|
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 |
$771.88 |
| 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 |
$1,300.00
|
| Rate for Payer: BCBS MAPPO |
$812.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,671.82
|
| Rate for Payer: BCN Commercial |
$2,526.88
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$853.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,762.50
|
| Rate for Payer: Nomi Health Commercial |
$2,665.00
|
| 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 Cigna Priority Health |
$2,112.50
|
| Rate for Payer: Priority Health HMO/PPO |
$2,827.50
|
| Rate for Payer: Priority Health Medicare |
$820.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,177.50
|
| 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 Dual Complete DSNP |
$812.50
|
| Rate for Payer: UHC Exchange |
$812.50
|
| Rate for Payer: UHC Medicare Advantage |
$812.50
|
| Rate for Payer: VA VA |
$812.50
|
| 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
|
IP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,112.50 |
| Max. Negotiated Rate |
$2,925.00 |
| Rate for Payer: Aetna Commercial |
$2,762.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,652.98
|
| Rate for Payer: BCN Commercial |
$2,511.60
|
| 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: PHP Commercial |
$2,762.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,112.50
|
| Rate for Payer: Priority Health HMO/PPO |
$2,827.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,177.50
|
| 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 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 |
$935.37 |
| Max. Negotiated Rate |
$1,295.13 |
| Rate for Payer: Aetna Commercial |
$1,223.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,174.68
|
| Rate for Payer: BCN Commercial |
$1,112.08
|
| 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: PHP Commercial |
$1,223.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$935.37
|
| Rate for Payer: Priority Health HMO/PPO |
$1,251.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$964.15
|
| 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
|
|
|
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 |
$341.77 |
| 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 |
$575.61
|
| Rate for Payer: BCBS MAPPO |
$359.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.03
|
| Rate for Payer: BCN Commercial |
$1,118.85
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$377.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$413.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.18
|
| Rate for Payer: Nomi Health Commercial |
$1,180.00
|
| 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 Cigna Priority Health |
$935.37
|
| Rate for Payer: Priority Health HMO/PPO |
$1,251.96
|
| Rate for Payer: Priority Health Medicare |
$363.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$964.15
|
| 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 Dual Complete DSNP |
$359.76
|
| Rate for Payer: UHC Exchange |
$359.76
|
| Rate for Payer: UHC Medicare Advantage |
$359.76
|
| 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 |
$2,405.00 |
| Max. Negotiated Rate |
$3,330.00 |
| Rate for Payer: Aetna Commercial |
$3,145.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,020.31
|
| Rate for Payer: BCN Commercial |
$2,859.36
|
| 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: PHP Commercial |
$3,145.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,405.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,219.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,479.00
|
| 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 |
$878.75 |
| 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 |
$1,480.00
|
| Rate for Payer: BCBS MAPPO |
$925.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,041.77
|
| Rate for Payer: BCN Commercial |
$2,876.75
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$971.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,063.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,145.00
|
| Rate for Payer: Nomi Health Commercial |
$3,034.00
|
| 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 Cigna Priority Health |
$2,405.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,219.00
|
| Rate for Payer: Priority Health Medicare |
$934.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,479.00
|
| 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 Dual Complete DSNP |
$925.00
|
| Rate for Payer: UHC Exchange |
$925.00
|
| Rate for Payer: UHC Medicare Advantage |
$925.00
|
| 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
|
IP
|
$4,082.37
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,653.54 |
| Max. Negotiated Rate |
$3,674.13 |
| Rate for Payer: Aetna Commercial |
$3,470.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,332.44
|
| Rate for Payer: BCN Commercial |
$3,154.86
|
| 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: PHP Commercial |
$3,470.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,653.54
|
| Rate for Payer: Priority Health HMO/PPO |
$3,551.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,735.19
|
| 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 40
|
Facility
|
OP
|
$4,082.37
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$969.56 |
| 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 |
$1,632.95
|
| Rate for Payer: BCBS MAPPO |
$1,020.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,356.12
|
| Rate for Payer: BCN Commercial |
$3,174.04
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,071.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,173.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,470.01
|
| Rate for Payer: Nomi Health Commercial |
$3,347.54
|
| 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 Cigna Priority Health |
$2,653.54
|
| Rate for Payer: Priority Health HMO/PPO |
$3,551.66
|
| Rate for Payer: Priority Health Medicare |
$1,030.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,735.19
|
| 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 Dual Complete DSNP |
$1,020.59
|
| Rate for Payer: UHC Exchange |
$1,020.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,020.59
|
| 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 41
|
Facility
|
IP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,665.00 |
| Max. Negotiated Rate |
$3,690.00 |
| Rate for Payer: Aetna Commercial |
$3,485.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,346.83
|
| Rate for Payer: BCN Commercial |
$3,168.48
|
| 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: PHP Commercial |
$3,485.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,665.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,567.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,747.00
|
| 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 |
$973.75 |
| 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 |
$1,640.00
|
| Rate for Payer: BCBS MAPPO |
$1,025.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.61
|
| Rate for Payer: BCN Commercial |
$3,187.75
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,076.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,178.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,485.00
|
| Rate for Payer: Nomi Health Commercial |
$3,362.00
|
| 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 Cigna Priority Health |
$2,665.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,567.00
|
| Rate for Payer: Priority Health Medicare |
$1,035.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,747.00
|
| 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 Dual Complete DSNP |
$1,025.00
|
| Rate for Payer: UHC Exchange |
$1,025.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,025.00
|
| 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
|
IP
|
$4,681.80
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,043.17 |
| Max. Negotiated Rate |
$4,213.62 |
| Rate for Payer: Aetna Commercial |
$3,979.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,821.75
|
| Rate for Payer: BCN Commercial |
$3,618.10
|
| 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: PHP Commercial |
$3,979.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,043.17
|
| Rate for Payer: Priority Health HMO/PPO |
$4,073.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,136.81
|
| 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 45
|
Facility
|
OP
|
$4,681.80
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,111.93 |
| 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 |
$1,872.72
|
| Rate for Payer: BCBS MAPPO |
$1,170.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,848.91
|
| Rate for Payer: BCN Commercial |
$3,640.10
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,228.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,346.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,979.53
|
| Rate for Payer: Nomi Health Commercial |
$3,839.08
|
| 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 Cigna Priority Health |
$3,043.17
|
| Rate for Payer: Priority Health HMO/PPO |
$4,073.17
|
| Rate for Payer: Priority Health Medicare |
$1,182.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,136.81
|
| 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 Dual Complete DSNP |
$1,170.45
|
| Rate for Payer: UHC Exchange |
$1,170.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,170.45
|
| 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 62
|
Facility
|
IP
|
$6,374.09
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,143.16 |
| Max. Negotiated Rate |
$5,736.68 |
| Rate for Payer: Aetna Commercial |
$5,417.98
|
| Rate for Payer: BCBS Trust/PPO |
$5,203.17
|
| Rate for Payer: BCN Commercial |
$4,925.90
|
| 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: PHP Commercial |
$5,417.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,143.16
|
| Rate for Payer: Priority Health HMO/PPO |
$5,545.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,270.64
|
| 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 |
$1,513.85 |
| 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 |
$2,549.64
|
| Rate for Payer: BCBS MAPPO |
$1,593.52
|
| Rate for Payer: BCBS Trust/PPO |
$5,240.14
|
| Rate for Payer: BCN Commercial |
$4,955.85
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,673.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,832.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,417.98
|
| Rate for Payer: Nomi Health Commercial |
$5,226.75
|
| 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 Cigna Priority Health |
$4,143.16
|
| Rate for Payer: Priority Health HMO/PPO |
$5,545.46
|
| Rate for Payer: Priority Health Medicare |
$1,609.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,270.64
|
| 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 Dual Complete DSNP |
$1,593.52
|
| Rate for Payer: UHC Exchange |
$1,593.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,593.52
|
| 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
|
OP
|
$7,300.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,733.75 |
| 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 |
$2,920.00
|
| Rate for Payer: BCBS MAPPO |
$1,825.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,001.33
|
| Rate for Payer: BCN Commercial |
$5,675.75
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,916.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,098.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,205.00
|
| Rate for Payer: Nomi Health Commercial |
$5,986.00
|
| 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 Cigna Priority Health |
$4,745.00
|
| Rate for Payer: Priority Health HMO/PPO |
$6,351.00
|
| Rate for Payer: Priority Health Medicare |
$1,843.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,891.00
|
| 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 Dual Complete DSNP |
$1,825.00
|
| Rate for Payer: UHC Exchange |
$1,825.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,825.00
|
| 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 73
|
Facility
|
IP
|
$7,300.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,745.00 |
| Max. Negotiated Rate |
$6,570.00 |
| Rate for Payer: Aetna Commercial |
$6,205.00
|
| Rate for Payer: BCBS Trust/PPO |
$5,958.99
|
| Rate for Payer: BCN Commercial |
$5,641.44
|
| 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: PHP Commercial |
$6,205.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,745.00
|
| Rate for Payer: Priority Health HMO/PPO |
$6,351.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,891.00
|
| 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 DIAG/ABLAT LEVEL 66
|
Facility
|
IP
|
$6,691.20
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,349.28 |
| Max. Negotiated Rate |
$6,022.08 |
| Rate for Payer: Aetna Commercial |
$5,687.52
|
| Rate for Payer: BCBS Trust/PPO |
$5,462.03
|
| Rate for Payer: BCN Commercial |
$5,170.96
|
| 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: PHP Commercial |
$5,687.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,349.28
|
| Rate for Payer: Priority Health HMO/PPO |
$5,821.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,483.10
|
| 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 DIAG/ABLAT LEVEL 66
|
Facility
|
OP
|
$6,691.20
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,589.16 |
| 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 |
$2,676.48
|
| Rate for Payer: BCBS MAPPO |
$1,672.80
|
| Rate for Payer: BCBS Trust/PPO |
$5,500.84
|
| Rate for Payer: BCN Commercial |
$5,202.41
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,756.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,923.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,687.52
|
| Rate for Payer: Nomi Health Commercial |
$5,486.78
|
| 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 Cigna Priority Health |
$4,349.28
|
| Rate for Payer: Priority Health HMO/PPO |
$5,821.34
|
| Rate for Payer: Priority Health Medicare |
$1,689.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,483.10
|
| 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 Dual Complete DSNP |
$1,672.80
|
| Rate for Payer: UHC Exchange |
$1,672.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,672.80
|
| Rate for Payer: VA VA |
$1,672.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,018.40
|
|
|
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 |
$292.81 |
| 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 |
$493.15
|
| Rate for Payer: BCBS MAPPO |
$308.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,013.54
|
| Rate for Payer: BCN Commercial |
$958.56
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$354.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.94
|
| Rate for Payer: Nomi Health Commercial |
$1,010.95
|
| 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 Cigna Priority Health |
$801.37
|
| Rate for Payer: Priority Health HMO/PPO |
$1,072.60
|
| Rate for Payer: Priority Health Medicare |
$311.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$826.02
|
| 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 Dual Complete DSNP |
$308.22
|
| Rate for Payer: UHC Exchange |
$308.22
|
| Rate for Payer: UHC Medicare Advantage |
$308.22
|
| 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 12
|
Facility
|
IP
|
$1,232.87
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$801.37 |
| Max. Negotiated Rate |
$1,109.58 |
| Rate for Payer: Aetna Commercial |
$1,047.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.39
|
| Rate for Payer: BCN Commercial |
$952.76
|
| 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: PHP Commercial |
$1,047.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$801.37
|
| Rate for Payer: Priority Health HMO/PPO |
$1,072.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$826.02
|
| 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 28
|
Facility
|
IP
|
$2,871.30
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,866.34 |
| Max. Negotiated Rate |
$2,584.17 |
| Rate for Payer: Aetna Commercial |
$2,440.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,343.84
|
| Rate for Payer: BCN Commercial |
$2,218.94
|
| 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 |
$2,153.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,440.60
|
| Rate for Payer: Nomi Health Commercial |
$2,354.47
|
| Rate for Payer: PHP Commercial |
$2,440.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,866.34
|
| Rate for Payer: Priority Health HMO/PPO |
$2,498.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,923.77
|
| 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 |
$2,153.48
|
|
|
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 |
$681.93 |
| Max. Negotiated Rate |
$2,584.17 |
| Rate for Payer: Aetna Commercial |
$2,440.60
|
| 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 |
$1,148.52
|
| Rate for Payer: BCBS MAPPO |
$717.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,360.50
|
| Rate for Payer: BCN Commercial |
$2,232.44
|
| Rate for Payer: BCN Medicare Advantage |
$717.82
|
| 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 |
$717.82
|
| Rate for Payer: Healthscope Commercial |
$2,584.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,153.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$753.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$825.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,440.60
|
| Rate for Payer: Nomi Health Commercial |
$2,354.47
|
| Rate for Payer: PACE Senior Care Partners |
$681.93
|
| Rate for Payer: PACE SWMI |
$717.82
|
| Rate for Payer: PHP Commercial |
$2,440.60
|
| Rate for Payer: PHP Medicare Advantage |
$717.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,866.34
|
| Rate for Payer: Priority Health HMO/PPO |
$2,498.03
|
| Rate for Payer: Priority Health Medicare |
$725.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,923.77
|
| Rate for Payer: Railroad Medicare Medicare |
$717.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,526.74
|
| Rate for Payer: UHC Core |
$2,397.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$717.82
|
| Rate for Payer: UHC Exchange |
$717.82
|
| Rate for Payer: UHC Medicare Advantage |
$717.82
|
| Rate for Payer: VA VA |
$717.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,153.48
|
|
|
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 |
$2,121.60 |
| Max. Negotiated Rate |
$2,937.60 |
| Rate for Payer: Aetna Commercial |
$2,774.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,664.40
|
| Rate for Payer: BCN Commercial |
$2,522.42
|
| 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: PHP Commercial |
$2,774.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,121.60
|
| Rate for Payer: Priority Health HMO/PPO |
$2,839.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,186.88
|
| 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 32
|
Facility
|
OP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$775.20 |
| 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 |
$1,305.60
|
| Rate for Payer: BCBS MAPPO |
$816.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,683.33
|
| Rate for Payer: BCN Commercial |
$2,537.76
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$856.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$938.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,774.40
|
| Rate for Payer: Nomi Health Commercial |
$2,676.48
|
| 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 Cigna Priority Health |
$2,121.60
|
| Rate for Payer: Priority Health HMO/PPO |
$2,839.68
|
| Rate for Payer: Priority Health Medicare |
$824.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,186.88
|
| 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 Dual Complete DSNP |
$816.00
|
| Rate for Payer: UHC Exchange |
$816.00
|
| Rate for Payer: UHC Medicare Advantage |
$816.00
|
| 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 6
|
Facility
|
IP
|
$688.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$447.52 |
| Max. Negotiated Rate |
$619.65 |
| Rate for Payer: Aetna Commercial |
$585.22
|
| Rate for Payer: BCBS Trust/PPO |
$562.02
|
| Rate for Payer: BCN Commercial |
$532.07
|
| 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 |
$585.22
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: PHP Commercial |
$585.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.52
|
| Rate for Payer: Priority Health HMO/PPO |
$599.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$461.30
|
| 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
|
|
