|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
IP
|
$4,789.72
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,921.25 |
| Max. Negotiated Rate |
$4,310.75 |
| Rate for Payer: Aetna Commercial |
$4,071.26
|
| Rate for Payer: BCBS Trust/PPO |
$3,701.50
|
| Rate for Payer: BCN Commercial |
$3,701.50
|
| Rate for Payer: Cash Price |
$3,831.78
|
| Rate for Payer: Cofinity Commercial |
$4,119.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,831.78
|
| Rate for Payer: Healthscope Commercial |
$4,310.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,592.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,071.26
|
| Rate for Payer: PHP Commercial |
$4,071.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,352.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,167.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,921.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,214.95
|
| Rate for Payer: UHC Core |
$3,999.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,592.29
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
OP
|
$190.11
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$45.15 |
| Max. Negotiated Rate |
$171.10 |
| Rate for Payer: Aetna Commercial |
$161.59
|
| Rate for Payer: Aetna Medicare |
$49.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59.41
|
| Rate for Payer: BCBS Complete |
$108.53
|
| Rate for Payer: BCBS MAPPO |
$47.53
|
| Rate for Payer: BCBS Trust/PPO |
$147.81
|
| Rate for Payer: BCN Commercial |
$147.81
|
| Rate for Payer: BCN Medicare Advantage |
$47.53
|
| Rate for Payer: Cash Price |
$152.09
|
| Rate for Payer: Cash Price |
$152.09
|
| Rate for Payer: Cofinity Commercial |
$163.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.53
|
| Rate for Payer: Healthscope Commercial |
$171.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.58
|
| Rate for Payer: Mclaren Medicaid |
$103.36
|
| Rate for Payer: Meridian Medicaid |
$108.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$49.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$161.59
|
| Rate for Payer: PACE Senior Care Partners |
$45.15
|
| Rate for Payer: PACE SWMI |
$47.53
|
| Rate for Payer: PHP Commercial |
$161.59
|
| Rate for Payer: PHP Medicare Advantage |
$47.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.40
|
| Rate for Payer: Priority Health Medicare |
$47.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$115.95
|
| Rate for Payer: Railroad Medicare Medicare |
$47.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.30
|
| Rate for Payer: UHC Core |
$158.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.53
|
| Rate for Payer: UHC Medicare Advantage |
$48.95
|
| Rate for Payer: VA VA |
$47.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.58
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
IP
|
$190.11
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$115.95 |
| Max. Negotiated Rate |
$171.10 |
| Rate for Payer: Aetna Commercial |
$161.59
|
| Rate for Payer: BCBS Trust/PPO |
$146.92
|
| Rate for Payer: BCN Commercial |
$146.92
|
| Rate for Payer: Cash Price |
$152.09
|
| Rate for Payer: Cofinity Commercial |
$163.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.09
|
| Rate for Payer: Healthscope Commercial |
$171.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$161.59
|
| Rate for Payer: PHP Commercial |
$161.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$115.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.30
|
| Rate for Payer: UHC Core |
$158.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.58
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
OP
|
$4,132.31
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$981.42 |
| Max. Negotiated Rate |
$3,719.08 |
| Rate for Payer: Aetna Commercial |
$3,512.46
|
| Rate for Payer: Aetna Medicare |
$1,074.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,291.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,291.35
|
| Rate for Payer: BCBS Complete |
$1,652.92
|
| Rate for Payer: BCBS MAPPO |
$1,033.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,212.87
|
| Rate for Payer: BCN Commercial |
$3,212.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,033.08
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cofinity Commercial |
$3,553.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,305.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,033.08
|
| Rate for Payer: Healthscope Commercial |
$3,719.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,099.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,084.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,188.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,512.46
|
| Rate for Payer: PACE Senior Care Partners |
$981.42
|
| Rate for Payer: PACE SWMI |
$1,033.08
|
| Rate for Payer: PHP Commercial |
$3,512.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,033.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,892.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,595.11
|
| Rate for Payer: Priority Health Medicare |
$1,033.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,520.30
|
| Rate for Payer: Railroad Medicare Medicare |
$1,033.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,636.43
|
| Rate for Payer: UHC Core |
$3,450.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,033.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,064.07
|
| Rate for Payer: VA VA |
$1,033.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,099.23
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
IP
|
$4,132.31
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,520.30 |
| Max. Negotiated Rate |
$3,719.08 |
| Rate for Payer: Aetna Commercial |
$3,512.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,193.45
|
| Rate for Payer: BCN Commercial |
$3,193.45
|
| Rate for Payer: Cash Price |
$3,305.85
|
| Rate for Payer: Cofinity Commercial |
$3,553.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,305.85
|
| Rate for Payer: Healthscope Commercial |
$3,719.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,099.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,512.46
|
| Rate for Payer: PHP Commercial |
$3,512.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,892.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,595.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,520.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,636.43
|
| Rate for Payer: UHC Core |
$3,450.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,099.23
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,610.04
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$382.38 |
| Max. Negotiated Rate |
$1,449.04 |
| Rate for Payer: Aetna Commercial |
$1,368.53
|
| Rate for Payer: Aetna Medicare |
$418.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$503.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$503.14
|
| Rate for Payer: BCBS Complete |
$1,103.12
|
| Rate for Payer: BCBS MAPPO |
$402.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,251.81
|
| Rate for Payer: BCN Commercial |
$1,251.81
|
| Rate for Payer: BCN Medicare Advantage |
$402.51
|
| Rate for Payer: Cash Price |
$1,288.03
|
| Rate for Payer: Cash Price |
$1,288.03
|
| Rate for Payer: Cofinity Commercial |
$1,384.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,288.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.51
|
| Rate for Payer: Healthscope Commercial |
$1,449.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,207.53
|
| Rate for Payer: Mclaren Medicaid |
$1,050.59
|
| Rate for Payer: Meridian Medicaid |
$1,103.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$422.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$462.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,368.53
|
| Rate for Payer: PACE Senior Care Partners |
$382.38
|
| Rate for Payer: PACE SWMI |
$402.51
|
| Rate for Payer: PHP Commercial |
$1,368.53
|
| Rate for Payer: PHP Medicare Advantage |
$402.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,127.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,400.73
|
| Rate for Payer: Priority Health Medicare |
$402.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$981.96
|
| Rate for Payer: Railroad Medicare Medicare |
$402.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,416.84
|
| Rate for Payer: UHC Core |
$1,344.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$402.51
|
| Rate for Payer: UHC Medicare Advantage |
$414.59
|
| Rate for Payer: VA VA |
$402.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,207.53
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,610.04
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$981.96 |
| Max. Negotiated Rate |
$1,449.04 |
| Rate for Payer: Aetna Commercial |
$1,368.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,244.24
|
| Rate for Payer: BCN Commercial |
$1,244.24
|
| Rate for Payer: Cash Price |
$1,288.03
|
| Rate for Payer: Cofinity Commercial |
$1,384.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,288.03
|
| Rate for Payer: Healthscope Commercial |
$1,449.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,207.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,368.53
|
| Rate for Payer: PHP Commercial |
$1,368.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,127.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,400.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$981.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,416.84
|
| Rate for Payer: UHC Core |
$1,344.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,207.53
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$65,453.40
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$15,545.18 |
| Max. Negotiated Rate |
$58,908.06 |
| Rate for Payer: Aetna Commercial |
$55,635.39
|
| Rate for Payer: Aetna Medicare |
$17,017.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,454.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,454.19
|
| Rate for Payer: BCBS Complete |
$26,181.36
|
| Rate for Payer: BCBS MAPPO |
$16,363.35
|
| Rate for Payer: BCBS Trust/PPO |
$50,890.02
|
| Rate for Payer: BCN Commercial |
$50,890.02
|
| Rate for Payer: BCN Medicare Advantage |
$16,363.35
|
| Rate for Payer: Cash Price |
$52,362.72
|
| Rate for Payer: Cofinity Commercial |
$56,289.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52,362.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,363.35
|
| Rate for Payer: Healthscope Commercial |
$58,908.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49,090.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,181.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,817.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55,635.39
|
| Rate for Payer: PACE Senior Care Partners |
$15,545.18
|
| Rate for Payer: PACE SWMI |
$16,363.35
|
| Rate for Payer: PHP Commercial |
$55,635.39
|
| Rate for Payer: PHP Medicare Advantage |
$16,363.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,817.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,944.46
|
| Rate for Payer: Priority Health Medicare |
$16,363.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39,920.03
|
| Rate for Payer: Railroad Medicare Medicare |
$16,363.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,598.99
|
| Rate for Payer: UHC Core |
$54,653.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,363.35
|
| Rate for Payer: UHC Medicare Advantage |
$16,854.25
|
| Rate for Payer: VA VA |
$16,363.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49,090.05
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$65,453.40
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$39,920.03 |
| Max. Negotiated Rate |
$58,908.06 |
| Rate for Payer: Aetna Commercial |
$55,635.39
|
| Rate for Payer: BCBS Trust/PPO |
$50,582.39
|
| Rate for Payer: BCN Commercial |
$50,582.39
|
| Rate for Payer: Cash Price |
$52,362.72
|
| Rate for Payer: Cofinity Commercial |
$56,289.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52,362.72
|
| Rate for Payer: Healthscope Commercial |
$58,908.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49,090.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55,635.39
|
| Rate for Payer: PHP Commercial |
$55,635.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,817.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,944.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39,920.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,598.99
|
| Rate for Payer: UHC Core |
$54,653.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49,090.05
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$62,393.40
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$38,053.73 |
| Max. Negotiated Rate |
$56,154.06 |
| Rate for Payer: Aetna Commercial |
$53,034.39
|
| Rate for Payer: BCBS Trust/PPO |
$48,217.62
|
| Rate for Payer: BCN Commercial |
$48,217.62
|
| Rate for Payer: Cash Price |
$49,914.72
|
| Rate for Payer: Cofinity Commercial |
$53,658.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,914.72
|
| Rate for Payer: Healthscope Commercial |
$56,154.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,795.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$53,034.39
|
| Rate for Payer: PHP Commercial |
$53,034.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,675.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,282.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38,053.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,906.19
|
| Rate for Payer: UHC Core |
$52,098.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,795.05
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$62,393.40
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$14,818.43 |
| Max. Negotiated Rate |
$56,154.06 |
| Rate for Payer: Aetna Commercial |
$53,034.39
|
| Rate for Payer: Aetna Medicare |
$16,222.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,497.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,497.94
|
| Rate for Payer: BCBS Complete |
$24,957.36
|
| Rate for Payer: BCBS MAPPO |
$15,598.35
|
| Rate for Payer: BCBS Trust/PPO |
$48,510.87
|
| Rate for Payer: BCN Commercial |
$48,510.87
|
| Rate for Payer: BCN Medicare Advantage |
$15,598.35
|
| Rate for Payer: Cash Price |
$49,914.72
|
| Rate for Payer: Cofinity Commercial |
$53,658.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,914.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,598.35
|
| Rate for Payer: Healthscope Commercial |
$56,154.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,795.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,378.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,938.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$53,034.39
|
| Rate for Payer: PACE Senior Care Partners |
$14,818.43
|
| Rate for Payer: PACE SWMI |
$15,598.35
|
| Rate for Payer: PHP Commercial |
$53,034.39
|
| Rate for Payer: PHP Medicare Advantage |
$15,598.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,675.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,282.26
|
| Rate for Payer: Priority Health Medicare |
$15,598.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38,053.73
|
| Rate for Payer: Railroad Medicare Medicare |
$15,598.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,906.19
|
| Rate for Payer: UHC Core |
$52,098.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,598.35
|
| Rate for Payer: UHC Medicare Advantage |
$16,066.30
|
| Rate for Payer: VA VA |
$15,598.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,795.05
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$68,513.40
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$41,786.32 |
| Max. Negotiated Rate |
$61,662.06 |
| Rate for Payer: Aetna Commercial |
$58,236.39
|
| Rate for Payer: BCBS Trust/PPO |
$52,947.16
|
| Rate for Payer: BCN Commercial |
$52,947.16
|
| Rate for Payer: Cash Price |
$54,810.72
|
| Rate for Payer: Cofinity Commercial |
$58,921.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,810.72
|
| Rate for Payer: Healthscope Commercial |
$61,662.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,385.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58,236.39
|
| Rate for Payer: PHP Commercial |
$58,236.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47,959.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,606.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41,786.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,291.79
|
| Rate for Payer: UHC Core |
$57,208.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,385.05
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$68,513.40
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$16,271.93 |
| Max. Negotiated Rate |
$61,662.06 |
| Rate for Payer: Aetna Commercial |
$58,236.39
|
| Rate for Payer: Aetna Medicare |
$17,813.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,410.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,410.44
|
| Rate for Payer: BCBS Complete |
$27,405.36
|
| Rate for Payer: BCBS MAPPO |
$17,128.35
|
| Rate for Payer: BCBS Trust/PPO |
$53,269.17
|
| Rate for Payer: BCN Commercial |
$53,269.17
|
| Rate for Payer: BCN Medicare Advantage |
$17,128.35
|
| Rate for Payer: Cash Price |
$54,810.72
|
| Rate for Payer: Cofinity Commercial |
$58,921.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,810.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,128.35
|
| Rate for Payer: Healthscope Commercial |
$61,662.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,385.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,984.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,697.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58,236.39
|
| Rate for Payer: PACE Senior Care Partners |
$16,271.93
|
| Rate for Payer: PACE SWMI |
$17,128.35
|
| Rate for Payer: PHP Commercial |
$58,236.39
|
| Rate for Payer: PHP Medicare Advantage |
$17,128.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47,959.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,606.66
|
| Rate for Payer: Priority Health Medicare |
$17,128.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41,786.32
|
| Rate for Payer: Railroad Medicare Medicare |
$17,128.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,291.79
|
| Rate for Payer: UHC Core |
$57,208.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,128.35
|
| Rate for Payer: UHC Medicare Advantage |
$17,642.20
|
| Rate for Payer: VA VA |
$17,128.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,385.05
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$59,333.40
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$36,187.44 |
| Max. Negotiated Rate |
$53,400.06 |
| Rate for Payer: Aetna Commercial |
$50,433.39
|
| Rate for Payer: BCBS Trust/PPO |
$45,852.85
|
| Rate for Payer: BCN Commercial |
$45,852.85
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cofinity Commercial |
$51,026.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47,466.72
|
| Rate for Payer: Healthscope Commercial |
$53,400.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44,500.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50,433.39
|
| Rate for Payer: PHP Commercial |
$50,433.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,533.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51,620.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36,187.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52,213.39
|
| Rate for Payer: UHC Core |
$49,543.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44,500.05
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$59,333.40
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$14,091.68 |
| Max. Negotiated Rate |
$53,400.06 |
| Rate for Payer: Aetna Commercial |
$50,433.39
|
| Rate for Payer: Aetna Medicare |
$15,426.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,541.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,541.69
|
| Rate for Payer: BCBS Complete |
$23,733.36
|
| Rate for Payer: BCBS MAPPO |
$14,833.35
|
| Rate for Payer: BCBS Trust/PPO |
$46,131.72
|
| Rate for Payer: BCN Commercial |
$46,131.72
|
| Rate for Payer: BCN Medicare Advantage |
$14,833.35
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cofinity Commercial |
$51,026.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47,466.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,833.35
|
| Rate for Payer: Healthscope Commercial |
$53,400.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44,500.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,575.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,058.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50,433.39
|
| Rate for Payer: PACE Senior Care Partners |
$14,091.68
|
| Rate for Payer: PACE SWMI |
$14,833.35
|
| Rate for Payer: PHP Commercial |
$50,433.39
|
| Rate for Payer: PHP Medicare Advantage |
$14,833.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,533.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51,620.06
|
| Rate for Payer: Priority Health Medicare |
$14,833.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36,187.44
|
| Rate for Payer: Railroad Medicare Medicare |
$14,833.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52,213.39
|
| Rate for Payer: UHC Core |
$49,543.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,833.35
|
| Rate for Payer: UHC Medicare Advantage |
$15,278.35
|
| Rate for Payer: VA VA |
$14,833.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44,500.05
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$19,722.15
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,028.54 |
| Max. Negotiated Rate |
$17,749.94 |
| Rate for Payer: Aetna Commercial |
$16,763.83
|
| Rate for Payer: BCBS Trust/PPO |
$15,241.28
|
| Rate for Payer: BCN Commercial |
$15,241.28
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cofinity Commercial |
$16,961.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,777.72
|
| Rate for Payer: Healthscope Commercial |
$17,749.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,791.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,763.83
|
| Rate for Payer: PHP Commercial |
$16,763.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,805.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,158.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,028.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,355.49
|
| Rate for Payer: UHC Core |
$16,468.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,791.61
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$19,722.15
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,684.01 |
| Max. Negotiated Rate |
$17,749.94 |
| Rate for Payer: Aetna Commercial |
$16,763.83
|
| Rate for Payer: Aetna Medicare |
$5,127.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,163.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,163.17
|
| Rate for Payer: BCBS Complete |
$16,235.80
|
| Rate for Payer: BCBS MAPPO |
$4,930.54
|
| Rate for Payer: BCBS Trust/PPO |
$15,333.97
|
| Rate for Payer: BCN Commercial |
$15,333.97
|
| Rate for Payer: BCN Medicare Advantage |
$4,930.54
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cofinity Commercial |
$16,961.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,777.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,930.54
|
| Rate for Payer: Healthscope Commercial |
$17,749.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,791.61
|
| Rate for Payer: Mclaren Medicaid |
$15,462.66
|
| Rate for Payer: Meridian Medicaid |
$16,235.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,177.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,670.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,763.83
|
| Rate for Payer: PACE Senior Care Partners |
$4,684.01
|
| Rate for Payer: PACE SWMI |
$4,930.54
|
| Rate for Payer: PHP Commercial |
$16,763.83
|
| Rate for Payer: PHP Medicare Advantage |
$4,930.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,462.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,805.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,158.27
|
| Rate for Payer: Priority Health Medicare |
$4,930.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,028.54
|
| Rate for Payer: Railroad Medicare Medicare |
$4,930.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,355.49
|
| Rate for Payer: UHC Core |
$16,468.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,930.54
|
| Rate for Payer: UHC Medicare Advantage |
$5,078.45
|
| Rate for Payer: VA VA |
$4,930.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,791.61
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$16,106.64
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,823.44 |
| Max. Negotiated Rate |
$14,495.98 |
| Rate for Payer: Aetna Commercial |
$13,690.64
|
| Rate for Payer: BCBS Trust/PPO |
$12,447.21
|
| Rate for Payer: BCN Commercial |
$12,447.21
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cofinity Commercial |
$13,851.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,885.31
|
| Rate for Payer: Healthscope Commercial |
$14,495.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,079.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13,690.64
|
| Rate for Payer: PHP Commercial |
$13,690.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,274.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,012.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,823.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,173.84
|
| Rate for Payer: UHC Core |
$13,449.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,079.98
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$16,106.64
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,825.33 |
| Max. Negotiated Rate |
$14,495.98 |
| Rate for Payer: Aetna Commercial |
$13,690.64
|
| Rate for Payer: Aetna Medicare |
$4,187.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,033.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,033.32
|
| Rate for Payer: BCBS Complete |
$7,355.10
|
| Rate for Payer: BCBS MAPPO |
$4,026.66
|
| Rate for Payer: BCBS Trust/PPO |
$12,522.91
|
| Rate for Payer: BCN Commercial |
$12,522.91
|
| Rate for Payer: BCN Medicare Advantage |
$4,026.66
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cofinity Commercial |
$13,851.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,885.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,026.66
|
| Rate for Payer: Healthscope Commercial |
$14,495.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,079.98
|
| Rate for Payer: Mclaren Medicaid |
$7,004.86
|
| Rate for Payer: Meridian Medicaid |
$7,355.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,227.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,630.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13,690.64
|
| Rate for Payer: PACE Senior Care Partners |
$3,825.33
|
| Rate for Payer: PACE SWMI |
$4,026.66
|
| Rate for Payer: PHP Commercial |
$13,690.64
|
| Rate for Payer: PHP Medicare Advantage |
$4,026.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,004.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,274.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,012.78
|
| Rate for Payer: Priority Health Medicare |
$4,026.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,823.44
|
| Rate for Payer: Railroad Medicare Medicare |
$4,026.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,173.84
|
| Rate for Payer: UHC Core |
$13,449.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,026.66
|
| Rate for Payer: UHC Medicare Advantage |
$4,147.46
|
| Rate for Payer: VA VA |
$4,026.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,079.98
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$2,992.48
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,825.11 |
| Max. Negotiated Rate |
$2,693.23 |
| Rate for Payer: Aetna Commercial |
$2,543.61
|
| Rate for Payer: BCBS Trust/PPO |
$2,312.59
|
| Rate for Payer: BCN Commercial |
$2,312.59
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cofinity Commercial |
$2,573.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,393.98
|
| Rate for Payer: Healthscope Commercial |
$2,693.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,543.61
|
| Rate for Payer: PHP Commercial |
$2,543.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,094.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,603.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,633.38
|
| Rate for Payer: UHC Core |
$2,498.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.36
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$2,992.48
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$710.71 |
| Max. Negotiated Rate |
$2,693.23 |
| Rate for Payer: Aetna Commercial |
$2,543.61
|
| Rate for Payer: Aetna Medicare |
$778.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$935.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$935.15
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$748.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,326.65
|
| Rate for Payer: BCN Commercial |
$2,326.65
|
| Rate for Payer: BCN Medicare Advantage |
$748.12
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cofinity Commercial |
$2,573.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,393.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$748.12
|
| Rate for Payer: Healthscope Commercial |
$2,693.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.36
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$785.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$860.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,543.61
|
| Rate for Payer: PACE Senior Care Partners |
$710.71
|
| Rate for Payer: PACE SWMI |
$748.12
|
| Rate for Payer: PHP Commercial |
$2,543.61
|
| Rate for Payer: PHP Medicare Advantage |
$748.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,094.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,603.46
|
| Rate for Payer: Priority Health Medicare |
$748.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.11
|
| Rate for Payer: Railroad Medicare Medicare |
$748.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,633.38
|
| Rate for Payer: UHC Core |
$2,498.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$748.12
|
| Rate for Payer: UHC Medicare Advantage |
$770.56
|
| Rate for Payer: VA VA |
$748.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.36
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,613.44
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,593.94 |
| Max. Negotiated Rate |
$2,352.10 |
| Rate for Payer: Aetna Commercial |
$2,221.42
|
| Rate for Payer: BCBS Trust/PPO |
$2,019.67
|
| Rate for Payer: BCN Commercial |
$2,019.67
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cofinity Commercial |
$2,247.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,090.75
|
| Rate for Payer: Healthscope Commercial |
$2,352.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,960.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,221.42
|
| Rate for Payer: PHP Commercial |
$2,221.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,829.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,273.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,593.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,299.83
|
| Rate for Payer: UHC Core |
$2,182.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,960.08
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,613.44
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$620.69 |
| Max. Negotiated Rate |
$2,352.10 |
| Rate for Payer: Aetna Commercial |
$2,221.42
|
| Rate for Payer: Aetna Medicare |
$679.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$816.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$816.70
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$653.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,031.95
|
| Rate for Payer: BCN Commercial |
$2,031.95
|
| Rate for Payer: BCN Medicare Advantage |
$653.36
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cofinity Commercial |
$2,247.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,090.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$653.36
|
| Rate for Payer: Healthscope Commercial |
$2,352.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,960.08
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$686.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$751.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,221.42
|
| Rate for Payer: PACE Senior Care Partners |
$620.69
|
| Rate for Payer: PACE SWMI |
$653.36
|
| Rate for Payer: PHP Commercial |
$2,221.42
|
| Rate for Payer: PHP Medicare Advantage |
$653.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,829.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,273.69
|
| Rate for Payer: Priority Health Medicare |
$653.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,593.94
|
| Rate for Payer: Railroad Medicare Medicare |
$653.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,299.83
|
| Rate for Payer: UHC Core |
$2,182.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$653.36
|
| Rate for Payer: UHC Medicare Advantage |
$672.96
|
| Rate for Payer: VA VA |
$653.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,960.08
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,442.05
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$879.51 |
| Max. Negotiated Rate |
$1,297.84 |
| Rate for Payer: Aetna Commercial |
$1,225.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,114.42
|
| Rate for Payer: BCN Commercial |
$1,114.42
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cofinity Commercial |
$1,240.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,153.64
|
| Rate for Payer: Healthscope Commercial |
$1,297.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,081.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,225.74
|
| Rate for Payer: PHP Commercial |
$1,225.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,009.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,254.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$879.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,269.00
|
| Rate for Payer: UHC Core |
$1,204.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,081.54
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,442.05
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$342.49 |
| Max. Negotiated Rate |
$1,297.84 |
| Rate for Payer: Aetna Commercial |
$1,225.74
|
| Rate for Payer: Aetna Medicare |
$374.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$450.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$450.64
|
| Rate for Payer: BCBS Complete |
$1,103.12
|
| Rate for Payer: BCBS MAPPO |
$360.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,121.19
|
| Rate for Payer: BCN Commercial |
$1,121.19
|
| Rate for Payer: BCN Medicare Advantage |
$360.51
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cofinity Commercial |
$1,240.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,153.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.51
|
| Rate for Payer: Healthscope Commercial |
$1,297.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,081.54
|
| Rate for Payer: Mclaren Medicaid |
$1,050.59
|
| Rate for Payer: Meridian Medicaid |
$1,103.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$378.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$414.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,225.74
|
| Rate for Payer: PACE Senior Care Partners |
$342.49
|
| Rate for Payer: PACE SWMI |
$360.51
|
| Rate for Payer: PHP Commercial |
$1,225.74
|
| Rate for Payer: PHP Medicare Advantage |
$360.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,009.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,254.58
|
| Rate for Payer: Priority Health Medicare |
$360.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$879.51
|
| Rate for Payer: Railroad Medicare Medicare |
$360.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,269.00
|
| Rate for Payer: UHC Core |
$1,204.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$360.51
|
| Rate for Payer: UHC Medicare Advantage |
$371.33
|
| Rate for Payer: VA VA |
$360.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,081.54
|
|
