|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,484.14
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,064.98 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna Medicare |
$1,165.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,401.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,401.29
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$1,121.04
|
| Rate for Payer: BCBS Trust/PPO |
$3,486.42
|
| Rate for Payer: BCN Commercial |
$3,486.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,121.04
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,121.04
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,177.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,289.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PACE Senior Care Partners |
$1,064.98
|
| Rate for Payer: PACE SWMI |
$1,121.04
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,121.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,901.20
|
| Rate for Payer: Priority Health Medicare |
$1,121.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,734.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,121.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,946.04
|
| Rate for Payer: UHC Core |
$3,744.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,121.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,154.67
|
| Rate for Payer: VA VA |
$1,121.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,484.14
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,734.88 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,465.34
|
| Rate for Payer: BCN Commercial |
$3,465.34
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,901.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,734.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,946.04
|
| Rate for Payer: UHC Core |
$3,744.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
OP
|
$4,484.14
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,064.98 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna Medicare |
$1,165.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,401.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,401.29
|
| Rate for Payer: BCBS Complete |
$3,785.15
|
| Rate for Payer: BCBS MAPPO |
$1,121.04
|
| Rate for Payer: BCBS Trust/PPO |
$3,486.42
|
| Rate for Payer: BCN Commercial |
$3,486.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,121.04
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,121.04
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| Rate for Payer: Mclaren Medicaid |
$3,604.90
|
| Rate for Payer: Meridian Medicaid |
$3,785.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,177.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,289.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PACE Senior Care Partners |
$1,064.98
|
| Rate for Payer: PACE SWMI |
$1,121.04
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,121.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,604.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,901.20
|
| Rate for Payer: Priority Health Medicare |
$1,121.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,734.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,121.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,946.04
|
| Rate for Payer: UHC Core |
$3,744.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,121.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,154.67
|
| Rate for Payer: VA VA |
$1,121.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,484.14
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,734.88 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,465.34
|
| Rate for Payer: BCN Commercial |
$3,465.34
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,901.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,734.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,946.04
|
| Rate for Payer: UHC Core |
$3,744.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,228.32
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,968.95 |
| Max. Negotiated Rate |
$2,905.49 |
| Rate for Payer: Aetna Commercial |
$2,744.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,494.85
|
| Rate for Payer: BCN Commercial |
$2,494.85
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cofinity Commercial |
$2,776.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,582.66
|
| Rate for Payer: Healthscope Commercial |
$2,905.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,421.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,744.07
|
| Rate for Payer: PHP Commercial |
$2,744.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,259.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,808.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,968.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,840.92
|
| Rate for Payer: UHC Core |
$2,695.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,421.24
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,228.32
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$766.73 |
| Max. Negotiated Rate |
$2,905.49 |
| Rate for Payer: Aetna Commercial |
$2,744.07
|
| Rate for Payer: Aetna Medicare |
$839.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,008.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,008.85
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$807.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,510.02
|
| Rate for Payer: BCN Commercial |
$2,510.02
|
| Rate for Payer: BCN Medicare Advantage |
$807.08
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cofinity Commercial |
$2,776.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,582.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$807.08
|
| Rate for Payer: Healthscope Commercial |
$2,905.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,421.24
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$847.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$928.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,744.07
|
| Rate for Payer: PACE Senior Care Partners |
$766.73
|
| Rate for Payer: PACE SWMI |
$807.08
|
| Rate for Payer: PHP Commercial |
$2,744.07
|
| Rate for Payer: PHP Medicare Advantage |
$807.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,259.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,808.64
|
| Rate for Payer: Priority Health Medicare |
$807.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,968.95
|
| Rate for Payer: Railroad Medicare Medicare |
$807.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,840.92
|
| Rate for Payer: UHC Core |
$2,695.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$807.08
|
| Rate for Payer: UHC Medicare Advantage |
$831.29
|
| Rate for Payer: VA VA |
$807.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,421.24
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$1,931.55
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,178.05 |
| Max. Negotiated Rate |
$1,738.40 |
| Rate for Payer: Aetna Commercial |
$1,641.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,492.70
|
| Rate for Payer: BCN Commercial |
$1,492.70
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cofinity Commercial |
$1,661.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,545.24
|
| Rate for Payer: Healthscope Commercial |
$1,738.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,448.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,641.82
|
| Rate for Payer: PHP Commercial |
$1,641.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,352.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,680.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,178.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,699.76
|
| Rate for Payer: UHC Core |
$1,612.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,448.66
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$1,931.55
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$458.74 |
| Max. Negotiated Rate |
$1,738.40 |
| Rate for Payer: Aetna Commercial |
$1,641.82
|
| Rate for Payer: Aetna Medicare |
$502.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$603.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$603.61
|
| Rate for Payer: BCBS Complete |
$1,103.12
|
| Rate for Payer: BCBS MAPPO |
$482.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,501.78
|
| Rate for Payer: BCN Commercial |
$1,501.78
|
| Rate for Payer: BCN Medicare Advantage |
$482.89
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cofinity Commercial |
$1,661.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,545.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$482.89
|
| Rate for Payer: Healthscope Commercial |
$1,738.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,448.66
|
| Rate for Payer: Mclaren Medicaid |
$1,050.59
|
| Rate for Payer: Meridian Medicaid |
$1,103.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$507.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$555.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,641.82
|
| Rate for Payer: PACE Senior Care Partners |
$458.74
|
| Rate for Payer: PACE SWMI |
$482.89
|
| Rate for Payer: PHP Commercial |
$1,641.82
|
| Rate for Payer: PHP Medicare Advantage |
$482.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,352.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,680.45
|
| Rate for Payer: Priority Health Medicare |
$482.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,178.05
|
| Rate for Payer: Railroad Medicare Medicare |
$482.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,699.76
|
| Rate for Payer: UHC Core |
$1,612.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$482.89
|
| Rate for Payer: UHC Medicare Advantage |
$497.37
|
| Rate for Payer: VA VA |
$482.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,448.66
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,043.46
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$636.41 |
| Max. Negotiated Rate |
$939.11 |
| Rate for Payer: Aetna Commercial |
$886.94
|
| Rate for Payer: BCBS Trust/PPO |
$806.39
|
| Rate for Payer: BCN Commercial |
$806.39
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cofinity Commercial |
$897.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.77
|
| Rate for Payer: Healthscope Commercial |
$939.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$886.94
|
| Rate for Payer: PHP Commercial |
$886.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$907.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$636.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$918.24
|
| Rate for Payer: UHC Core |
$871.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.60
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,043.46
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$247.82 |
| Max. Negotiated Rate |
$939.11 |
| Rate for Payer: Aetna Commercial |
$886.94
|
| Rate for Payer: Aetna Medicare |
$271.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$326.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$326.08
|
| Rate for Payer: BCBS Complete |
$432.70
|
| Rate for Payer: BCBS MAPPO |
$260.86
|
| Rate for Payer: BCBS Trust/PPO |
$811.29
|
| Rate for Payer: BCN Commercial |
$811.29
|
| Rate for Payer: BCN Medicare Advantage |
$260.86
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cofinity Commercial |
$897.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.86
|
| Rate for Payer: Healthscope Commercial |
$939.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.60
|
| Rate for Payer: Mclaren Medicaid |
$412.10
|
| Rate for Payer: Meridian Medicaid |
$432.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$273.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$299.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$886.94
|
| Rate for Payer: PACE Senior Care Partners |
$247.82
|
| Rate for Payer: PACE SWMI |
$260.86
|
| Rate for Payer: PHP Commercial |
$886.94
|
| Rate for Payer: PHP Medicare Advantage |
$260.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$907.81
|
| Rate for Payer: Priority Health Medicare |
$260.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$636.41
|
| Rate for Payer: Railroad Medicare Medicare |
$260.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$918.24
|
| Rate for Payer: UHC Core |
$871.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.86
|
| Rate for Payer: UHC Medicare Advantage |
$268.69
|
| Rate for Payer: VA VA |
$260.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.60
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
OP
|
$19,921.38
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,731.33 |
| Max. Negotiated Rate |
$22,660.63 |
| Rate for Payer: Aetna Commercial |
$16,933.17
|
| Rate for Payer: Aetna Medicare |
$5,179.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,225.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,225.43
|
| Rate for Payer: BCBS Complete |
$22,660.63
|
| Rate for Payer: BCBS MAPPO |
$4,980.34
|
| Rate for Payer: BCBS Trust/PPO |
$15,488.87
|
| Rate for Payer: BCN Commercial |
$15,488.87
|
| Rate for Payer: BCN Medicare Advantage |
$4,980.34
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cofinity Commercial |
$17,132.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,937.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,980.34
|
| Rate for Payer: Healthscope Commercial |
$17,929.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,941.04
|
| Rate for Payer: Mclaren Medicaid |
$21,581.55
|
| Rate for Payer: Meridian Medicaid |
$22,660.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,229.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,727.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,933.17
|
| Rate for Payer: PACE Senior Care Partners |
$4,731.33
|
| Rate for Payer: PACE SWMI |
$4,980.34
|
| Rate for Payer: PHP Commercial |
$16,933.17
|
| Rate for Payer: PHP Medicare Advantage |
$4,980.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,581.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,944.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,331.60
|
| Rate for Payer: Priority Health Medicare |
$4,980.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,150.05
|
| Rate for Payer: Railroad Medicare Medicare |
$4,980.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,530.81
|
| Rate for Payer: UHC Core |
$16,634.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,980.34
|
| Rate for Payer: UHC Medicare Advantage |
$5,129.76
|
| Rate for Payer: VA VA |
$4,980.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,941.04
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$19,921.38
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,150.05 |
| Max. Negotiated Rate |
$17,929.24 |
| Rate for Payer: Aetna Commercial |
$16,933.17
|
| Rate for Payer: BCBS Trust/PPO |
$15,395.24
|
| Rate for Payer: BCN Commercial |
$15,395.24
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cofinity Commercial |
$17,132.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,937.10
|
| Rate for Payer: Healthscope Commercial |
$17,929.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,941.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,933.17
|
| Rate for Payer: PHP Commercial |
$16,933.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,944.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,331.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,150.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,530.81
|
| Rate for Payer: UHC Core |
$16,634.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,941.04
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
IP
|
$16,800.36
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,246.54 |
| Max. Negotiated Rate |
$15,120.32 |
| Rate for Payer: Aetna Commercial |
$14,280.31
|
| Rate for Payer: BCBS Trust/PPO |
$12,983.32
|
| Rate for Payer: BCN Commercial |
$12,983.32
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cofinity Commercial |
$14,448.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,440.29
|
| Rate for Payer: Healthscope Commercial |
$15,120.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,600.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,280.31
|
| Rate for Payer: PHP Commercial |
$14,280.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,760.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,616.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,246.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,784.32
|
| Rate for Payer: UHC Core |
$14,028.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,600.27
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
OP
|
$16,800.36
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,990.09 |
| Max. Negotiated Rate |
$15,120.32 |
| Rate for Payer: Aetna Commercial |
$14,280.31
|
| Rate for Payer: Aetna Medicare |
$4,368.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,250.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,250.11
|
| Rate for Payer: BCBS Complete |
$13,421.26
|
| Rate for Payer: BCBS MAPPO |
$4,200.09
|
| Rate for Payer: BCBS Trust/PPO |
$13,062.28
|
| Rate for Payer: BCN Commercial |
$13,062.28
|
| Rate for Payer: BCN Medicare Advantage |
$4,200.09
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cash Price |
$13,440.29
|
| Rate for Payer: Cofinity Commercial |
$14,448.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,440.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,200.09
|
| Rate for Payer: Healthscope Commercial |
$15,120.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,600.27
|
| Rate for Payer: Mclaren Medicaid |
$12,782.15
|
| Rate for Payer: Meridian Medicaid |
$13,421.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,410.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,830.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,280.31
|
| Rate for Payer: PACE Senior Care Partners |
$3,990.09
|
| Rate for Payer: PACE SWMI |
$4,200.09
|
| Rate for Payer: PHP Commercial |
$14,280.31
|
| Rate for Payer: PHP Medicare Advantage |
$4,200.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,782.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,760.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,616.31
|
| Rate for Payer: Priority Health Medicare |
$4,200.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,246.54
|
| Rate for Payer: Railroad Medicare Medicare |
$4,200.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,784.32
|
| Rate for Payer: UHC Core |
$14,028.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,200.09
|
| Rate for Payer: UHC Medicare Advantage |
$4,326.09
|
| Rate for Payer: VA VA |
$4,200.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,600.27
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
OP
|
$17,530.81
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,163.57 |
| Max. Negotiated Rate |
$16,235.80 |
| Rate for Payer: Aetna Commercial |
$14,901.19
|
| Rate for Payer: Aetna Medicare |
$4,558.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,478.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,478.38
|
| Rate for Payer: BCBS Complete |
$16,235.80
|
| Rate for Payer: BCBS MAPPO |
$4,382.70
|
| Rate for Payer: BCBS Trust/PPO |
$13,630.20
|
| Rate for Payer: BCN Commercial |
$13,630.20
|
| Rate for Payer: BCN Medicare Advantage |
$4,382.70
|
| Rate for Payer: Cash Price |
$14,024.65
|
| Rate for Payer: Cash Price |
$14,024.65
|
| Rate for Payer: Cofinity Commercial |
$15,076.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,024.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,382.70
|
| Rate for Payer: Healthscope Commercial |
$15,777.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,148.11
|
| Rate for Payer: Mclaren Medicaid |
$15,462.66
|
| Rate for Payer: Meridian Medicaid |
$16,235.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,601.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,040.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,901.19
|
| Rate for Payer: PACE Senior Care Partners |
$4,163.57
|
| Rate for Payer: PACE SWMI |
$4,382.70
|
| Rate for Payer: PHP Commercial |
$14,901.19
|
| Rate for Payer: PHP Medicare Advantage |
$4,382.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,462.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,271.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,251.80
|
| Rate for Payer: Priority Health Medicare |
$4,382.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,692.04
|
| Rate for Payer: Railroad Medicare Medicare |
$4,382.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,427.11
|
| Rate for Payer: UHC Core |
$14,638.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,382.70
|
| Rate for Payer: UHC Medicare Advantage |
$4,514.18
|
| Rate for Payer: VA VA |
$4,382.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,148.11
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
IP
|
$17,530.81
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,692.04 |
| Max. Negotiated Rate |
$15,777.73 |
| Rate for Payer: Aetna Commercial |
$14,901.19
|
| Rate for Payer: BCBS Trust/PPO |
$13,547.81
|
| Rate for Payer: BCN Commercial |
$13,547.81
|
| Rate for Payer: Cash Price |
$14,024.65
|
| Rate for Payer: Cofinity Commercial |
$15,076.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,024.65
|
| Rate for Payer: Healthscope Commercial |
$15,777.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,148.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14,901.19
|
| Rate for Payer: PHP Commercial |
$14,901.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,271.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,251.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10,692.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,427.11
|
| Rate for Payer: UHC Core |
$14,638.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,148.11
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
OP
|
$11,942.23
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,836.28 |
| Max. Negotiated Rate |
$10,748.01 |
| Rate for Payer: Aetna Commercial |
$10,150.90
|
| Rate for Payer: Aetna Medicare |
$3,104.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,731.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,731.95
|
| Rate for Payer: BCBS Complete |
$5,851.75
|
| Rate for Payer: BCBS MAPPO |
$2,985.56
|
| Rate for Payer: BCBS Trust/PPO |
$9,285.08
|
| Rate for Payer: BCN Commercial |
$9,285.08
|
| Rate for Payer: BCN Medicare Advantage |
$2,985.56
|
| Rate for Payer: Cash Price |
$9,553.78
|
| Rate for Payer: Cash Price |
$9,553.78
|
| Rate for Payer: Cofinity Commercial |
$10,270.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,553.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,985.56
|
| Rate for Payer: Healthscope Commercial |
$10,748.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,956.67
|
| Rate for Payer: Mclaren Medicaid |
$5,573.10
|
| Rate for Payer: Meridian Medicaid |
$5,851.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,134.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,433.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,150.90
|
| Rate for Payer: PACE Senior Care Partners |
$2,836.28
|
| Rate for Payer: PACE SWMI |
$2,985.56
|
| Rate for Payer: PHP Commercial |
$10,150.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,985.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,573.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,359.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,389.74
|
| Rate for Payer: Priority Health Medicare |
$2,985.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,283.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,985.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,509.16
|
| Rate for Payer: UHC Core |
$9,971.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,985.56
|
| Rate for Payer: UHC Medicare Advantage |
$3,075.12
|
| Rate for Payer: VA VA |
$2,985.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,956.67
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
IP
|
$11,942.23
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,283.57 |
| Max. Negotiated Rate |
$10,748.01 |
| Rate for Payer: Aetna Commercial |
$10,150.90
|
| Rate for Payer: BCBS Trust/PPO |
$9,228.96
|
| Rate for Payer: BCN Commercial |
$9,228.96
|
| Rate for Payer: Cash Price |
$9,553.78
|
| Rate for Payer: Cofinity Commercial |
$10,270.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,553.78
|
| Rate for Payer: Healthscope Commercial |
$10,748.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,956.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,150.90
|
| Rate for Payer: PHP Commercial |
$10,150.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,359.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,389.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,283.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,509.16
|
| Rate for Payer: UHC Core |
$9,971.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,956.67
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
IP
|
$35,520.57
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$21,664.00 |
| Max. Negotiated Rate |
$31,968.51 |
| Rate for Payer: Aetna Commercial |
$30,192.48
|
| Rate for Payer: BCBS Trust/PPO |
$27,450.30
|
| Rate for Payer: BCN Commercial |
$27,450.30
|
| Rate for Payer: Cash Price |
$28,416.46
|
| Rate for Payer: Cofinity Commercial |
$30,547.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28,416.46
|
| Rate for Payer: Healthscope Commercial |
$31,968.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26,640.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30,192.48
|
| Rate for Payer: PHP Commercial |
$30,192.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24,864.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,902.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21,664.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,258.10
|
| Rate for Payer: UHC Core |
$29,659.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26,640.43
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
OP
|
$35,520.57
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,436.14 |
| Max. Negotiated Rate |
$31,968.51 |
| Rate for Payer: Aetna Commercial |
$30,192.48
|
| Rate for Payer: Aetna Medicare |
$9,235.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,100.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,100.18
|
| Rate for Payer: BCBS Complete |
$16,235.80
|
| Rate for Payer: BCBS MAPPO |
$8,880.14
|
| Rate for Payer: BCBS Trust/PPO |
$27,617.24
|
| Rate for Payer: BCN Commercial |
$27,617.24
|
| Rate for Payer: BCN Medicare Advantage |
$8,880.14
|
| Rate for Payer: Cash Price |
$28,416.46
|
| Rate for Payer: Cash Price |
$28,416.46
|
| Rate for Payer: Cofinity Commercial |
$30,547.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28,416.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,880.14
|
| Rate for Payer: Healthscope Commercial |
$31,968.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26,640.43
|
| Rate for Payer: Mclaren Medicaid |
$15,462.66
|
| Rate for Payer: Meridian Medicaid |
$16,235.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,324.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,212.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$30,192.48
|
| Rate for Payer: PACE Senior Care Partners |
$8,436.14
|
| Rate for Payer: PACE SWMI |
$8,880.14
|
| Rate for Payer: PHP Commercial |
$30,192.48
|
| Rate for Payer: PHP Medicare Advantage |
$8,880.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,462.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24,864.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,902.90
|
| Rate for Payer: Priority Health Medicare |
$8,880.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21,664.00
|
| Rate for Payer: Railroad Medicare Medicare |
$8,880.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,258.10
|
| Rate for Payer: UHC Core |
$29,659.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,880.14
|
| Rate for Payer: UHC Medicare Advantage |
$9,146.55
|
| Rate for Payer: VA VA |
$8,880.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26,640.43
|
|
|
HC REPOSITION CVAC
|
Facility
|
OP
|
$2,459.63
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$584.16 |
| Max. Negotiated Rate |
$2,213.67 |
| Rate for Payer: Aetna Commercial |
$2,090.69
|
| Rate for Payer: Aetna Medicare |
$639.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$768.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$768.63
|
| Rate for Payer: BCBS Complete |
$1,103.12
|
| Rate for Payer: BCBS MAPPO |
$614.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,912.36
|
| Rate for Payer: BCN Commercial |
$1,912.36
|
| Rate for Payer: BCN Medicare Advantage |
$614.91
|
| Rate for Payer: Cash Price |
$1,967.70
|
| Rate for Payer: Cash Price |
$1,967.70
|
| Rate for Payer: Cofinity Commercial |
$2,115.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,967.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.91
|
| Rate for Payer: Healthscope Commercial |
$2,213.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,844.72
|
| Rate for Payer: Mclaren Medicaid |
$1,050.59
|
| Rate for Payer: Meridian Medicaid |
$1,103.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$645.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$707.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,090.69
|
| Rate for Payer: PACE Senior Care Partners |
$584.16
|
| Rate for Payer: PACE SWMI |
$614.91
|
| Rate for Payer: PHP Commercial |
$2,090.69
|
| Rate for Payer: PHP Medicare Advantage |
$614.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,721.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,139.88
|
| Rate for Payer: Priority Health Medicare |
$614.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,500.13
|
| Rate for Payer: Railroad Medicare Medicare |
$614.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,164.47
|
| Rate for Payer: UHC Core |
$2,053.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$614.91
|
| Rate for Payer: UHC Medicare Advantage |
$633.35
|
| Rate for Payer: VA VA |
$614.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,844.72
|
|
|
HC REPOSITION CVAC
|
Facility
|
IP
|
$2,459.63
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,500.13 |
| Max. Negotiated Rate |
$2,213.67 |
| Rate for Payer: Aetna Commercial |
$2,090.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,900.80
|
| Rate for Payer: BCN Commercial |
$1,900.80
|
| Rate for Payer: Cash Price |
$1,967.70
|
| Rate for Payer: Cofinity Commercial |
$2,115.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,967.70
|
| Rate for Payer: Healthscope Commercial |
$2,213.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,844.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,090.69
|
| Rate for Payer: PHP Commercial |
$2,090.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,721.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,139.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,500.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,164.47
|
| Rate for Payer: UHC Core |
$2,053.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,844.72
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
IP
|
$2,883.95
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,758.92 |
| Max. Negotiated Rate |
$2,595.56 |
| Rate for Payer: Aetna Commercial |
$2,451.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,228.72
|
| Rate for Payer: BCN Commercial |
$2,228.72
|
| Rate for Payer: Cash Price |
$2,307.16
|
| Rate for Payer: Cofinity Commercial |
$2,480.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,307.16
|
| Rate for Payer: Healthscope Commercial |
$2,595.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,162.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,451.36
|
| Rate for Payer: PHP Commercial |
$2,451.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,018.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,509.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,758.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,537.88
|
| Rate for Payer: UHC Core |
$2,408.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,162.96
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
OP
|
$2,883.95
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$684.94 |
| Max. Negotiated Rate |
$2,595.56 |
| Rate for Payer: Aetna Commercial |
$2,451.36
|
| Rate for Payer: Aetna Medicare |
$749.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$901.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$901.23
|
| Rate for Payer: BCBS Complete |
$2,195.52
|
| Rate for Payer: BCBS MAPPO |
$720.99
|
| Rate for Payer: BCBS Trust/PPO |
$2,242.27
|
| Rate for Payer: BCN Commercial |
$2,242.27
|
| Rate for Payer: BCN Medicare Advantage |
$720.99
|
| Rate for Payer: Cash Price |
$2,307.16
|
| Rate for Payer: Cash Price |
$2,307.16
|
| Rate for Payer: Cofinity Commercial |
$2,480.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,307.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$720.99
|
| Rate for Payer: Healthscope Commercial |
$2,595.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,162.96
|
| Rate for Payer: Mclaren Medicaid |
$2,090.97
|
| Rate for Payer: Meridian Medicaid |
$2,195.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$757.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$829.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,451.36
|
| Rate for Payer: PACE Senior Care Partners |
$684.94
|
| Rate for Payer: PACE SWMI |
$720.99
|
| Rate for Payer: PHP Commercial |
$2,451.36
|
| Rate for Payer: PHP Medicare Advantage |
$720.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,090.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,018.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,509.04
|
| Rate for Payer: Priority Health Medicare |
$720.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,758.92
|
| Rate for Payer: Railroad Medicare Medicare |
$720.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,537.88
|
| Rate for Payer: UHC Core |
$2,408.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$720.99
|
| Rate for Payer: UHC Medicare Advantage |
$742.62
|
| Rate for Payer: VA VA |
$720.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,162.96
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
OP
|
$105.00
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.94 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna Commercial |
$89.25
|
| Rate for Payer: Aetna Medicare |
$27.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.81
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS MAPPO |
$26.25
|
| Rate for Payer: BCBS Trust/PPO |
$81.64
|
| Rate for Payer: BCN Commercial |
$81.64
|
| Rate for Payer: BCN Medicare Advantage |
$26.25
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$90.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.25
|
| Rate for Payer: Healthscope Commercial |
$94.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$89.25
|
| Rate for Payer: PACE Senior Care Partners |
$24.94
|
| Rate for Payer: PACE SWMI |
$26.25
|
| Rate for Payer: PHP Commercial |
$89.25
|
| Rate for Payer: PHP Medicare Advantage |
$26.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.35
|
| Rate for Payer: Priority Health Medicare |
$26.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.04
|
| Rate for Payer: Railroad Medicare Medicare |
$26.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.40
|
| Rate for Payer: UHC Core |
$87.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.25
|
| Rate for Payer: UHC Medicare Advantage |
$27.04
|
| Rate for Payer: VA VA |
$26.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.75
|
|
