HC PERC THROMBECT OR INF W STENT PERIPH DIALYSIS W IMAGING
|
Facility
|
IP
|
$27,544.40
|
|
Service Code
|
CPT 36906
|
Hospital Charge Code |
36100530
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$16,799.33 |
Max. Negotiated Rate |
$24,789.96 |
Rate for Payer: Aetna Commercial |
$23,412.74
|
Rate for Payer: BCBS Trust/PPO |
$21,286.31
|
Rate for Payer: BCN Commercial |
$21,286.31
|
Rate for Payer: Cash Price |
$22,035.52
|
Rate for Payer: Cofinity Commercial |
$23,688.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$22,035.52
|
Rate for Payer: Healthscope Commercial |
$24,789.96
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,658.30
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,412.74
|
Rate for Payer: PHP Commercial |
$23,412.74
|
Rate for Payer: Priority Health Cigna Priority Health |
$19,281.08
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,963.63
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$16,799.33
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$24,239.07
|
Rate for Payer: UHC Core |
$22,999.57
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,658.30
|
|
HC PERC THROMBECT OR INF W STENT PERIPH DIALYSIS W IMAGING
|
Facility
|
OP
|
$27,544.40
|
|
Service Code
|
CPT 36906
|
Hospital Charge Code |
36100530
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$6,541.80 |
Max. Negotiated Rate |
$24,789.96 |
Rate for Payer: Aetna Commercial |
$23,412.74
|
Rate for Payer: Aetna Medicare |
$7,161.54
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,607.62
|
Rate for Payer: Amish Plain Church Group Commercial |
$8,607.62
|
Rate for Payer: BCBS Complete |
$12,078.04
|
Rate for Payer: BCBS MAPPO |
$6,886.10
|
Rate for Payer: BCBS Trust/PPO |
$21,415.77
|
Rate for Payer: BCN Commercial |
$21,415.77
|
Rate for Payer: BCN Medicare Advantage |
$6,886.10
|
Rate for Payer: Cash Price |
$22,035.52
|
Rate for Payer: Cash Price |
$22,035.52
|
Rate for Payer: Cofinity Commercial |
$23,688.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$22,035.52
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,886.10
|
Rate for Payer: Healthscope Commercial |
$24,789.96
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$20,658.30
|
Rate for Payer: Mclaren Medicaid |
$11,502.90
|
Rate for Payer: Meridian Medicaid |
$12,078.04
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,230.40
|
Rate for Payer: MI Amish Medical Board Commercial |
$7,919.02
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$23,412.74
|
Rate for Payer: PACE Senior Care Partners |
$6,541.80
|
Rate for Payer: PACE SWMI |
$6,886.10
|
Rate for Payer: PHP Commercial |
$23,412.74
|
Rate for Payer: PHP Medicare Advantage |
$6,886.10
|
Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
Rate for Payer: Priority Health Cigna Priority Health |
$19,281.08
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,963.63
|
Rate for Payer: Priority Health Medicare |
$6,886.10
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$16,799.33
|
Rate for Payer: Railroad Medicare Medicare |
$6,886.10
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$24,239.07
|
Rate for Payer: UHC Core |
$22,999.57
|
Rate for Payer: UHC Dual Complete DSNP |
$6,886.10
|
Rate for Payer: UHC Medicare Advantage |
$7,092.68
|
Rate for Payer: VA VA |
$6,886.10
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20,658.30
|
|
HC PERCUTANEOUS NEEDLE
|
Facility
|
IP
|
$13.42
|
|
Hospital Charge Code |
27200144
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$8.18 |
Max. Negotiated Rate |
$12.08 |
Rate for Payer: Aetna Commercial |
$11.41
|
Rate for Payer: BCBS Trust/PPO |
$10.37
|
Rate for Payer: BCN Commercial |
$10.37
|
Rate for Payer: Cash Price |
$10.74
|
Rate for Payer: Cofinity Commercial |
$11.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$10.74
|
Rate for Payer: Healthscope Commercial |
$12.08
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.06
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.41
|
Rate for Payer: PHP Commercial |
$11.41
|
Rate for Payer: Priority Health Cigna Priority Health |
$9.39
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.68
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$8.18
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$11.81
|
Rate for Payer: UHC Core |
$11.21
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.06
|
|
HC PERCUTANEOUS NEEDLE
|
Facility
|
OP
|
$13.42
|
|
Hospital Charge Code |
27200144
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$3.19 |
Max. Negotiated Rate |
$12.08 |
Rate for Payer: Aetna Commercial |
$11.41
|
Rate for Payer: Aetna Medicare |
$3.49
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.19
|
Rate for Payer: Amish Plain Church Group Commercial |
$4.19
|
Rate for Payer: BCBS Complete |
$5.37
|
Rate for Payer: BCBS MAPPO |
$3.36
|
Rate for Payer: BCBS Trust/PPO |
$10.43
|
Rate for Payer: BCN Commercial |
$10.43
|
Rate for Payer: BCN Medicare Advantage |
$3.36
|
Rate for Payer: Cash Price |
$10.74
|
Rate for Payer: Cofinity Commercial |
$11.54
|
Rate for Payer: Encore Health Key Benefits Commercial |
$10.74
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.36
|
Rate for Payer: Healthscope Commercial |
$12.08
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.06
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3.52
|
Rate for Payer: MI Amish Medical Board Commercial |
$3.86
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11.41
|
Rate for Payer: PACE Senior Care Partners |
$3.19
|
Rate for Payer: PACE SWMI |
$3.36
|
Rate for Payer: PHP Commercial |
$11.41
|
Rate for Payer: PHP Medicare Advantage |
$3.36
|
Rate for Payer: Priority Health Cigna Priority Health |
$9.39
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.68
|
Rate for Payer: Priority Health Medicare |
$3.36
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$8.18
|
Rate for Payer: Railroad Medicare Medicare |
$3.36
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$11.81
|
Rate for Payer: UHC Core |
$11.21
|
Rate for Payer: UHC Dual Complete DSNP |
$3.36
|
Rate for Payer: UHC Medicare Advantage |
$3.46
|
Rate for Payer: VA VA |
$3.36
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.06
|
|
HC PERCUTANEOUS TRACHEOSTOMY
|
Facility
|
OP
|
$4,449.05
|
|
Service Code
|
CPT 31600
|
Hospital Charge Code |
36000001
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$1,056.65 |
Max. Negotiated Rate |
$4,004.14 |
Rate for Payer: Aetna Commercial |
$3,781.69
|
Rate for Payer: Aetna Medicare |
$1,156.75
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,390.33
|
Rate for Payer: Amish Plain Church Group Commercial |
$1,390.33
|
Rate for Payer: BCBS Complete |
$2,217.64
|
Rate for Payer: BCBS MAPPO |
$1,112.26
|
Rate for Payer: BCBS Trust/PPO |
$3,459.14
|
Rate for Payer: BCN Commercial |
$3,459.14
|
Rate for Payer: BCN Medicare Advantage |
$1,112.26
|
Rate for Payer: Cash Price |
$3,559.24
|
Rate for Payer: Cash Price |
$3,559.24
|
Rate for Payer: Cofinity Commercial |
$3,826.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$3,559.24
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,112.26
|
Rate for Payer: Healthscope Commercial |
$4,004.14
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,336.79
|
Rate for Payer: Mclaren Medicaid |
$2,112.04
|
Rate for Payer: Meridian Medicaid |
$2,217.64
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,167.88
|
Rate for Payer: MI Amish Medical Board Commercial |
$1,279.10
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,781.69
|
Rate for Payer: PACE Senior Care Partners |
$1,056.65
|
Rate for Payer: PACE SWMI |
$1,112.26
|
Rate for Payer: PHP Commercial |
$3,781.69
|
Rate for Payer: PHP Medicare Advantage |
$1,112.26
|
Rate for Payer: Priority Health Choice Medicaid |
$2,112.04
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,114.34
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,870.67
|
Rate for Payer: Priority Health Medicare |
$1,112.26
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,713.48
|
Rate for Payer: Railroad Medicare Medicare |
$1,112.26
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$3,915.16
|
Rate for Payer: UHC Core |
$3,714.96
|
Rate for Payer: UHC Dual Complete DSNP |
$1,112.26
|
Rate for Payer: UHC Medicare Advantage |
$1,145.63
|
Rate for Payer: VA VA |
$1,112.26
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,336.79
|
|
HC PERCUTANEOUS TRACHEOSTOMY
|
Facility
|
IP
|
$4,449.05
|
|
Service Code
|
CPT 31600
|
Hospital Charge Code |
36000001
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$2,713.48 |
Max. Negotiated Rate |
$4,004.14 |
Rate for Payer: Aetna Commercial |
$3,781.69
|
Rate for Payer: BCBS Trust/PPO |
$3,438.23
|
Rate for Payer: BCN Commercial |
$3,438.23
|
Rate for Payer: Cash Price |
$3,559.24
|
Rate for Payer: Cofinity Commercial |
$3,826.18
|
Rate for Payer: Encore Health Key Benefits Commercial |
$3,559.24
|
Rate for Payer: Healthscope Commercial |
$4,004.14
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,336.79
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,781.69
|
Rate for Payer: PHP Commercial |
$3,781.69
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,114.34
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,870.67
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,713.48
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$3,915.16
|
Rate for Payer: UHC Core |
$3,714.96
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,336.79
|
|
HC PERENNIAL RYE IGE
|
Facility
|
OP
|
$24.89
|
|
Service Code
|
CPT 86003
|
Hospital Charge Code |
30200097
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$3.85 |
Max. Negotiated Rate |
$22.40 |
Rate for Payer: Aetna Commercial |
$21.16
|
Rate for Payer: Aetna Medicare |
$6.47
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
Rate for Payer: BCBS Complete |
$4.04
|
Rate for Payer: BCBS MAPPO |
$6.22
|
Rate for Payer: BCBS Trust/PPO |
$19.35
|
Rate for Payer: BCN Commercial |
$19.35
|
Rate for Payer: BCN Medicare Advantage |
$6.22
|
Rate for Payer: Cash Price |
$19.91
|
Rate for Payer: Cash Price |
$19.91
|
Rate for Payer: Cofinity Commercial |
$21.41
|
Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
Rate for Payer: Healthscope Commercial |
$22.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
Rate for Payer: Mclaren Medicaid |
$3.85
|
Rate for Payer: Meridian Medicaid |
$4.04
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
Rate for Payer: PACE Senior Care Partners |
$5.91
|
Rate for Payer: PACE SWMI |
$6.22
|
Rate for Payer: PHP Commercial |
$21.16
|
Rate for Payer: PHP Medicare Advantage |
$6.22
|
Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
Rate for Payer: Priority Health Medicare |
$6.22
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
Rate for Payer: Railroad Medicare Medicare |
$6.22
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
Rate for Payer: UHC Core |
$20.78
|
Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
Rate for Payer: UHC Medicare Advantage |
$6.41
|
Rate for Payer: VA VA |
$6.22
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
HC PERENNIAL RYE IGE
|
Facility
|
IP
|
$24.89
|
|
Service Code
|
CPT 86003
|
Hospital Charge Code |
30200097
|
Hospital Revenue Code
|
302
|
Min. Negotiated Rate |
$15.18 |
Max. Negotiated Rate |
$22.40 |
Rate for Payer: Aetna Commercial |
$21.16
|
Rate for Payer: BCBS Trust/PPO |
$19.23
|
Rate for Payer: BCN Commercial |
$19.23
|
Rate for Payer: Cash Price |
$19.91
|
Rate for Payer: Cofinity Commercial |
$21.41
|
Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
Rate for Payer: Healthscope Commercial |
$22.40
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
Rate for Payer: PHP Commercial |
$21.16
|
Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
Rate for Payer: UHC Core |
$20.78
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
HC PERFUSION OPEN HEART
|
Facility
|
OP
|
$6,397.73
|
|
Hospital Charge Code |
27000107
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$1,519.46 |
Max. Negotiated Rate |
$5,757.96 |
Rate for Payer: Aetna Commercial |
$5,438.07
|
Rate for Payer: Aetna Medicare |
$1,663.41
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,999.29
|
Rate for Payer: Amish Plain Church Group Commercial |
$1,999.29
|
Rate for Payer: BCBS Complete |
$2,559.09
|
Rate for Payer: BCBS MAPPO |
$1,599.43
|
Rate for Payer: BCBS Trust/PPO |
$4,974.24
|
Rate for Payer: BCN Commercial |
$4,974.24
|
Rate for Payer: BCN Medicare Advantage |
$1,599.43
|
Rate for Payer: Cash Price |
$5,118.18
|
Rate for Payer: Cofinity Commercial |
$5,502.05
|
Rate for Payer: Encore Health Key Benefits Commercial |
$5,118.18
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,599.43
|
Rate for Payer: Healthscope Commercial |
$5,757.96
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,798.30
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,679.40
|
Rate for Payer: MI Amish Medical Board Commercial |
$1,839.35
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,438.07
|
Rate for Payer: PACE Senior Care Partners |
$1,519.46
|
Rate for Payer: PACE SWMI |
$1,599.43
|
Rate for Payer: PHP Commercial |
$5,438.07
|
Rate for Payer: PHP Medicare Advantage |
$1,599.43
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,478.41
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,566.03
|
Rate for Payer: Priority Health Medicare |
$1,599.43
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$3,901.98
|
Rate for Payer: Railroad Medicare Medicare |
$1,599.43
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$5,630.00
|
Rate for Payer: UHC Core |
$5,342.10
|
Rate for Payer: UHC Dual Complete DSNP |
$1,599.43
|
Rate for Payer: UHC Medicare Advantage |
$1,647.42
|
Rate for Payer: VA VA |
$1,599.43
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,798.30
|
|
HC PERFUSION OPEN HEART
|
Facility
|
IP
|
$6,397.73
|
|
Hospital Charge Code |
27000107
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$3,901.98 |
Max. Negotiated Rate |
$5,757.96 |
Rate for Payer: Aetna Commercial |
$5,438.07
|
Rate for Payer: BCBS Trust/PPO |
$4,944.17
|
Rate for Payer: BCN Commercial |
$4,944.17
|
Rate for Payer: Cash Price |
$5,118.18
|
Rate for Payer: Cofinity Commercial |
$5,502.05
|
Rate for Payer: Encore Health Key Benefits Commercial |
$5,118.18
|
Rate for Payer: Healthscope Commercial |
$5,757.96
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,798.30
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,438.07
|
Rate for Payer: PHP Commercial |
$5,438.07
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,478.41
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,566.03
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$3,901.98
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$5,630.00
|
Rate for Payer: UHC Core |
$5,342.10
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,798.30
|
|
HC PERIDARDIOCENTESIS WITH GUIDANCE
|
Facility
|
IP
|
$2,495.36
|
|
Service Code
|
CPT 33016
|
Hospital Charge Code |
36100582
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$1,521.92 |
Max. Negotiated Rate |
$2,245.82 |
Rate for Payer: Aetna Commercial |
$2,121.06
|
Rate for Payer: BCBS Trust/PPO |
$1,928.41
|
Rate for Payer: BCN Commercial |
$1,928.41
|
Rate for Payer: Cash Price |
$1,996.29
|
Rate for Payer: Cofinity Commercial |
$2,146.01
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,996.29
|
Rate for Payer: Healthscope Commercial |
$2,245.82
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,871.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,121.06
|
Rate for Payer: PHP Commercial |
$2,121.06
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,746.75
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,170.96
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,521.92
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,195.92
|
Rate for Payer: UHC Core |
$2,083.63
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,871.52
|
|
HC PERIDARDIOCENTESIS WITH GUIDANCE
|
Facility
|
OP
|
$2,495.36
|
|
Service Code
|
CPT 33016
|
Hospital Charge Code |
36100582
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$592.65 |
Max. Negotiated Rate |
$2,245.82 |
Rate for Payer: Aetna Commercial |
$2,121.06
|
Rate for Payer: Aetna Medicare |
$648.79
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$779.80
|
Rate for Payer: Amish Plain Church Group Commercial |
$779.80
|
Rate for Payer: BCBS Complete |
$1,103.12
|
Rate for Payer: BCBS MAPPO |
$623.84
|
Rate for Payer: BCBS Trust/PPO |
$1,940.14
|
Rate for Payer: BCN Commercial |
$1,940.14
|
Rate for Payer: BCN Medicare Advantage |
$623.84
|
Rate for Payer: Cash Price |
$1,996.29
|
Rate for Payer: Cash Price |
$1,996.29
|
Rate for Payer: Cofinity Commercial |
$2,146.01
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,996.29
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$623.84
|
Rate for Payer: Healthscope Commercial |
$2,245.82
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,871.52
|
Rate for Payer: Mclaren Medicaid |
$1,050.59
|
Rate for Payer: Meridian Medicaid |
$1,103.12
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$655.03
|
Rate for Payer: MI Amish Medical Board Commercial |
$717.42
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,121.06
|
Rate for Payer: PACE Senior Care Partners |
$592.65
|
Rate for Payer: PACE SWMI |
$623.84
|
Rate for Payer: PHP Commercial |
$2,121.06
|
Rate for Payer: PHP Medicare Advantage |
$623.84
|
Rate for Payer: Priority Health Choice Medicaid |
$1,050.59
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,746.75
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,170.96
|
Rate for Payer: Priority Health Medicare |
$623.84
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,521.92
|
Rate for Payer: Railroad Medicare Medicare |
$623.84
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,195.92
|
Rate for Payer: UHC Core |
$2,083.63
|
Rate for Payer: UHC Dual Complete DSNP |
$623.84
|
Rate for Payer: UHC Medicare Advantage |
$642.56
|
Rate for Payer: VA VA |
$623.84
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,871.52
|
|
HC PERIPH ARTERY DISEASE REHAB
|
Facility
|
OP
|
$101.22
|
|
Service Code
|
CPT 93668
|
Hospital Charge Code |
94000006
|
Hospital Revenue Code
|
943
|
Min. Negotiated Rate |
$24.04 |
Max. Negotiated Rate |
$91.10 |
Rate for Payer: Aetna Commercial |
$86.04
|
Rate for Payer: Aetna Medicare |
$26.32
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.63
|
Rate for Payer: Amish Plain Church Group Commercial |
$31.63
|
Rate for Payer: BCBS Complete |
$42.13
|
Rate for Payer: BCBS MAPPO |
$25.30
|
Rate for Payer: BCBS Trust/PPO |
$78.70
|
Rate for Payer: BCN Commercial |
$78.70
|
Rate for Payer: BCN Medicare Advantage |
$25.30
|
Rate for Payer: Cash Price |
$80.98
|
Rate for Payer: Cash Price |
$80.98
|
Rate for Payer: Cofinity Commercial |
$87.05
|
Rate for Payer: Encore Health Key Benefits Commercial |
$80.98
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.30
|
Rate for Payer: Healthscope Commercial |
$91.10
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.92
|
Rate for Payer: Mclaren Medicaid |
$40.13
|
Rate for Payer: Meridian Medicaid |
$42.13
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.57
|
Rate for Payer: MI Amish Medical Board Commercial |
$29.10
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$86.04
|
Rate for Payer: PACE Senior Care Partners |
$24.04
|
Rate for Payer: PACE SWMI |
$25.30
|
Rate for Payer: PHP Commercial |
$86.04
|
Rate for Payer: PHP Medicare Advantage |
$25.30
|
Rate for Payer: Priority Health Choice Medicaid |
$40.13
|
Rate for Payer: Priority Health Cigna Priority Health |
$70.85
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88.06
|
Rate for Payer: Priority Health Medicare |
$25.30
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$61.73
|
Rate for Payer: Railroad Medicare Medicare |
$25.30
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$89.07
|
Rate for Payer: UHC Core |
$84.52
|
Rate for Payer: UHC Dual Complete DSNP |
$25.30
|
Rate for Payer: UHC Medicare Advantage |
$26.06
|
Rate for Payer: VA VA |
$25.30
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.92
|
|
HC PERIPH ARTERY DISEASE REHAB
|
Facility
|
IP
|
$101.22
|
|
Service Code
|
CPT 93668
|
Hospital Charge Code |
94000006
|
Hospital Revenue Code
|
943
|
Min. Negotiated Rate |
$61.73 |
Max. Negotiated Rate |
$91.10 |
Rate for Payer: Aetna Commercial |
$86.04
|
Rate for Payer: BCBS Trust/PPO |
$78.22
|
Rate for Payer: BCN Commercial |
$78.22
|
Rate for Payer: Cash Price |
$80.98
|
Rate for Payer: Cofinity Commercial |
$87.05
|
Rate for Payer: Encore Health Key Benefits Commercial |
$80.98
|
Rate for Payer: Healthscope Commercial |
$91.10
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.92
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$86.04
|
Rate for Payer: PHP Commercial |
$86.04
|
Rate for Payer: Priority Health Cigna Priority Health |
$70.85
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88.06
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$61.73
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$89.07
|
Rate for Payer: UHC Core |
$84.52
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.92
|
|
HC PERIPHERAL DIAGNOSTIC CATHETER
|
Facility
|
OP
|
$278.26
|
|
Hospital Charge Code |
27200145
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$66.09 |
Max. Negotiated Rate |
$250.43 |
Rate for Payer: Aetna Commercial |
$236.52
|
Rate for Payer: Aetna Medicare |
$72.35
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$86.96
|
Rate for Payer: Amish Plain Church Group Commercial |
$86.96
|
Rate for Payer: BCBS Complete |
$111.30
|
Rate for Payer: BCBS MAPPO |
$69.56
|
Rate for Payer: BCBS Trust/PPO |
$216.35
|
Rate for Payer: BCN Commercial |
$216.35
|
Rate for Payer: BCN Medicare Advantage |
$69.56
|
Rate for Payer: Cash Price |
$222.61
|
Rate for Payer: Cofinity Commercial |
$239.30
|
Rate for Payer: Encore Health Key Benefits Commercial |
$222.61
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.56
|
Rate for Payer: Healthscope Commercial |
$250.43
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$208.70
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$73.04
|
Rate for Payer: MI Amish Medical Board Commercial |
$80.00
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$236.52
|
Rate for Payer: PACE Senior Care Partners |
$66.09
|
Rate for Payer: PACE SWMI |
$69.56
|
Rate for Payer: PHP Commercial |
$236.52
|
Rate for Payer: PHP Medicare Advantage |
$69.56
|
Rate for Payer: Priority Health Cigna Priority Health |
$194.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.09
|
Rate for Payer: Priority Health Medicare |
$69.56
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$169.71
|
Rate for Payer: Railroad Medicare Medicare |
$69.56
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$244.87
|
Rate for Payer: UHC Core |
$232.35
|
Rate for Payer: UHC Dual Complete DSNP |
$69.56
|
Rate for Payer: UHC Medicare Advantage |
$71.65
|
Rate for Payer: VA VA |
$69.56
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$208.70
|
|
HC PERIPHERAL DIAGNOSTIC CATHETER
|
Facility
|
IP
|
$278.26
|
|
Hospital Charge Code |
27200145
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$169.71 |
Max. Negotiated Rate |
$250.43 |
Rate for Payer: Aetna Commercial |
$236.52
|
Rate for Payer: BCBS Trust/PPO |
$215.04
|
Rate for Payer: BCN Commercial |
$215.04
|
Rate for Payer: Cash Price |
$222.61
|
Rate for Payer: Cofinity Commercial |
$239.30
|
Rate for Payer: Encore Health Key Benefits Commercial |
$222.61
|
Rate for Payer: Healthscope Commercial |
$250.43
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$208.70
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$236.52
|
Rate for Payer: PHP Commercial |
$236.52
|
Rate for Payer: Priority Health Cigna Priority Health |
$194.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.09
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$169.71
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$244.87
|
Rate for Payer: UHC Core |
$232.35
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$208.70
|
|
HC PERIPHERAL INTRODUCER
|
Facility
|
OP
|
$670.87
|
|
Hospital Charge Code |
27200146
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$159.33 |
Max. Negotiated Rate |
$603.78 |
Rate for Payer: Aetna Commercial |
$570.24
|
Rate for Payer: Aetna Medicare |
$174.43
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$209.65
|
Rate for Payer: Amish Plain Church Group Commercial |
$209.65
|
Rate for Payer: BCBS Complete |
$268.35
|
Rate for Payer: BCBS MAPPO |
$167.72
|
Rate for Payer: BCBS Trust/PPO |
$521.60
|
Rate for Payer: BCN Commercial |
$521.60
|
Rate for Payer: BCN Medicare Advantage |
$167.72
|
Rate for Payer: Cash Price |
$536.70
|
Rate for Payer: Cofinity Commercial |
$576.95
|
Rate for Payer: Encore Health Key Benefits Commercial |
$536.70
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.72
|
Rate for Payer: Healthscope Commercial |
$603.78
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$503.15
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$176.10
|
Rate for Payer: MI Amish Medical Board Commercial |
$192.88
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$570.24
|
Rate for Payer: PACE Senior Care Partners |
$159.33
|
Rate for Payer: PACE SWMI |
$167.72
|
Rate for Payer: PHP Commercial |
$570.24
|
Rate for Payer: PHP Medicare Advantage |
$167.72
|
Rate for Payer: Priority Health Cigna Priority Health |
$469.61
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$583.66
|
Rate for Payer: Priority Health Medicare |
$167.72
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$409.16
|
Rate for Payer: Railroad Medicare Medicare |
$167.72
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$590.37
|
Rate for Payer: UHC Core |
$560.18
|
Rate for Payer: UHC Dual Complete DSNP |
$167.72
|
Rate for Payer: UHC Medicare Advantage |
$172.75
|
Rate for Payer: VA VA |
$167.72
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$503.15
|
|
HC PERIPHERAL INTRODUCER
|
Facility
|
IP
|
$670.87
|
|
Hospital Charge Code |
27200146
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$409.16 |
Max. Negotiated Rate |
$603.78 |
Rate for Payer: Aetna Commercial |
$570.24
|
Rate for Payer: BCBS Trust/PPO |
$518.45
|
Rate for Payer: BCN Commercial |
$518.45
|
Rate for Payer: Cash Price |
$536.70
|
Rate for Payer: Cofinity Commercial |
$576.95
|
Rate for Payer: Encore Health Key Benefits Commercial |
$536.70
|
Rate for Payer: Healthscope Commercial |
$603.78
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$503.15
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$570.24
|
Rate for Payer: PHP Commercial |
$570.24
|
Rate for Payer: Priority Health Cigna Priority Health |
$469.61
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$583.66
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$409.16
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$590.37
|
Rate for Payer: UHC Core |
$560.18
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$503.15
|
|
HC PERITONEAL DIALYSIS
|
Facility
|
IP
|
$938.26
|
|
Service Code
|
CPT 90945
|
Hospital Charge Code |
83000001
|
Hospital Revenue Code
|
881
|
Min. Negotiated Rate |
$572.24 |
Max. Negotiated Rate |
$844.43 |
Rate for Payer: Aetna Commercial |
$797.52
|
Rate for Payer: BCBS Trust/PPO |
$725.09
|
Rate for Payer: BCN Commercial |
$725.09
|
Rate for Payer: Cash Price |
$750.61
|
Rate for Payer: Cofinity Commercial |
$806.90
|
Rate for Payer: Encore Health Key Benefits Commercial |
$750.61
|
Rate for Payer: Healthscope Commercial |
$844.43
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.70
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$797.52
|
Rate for Payer: PHP Commercial |
$797.52
|
Rate for Payer: Priority Health Cigna Priority Health |
$656.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$816.29
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$572.24
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$825.67
|
Rate for Payer: UHC Core |
$783.45
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.70
|
|
HC PERITONEAL DIALYSIS
|
Facility
|
OP
|
$938.26
|
|
Service Code
|
CPT 90945
|
Hospital Charge Code |
83000001
|
Hospital Revenue Code
|
881
|
Min. Negotiated Rate |
$222.84 |
Max. Negotiated Rate |
$844.43 |
Rate for Payer: Aetna Commercial |
$797.52
|
Rate for Payer: Aetna Medicare |
$243.95
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$293.21
|
Rate for Payer: Amish Plain Church Group Commercial |
$293.21
|
Rate for Payer: BCBS Complete |
$305.07
|
Rate for Payer: BCBS MAPPO |
$234.56
|
Rate for Payer: BCBS Trust/PPO |
$729.50
|
Rate for Payer: BCN Commercial |
$729.50
|
Rate for Payer: BCN Medicare Advantage |
$234.56
|
Rate for Payer: Cash Price |
$750.61
|
Rate for Payer: Cash Price |
$750.61
|
Rate for Payer: Cofinity Commercial |
$806.90
|
Rate for Payer: Encore Health Key Benefits Commercial |
$750.61
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.56
|
Rate for Payer: Healthscope Commercial |
$844.43
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.70
|
Rate for Payer: Mclaren Medicaid |
$290.54
|
Rate for Payer: Meridian Medicaid |
$305.07
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$246.29
|
Rate for Payer: MI Amish Medical Board Commercial |
$269.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$797.52
|
Rate for Payer: PACE Senior Care Partners |
$222.84
|
Rate for Payer: PACE SWMI |
$234.56
|
Rate for Payer: PHP Commercial |
$797.52
|
Rate for Payer: PHP Medicare Advantage |
$234.56
|
Rate for Payer: Priority Health Choice Medicaid |
$290.54
|
Rate for Payer: Priority Health Cigna Priority Health |
$656.78
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$816.29
|
Rate for Payer: Priority Health Medicare |
$234.56
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$572.24
|
Rate for Payer: Railroad Medicare Medicare |
$234.56
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$825.67
|
Rate for Payer: UHC Core |
$783.45
|
Rate for Payer: UHC Dual Complete DSNP |
$234.56
|
Rate for Payer: UHC Medicare Advantage |
$241.60
|
Rate for Payer: VA VA |
$234.56
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.70
|
|
HC PERITONEAL LVG TRAY
|
Facility
|
OP
|
$693.53
|
|
Hospital Charge Code |
27000135
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$164.71 |
Max. Negotiated Rate |
$624.18 |
Rate for Payer: Aetna Commercial |
$589.50
|
Rate for Payer: Aetna Medicare |
$180.32
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$216.73
|
Rate for Payer: Amish Plain Church Group Commercial |
$216.73
|
Rate for Payer: BCBS Complete |
$277.41
|
Rate for Payer: BCBS MAPPO |
$173.38
|
Rate for Payer: BCBS Trust/PPO |
$539.22
|
Rate for Payer: BCN Commercial |
$539.22
|
Rate for Payer: BCN Medicare Advantage |
$173.38
|
Rate for Payer: Cash Price |
$554.82
|
Rate for Payer: Cofinity Commercial |
$596.44
|
Rate for Payer: Encore Health Key Benefits Commercial |
$554.82
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.38
|
Rate for Payer: Healthscope Commercial |
$624.18
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$520.15
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$182.05
|
Rate for Payer: MI Amish Medical Board Commercial |
$199.39
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$589.50
|
Rate for Payer: PACE Senior Care Partners |
$164.71
|
Rate for Payer: PACE SWMI |
$173.38
|
Rate for Payer: PHP Commercial |
$589.50
|
Rate for Payer: PHP Medicare Advantage |
$173.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$485.47
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$603.37
|
Rate for Payer: Priority Health Medicare |
$173.38
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$422.98
|
Rate for Payer: Railroad Medicare Medicare |
$173.38
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$610.31
|
Rate for Payer: UHC Core |
$579.10
|
Rate for Payer: UHC Dual Complete DSNP |
$173.38
|
Rate for Payer: UHC Medicare Advantage |
$178.58
|
Rate for Payer: VA VA |
$173.38
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$520.15
|
|
HC PERITONEAL LVG TRAY
|
Facility
|
IP
|
$693.53
|
|
Hospital Charge Code |
27000135
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$422.98 |
Max. Negotiated Rate |
$624.18 |
Rate for Payer: Aetna Commercial |
$589.50
|
Rate for Payer: BCBS Trust/PPO |
$535.96
|
Rate for Payer: BCN Commercial |
$535.96
|
Rate for Payer: Cash Price |
$554.82
|
Rate for Payer: Cofinity Commercial |
$596.44
|
Rate for Payer: Encore Health Key Benefits Commercial |
$554.82
|
Rate for Payer: Healthscope Commercial |
$624.18
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$520.15
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$589.50
|
Rate for Payer: PHP Commercial |
$589.50
|
Rate for Payer: Priority Health Cigna Priority Health |
$485.47
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$603.37
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$422.98
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$610.31
|
Rate for Payer: UHC Core |
$579.10
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$520.15
|
|
HC PERITONEOGRAM
|
Facility
|
IP
|
$557.52
|
|
Service Code
|
CPT 74190
|
Hospital Charge Code |
32000294
|
Hospital Revenue Code
|
320
|
Min. Negotiated Rate |
$340.03 |
Max. Negotiated Rate |
$501.77 |
Rate for Payer: Aetna Commercial |
$473.89
|
Rate for Payer: BCBS Trust/PPO |
$430.85
|
Rate for Payer: BCN Commercial |
$430.85
|
Rate for Payer: Cash Price |
$446.02
|
Rate for Payer: Cofinity Commercial |
$479.47
|
Rate for Payer: Encore Health Key Benefits Commercial |
$446.02
|
Rate for Payer: Healthscope Commercial |
$501.77
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$418.14
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$473.89
|
Rate for Payer: PHP Commercial |
$473.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$390.26
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$485.04
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$340.03
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$490.62
|
Rate for Payer: UHC Core |
$465.53
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$418.14
|
|
HC PERITONEOGRAM
|
Facility
|
OP
|
$557.52
|
|
Service Code
|
CPT 74190
|
Hospital Charge Code |
32000294
|
Hospital Revenue Code
|
320
|
Min. Negotiated Rate |
$132.41 |
Max. Negotiated Rate |
$501.77 |
Rate for Payer: Aetna Commercial |
$473.89
|
Rate for Payer: Aetna Medicare |
$144.96
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$174.22
|
Rate for Payer: Amish Plain Church Group Commercial |
$174.22
|
Rate for Payer: BCBS Complete |
$379.99
|
Rate for Payer: BCBS MAPPO |
$139.38
|
Rate for Payer: BCBS Trust/PPO |
$433.47
|
Rate for Payer: BCN Commercial |
$433.47
|
Rate for Payer: BCN Medicare Advantage |
$139.38
|
Rate for Payer: Cash Price |
$446.02
|
Rate for Payer: Cash Price |
$446.02
|
Rate for Payer: Cofinity Commercial |
$479.47
|
Rate for Payer: Encore Health Key Benefits Commercial |
$446.02
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$139.38
|
Rate for Payer: Healthscope Commercial |
$501.77
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$418.14
|
Rate for Payer: Mclaren Medicaid |
$361.89
|
Rate for Payer: Meridian Medicaid |
$379.99
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$146.35
|
Rate for Payer: MI Amish Medical Board Commercial |
$160.29
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$473.89
|
Rate for Payer: PACE Senior Care Partners |
$132.41
|
Rate for Payer: PACE SWMI |
$139.38
|
Rate for Payer: PHP Commercial |
$473.89
|
Rate for Payer: PHP Medicare Advantage |
$139.38
|
Rate for Payer: Priority Health Choice Medicaid |
$361.89
|
Rate for Payer: Priority Health Cigna Priority Health |
$390.26
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$485.04
|
Rate for Payer: Priority Health Medicare |
$139.38
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$340.03
|
Rate for Payer: Railroad Medicare Medicare |
$139.38
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$490.62
|
Rate for Payer: UHC Core |
$465.53
|
Rate for Payer: UHC Dual Complete DSNP |
$139.38
|
Rate for Payer: UHC Medicare Advantage |
$143.56
|
Rate for Payer: VA VA |
$139.38
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$418.14
|
|
HC PERMANENT PACEMAKER INTRODUCER
|
Facility
|
IP
|
$242.23
|
|
Service Code
|
HCPCS C1892
|
Hospital Charge Code |
27200062
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$147.74 |
Max. Negotiated Rate |
$218.01 |
Rate for Payer: Aetna Commercial |
$205.90
|
Rate for Payer: BCBS Trust/PPO |
$187.20
|
Rate for Payer: BCN Commercial |
$187.20
|
Rate for Payer: Cash Price |
$193.78
|
Rate for Payer: Cofinity Commercial |
$208.32
|
Rate for Payer: Encore Health Key Benefits Commercial |
$193.78
|
Rate for Payer: Healthscope Commercial |
$218.01
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$181.67
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$205.90
|
Rate for Payer: PHP Commercial |
$205.90
|
Rate for Payer: Priority Health Cigna Priority Health |
$169.56
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$210.74
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$147.74
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$213.16
|
Rate for Payer: UHC Core |
$202.26
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$181.67
|
|