|
HC INSERTION DRUG IMPLANT DEVICE
|
Facility
|
OP
|
$169.51
|
|
|
Service Code
|
CPT 11981
|
| Hospital Charge Code |
76100179
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$29.88 |
| Max. Negotiated Rate |
$152.56 |
| Rate for Payer: Aetna Commercial |
$144.08
|
| Rate for Payer: Aetna Medicare |
$44.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52.97
|
| Rate for Payer: BCBS Complete |
$31.38
|
| Rate for Payer: BCBS MAPPO |
$42.38
|
| Rate for Payer: BCBS Trust/PPO |
$139.35
|
| Rate for Payer: BCN Commercial |
$139.35
|
| Rate for Payer: BCN Medicare Advantage |
$42.38
|
| Rate for Payer: Cash Price |
$135.61
|
| Rate for Payer: Cofinity Commercial |
$145.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.38
|
| Rate for Payer: Healthscope Commercial |
$152.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.13
|
| Rate for Payer: Mclaren Medicaid |
$29.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.50
|
| Rate for Payer: Meridian Medicaid |
$31.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$46.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.08
|
| Rate for Payer: Nomi Health Commercial |
$139.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.13
|
| Rate for Payer: PACE Senior Care Partners |
$40.26
|
| Rate for Payer: PACE SWMI |
$42.38
|
| Rate for Payer: PHP Commercial |
$144.08
|
| Rate for Payer: PHP Medicare Advantage |
$42.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$147.47
|
| Rate for Payer: Priority Health Medicare |
$42.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$117.98
|
| Rate for Payer: Railroad Medicare Medicare |
$42.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.17
|
| Rate for Payer: UHC Core |
$141.54
|
| Rate for Payer: UHC Exchange |
$42.38
|
| Rate for Payer: UHC Medicaid |
$29.88
|
| Rate for Payer: UHC Medicare Advantage |
$42.38
|
| Rate for Payer: UHCCP Medicaid |
$29.88
|
| Rate for Payer: VA VA |
$42.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.13
|
|
|
HC INSERTION DRUG IMPLANT DEVICE
|
Facility
|
IP
|
$169.51
|
|
|
Service Code
|
CPT 11981
|
| Hospital Charge Code |
76100179
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$117.98 |
| Max. Negotiated Rate |
$152.56 |
| Rate for Payer: Aetna Commercial |
$144.08
|
| Rate for Payer: BCBS Trust/PPO |
$140.00
|
| Rate for Payer: BCN Commercial |
$140.00
|
| Rate for Payer: Cash Price |
$135.61
|
| Rate for Payer: Cofinity Commercial |
$145.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.61
|
| Rate for Payer: Healthscope Commercial |
$152.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.08
|
| Rate for Payer: Nomi Health Commercial |
$139.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.13
|
| Rate for Payer: PHP Commercial |
$144.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$147.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$117.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.17
|
| Rate for Payer: UHC Core |
$141.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.13
|
|
|
HC INSERTION GASTRO TUBE W FLUORO
|
Facility
|
OP
|
$1,474.53
|
|
|
Service Code
|
CPT 49440
|
| Hospital Charge Code |
36100225
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$259.96 |
| Max. Negotiated Rate |
$1,327.08 |
| Rate for Payer: Aetna Commercial |
$1,253.35
|
| Rate for Payer: Aetna Medicare |
$383.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$460.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$460.79
|
| Rate for Payer: BCBS Complete |
$272.94
|
| Rate for Payer: BCBS MAPPO |
$368.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.21
|
| Rate for Payer: BCN Commercial |
$1,212.21
|
| Rate for Payer: BCN Medicare Advantage |
$368.63
|
| Rate for Payer: Cash Price |
$1,179.62
|
| Rate for Payer: Cofinity Commercial |
$1,268.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,179.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.63
|
| Rate for Payer: Healthscope Commercial |
$1,327.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,105.90
|
| Rate for Payer: Mclaren Medicaid |
$259.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$387.06
|
| Rate for Payer: Meridian Medicaid |
$272.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$423.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$405.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,253.35
|
| Rate for Payer: Nomi Health Commercial |
$1,209.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,105.90
|
| Rate for Payer: PACE Senior Care Partners |
$350.20
|
| Rate for Payer: PACE SWMI |
$368.63
|
| Rate for Payer: PHP Commercial |
$1,253.35
|
| Rate for Payer: PHP Medicare Advantage |
$368.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,282.84
|
| Rate for Payer: Priority Health Medicare |
$372.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,026.27
|
| Rate for Payer: Railroad Medicare Medicare |
$368.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,297.59
|
| Rate for Payer: UHC Core |
$1,231.23
|
| Rate for Payer: UHC Exchange |
$368.63
|
| Rate for Payer: UHC Medicaid |
$259.96
|
| Rate for Payer: UHC Medicare Advantage |
$368.63
|
| Rate for Payer: UHCCP Medicaid |
$259.96
|
| Rate for Payer: VA VA |
$368.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,105.90
|
|
|
HC INSERTION GASTRO TUBE W FLUORO
|
Facility
|
IP
|
$1,474.53
|
|
|
Service Code
|
CPT 49440
|
| Hospital Charge Code |
36100225
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,026.27 |
| Max. Negotiated Rate |
$1,327.08 |
| Rate for Payer: Aetna Commercial |
$1,253.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,217.81
|
| Rate for Payer: BCN Commercial |
$1,217.81
|
| Rate for Payer: Cash Price |
$1,179.62
|
| Rate for Payer: Cofinity Commercial |
$1,268.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,179.62
|
| Rate for Payer: Healthscope Commercial |
$1,327.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,105.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,253.35
|
| Rate for Payer: Nomi Health Commercial |
$1,209.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,105.90
|
| Rate for Payer: PHP Commercial |
$1,253.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,282.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,026.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,297.59
|
| Rate for Payer: UHC Core |
$1,231.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,105.90
|
|
|
HC INSERTION IUD
|
Facility
|
OP
|
$387.53
|
|
|
Service Code
|
CPT 58300
|
| Hospital Charge Code |
76100142
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$68.32 |
| Max. Negotiated Rate |
$348.78 |
| Rate for Payer: Aetna Commercial |
$329.40
|
| Rate for Payer: Aetna Medicare |
$100.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$121.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$121.10
|
| Rate for Payer: BCBS Complete |
$71.73
|
| Rate for Payer: BCBS MAPPO |
$96.88
|
| Rate for Payer: BCBS Trust/PPO |
$318.59
|
| Rate for Payer: BCN Commercial |
$318.59
|
| Rate for Payer: BCN Medicare Advantage |
$96.88
|
| Rate for Payer: Cash Price |
$310.02
|
| Rate for Payer: Cofinity Commercial |
$333.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.88
|
| Rate for Payer: Healthscope Commercial |
$348.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.65
|
| Rate for Payer: Mclaren Medicaid |
$68.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.73
|
| Rate for Payer: Meridian Medicaid |
$71.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.40
|
| Rate for Payer: Nomi Health Commercial |
$317.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.65
|
| Rate for Payer: PACE Senior Care Partners |
$92.04
|
| Rate for Payer: PACE SWMI |
$96.88
|
| Rate for Payer: PHP Commercial |
$329.40
|
| Rate for Payer: PHP Medicare Advantage |
$96.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$337.15
|
| Rate for Payer: Priority Health Medicare |
$97.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.72
|
| Rate for Payer: Railroad Medicare Medicare |
$96.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$341.03
|
| Rate for Payer: UHC Core |
$323.59
|
| Rate for Payer: UHC Exchange |
$96.88
|
| Rate for Payer: UHC Medicaid |
$68.32
|
| Rate for Payer: UHC Medicare Advantage |
$96.88
|
| Rate for Payer: UHCCP Medicaid |
$68.32
|
| Rate for Payer: VA VA |
$96.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.65
|
|
|
HC INSERTION IUD
|
Facility
|
IP
|
$387.53
|
|
|
Service Code
|
CPT 58300
|
| Hospital Charge Code |
76100142
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$269.72 |
| Max. Negotiated Rate |
$348.78 |
| Rate for Payer: Aetna Commercial |
$329.40
|
| Rate for Payer: BCBS Trust/PPO |
$320.06
|
| Rate for Payer: BCN Commercial |
$320.06
|
| Rate for Payer: Cash Price |
$310.02
|
| Rate for Payer: Cofinity Commercial |
$333.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.02
|
| Rate for Payer: Healthscope Commercial |
$348.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$290.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.40
|
| Rate for Payer: Nomi Health Commercial |
$317.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.65
|
| Rate for Payer: PHP Commercial |
$329.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$337.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$341.03
|
| Rate for Payer: UHC Core |
$323.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$290.65
|
|
|
HC INSERTION NON TUNNELED CENTRAL LINE ABOVE 5 YRS AGE
|
Facility
|
OP
|
$2,596.45
|
|
|
Service Code
|
CPT 36556
|
| Hospital Charge Code |
36100120
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$457.75 |
| Max. Negotiated Rate |
$2,336.80 |
| Rate for Payer: Aetna Commercial |
$2,206.98
|
| Rate for Payer: Aetna Medicare |
$675.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$811.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$811.39
|
| Rate for Payer: BCBS Complete |
$480.60
|
| Rate for Payer: BCBS MAPPO |
$649.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,134.54
|
| Rate for Payer: BCN Commercial |
$2,134.54
|
| Rate for Payer: BCN Medicare Advantage |
$649.11
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,232.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$649.11
|
| Rate for Payer: Healthscope Commercial |
$2,336.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,947.34
|
| Rate for Payer: Mclaren Medicaid |
$457.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.57
|
| Rate for Payer: Meridian Medicaid |
$480.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$746.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$714.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: PACE Senior Care Partners |
$616.66
|
| Rate for Payer: PACE SWMI |
$649.11
|
| Rate for Payer: PHP Commercial |
$2,206.98
|
| Rate for Payer: PHP Medicare Advantage |
$649.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,258.91
|
| Rate for Payer: Priority Health Medicare |
$655.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,807.13
|
| Rate for Payer: Railroad Medicare Medicare |
$649.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,284.88
|
| Rate for Payer: UHC Core |
$2,168.04
|
| Rate for Payer: UHC Exchange |
$649.11
|
| Rate for Payer: UHC Medicaid |
$457.75
|
| Rate for Payer: UHC Medicare Advantage |
$649.11
|
| Rate for Payer: UHCCP Medicaid |
$457.75
|
| Rate for Payer: VA VA |
$649.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,947.34
|
|
|
HC INSERTION NON TUNNELED CENTRAL LINE ABOVE 5 YRS AGE
|
Facility
|
IP
|
$2,596.45
|
|
|
Service Code
|
CPT 36556
|
| Hospital Charge Code |
36100120
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,807.13 |
| Max. Negotiated Rate |
$2,336.80 |
| Rate for Payer: Aetna Commercial |
$2,206.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,144.41
|
| Rate for Payer: BCN Commercial |
$2,144.41
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,232.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Healthscope Commercial |
$2,336.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,947.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: PHP Commercial |
$2,206.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,258.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,807.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,284.88
|
| Rate for Payer: UHC Core |
$2,168.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,947.34
|
|
|
HC INSERTION NON TUNNELED CENTRAL LINE LESS 5 YRS AGE
|
Facility
|
IP
|
$2,596.45
|
|
|
Service Code
|
CPT 36555
|
| Hospital Charge Code |
36100119
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,807.13 |
| Max. Negotiated Rate |
$2,336.80 |
| Rate for Payer: Aetna Commercial |
$2,206.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,144.41
|
| Rate for Payer: BCN Commercial |
$2,144.41
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,232.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Healthscope Commercial |
$2,336.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,947.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: PHP Commercial |
$2,206.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,258.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,807.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,284.88
|
| Rate for Payer: UHC Core |
$2,168.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,947.34
|
|
|
HC INSERTION NON TUNNELED CENTRAL LINE LESS 5 YRS AGE
|
Facility
|
OP
|
$2,596.45
|
|
|
Service Code
|
CPT 36555
|
| Hospital Charge Code |
36100119
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$457.75 |
| Max. Negotiated Rate |
$2,336.80 |
| Rate for Payer: Aetna Commercial |
$2,206.98
|
| Rate for Payer: Aetna Medicare |
$675.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$811.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$811.39
|
| Rate for Payer: BCBS Complete |
$480.60
|
| Rate for Payer: BCBS MAPPO |
$649.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,134.54
|
| Rate for Payer: BCN Commercial |
$2,134.54
|
| Rate for Payer: BCN Medicare Advantage |
$649.11
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,232.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$649.11
|
| Rate for Payer: Healthscope Commercial |
$2,336.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,947.34
|
| Rate for Payer: Mclaren Medicaid |
$457.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.57
|
| Rate for Payer: Meridian Medicaid |
$480.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$746.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$714.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: PACE Senior Care Partners |
$616.66
|
| Rate for Payer: PACE SWMI |
$649.11
|
| Rate for Payer: PHP Commercial |
$2,206.98
|
| Rate for Payer: PHP Medicare Advantage |
$649.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,258.91
|
| Rate for Payer: Priority Health Medicare |
$655.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,807.13
|
| Rate for Payer: Railroad Medicare Medicare |
$649.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,284.88
|
| Rate for Payer: UHC Core |
$2,168.04
|
| Rate for Payer: UHC Exchange |
$649.11
|
| Rate for Payer: UHC Medicaid |
$457.75
|
| Rate for Payer: UHC Medicare Advantage |
$649.11
|
| Rate for Payer: UHCCP Medicaid |
$457.75
|
| Rate for Payer: VA VA |
$649.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,947.34
|
|
|
HC INSERTION PERIPHERALLY CVAD W PORT ABOVE 5 YRS AGE
|
Facility
|
IP
|
$3,021.82
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
36100130
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,103.19 |
| Max. Negotiated Rate |
$2,719.64 |
| Rate for Payer: Aetna Commercial |
$2,568.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,495.72
|
| Rate for Payer: BCN Commercial |
$2,495.72
|
| Rate for Payer: Cash Price |
$2,417.46
|
| Rate for Payer: Cofinity Commercial |
$2,598.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,417.46
|
| Rate for Payer: Healthscope Commercial |
$2,719.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,266.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.55
|
| Rate for Payer: Nomi Health Commercial |
$2,477.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,266.36
|
| Rate for Payer: PHP Commercial |
$2,568.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,628.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,103.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,659.20
|
| Rate for Payer: UHC Core |
$2,523.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,266.36
|
|
|
HC INSERTION PERIPHERALLY CVAD W PORT ABOVE 5 YRS AGE
|
Facility
|
OP
|
$3,021.82
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
36100130
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$532.75 |
| Max. Negotiated Rate |
$2,719.64 |
| Rate for Payer: Aetna Commercial |
$2,568.55
|
| Rate for Payer: Aetna Medicare |
$785.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$944.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$944.32
|
| Rate for Payer: BCBS Complete |
$559.34
|
| Rate for Payer: BCBS MAPPO |
$755.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,484.24
|
| Rate for Payer: BCN Commercial |
$2,484.24
|
| Rate for Payer: BCN Medicare Advantage |
$755.46
|
| Rate for Payer: Cash Price |
$2,417.46
|
| Rate for Payer: Cofinity Commercial |
$2,598.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,417.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$755.46
|
| Rate for Payer: Healthscope Commercial |
$2,719.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,266.36
|
| Rate for Payer: Mclaren Medicaid |
$532.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$793.23
|
| Rate for Payer: Meridian Medicaid |
$559.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$868.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$831.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.55
|
| Rate for Payer: Nomi Health Commercial |
$2,477.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,266.36
|
| Rate for Payer: PACE Senior Care Partners |
$717.68
|
| Rate for Payer: PACE SWMI |
$755.46
|
| Rate for Payer: PHP Commercial |
$2,568.55
|
| Rate for Payer: PHP Medicare Advantage |
$755.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,628.98
|
| Rate for Payer: Priority Health Medicare |
$763.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,103.19
|
| Rate for Payer: Railroad Medicare Medicare |
$755.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,659.20
|
| Rate for Payer: UHC Core |
$2,523.22
|
| Rate for Payer: UHC Exchange |
$755.46
|
| Rate for Payer: UHC Medicaid |
$532.75
|
| Rate for Payer: UHC Medicare Advantage |
$755.46
|
| Rate for Payer: UHCCP Medicaid |
$532.75
|
| Rate for Payer: VA VA |
$755.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,266.36
|
|
|
HC INSERTION PERIPHERALLY CVAD W PORT LESS THAN 5 YRS AGE
|
Facility
|
OP
|
$3,021.82
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
36100129
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$532.75 |
| Max. Negotiated Rate |
$2,719.64 |
| Rate for Payer: Aetna Commercial |
$2,568.55
|
| Rate for Payer: Aetna Medicare |
$785.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$944.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$944.32
|
| Rate for Payer: BCBS Complete |
$559.34
|
| Rate for Payer: BCBS MAPPO |
$755.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,484.24
|
| Rate for Payer: BCN Commercial |
$2,484.24
|
| Rate for Payer: BCN Medicare Advantage |
$755.46
|
| Rate for Payer: Cash Price |
$2,417.46
|
| Rate for Payer: Cofinity Commercial |
$2,598.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,417.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$755.46
|
| Rate for Payer: Healthscope Commercial |
$2,719.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,266.36
|
| Rate for Payer: Mclaren Medicaid |
$532.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$793.23
|
| Rate for Payer: Meridian Medicaid |
$559.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$868.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$831.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.55
|
| Rate for Payer: Nomi Health Commercial |
$2,477.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,266.36
|
| Rate for Payer: PACE Senior Care Partners |
$717.68
|
| Rate for Payer: PACE SWMI |
$755.46
|
| Rate for Payer: PHP Commercial |
$2,568.55
|
| Rate for Payer: PHP Medicare Advantage |
$755.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,628.98
|
| Rate for Payer: Priority Health Medicare |
$763.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,103.19
|
| Rate for Payer: Railroad Medicare Medicare |
$755.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,659.20
|
| Rate for Payer: UHC Core |
$2,523.22
|
| Rate for Payer: UHC Exchange |
$755.46
|
| Rate for Payer: UHC Medicaid |
$532.75
|
| Rate for Payer: UHC Medicare Advantage |
$755.46
|
| Rate for Payer: UHCCP Medicaid |
$532.75
|
| Rate for Payer: VA VA |
$755.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,266.36
|
|
|
HC INSERTION PERIPHERALLY CVAD W PORT LESS THAN 5 YRS AGE
|
Facility
|
IP
|
$3,021.82
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
36100129
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,103.19 |
| Max. Negotiated Rate |
$2,719.64 |
| Rate for Payer: Aetna Commercial |
$2,568.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,495.72
|
| Rate for Payer: BCN Commercial |
$2,495.72
|
| Rate for Payer: Cash Price |
$2,417.46
|
| Rate for Payer: Cofinity Commercial |
$2,598.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,417.46
|
| Rate for Payer: Healthscope Commercial |
$2,719.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,266.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.55
|
| Rate for Payer: Nomi Health Commercial |
$2,477.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,266.36
|
| Rate for Payer: PHP Commercial |
$2,568.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,628.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,103.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,659.20
|
| Rate for Payer: UHC Core |
$2,523.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,266.36
|
|
|
HC INSERTION PICC 5 YRS OR ABOVE WO IMAGING
|
Facility
|
OP
|
$1,806.05
|
|
|
Service Code
|
CPT 36569
|
| Hospital Charge Code |
36100128
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$318.41 |
| Max. Negotiated Rate |
$1,625.44 |
| Rate for Payer: Aetna Commercial |
$1,535.14
|
| Rate for Payer: Aetna Medicare |
$469.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$564.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$564.39
|
| Rate for Payer: BCBS Complete |
$334.30
|
| Rate for Payer: BCBS MAPPO |
$451.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,484.75
|
| Rate for Payer: BCN Commercial |
$1,484.75
|
| Rate for Payer: BCN Medicare Advantage |
$451.51
|
| Rate for Payer: Cash Price |
$1,444.84
|
| Rate for Payer: Cofinity Commercial |
$1,553.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.51
|
| Rate for Payer: Healthscope Commercial |
$1,625.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,354.54
|
| Rate for Payer: Mclaren Medicaid |
$318.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$474.09
|
| Rate for Payer: Meridian Medicaid |
$334.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$519.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$496.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,535.14
|
| Rate for Payer: Nomi Health Commercial |
$1,480.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,354.54
|
| Rate for Payer: PACE Senior Care Partners |
$428.94
|
| Rate for Payer: PACE SWMI |
$451.51
|
| Rate for Payer: PHP Commercial |
$1,535.14
|
| Rate for Payer: PHP Medicare Advantage |
$451.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$318.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,571.26
|
| Rate for Payer: Priority Health Medicare |
$456.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,257.01
|
| Rate for Payer: Railroad Medicare Medicare |
$451.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,589.32
|
| Rate for Payer: UHC Core |
$1,508.05
|
| Rate for Payer: UHC Exchange |
$451.51
|
| Rate for Payer: UHC Medicaid |
$318.41
|
| Rate for Payer: UHC Medicare Advantage |
$451.51
|
| Rate for Payer: UHCCP Medicaid |
$318.41
|
| Rate for Payer: VA VA |
$451.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,354.54
|
|
|
HC INSERTION PICC 5 YRS OR ABOVE WO IMAGING
|
Facility
|
IP
|
$1,806.05
|
|
|
Service Code
|
CPT 36569
|
| Hospital Charge Code |
36100128
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,257.01 |
| Max. Negotiated Rate |
$1,625.44 |
| Rate for Payer: Aetna Commercial |
$1,535.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,491.62
|
| Rate for Payer: BCN Commercial |
$1,491.62
|
| Rate for Payer: Cash Price |
$1,444.84
|
| Rate for Payer: Cofinity Commercial |
$1,553.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.84
|
| Rate for Payer: Healthscope Commercial |
$1,625.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,354.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,535.14
|
| Rate for Payer: Nomi Health Commercial |
$1,480.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,354.54
|
| Rate for Payer: PHP Commercial |
$1,535.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,571.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,257.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,589.32
|
| Rate for Payer: UHC Core |
$1,508.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,354.54
|
|
|
HC INSERTION PICC LESS THAN 5 YRS WO IMAGING
|
Facility
|
IP
|
$1,675.08
|
|
|
Service Code
|
CPT 36568
|
| Hospital Charge Code |
36100127
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,165.86 |
| Max. Negotiated Rate |
$1,507.57 |
| Rate for Payer: Aetna Commercial |
$1,423.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,383.45
|
| Rate for Payer: BCN Commercial |
$1,383.45
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,440.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Healthscope Commercial |
$1,507.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,256.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PHP Commercial |
$1,423.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,457.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,165.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,474.07
|
| Rate for Payer: UHC Core |
$1,398.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,256.31
|
|
|
HC INSERTION PICC LESS THAN 5 YRS WO IMAGING
|
Facility
|
OP
|
$1,675.08
|
|
|
Service Code
|
CPT 36568
|
| Hospital Charge Code |
36100127
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.32 |
| Max. Negotiated Rate |
$1,507.57 |
| Rate for Payer: Aetna Commercial |
$1,423.82
|
| Rate for Payer: Aetna Medicare |
$435.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$523.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$523.46
|
| Rate for Payer: BCBS Complete |
$310.06
|
| Rate for Payer: BCBS MAPPO |
$418.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.08
|
| Rate for Payer: BCN Commercial |
$1,377.08
|
| Rate for Payer: BCN Medicare Advantage |
$418.77
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,440.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$418.77
|
| Rate for Payer: Healthscope Commercial |
$1,507.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,256.31
|
| Rate for Payer: Mclaren Medicaid |
$295.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$439.71
|
| Rate for Payer: Meridian Medicaid |
$310.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$481.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$460.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PACE Senior Care Partners |
$397.83
|
| Rate for Payer: PACE SWMI |
$418.77
|
| Rate for Payer: PHP Commercial |
$1,423.82
|
| Rate for Payer: PHP Medicare Advantage |
$418.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,457.32
|
| Rate for Payer: Priority Health Medicare |
$422.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,165.86
|
| Rate for Payer: Railroad Medicare Medicare |
$418.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,474.07
|
| Rate for Payer: UHC Core |
$1,398.69
|
| Rate for Payer: UHC Exchange |
$418.77
|
| Rate for Payer: UHC Medicaid |
$295.32
|
| Rate for Payer: UHC Medicare Advantage |
$418.77
|
| Rate for Payer: UHCCP Medicaid |
$295.32
|
| Rate for Payer: VA VA |
$418.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,256.31
|
|
|
HC INSERTION PLEURAL DRAINAGE CATHETER
|
Facility
|
OP
|
$1,642.07
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
36100053
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$289.50 |
| Max. Negotiated Rate |
$1,477.86 |
| Rate for Payer: Aetna Commercial |
$1,395.76
|
| Rate for Payer: Aetna Medicare |
$426.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$513.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$513.15
|
| Rate for Payer: BCBS Complete |
$303.95
|
| Rate for Payer: BCBS MAPPO |
$410.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,349.95
|
| Rate for Payer: BCN Commercial |
$1,349.95
|
| Rate for Payer: BCN Medicare Advantage |
$410.52
|
| Rate for Payer: Cash Price |
$1,313.66
|
| Rate for Payer: Cofinity Commercial |
$1,412.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.52
|
| Rate for Payer: Healthscope Commercial |
$1,477.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,231.55
|
| Rate for Payer: Mclaren Medicaid |
$289.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.04
|
| Rate for Payer: Meridian Medicaid |
$303.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$472.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$451.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.76
|
| Rate for Payer: Nomi Health Commercial |
$1,346.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,231.55
|
| Rate for Payer: PACE Senior Care Partners |
$389.99
|
| Rate for Payer: PACE SWMI |
$410.52
|
| Rate for Payer: PHP Commercial |
$1,395.76
|
| Rate for Payer: PHP Medicare Advantage |
$410.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,428.60
|
| Rate for Payer: Priority Health Medicare |
$414.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,142.88
|
| Rate for Payer: Railroad Medicare Medicare |
$410.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,445.02
|
| Rate for Payer: UHC Core |
$1,371.13
|
| Rate for Payer: UHC Exchange |
$410.52
|
| Rate for Payer: UHC Medicaid |
$289.50
|
| Rate for Payer: UHC Medicare Advantage |
$410.52
|
| Rate for Payer: UHCCP Medicaid |
$289.50
|
| Rate for Payer: VA VA |
$410.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,231.55
|
|
|
HC INSERTION PLEURAL DRAINAGE CATHETER
|
Facility
|
IP
|
$1,642.07
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
36100053
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,142.88 |
| Max. Negotiated Rate |
$1,477.86 |
| Rate for Payer: Aetna Commercial |
$1,395.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,356.19
|
| Rate for Payer: BCN Commercial |
$1,356.19
|
| Rate for Payer: Cash Price |
$1,313.66
|
| Rate for Payer: Cofinity Commercial |
$1,412.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.66
|
| Rate for Payer: Healthscope Commercial |
$1,477.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,231.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.76
|
| Rate for Payer: Nomi Health Commercial |
$1,346.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,231.55
|
| Rate for Payer: PHP Commercial |
$1,395.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,428.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,142.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,445.02
|
| Rate for Payer: UHC Core |
$1,371.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,231.55
|
|
|
HC INSERTION TUNNELED CVA W PUMP
|
Facility
|
IP
|
$3,678.61
|
|
|
Service Code
|
CPT 36563
|
| Hospital Charge Code |
36100126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,560.31 |
| Max. Negotiated Rate |
$3,310.75 |
| Rate for Payer: Aetna Commercial |
$3,126.82
|
| Rate for Payer: BCBS Trust/PPO |
$3,038.16
|
| Rate for Payer: BCN Commercial |
$3,038.16
|
| Rate for Payer: Cash Price |
$2,942.89
|
| Rate for Payer: Cofinity Commercial |
$3,163.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,942.89
|
| Rate for Payer: Healthscope Commercial |
$3,310.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,758.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,126.82
|
| Rate for Payer: Nomi Health Commercial |
$3,016.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,758.96
|
| Rate for Payer: PHP Commercial |
$3,126.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,200.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,560.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,237.18
|
| Rate for Payer: UHC Core |
$3,071.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,758.96
|
|
|
HC INSERTION TUNNELED CVA W PUMP
|
Facility
|
OP
|
$3,678.61
|
|
|
Service Code
|
CPT 36563
|
| Hospital Charge Code |
36100126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$648.54 |
| Max. Negotiated Rate |
$3,310.75 |
| Rate for Payer: Aetna Commercial |
$3,126.82
|
| Rate for Payer: Aetna Medicare |
$956.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,149.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,149.57
|
| Rate for Payer: BCBS Complete |
$680.91
|
| Rate for Payer: BCBS MAPPO |
$919.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,024.19
|
| Rate for Payer: BCN Commercial |
$3,024.19
|
| Rate for Payer: BCN Medicare Advantage |
$919.65
|
| Rate for Payer: Cash Price |
$2,942.89
|
| Rate for Payer: Cofinity Commercial |
$3,163.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,942.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.65
|
| Rate for Payer: Healthscope Commercial |
$3,310.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,758.96
|
| Rate for Payer: Mclaren Medicaid |
$648.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.64
|
| Rate for Payer: Meridian Medicaid |
$680.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,057.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,011.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,126.82
|
| Rate for Payer: Nomi Health Commercial |
$3,016.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,758.96
|
| Rate for Payer: PACE Senior Care Partners |
$873.67
|
| Rate for Payer: PACE SWMI |
$919.65
|
| Rate for Payer: PHP Commercial |
$3,126.82
|
| Rate for Payer: PHP Medicare Advantage |
$919.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$648.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,200.39
|
| Rate for Payer: Priority Health Medicare |
$928.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,560.31
|
| Rate for Payer: Railroad Medicare Medicare |
$919.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,237.18
|
| Rate for Payer: UHC Core |
$3,071.64
|
| Rate for Payer: UHC Exchange |
$919.65
|
| Rate for Payer: UHC Medicaid |
$648.54
|
| Rate for Payer: UHC Medicare Advantage |
$919.65
|
| Rate for Payer: UHCCP Medicaid |
$648.54
|
| Rate for Payer: VA VA |
$919.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,758.96
|
|
|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
OP
|
$3,351.19
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$590.81 |
| Max. Negotiated Rate |
$3,016.07 |
| Rate for Payer: Aetna Commercial |
$2,848.51
|
| Rate for Payer: Aetna Medicare |
$871.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,047.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,047.25
|
| Rate for Payer: BCBS Complete |
$620.31
|
| Rate for Payer: BCBS MAPPO |
$837.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,755.01
|
| Rate for Payer: BCN Commercial |
$2,755.01
|
| Rate for Payer: BCN Medicare Advantage |
$837.80
|
| Rate for Payer: Cash Price |
$2,680.95
|
| Rate for Payer: Cofinity Commercial |
$2,882.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,680.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$837.80
|
| Rate for Payer: Healthscope Commercial |
$3,016.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,513.39
|
| Rate for Payer: Mclaren Medicaid |
$590.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$879.69
|
| Rate for Payer: Meridian Medicaid |
$620.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$963.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$921.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,848.51
|
| Rate for Payer: Nomi Health Commercial |
$2,747.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,513.39
|
| Rate for Payer: PACE Senior Care Partners |
$795.91
|
| Rate for Payer: PACE SWMI |
$837.80
|
| Rate for Payer: PHP Commercial |
$2,848.51
|
| Rate for Payer: PHP Medicare Advantage |
$837.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,915.54
|
| Rate for Payer: Priority Health Medicare |
$846.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,332.43
|
| Rate for Payer: Railroad Medicare Medicare |
$837.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,949.05
|
| Rate for Payer: UHC Core |
$2,798.24
|
| Rate for Payer: UHC Exchange |
$837.80
|
| Rate for Payer: UHC Medicaid |
$590.81
|
| Rate for Payer: UHC Medicare Advantage |
$837.80
|
| Rate for Payer: UHCCP Medicaid |
$590.81
|
| Rate for Payer: VA VA |
$837.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,513.39
|
|
|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
IP
|
$3,351.19
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,332.43 |
| Max. Negotiated Rate |
$3,016.07 |
| Rate for Payer: Aetna Commercial |
$2,848.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,767.75
|
| Rate for Payer: BCN Commercial |
$2,767.75
|
| Rate for Payer: Cash Price |
$2,680.95
|
| Rate for Payer: Cofinity Commercial |
$2,882.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,680.95
|
| Rate for Payer: Healthscope Commercial |
$3,016.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,513.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,848.51
|
| Rate for Payer: Nomi Health Commercial |
$2,747.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,513.39
|
| Rate for Payer: PHP Commercial |
$2,848.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,915.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,332.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,949.05
|
| Rate for Payer: UHC Core |
$2,798.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,513.39
|
|
|
HC INSERTION VENTRICULAR ASSIST DEVICE RIGHT HEART
|
Facility
|
IP
|
$3,141.86
|
|
|
Service Code
|
CPT 33995
|
| Hospital Charge Code |
48100136
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,186.73 |
| Max. Negotiated Rate |
$2,827.67 |
| Rate for Payer: Aetna Commercial |
$2,670.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,594.86
|
| Rate for Payer: BCN Commercial |
$2,594.86
|
| Rate for Payer: Cash Price |
$2,513.49
|
| Rate for Payer: Cofinity Commercial |
$2,702.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,513.49
|
| Rate for Payer: Healthscope Commercial |
$2,827.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,356.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,670.58
|
| Rate for Payer: Nomi Health Commercial |
$2,576.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,356.39
|
| Rate for Payer: PHP Commercial |
$2,670.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,733.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,186.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,764.84
|
| Rate for Payer: UHC Core |
$2,623.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,356.39
|
|
