|
HC IR MESENTERIC VISCERAL ANGIOGR
|
Facility
|
OP
|
$3,674.46
|
|
|
Service Code
|
CPT 75726
|
| Hospital Charge Code |
32000193
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$872.68 |
| Max. Negotiated Rate |
$4,021.03 |
| Rate for Payer: Aetna Commercial |
$3,123.29
|
| Rate for Payer: Aetna Medicare |
$955.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,148.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,148.27
|
| Rate for Payer: BCBS Complete |
$4,021.03
|
| Rate for Payer: BCBS MAPPO |
$918.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,020.77
|
| Rate for Payer: BCN Commercial |
$2,856.89
|
| Rate for Payer: BCN Medicare Advantage |
$918.62
|
| Rate for Payer: Cash Price |
$2,939.57
|
| Rate for Payer: Cash Price |
$2,939.57
|
| Rate for Payer: Cofinity Commercial |
$3,160.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,939.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$918.62
|
| Rate for Payer: Healthscope Commercial |
$3,307.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,755.84
|
| Rate for Payer: Mclaren Medicaid |
$3,829.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$964.55
|
| Rate for Payer: Meridian Medicaid |
$4,021.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,056.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,123.29
|
| Rate for Payer: Nomi Health Commercial |
$3,013.06
|
| Rate for Payer: PACE Senior Care Partners |
$872.68
|
| Rate for Payer: PACE SWMI |
$918.62
|
| Rate for Payer: PHP Commercial |
$3,123.29
|
| Rate for Payer: PHP Medicare Advantage |
$918.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,829.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,388.40
|
| Rate for Payer: Priority Health HMO/PPO |
$3,196.78
|
| Rate for Payer: Priority Health Medicare |
$927.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,461.89
|
| Rate for Payer: Railroad Medicare Medicare |
$918.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,233.52
|
| Rate for Payer: UHC Core |
$3,068.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$918.62
|
| Rate for Payer: UHC Exchange |
$918.62
|
| Rate for Payer: UHC Medicare Advantage |
$918.62
|
| Rate for Payer: UHCCP Medicaid |
$3,829.30
|
| Rate for Payer: VA VA |
$918.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,755.84
|
|
|
HC IR MESENTERIC VISCERAL ANGIOGR
|
Facility
|
IP
|
$3,674.46
|
|
|
Service Code
|
CPT 75726
|
| Hospital Charge Code |
32000193
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,388.40 |
| Max. Negotiated Rate |
$3,307.01 |
| Rate for Payer: Aetna Commercial |
$3,123.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,999.46
|
| Rate for Payer: BCN Commercial |
$2,839.62
|
| Rate for Payer: Cash Price |
$2,939.57
|
| Rate for Payer: Cofinity Commercial |
$3,160.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,939.57
|
| Rate for Payer: Healthscope Commercial |
$3,307.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,755.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,123.29
|
| Rate for Payer: Nomi Health Commercial |
$3,013.06
|
| Rate for Payer: PHP Commercial |
$3,123.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,388.40
|
| Rate for Payer: Priority Health HMO/PPO |
$3,196.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,461.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,233.52
|
| Rate for Payer: UHC Core |
$3,068.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,755.84
|
|
|
HC IR MYELOGRAM LUMBAR
|
Facility
|
OP
|
$918.71
|
|
|
Service Code
|
CPT 72265
|
| Hospital Charge Code |
32000055
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$218.19 |
| Max. Negotiated Rate |
$826.84 |
| Rate for Payer: Aetna Commercial |
$780.90
|
| Rate for Payer: Aetna Medicare |
$238.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$287.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$287.10
|
| Rate for Payer: BCBS Complete |
$587.68
|
| Rate for Payer: BCBS MAPPO |
$229.68
|
| Rate for Payer: BCBS Trust/PPO |
$755.27
|
| Rate for Payer: BCN Commercial |
$714.30
|
| Rate for Payer: BCN Medicare Advantage |
$229.68
|
| Rate for Payer: Cash Price |
$734.97
|
| Rate for Payer: Cash Price |
$734.97
|
| Rate for Payer: Cofinity Commercial |
$790.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$734.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.68
|
| Rate for Payer: Healthscope Commercial |
$826.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$689.03
|
| Rate for Payer: Mclaren Medicaid |
$559.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$241.16
|
| Rate for Payer: Meridian Medicaid |
$587.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$264.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$780.90
|
| Rate for Payer: Nomi Health Commercial |
$753.34
|
| Rate for Payer: PACE Senior Care Partners |
$218.19
|
| Rate for Payer: PACE SWMI |
$229.68
|
| Rate for Payer: PHP Commercial |
$780.90
|
| Rate for Payer: PHP Medicare Advantage |
$229.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$559.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.16
|
| Rate for Payer: Priority Health HMO/PPO |
$799.28
|
| Rate for Payer: Priority Health Medicare |
$231.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$615.54
|
| Rate for Payer: Railroad Medicare Medicare |
$229.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.46
|
| Rate for Payer: UHC Core |
$767.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.68
|
| Rate for Payer: UHC Exchange |
$229.68
|
| Rate for Payer: UHC Medicare Advantage |
$229.68
|
| Rate for Payer: UHCCP Medicaid |
$559.66
|
| Rate for Payer: VA VA |
$229.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$689.03
|
|
|
HC IR MYELOGRAM LUMBAR
|
Facility
|
IP
|
$918.71
|
|
|
Service Code
|
CPT 72265
|
| Hospital Charge Code |
32000055
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$597.16 |
| Max. Negotiated Rate |
$826.84 |
| Rate for Payer: Aetna Commercial |
$780.90
|
| Rate for Payer: BCBS Trust/PPO |
$749.94
|
| Rate for Payer: BCN Commercial |
$709.98
|
| Rate for Payer: Cash Price |
$734.97
|
| Rate for Payer: Cofinity Commercial |
$790.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$734.97
|
| Rate for Payer: Healthscope Commercial |
$826.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$689.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$780.90
|
| Rate for Payer: Nomi Health Commercial |
$753.34
|
| Rate for Payer: PHP Commercial |
$780.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.16
|
| Rate for Payer: Priority Health HMO/PPO |
$799.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$615.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.46
|
| Rate for Payer: UHC Core |
$767.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$689.03
|
|
|
HC IR MYELOGRAM THORACIC
|
Facility
|
OP
|
$1,013.15
|
|
|
Service Code
|
CPT 72255
|
| Hospital Charge Code |
32000054
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$240.62 |
| Max. Negotiated Rate |
$911.84 |
| Rate for Payer: Aetna Commercial |
$861.18
|
| Rate for Payer: Aetna Medicare |
$263.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$316.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$316.61
|
| Rate for Payer: BCBS Complete |
$587.68
|
| Rate for Payer: BCBS MAPPO |
$253.29
|
| Rate for Payer: BCBS Trust/PPO |
$832.91
|
| Rate for Payer: BCN Commercial |
$787.72
|
| Rate for Payer: BCN Medicare Advantage |
$253.29
|
| Rate for Payer: Cash Price |
$810.52
|
| Rate for Payer: Cash Price |
$810.52
|
| Rate for Payer: Cofinity Commercial |
$871.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$810.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.29
|
| Rate for Payer: Healthscope Commercial |
$911.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$759.86
|
| Rate for Payer: Mclaren Medicaid |
$559.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$265.95
|
| Rate for Payer: Meridian Medicaid |
$587.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$291.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$861.18
|
| Rate for Payer: Nomi Health Commercial |
$830.78
|
| Rate for Payer: PACE Senior Care Partners |
$240.62
|
| Rate for Payer: PACE SWMI |
$253.29
|
| Rate for Payer: PHP Commercial |
$861.18
|
| Rate for Payer: PHP Medicare Advantage |
$253.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$559.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.55
|
| Rate for Payer: Priority Health HMO/PPO |
$881.44
|
| Rate for Payer: Priority Health Medicare |
$255.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$678.81
|
| Rate for Payer: Railroad Medicare Medicare |
$253.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$891.57
|
| Rate for Payer: UHC Core |
$845.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$253.29
|
| Rate for Payer: UHC Exchange |
$253.29
|
| Rate for Payer: UHC Medicare Advantage |
$253.29
|
| Rate for Payer: UHCCP Medicaid |
$559.66
|
| Rate for Payer: VA VA |
$253.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$759.86
|
|
|
HC IR MYELOGRAM THORACIC
|
Facility
|
IP
|
$1,013.15
|
|
|
Service Code
|
CPT 72255
|
| Hospital Charge Code |
32000054
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$658.55 |
| Max. Negotiated Rate |
$911.84 |
| Rate for Payer: Aetna Commercial |
$861.18
|
| Rate for Payer: BCBS Trust/PPO |
$827.03
|
| Rate for Payer: BCN Commercial |
$782.96
|
| Rate for Payer: Cash Price |
$810.52
|
| Rate for Payer: Cofinity Commercial |
$871.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$810.52
|
| Rate for Payer: Healthscope Commercial |
$911.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$759.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$861.18
|
| Rate for Payer: Nomi Health Commercial |
$830.78
|
| Rate for Payer: PHP Commercial |
$861.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.55
|
| Rate for Payer: Priority Health HMO/PPO |
$881.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$678.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$891.57
|
| Rate for Payer: UHC Core |
$845.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$759.86
|
|
|
HC IR MYELOGRAM TWO OR MORE REGIO
|
Facility
|
IP
|
$1,360.85
|
|
|
Service Code
|
CPT 72270
|
| Hospital Charge Code |
32000056
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$884.55 |
| Max. Negotiated Rate |
$1,224.76 |
| Rate for Payer: Aetna Commercial |
$1,156.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,110.86
|
| Rate for Payer: BCN Commercial |
$1,051.66
|
| Rate for Payer: Cash Price |
$1,088.68
|
| Rate for Payer: Cofinity Commercial |
$1,170.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,088.68
|
| Rate for Payer: Healthscope Commercial |
$1,224.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,020.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,156.72
|
| Rate for Payer: Nomi Health Commercial |
$1,115.90
|
| Rate for Payer: PHP Commercial |
$1,156.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$884.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,183.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$911.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,197.55
|
| Rate for Payer: UHC Core |
$1,136.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,020.64
|
|
|
HC IR MYELOGRAM TWO OR MORE REGIO
|
Facility
|
OP
|
$1,360.85
|
|
|
Service Code
|
CPT 72270
|
| Hospital Charge Code |
32000056
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$323.20 |
| Max. Negotiated Rate |
$1,224.76 |
| Rate for Payer: Aetna Commercial |
$1,156.72
|
| Rate for Payer: Aetna Medicare |
$353.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$425.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$425.27
|
| Rate for Payer: BCBS Complete |
$587.68
|
| Rate for Payer: BCBS MAPPO |
$340.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,118.75
|
| Rate for Payer: BCN Commercial |
$1,058.06
|
| Rate for Payer: BCN Medicare Advantage |
$340.21
|
| Rate for Payer: Cash Price |
$1,088.68
|
| Rate for Payer: Cash Price |
$1,088.68
|
| Rate for Payer: Cofinity Commercial |
$1,170.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,088.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$340.21
|
| Rate for Payer: Healthscope Commercial |
$1,224.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,020.64
|
| Rate for Payer: Mclaren Medicaid |
$559.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$357.22
|
| Rate for Payer: Meridian Medicaid |
$587.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$391.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,156.72
|
| Rate for Payer: Nomi Health Commercial |
$1,115.90
|
| Rate for Payer: PACE Senior Care Partners |
$323.20
|
| Rate for Payer: PACE SWMI |
$340.21
|
| Rate for Payer: PHP Commercial |
$1,156.72
|
| Rate for Payer: PHP Medicare Advantage |
$340.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$559.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$884.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,183.94
|
| Rate for Payer: Priority Health Medicare |
$343.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$911.77
|
| Rate for Payer: Railroad Medicare Medicare |
$340.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,197.55
|
| Rate for Payer: UHC Core |
$1,136.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$340.21
|
| Rate for Payer: UHC Exchange |
$340.21
|
| Rate for Payer: UHC Medicare Advantage |
$340.21
|
| Rate for Payer: UHCCP Medicaid |
$559.66
|
| Rate for Payer: VA VA |
$340.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,020.64
|
|
|
HC IRON BINDING CAPACITY
|
Facility
|
IP
|
$45.93
|
|
|
Service Code
|
CPT 83550
|
| Hospital Charge Code |
30100268
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.85 |
| Max. Negotiated Rate |
$41.34 |
| Rate for Payer: Aetna Commercial |
$39.04
|
| Rate for Payer: BCBS Trust/PPO |
$37.49
|
| Rate for Payer: BCN Commercial |
$35.49
|
| Rate for Payer: Cash Price |
$36.74
|
| Rate for Payer: Cofinity Commercial |
$39.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.74
|
| Rate for Payer: Healthscope Commercial |
$41.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.04
|
| Rate for Payer: Nomi Health Commercial |
$37.66
|
| Rate for Payer: PHP Commercial |
$39.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.85
|
| Rate for Payer: Priority Health HMO/PPO |
$39.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.42
|
| Rate for Payer: UHC Core |
$38.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.45
|
|
|
HC IRON BINDING CAPACITY
|
Facility
|
OP
|
$45.93
|
|
|
Service Code
|
CPT 83550
|
| Hospital Charge Code |
30100268
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.32 |
| Max. Negotiated Rate |
$41.34 |
| Rate for Payer: Aetna Commercial |
$39.04
|
| Rate for Payer: Aetna Medicare |
$11.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.35
|
| Rate for Payer: BCBS Complete |
$6.64
|
| Rate for Payer: BCBS MAPPO |
$11.48
|
| Rate for Payer: BCBS Trust/PPO |
$37.76
|
| Rate for Payer: BCN Commercial |
$35.71
|
| Rate for Payer: BCN Medicare Advantage |
$11.48
|
| Rate for Payer: Cash Price |
$36.74
|
| Rate for Payer: Cash Price |
$36.74
|
| Rate for Payer: Cofinity Commercial |
$39.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.48
|
| Rate for Payer: Healthscope Commercial |
$41.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.45
|
| Rate for Payer: Mclaren Medicaid |
$6.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.06
|
| Rate for Payer: Meridian Medicaid |
$6.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.04
|
| Rate for Payer: Nomi Health Commercial |
$37.66
|
| Rate for Payer: PACE Senior Care Partners |
$10.91
|
| Rate for Payer: PACE SWMI |
$11.48
|
| Rate for Payer: PHP Commercial |
$39.04
|
| Rate for Payer: PHP Medicare Advantage |
$11.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.85
|
| Rate for Payer: Priority Health HMO/PPO |
$39.96
|
| Rate for Payer: Priority Health Medicare |
$11.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.77
|
| Rate for Payer: Railroad Medicare Medicare |
$11.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.42
|
| Rate for Payer: UHC Core |
$38.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.48
|
| Rate for Payer: UHC Exchange |
$11.48
|
| Rate for Payer: UHC Medicare Advantage |
$11.48
|
| Rate for Payer: UHCCP Medicaid |
$6.32
|
| Rate for Payer: VA VA |
$11.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.45
|
|
|
HC IRON LEVEL
|
Facility
|
IP
|
$26.01
|
|
|
Service Code
|
CPT 83540
|
| Hospital Charge Code |
30100267
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.23
|
| Rate for Payer: BCN Commercial |
$20.10
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC IRON LEVEL
|
Facility
|
OP
|
$26.01
|
|
|
Service Code
|
CPT 83540
|
| Hospital Charge Code |
30100267
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: Aetna Medicare |
$6.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.13
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.38
|
| Rate for Payer: BCN Commercial |
$20.22
|
| Rate for Payer: BCN Medicare Advantage |
$6.50
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.50
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.83
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PACE Senior Care Partners |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.50
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: PHP Medicare Advantage |
$6.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Medicare |
$6.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.50
|
| Rate for Payer: UHC Exchange |
$6.50
|
| Rate for Payer: UHC Medicare Advantage |
$6.50
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC IR PERCUTANEOUS TUBE CHANGE
|
Facility
|
IP
|
$576.25
|
|
|
Service Code
|
CPT 75984
|
| Hospital Charge Code |
32000228
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$374.56 |
| Max. Negotiated Rate |
$518.62 |
| Rate for Payer: Aetna Commercial |
$489.81
|
| Rate for Payer: BCBS Trust/PPO |
$470.39
|
| Rate for Payer: BCN Commercial |
$445.33
|
| Rate for Payer: Cash Price |
$461.00
|
| Rate for Payer: Cofinity Commercial |
$495.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$461.00
|
| Rate for Payer: Healthscope Commercial |
$518.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$432.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$489.81
|
| Rate for Payer: Nomi Health Commercial |
$472.52
|
| Rate for Payer: PHP Commercial |
$489.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.56
|
| Rate for Payer: Priority Health HMO/PPO |
$501.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$386.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.10
|
| Rate for Payer: UHC Core |
$481.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$432.19
|
|
|
HC IR PERCUTANEOUS TUBE CHANGE
|
Facility
|
OP
|
$576.25
|
|
|
Service Code
|
CPT 75984
|
| Hospital Charge Code |
32000228
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$136.86 |
| Max. Negotiated Rate |
$518.62 |
| Rate for Payer: Aetna Commercial |
$489.81
|
| Rate for Payer: Aetna Medicare |
$149.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$180.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$180.08
|
| Rate for Payer: BCBS Complete |
$230.50
|
| Rate for Payer: BCBS MAPPO |
$144.06
|
| Rate for Payer: BCBS Trust/PPO |
$473.74
|
| Rate for Payer: BCN Commercial |
$448.03
|
| Rate for Payer: BCN Medicare Advantage |
$144.06
|
| Rate for Payer: Cash Price |
$461.00
|
| Rate for Payer: Cofinity Commercial |
$495.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$461.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.06
|
| Rate for Payer: Healthscope Commercial |
$518.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$432.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$165.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$489.81
|
| Rate for Payer: Nomi Health Commercial |
$472.52
|
| Rate for Payer: PACE Senior Care Partners |
$136.86
|
| Rate for Payer: PACE SWMI |
$144.06
|
| Rate for Payer: PHP Commercial |
$489.81
|
| Rate for Payer: PHP Medicare Advantage |
$144.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.56
|
| Rate for Payer: Priority Health HMO/PPO |
$501.34
|
| Rate for Payer: Priority Health Medicare |
$145.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$386.09
|
| Rate for Payer: Railroad Medicare Medicare |
$144.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.10
|
| Rate for Payer: UHC Core |
$481.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.06
|
| Rate for Payer: UHC Exchange |
$144.06
|
| Rate for Payer: UHC Medicare Advantage |
$144.06
|
| Rate for Payer: VA VA |
$144.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$432.19
|
|
|
HC IR PLACEMENT CAROTID STENT
|
Facility
|
IP
|
$11,637.37
|
|
|
Service Code
|
CPT 37215
|
| Hospital Charge Code |
36100163
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,564.29 |
| Max. Negotiated Rate |
$10,473.63 |
| Rate for Payer: Aetna Commercial |
$9,891.76
|
| Rate for Payer: BCBS Trust/PPO |
$9,499.59
|
| Rate for Payer: BCN Commercial |
$8,993.36
|
| Rate for Payer: Cash Price |
$9,309.90
|
| Rate for Payer: Cofinity Commercial |
$10,008.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,309.90
|
| Rate for Payer: Healthscope Commercial |
$10,473.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,728.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,891.76
|
| Rate for Payer: Nomi Health Commercial |
$9,542.64
|
| Rate for Payer: PHP Commercial |
$9,891.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,564.29
|
| Rate for Payer: Priority Health HMO/PPO |
$10,124.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,797.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,240.89
|
| Rate for Payer: UHC Core |
$9,717.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,728.03
|
|
|
HC IR PLACEMENT CAROTID STENT
|
Facility
|
OP
|
$11,637.37
|
|
|
Service Code
|
CPT 37215
|
| Hospital Charge Code |
36100163
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,763.88 |
| Max. Negotiated Rate |
$10,473.63 |
| Rate for Payer: Aetna Commercial |
$9,891.76
|
| Rate for Payer: Aetna Medicare |
$3,025.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,636.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,636.68
|
| Rate for Payer: BCBS Complete |
$4,654.95
|
| Rate for Payer: BCBS MAPPO |
$2,909.34
|
| Rate for Payer: BCBS Trust/PPO |
$9,567.08
|
| Rate for Payer: BCN Commercial |
$9,048.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,909.34
|
| Rate for Payer: Cash Price |
$9,309.90
|
| Rate for Payer: Cofinity Commercial |
$10,008.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,309.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,909.34
|
| Rate for Payer: Healthscope Commercial |
$10,473.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,728.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,054.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,345.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,891.76
|
| Rate for Payer: Nomi Health Commercial |
$9,542.64
|
| Rate for Payer: PACE Senior Care Partners |
$2,763.88
|
| Rate for Payer: PACE SWMI |
$2,909.34
|
| Rate for Payer: PHP Commercial |
$9,891.76
|
| Rate for Payer: PHP Medicare Advantage |
$2,909.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,564.29
|
| Rate for Payer: Priority Health HMO/PPO |
$10,124.51
|
| Rate for Payer: Priority Health Medicare |
$2,938.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,797.04
|
| Rate for Payer: Railroad Medicare Medicare |
$2,909.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,240.89
|
| Rate for Payer: UHC Core |
$9,717.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,909.34
|
| Rate for Payer: UHC Exchange |
$2,909.34
|
| Rate for Payer: UHC Medicare Advantage |
$2,909.34
|
| Rate for Payer: VA VA |
$2,909.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,728.03
|
|
|
HC IR PLACEMENT STENT INTRACRANIAL W ANGIOPLASTY
|
Facility
|
OP
|
$3,457.60
|
|
|
Service Code
|
CPT 61635
|
| Hospital Charge Code |
36100274
|
|
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 PLACEMENT STENT INTRACRANIAL W ANGIOPLASTY
|
Facility
|
IP
|
$3,457.60
|
|
|
Service Code
|
CPT 61635
|
| Hospital Charge Code |
36100274
|
|
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 PLACEMENT TIPS WITH FLUORO
|
Facility
|
OP
|
$5,401.96
|
|
|
Service Code
|
CPT 37182
|
| Hospital Charge Code |
36100147
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,282.97 |
| Max. Negotiated Rate |
$4,861.76 |
| Rate for Payer: Aetna Commercial |
$4,591.67
|
| Rate for Payer: Aetna Medicare |
$1,404.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,688.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,688.11
|
| Rate for Payer: BCBS Complete |
$2,160.78
|
| Rate for Payer: BCBS MAPPO |
$1,350.49
|
| Rate for Payer: BCBS Trust/PPO |
$4,440.95
|
| Rate for Payer: BCN Commercial |
$4,200.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,350.49
|
| Rate for Payer: Cash Price |
$4,321.57
|
| Rate for Payer: Cofinity Commercial |
$4,645.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,321.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,350.49
|
| Rate for Payer: Healthscope Commercial |
$4,861.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,051.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,418.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,553.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,591.67
|
| Rate for Payer: Nomi Health Commercial |
$4,429.61
|
| Rate for Payer: PACE Senior Care Partners |
$1,282.97
|
| Rate for Payer: PACE SWMI |
$1,350.49
|
| Rate for Payer: PHP Commercial |
$4,591.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,350.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,511.27
|
| Rate for Payer: Priority Health HMO/PPO |
$4,699.71
|
| Rate for Payer: Priority Health Medicare |
$1,363.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,619.31
|
| Rate for Payer: Railroad Medicare Medicare |
$1,350.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,753.72
|
| Rate for Payer: UHC Core |
$4,510.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,350.49
|
| Rate for Payer: UHC Exchange |
$1,350.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,350.49
|
| Rate for Payer: VA VA |
$1,350.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,051.47
|
|
|
HC IR PLACEMENT TIPS WITH FLUORO
|
Facility
|
IP
|
$5,401.96
|
|
|
Service Code
|
CPT 37182
|
| Hospital Charge Code |
36100147
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,511.27 |
| Max. Negotiated Rate |
$4,861.76 |
| Rate for Payer: Aetna Commercial |
$4,591.67
|
| Rate for Payer: BCBS Trust/PPO |
$4,409.62
|
| Rate for Payer: BCN Commercial |
$4,174.63
|
| Rate for Payer: Cash Price |
$4,321.57
|
| Rate for Payer: Cofinity Commercial |
$4,645.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,321.57
|
| Rate for Payer: Healthscope Commercial |
$4,861.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,051.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,591.67
|
| Rate for Payer: Nomi Health Commercial |
$4,429.61
|
| Rate for Payer: PHP Commercial |
$4,591.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,511.27
|
| Rate for Payer: Priority Health HMO/PPO |
$4,699.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,619.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,753.72
|
| Rate for Payer: UHC Core |
$4,510.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,051.47
|
|
|
HC IR PLACE STENT VERTEBRAL ART EA AD
|
Facility
|
OP
|
$10,281.82
|
|
|
Service Code
|
CPT 0076T
|
| Hospital Charge Code |
36100368
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,441.93 |
| Max. Negotiated Rate |
$9,253.64 |
| Rate for Payer: Aetna Commercial |
$8,739.55
|
| Rate for Payer: Aetna Medicare |
$2,673.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,213.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,213.07
|
| Rate for Payer: BCBS Complete |
$4,112.73
|
| Rate for Payer: BCBS MAPPO |
$2,570.46
|
| Rate for Payer: BCBS Trust/PPO |
$8,452.68
|
| Rate for Payer: BCN Commercial |
$7,994.12
|
| Rate for Payer: BCN Medicare Advantage |
$2,570.46
|
| Rate for Payer: Cash Price |
$8,225.46
|
| Rate for Payer: Cofinity Commercial |
$8,842.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,225.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,570.46
|
| Rate for Payer: Healthscope Commercial |
$9,253.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,711.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,698.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,956.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,739.55
|
| Rate for Payer: Nomi Health Commercial |
$8,431.09
|
| Rate for Payer: PACE Senior Care Partners |
$2,441.93
|
| Rate for Payer: PACE SWMI |
$2,570.46
|
| Rate for Payer: PHP Commercial |
$8,739.55
|
| Rate for Payer: PHP Medicare Advantage |
$2,570.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,683.18
|
| Rate for Payer: Priority Health HMO/PPO |
$8,945.18
|
| Rate for Payer: Priority Health Medicare |
$2,596.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,888.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,570.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,048.00
|
| Rate for Payer: UHC Core |
$8,585.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,570.46
|
| Rate for Payer: UHC Exchange |
$2,570.46
|
| Rate for Payer: UHC Medicare Advantage |
$2,570.46
|
| Rate for Payer: VA VA |
$2,570.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,711.36
|
|
|
HC IR PLACE STENT VERTEBRAL ART EA AD
|
Facility
|
IP
|
$10,281.82
|
|
|
Service Code
|
CPT 0076T
|
| Hospital Charge Code |
36100368
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,683.18 |
| Max. Negotiated Rate |
$9,253.64 |
| Rate for Payer: Aetna Commercial |
$8,739.55
|
| Rate for Payer: BCBS Trust/PPO |
$8,393.05
|
| Rate for Payer: BCN Commercial |
$7,945.79
|
| Rate for Payer: Cash Price |
$8,225.46
|
| Rate for Payer: Cofinity Commercial |
$8,842.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,225.46
|
| Rate for Payer: Healthscope Commercial |
$9,253.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,711.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,739.55
|
| Rate for Payer: Nomi Health Commercial |
$8,431.09
|
| Rate for Payer: PHP Commercial |
$8,739.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,683.18
|
| Rate for Payer: Priority Health HMO/PPO |
$8,945.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,888.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,048.00
|
| Rate for Payer: UHC Core |
$8,585.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,711.36
|
|
|
HC IR PLACE STENT VERTEBRAL ART INIT
|
Facility
|
IP
|
$10,281.82
|
|
|
Service Code
|
CPT 0075T
|
| Hospital Charge Code |
36100367
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,683.18 |
| Max. Negotiated Rate |
$9,253.64 |
| Rate for Payer: Aetna Commercial |
$8,739.55
|
| Rate for Payer: BCBS Trust/PPO |
$8,393.05
|
| Rate for Payer: BCN Commercial |
$7,945.79
|
| Rate for Payer: Cash Price |
$8,225.46
|
| Rate for Payer: Cofinity Commercial |
$8,842.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,225.46
|
| Rate for Payer: Healthscope Commercial |
$9,253.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,711.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,739.55
|
| Rate for Payer: Nomi Health Commercial |
$8,431.09
|
| Rate for Payer: PHP Commercial |
$8,739.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,683.18
|
| Rate for Payer: Priority Health HMO/PPO |
$8,945.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,888.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,048.00
|
| Rate for Payer: UHC Core |
$8,585.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,711.36
|
|
|
HC IR PLACE STENT VERTEBRAL ART INIT
|
Facility
|
OP
|
$10,281.82
|
|
|
Service Code
|
CPT 0075T
|
| Hospital Charge Code |
36100367
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,441.93 |
| Max. Negotiated Rate |
$9,253.64 |
| Rate for Payer: Aetna Commercial |
$8,739.55
|
| Rate for Payer: Aetna Medicare |
$2,673.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,213.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,213.07
|
| Rate for Payer: BCBS Complete |
$4,112.73
|
| Rate for Payer: BCBS MAPPO |
$2,570.46
|
| Rate for Payer: BCBS Trust/PPO |
$8,452.68
|
| Rate for Payer: BCN Commercial |
$7,994.12
|
| Rate for Payer: BCN Medicare Advantage |
$2,570.46
|
| Rate for Payer: Cash Price |
$8,225.46
|
| Rate for Payer: Cofinity Commercial |
$8,842.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,225.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,570.46
|
| Rate for Payer: Healthscope Commercial |
$9,253.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,711.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,698.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,956.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,739.55
|
| Rate for Payer: Nomi Health Commercial |
$8,431.09
|
| Rate for Payer: PACE Senior Care Partners |
$2,441.93
|
| Rate for Payer: PACE SWMI |
$2,570.46
|
| Rate for Payer: PHP Commercial |
$8,739.55
|
| Rate for Payer: PHP Medicare Advantage |
$2,570.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,683.18
|
| Rate for Payer: Priority Health HMO/PPO |
$8,945.18
|
| Rate for Payer: Priority Health Medicare |
$2,596.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,888.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,570.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,048.00
|
| Rate for Payer: UHC Core |
$8,585.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,570.46
|
| Rate for Payer: UHC Exchange |
$2,570.46
|
| Rate for Payer: UHC Medicare Advantage |
$2,570.46
|
| Rate for Payer: VA VA |
$2,570.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,711.36
|
|
|
HC IR PULMONARY
|
Facility
|
IP
|
$2,010.44
|
|
|
Service Code
|
CPT 75741
|
| Hospital Charge Code |
32000195
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,306.79 |
| Max. Negotiated Rate |
$1,809.40 |
| Rate for Payer: Aetna Commercial |
$1,708.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,641.12
|
| Rate for Payer: BCN Commercial |
$1,553.67
|
| Rate for Payer: Cash Price |
$1,608.35
|
| Rate for Payer: Cofinity Commercial |
$1,728.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,608.35
|
| Rate for Payer: Healthscope Commercial |
$1,809.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,507.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,708.87
|
| Rate for Payer: Nomi Health Commercial |
$1,648.56
|
| Rate for Payer: PHP Commercial |
$1,708.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,306.79
|
| Rate for Payer: Priority Health HMO/PPO |
$1,749.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,346.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,769.19
|
| Rate for Payer: UHC Core |
$1,678.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,507.83
|
|
