|
HC IR ANGIOGRAM PELVIC
|
Facility
|
OP
|
$3,266.13
|
|
|
Service Code
|
CPT 75736
|
| Hospital Charge Code |
32000194
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$775.71 |
| Max. Negotiated Rate |
$4,021.03 |
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: Aetna Medicare |
$849.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,020.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,020.67
|
| Rate for Payer: BCBS Complete |
$4,021.03
|
| Rate for Payer: BCBS MAPPO |
$816.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,685.09
|
| Rate for Payer: BCN Commercial |
$2,539.42
|
| Rate for Payer: BCN Medicare Advantage |
$816.53
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.53
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Mclaren Medicaid |
$3,829.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$857.36
|
| Rate for Payer: Meridian Medicaid |
$4,021.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$939.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: PACE Senior Care Partners |
$775.71
|
| Rate for Payer: PACE SWMI |
$816.53
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: PHP Medicare Advantage |
$816.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,829.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO |
$2,841.53
|
| Rate for Payer: Priority Health Medicare |
$824.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,188.31
|
| Rate for Payer: Railroad Medicare Medicare |
$816.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,874.19
|
| Rate for Payer: UHC Core |
$2,727.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$816.53
|
| Rate for Payer: UHC Exchange |
$816.53
|
| Rate for Payer: UHC Medicare Advantage |
$816.53
|
| Rate for Payer: UHCCP Medicaid |
$3,829.30
|
| Rate for Payer: VA VA |
$816.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC IR ANGIOGRAM PELVIC
|
Facility
|
IP
|
$3,266.13
|
|
|
Service Code
|
CPT 75736
|
| Hospital Charge Code |
32000194
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,122.98 |
| Max. Negotiated Rate |
$2,939.52 |
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,666.14
|
| Rate for Payer: BCN Commercial |
$2,524.07
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO |
$2,841.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,188.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,874.19
|
| Rate for Payer: UHC Core |
$2,727.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL
|
Facility
|
IP
|
$3,457.60
|
|
|
Service Code
|
CPT 61630
|
| Hospital Charge Code |
36100273
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,247.44 |
| Max. Negotiated Rate |
$3,111.84 |
| Rate for Payer: Aetna Commercial |
$2,938.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,822.44
|
| Rate for Payer: BCN Commercial |
$2,672.03
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cofinity Commercial |
$2,973.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.08
|
| Rate for Payer: Healthscope Commercial |
$3,111.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,593.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.96
|
| Rate for Payer: Nomi Health Commercial |
$2,835.23
|
| Rate for Payer: PHP Commercial |
$2,938.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.44
|
| Rate for Payer: Priority Health HMO/PPO |
$3,008.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,316.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,042.69
|
| Rate for Payer: UHC Core |
$2,887.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,593.20
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL
|
Facility
|
OP
|
$3,457.60
|
|
|
Service Code
|
CPT 61630
|
| Hospital Charge Code |
36100273
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$821.18 |
| Max. Negotiated Rate |
$3,111.84 |
| Rate for Payer: Aetna Commercial |
$2,938.96
|
| Rate for Payer: Aetna Medicare |
$898.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,080.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,080.50
|
| Rate for Payer: BCBS Complete |
$1,383.04
|
| Rate for Payer: BCBS MAPPO |
$864.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,842.49
|
| Rate for Payer: BCN Commercial |
$2,688.28
|
| Rate for Payer: BCN Medicare Advantage |
$864.40
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cofinity Commercial |
$2,973.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$864.40
|
| Rate for Payer: Healthscope Commercial |
$3,111.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,593.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$907.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$994.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.96
|
| Rate for Payer: Nomi Health Commercial |
$2,835.23
|
| Rate for Payer: PACE Senior Care Partners |
$821.18
|
| Rate for Payer: PACE SWMI |
$864.40
|
| Rate for Payer: PHP Commercial |
$2,938.96
|
| Rate for Payer: PHP Medicare Advantage |
$864.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.44
|
| Rate for Payer: Priority Health HMO/PPO |
$3,008.11
|
| Rate for Payer: Priority Health Medicare |
$873.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,316.59
|
| Rate for Payer: Railroad Medicare Medicare |
$864.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,042.69
|
| Rate for Payer: UHC Core |
$2,887.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$864.40
|
| Rate for Payer: UHC Exchange |
$864.40
|
| Rate for Payer: UHC Medicare Advantage |
$864.40
|
| Rate for Payer: VA VA |
$864.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,593.20
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL VASOSPASM INIT
|
Facility
|
OP
|
$9,854.14
|
|
|
Service Code
|
CPT 61640
|
| Hospital Charge Code |
36100275
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,340.36 |
| Max. Negotiated Rate |
$8,868.73 |
| Rate for Payer: Aetna Commercial |
$8,376.02
|
| Rate for Payer: Aetna Medicare |
$2,562.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,079.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,079.42
|
| Rate for Payer: BCBS Complete |
$3,941.66
|
| Rate for Payer: BCBS MAPPO |
$2,463.54
|
| Rate for Payer: BCBS Trust/PPO |
$8,101.09
|
| Rate for Payer: BCN Commercial |
$7,661.59
|
| Rate for Payer: BCN Medicare Advantage |
$2,463.54
|
| Rate for Payer: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$8,474.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,883.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,463.54
|
| Rate for Payer: Healthscope Commercial |
$8,868.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,390.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,586.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,833.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,376.02
|
| Rate for Payer: Nomi Health Commercial |
$8,080.39
|
| Rate for Payer: PACE Senior Care Partners |
$2,340.36
|
| Rate for Payer: PACE SWMI |
$2,463.54
|
| Rate for Payer: PHP Commercial |
$8,376.02
|
| Rate for Payer: PHP Medicare Advantage |
$2,463.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,405.19
|
| Rate for Payer: Priority Health HMO/PPO |
$8,573.10
|
| Rate for Payer: Priority Health Medicare |
$2,488.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,602.27
|
| Rate for Payer: Railroad Medicare Medicare |
$2,463.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,671.64
|
| Rate for Payer: UHC Core |
$8,228.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,463.54
|
| Rate for Payer: UHC Exchange |
$2,463.54
|
| Rate for Payer: UHC Medicare Advantage |
$2,463.54
|
| Rate for Payer: VA VA |
$2,463.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,390.60
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL VASOSPASM INIT
|
Facility
|
IP
|
$9,854.14
|
|
|
Service Code
|
CPT 61640
|
| Hospital Charge Code |
36100275
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,405.19 |
| Max. Negotiated Rate |
$8,868.73 |
| Rate for Payer: Aetna Commercial |
$8,376.02
|
| Rate for Payer: BCBS Trust/PPO |
$8,043.93
|
| Rate for Payer: BCN Commercial |
$7,615.28
|
| Rate for Payer: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$8,474.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,883.31
|
| Rate for Payer: Healthscope Commercial |
$8,868.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,390.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,376.02
|
| Rate for Payer: Nomi Health Commercial |
$8,080.39
|
| Rate for Payer: PHP Commercial |
$8,376.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,405.19
|
| Rate for Payer: Priority Health HMO/PPO |
$8,573.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,602.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,671.64
|
| Rate for Payer: UHC Core |
$8,228.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,390.60
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
OP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$824.21 |
| Max. Negotiated Rate |
$3,123.32 |
| Rate for Payer: Aetna Commercial |
$2,949.81
|
| Rate for Payer: Aetna Medicare |
$902.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,084.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,084.49
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$867.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,852.98
|
| Rate for Payer: BCN Commercial |
$2,698.20
|
| Rate for Payer: BCN Medicare Advantage |
$867.59
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cofinity Commercial |
$2,984.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,776.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$867.59
|
| Rate for Payer: Healthscope Commercial |
$3,123.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,602.77
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$910.97
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$997.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: Nomi Health Commercial |
$2,845.70
|
| Rate for Payer: PACE Senior Care Partners |
$824.21
|
| Rate for Payer: PACE SWMI |
$867.59
|
| Rate for Payer: PHP Commercial |
$2,949.81
|
| Rate for Payer: PHP Medicare Advantage |
$867.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: Priority Health HMO/PPO |
$3,019.21
|
| Rate for Payer: Priority Health Medicare |
$876.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,325.14
|
| Rate for Payer: Railroad Medicare Medicare |
$867.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,053.92
|
| Rate for Payer: UHC Core |
$2,897.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$867.59
|
| Rate for Payer: UHC Exchange |
$867.59
|
| Rate for Payer: UHC Medicare Advantage |
$867.59
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$867.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,602.77
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
IP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,255.73 |
| Max. Negotiated Rate |
$3,123.32 |
| Rate for Payer: Aetna Commercial |
$2,949.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,832.85
|
| Rate for Payer: BCN Commercial |
$2,681.89
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cofinity Commercial |
$2,984.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,776.29
|
| Rate for Payer: Healthscope Commercial |
$3,123.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,602.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: Nomi Health Commercial |
$2,845.70
|
| Rate for Payer: PHP Commercial |
$2,949.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: Priority Health HMO/PPO |
$3,019.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,325.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,053.92
|
| Rate for Payer: UHC Core |
$2,897.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,602.77
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
IP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,675.45 |
| Max. Negotiated Rate |
$3,704.46 |
| Rate for Payer: Aetna Commercial |
$3,498.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,359.95
|
| Rate for Payer: BCN Commercial |
$3,180.90
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cofinity Commercial |
$3,539.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,292.86
|
| Rate for Payer: Healthscope Commercial |
$3,704.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,087.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: Nomi Health Commercial |
$3,375.18
|
| Rate for Payer: PHP Commercial |
$3,498.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: Priority Health HMO/PPO |
$3,580.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,757.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,622.14
|
| Rate for Payer: UHC Core |
$3,436.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,087.05
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
OP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$977.57 |
| Max. Negotiated Rate |
$4,021.03 |
| Rate for Payer: Aetna Commercial |
$3,498.66
|
| Rate for Payer: Aetna Medicare |
$1,070.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,286.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,286.27
|
| Rate for Payer: BCBS Complete |
$4,021.03
|
| Rate for Payer: BCBS MAPPO |
$1,029.02
|
| Rate for Payer: BCBS Trust/PPO |
$3,383.82
|
| Rate for Payer: BCN Commercial |
$3,200.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,029.02
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cofinity Commercial |
$3,539.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,292.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,029.02
|
| Rate for Payer: Healthscope Commercial |
$3,704.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,087.05
|
| Rate for Payer: Mclaren Medicaid |
$3,829.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,080.47
|
| Rate for Payer: Meridian Medicaid |
$4,021.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,183.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: Nomi Health Commercial |
$3,375.18
|
| Rate for Payer: PACE Senior Care Partners |
$977.57
|
| Rate for Payer: PACE SWMI |
$1,029.02
|
| Rate for Payer: PHP Commercial |
$3,498.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,029.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,829.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: Priority Health HMO/PPO |
$3,580.98
|
| Rate for Payer: Priority Health Medicare |
$1,039.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,757.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,029.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,622.14
|
| Rate for Payer: UHC Core |
$3,436.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,029.02
|
| Rate for Payer: UHC Exchange |
$1,029.02
|
| Rate for Payer: UHC Medicare Advantage |
$1,029.02
|
| Rate for Payer: UHCCP Medicaid |
$3,829.30
|
| Rate for Payer: VA VA |
$1,029.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,087.05
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
IP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,461.45 |
| Max. Negotiated Rate |
$3,408.16 |
| Rate for Payer: Aetna Commercial |
$3,218.81
|
| Rate for Payer: BCBS Trust/PPO |
$3,091.20
|
| Rate for Payer: BCN Commercial |
$2,926.47
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cofinity Commercial |
$3,256.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,029.47
|
| Rate for Payer: Healthscope Commercial |
$3,408.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,840.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: Nomi Health Commercial |
$3,105.21
|
| Rate for Payer: PHP Commercial |
$3,218.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: Priority Health HMO/PPO |
$3,294.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,537.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,332.42
|
| Rate for Payer: UHC Core |
$3,162.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,840.13
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
OP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$899.37 |
| Max. Negotiated Rate |
$3,408.16 |
| Rate for Payer: Aetna Commercial |
$3,218.81
|
| Rate for Payer: Aetna Medicare |
$984.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,183.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,183.39
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$946.71
|
| Rate for Payer: BCBS Trust/PPO |
$3,113.16
|
| Rate for Payer: BCN Commercial |
$2,944.27
|
| Rate for Payer: BCN Medicare Advantage |
$946.71
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cofinity Commercial |
$3,256.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,029.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$946.71
|
| Rate for Payer: Healthscope Commercial |
$3,408.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,840.13
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$994.05
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,088.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: Nomi Health Commercial |
$3,105.21
|
| Rate for Payer: PACE Senior Care Partners |
$899.37
|
| Rate for Payer: PACE SWMI |
$946.71
|
| Rate for Payer: PHP Commercial |
$3,218.81
|
| Rate for Payer: PHP Medicare Advantage |
$946.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: Priority Health HMO/PPO |
$3,294.55
|
| Rate for Payer: Priority Health Medicare |
$956.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,537.18
|
| Rate for Payer: Railroad Medicare Medicare |
$946.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,332.42
|
| Rate for Payer: UHC Core |
$3,162.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$946.71
|
| Rate for Payer: UHC Exchange |
$946.71
|
| Rate for Payer: UHC Medicare Advantage |
$946.71
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$946.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,840.13
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
IP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,063.19 |
| Max. Negotiated Rate |
$2,856.73 |
| Rate for Payer: Aetna Commercial |
$2,698.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,591.05
|
| Rate for Payer: BCN Commercial |
$2,452.98
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cofinity Commercial |
$2,729.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,539.31
|
| Rate for Payer: Healthscope Commercial |
$2,856.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,380.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: Nomi Health Commercial |
$2,602.79
|
| Rate for Payer: PHP Commercial |
$2,698.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: Priority Health HMO/PPO |
$2,761.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,126.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,793.24
|
| Rate for Payer: UHC Core |
$2,650.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,380.60
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
OP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$753.86 |
| Max. Negotiated Rate |
$2,856.73 |
| Rate for Payer: Aetna Commercial |
$2,698.02
|
| Rate for Payer: Aetna Medicare |
$825.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$991.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$991.92
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$793.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,609.46
|
| Rate for Payer: BCN Commercial |
$2,467.89
|
| Rate for Payer: BCN Medicare Advantage |
$793.54
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cofinity Commercial |
$2,729.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,539.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$793.54
|
| Rate for Payer: Healthscope Commercial |
$2,856.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,380.60
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$833.21
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$912.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: Nomi Health Commercial |
$2,602.79
|
| Rate for Payer: PACE Senior Care Partners |
$753.86
|
| Rate for Payer: PACE SWMI |
$793.54
|
| Rate for Payer: PHP Commercial |
$2,698.02
|
| Rate for Payer: PHP Medicare Advantage |
$793.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: Priority Health HMO/PPO |
$2,761.50
|
| Rate for Payer: Priority Health Medicare |
$801.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,126.67
|
| Rate for Payer: Railroad Medicare Medicare |
$793.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,793.24
|
| Rate for Payer: UHC Core |
$2,650.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$793.54
|
| Rate for Payer: UHC Exchange |
$793.54
|
| Rate for Payer: UHC Medicare Advantage |
$793.54
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$793.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,380.60
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
OP
|
$20,034.67
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,758.23 |
| Max. Negotiated Rate |
$18,031.20 |
| Rate for Payer: Aetna Commercial |
$17,029.47
|
| Rate for Payer: Aetna Medicare |
$5,209.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,260.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,260.83
|
| Rate for Payer: BCBS Complete |
$13,357.09
|
| Rate for Payer: BCBS MAPPO |
$5,008.67
|
| Rate for Payer: BCBS Trust/PPO |
$16,470.50
|
| Rate for Payer: BCN Commercial |
$15,576.96
|
| Rate for Payer: BCN Medicare Advantage |
$5,008.67
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cofinity Commercial |
$17,229.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,027.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,008.67
|
| Rate for Payer: Healthscope Commercial |
$18,031.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,026.00
|
| Rate for Payer: Mclaren Medicaid |
$12,720.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,259.10
|
| Rate for Payer: Meridian Medicaid |
$13,357.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,759.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: Nomi Health Commercial |
$16,428.43
|
| Rate for Payer: PACE Senior Care Partners |
$4,758.23
|
| Rate for Payer: PACE SWMI |
$5,008.67
|
| Rate for Payer: PHP Commercial |
$17,029.47
|
| Rate for Payer: PHP Medicare Advantage |
$5,008.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,720.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: Priority Health HMO/PPO |
$17,430.16
|
| Rate for Payer: Priority Health Medicare |
$5,058.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,423.23
|
| Rate for Payer: Railroad Medicare Medicare |
$5,008.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,630.51
|
| Rate for Payer: UHC Core |
$16,728.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,008.67
|
| Rate for Payer: UHC Exchange |
$5,008.67
|
| Rate for Payer: UHC Medicare Advantage |
$5,008.67
|
| Rate for Payer: UHCCP Medicaid |
$12,720.20
|
| Rate for Payer: VA VA |
$5,008.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,026.00
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
IP
|
$20,034.67
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,022.54 |
| Max. Negotiated Rate |
$18,031.20 |
| Rate for Payer: Aetna Commercial |
$17,029.47
|
| Rate for Payer: BCBS Trust/PPO |
$16,354.30
|
| Rate for Payer: BCN Commercial |
$15,482.79
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cofinity Commercial |
$17,229.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,027.74
|
| Rate for Payer: Healthscope Commercial |
$18,031.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,026.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: Nomi Health Commercial |
$16,428.43
|
| Rate for Payer: PHP Commercial |
$17,029.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: Priority Health HMO/PPO |
$17,430.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,423.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,630.51
|
| Rate for Payer: UHC Core |
$16,728.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,026.00
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
IP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,269.29 |
| Max. Negotiated Rate |
$15,603.63 |
| Rate for Payer: Aetna Commercial |
$14,736.76
|
| Rate for Payer: BCBS Trust/PPO |
$14,152.50
|
| Rate for Payer: BCN Commercial |
$13,398.32
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cofinity Commercial |
$14,910.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,869.90
|
| Rate for Payer: Healthscope Commercial |
$15,603.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,003.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: Nomi Health Commercial |
$14,216.64
|
| Rate for Payer: PHP Commercial |
$14,736.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: Priority Health HMO/PPO |
$15,083.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,616.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,256.89
|
| Rate for Payer: UHC Core |
$14,476.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,003.03
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
OP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,117.63 |
| Max. Negotiated Rate |
$15,603.63 |
| Rate for Payer: Aetna Commercial |
$14,736.76
|
| Rate for Payer: Aetna Medicare |
$4,507.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,417.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,417.93
|
| Rate for Payer: BCBS Complete |
$13,357.09
|
| Rate for Payer: BCBS MAPPO |
$4,334.34
|
| Rate for Payer: BCBS Trust/PPO |
$14,253.05
|
| Rate for Payer: BCN Commercial |
$13,479.81
|
| Rate for Payer: BCN Medicare Advantage |
$4,334.34
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cofinity Commercial |
$14,910.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,869.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,334.34
|
| Rate for Payer: Healthscope Commercial |
$15,603.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,003.03
|
| Rate for Payer: Mclaren Medicaid |
$12,720.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,551.06
|
| Rate for Payer: Meridian Medicaid |
$13,357.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,984.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: Nomi Health Commercial |
$14,216.64
|
| Rate for Payer: PACE Senior Care Partners |
$4,117.63
|
| Rate for Payer: PACE SWMI |
$4,334.34
|
| Rate for Payer: PHP Commercial |
$14,736.76
|
| Rate for Payer: PHP Medicare Advantage |
$4,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,720.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: Priority Health HMO/PPO |
$15,083.51
|
| Rate for Payer: Priority Health Medicare |
$4,377.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,616.04
|
| Rate for Payer: Railroad Medicare Medicare |
$4,334.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,256.89
|
| Rate for Payer: UHC Core |
$14,476.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,334.34
|
| Rate for Payer: UHC Exchange |
$4,334.34
|
| Rate for Payer: UHC Medicare Advantage |
$4,334.34
|
| Rate for Payer: UHCCP Medicaid |
$12,720.20
|
| Rate for Payer: VA VA |
$4,334.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,003.03
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
OP
|
$20,088.35
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,770.98 |
| Max. Negotiated Rate |
$18,079.52 |
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: Aetna Medicare |
$5,222.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,277.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,277.61
|
| Rate for Payer: BCBS Complete |
$13,357.09
|
| Rate for Payer: BCBS MAPPO |
$5,022.09
|
| Rate for Payer: BCBS Trust/PPO |
$16,514.63
|
| Rate for Payer: BCN Commercial |
$15,618.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,022.09
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,022.09
|
| Rate for Payer: Healthscope Commercial |
$18,079.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Mclaren Medicaid |
$12,720.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,273.19
|
| Rate for Payer: Meridian Medicaid |
$13,357.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,775.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$16,472.45
|
| Rate for Payer: PACE Senior Care Partners |
$4,770.98
|
| Rate for Payer: PACE SWMI |
$5,022.09
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: PHP Medicare Advantage |
$5,022.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,720.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health HMO/PPO |
$17,476.86
|
| Rate for Payer: Priority Health Medicare |
$5,072.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,459.19
|
| Rate for Payer: Railroad Medicare Medicare |
$5,022.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,677.75
|
| Rate for Payer: UHC Core |
$16,773.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,022.09
|
| Rate for Payer: UHC Exchange |
$5,022.09
|
| Rate for Payer: UHC Medicare Advantage |
$5,022.09
|
| Rate for Payer: UHCCP Medicaid |
$12,720.20
|
| Rate for Payer: VA VA |
$5,022.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
IP
|
$20,088.35
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,057.43 |
| Max. Negotiated Rate |
$18,079.52 |
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: BCBS Trust/PPO |
$16,398.12
|
| Rate for Payer: BCN Commercial |
$15,524.28
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Healthscope Commercial |
$18,079.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$16,472.45
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health HMO/PPO |
$17,476.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,459.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,677.75
|
| Rate for Payer: UHC Core |
$16,773.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
OP
|
$21,959.58
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,215.40 |
| Max. Negotiated Rate |
$19,763.62 |
| Rate for Payer: Aetna Commercial |
$18,665.64
|
| Rate for Payer: Aetna Medicare |
$5,709.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,862.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,862.37
|
| Rate for Payer: BCBS Complete |
$13,357.09
|
| Rate for Payer: BCBS MAPPO |
$5,489.90
|
| Rate for Payer: BCBS Trust/PPO |
$18,052.97
|
| Rate for Payer: BCN Commercial |
$17,073.57
|
| Rate for Payer: BCN Medicare Advantage |
$5,489.90
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cofinity Commercial |
$18,885.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,567.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,489.90
|
| Rate for Payer: Healthscope Commercial |
$19,763.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,469.68
|
| Rate for Payer: Mclaren Medicaid |
$12,720.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,764.39
|
| Rate for Payer: Meridian Medicaid |
$13,357.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,313.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: Nomi Health Commercial |
$18,006.86
|
| Rate for Payer: PACE Senior Care Partners |
$5,215.40
|
| Rate for Payer: PACE SWMI |
$5,489.90
|
| Rate for Payer: PHP Commercial |
$18,665.64
|
| Rate for Payer: PHP Medicare Advantage |
$5,489.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,720.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: Priority Health HMO/PPO |
$19,104.83
|
| Rate for Payer: Priority Health Medicare |
$5,544.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,712.92
|
| Rate for Payer: Railroad Medicare Medicare |
$5,489.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,324.43
|
| Rate for Payer: UHC Core |
$18,336.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,489.90
|
| Rate for Payer: UHC Exchange |
$5,489.90
|
| Rate for Payer: UHC Medicare Advantage |
$5,489.90
|
| Rate for Payer: UHCCP Medicaid |
$12,720.20
|
| Rate for Payer: VA VA |
$5,489.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,469.68
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
IP
|
$21,959.58
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,273.73 |
| Max. Negotiated Rate |
$19,763.62 |
| Rate for Payer: Aetna Commercial |
$18,665.64
|
| Rate for Payer: BCBS Trust/PPO |
$17,925.61
|
| Rate for Payer: BCN Commercial |
$16,970.36
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cofinity Commercial |
$18,885.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,567.66
|
| Rate for Payer: Healthscope Commercial |
$19,763.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,469.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: Nomi Health Commercial |
$18,006.86
|
| Rate for Payer: PHP Commercial |
$18,665.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: Priority Health HMO/PPO |
$19,104.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,712.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,324.43
|
| Rate for Payer: UHC Core |
$18,336.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,469.68
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$9,515.71
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,259.98 |
| Max. Negotiated Rate |
$8,564.14 |
| Rate for Payer: Aetna Commercial |
$8,088.35
|
| Rate for Payer: Aetna Medicare |
$2,474.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,973.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,973.66
|
| Rate for Payer: BCBS Complete |
$3,806.28
|
| Rate for Payer: BCBS MAPPO |
$2,378.93
|
| Rate for Payer: BCBS Trust/PPO |
$7,822.87
|
| Rate for Payer: BCN Commercial |
$7,398.46
|
| Rate for Payer: BCN Medicare Advantage |
$2,378.93
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$8,183.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,612.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,378.93
|
| Rate for Payer: Healthscope Commercial |
$8,564.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,136.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,497.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,735.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,088.35
|
| Rate for Payer: Nomi Health Commercial |
$7,802.88
|
| Rate for Payer: PACE Senior Care Partners |
$2,259.98
|
| Rate for Payer: PACE SWMI |
$2,378.93
|
| Rate for Payer: PHP Commercial |
$8,088.35
|
| Rate for Payer: PHP Medicare Advantage |
$2,378.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,185.21
|
| Rate for Payer: Priority Health HMO/PPO |
$8,278.67
|
| Rate for Payer: Priority Health Medicare |
$2,402.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,375.53
|
| Rate for Payer: Railroad Medicare Medicare |
$2,378.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,373.82
|
| Rate for Payer: UHC Core |
$7,945.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,378.93
|
| Rate for Payer: UHC Exchange |
$2,378.93
|
| Rate for Payer: UHC Medicare Advantage |
$2,378.93
|
| Rate for Payer: VA VA |
$2,378.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,136.78
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$9,515.71
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,185.21 |
| Max. Negotiated Rate |
$8,564.14 |
| Rate for Payer: Aetna Commercial |
$8,088.35
|
| Rate for Payer: BCBS Trust/PPO |
$7,767.67
|
| Rate for Payer: BCN Commercial |
$7,353.74
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$8,183.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,612.57
|
| Rate for Payer: Healthscope Commercial |
$8,564.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,136.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,088.35
|
| Rate for Payer: Nomi Health Commercial |
$7,802.88
|
| Rate for Payer: PHP Commercial |
$8,088.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,185.21
|
| Rate for Payer: Priority Health HMO/PPO |
$8,278.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,375.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,373.82
|
| Rate for Payer: UHC Core |
$7,945.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,136.78
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
IP
|
$20,088.35
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,057.43 |
| Max. Negotiated Rate |
$18,079.52 |
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: BCBS Trust/PPO |
$16,398.12
|
| Rate for Payer: BCN Commercial |
$15,524.28
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Healthscope Commercial |
$18,079.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$16,472.45
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health HMO/PPO |
$17,476.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,459.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,677.75
|
| Rate for Payer: UHC Core |
$16,773.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
