|
HC IR PULMONARY
|
Facility
|
OP
|
$2,010.44
|
|
|
Service Code
|
CPT 75741
|
| Hospital Charge Code |
32000195
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$477.48 |
| Max. Negotiated Rate |
$2,341.27 |
| Rate for Payer: Aetna Commercial |
$1,708.87
|
| Rate for Payer: Aetna Medicare |
$522.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$628.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$628.26
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$502.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,652.78
|
| Rate for Payer: BCN Commercial |
$1,563.12
|
| Rate for Payer: BCN Medicare Advantage |
$502.61
|
| Rate for Payer: Cash Price |
$1,608.35
|
| 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: Health Alliance Plan Medicare Advantage |
$502.61
|
| Rate for Payer: Healthscope Commercial |
$1,809.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,507.83
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.74
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$578.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,708.87
|
| Rate for Payer: Nomi Health Commercial |
$1,648.56
|
| Rate for Payer: PACE Senior Care Partners |
$477.48
|
| Rate for Payer: PACE SWMI |
$502.61
|
| Rate for Payer: PHP Commercial |
$1,708.87
|
| Rate for Payer: PHP Medicare Advantage |
$502.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| 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 Medicare |
$507.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,346.99
|
| Rate for Payer: Railroad Medicare Medicare |
$502.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,769.19
|
| Rate for Payer: UHC Core |
$1,678.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.61
|
| Rate for Payer: UHC Exchange |
$502.61
|
| Rate for Payer: UHC Medicare Advantage |
$502.61
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$502.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,507.83
|
|
|
HC IR PULMONARY BILATERAL
|
Facility
|
OP
|
$3,499.53
|
|
|
Service Code
|
CPT 75743
|
| Hospital Charge Code |
32000196
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$831.14 |
| Max. Negotiated Rate |
$3,149.58 |
| Rate for Payer: Aetna Commercial |
$2,974.60
|
| Rate for Payer: Aetna Medicare |
$909.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,093.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,093.60
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$874.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,876.96
|
| Rate for Payer: BCN Commercial |
$2,720.88
|
| Rate for Payer: BCN Medicare Advantage |
$874.88
|
| Rate for Payer: Cash Price |
$2,799.62
|
| Rate for Payer: Cash Price |
$2,799.62
|
| Rate for Payer: Cofinity Commercial |
$3,009.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,799.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$874.88
|
| Rate for Payer: Healthscope Commercial |
$3,149.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,624.65
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$918.63
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,006.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,974.60
|
| Rate for Payer: Nomi Health Commercial |
$2,869.61
|
| Rate for Payer: PACE Senior Care Partners |
$831.14
|
| Rate for Payer: PACE SWMI |
$874.88
|
| Rate for Payer: PHP Commercial |
$2,974.60
|
| Rate for Payer: PHP Medicare Advantage |
$874.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,274.69
|
| Rate for Payer: Priority Health HMO/PPO |
$3,044.59
|
| Rate for Payer: Priority Health Medicare |
$883.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,344.69
|
| Rate for Payer: Railroad Medicare Medicare |
$874.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,079.59
|
| Rate for Payer: UHC Core |
$2,922.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$874.88
|
| Rate for Payer: UHC Exchange |
$874.88
|
| Rate for Payer: UHC Medicare Advantage |
$874.88
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$874.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,624.65
|
|
|
HC IR PULMONARY BILATERAL
|
Facility
|
IP
|
$3,499.53
|
|
|
Service Code
|
CPT 75743
|
| Hospital Charge Code |
32000196
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,274.69 |
| Max. Negotiated Rate |
$3,149.58 |
| Rate for Payer: Aetna Commercial |
$2,974.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,856.67
|
| Rate for Payer: BCN Commercial |
$2,704.44
|
| Rate for Payer: Cash Price |
$2,799.62
|
| Rate for Payer: Cofinity Commercial |
$3,009.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,799.62
|
| Rate for Payer: Healthscope Commercial |
$3,149.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,624.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,974.60
|
| Rate for Payer: Nomi Health Commercial |
$2,869.61
|
| Rate for Payer: PHP Commercial |
$2,974.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,274.69
|
| Rate for Payer: Priority Health HMO/PPO |
$3,044.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,344.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,079.59
|
| Rate for Payer: UHC Core |
$2,922.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,624.65
|
|
|
HC IRRADIATION BLOOD PROD-EA UNIT
|
Facility
|
OP
|
$123.73
|
|
|
Service Code
|
CPT 86945
|
| Hospital Charge Code |
39000026
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$27.81 |
| Max. Negotiated Rate |
$111.36 |
| Rate for Payer: Aetna Commercial |
$105.17
|
| Rate for Payer: Aetna Medicare |
$32.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.67
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: BCBS MAPPO |
$30.93
|
| Rate for Payer: BCBS Trust/PPO |
$101.72
|
| Rate for Payer: BCN Commercial |
$96.20
|
| Rate for Payer: BCN Medicare Advantage |
$30.93
|
| Rate for Payer: Cash Price |
$98.98
|
| Rate for Payer: Cash Price |
$98.98
|
| Rate for Payer: Cofinity Commercial |
$106.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.93
|
| Rate for Payer: Healthscope Commercial |
$111.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.80
|
| Rate for Payer: Mclaren Medicaid |
$27.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.48
|
| Rate for Payer: Meridian Medicaid |
$29.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.17
|
| Rate for Payer: Nomi Health Commercial |
$101.46
|
| Rate for Payer: PACE Senior Care Partners |
$29.39
|
| Rate for Payer: PACE SWMI |
$30.93
|
| Rate for Payer: PHP Commercial |
$105.17
|
| Rate for Payer: PHP Medicare Advantage |
$30.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.42
|
| Rate for Payer: Priority Health HMO/PPO |
$107.65
|
| Rate for Payer: Priority Health Medicare |
$31.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.90
|
| Rate for Payer: Railroad Medicare Medicare |
$30.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.88
|
| Rate for Payer: UHC Core |
$103.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.93
|
| Rate for Payer: UHC Exchange |
$30.93
|
| Rate for Payer: UHC Medicare Advantage |
$30.93
|
| Rate for Payer: UHCCP Medicaid |
$27.81
|
| Rate for Payer: VA VA |
$30.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.80
|
|
|
HC IRRADIATION BLOOD PROD-EA UNIT
|
Facility
|
IP
|
$123.73
|
|
|
Service Code
|
CPT 86945
|
| Hospital Charge Code |
39000026
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$80.42 |
| Max. Negotiated Rate |
$111.36 |
| Rate for Payer: Aetna Commercial |
$105.17
|
| Rate for Payer: BCBS Trust/PPO |
$101.00
|
| Rate for Payer: BCN Commercial |
$95.62
|
| Rate for Payer: Cash Price |
$98.98
|
| Rate for Payer: Cofinity Commercial |
$106.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.98
|
| Rate for Payer: Healthscope Commercial |
$111.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.17
|
| Rate for Payer: Nomi Health Commercial |
$101.46
|
| Rate for Payer: PHP Commercial |
$105.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.42
|
| Rate for Payer: Priority Health HMO/PPO |
$107.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.88
|
| Rate for Payer: UHC Core |
$103.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.80
|
|
|
HC IR RENIN
|
Facility
|
IP
|
$3,485.46
|
|
|
Service Code
|
CPT 75893
|
| Hospital Charge Code |
32000209
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,265.55 |
| Max. Negotiated Rate |
$3,136.91 |
| Rate for Payer: Aetna Commercial |
$2,962.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,845.18
|
| Rate for Payer: BCN Commercial |
$2,693.56
|
| Rate for Payer: Cash Price |
$2,788.37
|
| Rate for Payer: Cofinity Commercial |
$2,997.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,788.37
|
| Rate for Payer: Healthscope Commercial |
$3,136.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,614.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,962.64
|
| Rate for Payer: Nomi Health Commercial |
$2,858.08
|
| Rate for Payer: PHP Commercial |
$2,962.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,265.55
|
| Rate for Payer: Priority Health HMO/PPO |
$3,032.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,335.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,067.20
|
| Rate for Payer: UHC Core |
$2,910.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,614.10
|
|
|
HC IR RENIN
|
Facility
|
OP
|
$3,485.46
|
|
|
Service Code
|
CPT 75893
|
| Hospital Charge Code |
32000209
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$827.80 |
| Max. Negotiated Rate |
$4,021.03 |
| Rate for Payer: Aetna Commercial |
$2,962.64
|
| Rate for Payer: Aetna Medicare |
$906.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,089.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,089.21
|
| Rate for Payer: BCBS Complete |
$4,021.03
|
| Rate for Payer: BCBS MAPPO |
$871.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,865.40
|
| Rate for Payer: BCN Commercial |
$2,709.95
|
| Rate for Payer: BCN Medicare Advantage |
$871.36
|
| Rate for Payer: Cash Price |
$2,788.37
|
| Rate for Payer: Cash Price |
$2,788.37
|
| Rate for Payer: Cofinity Commercial |
$2,997.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,788.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$871.36
|
| Rate for Payer: Healthscope Commercial |
$3,136.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,614.10
|
| Rate for Payer: Mclaren Medicaid |
$3,829.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$914.93
|
| Rate for Payer: Meridian Medicaid |
$4,021.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,002.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,962.64
|
| Rate for Payer: Nomi Health Commercial |
$2,858.08
|
| Rate for Payer: PACE Senior Care Partners |
$827.80
|
| Rate for Payer: PACE SWMI |
$871.36
|
| Rate for Payer: PHP Commercial |
$2,962.64
|
| Rate for Payer: PHP Medicare Advantage |
$871.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,829.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,265.55
|
| Rate for Payer: Priority Health HMO/PPO |
$3,032.35
|
| Rate for Payer: Priority Health Medicare |
$880.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,335.26
|
| Rate for Payer: Railroad Medicare Medicare |
$871.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,067.20
|
| Rate for Payer: UHC Core |
$2,910.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$871.36
|
| Rate for Payer: UHC Exchange |
$871.36
|
| Rate for Payer: UHC Medicare Advantage |
$871.36
|
| Rate for Payer: UHCCP Medicaid |
$3,829.30
|
| Rate for Payer: VA VA |
$871.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,614.10
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY FEMPOP UNI
|
Facility
|
IP
|
$11,023.53
|
|
|
Service Code
|
CPT 37224
|
| Hospital Charge Code |
36100168
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,165.29 |
| Max. Negotiated Rate |
$9,921.18 |
| Rate for Payer: Aetna Commercial |
$9,370.00
|
| Rate for Payer: BCBS Trust/PPO |
$8,998.51
|
| Rate for Payer: BCN Commercial |
$8,518.98
|
| Rate for Payer: Cash Price |
$8,818.82
|
| Rate for Payer: Cofinity Commercial |
$9,480.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,818.82
|
| Rate for Payer: Healthscope Commercial |
$9,921.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,267.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,370.00
|
| Rate for Payer: Nomi Health Commercial |
$9,039.29
|
| Rate for Payer: PHP Commercial |
$9,370.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,165.29
|
| Rate for Payer: Priority Health HMO/PPO |
$9,590.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,385.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,700.71
|
| Rate for Payer: UHC Core |
$9,204.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,267.65
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY FEMPOP UNI
|
Facility
|
OP
|
$11,023.53
|
|
|
Service Code
|
CPT 37224
|
| Hospital Charge Code |
36100168
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,618.09 |
| Max. Negotiated Rate |
$9,921.18 |
| Rate for Payer: Aetna Commercial |
$9,370.00
|
| Rate for Payer: Aetna Medicare |
$2,866.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,444.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,444.85
|
| Rate for Payer: BCBS Complete |
$4,241.07
|
| Rate for Payer: BCBS MAPPO |
$2,755.88
|
| Rate for Payer: BCBS Trust/PPO |
$9,062.44
|
| Rate for Payer: BCN Commercial |
$8,570.79
|
| Rate for Payer: BCN Medicare Advantage |
$2,755.88
|
| Rate for Payer: Cash Price |
$8,818.82
|
| Rate for Payer: Cash Price |
$8,818.82
|
| Rate for Payer: Cofinity Commercial |
$9,480.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,818.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,755.88
|
| Rate for Payer: Healthscope Commercial |
$9,921.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,267.65
|
| Rate for Payer: Mclaren Medicaid |
$4,038.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,893.68
|
| Rate for Payer: Meridian Medicaid |
$4,241.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,169.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,370.00
|
| Rate for Payer: Nomi Health Commercial |
$9,039.29
|
| Rate for Payer: PACE Senior Care Partners |
$2,618.09
|
| Rate for Payer: PACE SWMI |
$2,755.88
|
| Rate for Payer: PHP Commercial |
$9,370.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,755.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,165.29
|
| Rate for Payer: Priority Health HMO/PPO |
$9,590.47
|
| Rate for Payer: Priority Health Medicare |
$2,783.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,385.77
|
| Rate for Payer: Railroad Medicare Medicare |
$2,755.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,700.71
|
| Rate for Payer: UHC Core |
$9,204.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,755.88
|
| Rate for Payer: UHC Exchange |
$2,755.88
|
| Rate for Payer: UHC Medicare Advantage |
$2,755.88
|
| Rate for Payer: UHCCP Medicaid |
$4,038.85
|
| Rate for Payer: VA VA |
$2,755.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,267.65
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY ILIAC UNILATERAL
|
Facility
|
OP
|
$11,114.61
|
|
|
Service Code
|
CPT 37220
|
| Hospital Charge Code |
36100164
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,639.72 |
| Max. Negotiated Rate |
$10,003.15 |
| Rate for Payer: Aetna Commercial |
$9,447.42
|
| Rate for Payer: Aetna Medicare |
$2,889.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,473.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,473.32
|
| Rate for Payer: BCBS Complete |
$4,241.07
|
| Rate for Payer: BCBS MAPPO |
$2,778.65
|
| Rate for Payer: BCBS Trust/PPO |
$9,137.32
|
| Rate for Payer: BCN Commercial |
$8,641.61
|
| Rate for Payer: BCN Medicare Advantage |
$2,778.65
|
| Rate for Payer: Cash Price |
$8,891.69
|
| Rate for Payer: Cash Price |
$8,891.69
|
| Rate for Payer: Cofinity Commercial |
$9,558.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,891.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,778.65
|
| Rate for Payer: Healthscope Commercial |
$10,003.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,335.96
|
| Rate for Payer: Mclaren Medicaid |
$4,038.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,917.59
|
| Rate for Payer: Meridian Medicaid |
$4,241.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,195.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,447.42
|
| Rate for Payer: Nomi Health Commercial |
$9,113.98
|
| Rate for Payer: PACE Senior Care Partners |
$2,639.72
|
| Rate for Payer: PACE SWMI |
$2,778.65
|
| Rate for Payer: PHP Commercial |
$9,447.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,778.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,224.50
|
| Rate for Payer: Priority Health HMO/PPO |
$9,669.71
|
| Rate for Payer: Priority Health Medicare |
$2,806.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,446.79
|
| Rate for Payer: Railroad Medicare Medicare |
$2,778.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,780.86
|
| Rate for Payer: UHC Core |
$9,280.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,778.65
|
| Rate for Payer: UHC Exchange |
$2,778.65
|
| Rate for Payer: UHC Medicare Advantage |
$2,778.65
|
| Rate for Payer: UHCCP Medicaid |
$4,038.85
|
| Rate for Payer: VA VA |
$2,778.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,335.96
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY ILIAC UNILATERAL
|
Facility
|
IP
|
$11,114.61
|
|
|
Service Code
|
CPT 37220
|
| Hospital Charge Code |
36100164
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,224.50 |
| Max. Negotiated Rate |
$10,003.15 |
| Rate for Payer: Aetna Commercial |
$9,447.42
|
| Rate for Payer: BCBS Trust/PPO |
$9,072.86
|
| Rate for Payer: BCN Commercial |
$8,589.37
|
| Rate for Payer: Cash Price |
$8,891.69
|
| Rate for Payer: Cofinity Commercial |
$9,558.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,891.69
|
| Rate for Payer: Healthscope Commercial |
$10,003.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,335.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,447.42
|
| Rate for Payer: Nomi Health Commercial |
$9,113.98
|
| Rate for Payer: PHP Commercial |
$9,447.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,224.50
|
| Rate for Payer: Priority Health HMO/PPO |
$9,669.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,446.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,780.86
|
| Rate for Payer: UHC Core |
$9,280.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,335.96
|
|
|
HC IR REVASCULARIZATION ILIAC EACH ADDITIONAL
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37222
|
| Hospital Charge Code |
36100166
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,694.88 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna Commercial |
$6,139.46
|
| Rate for Payer: BCBS Trust/PPO |
$5,896.05
|
| Rate for Payer: BCN Commercial |
$5,581.86
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.46
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: PHP Commercial |
$6,139.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,694.88
|
| Rate for Payer: Priority Health HMO/PPO |
$6,283.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,839.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,356.15
|
| Rate for Payer: UHC Core |
$6,031.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVASCULARIZATION ILIAC EACH ADDITIONAL
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37222
|
| Hospital Charge Code |
36100166
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,715.44 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna Commercial |
$6,139.46
|
| Rate for Payer: Aetna Medicare |
$1,877.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,257.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,257.16
|
| Rate for Payer: BCBS Complete |
$2,889.16
|
| Rate for Payer: BCBS MAPPO |
$1,805.72
|
| Rate for Payer: BCBS Trust/PPO |
$5,937.95
|
| Rate for Payer: BCN Commercial |
$5,615.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,805.72
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,805.72
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,896.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,076.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.46
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: PACE Senior Care Partners |
$1,715.44
|
| Rate for Payer: PACE SWMI |
$1,805.72
|
| Rate for Payer: PHP Commercial |
$6,139.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,805.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,694.88
|
| Rate for Payer: Priority Health HMO/PPO |
$6,283.92
|
| Rate for Payer: Priority Health Medicare |
$1,823.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,839.34
|
| Rate for Payer: Railroad Medicare Medicare |
$1,805.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,356.15
|
| Rate for Payer: UHC Core |
$6,031.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,805.72
|
| Rate for Payer: UHC Exchange |
$1,805.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,805.72
|
| Rate for Payer: VA VA |
$1,805.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVASCULARIZATION ILIAC WITH STENT UNILATERAL
|
Facility
|
IP
|
$12,417.99
|
|
|
Service Code
|
CPT 37221
|
| Hospital Charge Code |
36100165
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,071.69 |
| Max. Negotiated Rate |
$11,176.19 |
| Rate for Payer: Aetna Commercial |
$10,555.29
|
| Rate for Payer: BCBS Trust/PPO |
$10,136.81
|
| Rate for Payer: BCN Commercial |
$9,596.62
|
| Rate for Payer: Cash Price |
$9,934.39
|
| Rate for Payer: Cofinity Commercial |
$10,679.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,934.39
|
| Rate for Payer: Healthscope Commercial |
$11,176.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,313.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,555.29
|
| Rate for Payer: Nomi Health Commercial |
$10,182.75
|
| Rate for Payer: PHP Commercial |
$10,555.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,071.69
|
| Rate for Payer: Priority Health HMO/PPO |
$10,803.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,320.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,927.83
|
| Rate for Payer: UHC Core |
$10,369.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,313.49
|
|
|
HC IR REVASCULARIZATION ILIAC WITH STENT UNILATERAL
|
Facility
|
OP
|
$12,417.99
|
|
|
Service Code
|
CPT 37221
|
| Hospital Charge Code |
36100165
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,949.27 |
| Max. Negotiated Rate |
$11,176.19 |
| Rate for Payer: Aetna Commercial |
$10,555.29
|
| Rate for Payer: Aetna Medicare |
$3,228.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,880.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,880.62
|
| Rate for Payer: BCBS Complete |
$8,435.67
|
| Rate for Payer: BCBS MAPPO |
$3,104.50
|
| Rate for Payer: BCBS Trust/PPO |
$10,208.83
|
| Rate for Payer: BCN Commercial |
$9,654.99
|
| Rate for Payer: BCN Medicare Advantage |
$3,104.50
|
| Rate for Payer: Cash Price |
$9,934.39
|
| Rate for Payer: Cash Price |
$9,934.39
|
| Rate for Payer: Cofinity Commercial |
$10,679.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,934.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,104.50
|
| Rate for Payer: Healthscope Commercial |
$11,176.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,313.49
|
| Rate for Payer: Mclaren Medicaid |
$8,033.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,259.72
|
| Rate for Payer: Meridian Medicaid |
$8,435.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,570.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,555.29
|
| Rate for Payer: Nomi Health Commercial |
$10,182.75
|
| Rate for Payer: PACE Senior Care Partners |
$2,949.27
|
| Rate for Payer: PACE SWMI |
$3,104.50
|
| Rate for Payer: PHP Commercial |
$10,555.29
|
| Rate for Payer: PHP Medicare Advantage |
$3,104.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,033.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,071.69
|
| Rate for Payer: Priority Health HMO/PPO |
$10,803.65
|
| Rate for Payer: Priority Health Medicare |
$3,135.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,320.05
|
| Rate for Payer: Railroad Medicare Medicare |
$3,104.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,927.83
|
| Rate for Payer: UHC Core |
$10,369.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,104.50
|
| Rate for Payer: UHC Exchange |
$3,104.50
|
| Rate for Payer: UHC Medicare Advantage |
$3,104.50
|
| Rate for Payer: UHCCP Medicaid |
$8,033.44
|
| Rate for Payer: VA VA |
$3,104.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,313.49
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERONL UNI
|
Facility
|
IP
|
$13,706.46
|
|
|
Service Code
|
CPT 37228
|
| Hospital Charge Code |
36100172
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,909.20 |
| Max. Negotiated Rate |
$12,335.81 |
| Rate for Payer: Aetna Commercial |
$11,650.49
|
| Rate for Payer: BCBS Trust/PPO |
$11,188.58
|
| Rate for Payer: BCN Commercial |
$10,592.35
|
| Rate for Payer: Cash Price |
$10,965.17
|
| Rate for Payer: Cofinity Commercial |
$11,787.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,965.17
|
| Rate for Payer: Healthscope Commercial |
$12,335.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,279.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,650.49
|
| Rate for Payer: Nomi Health Commercial |
$11,239.30
|
| Rate for Payer: PHP Commercial |
$11,650.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,909.20
|
| Rate for Payer: Priority Health HMO/PPO |
$11,924.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,183.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,061.68
|
| Rate for Payer: UHC Core |
$11,444.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,279.84
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERONL UNI
|
Facility
|
OP
|
$13,706.46
|
|
|
Service Code
|
CPT 37228
|
| Hospital Charge Code |
36100172
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,255.28 |
| Max. Negotiated Rate |
$12,335.81 |
| Rate for Payer: Aetna Commercial |
$11,650.49
|
| Rate for Payer: Aetna Medicare |
$3,563.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,283.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,283.27
|
| Rate for Payer: BCBS Complete |
$8,435.67
|
| Rate for Payer: BCBS MAPPO |
$3,426.62
|
| Rate for Payer: BCBS Trust/PPO |
$11,268.08
|
| Rate for Payer: BCN Commercial |
$10,656.77
|
| Rate for Payer: BCN Medicare Advantage |
$3,426.62
|
| Rate for Payer: Cash Price |
$10,965.17
|
| Rate for Payer: Cash Price |
$10,965.17
|
| Rate for Payer: Cofinity Commercial |
$11,787.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,965.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,426.62
|
| Rate for Payer: Healthscope Commercial |
$12,335.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,279.84
|
| Rate for Payer: Mclaren Medicaid |
$8,033.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,597.95
|
| Rate for Payer: Meridian Medicaid |
$8,435.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,940.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,650.49
|
| Rate for Payer: Nomi Health Commercial |
$11,239.30
|
| Rate for Payer: PACE Senior Care Partners |
$3,255.28
|
| Rate for Payer: PACE SWMI |
$3,426.62
|
| Rate for Payer: PHP Commercial |
$11,650.49
|
| Rate for Payer: PHP Medicare Advantage |
$3,426.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,033.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,909.20
|
| Rate for Payer: Priority Health HMO/PPO |
$11,924.62
|
| Rate for Payer: Priority Health Medicare |
$3,460.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,183.33
|
| Rate for Payer: Railroad Medicare Medicare |
$3,426.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,061.68
|
| Rate for Payer: UHC Core |
$11,444.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,426.62
|
| Rate for Payer: UHC Exchange |
$3,426.62
|
| Rate for Payer: UHC Medicare Advantage |
$3,426.62
|
| Rate for Payer: UHCCP Medicaid |
$8,033.44
|
| Rate for Payer: VA VA |
$3,426.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,279.84
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,801.21 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna Medicare |
$1,971.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,370.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,370.01
|
| Rate for Payer: BCBS Complete |
$3,033.62
|
| Rate for Payer: BCBS MAPPO |
$1,896.01
|
| Rate for Payer: BCBS Trust/PPO |
$6,234.84
|
| Rate for Payer: BCN Commercial |
$5,896.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,896.01
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,896.01
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,990.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,180.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: PACE Senior Care Partners |
$1,801.21
|
| Rate for Payer: PACE SWMI |
$1,896.01
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,896.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,929.63
|
| Rate for Payer: Priority Health HMO/PPO |
$6,598.11
|
| Rate for Payer: Priority Health Medicare |
$1,914.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,081.31
|
| Rate for Payer: Railroad Medicare Medicare |
$1,896.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,673.96
|
| Rate for Payer: UHC Core |
$6,332.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,896.01
|
| Rate for Payer: UHC Exchange |
$1,896.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,896.01
|
| Rate for Payer: VA VA |
$1,896.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,929.63 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: BCBS Trust/PPO |
$6,190.85
|
| Rate for Payer: BCN Commercial |
$5,860.95
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,929.63
|
| Rate for Payer: Priority Health HMO/PPO |
$6,598.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,081.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,673.96
|
| Rate for Payer: UHC Core |
$6,332.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
OP
|
$12,376.21
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,939.35 |
| Max. Negotiated Rate |
$11,138.59 |
| Rate for Payer: Aetna Commercial |
$10,519.78
|
| Rate for Payer: Aetna Medicare |
$3,217.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,867.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,867.57
|
| Rate for Payer: BCBS Complete |
$4,950.48
|
| Rate for Payer: BCBS MAPPO |
$3,094.05
|
| Rate for Payer: BCBS Trust/PPO |
$10,174.48
|
| Rate for Payer: BCN Commercial |
$9,622.50
|
| Rate for Payer: BCN Medicare Advantage |
$3,094.05
|
| Rate for Payer: Cash Price |
$9,900.97
|
| Rate for Payer: Cofinity Commercial |
$10,643.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,900.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,094.05
|
| Rate for Payer: Healthscope Commercial |
$11,138.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,282.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,248.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,558.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,519.78
|
| Rate for Payer: Nomi Health Commercial |
$10,148.49
|
| Rate for Payer: PACE Senior Care Partners |
$2,939.35
|
| Rate for Payer: PACE SWMI |
$3,094.05
|
| Rate for Payer: PHP Commercial |
$10,519.78
|
| Rate for Payer: PHP Medicare Advantage |
$3,094.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,044.54
|
| Rate for Payer: Priority Health HMO/PPO |
$10,767.30
|
| Rate for Payer: Priority Health Medicare |
$3,124.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,292.06
|
| Rate for Payer: Railroad Medicare Medicare |
$3,094.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,891.06
|
| Rate for Payer: UHC Core |
$10,334.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,094.05
|
| Rate for Payer: UHC Exchange |
$3,094.05
|
| Rate for Payer: UHC Medicare Advantage |
$3,094.05
|
| Rate for Payer: VA VA |
$3,094.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,282.16
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
IP
|
$12,376.21
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,044.54 |
| Max. Negotiated Rate |
$11,138.59 |
| Rate for Payer: Aetna Commercial |
$10,519.78
|
| Rate for Payer: BCBS Trust/PPO |
$10,102.70
|
| Rate for Payer: BCN Commercial |
$9,564.34
|
| Rate for Payer: Cash Price |
$9,900.97
|
| Rate for Payer: Cofinity Commercial |
$10,643.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,900.97
|
| Rate for Payer: Healthscope Commercial |
$11,138.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,282.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,519.78
|
| Rate for Payer: Nomi Health Commercial |
$10,148.49
|
| Rate for Payer: PHP Commercial |
$10,519.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,044.54
|
| Rate for Payer: Priority Health HMO/PPO |
$10,767.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,292.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,891.06
|
| Rate for Payer: UHC Core |
$10,334.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,282.16
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$10,518.95
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,498.25 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: Aetna Medicare |
$2,734.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,287.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,287.17
|
| Rate for Payer: BCBS Complete |
$4,207.58
|
| Rate for Payer: BCBS MAPPO |
$2,629.74
|
| Rate for Payer: BCBS Trust/PPO |
$8,647.63
|
| Rate for Payer: BCN Commercial |
$8,178.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,629.74
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,629.74
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,761.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,024.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Nomi Health Commercial |
$8,625.54
|
| Rate for Payer: PACE Senior Care Partners |
$2,498.25
|
| Rate for Payer: PACE SWMI |
$2,629.74
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,629.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,837.32
|
| Rate for Payer: Priority Health HMO/PPO |
$9,151.49
|
| Rate for Payer: Priority Health Medicare |
$2,656.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,047.70
|
| Rate for Payer: Railroad Medicare Medicare |
$2,629.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,256.68
|
| Rate for Payer: UHC Core |
$8,783.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,629.74
|
| Rate for Payer: UHC Exchange |
$2,629.74
|
| Rate for Payer: UHC Medicare Advantage |
$2,629.74
|
| Rate for Payer: VA VA |
$2,629.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$10,518.95
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,837.32 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: BCBS Trust/PPO |
$8,586.62
|
| Rate for Payer: BCN Commercial |
$8,129.04
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Nomi Health Commercial |
$8,625.54
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,837.32
|
| Rate for Payer: Priority Health HMO/PPO |
$9,151.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,047.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,256.68
|
| Rate for Payer: UHC Core |
$8,783.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
OP
|
$11,383.98
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,703.70 |
| Max. Negotiated Rate |
$10,245.58 |
| Rate for Payer: Aetna Commercial |
$9,676.38
|
| Rate for Payer: Aetna Medicare |
$2,959.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,557.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,557.49
|
| Rate for Payer: BCBS Complete |
$4,241.07
|
| Rate for Payer: BCBS MAPPO |
$2,846.00
|
| Rate for Payer: BCBS Trust/PPO |
$9,358.77
|
| Rate for Payer: BCN Commercial |
$8,851.04
|
| Rate for Payer: BCN Medicare Advantage |
$2,846.00
|
| Rate for Payer: Cash Price |
$9,107.18
|
| Rate for Payer: Cash Price |
$9,107.18
|
| Rate for Payer: Cofinity Commercial |
$9,790.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,107.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,846.00
|
| Rate for Payer: Healthscope Commercial |
$10,245.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,537.98
|
| Rate for Payer: Mclaren Medicaid |
$4,038.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,988.29
|
| Rate for Payer: Meridian Medicaid |
$4,241.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,272.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,676.38
|
| Rate for Payer: Nomi Health Commercial |
$9,334.86
|
| Rate for Payer: PACE Senior Care Partners |
$2,703.70
|
| Rate for Payer: PACE SWMI |
$2,846.00
|
| Rate for Payer: PHP Commercial |
$9,676.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,846.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,399.59
|
| Rate for Payer: Priority Health HMO/PPO |
$9,904.06
|
| Rate for Payer: Priority Health Medicare |
$2,874.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,627.27
|
| Rate for Payer: Railroad Medicare Medicare |
$2,846.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,017.90
|
| Rate for Payer: UHC Core |
$9,505.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,846.00
|
| Rate for Payer: UHC Exchange |
$2,846.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,846.00
|
| Rate for Payer: UHCCP Medicaid |
$4,038.85
|
| Rate for Payer: VA VA |
$2,846.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,537.98
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
IP
|
$11,383.98
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,399.59 |
| Max. Negotiated Rate |
$10,245.58 |
| Rate for Payer: Aetna Commercial |
$9,676.38
|
| Rate for Payer: BCBS Trust/PPO |
$9,292.74
|
| Rate for Payer: BCN Commercial |
$8,797.54
|
| Rate for Payer: Cash Price |
$9,107.18
|
| Rate for Payer: Cofinity Commercial |
$9,790.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,107.18
|
| Rate for Payer: Healthscope Commercial |
$10,245.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,537.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,676.38
|
| Rate for Payer: Nomi Health Commercial |
$9,334.86
|
| Rate for Payer: PHP Commercial |
$9,676.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,399.59
|
| Rate for Payer: Priority Health HMO/PPO |
$9,904.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,627.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,017.90
|
| Rate for Payer: UHC Core |
$9,505.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,537.98
|
|
