|
HC INSERTION PERIPHERALLY CVAD W PORT ABOVE 5 YRS AGE
|
Facility
|
IP
|
$2,962.57
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
36100130
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,925.67 |
| Max. Negotiated Rate |
$2,666.31 |
| Rate for Payer: Aetna Commercial |
$2,518.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,418.35
|
| Rate for Payer: BCN Commercial |
$2,289.47
|
| Rate for Payer: Cash Price |
$2,370.06
|
| Rate for Payer: Cofinity Commercial |
$2,547.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,370.06
|
| Rate for Payer: Healthscope Commercial |
$2,666.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,221.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,518.18
|
| Rate for Payer: Nomi Health Commercial |
$2,429.31
|
| Rate for Payer: PHP Commercial |
$2,518.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,925.67
|
| Rate for Payer: Priority Health HMO/PPO |
$2,577.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,984.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,607.06
|
| Rate for Payer: UHC Core |
$2,473.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,221.93
|
|
|
HC INSERTION PERIPHERALLY CVAD W PORT LESS THAN 5 YRS AGE
|
Facility
|
OP
|
$2,962.57
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
36100129
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$703.61 |
| Max. Negotiated Rate |
$2,666.31 |
| Rate for Payer: Aetna Commercial |
$2,518.18
|
| Rate for Payer: Aetna Medicare |
$770.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$925.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$925.80
|
| Rate for Payer: BCBS Complete |
$2,389.58
|
| Rate for Payer: BCBS MAPPO |
$740.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,435.53
|
| Rate for Payer: BCN Commercial |
$2,303.40
|
| Rate for Payer: BCN Medicare Advantage |
$740.64
|
| Rate for Payer: Cash Price |
$2,370.06
|
| Rate for Payer: Cash Price |
$2,370.06
|
| Rate for Payer: Cofinity Commercial |
$2,547.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,370.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.64
|
| Rate for Payer: Healthscope Commercial |
$2,666.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,221.93
|
| Rate for Payer: Mclaren Medicaid |
$2,275.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.67
|
| Rate for Payer: Meridian Medicaid |
$2,389.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$851.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,518.18
|
| Rate for Payer: Nomi Health Commercial |
$2,429.31
|
| Rate for Payer: PACE Senior Care Partners |
$703.61
|
| Rate for Payer: PACE SWMI |
$740.64
|
| Rate for Payer: PHP Commercial |
$2,518.18
|
| Rate for Payer: PHP Medicare Advantage |
$740.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,275.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,925.67
|
| Rate for Payer: Priority Health HMO/PPO |
$2,577.44
|
| Rate for Payer: Priority Health Medicare |
$748.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,984.92
|
| Rate for Payer: Railroad Medicare Medicare |
$740.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,607.06
|
| Rate for Payer: UHC Core |
$2,473.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.64
|
| Rate for Payer: UHC Exchange |
$740.64
|
| Rate for Payer: UHC Medicare Advantage |
$740.64
|
| Rate for Payer: UHCCP Medicaid |
$2,275.64
|
| Rate for Payer: VA VA |
$740.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,221.93
|
|
|
HC INSERTION PERIPHERALLY CVAD W PORT LESS THAN 5 YRS AGE
|
Facility
|
IP
|
$2,962.57
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
36100129
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,925.67 |
| Max. Negotiated Rate |
$2,666.31 |
| Rate for Payer: Aetna Commercial |
$2,518.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,418.35
|
| Rate for Payer: BCN Commercial |
$2,289.47
|
| Rate for Payer: Cash Price |
$2,370.06
|
| Rate for Payer: Cofinity Commercial |
$2,547.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,370.06
|
| Rate for Payer: Healthscope Commercial |
$2,666.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,221.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,518.18
|
| Rate for Payer: Nomi Health Commercial |
$2,429.31
|
| Rate for Payer: PHP Commercial |
$2,518.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,925.67
|
| Rate for Payer: Priority Health HMO/PPO |
$2,577.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,984.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,607.06
|
| Rate for Payer: UHC Core |
$2,473.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,221.93
|
|
|
HC INSERTION PICC 5 YRS OR ABOVE WO IMAGING
|
Facility
|
OP
|
$1,720.05
|
|
|
Service Code
|
CPT 36569
|
| Hospital Charge Code |
36100128
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$408.51 |
| Max. Negotiated Rate |
$1,548.05 |
| Rate for Payer: Aetna Commercial |
$1,462.04
|
| Rate for Payer: Aetna Medicare |
$447.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$537.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$537.52
|
| Rate for Payer: BCBS Complete |
$1,179.37
|
| Rate for Payer: BCBS MAPPO |
$430.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,414.05
|
| Rate for Payer: BCN Commercial |
$1,337.34
|
| Rate for Payer: BCN Medicare Advantage |
$430.01
|
| Rate for Payer: Cash Price |
$1,376.04
|
| Rate for Payer: Cash Price |
$1,376.04
|
| Rate for Payer: Cofinity Commercial |
$1,479.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,376.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$430.01
|
| Rate for Payer: Healthscope Commercial |
$1,548.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,290.04
|
| Rate for Payer: Mclaren Medicaid |
$1,123.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$451.51
|
| Rate for Payer: Meridian Medicaid |
$1,179.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$494.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,462.04
|
| Rate for Payer: Nomi Health Commercial |
$1,410.44
|
| Rate for Payer: PACE Senior Care Partners |
$408.51
|
| Rate for Payer: PACE SWMI |
$430.01
|
| Rate for Payer: PHP Commercial |
$1,462.04
|
| Rate for Payer: PHP Medicare Advantage |
$430.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,123.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,118.03
|
| Rate for Payer: Priority Health HMO/PPO |
$1,496.44
|
| Rate for Payer: Priority Health Medicare |
$434.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,152.43
|
| Rate for Payer: Railroad Medicare Medicare |
$430.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,513.64
|
| Rate for Payer: UHC Core |
$1,436.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$430.01
|
| Rate for Payer: UHC Exchange |
$430.01
|
| Rate for Payer: UHC Medicare Advantage |
$430.01
|
| Rate for Payer: UHCCP Medicaid |
$1,123.14
|
| Rate for Payer: VA VA |
$430.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,290.04
|
|
|
HC INSERTION PICC 5 YRS OR ABOVE WO IMAGING
|
Facility
|
IP
|
$1,720.05
|
|
|
Service Code
|
CPT 36569
|
| Hospital Charge Code |
36100128
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,118.03 |
| Max. Negotiated Rate |
$1,548.05 |
| Rate for Payer: Aetna Commercial |
$1,462.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.08
|
| Rate for Payer: BCN Commercial |
$1,329.25
|
| Rate for Payer: Cash Price |
$1,376.04
|
| Rate for Payer: Cofinity Commercial |
$1,479.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,376.04
|
| Rate for Payer: Healthscope Commercial |
$1,548.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,290.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,462.04
|
| Rate for Payer: Nomi Health Commercial |
$1,410.44
|
| Rate for Payer: PHP Commercial |
$1,462.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,118.03
|
| Rate for Payer: Priority Health HMO/PPO |
$1,496.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,152.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,513.64
|
| Rate for Payer: UHC Core |
$1,436.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,290.04
|
|
|
HC INSERTION PICC LESS THAN 5 YRS WO IMAGING
|
Facility
|
IP
|
$1,642.24
|
|
|
Service Code
|
CPT 36568
|
| Hospital Charge Code |
36100127
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,067.46 |
| Max. Negotiated Rate |
$1,478.02 |
| Rate for Payer: Aetna Commercial |
$1,395.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,340.56
|
| Rate for Payer: BCN Commercial |
$1,269.12
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cofinity Commercial |
$1,412.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.79
|
| Rate for Payer: Healthscope Commercial |
$1,478.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,231.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.90
|
| Rate for Payer: Nomi Health Commercial |
$1,346.64
|
| Rate for Payer: PHP Commercial |
$1,395.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,067.46
|
| Rate for Payer: Priority Health HMO/PPO |
$1,428.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,100.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,445.17
|
| Rate for Payer: UHC Core |
$1,371.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,231.68
|
|
|
HC INSERTION PICC LESS THAN 5 YRS WO IMAGING
|
Facility
|
OP
|
$1,642.24
|
|
|
Service Code
|
CPT 36568
|
| Hospital Charge Code |
36100127
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$390.03 |
| Max. Negotiated Rate |
$1,478.02 |
| Rate for Payer: Aetna Commercial |
$1,395.90
|
| Rate for Payer: Aetna Medicare |
$426.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$513.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$513.20
|
| Rate for Payer: BCBS Complete |
$1,179.37
|
| Rate for Payer: BCBS MAPPO |
$410.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,350.09
|
| Rate for Payer: BCN Commercial |
$1,276.84
|
| Rate for Payer: BCN Medicare Advantage |
$410.56
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cofinity Commercial |
$1,412.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.56
|
| Rate for Payer: Healthscope Commercial |
$1,478.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,231.68
|
| Rate for Payer: Mclaren Medicaid |
$1,123.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.09
|
| Rate for Payer: Meridian Medicaid |
$1,179.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$472.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.90
|
| Rate for Payer: Nomi Health Commercial |
$1,346.64
|
| Rate for Payer: PACE Senior Care Partners |
$390.03
|
| Rate for Payer: PACE SWMI |
$410.56
|
| Rate for Payer: PHP Commercial |
$1,395.90
|
| Rate for Payer: PHP Medicare Advantage |
$410.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,123.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,067.46
|
| Rate for Payer: Priority Health HMO/PPO |
$1,428.75
|
| Rate for Payer: Priority Health Medicare |
$414.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,100.30
|
| Rate for Payer: Railroad Medicare Medicare |
$410.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,445.17
|
| Rate for Payer: UHC Core |
$1,371.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.56
|
| Rate for Payer: UHC Exchange |
$410.56
|
| Rate for Payer: UHC Medicare Advantage |
$410.56
|
| Rate for Payer: UHCCP Medicaid |
$1,123.14
|
| Rate for Payer: VA VA |
$410.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,231.68
|
|
|
HC INSERTION PLEURAL DRAINAGE CATHETER
|
Facility
|
OP
|
$1,609.87
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
36100053
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$382.34 |
| Max. Negotiated Rate |
$1,448.88 |
| Rate for Payer: Aetna Commercial |
$1,368.39
|
| Rate for Payer: Aetna Medicare |
$418.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$503.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$503.08
|
| Rate for Payer: BCBS Complete |
$1,179.37
|
| Rate for Payer: BCBS MAPPO |
$402.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,323.47
|
| Rate for Payer: BCN Commercial |
$1,251.67
|
| Rate for Payer: BCN Medicare Advantage |
$402.47
|
| Rate for Payer: Cash Price |
$1,287.90
|
| Rate for Payer: Cash Price |
$1,287.90
|
| Rate for Payer: Cofinity Commercial |
$1,384.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,287.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.47
|
| Rate for Payer: Healthscope Commercial |
$1,448.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,207.40
|
| Rate for Payer: Mclaren Medicaid |
$1,123.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$422.59
|
| Rate for Payer: Meridian Medicaid |
$1,179.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$462.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,368.39
|
| Rate for Payer: Nomi Health Commercial |
$1,320.09
|
| Rate for Payer: PACE Senior Care Partners |
$382.34
|
| Rate for Payer: PACE SWMI |
$402.47
|
| Rate for Payer: PHP Commercial |
$1,368.39
|
| Rate for Payer: PHP Medicare Advantage |
$402.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,123.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,046.42
|
| Rate for Payer: Priority Health HMO/PPO |
$1,400.59
|
| Rate for Payer: Priority Health Medicare |
$406.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,078.61
|
| Rate for Payer: Railroad Medicare Medicare |
$402.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,416.69
|
| Rate for Payer: UHC Core |
$1,344.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$402.47
|
| Rate for Payer: UHC Exchange |
$402.47
|
| Rate for Payer: UHC Medicare Advantage |
$402.47
|
| Rate for Payer: UHCCP Medicaid |
$1,123.14
|
| Rate for Payer: VA VA |
$402.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,207.40
|
|
|
HC INSERTION PLEURAL DRAINAGE CATHETER
|
Facility
|
IP
|
$1,609.87
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
36100053
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,046.42 |
| Max. Negotiated Rate |
$1,448.88 |
| Rate for Payer: Aetna Commercial |
$1,368.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,314.14
|
| Rate for Payer: BCN Commercial |
$1,244.11
|
| Rate for Payer: Cash Price |
$1,287.90
|
| Rate for Payer: Cofinity Commercial |
$1,384.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,287.90
|
| Rate for Payer: Healthscope Commercial |
$1,448.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,207.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,368.39
|
| Rate for Payer: Nomi Health Commercial |
$1,320.09
|
| Rate for Payer: PHP Commercial |
$1,368.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,046.42
|
| Rate for Payer: Priority Health HMO/PPO |
$1,400.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,078.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,416.69
|
| Rate for Payer: UHC Core |
$1,344.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,207.40
|
|
|
HC INSERTION TUNNELED CVA W PUMP
|
Facility
|
OP
|
$3,606.48
|
|
|
Service Code
|
CPT 36563
|
| Hospital Charge Code |
36100126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$856.54 |
| Max. Negotiated Rate |
$4,104.01 |
| Rate for Payer: Aetna Commercial |
$3,065.51
|
| Rate for Payer: Aetna Medicare |
$937.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,127.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,127.03
|
| Rate for Payer: BCBS Complete |
$4,104.01
|
| Rate for Payer: BCBS MAPPO |
$901.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,964.89
|
| Rate for Payer: BCN Commercial |
$2,804.04
|
| Rate for Payer: BCN Medicare Advantage |
$901.62
|
| Rate for Payer: Cash Price |
$2,885.18
|
| Rate for Payer: Cash Price |
$2,885.18
|
| Rate for Payer: Cofinity Commercial |
$3,101.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,885.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$901.62
|
| Rate for Payer: Healthscope Commercial |
$3,245.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,704.86
|
| Rate for Payer: Mclaren Medicaid |
$3,908.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$946.70
|
| Rate for Payer: Meridian Medicaid |
$4,104.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,036.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,065.51
|
| Rate for Payer: Nomi Health Commercial |
$2,957.31
|
| Rate for Payer: PACE Senior Care Partners |
$856.54
|
| Rate for Payer: PACE SWMI |
$901.62
|
| Rate for Payer: PHP Commercial |
$3,065.51
|
| Rate for Payer: PHP Medicare Advantage |
$901.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,908.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,344.21
|
| Rate for Payer: Priority Health HMO/PPO |
$3,137.64
|
| Rate for Payer: Priority Health Medicare |
$910.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,416.34
|
| Rate for Payer: Railroad Medicare Medicare |
$901.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,173.70
|
| Rate for Payer: UHC Core |
$3,011.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$901.62
|
| Rate for Payer: UHC Exchange |
$901.62
|
| Rate for Payer: UHC Medicare Advantage |
$901.62
|
| Rate for Payer: UHCCP Medicaid |
$3,908.32
|
| Rate for Payer: VA VA |
$901.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,704.86
|
|
|
HC INSERTION TUNNELED CVA W PUMP
|
Facility
|
IP
|
$3,606.48
|
|
|
Service Code
|
CPT 36563
|
| Hospital Charge Code |
36100126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,344.21 |
| Max. Negotiated Rate |
$3,245.83 |
| Rate for Payer: Aetna Commercial |
$3,065.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,943.97
|
| Rate for Payer: BCN Commercial |
$2,787.09
|
| Rate for Payer: Cash Price |
$2,885.18
|
| Rate for Payer: Cofinity Commercial |
$3,101.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,885.18
|
| Rate for Payer: Healthscope Commercial |
$3,245.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,704.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,065.51
|
| Rate for Payer: Nomi Health Commercial |
$2,957.31
|
| Rate for Payer: PHP Commercial |
$3,065.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,344.21
|
| Rate for Payer: Priority Health HMO/PPO |
$3,137.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,416.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,173.70
|
| Rate for Payer: UHC Core |
$3,011.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,704.86
|
|
|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
IP
|
$3,285.48
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,135.56 |
| Max. Negotiated Rate |
$2,956.93 |
| Rate for Payer: Aetna Commercial |
$2,792.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,681.94
|
| Rate for Payer: BCN Commercial |
$2,539.02
|
| Rate for Payer: Cash Price |
$2,628.38
|
| Rate for Payer: Cofinity Commercial |
$2,825.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,628.38
|
| Rate for Payer: Healthscope Commercial |
$2,956.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,464.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,792.66
|
| Rate for Payer: Nomi Health Commercial |
$2,694.09
|
| Rate for Payer: PHP Commercial |
$2,792.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,135.56
|
| Rate for Payer: Priority Health HMO/PPO |
$2,858.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,201.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,891.22
|
| Rate for Payer: UHC Core |
$2,743.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,464.11
|
|
|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
OP
|
$3,285.48
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$780.30 |
| Max. Negotiated Rate |
$2,956.93 |
| Rate for Payer: Aetna Commercial |
$2,792.66
|
| Rate for Payer: Aetna Medicare |
$854.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,026.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,026.71
|
| Rate for Payer: BCBS Complete |
$2,679.26
|
| Rate for Payer: BCBS MAPPO |
$821.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,700.99
|
| Rate for Payer: BCN Commercial |
$2,554.46
|
| Rate for Payer: BCN Medicare Advantage |
$821.37
|
| Rate for Payer: Cash Price |
$2,628.38
|
| Rate for Payer: Cash Price |
$2,628.38
|
| Rate for Payer: Cofinity Commercial |
$2,825.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,628.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$821.37
|
| Rate for Payer: Healthscope Commercial |
$2,956.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,464.11
|
| Rate for Payer: Mclaren Medicaid |
$2,551.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$862.44
|
| Rate for Payer: Meridian Medicaid |
$2,679.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$944.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,792.66
|
| Rate for Payer: Nomi Health Commercial |
$2,694.09
|
| Rate for Payer: PACE Senior Care Partners |
$780.30
|
| Rate for Payer: PACE SWMI |
$821.37
|
| Rate for Payer: PHP Commercial |
$2,792.66
|
| Rate for Payer: PHP Medicare Advantage |
$821.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,551.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,135.56
|
| Rate for Payer: Priority Health HMO/PPO |
$2,858.37
|
| Rate for Payer: Priority Health Medicare |
$829.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,201.27
|
| Rate for Payer: Railroad Medicare Medicare |
$821.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,891.22
|
| Rate for Payer: UHC Core |
$2,743.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$821.37
|
| Rate for Payer: UHC Exchange |
$821.37
|
| Rate for Payer: UHC Medicare Advantage |
$821.37
|
| Rate for Payer: UHCCP Medicaid |
$2,551.51
|
| Rate for Payer: VA VA |
$821.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,464.11
|
|
|
HC INSERT PICC 5 YEARS OR ABOVE W IMAGING
|
Facility
|
OP
|
$2,184.74
|
|
|
Service Code
|
CPT 36573
|
| Hospital Charge Code |
36100553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$518.88 |
| Max. Negotiated Rate |
$1,966.27 |
| Rate for Payer: Aetna Commercial |
$1,857.03
|
| Rate for Payer: Aetna Medicare |
$568.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$682.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$682.73
|
| Rate for Payer: BCBS Complete |
$1,179.37
|
| Rate for Payer: BCBS MAPPO |
$546.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.07
|
| Rate for Payer: BCN Commercial |
$1,698.64
|
| Rate for Payer: BCN Medicare Advantage |
$546.18
|
| Rate for Payer: Cash Price |
$1,747.79
|
| Rate for Payer: Cash Price |
$1,747.79
|
| Rate for Payer: Cofinity Commercial |
$1,878.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.18
|
| Rate for Payer: Healthscope Commercial |
$1,966.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.56
|
| Rate for Payer: Mclaren Medicaid |
$1,123.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.49
|
| Rate for Payer: Meridian Medicaid |
$1,179.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$628.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.03
|
| Rate for Payer: Nomi Health Commercial |
$1,791.49
|
| Rate for Payer: PACE Senior Care Partners |
$518.88
|
| Rate for Payer: PACE SWMI |
$546.18
|
| Rate for Payer: PHP Commercial |
$1,857.03
|
| Rate for Payer: PHP Medicare Advantage |
$546.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,123.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,420.08
|
| Rate for Payer: Priority Health HMO/PPO |
$1,900.72
|
| Rate for Payer: Priority Health Medicare |
$551.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,463.78
|
| Rate for Payer: Railroad Medicare Medicare |
$546.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.57
|
| Rate for Payer: UHC Core |
$1,824.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$546.18
|
| Rate for Payer: UHC Exchange |
$546.18
|
| Rate for Payer: UHC Medicare Advantage |
$546.18
|
| Rate for Payer: UHCCP Medicaid |
$1,123.14
|
| Rate for Payer: VA VA |
$546.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.56
|
|
|
HC INSERT PICC 5 YEARS OR ABOVE W IMAGING
|
Facility
|
IP
|
$2,184.74
|
|
|
Service Code
|
CPT 36573
|
| Hospital Charge Code |
36100553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,420.08 |
| Max. Negotiated Rate |
$1,966.27 |
| Rate for Payer: Aetna Commercial |
$1,857.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,783.40
|
| Rate for Payer: BCN Commercial |
$1,688.37
|
| Rate for Payer: Cash Price |
$1,747.79
|
| Rate for Payer: Cofinity Commercial |
$1,878.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,747.79
|
| Rate for Payer: Healthscope Commercial |
$1,966.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,638.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,857.03
|
| Rate for Payer: Nomi Health Commercial |
$1,791.49
|
| Rate for Payer: PHP Commercial |
$1,857.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,420.08
|
| Rate for Payer: Priority Health HMO/PPO |
$1,900.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,463.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,922.57
|
| Rate for Payer: UHC Core |
$1,824.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,638.56
|
|
|
HC INSERT PICC LESS THAN 5 YRS W IMAGING
|
Facility
|
OP
|
$1,986.12
|
|
|
Service Code
|
CPT 36572
|
| Hospital Charge Code |
36100552
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$447.00 |
| Max. Negotiated Rate |
$1,787.51 |
| Rate for Payer: Aetna Commercial |
$1,688.20
|
| Rate for Payer: Aetna Medicare |
$516.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$620.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$620.66
|
| Rate for Payer: BCBS Complete |
$469.38
|
| Rate for Payer: BCBS MAPPO |
$496.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,632.79
|
| Rate for Payer: BCN Commercial |
$1,544.21
|
| Rate for Payer: BCN Medicare Advantage |
$496.53
|
| Rate for Payer: Cash Price |
$1,588.90
|
| Rate for Payer: Cash Price |
$1,588.90
|
| Rate for Payer: Cofinity Commercial |
$1,708.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,588.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$496.53
|
| Rate for Payer: Healthscope Commercial |
$1,787.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,489.59
|
| Rate for Payer: Mclaren Medicaid |
$447.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$521.36
|
| Rate for Payer: Meridian Medicaid |
$469.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$571.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,688.20
|
| Rate for Payer: Nomi Health Commercial |
$1,628.62
|
| Rate for Payer: PACE Senior Care Partners |
$471.70
|
| Rate for Payer: PACE SWMI |
$496.53
|
| Rate for Payer: PHP Commercial |
$1,688.20
|
| Rate for Payer: PHP Medicare Advantage |
$496.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.98
|
| Rate for Payer: Priority Health HMO/PPO |
$1,727.92
|
| Rate for Payer: Priority Health Medicare |
$501.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,330.70
|
| Rate for Payer: Railroad Medicare Medicare |
$496.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,747.79
|
| Rate for Payer: UHC Core |
$1,658.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$496.53
|
| Rate for Payer: UHC Exchange |
$496.53
|
| Rate for Payer: UHC Medicare Advantage |
$496.53
|
| Rate for Payer: UHCCP Medicaid |
$447.00
|
| Rate for Payer: VA VA |
$496.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,489.59
|
|
|
HC INSERT PICC LESS THAN 5 YRS W IMAGING
|
Facility
|
IP
|
$1,986.12
|
|
|
Service Code
|
CPT 36572
|
| Hospital Charge Code |
36100552
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,290.98 |
| Max. Negotiated Rate |
$1,787.51 |
| Rate for Payer: Aetna Commercial |
$1,688.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,621.27
|
| Rate for Payer: BCN Commercial |
$1,534.87
|
| Rate for Payer: Cash Price |
$1,588.90
|
| Rate for Payer: Cofinity Commercial |
$1,708.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,588.90
|
| Rate for Payer: Healthscope Commercial |
$1,787.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,489.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,688.20
|
| Rate for Payer: Nomi Health Commercial |
$1,628.62
|
| Rate for Payer: PHP Commercial |
$1,688.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.98
|
| Rate for Payer: Priority Health HMO/PPO |
$1,727.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,330.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,747.79
|
| Rate for Payer: UHC Core |
$1,658.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,489.59
|
|
|
HC INSERT/REPLACE SQ ICD W ELECTRODES
|
Facility
|
OP
|
$84,898.54
|
|
|
Service Code
|
CPT 33270
|
| Hospital Charge Code |
48100113
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$20,163.40 |
| Max. Negotiated Rate |
$76,408.69 |
| Rate for Payer: Aetna Commercial |
$72,163.76
|
| Rate for Payer: Aetna Medicare |
$22,073.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,530.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,530.79
|
| Rate for Payer: BCBS Complete |
$24,341.15
|
| Rate for Payer: BCBS MAPPO |
$21,224.63
|
| Rate for Payer: BCBS Trust/PPO |
$69,795.09
|
| Rate for Payer: BCN Commercial |
$66,008.61
|
| Rate for Payer: BCN Medicare Advantage |
$21,224.63
|
| Rate for Payer: Cash Price |
$67,918.83
|
| Rate for Payer: Cash Price |
$67,918.83
|
| Rate for Payer: Cofinity Commercial |
$73,012.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67,918.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,224.63
|
| Rate for Payer: Healthscope Commercial |
$76,408.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63,673.90
|
| Rate for Payer: Mclaren Medicaid |
$23,180.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,285.87
|
| Rate for Payer: Meridian Medicaid |
$24,341.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,408.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,163.76
|
| Rate for Payer: Nomi Health Commercial |
$69,616.80
|
| Rate for Payer: PACE Senior Care Partners |
$20,163.40
|
| Rate for Payer: PACE SWMI |
$21,224.63
|
| Rate for Payer: PHP Commercial |
$72,163.76
|
| Rate for Payer: PHP Medicare Advantage |
$21,224.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,180.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55,184.05
|
| Rate for Payer: Priority Health HMO/PPO |
$73,861.73
|
| Rate for Payer: Priority Health Medicare |
$21,436.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56,882.02
|
| Rate for Payer: Railroad Medicare Medicare |
$21,224.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,710.72
|
| Rate for Payer: UHC Core |
$70,890.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,224.63
|
| Rate for Payer: UHC Exchange |
$21,224.63
|
| Rate for Payer: UHC Medicare Advantage |
$21,224.63
|
| Rate for Payer: UHCCP Medicaid |
$23,180.52
|
| Rate for Payer: VA VA |
$21,224.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63,673.90
|
|
|
HC INSERT/REPLACE SQ ICD W ELECTRODES
|
Facility
|
IP
|
$84,898.54
|
|
|
Service Code
|
CPT 33270
|
| Hospital Charge Code |
48100113
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$55,184.05 |
| Max. Negotiated Rate |
$76,408.69 |
| Rate for Payer: Aetna Commercial |
$72,163.76
|
| Rate for Payer: BCBS Trust/PPO |
$69,302.68
|
| Rate for Payer: BCN Commercial |
$65,609.59
|
| Rate for Payer: Cash Price |
$67,918.83
|
| Rate for Payer: Cofinity Commercial |
$73,012.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67,918.83
|
| Rate for Payer: Healthscope Commercial |
$76,408.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63,673.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,163.76
|
| Rate for Payer: Nomi Health Commercial |
$69,616.80
|
| Rate for Payer: PHP Commercial |
$72,163.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55,184.05
|
| Rate for Payer: Priority Health HMO/PPO |
$73,861.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56,882.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,710.72
|
| Rate for Payer: UHC Core |
$70,890.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63,673.90
|
|
|
HC INSERT STRAIGHT CATH
|
Facility
|
OP
|
$185.30
|
|
|
Service Code
|
CPT 51701
|
| Hospital Charge Code |
45000003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$44.01 |
| Max. Negotiated Rate |
$166.77 |
| Rate for Payer: Aetna Commercial |
$157.50
|
| Rate for Payer: Aetna Medicare |
$48.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57.91
|
| Rate for Payer: BCBS Complete |
$97.86
|
| Rate for Payer: BCBS MAPPO |
$46.33
|
| Rate for Payer: BCBS Trust/PPO |
$152.34
|
| Rate for Payer: BCN Commercial |
$144.07
|
| Rate for Payer: BCN Medicare Advantage |
$46.33
|
| Rate for Payer: Cash Price |
$148.24
|
| Rate for Payer: Cash Price |
$148.24
|
| Rate for Payer: Cofinity Commercial |
$159.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.33
|
| Rate for Payer: Healthscope Commercial |
$166.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.97
|
| Rate for Payer: Mclaren Medicaid |
$93.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.64
|
| Rate for Payer: Meridian Medicaid |
$97.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.50
|
| Rate for Payer: Nomi Health Commercial |
$151.95
|
| Rate for Payer: PACE Senior Care Partners |
$44.01
|
| Rate for Payer: PACE SWMI |
$46.33
|
| Rate for Payer: PHP Commercial |
$157.50
|
| Rate for Payer: PHP Medicare Advantage |
$46.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.44
|
| Rate for Payer: Priority Health HMO/PPO |
$161.21
|
| Rate for Payer: Priority Health Medicare |
$46.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$124.15
|
| Rate for Payer: Railroad Medicare Medicare |
$46.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.06
|
| Rate for Payer: UHC Core |
$154.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.33
|
| Rate for Payer: UHC Exchange |
$46.33
|
| Rate for Payer: UHC Medicare Advantage |
$46.33
|
| Rate for Payer: UHCCP Medicaid |
$93.19
|
| Rate for Payer: VA VA |
$46.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.97
|
|
|
HC INSERT STRAIGHT CATH
|
Facility
|
IP
|
$185.30
|
|
|
Service Code
|
CPT 51701
|
| Hospital Charge Code |
45000003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$120.44 |
| Max. Negotiated Rate |
$166.77 |
| Rate for Payer: Aetna Commercial |
$157.50
|
| Rate for Payer: BCBS Trust/PPO |
$151.26
|
| Rate for Payer: BCN Commercial |
$143.20
|
| Rate for Payer: Cash Price |
$148.24
|
| Rate for Payer: Cofinity Commercial |
$159.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.24
|
| Rate for Payer: Healthscope Commercial |
$166.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.50
|
| Rate for Payer: Nomi Health Commercial |
$151.95
|
| Rate for Payer: PHP Commercial |
$157.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.44
|
| Rate for Payer: Priority Health HMO/PPO |
$161.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$124.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.06
|
| Rate for Payer: UHC Core |
$154.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.97
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP ABOVE 5 YRS AGE
|
Facility
|
OP
|
$4,076.99
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
36100123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$968.29 |
| Max. Negotiated Rate |
$3,669.29 |
| Rate for Payer: Aetna Commercial |
$3,465.44
|
| Rate for Payer: Aetna Medicare |
$1,060.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,274.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,274.06
|
| Rate for Payer: BCBS Complete |
$2,389.58
|
| Rate for Payer: BCBS MAPPO |
$1,019.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,351.69
|
| Rate for Payer: BCN Commercial |
$3,169.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,019.25
|
| Rate for Payer: Cash Price |
$3,261.59
|
| Rate for Payer: Cash Price |
$3,261.59
|
| Rate for Payer: Cofinity Commercial |
$3,506.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,261.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,019.25
|
| Rate for Payer: Healthscope Commercial |
$3,669.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,057.74
|
| Rate for Payer: Mclaren Medicaid |
$2,275.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,070.21
|
| Rate for Payer: Meridian Medicaid |
$2,389.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,172.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,465.44
|
| Rate for Payer: Nomi Health Commercial |
$3,343.13
|
| Rate for Payer: PACE Senior Care Partners |
$968.29
|
| Rate for Payer: PACE SWMI |
$1,019.25
|
| Rate for Payer: PHP Commercial |
$3,465.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,019.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,275.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.04
|
| Rate for Payer: Priority Health HMO/PPO |
$3,546.98
|
| Rate for Payer: Priority Health Medicare |
$1,029.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,731.58
|
| Rate for Payer: Railroad Medicare Medicare |
$1,019.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,587.75
|
| Rate for Payer: UHC Core |
$3,404.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,019.25
|
| Rate for Payer: UHC Exchange |
$1,019.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,019.25
|
| Rate for Payer: UHCCP Medicaid |
$2,275.64
|
| Rate for Payer: VA VA |
$1,019.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,057.74
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP ABOVE 5 YRS AGE
|
Facility
|
IP
|
$4,076.99
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
36100123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,650.04 |
| Max. Negotiated Rate |
$3,669.29 |
| Rate for Payer: Aetna Commercial |
$3,465.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,328.05
|
| Rate for Payer: BCN Commercial |
$3,150.70
|
| Rate for Payer: Cash Price |
$3,261.59
|
| Rate for Payer: Cofinity Commercial |
$3,506.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,261.59
|
| Rate for Payer: Healthscope Commercial |
$3,669.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,057.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,465.44
|
| Rate for Payer: Nomi Health Commercial |
$3,343.13
|
| Rate for Payer: PHP Commercial |
$3,465.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.04
|
| Rate for Payer: Priority Health HMO/PPO |
$3,546.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,731.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,587.75
|
| Rate for Payer: UHC Core |
$3,404.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,057.74
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP LESS THAN 5 YRS AGE
|
Facility
|
OP
|
$4,139.56
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
36100122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$983.15 |
| Max. Negotiated Rate |
$4,104.01 |
| Rate for Payer: Aetna Commercial |
$3,518.63
|
| Rate for Payer: Aetna Medicare |
$1,076.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,293.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,293.61
|
| Rate for Payer: BCBS Complete |
$4,104.01
|
| Rate for Payer: BCBS MAPPO |
$1,034.89
|
| Rate for Payer: BCBS Trust/PPO |
$3,403.13
|
| Rate for Payer: BCN Commercial |
$3,218.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,034.89
|
| Rate for Payer: Cash Price |
$3,311.65
|
| Rate for Payer: Cash Price |
$3,311.65
|
| Rate for Payer: Cofinity Commercial |
$3,560.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,311.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,034.89
|
| Rate for Payer: Healthscope Commercial |
$3,725.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,104.67
|
| Rate for Payer: Mclaren Medicaid |
$3,908.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,086.63
|
| Rate for Payer: Meridian Medicaid |
$4,104.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,190.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,518.63
|
| Rate for Payer: Nomi Health Commercial |
$3,394.44
|
| Rate for Payer: PACE Senior Care Partners |
$983.15
|
| Rate for Payer: PACE SWMI |
$1,034.89
|
| Rate for Payer: PHP Commercial |
$3,518.63
|
| Rate for Payer: PHP Medicare Advantage |
$1,034.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,908.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,690.71
|
| Rate for Payer: Priority Health HMO/PPO |
$3,601.42
|
| Rate for Payer: Priority Health Medicare |
$1,045.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,773.51
|
| Rate for Payer: Railroad Medicare Medicare |
$1,034.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,642.81
|
| Rate for Payer: UHC Core |
$3,456.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,034.89
|
| Rate for Payer: UHC Exchange |
$1,034.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,034.89
|
| Rate for Payer: UHCCP Medicaid |
$3,908.32
|
| Rate for Payer: VA VA |
$1,034.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,104.67
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP LESS THAN 5 YRS AGE
|
Facility
|
IP
|
$4,139.56
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
36100122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,690.71 |
| Max. Negotiated Rate |
$3,725.60 |
| Rate for Payer: Aetna Commercial |
$3,518.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,379.12
|
| Rate for Payer: BCN Commercial |
$3,199.05
|
| Rate for Payer: Cash Price |
$3,311.65
|
| Rate for Payer: Cofinity Commercial |
$3,560.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,311.65
|
| Rate for Payer: Healthscope Commercial |
$3,725.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,104.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,518.63
|
| Rate for Payer: Nomi Health Commercial |
$3,394.44
|
| Rate for Payer: PHP Commercial |
$3,518.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,690.71
|
| Rate for Payer: Priority Health HMO/PPO |
$3,601.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,773.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,642.81
|
| Rate for Payer: UHC Core |
$3,456.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,104.67
|
|
