|
HC IR REVASC IVT W STENT UNILAT COMPLEX INIT VESSEL
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37260
|
| Hospital Charge Code |
36100639
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$20,014.66 |
| Max. Negotiated Rate |
$25,881.03 |
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: BCBS Trust/PPO |
$23,750.16
|
| Rate for Payer: BCN Commercial |
$23,750.16
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$23,580.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25,018.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20,014.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,305.90
|
| Rate for Payer: UHC Core |
$24,011.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVASC IVT W STENT UNILAT COMPLEX INIT VESSEL
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37260
|
| Hospital Charge Code |
36100639
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,069.81 |
| Max. Negotiated Rate |
$25,881.03 |
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: Aetna Medicare |
$7,476.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,986.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,986.47
|
| Rate for Payer: BCBS Complete |
$5,322.87
|
| Rate for Payer: BCBS MAPPO |
$7,189.18
|
| Rate for Payer: BCBS Trust/PPO |
$23,640.88
|
| Rate for Payer: BCN Commercial |
$23,640.88
|
| Rate for Payer: BCN Medicare Advantage |
$7,189.18
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,189.18
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Mclaren Medicaid |
$5,069.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,548.63
|
| Rate for Payer: Meridian Medicaid |
$5,322.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,267.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,908.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$23,580.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PACE Senior Care Partners |
$6,829.72
|
| Rate for Payer: PACE SWMI |
$7,189.18
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: PHP Medicare Advantage |
$7,189.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,069.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25,018.33
|
| Rate for Payer: Priority Health Medicare |
$7,261.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20,014.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,189.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,305.90
|
| Rate for Payer: UHC Core |
$24,011.84
|
| Rate for Payer: UHC Exchange |
$7,189.18
|
| Rate for Payer: UHC Medicaid |
$5,069.81
|
| Rate for Payer: UHC Medicare Advantage |
$7,189.18
|
| Rate for Payer: UHCCP Medicaid |
$5,069.81
|
| Rate for Payer: VA VA |
$7,189.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVASC IVT W STENT UNILAT SF INITIAL VESSEL
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37258
|
| Hospital Charge Code |
36100638
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$20,014.66 |
| Max. Negotiated Rate |
$25,881.03 |
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: BCBS Trust/PPO |
$23,750.16
|
| Rate for Payer: BCN Commercial |
$23,750.16
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$23,580.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25,018.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20,014.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,305.90
|
| Rate for Payer: UHC Core |
$24,011.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVASC IVT W STENT UNILAT SF INITIAL VESSEL
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37258
|
| Hospital Charge Code |
36100638
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,069.81 |
| Max. Negotiated Rate |
$25,881.03 |
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: Aetna Medicare |
$7,476.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,986.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,986.47
|
| Rate for Payer: BCBS Complete |
$5,322.87
|
| Rate for Payer: BCBS MAPPO |
$7,189.18
|
| Rate for Payer: BCBS Trust/PPO |
$23,640.88
|
| Rate for Payer: BCN Commercial |
$23,640.88
|
| Rate for Payer: BCN Medicare Advantage |
$7,189.18
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,189.18
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Mclaren Medicaid |
$5,069.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,548.63
|
| Rate for Payer: Meridian Medicaid |
$5,322.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,267.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,908.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$23,580.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PACE Senior Care Partners |
$6,829.72
|
| Rate for Payer: PACE SWMI |
$7,189.18
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: PHP Medicare Advantage |
$7,189.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,069.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25,018.33
|
| Rate for Payer: Priority Health Medicare |
$7,261.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20,014.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,189.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,305.90
|
| Rate for Payer: UHC Core |
$24,011.84
|
| Rate for Payer: UHC Exchange |
$7,189.18
|
| Rate for Payer: UHC Medicaid |
$5,069.81
|
| Rate for Payer: UHC Medicare Advantage |
$7,189.18
|
| Rate for Payer: UHCCP Medicaid |
$5,069.81
|
| Rate for Payer: VA VA |
$7,189.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY FEMPOP UNI
|
Facility
|
IP
|
$11,244.00
|
|
|
Service Code
|
CPT 37224
|
| Hospital Charge Code |
36100168
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,825.82 |
| Max. Negotiated Rate |
$10,119.60 |
| Rate for Payer: Aetna Commercial |
$9,557.40
|
| Rate for Payer: BCBS Trust/PPO |
$9,286.42
|
| Rate for Payer: BCN Commercial |
$9,286.42
|
| Rate for Payer: Cash Price |
$8,995.20
|
| Rate for Payer: Cofinity Commercial |
$9,669.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,995.20
|
| Rate for Payer: Healthscope Commercial |
$10,119.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,433.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,557.40
|
| Rate for Payer: Nomi Health Commercial |
$9,220.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,433.00
|
| Rate for Payer: PHP Commercial |
$9,557.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,782.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,825.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,894.72
|
| Rate for Payer: UHC Core |
$9,388.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,433.00
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY FEMPOP UNI
|
Facility
|
OP
|
$11,244.00
|
|
|
Service Code
|
CPT 37224
|
| Hospital Charge Code |
36100168
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,982.32 |
| Max. Negotiated Rate |
$10,119.60 |
| Rate for Payer: Aetna Commercial |
$9,557.40
|
| Rate for Payer: Aetna Medicare |
$2,923.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,513.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,513.75
|
| Rate for Payer: BCBS Complete |
$2,081.26
|
| Rate for Payer: BCBS MAPPO |
$2,811.00
|
| Rate for Payer: BCBS Trust/PPO |
$9,243.69
|
| Rate for Payer: BCN Commercial |
$9,243.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,811.00
|
| Rate for Payer: Cash Price |
$8,995.20
|
| Rate for Payer: Cofinity Commercial |
$9,669.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,995.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,811.00
|
| Rate for Payer: Healthscope Commercial |
$10,119.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,433.00
|
| Rate for Payer: Mclaren Medicaid |
$1,982.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,951.55
|
| Rate for Payer: Meridian Medicaid |
$2,081.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,232.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,092.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,557.40
|
| Rate for Payer: Nomi Health Commercial |
$9,220.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,433.00
|
| Rate for Payer: PACE Senior Care Partners |
$2,670.45
|
| Rate for Payer: PACE SWMI |
$2,811.00
|
| Rate for Payer: PHP Commercial |
$9,557.40
|
| Rate for Payer: PHP Medicare Advantage |
$2,811.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,982.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,782.28
|
| Rate for Payer: Priority Health Medicare |
$2,839.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,825.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,811.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,894.72
|
| Rate for Payer: UHC Core |
$9,388.74
|
| Rate for Payer: UHC Exchange |
$2,811.00
|
| Rate for Payer: UHC Medicaid |
$1,982.32
|
| Rate for Payer: UHC Medicare Advantage |
$2,811.00
|
| Rate for Payer: UHCCP Medicaid |
$1,982.32
|
| Rate for Payer: VA VA |
$2,811.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,433.00
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY ILIAC UNILATERAL
|
Facility
|
OP
|
$11,336.90
|
|
|
Service Code
|
CPT 37220
|
| Hospital Charge Code |
36100164
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,998.70 |
| Max. Negotiated Rate |
$10,203.21 |
| Rate for Payer: Aetna Commercial |
$9,636.36
|
| Rate for Payer: Aetna Medicare |
$2,947.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,542.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,542.78
|
| Rate for Payer: BCBS Complete |
$2,098.46
|
| Rate for Payer: BCBS MAPPO |
$2,834.22
|
| Rate for Payer: BCBS Trust/PPO |
$9,320.07
|
| Rate for Payer: BCN Commercial |
$9,320.07
|
| Rate for Payer: BCN Medicare Advantage |
$2,834.22
|
| Rate for Payer: Cash Price |
$9,069.52
|
| Rate for Payer: Cofinity Commercial |
$9,749.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,069.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,834.22
|
| Rate for Payer: Healthscope Commercial |
$10,203.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,502.67
|
| Rate for Payer: Mclaren Medicaid |
$1,998.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,975.94
|
| Rate for Payer: Meridian Medicaid |
$2,098.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,259.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,117.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,636.36
|
| Rate for Payer: Nomi Health Commercial |
$9,296.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,502.67
|
| Rate for Payer: PACE Senior Care Partners |
$2,692.51
|
| Rate for Payer: PACE SWMI |
$2,834.22
|
| Rate for Payer: PHP Commercial |
$9,636.36
|
| Rate for Payer: PHP Medicare Advantage |
$2,834.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,998.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,863.10
|
| Rate for Payer: Priority Health Medicare |
$2,862.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,890.48
|
| Rate for Payer: Railroad Medicare Medicare |
$2,834.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,976.47
|
| Rate for Payer: UHC Core |
$9,466.31
|
| Rate for Payer: UHC Exchange |
$2,834.22
|
| Rate for Payer: UHC Medicaid |
$1,998.70
|
| Rate for Payer: UHC Medicare Advantage |
$2,834.22
|
| Rate for Payer: UHCCP Medicaid |
$1,998.70
|
| Rate for Payer: VA VA |
$2,834.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,502.67
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY ILIAC UNILATERAL
|
Facility
|
IP
|
$11,336.90
|
|
|
Service Code
|
CPT 37220
|
| Hospital Charge Code |
36100164
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,890.48 |
| Max. Negotiated Rate |
$10,203.21 |
| Rate for Payer: Aetna Commercial |
$9,636.36
|
| Rate for Payer: BCBS Trust/PPO |
$9,363.15
|
| Rate for Payer: BCN Commercial |
$9,363.15
|
| Rate for Payer: Cash Price |
$9,069.52
|
| Rate for Payer: Cofinity Commercial |
$9,749.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,069.52
|
| Rate for Payer: Healthscope Commercial |
$10,203.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,502.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,636.36
|
| Rate for Payer: Nomi Health Commercial |
$9,296.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,502.67
|
| Rate for Payer: PHP Commercial |
$9,636.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,863.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,890.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,976.47
|
| Rate for Payer: UHC Core |
$9,466.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,502.67
|
|
|
HC IR REVASCULARIZATION ILIAC EACH ADDITIONAL
|
Facility
|
OP
|
$7,367.36
|
|
|
Service Code
|
CPT 37222
|
| Hospital Charge Code |
36100166
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,298.87 |
| Max. Negotiated Rate |
$6,630.62 |
| Rate for Payer: Aetna Commercial |
$6,262.26
|
| Rate for Payer: Aetna Medicare |
$1,915.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,302.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,302.30
|
| Rate for Payer: BCBS Complete |
$1,363.70
|
| Rate for Payer: BCBS MAPPO |
$1,841.84
|
| Rate for Payer: BCBS Trust/PPO |
$6,056.71
|
| Rate for Payer: BCN Commercial |
$6,056.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,841.84
|
| Rate for Payer: Cash Price |
$5,893.89
|
| Rate for Payer: Cofinity Commercial |
$6,335.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,893.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,841.84
|
| Rate for Payer: Healthscope Commercial |
$6,630.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,525.52
|
| Rate for Payer: Mclaren Medicaid |
$1,298.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,933.93
|
| Rate for Payer: Meridian Medicaid |
$1,363.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,118.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,026.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,262.26
|
| Rate for Payer: Nomi Health Commercial |
$6,041.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,525.52
|
| Rate for Payer: PACE Senior Care Partners |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$1,841.84
|
| Rate for Payer: PHP Commercial |
$6,262.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,841.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,298.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,409.60
|
| Rate for Payer: Priority Health Medicare |
$1,860.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,127.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,841.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,483.28
|
| Rate for Payer: UHC Core |
$6,151.75
|
| Rate for Payer: UHC Exchange |
$1,841.84
|
| Rate for Payer: UHC Medicaid |
$1,298.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,841.84
|
| Rate for Payer: UHCCP Medicaid |
$1,298.87
|
| Rate for Payer: VA VA |
$1,841.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,525.52
|
|
|
HC IR REVASCULARIZATION ILIAC EACH ADDITIONAL
|
Facility
|
IP
|
$7,367.36
|
|
|
Service Code
|
CPT 37222
|
| Hospital Charge Code |
36100166
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,127.68 |
| Max. Negotiated Rate |
$6,630.62 |
| Rate for Payer: Aetna Commercial |
$6,262.26
|
| Rate for Payer: BCBS Trust/PPO |
$6,084.70
|
| Rate for Payer: BCN Commercial |
$6,084.70
|
| Rate for Payer: Cash Price |
$5,893.89
|
| Rate for Payer: Cofinity Commercial |
$6,335.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,893.89
|
| Rate for Payer: Healthscope Commercial |
$6,630.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,525.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,262.26
|
| Rate for Payer: Nomi Health Commercial |
$6,041.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,525.52
|
| Rate for Payer: PHP Commercial |
$6,262.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,409.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,127.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,483.28
|
| Rate for Payer: UHC Core |
$6,151.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,525.52
|
|
|
HC IR REVASCULARIZATION ILIAC WITH STENT UNILATERAL
|
Facility
|
OP
|
$12,666.35
|
|
|
Service Code
|
CPT 37221
|
| Hospital Charge Code |
36100165
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,233.08 |
| Max. Negotiated Rate |
$11,399.72 |
| Rate for Payer: Aetna Commercial |
$10,766.40
|
| Rate for Payer: Aetna Medicare |
$3,293.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,958.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,958.23
|
| Rate for Payer: BCBS Complete |
$2,344.54
|
| Rate for Payer: BCBS MAPPO |
$3,166.59
|
| Rate for Payer: BCBS Trust/PPO |
$10,413.01
|
| Rate for Payer: BCN Commercial |
$10,413.01
|
| Rate for Payer: BCN Medicare Advantage |
$3,166.59
|
| Rate for Payer: Cash Price |
$10,133.08
|
| Rate for Payer: Cofinity Commercial |
$10,893.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,133.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,166.59
|
| Rate for Payer: Healthscope Commercial |
$11,399.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,499.76
|
| Rate for Payer: Mclaren Medicaid |
$2,233.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,324.92
|
| Rate for Payer: Meridian Medicaid |
$2,344.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,641.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,483.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,766.40
|
| Rate for Payer: Nomi Health Commercial |
$10,386.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,499.76
|
| Rate for Payer: PACE Senior Care Partners |
$3,008.26
|
| Rate for Payer: PACE SWMI |
$3,166.59
|
| Rate for Payer: PHP Commercial |
$10,766.40
|
| Rate for Payer: PHP Medicare Advantage |
$3,166.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,233.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,019.72
|
| Rate for Payer: Priority Health Medicare |
$3,198.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,815.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,166.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,146.39
|
| Rate for Payer: UHC Core |
$10,576.40
|
| Rate for Payer: UHC Exchange |
$3,166.59
|
| Rate for Payer: UHC Medicaid |
$2,233.08
|
| Rate for Payer: UHC Medicare Advantage |
$3,166.59
|
| Rate for Payer: UHCCP Medicaid |
$2,233.08
|
| Rate for Payer: VA VA |
$3,166.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,499.76
|
|
|
HC IR REVASCULARIZATION ILIAC WITH STENT UNILATERAL
|
Facility
|
IP
|
$12,666.35
|
|
|
Service Code
|
CPT 37221
|
| Hospital Charge Code |
36100165
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,815.78 |
| Max. Negotiated Rate |
$11,399.72 |
| Rate for Payer: Aetna Commercial |
$10,766.40
|
| Rate for Payer: BCBS Trust/PPO |
$10,461.14
|
| Rate for Payer: BCN Commercial |
$10,461.14
|
| Rate for Payer: Cash Price |
$10,133.08
|
| Rate for Payer: Cofinity Commercial |
$10,893.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,133.08
|
| Rate for Payer: Healthscope Commercial |
$11,399.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,499.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,766.40
|
| Rate for Payer: Nomi Health Commercial |
$10,386.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,499.76
|
| Rate for Payer: PHP Commercial |
$10,766.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,019.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,815.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,146.39
|
| Rate for Payer: UHC Core |
$10,576.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,499.76
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERONL UNI
|
Facility
|
IP
|
$13,980.59
|
|
|
Service Code
|
CPT 37228
|
| Hospital Charge Code |
36100172
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,730.49 |
| Max. Negotiated Rate |
$12,582.53 |
| Rate for Payer: Aetna Commercial |
$11,883.50
|
| Rate for Payer: BCBS Trust/PPO |
$11,546.57
|
| Rate for Payer: BCN Commercial |
$11,546.57
|
| Rate for Payer: Cash Price |
$11,184.47
|
| Rate for Payer: Cofinity Commercial |
$12,023.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,184.47
|
| Rate for Payer: Healthscope Commercial |
$12,582.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,485.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,883.50
|
| Rate for Payer: Nomi Health Commercial |
$11,464.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,485.44
|
| Rate for Payer: PHP Commercial |
$11,883.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,163.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,730.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,302.92
|
| Rate for Payer: UHC Core |
$11,673.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,485.44
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERONL UNI
|
Facility
|
OP
|
$13,980.59
|
|
|
Service Code
|
CPT 37228
|
| Hospital Charge Code |
36100172
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,464.78 |
| Max. Negotiated Rate |
$12,582.53 |
| Rate for Payer: Aetna Commercial |
$11,883.50
|
| Rate for Payer: Aetna Medicare |
$3,634.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,368.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,368.93
|
| Rate for Payer: BCBS Complete |
$2,587.81
|
| Rate for Payer: BCBS MAPPO |
$3,495.15
|
| Rate for Payer: BCBS Trust/PPO |
$11,493.44
|
| Rate for Payer: BCN Commercial |
$11,493.44
|
| Rate for Payer: BCN Medicare Advantage |
$3,495.15
|
| Rate for Payer: Cash Price |
$11,184.47
|
| Rate for Payer: Cofinity Commercial |
$12,023.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,184.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,495.15
|
| Rate for Payer: Healthscope Commercial |
$12,582.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,485.44
|
| Rate for Payer: Mclaren Medicaid |
$2,464.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,669.90
|
| Rate for Payer: Meridian Medicaid |
$2,587.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,019.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,844.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,883.50
|
| Rate for Payer: Nomi Health Commercial |
$11,464.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,485.44
|
| Rate for Payer: PACE Senior Care Partners |
$3,320.39
|
| Rate for Payer: PACE SWMI |
$3,495.15
|
| Rate for Payer: PHP Commercial |
$11,883.50
|
| Rate for Payer: PHP Medicare Advantage |
$3,495.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,464.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,163.11
|
| Rate for Payer: Priority Health Medicare |
$3,530.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,730.49
|
| Rate for Payer: Railroad Medicare Medicare |
$3,495.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,302.92
|
| Rate for Payer: UHC Core |
$11,673.79
|
| Rate for Payer: UHC Exchange |
$3,495.15
|
| Rate for Payer: UHC Medicaid |
$2,464.78
|
| Rate for Payer: UHC Medicare Advantage |
$3,495.15
|
| Rate for Payer: UHCCP Medicaid |
$2,464.78
|
| Rate for Payer: VA VA |
$3,495.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,485.44
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
OP
|
$7,735.72
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,363.81 |
| Max. Negotiated Rate |
$6,962.15 |
| Rate for Payer: Aetna Commercial |
$6,575.36
|
| Rate for Payer: Aetna Medicare |
$2,011.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,417.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,417.41
|
| Rate for Payer: BCBS Complete |
$1,431.88
|
| Rate for Payer: BCBS MAPPO |
$1,933.93
|
| Rate for Payer: BCBS Trust/PPO |
$6,359.54
|
| Rate for Payer: BCN Commercial |
$6,359.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,933.93
|
| Rate for Payer: Cash Price |
$6,188.58
|
| Rate for Payer: Cofinity Commercial |
$6,652.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,188.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,933.93
|
| Rate for Payer: Healthscope Commercial |
$6,962.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,801.79
|
| Rate for Payer: Mclaren Medicaid |
$1,363.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,030.63
|
| Rate for Payer: Meridian Medicaid |
$1,431.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,224.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,127.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,575.36
|
| Rate for Payer: Nomi Health Commercial |
$6,343.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,801.79
|
| Rate for Payer: PACE Senior Care Partners |
$1,837.23
|
| Rate for Payer: PACE SWMI |
$1,933.93
|
| Rate for Payer: PHP Commercial |
$6,575.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,933.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,363.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,730.08
|
| Rate for Payer: Priority Health Medicare |
$1,953.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,384.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,933.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,807.43
|
| Rate for Payer: UHC Core |
$6,459.33
|
| Rate for Payer: UHC Exchange |
$1,933.93
|
| Rate for Payer: UHC Medicaid |
$1,363.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,933.93
|
| Rate for Payer: UHCCP Medicaid |
$1,363.81
|
| Rate for Payer: VA VA |
$1,933.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,801.79
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
IP
|
$7,735.72
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,384.06 |
| Max. Negotiated Rate |
$6,962.15 |
| Rate for Payer: Aetna Commercial |
$6,575.36
|
| Rate for Payer: BCBS Trust/PPO |
$6,388.93
|
| Rate for Payer: BCN Commercial |
$6,388.93
|
| Rate for Payer: Cash Price |
$6,188.58
|
| Rate for Payer: Cofinity Commercial |
$6,652.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,188.58
|
| Rate for Payer: Healthscope Commercial |
$6,962.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,801.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,575.36
|
| Rate for Payer: Nomi Health Commercial |
$6,343.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,801.79
|
| Rate for Payer: PHP Commercial |
$6,575.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,730.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,384.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,807.43
|
| Rate for Payer: UHC Core |
$6,459.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,801.79
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
OP
|
$12,623.73
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,225.56 |
| Max. Negotiated Rate |
$11,361.36 |
| Rate for Payer: Aetna Commercial |
$10,730.17
|
| Rate for Payer: Aetna Medicare |
$3,282.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,944.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,944.92
|
| Rate for Payer: BCBS Complete |
$2,336.65
|
| Rate for Payer: BCBS MAPPO |
$3,155.93
|
| Rate for Payer: BCBS Trust/PPO |
$10,377.97
|
| Rate for Payer: BCN Commercial |
$10,377.97
|
| Rate for Payer: BCN Medicare Advantage |
$3,155.93
|
| Rate for Payer: Cash Price |
$10,098.98
|
| Rate for Payer: Cofinity Commercial |
$10,856.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,098.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,155.93
|
| Rate for Payer: Healthscope Commercial |
$11,361.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,467.80
|
| Rate for Payer: Mclaren Medicaid |
$2,225.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,313.73
|
| Rate for Payer: Meridian Medicaid |
$2,336.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,629.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,471.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,730.17
|
| Rate for Payer: Nomi Health Commercial |
$10,351.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,467.80
|
| Rate for Payer: PACE Senior Care Partners |
$2,998.14
|
| Rate for Payer: PACE SWMI |
$3,155.93
|
| Rate for Payer: PHP Commercial |
$10,730.17
|
| Rate for Payer: PHP Medicare Advantage |
$3,155.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,225.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,982.65
|
| Rate for Payer: Priority Health Medicare |
$3,187.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,786.12
|
| Rate for Payer: Railroad Medicare Medicare |
$3,155.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,108.88
|
| Rate for Payer: UHC Core |
$10,540.81
|
| Rate for Payer: UHC Exchange |
$3,155.93
|
| Rate for Payer: UHC Medicaid |
$2,225.56
|
| Rate for Payer: UHC Medicare Advantage |
$3,155.93
|
| Rate for Payer: UHCCP Medicaid |
$2,225.56
|
| Rate for Payer: VA VA |
$3,155.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,467.80
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
IP
|
$12,623.73
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,786.12 |
| Max. Negotiated Rate |
$11,361.36 |
| Rate for Payer: Aetna Commercial |
$10,730.17
|
| Rate for Payer: BCBS Trust/PPO |
$10,425.94
|
| Rate for Payer: BCN Commercial |
$10,425.94
|
| Rate for Payer: Cash Price |
$10,098.98
|
| Rate for Payer: Cofinity Commercial |
$10,856.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,098.98
|
| Rate for Payer: Healthscope Commercial |
$11,361.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,467.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,730.17
|
| Rate for Payer: Nomi Health Commercial |
$10,351.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,467.80
|
| Rate for Payer: PHP Commercial |
$10,730.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,982.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,786.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,108.88
|
| Rate for Payer: UHC Core |
$10,540.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,467.80
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$10,729.33
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,891.58 |
| Max. Negotiated Rate |
$9,656.40 |
| Rate for Payer: Aetna Commercial |
$9,119.93
|
| Rate for Payer: Aetna Medicare |
$2,789.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,352.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,352.92
|
| Rate for Payer: BCBS Complete |
$1,986.00
|
| Rate for Payer: BCBS MAPPO |
$2,682.33
|
| Rate for Payer: BCBS Trust/PPO |
$8,820.58
|
| Rate for Payer: BCN Commercial |
$8,820.58
|
| Rate for Payer: BCN Medicare Advantage |
$2,682.33
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cofinity Commercial |
$9,227.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,583.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,682.33
|
| Rate for Payer: Healthscope Commercial |
$9,656.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,047.00
|
| Rate for Payer: Mclaren Medicaid |
$1,891.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,816.45
|
| Rate for Payer: Meridian Medicaid |
$1,986.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,084.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,950.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,119.93
|
| Rate for Payer: Nomi Health Commercial |
$8,798.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,047.00
|
| Rate for Payer: PACE Senior Care Partners |
$2,548.22
|
| Rate for Payer: PACE SWMI |
$2,682.33
|
| Rate for Payer: PHP Commercial |
$9,119.93
|
| Rate for Payer: PHP Medicare Advantage |
$2,682.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,891.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,334.52
|
| Rate for Payer: Priority Health Medicare |
$2,709.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,467.61
|
| Rate for Payer: Railroad Medicare Medicare |
$2,682.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,441.81
|
| Rate for Payer: UHC Core |
$8,958.99
|
| Rate for Payer: UHC Exchange |
$2,682.33
|
| Rate for Payer: UHC Medicaid |
$1,891.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,682.33
|
| Rate for Payer: UHCCP Medicaid |
$1,891.58
|
| Rate for Payer: VA VA |
$2,682.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,047.00
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$10,729.33
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,467.61 |
| Max. Negotiated Rate |
$9,656.40 |
| Rate for Payer: Aetna Commercial |
$9,119.93
|
| Rate for Payer: BCBS Trust/PPO |
$8,861.35
|
| Rate for Payer: BCN Commercial |
$8,861.35
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cofinity Commercial |
$9,227.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,583.46
|
| Rate for Payer: Healthscope Commercial |
$9,656.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,047.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,119.93
|
| Rate for Payer: Nomi Health Commercial |
$8,798.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,047.00
|
| Rate for Payer: PHP Commercial |
$9,119.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,334.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,467.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,441.81
|
| Rate for Payer: UHC Core |
$8,958.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,047.00
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
OP
|
$11,611.66
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,047.14 |
| Max. Negotiated Rate |
$10,450.49 |
| Rate for Payer: Aetna Commercial |
$9,869.91
|
| Rate for Payer: Aetna Medicare |
$3,019.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,628.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,628.64
|
| Rate for Payer: BCBS Complete |
$2,149.32
|
| Rate for Payer: BCBS MAPPO |
$2,902.91
|
| Rate for Payer: BCBS Trust/PPO |
$9,545.95
|
| Rate for Payer: BCN Commercial |
$9,545.95
|
| Rate for Payer: BCN Medicare Advantage |
$2,902.91
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cofinity Commercial |
$9,986.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,289.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,902.91
|
| Rate for Payer: Healthscope Commercial |
$10,450.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,708.75
|
| Rate for Payer: Mclaren Medicaid |
$2,047.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,048.06
|
| Rate for Payer: Meridian Medicaid |
$2,149.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,338.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,193.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,869.91
|
| Rate for Payer: Nomi Health Commercial |
$9,521.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,708.75
|
| Rate for Payer: PACE Senior Care Partners |
$2,757.77
|
| Rate for Payer: PACE SWMI |
$2,902.91
|
| Rate for Payer: PHP Commercial |
$9,869.91
|
| Rate for Payer: PHP Medicare Advantage |
$2,902.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,047.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,102.14
|
| Rate for Payer: Priority Health Medicare |
$2,931.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,081.72
|
| Rate for Payer: Railroad Medicare Medicare |
$2,902.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,218.26
|
| Rate for Payer: UHC Core |
$9,695.74
|
| Rate for Payer: UHC Exchange |
$2,902.91
|
| Rate for Payer: UHC Medicaid |
$2,047.14
|
| Rate for Payer: UHC Medicare Advantage |
$2,902.91
|
| Rate for Payer: UHCCP Medicaid |
$2,047.14
|
| Rate for Payer: VA VA |
$2,902.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,708.75
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
IP
|
$11,611.66
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,081.72 |
| Max. Negotiated Rate |
$10,450.49 |
| Rate for Payer: Aetna Commercial |
$9,869.91
|
| Rate for Payer: BCBS Trust/PPO |
$9,590.07
|
| Rate for Payer: BCN Commercial |
$9,590.07
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cofinity Commercial |
$9,986.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,289.33
|
| Rate for Payer: Healthscope Commercial |
$10,450.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,708.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,869.91
|
| Rate for Payer: Nomi Health Commercial |
$9,521.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,708.75
|
| Rate for Payer: PHP Commercial |
$9,869.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,102.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,081.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,218.26
|
| Rate for Payer: UHC Core |
$9,695.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,708.75
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
IP
|
$14,177.75
|
|
|
Service Code
|
CPT 37265
|
| Hospital Charge Code |
36100643
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,867.71 |
| Max. Negotiated Rate |
$12,759.98 |
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: BCBS Trust/PPO |
$11,709.40
|
| Rate for Payer: BCN Commercial |
$11,709.40
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,334.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,867.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,476.42
|
| Rate for Payer: UHC Core |
$11,838.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
OP
|
$14,177.75
|
|
|
Service Code
|
CPT 37265
|
| Hospital Charge Code |
36100643
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,499.54 |
| Max. Negotiated Rate |
$12,759.98 |
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: Aetna Medicare |
$3,686.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,430.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,430.55
|
| Rate for Payer: BCBS Complete |
$2,624.30
|
| Rate for Payer: BCBS MAPPO |
$3,544.44
|
| Rate for Payer: BCBS Trust/PPO |
$11,655.53
|
| Rate for Payer: BCN Commercial |
$11,655.53
|
| Rate for Payer: BCN Medicare Advantage |
$3,544.44
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,544.44
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Mclaren Medicaid |
$2,499.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,721.66
|
| Rate for Payer: Meridian Medicaid |
$2,624.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,076.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,898.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PACE Senior Care Partners |
$3,367.22
|
| Rate for Payer: PACE SWMI |
$3,544.44
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: PHP Medicare Advantage |
$3,544.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,499.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,334.64
|
| Rate for Payer: Priority Health Medicare |
$3,579.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,867.71
|
| Rate for Payer: Railroad Medicare Medicare |
$3,544.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,476.42
|
| Rate for Payer: UHC Core |
$11,838.42
|
| Rate for Payer: UHC Exchange |
$3,544.44
|
| Rate for Payer: UHC Medicaid |
$2,499.54
|
| Rate for Payer: UHC Medicare Advantage |
$3,544.44
|
| Rate for Payer: UHCCP Medicaid |
$2,499.54
|
| Rate for Payer: VA VA |
$3,544.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$14,177.75
|
|
|
Service Code
|
CPT 37263
|
| Hospital Charge Code |
36100642
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,867.71 |
| Max. Negotiated Rate |
$12,759.98 |
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: BCBS Trust/PPO |
$11,709.40
|
| Rate for Payer: BCN Commercial |
$11,709.40
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,334.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,867.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,476.42
|
| Rate for Payer: UHC Core |
$11,838.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
