|
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
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT COMPLEX INIT
|
Facility
|
OP
|
$45,664.30
|
|
|
Service Code
|
CPT 37273
|
| Hospital Charge Code |
36100645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,050.62 |
| Max. Negotiated Rate |
$41,097.87 |
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: Aetna Medicare |
$11,872.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,270.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,270.09
|
| Rate for Payer: BCBS Complete |
$8,452.46
|
| Rate for Payer: BCBS MAPPO |
$11,416.08
|
| Rate for Payer: BCBS Trust/PPO |
$37,540.62
|
| Rate for Payer: BCN Commercial |
$37,540.62
|
| Rate for Payer: BCN Medicare Advantage |
$11,416.08
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,416.08
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Mclaren Medicaid |
$8,050.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,986.88
|
| Rate for Payer: Meridian Medicaid |
$8,452.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,128.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,557.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PACE Senior Care Partners |
$10,845.27
|
| Rate for Payer: PACE SWMI |
$11,416.08
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: PHP Medicare Advantage |
$11,416.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,050.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39,727.94
|
| Rate for Payer: Priority Health Medicare |
$11,530.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31,782.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,416.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,184.58
|
| Rate for Payer: UHC Core |
$38,129.69
|
| Rate for Payer: UHC Exchange |
$11,416.08
|
| Rate for Payer: UHC Medicaid |
$8,050.62
|
| Rate for Payer: UHC Medicare Advantage |
$11,416.08
|
| Rate for Payer: UHCCP Medicaid |
$8,050.62
|
| Rate for Payer: VA VA |
$11,416.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT COMPLEX INIT
|
Facility
|
IP
|
$45,664.30
|
|
|
Service Code
|
CPT 37273
|
| Hospital Charge Code |
36100645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$31,782.35 |
| Max. Negotiated Rate |
$41,097.87 |
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: BCBS Trust/PPO |
$37,714.15
|
| Rate for Payer: BCN Commercial |
$37,714.15
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39,727.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31,782.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,184.58
|
| Rate for Payer: UHC Core |
$38,129.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$45,664.30
|
|
|
Service Code
|
CPT 37271
|
| Hospital Charge Code |
36100644
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,050.62 |
| Max. Negotiated Rate |
$41,097.87 |
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: Aetna Medicare |
$11,872.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,270.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,270.09
|
| Rate for Payer: BCBS Complete |
$8,452.46
|
| Rate for Payer: BCBS MAPPO |
$11,416.08
|
| Rate for Payer: BCBS Trust/PPO |
$37,540.62
|
| Rate for Payer: BCN Commercial |
$37,540.62
|
| Rate for Payer: BCN Medicare Advantage |
$11,416.08
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,416.08
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Mclaren Medicaid |
$8,050.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,986.88
|
| Rate for Payer: Meridian Medicaid |
$8,452.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,128.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,557.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PACE Senior Care Partners |
$10,845.27
|
| Rate for Payer: PACE SWMI |
$11,416.08
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: PHP Medicare Advantage |
$11,416.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,050.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39,727.94
|
| Rate for Payer: Priority Health Medicare |
$11,530.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31,782.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,416.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,184.58
|
| Rate for Payer: UHC Core |
$38,129.69
|
| Rate for Payer: UHC Exchange |
$11,416.08
|
| Rate for Payer: UHC Medicaid |
$8,050.62
|
| Rate for Payer: UHC Medicare Advantage |
$11,416.08
|
| Rate for Payer: UHCCP Medicaid |
$8,050.62
|
| Rate for Payer: VA VA |
$11,416.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$45,664.30
|
|
|
Service Code
|
CPT 37271
|
| Hospital Charge Code |
36100644
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$31,782.35 |
| Max. Negotiated Rate |
$41,097.87 |
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: BCBS Trust/PPO |
$37,714.15
|
| Rate for Payer: BCN Commercial |
$37,714.15
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39,727.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31,782.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,184.58
|
| Rate for Payer: UHC Core |
$38,129.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC IVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37257
|
| Hospital Charge Code |
36100641
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,273.40 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: Aetna Medicare |
$1,877.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,257.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,257.16
|
| Rate for Payer: BCBS Complete |
$1,336.96
|
| Rate for Payer: BCBS MAPPO |
$1,805.72
|
| Rate for Payer: BCBS Trust/PPO |
$5,937.95
|
| Rate for Payer: BCN Commercial |
$5,937.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,805.72
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,805.72
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Mclaren Medicaid |
$1,273.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,896.01
|
| Rate for Payer: Meridian Medicaid |
$1,336.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,076.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,986.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PACE Senior Care Partners |
$1,715.44
|
| Rate for Payer: PACE SWMI |
$1,805.72
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,805.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,273.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,283.92
|
| Rate for Payer: Priority Health Medicare |
$1,823.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,027.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,805.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,356.15
|
| Rate for Payer: UHC Core |
$6,031.12
|
| Rate for Payer: UHC Exchange |
$1,805.72
|
| Rate for Payer: UHC Medicaid |
$1,273.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,805.72
|
| Rate for Payer: UHCCP Medicaid |
$1,273.40
|
| Rate for Payer: VA VA |
$1,805.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC IVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37257
|
| Hospital Charge Code |
36100641
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,027.14 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: BCBS Trust/PPO |
$5,965.39
|
| Rate for Payer: BCN Commercial |
$5,965.39
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,283.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,027.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,356.15
|
| Rate for Payer: UHC Core |
$6,031.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC IVT W ANGIO UNILAT SF EA ADD
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37255
|
| Hospital Charge Code |
36100640
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,027.14 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: BCBS Trust/PPO |
$5,965.39
|
| Rate for Payer: BCN Commercial |
$5,965.39
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,283.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,027.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,356.15
|
| Rate for Payer: UHC Core |
$6,031.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC IVT W ANGIO UNILAT SF EA ADD
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37255
|
| Hospital Charge Code |
36100640
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,273.40 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: Aetna Medicare |
$1,877.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,257.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,257.16
|
| Rate for Payer: BCBS Complete |
$1,336.96
|
| Rate for Payer: BCBS MAPPO |
$1,805.72
|
| Rate for Payer: BCBS Trust/PPO |
$5,937.95
|
| Rate for Payer: BCN Commercial |
$5,937.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,805.72
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,805.72
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Mclaren Medicaid |
$1,273.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,896.01
|
| Rate for Payer: Meridian Medicaid |
$1,336.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,076.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,986.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PACE Senior Care Partners |
$1,715.44
|
| Rate for Payer: PACE SWMI |
$1,805.72
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,805.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,273.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,283.92
|
| Rate for Payer: Priority Health Medicare |
$1,823.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,027.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,805.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,356.15
|
| Rate for Payer: UHC Core |
$6,031.12
|
| Rate for Payer: UHC Exchange |
$1,805.72
|
| Rate for Payer: UHC Medicaid |
$1,273.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,805.72
|
| Rate for Payer: UHCCP Medicaid |
$1,273.40
|
| Rate for Payer: VA VA |
$1,805.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37283
|
| Hospital Charge Code |
36100649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,278.49 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: BCBS Trust/PPO |
$6,263.66
|
| Rate for Payer: BCN Commercial |
$6,263.66
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,598.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,278.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,673.96
|
| Rate for Payer: UHC Core |
$6,332.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37283
|
| Hospital Charge Code |
36100649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,337.07 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna Medicare |
$1,971.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,370.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,370.01
|
| Rate for Payer: BCBS Complete |
$1,403.81
|
| Rate for Payer: BCBS MAPPO |
$1,896.01
|
| Rate for Payer: BCBS Trust/PPO |
$6,234.84
|
| Rate for Payer: BCN Commercial |
$6,234.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,896.01
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,896.01
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Mclaren Medicaid |
$1,337.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,990.81
|
| Rate for Payer: Meridian Medicaid |
$1,403.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,180.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,085.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PACE Senior Care Partners |
$1,801.21
|
| Rate for Payer: PACE SWMI |
$1,896.01
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,896.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,337.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,598.11
|
| Rate for Payer: Priority Health Medicare |
$1,914.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,278.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,896.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,673.96
|
| Rate for Payer: UHC Core |
$6,332.67
|
| Rate for Payer: UHC Exchange |
$1,896.01
|
| Rate for Payer: UHC Medicaid |
$1,337.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,896.01
|
| Rate for Payer: UHCCP Medicaid |
$1,337.07
|
| Rate for Payer: VA VA |
$1,896.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37282
|
| Hospital Charge Code |
36100647
|
|
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 REVSC TPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37282
|
| Hospital Charge Code |
36100647
|
|
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 REVSC TPVT W ANGIO UNILAT SF EA ADD
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37281
|
| Hospital Charge Code |
36100648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,337.07 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna Medicare |
$1,971.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,370.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,370.01
|
| Rate for Payer: BCBS Complete |
$1,403.81
|
| Rate for Payer: BCBS MAPPO |
$1,896.01
|
| Rate for Payer: BCBS Trust/PPO |
$6,234.84
|
| Rate for Payer: BCN Commercial |
$6,234.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,896.01
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,896.01
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Mclaren Medicaid |
$1,337.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,990.81
|
| Rate for Payer: Meridian Medicaid |
$1,403.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,180.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,085.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PACE Senior Care Partners |
$1,801.21
|
| Rate for Payer: PACE SWMI |
$1,896.01
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,896.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,337.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,598.11
|
| Rate for Payer: Priority Health Medicare |
$1,914.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,278.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,896.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,673.96
|
| Rate for Payer: UHC Core |
$6,332.67
|
| Rate for Payer: UHC Exchange |
$1,896.01
|
| Rate for Payer: UHC Medicaid |
$1,337.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,896.01
|
| Rate for Payer: UHCCP Medicaid |
$1,337.07
|
| Rate for Payer: VA VA |
$1,896.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF EA ADD
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37281
|
| Hospital Charge Code |
36100648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,278.49 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: BCBS Trust/PPO |
$6,263.66
|
| Rate for Payer: BCN Commercial |
$6,263.66
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,598.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,278.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,673.96
|
| Rate for Payer: UHC Core |
$6,332.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37280
|
| Hospital Charge Code |
36100646
|
|
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 REVSC TPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37280
|
| Hospital Charge Code |
36100646
|
|
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 REVSC TPVT W STENT UNILAT SF EA ADD
|
Facility
|
IP
|
$10,518.95
|
|
|
Service Code
|
CPT 37285
|
| Hospital Charge Code |
36100650
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,321.19 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: BCBS Trust/PPO |
$8,687.60
|
| Rate for Payer: BCN Commercial |
$8,687.60
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Nomi Health Commercial |
$8,625.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,889.21
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,151.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,321.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,256.68
|
| Rate for Payer: UHC Core |
$8,783.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
|
HC IR REVSC TPVT W STENT UNILAT SF EA ADD
|
Facility
|
OP
|
$10,518.95
|
|
|
Service Code
|
CPT 37285
|
| Hospital Charge Code |
36100650
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,854.49 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: Aetna Medicare |
$2,734.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,287.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,287.17
|
| Rate for Payer: BCBS Complete |
$1,947.06
|
| Rate for Payer: BCBS MAPPO |
$2,629.74
|
| Rate for Payer: BCBS Trust/PPO |
$8,647.63
|
| Rate for Payer: BCN Commercial |
$8,647.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,629.74
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,629.74
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: Mclaren Medicaid |
$1,854.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,761.22
|
| Rate for Payer: Meridian Medicaid |
$1,947.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,024.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,892.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Nomi Health Commercial |
$8,625.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,889.21
|
| Rate for Payer: PACE Senior Care Partners |
$2,498.25
|
| Rate for Payer: PACE SWMI |
$2,629.74
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,629.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,854.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,151.49
|
| Rate for Payer: Priority Health Medicare |
$2,656.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,321.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,629.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,256.68
|
| Rate for Payer: UHC Core |
$8,783.32
|
| Rate for Payer: UHC Exchange |
$2,629.74
|
| Rate for Payer: UHC Medicaid |
$1,854.49
|
| Rate for Payer: UHC Medicare Advantage |
$2,629.74
|
| Rate for Payer: UHCCP Medicaid |
$1,854.49
|
| Rate for Payer: VA VA |
$2,629.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
|
HC IR REVSC TPVT W STEN UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$10,518.95
|
|
|
Service Code
|
CPT 37287
|
| Hospital Charge Code |
36100651
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,321.19 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: BCBS Trust/PPO |
$8,687.60
|
| Rate for Payer: BCN Commercial |
$8,687.60
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Nomi Health Commercial |
$8,625.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,889.21
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,151.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,321.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,256.68
|
| Rate for Payer: UHC Core |
$8,783.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
|
HC IR REVSC TPVT W STEN UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$10,518.95
|
|
|
Service Code
|
CPT 37287
|
| Hospital Charge Code |
36100651
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,854.49 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: Aetna Medicare |
$2,734.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,287.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,287.17
|
| Rate for Payer: BCBS Complete |
$1,947.06
|
| Rate for Payer: BCBS MAPPO |
$2,629.74
|
| Rate for Payer: BCBS Trust/PPO |
$8,647.63
|
| Rate for Payer: BCN Commercial |
$8,647.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,629.74
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,629.74
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: Mclaren Medicaid |
$1,854.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,761.22
|
| Rate for Payer: Meridian Medicaid |
$1,947.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,024.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,892.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Nomi Health Commercial |
$8,625.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,889.21
|
| Rate for Payer: PACE Senior Care Partners |
$2,498.25
|
| Rate for Payer: PACE SWMI |
$2,629.74
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,629.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,854.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,151.49
|
| Rate for Payer: Priority Health Medicare |
$2,656.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,321.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,629.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,256.68
|
| Rate for Payer: UHC Core |
$8,783.32
|
| Rate for Payer: UHC Exchange |
$2,629.74
|
| Rate for Payer: UHC Medicaid |
$1,854.49
|
| Rate for Payer: UHC Medicare Advantage |
$2,629.74
|
| Rate for Payer: UHCCP Medicaid |
$1,854.49
|
| Rate for Payer: VA VA |
$2,629.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
|
HC IRRIGATE IMPLANTED VAD
|
Facility
|
IP
|
$185.90
|
|
|
Service Code
|
CPT 96523
|
| Hospital Charge Code |
51000007
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$129.39 |
| Max. Negotiated Rate |
$167.31 |
| Rate for Payer: Aetna Commercial |
$158.01
|
| Rate for Payer: BCBS Trust/PPO |
$153.53
|
| Rate for Payer: BCN Commercial |
$153.53
|
| Rate for Payer: Cash Price |
$148.72
|
| Rate for Payer: Cofinity Commercial |
$159.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.72
|
| Rate for Payer: Healthscope Commercial |
$167.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.01
|
| Rate for Payer: Nomi Health Commercial |
$152.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.43
|
| Rate for Payer: PHP Commercial |
$158.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$161.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.59
|
| Rate for Payer: UHC Core |
$155.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.43
|
|
|
HC IRRIGATE IMPLANTED VAD
|
Facility
|
OP
|
$185.90
|
|
|
Service Code
|
CPT 96523
|
| Hospital Charge Code |
51000007
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$32.77 |
| Max. Negotiated Rate |
$167.31 |
| Rate for Payer: Aetna Commercial |
$158.01
|
| Rate for Payer: Aetna Medicare |
$48.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58.09
|
| Rate for Payer: BCBS Complete |
$34.41
|
| Rate for Payer: BCBS MAPPO |
$46.48
|
| Rate for Payer: BCBS Trust/PPO |
$152.83
|
| Rate for Payer: BCN Commercial |
$152.83
|
| Rate for Payer: BCN Medicare Advantage |
$46.48
|
| Rate for Payer: Cash Price |
$148.72
|
| Rate for Payer: Cofinity Commercial |
$159.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.48
|
| Rate for Payer: Healthscope Commercial |
$167.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.43
|
| Rate for Payer: Mclaren Medicaid |
$32.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.80
|
| Rate for Payer: Meridian Medicaid |
$34.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.01
|
| Rate for Payer: Nomi Health Commercial |
$152.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.43
|
| Rate for Payer: PACE Senior Care Partners |
$44.15
|
| Rate for Payer: PACE SWMI |
$46.48
|
| Rate for Payer: PHP Commercial |
$158.01
|
| Rate for Payer: PHP Medicare Advantage |
$46.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$161.73
|
| Rate for Payer: Priority Health Medicare |
$46.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.39
|
| Rate for Payer: Railroad Medicare Medicare |
$46.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.59
|
| Rate for Payer: UHC Core |
$155.23
|
| Rate for Payer: UHC Exchange |
$46.48
|
| Rate for Payer: UHC Medicaid |
$32.77
|
| Rate for Payer: UHC Medicare Advantage |
$46.48
|
| Rate for Payer: UHCCP Medicaid |
$32.77
|
| Rate for Payer: VA VA |
$46.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.43
|
|
|
HC IRRIGATION CONE
|
Facility
|
IP
|
$44.48
|
|
| Hospital Charge Code |
27000081
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.96 |
| Max. Negotiated Rate |
$40.03 |
| Rate for Payer: Aetna Commercial |
$37.81
|
| Rate for Payer: BCBS Trust/PPO |
$36.74
|
| Rate for Payer: BCN Commercial |
$36.74
|
| Rate for Payer: Cash Price |
$35.58
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.58
|
| Rate for Payer: Healthscope Commercial |
$40.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.81
|
| Rate for Payer: Nomi Health Commercial |
$36.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.36
|
| Rate for Payer: PHP Commercial |
$37.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.14
|
| Rate for Payer: UHC Core |
$37.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.36
|
|
|
HC IRRIGATION CONE
|
Facility
|
OP
|
$44.48
|
|
| Hospital Charge Code |
27000081
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.84 |
| Max. Negotiated Rate |
$40.03 |
| Rate for Payer: Aetna Commercial |
$37.81
|
| Rate for Payer: Aetna Medicare |
$11.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.90
|
| Rate for Payer: BCBS Complete |
$8.23
|
| Rate for Payer: BCBS MAPPO |
$11.12
|
| Rate for Payer: BCBS Trust/PPO |
$36.57
|
| Rate for Payer: BCN Commercial |
$36.57
|
| Rate for Payer: BCN Medicare Advantage |
$11.12
|
| Rate for Payer: Cash Price |
$35.58
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.12
|
| Rate for Payer: Healthscope Commercial |
$40.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.36
|
| Rate for Payer: Mclaren Medicaid |
$7.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.68
|
| Rate for Payer: Meridian Medicaid |
$8.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.81
|
| Rate for Payer: Nomi Health Commercial |
$36.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.36
|
| Rate for Payer: PACE Senior Care Partners |
$10.56
|
| Rate for Payer: PACE SWMI |
$11.12
|
| Rate for Payer: PHP Commercial |
$37.81
|
| Rate for Payer: PHP Medicare Advantage |
$11.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.70
|
| Rate for Payer: Priority Health Medicare |
$11.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.96
|
| Rate for Payer: Railroad Medicare Medicare |
$11.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.14
|
| Rate for Payer: UHC Core |
$37.14
|
| Rate for Payer: UHC Exchange |
$11.12
|
| Rate for Payer: UHC Medicaid |
$7.84
|
| Rate for Payer: UHC Medicare Advantage |
$11.12
|
| Rate for Payer: UHCCP Medicaid |
$7.84
|
| Rate for Payer: VA VA |
$11.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.36
|
|
