Health Medicare |
$872.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,129.13
|
| Rate for Payer: Railroad Medicare Medicare |
$872.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,072.04
|
| Rate for Payer: UHC Core |
$2,914.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$872.74
|
| Rate for Payer: UHC Medicare Advantage |
$898.92
|
| Rate for Payer: VA VA |
$872.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,618.21
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
OP
|
$2,507.98
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$595.65 |
| Max. Negotiated Rate |
$2,257.18 |
| Rate for Payer: Aetna Commercial |
$2,131.78
|
| Rate for Payer: Aetna Medicare |
$652.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$783.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$783.74
|
| Rate for Payer: BCBS Complete |
$1,329.91
|
| Rate for Payer: BCBS MAPPO |
$627.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,949.95
|
| Rate for Payer: BCN Commercial |
$1,949.95
|
| Rate for Payer: BCN Medicare Advantage |
$627.00
|
| Rate for Payer: Cash Price |
$2,006.38
|
| Rate for Payer: Cash Price |
$2,006.38
|
| Rate for Payer: Cofinity Commercial |
$2,156.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,006.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.00
|
| Rate for Payer: Healthscope Commercial |
$2,257.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,880.98
|
| Rate for Payer: Mclaren Medicaid |
$1,266.58
|
| Rate for Payer: Meridian Medicaid |
$1,329.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$658.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$721.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,131.78
|
| Rate for Payer: PACE Senior Care Partners |
$595.65
|
| Rate for Payer: PACE SWMI |
$627.00
|
| Rate for Payer: PHP Commercial |
$2,131.78
|
| Rate for Payer: PHP Medicare Advantage |
$627.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,266.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,755.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,181.94
|
| Rate for Payer: Priority Health Medicare |
$627.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,529.62
|
| Rate for Payer: Railroad Medicare Medicare |
$627.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,207.02
|
| Rate for Payer: UHC Core |
$2,094.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$627.00
|
| Rate for Payer: UHC Medicare Advantage |
$645.80
|
| Rate for Payer: VA VA |
$627.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,880.98
|
|
