|
HC PACEMAKER DUAL CHAMBER LVL 7
|
Facility
|
OP
|
$7,952.00
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500354
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,401.94 |
| Max. Negotiated Rate |
$7,156.80 |
| Rate for Payer: Aetna Commercial |
$6,759.20
|
| Rate for Payer: Aetna Medicare |
$2,067.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,485.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,485.00
|
| Rate for Payer: BCBS Complete |
$1,471.92
|
| Rate for Payer: BCBS MAPPO |
$1,988.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,537.34
|
| Rate for Payer: BCN Commercial |
$6,537.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,988.00
|
| Rate for Payer: Cash Price |
$6,361.60
|
| Rate for Payer: Cofinity Commercial |
$6,838.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,361.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,988.00
|
| Rate for Payer: Healthscope Commercial |
$7,156.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,964.00
|
| Rate for Payer: Mclaren Medicaid |
$1,401.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,087.40
|
| Rate for Payer: Meridian Medicaid |
$1,471.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,286.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,186.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,759.20
|
| Rate for Payer: Nomi Health Commercial |
$6,520.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,964.00
|
| Rate for Payer: PACE Senior Care Partners |
$1,888.60
|
| Rate for Payer: PACE SWMI |
$1,988.00
|
| Rate for Payer: PHP Commercial |
$6,759.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,988.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,401.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,918.24
|
| Rate for Payer: Priority Health Medicare |
$2,007.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,534.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,988.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,997.76
|
| Rate for Payer: UHC Core |
$6,639.92
|
| Rate for Payer: UHC Exchange |
$1,988.00
|
| Rate for Payer: UHC Medicaid |
$1,401.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,988.00
|
| Rate for Payer: UHCCP Medicaid |
$1,401.94
|
| Rate for Payer: VA VA |
$1,988.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,964.00
|
|
|
HC PACEMAKER DUAL CHAMBER LVL 9
|
Facility
|
OP
|
$9,233.04
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500349
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,627.78 |
| Max. Negotiated Rate |
$8,309.74 |
| Rate for Payer: Aetna Commercial |
$7,848.08
|
| Rate for Payer: Aetna Medicare |
$2,400.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,885.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,885.32
|
| Rate for Payer: BCBS Complete |
$1,709.04
|
| Rate for Payer: BCBS MAPPO |
$2,308.26
|
| Rate for Payer: BCBS Trust/PPO |
$7,590.48
|
| Rate for Payer: BCN Commercial |
$7,590.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,308.26
|
| Rate for Payer: Cash Price |
$7,386.43
|
| Rate for Payer: Cofinity Commercial |
$7,940.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,386.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,308.26
|
| Rate for Payer: Healthscope Commercial |
$8,309.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,924.78
|
| Rate for Payer: Mclaren Medicaid |
$1,627.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,423.67
|
| Rate for Payer: Meridian Medicaid |
$1,709.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,654.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,539.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,848.08
|
| Rate for Payer: Nomi Health Commercial |
$7,571.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,924.78
|
| Rate for Payer: PACE Senior Care Partners |
$2,192.85
|
| Rate for Payer: PACE SWMI |
$2,308.26
|
| Rate for Payer: PHP Commercial |
$7,848.08
|
| Rate for Payer: PHP Medicare Advantage |
$2,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,627.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,032.74
|
| Rate for Payer: Priority Health Medicare |
$2,331.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,426.20
|
| Rate for Payer: Railroad Medicare Medicare |
$2,308.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,125.08
|
| Rate for Payer: UHC Core |
$7,709.59
|
| Rate for Payer: UHC Exchange |
$2,308.26
|
| Rate for Payer: UHC Medicaid |
$1,627.78
|
| Rate for Payer: UHC Medicare Advantage |
$2,308.26
|
| Rate for Payer: UHCCP Medicaid |
$1,627.78
|
| Rate for Payer: VA VA |
$2,308.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,924.78
|
|
|
HC PACEMAKER DUAL CHAMBER LVL 9
|
Facility
|
IP
|
$9,233.04
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500349
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$6,426.20 |
| Max. Negotiated Rate |
$8,309.74 |
| Rate for Payer: Aetna Commercial |
$7,848.08
|
| Rate for Payer: BCBS Trust/PPO |
$7,625.57
|
| Rate for Payer: BCN Commercial |
$7,625.57
|
| Rate for Payer: Cash Price |
$7,386.43
|
| Rate for Payer: Cofinity Commercial |
$7,940.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,386.43
|
| Rate for Payer: Healthscope Commercial |
$8,309.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,924.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,848.08
|
| Rate for Payer: Nomi Health Commercial |
$7,571.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,924.78
|
| Rate for Payer: PHP Commercial |
$7,848.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,032.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,426.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,125.08
|
| Rate for Payer: UHC Core |
$7,709.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,924.78
|
|
|
HC PACEMAKER IMPLANT, DUAL
|
Facility
|
OP
|
$20,314.40
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
36100059
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,581.43 |
| Max. Negotiated Rate |
$18,282.96 |
| Rate for Payer: Aetna Commercial |
$17,267.24
|
| Rate for Payer: Aetna Medicare |
$5,281.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,348.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,348.25
|
| Rate for Payer: BCBS Complete |
$3,760.20
|
| Rate for Payer: BCBS MAPPO |
$5,078.60
|
| Rate for Payer: BCBS Trust/PPO |
$16,700.47
|
| Rate for Payer: BCN Commercial |
$16,700.47
|
| Rate for Payer: BCN Medicare Advantage |
$5,078.60
|
| Rate for Payer: Cash Price |
$16,251.52
|
| Rate for Payer: Cofinity Commercial |
$17,470.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,251.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,078.60
|
| Rate for Payer: Healthscope Commercial |
$18,282.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,235.80
|
| Rate for Payer: Mclaren Medicaid |
$3,581.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,332.53
|
| Rate for Payer: Meridian Medicaid |
$3,760.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,840.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,586.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,267.24
|
| Rate for Payer: Nomi Health Commercial |
$16,657.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,235.80
|
| Rate for Payer: PACE Senior Care Partners |
$4,824.67
|
| Rate for Payer: PACE SWMI |
$5,078.60
|
| Rate for Payer: PHP Commercial |
$17,267.24
|
| Rate for Payer: PHP Medicare Advantage |
$5,078.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,581.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17,673.53
|
| Rate for Payer: Priority Health Medicare |
$5,129.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,138.82
|
| Rate for Payer: Railroad Medicare Medicare |
$5,078.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,876.67
|
| Rate for Payer: UHC Core |
$16,962.52
|
| Rate for Payer: UHC Exchange |
$5,078.60
|
| Rate for Payer: UHC Medicaid |
$3,581.43
|
| Rate for Payer: UHC Medicare Advantage |
$5,078.60
|
| Rate for Payer: UHCCP Medicaid |
$3,581.43
|
| Rate for Payer: VA VA |
$5,078.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,235.80
|
|
|
HC PACEMAKER IMPLANT, DUAL
|
Facility
|
IP
|
$20,314.40
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
36100059
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,138.82 |
| Max. Negotiated Rate |
$18,282.96 |
| Rate for Payer: Aetna Commercial |
$17,267.24
|
| Rate for Payer: BCBS Trust/PPO |
$16,777.66
|
| Rate for Payer: BCN Commercial |
$16,777.66
|
| Rate for Payer: Cash Price |
$16,251.52
|
| Rate for Payer: Cofinity Commercial |
$17,470.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,251.52
|
| Rate for Payer: Healthscope Commercial |
$18,282.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,235.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,267.24
|
| Rate for Payer: Nomi Health Commercial |
$16,657.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,235.80
|
| Rate for Payer: PHP Commercial |
$17,267.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17,673.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,138.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,876.67
|
| Rate for Payer: UHC Core |
$16,962.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,235.80
|
|
|
HC PACEMAKER LEAD
|
Facility
|
OP
|
$1,988.20
|
|
|
Service Code
|
HCPCS C1898
|
| Hospital Charge Code |
27800024
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$350.52 |
| Max. Negotiated Rate |
$1,789.38 |
| Rate for Payer: Aetna Commercial |
$1,689.97
|
| Rate for Payer: Aetna Medicare |
$516.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$621.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$621.31
|
| Rate for Payer: BCBS Complete |
$368.02
|
| Rate for Payer: BCBS MAPPO |
$497.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.50
|
| Rate for Payer: BCN Commercial |
$1,634.50
|
| Rate for Payer: BCN Medicare Advantage |
$497.05
|
| Rate for Payer: Cash Price |
$1,590.56
|
| Rate for Payer: Cofinity Commercial |
$1,709.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,590.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$497.05
|
| Rate for Payer: Healthscope Commercial |
$1,789.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,491.15
|
| Rate for Payer: Mclaren Medicaid |
$350.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$521.90
|
| Rate for Payer: Meridian Medicaid |
$368.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$571.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$546.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,689.97
|
| Rate for Payer: Nomi Health Commercial |
$1,630.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,491.15
|
| Rate for Payer: PACE Senior Care Partners |
$472.20
|
| Rate for Payer: PACE SWMI |
$497.05
|
| Rate for Payer: PHP Commercial |
$1,689.97
|
| Rate for Payer: PHP Medicare Advantage |
$497.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$350.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,729.73
|
| Rate for Payer: Priority Health Medicare |
$502.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,383.79
|
| Rate for Payer: Railroad Medicare Medicare |
$497.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,749.62
|
| Rate for Payer: UHC Core |
$1,660.15
|
| Rate for Payer: UHC Exchange |
$497.05
|
| Rate for Payer: UHC Medicaid |
$350.52
|
| Rate for Payer: UHC Medicare Advantage |
$497.05
|
| Rate for Payer: UHCCP Medicaid |
$350.52
|
| Rate for Payer: VA VA |
$497.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,491.15
|
|
|
HC PACEMAKER LEAD
|
Facility
|
IP
|
$1,988.20
|
|
|
Service Code
|
HCPCS C1898
|
| Hospital Charge Code |
27800024
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,383.79 |
| Max. Negotiated Rate |
$1,789.38 |
| Rate for Payer: Aetna Commercial |
$1,689.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,642.05
|
| Rate for Payer: BCN Commercial |
$1,642.05
|
| Rate for Payer: Cash Price |
$1,590.56
|
| Rate for Payer: Cofinity Commercial |
$1,709.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,590.56
|
| Rate for Payer: Healthscope Commercial |
$1,789.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,491.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,689.97
|
| Rate for Payer: Nomi Health Commercial |
$1,630.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,491.15
|
| Rate for Payer: PHP Commercial |
$1,689.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,729.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,383.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,749.62
|
| Rate for Payer: UHC Core |
$1,660.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,491.15
|
|
|
HC PACEMAKER OTHER SINGLE OR DUAL LVL 11
|
Facility
|
OP
|
$11,889.00
|
|
|
Service Code
|
HCPCS C2621
|
| Hospital Charge Code |
27500348
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,096.03 |
| Max. Negotiated Rate |
$10,700.10 |
| Rate for Payer: Aetna Commercial |
$10,105.65
|
| Rate for Payer: Aetna Medicare |
$3,091.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,715.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,715.31
|
| Rate for Payer: BCBS Complete |
$2,200.65
|
| Rate for Payer: BCBS MAPPO |
$2,972.25
|
| Rate for Payer: BCBS Trust/PPO |
$9,773.95
|
| Rate for Payer: BCN Commercial |
$9,773.95
|
| Rate for Payer: BCN Medicare Advantage |
$2,972.25
|
| Rate for Payer: Cash Price |
$9,511.20
|
| Rate for Payer: Cofinity Commercial |
$10,224.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,511.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,972.25
|
| Rate for Payer: Healthscope Commercial |
$10,700.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,916.75
|
| Rate for Payer: Mclaren Medicaid |
$2,096.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,120.86
|
| Rate for Payer: Meridian Medicaid |
$2,200.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,418.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,269.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,105.65
|
| Rate for Payer: Nomi Health Commercial |
$9,748.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,916.75
|
| Rate for Payer: PACE Senior Care Partners |
$2,823.64
|
| Rate for Payer: PACE SWMI |
$2,972.25
|
| Rate for Payer: PHP Commercial |
$10,105.65
|
| Rate for Payer: PHP Medicare Advantage |
$2,972.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,096.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,343.43
|
| Rate for Payer: Priority Health Medicare |
$3,001.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,274.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,972.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,462.32
|
| Rate for Payer: UHC Core |
$9,927.32
|
| Rate for Payer: UHC Exchange |
$2,972.25
|
| Rate for Payer: UHC Medicaid |
$2,096.03
|
| Rate for Payer: UHC Medicare Advantage |
$2,972.25
|
| Rate for Payer: UHCCP Medicaid |
$2,096.03
|
| Rate for Payer: VA VA |
$2,972.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,916.75
|
|
|
HC PACEMAKER OTHER SINGLE OR DUAL LVL 11
|
Facility
|
IP
|
$11,889.00
|
|
|
Service Code
|
HCPCS C2621
|
| Hospital Charge Code |
27500348
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$8,274.74 |
| Max. Negotiated Rate |
$10,700.10 |
| Rate for Payer: Aetna Commercial |
$10,105.65
|
| Rate for Payer: BCBS Trust/PPO |
$9,819.13
|
| Rate for Payer: BCN Commercial |
$9,819.13
|
| Rate for Payer: Cash Price |
$9,511.20
|
| Rate for Payer: Cofinity Commercial |
$10,224.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,511.20
|
| Rate for Payer: Healthscope Commercial |
$10,700.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,916.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,105.65
|
| Rate for Payer: Nomi Health Commercial |
$9,748.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,916.75
|
| Rate for Payer: PHP Commercial |
$10,105.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,343.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,274.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,462.32
|
| Rate for Payer: UHC Core |
$9,927.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,916.75
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 13
|
Facility
|
OP
|
$13,770.00
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500351
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,427.65 |
| Max. Negotiated Rate |
$12,393.00 |
| Rate for Payer: Aetna Commercial |
$11,704.50
|
| Rate for Payer: Aetna Medicare |
$3,580.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,303.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,303.12
|
| Rate for Payer: BCBS Complete |
$2,548.83
|
| Rate for Payer: BCBS MAPPO |
$3,442.50
|
| Rate for Payer: BCBS Trust/PPO |
$11,320.32
|
| Rate for Payer: BCN Commercial |
$11,320.32
|
| Rate for Payer: BCN Medicare Advantage |
$3,442.50
|
| Rate for Payer: Cash Price |
$11,016.00
|
| Rate for Payer: Cofinity Commercial |
$11,842.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,016.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,442.50
|
| Rate for Payer: Healthscope Commercial |
$12,393.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,327.50
|
| Rate for Payer: Mclaren Medicaid |
$2,427.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,614.62
|
| Rate for Payer: Meridian Medicaid |
$2,548.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,958.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,786.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,704.50
|
| Rate for Payer: Nomi Health Commercial |
$11,291.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,327.50
|
| Rate for Payer: PACE Senior Care Partners |
$3,270.38
|
| Rate for Payer: PACE SWMI |
$3,442.50
|
| Rate for Payer: PHP Commercial |
$11,704.50
|
| Rate for Payer: PHP Medicare Advantage |
$3,442.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,427.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,979.90
|
| Rate for Payer: Priority Health Medicare |
$3,476.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,583.92
|
| Rate for Payer: Railroad Medicare Medicare |
$3,442.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,117.60
|
| Rate for Payer: UHC Core |
$11,497.95
|
| Rate for Payer: UHC Exchange |
$3,442.50
|
| Rate for Payer: UHC Medicaid |
$2,427.65
|
| Rate for Payer: UHC Medicare Advantage |
$3,442.50
|
| Rate for Payer: UHCCP Medicaid |
$2,427.65
|
| Rate for Payer: VA VA |
$3,442.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,327.50
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 13
|
Facility
|
IP
|
$13,770.00
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500351
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$9,583.92 |
| Max. Negotiated Rate |
$12,393.00 |
| Rate for Payer: Aetna Commercial |
$11,704.50
|
| Rate for Payer: BCBS Trust/PPO |
$11,372.64
|
| Rate for Payer: BCN Commercial |
$11,372.64
|
| Rate for Payer: Cash Price |
$11,016.00
|
| Rate for Payer: Cofinity Commercial |
$11,842.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,016.00
|
| Rate for Payer: Healthscope Commercial |
$12,393.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,327.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,704.50
|
| Rate for Payer: Nomi Health Commercial |
$11,291.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,327.50
|
| Rate for Payer: PHP Commercial |
$11,704.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11,979.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,583.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,117.60
|
| Rate for Payer: UHC Core |
$11,497.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,327.50
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 15
|
Facility
|
IP
|
$15,812.50
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500015
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$11,005.50 |
| Max. Negotiated Rate |
$14,231.25 |
| Rate for Payer: Aetna Commercial |
$13,440.62
|
| Rate for Payer: BCBS Trust/PPO |
$13,059.54
|
| Rate for Payer: BCN Commercial |
$13,059.54
|
| Rate for Payer: Cash Price |
$12,650.00
|
| Rate for Payer: Cofinity Commercial |
$13,598.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,650.00
|
| Rate for Payer: Healthscope Commercial |
$14,231.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,859.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,440.62
|
| Rate for Payer: Nomi Health Commercial |
$12,966.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,859.38
|
| Rate for Payer: PHP Commercial |
$13,440.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13,756.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,005.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,915.00
|
| Rate for Payer: UHC Core |
$13,203.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,859.38
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 15
|
Facility
|
OP
|
$15,812.50
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500015
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,787.74 |
| Max. Negotiated Rate |
$14,231.25 |
| Rate for Payer: Aetna Commercial |
$13,440.62
|
| Rate for Payer: Aetna Medicare |
$4,111.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,941.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,941.41
|
| Rate for Payer: BCBS Complete |
$2,926.89
|
| Rate for Payer: BCBS MAPPO |
$3,953.12
|
| Rate for Payer: BCBS Trust/PPO |
$12,999.46
|
| Rate for Payer: BCN Commercial |
$12,999.46
|
| Rate for Payer: BCN Medicare Advantage |
$3,953.12
|
| Rate for Payer: Cash Price |
$12,650.00
|
| Rate for Payer: Cofinity Commercial |
$13,598.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,650.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,953.12
|
| Rate for Payer: Healthscope Commercial |
$14,231.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,859.38
|
| Rate for Payer: Mclaren Medicaid |
$2,787.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,150.78
|
| Rate for Payer: Meridian Medicaid |
$2,926.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,546.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,348.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,440.62
|
| Rate for Payer: Nomi Health Commercial |
$12,966.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,859.38
|
| Rate for Payer: PACE Senior Care Partners |
$3,755.47
|
| Rate for Payer: PACE SWMI |
$3,953.12
|
| Rate for Payer: PHP Commercial |
$13,440.62
|
| Rate for Payer: PHP Medicare Advantage |
$3,953.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,787.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13,756.88
|
| Rate for Payer: Priority Health Medicare |
$3,992.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,005.50
|
| Rate for Payer: Railroad Medicare Medicare |
$3,953.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,915.00
|
| Rate for Payer: UHC Core |
$13,203.44
|
| Rate for Payer: UHC Exchange |
$3,953.12
|
| Rate for Payer: UHC Medicaid |
$2,787.74
|
| Rate for Payer: UHC Medicare Advantage |
$3,953.12
|
| Rate for Payer: UHCCP Medicaid |
$2,787.74
|
| Rate for Payer: VA VA |
$3,953.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,859.38
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 16
|
Facility
|
IP
|
$16,863.15
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500350
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$11,736.75 |
| Max. Negotiated Rate |
$15,176.83 |
| Rate for Payer: Aetna Commercial |
$14,333.68
|
| Rate for Payer: BCBS Trust/PPO |
$13,927.28
|
| Rate for Payer: BCN Commercial |
$13,927.28
|
| Rate for Payer: Cash Price |
$13,490.52
|
| Rate for Payer: Cofinity Commercial |
$14,502.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,490.52
|
| Rate for Payer: Healthscope Commercial |
$15,176.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,647.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,333.68
|
| Rate for Payer: Nomi Health Commercial |
$13,827.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,647.36
|
| Rate for Payer: PHP Commercial |
$14,333.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,670.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,736.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,839.57
|
| Rate for Payer: UHC Core |
$14,080.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,647.36
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 16
|
Facility
|
OP
|
$16,863.15
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500350
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,972.97 |
| Max. Negotiated Rate |
$15,176.83 |
| Rate for Payer: Aetna Commercial |
$14,333.68
|
| Rate for Payer: Aetna Medicare |
$4,384.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,269.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,269.73
|
| Rate for Payer: BCBS Complete |
$3,121.37
|
| Rate for Payer: BCBS MAPPO |
$4,215.79
|
| Rate for Payer: BCBS Trust/PPO |
$13,863.20
|
| Rate for Payer: BCN Commercial |
$13,863.20
|
| Rate for Payer: BCN Medicare Advantage |
$4,215.79
|
| Rate for Payer: Cash Price |
$13,490.52
|
| Rate for Payer: Cofinity Commercial |
$14,502.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,490.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,215.79
|
| Rate for Payer: Healthscope Commercial |
$15,176.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,647.36
|
| Rate for Payer: Mclaren Medicaid |
$2,972.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,426.58
|
| Rate for Payer: Meridian Medicaid |
$3,121.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,848.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,637.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,333.68
|
| Rate for Payer: Nomi Health Commercial |
$13,827.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,647.36
|
| Rate for Payer: PACE Senior Care Partners |
$4,005.00
|
| Rate for Payer: PACE SWMI |
$4,215.79
|
| Rate for Payer: PHP Commercial |
$14,333.68
|
| Rate for Payer: PHP Medicare Advantage |
$4,215.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,972.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,670.94
|
| Rate for Payer: Priority Health Medicare |
$4,257.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,736.75
|
| Rate for Payer: Railroad Medicare Medicare |
$4,215.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,839.57
|
| Rate for Payer: UHC Core |
$14,080.73
|
| Rate for Payer: UHC Exchange |
$4,215.79
|
| Rate for Payer: UHC Medicaid |
$2,972.97
|
| Rate for Payer: UHC Medicare Advantage |
$4,215.79
|
| Rate for Payer: UHCCP Medicaid |
$2,972.97
|
| Rate for Payer: VA VA |
$4,215.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,647.36
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 6
|
Facility
|
OP
|
$6,319.92
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500352
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,114.20 |
| Max. Negotiated Rate |
$5,687.93 |
| Rate for Payer: Aetna Commercial |
$5,371.93
|
| Rate for Payer: Aetna Medicare |
$1,643.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,974.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,974.97
|
| Rate for Payer: BCBS Complete |
$1,169.82
|
| Rate for Payer: BCBS MAPPO |
$1,579.98
|
| Rate for Payer: BCBS Trust/PPO |
$5,195.61
|
| Rate for Payer: BCN Commercial |
$5,195.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,579.98
|
| Rate for Payer: Cash Price |
$5,055.94
|
| Rate for Payer: Cofinity Commercial |
$5,435.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,055.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,579.98
|
| Rate for Payer: Healthscope Commercial |
$5,687.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,739.94
|
| Rate for Payer: Mclaren Medicaid |
$1,114.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,658.98
|
| Rate for Payer: Meridian Medicaid |
$1,169.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,816.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,737.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,371.93
|
| Rate for Payer: Nomi Health Commercial |
$5,182.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,739.94
|
| Rate for Payer: PACE Senior Care Partners |
$1,500.98
|
| Rate for Payer: PACE SWMI |
$1,579.98
|
| Rate for Payer: PHP Commercial |
$5,371.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,579.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,114.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,498.33
|
| Rate for Payer: Priority Health Medicare |
$1,595.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,398.66
|
| Rate for Payer: Railroad Medicare Medicare |
$1,579.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,561.53
|
| Rate for Payer: UHC Core |
$5,277.13
|
| Rate for Payer: UHC Exchange |
$1,579.98
|
| Rate for Payer: UHC Medicaid |
$1,114.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,579.98
|
| Rate for Payer: UHCCP Medicaid |
$1,114.20
|
| Rate for Payer: VA VA |
$1,579.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,739.94
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 6
|
Facility
|
IP
|
$6,319.92
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500352
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$4,398.66 |
| Max. Negotiated Rate |
$5,687.93 |
| Rate for Payer: Aetna Commercial |
$5,371.93
|
| Rate for Payer: BCBS Trust/PPO |
$5,219.62
|
| Rate for Payer: BCN Commercial |
$5,219.62
|
| Rate for Payer: Cash Price |
$5,055.94
|
| Rate for Payer: Cofinity Commercial |
$5,435.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,055.94
|
| Rate for Payer: Healthscope Commercial |
$5,687.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,739.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,371.93
|
| Rate for Payer: Nomi Health Commercial |
$5,182.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,739.94
|
| Rate for Payer: PHP Commercial |
$5,371.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,498.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,398.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,561.53
|
| Rate for Payer: UHC Core |
$5,277.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,739.94
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 8
|
Facility
|
IP
|
$8,315.04
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500353
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,787.27 |
| Max. Negotiated Rate |
$7,483.54 |
| Rate for Payer: Aetna Commercial |
$7,067.78
|
| Rate for Payer: BCBS Trust/PPO |
$6,867.39
|
| Rate for Payer: BCN Commercial |
$6,867.39
|
| Rate for Payer: Cash Price |
$6,652.03
|
| Rate for Payer: Cofinity Commercial |
$7,150.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,652.03
|
| Rate for Payer: Healthscope Commercial |
$7,483.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,236.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,067.78
|
| Rate for Payer: Nomi Health Commercial |
$6,818.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,236.28
|
| Rate for Payer: PHP Commercial |
$7,067.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,234.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,787.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,317.24
|
| Rate for Payer: UHC Core |
$6,943.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,236.28
|
|
|
HC PACEMAKER SINGLE CHAMBER LVL 8
|
Facility
|
OP
|
$8,315.04
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500353
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,465.94 |
| Max. Negotiated Rate |
$7,483.54 |
| Rate for Payer: Aetna Commercial |
$7,067.78
|
| Rate for Payer: Aetna Medicare |
$2,161.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,598.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,598.45
|
| Rate for Payer: BCBS Complete |
$1,539.11
|
| Rate for Payer: BCBS MAPPO |
$2,078.76
|
| Rate for Payer: BCBS Trust/PPO |
$6,835.79
|
| Rate for Payer: BCN Commercial |
$6,835.79
|
| Rate for Payer: BCN Medicare Advantage |
$2,078.76
|
| Rate for Payer: Cash Price |
$6,652.03
|
| Rate for Payer: Cofinity Commercial |
$7,150.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,652.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,078.76
|
| Rate for Payer: Healthscope Commercial |
$7,483.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,236.28
|
| Rate for Payer: Mclaren Medicaid |
$1,465.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,182.70
|
| Rate for Payer: Meridian Medicaid |
$1,539.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,390.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,286.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,067.78
|
| Rate for Payer: Nomi Health Commercial |
$6,818.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,236.28
|
| Rate for Payer: PACE Senior Care Partners |
$1,974.82
|
| Rate for Payer: PACE SWMI |
$2,078.76
|
| Rate for Payer: PHP Commercial |
$7,067.78
|
| Rate for Payer: PHP Medicare Advantage |
$2,078.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,465.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,234.08
|
| Rate for Payer: Priority Health Medicare |
$2,099.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,787.27
|
| Rate for Payer: Railroad Medicare Medicare |
$2,078.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,317.24
|
| Rate for Payer: UHC Core |
$6,943.06
|
| Rate for Payer: UHC Exchange |
$2,078.76
|
| Rate for Payer: UHC Medicaid |
$1,465.94
|
| Rate for Payer: UHC Medicare Advantage |
$2,078.76
|
| Rate for Payer: UHCCP Medicaid |
$1,465.94
|
| Rate for Payer: VA VA |
$2,078.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,236.28
|
|
|
HC PACEMAKER TESTING CABLE
|
Facility
|
IP
|
$116.98
|
|
| Hospital Charge Code |
27200143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$81.42 |
| Max. Negotiated Rate |
$105.28 |
| Rate for Payer: Aetna Commercial |
$99.43
|
| Rate for Payer: BCBS Trust/PPO |
$96.61
|
| Rate for Payer: BCN Commercial |
$96.61
|
| Rate for Payer: Cash Price |
$93.58
|
| Rate for Payer: Cofinity Commercial |
$100.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.58
|
| Rate for Payer: Healthscope Commercial |
$105.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.43
|
| Rate for Payer: Nomi Health Commercial |
$95.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.73
|
| Rate for Payer: PHP Commercial |
$99.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$101.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.94
|
| Rate for Payer: UHC Core |
$97.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.73
|
|
|
HC PACEMAKER TESTING CABLE
|
Facility
|
OP
|
$116.98
|
|
| Hospital Charge Code |
27200143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.62 |
| Max. Negotiated Rate |
$105.28 |
| Rate for Payer: Aetna Commercial |
$99.43
|
| Rate for Payer: Aetna Medicare |
$30.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.56
|
| Rate for Payer: BCBS Complete |
$21.65
|
| Rate for Payer: BCBS MAPPO |
$29.25
|
| Rate for Payer: BCBS Trust/PPO |
$96.17
|
| Rate for Payer: BCN Commercial |
$96.17
|
| Rate for Payer: BCN Medicare Advantage |
$29.25
|
| Rate for Payer: Cash Price |
$93.58
|
| Rate for Payer: Cofinity Commercial |
$100.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.25
|
| Rate for Payer: Healthscope Commercial |
$105.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.73
|
| Rate for Payer: Mclaren Medicaid |
$20.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.71
|
| Rate for Payer: Meridian Medicaid |
$21.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.43
|
| Rate for Payer: Nomi Health Commercial |
$95.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.73
|
| Rate for Payer: PACE Senior Care Partners |
$27.78
|
| Rate for Payer: PACE SWMI |
$29.25
|
| Rate for Payer: PHP Commercial |
$99.43
|
| Rate for Payer: PHP Medicare Advantage |
$29.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$101.77
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.42
|
| Rate for Payer: Railroad Medicare Medicare |
$29.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.94
|
| Rate for Payer: UHC Core |
$97.68
|
| Rate for Payer: UHC Exchange |
$29.25
|
| Rate for Payer: UHC Medicaid |
$20.62
|
| Rate for Payer: UHC Medicare Advantage |
$29.25
|
| Rate for Payer: UHCCP Medicaid |
$20.62
|
| Rate for Payer: VA VA |
$29.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.73
|
|
|
HC PACER POCKET REVISION
|
Facility
|
OP
|
$2,893.52
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
36100067
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$510.13 |
| Max. Negotiated Rate |
$2,604.17 |
| Rate for Payer: Aetna Commercial |
$2,459.49
|
| Rate for Payer: Aetna Medicare |
$752.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$904.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$904.23
|
| Rate for Payer: BCBS Complete |
$535.59
|
| Rate for Payer: BCBS MAPPO |
$723.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,378.76
|
| Rate for Payer: BCN Commercial |
$2,378.76
|
| Rate for Payer: BCN Medicare Advantage |
$723.38
|
| Rate for Payer: Cash Price |
$2,314.82
|
| Rate for Payer: Cofinity Commercial |
$2,488.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$723.38
|
| Rate for Payer: Healthscope Commercial |
$2,604.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,170.14
|
| Rate for Payer: Mclaren Medicaid |
$510.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$759.55
|
| Rate for Payer: Meridian Medicaid |
$535.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$831.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$795.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,459.49
|
| Rate for Payer: Nomi Health Commercial |
$2,372.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,170.14
|
| Rate for Payer: PACE Senior Care Partners |
$687.21
|
| Rate for Payer: PACE SWMI |
$723.38
|
| Rate for Payer: PHP Commercial |
$2,459.49
|
| Rate for Payer: PHP Medicare Advantage |
$723.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,517.36
|
| Rate for Payer: Priority Health Medicare |
$730.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,013.89
|
| Rate for Payer: Railroad Medicare Medicare |
$723.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,546.30
|
| Rate for Payer: UHC Core |
$2,416.09
|
| Rate for Payer: UHC Exchange |
$723.38
|
| Rate for Payer: UHC Medicaid |
$510.13
|
| Rate for Payer: UHC Medicare Advantage |
$723.38
|
| Rate for Payer: UHCCP Medicaid |
$510.13
|
| Rate for Payer: VA VA |
$723.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,170.14
|
|
|
HC PACER POCKET REVISION
|
Facility
|
IP
|
$2,893.52
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
36100067
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,013.89 |
| Max. Negotiated Rate |
$2,604.17 |
| Rate for Payer: Aetna Commercial |
$2,459.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,389.76
|
| Rate for Payer: BCN Commercial |
$2,389.76
|
| Rate for Payer: Cash Price |
$2,314.82
|
| Rate for Payer: Cofinity Commercial |
$2,488.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,314.82
|
| Rate for Payer: Healthscope Commercial |
$2,604.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,170.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,459.49
|
| Rate for Payer: Nomi Health Commercial |
$2,372.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,170.14
|
| Rate for Payer: PHP Commercial |
$2,459.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,517.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,013.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,546.30
|
| Rate for Payer: UHC Core |
$2,416.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,170.14
|
|
|
HC PACK CCS BRONSON FX XC BASE
|
Facility
|
IP
|
$780.30
|
|
| Hospital Charge Code |
27000682
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$543.09 |
| Max. Negotiated Rate |
$702.27 |
| Rate for Payer: Aetna Commercial |
$663.25
|
| Rate for Payer: BCBS Trust/PPO |
$644.45
|
| Rate for Payer: BCN Commercial |
$644.45
|
| Rate for Payer: Cash Price |
$624.24
|
| Rate for Payer: Cofinity Commercial |
$671.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$624.24
|
| Rate for Payer: Healthscope Commercial |
$702.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$585.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$663.25
|
| Rate for Payer: Nomi Health Commercial |
$639.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$585.23
|
| Rate for Payer: PHP Commercial |
$663.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$678.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$543.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$686.66
|
| Rate for Payer: UHC Core |
$651.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$585.23
|
|
|
HC PACK CCS BRONSON FX XC BASE
|
Facility
|
OP
|
$780.30
|
|
| Hospital Charge Code |
27000682
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$137.57 |
| Max. Negotiated Rate |
$702.27 |
| Rate for Payer: Aetna Commercial |
$663.25
|
| Rate for Payer: Aetna Medicare |
$202.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$243.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$243.84
|
| Rate for Payer: BCBS Complete |
$144.43
|
| Rate for Payer: BCBS MAPPO |
$195.07
|
| Rate for Payer: BCBS Trust/PPO |
$641.48
|
| Rate for Payer: BCN Commercial |
$641.48
|
| Rate for Payer: BCN Medicare Advantage |
$195.07
|
| Rate for Payer: Cash Price |
$624.24
|
| Rate for Payer: Cofinity Commercial |
$671.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$624.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$195.07
|
| Rate for Payer: Healthscope Commercial |
$702.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$585.23
|
| Rate for Payer: Mclaren Medicaid |
$137.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.83
|
| Rate for Payer: Meridian Medicaid |
$144.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$224.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$214.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$663.25
|
| Rate for Payer: Nomi Health Commercial |
$639.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$585.23
|
| Rate for Payer: PACE Senior Care Partners |
$185.32
|
| Rate for Payer: PACE SWMI |
$195.07
|
| Rate for Payer: PHP Commercial |
$663.25
|
| Rate for Payer: PHP Medicare Advantage |
$195.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$678.86
|
| Rate for Payer: Priority Health Medicare |
$197.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$543.09
|
| Rate for Payer: Railroad Medicare Medicare |
$195.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$686.66
|
| Rate for Payer: UHC Core |
$651.55
|
| Rate for Payer: UHC Exchange |
$195.07
|
| Rate for Payer: UHC Medicaid |
$137.57
|
| Rate for Payer: UHC Medicare Advantage |
$195.07
|
| Rate for Payer: UHCCP Medicaid |
$137.57
|
| Rate for Payer: VA VA |
$195.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$585.23
|
|
