|
HC PLACEMENT SELECTIVE ART BELOW ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
OP
|
$1,071.82
|
|
|
Service Code
|
CPT 36248
|
| Hospital Charge Code |
36100113
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$188.96 |
| Max. Negotiated Rate |
$964.64 |
| Rate for Payer: Aetna Commercial |
$911.05
|
| Rate for Payer: Aetna Medicare |
$278.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$334.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$334.94
|
| Rate for Payer: BCBS Complete |
$198.39
|
| Rate for Payer: BCBS MAPPO |
$267.95
|
| Rate for Payer: BCBS Trust/PPO |
$881.14
|
| Rate for Payer: BCN Commercial |
$881.14
|
| Rate for Payer: BCN Medicare Advantage |
$267.95
|
| Rate for Payer: Cash Price |
$857.46
|
| Rate for Payer: Cofinity Commercial |
$921.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$857.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.95
|
| Rate for Payer: Healthscope Commercial |
$964.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$803.87
|
| Rate for Payer: Mclaren Medicaid |
$188.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$281.35
|
| Rate for Payer: Meridian Medicaid |
$198.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$308.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$294.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$911.05
|
| Rate for Payer: Nomi Health Commercial |
$878.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$803.87
|
| Rate for Payer: PACE Senior Care Partners |
$254.56
|
| Rate for Payer: PACE SWMI |
$267.95
|
| Rate for Payer: PHP Commercial |
$911.05
|
| Rate for Payer: PHP Medicare Advantage |
$267.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$932.48
|
| Rate for Payer: Priority Health Medicare |
$270.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$745.99
|
| Rate for Payer: Railroad Medicare Medicare |
$267.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$943.20
|
| Rate for Payer: UHC Core |
$894.97
|
| Rate for Payer: UHC Exchange |
$267.95
|
| Rate for Payer: UHC Medicaid |
$188.96
|
| Rate for Payer: UHC Medicare Advantage |
$267.95
|
| Rate for Payer: UHCCP Medicaid |
$188.96
|
| Rate for Payer: VA VA |
$267.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$803.87
|
|
|
HC PLACEMENT SELECTIVE PULMONARY
|
Facility
|
OP
|
$949.01
|
|
|
Service Code
|
CPT 36014
|
| Hospital Charge Code |
36100100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$167.31 |
| Max. Negotiated Rate |
$854.11 |
| Rate for Payer: Aetna Commercial |
$806.66
|
| Rate for Payer: Aetna Medicare |
$246.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.57
|
| Rate for Payer: BCBS Complete |
$175.66
|
| Rate for Payer: BCBS MAPPO |
$237.25
|
| Rate for Payer: BCBS Trust/PPO |
$780.18
|
| Rate for Payer: BCN Commercial |
$780.18
|
| Rate for Payer: BCN Medicare Advantage |
$237.25
|
| Rate for Payer: Cash Price |
$759.21
|
| Rate for Payer: Cofinity Commercial |
$816.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$759.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.25
|
| Rate for Payer: Healthscope Commercial |
$854.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$711.76
|
| Rate for Payer: Mclaren Medicaid |
$167.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.12
|
| Rate for Payer: Meridian Medicaid |
$175.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$260.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.66
|
| Rate for Payer: Nomi Health Commercial |
$778.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$711.76
|
| Rate for Payer: PACE Senior Care Partners |
$225.39
|
| Rate for Payer: PACE SWMI |
$237.25
|
| Rate for Payer: PHP Commercial |
$806.66
|
| Rate for Payer: PHP Medicare Advantage |
$237.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$825.64
|
| Rate for Payer: Priority Health Medicare |
$239.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.51
|
| Rate for Payer: Railroad Medicare Medicare |
$237.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.13
|
| Rate for Payer: UHC Core |
$792.42
|
| Rate for Payer: UHC Exchange |
$237.25
|
| Rate for Payer: UHC Medicaid |
$167.31
|
| Rate for Payer: UHC Medicare Advantage |
$237.25
|
| Rate for Payer: UHCCP Medicaid |
$167.31
|
| Rate for Payer: VA VA |
$237.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$711.76
|
|
|
HC PLACEMENT SELECTIVE PULMONARY
|
Facility
|
IP
|
$949.01
|
|
|
Service Code
|
CPT 36014
|
| Hospital Charge Code |
36100100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$660.51 |
| Max. Negotiated Rate |
$854.11 |
| Rate for Payer: Aetna Commercial |
$806.66
|
| Rate for Payer: BCBS Trust/PPO |
$783.79
|
| Rate for Payer: BCN Commercial |
$783.79
|
| Rate for Payer: Cash Price |
$759.21
|
| Rate for Payer: Cofinity Commercial |
$816.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$759.21
|
| Rate for Payer: Healthscope Commercial |
$854.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$711.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.66
|
| Rate for Payer: Nomi Health Commercial |
$778.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$711.76
|
| Rate for Payer: PHP Commercial |
$806.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$825.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.13
|
| Rate for Payer: UHC Core |
$792.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$711.76
|
|
|
HC PLACEMENT SELECTIVE VENOUS 1ST ORDER
|
Facility
|
OP
|
$6,971.43
|
|
|
Service Code
|
CPT 36011
|
| Hospital Charge Code |
36100097
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,229.06 |
| Max. Negotiated Rate |
$6,274.29 |
| Rate for Payer: Aetna Commercial |
$5,925.72
|
| Rate for Payer: Aetna Medicare |
$1,812.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,178.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,178.57
|
| Rate for Payer: BCBS Complete |
$1,290.41
|
| Rate for Payer: BCBS MAPPO |
$1,742.86
|
| Rate for Payer: BCBS Trust/PPO |
$5,731.21
|
| Rate for Payer: BCN Commercial |
$5,731.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,742.86
|
| Rate for Payer: Cash Price |
$5,577.14
|
| Rate for Payer: Cofinity Commercial |
$5,995.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,577.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,742.86
|
| Rate for Payer: Healthscope Commercial |
$6,274.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,228.57
|
| Rate for Payer: Mclaren Medicaid |
$1,229.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,830.00
|
| Rate for Payer: Meridian Medicaid |
$1,290.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,004.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,917.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,925.72
|
| Rate for Payer: Nomi Health Commercial |
$5,716.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,228.57
|
| Rate for Payer: PACE Senior Care Partners |
$1,655.71
|
| Rate for Payer: PACE SWMI |
$1,742.86
|
| Rate for Payer: PHP Commercial |
$5,925.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,742.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,229.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,065.14
|
| Rate for Payer: Priority Health Medicare |
$1,760.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,852.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,742.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,134.86
|
| Rate for Payer: UHC Core |
$5,821.14
|
| Rate for Payer: UHC Exchange |
$1,742.86
|
| Rate for Payer: UHC Medicaid |
$1,229.06
|
| Rate for Payer: UHC Medicare Advantage |
$1,742.86
|
| Rate for Payer: UHCCP Medicaid |
$1,229.06
|
| Rate for Payer: VA VA |
$1,742.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,228.57
|
|
|
HC PLACEMENT SELECTIVE VENOUS 1ST ORDER
|
Facility
|
IP
|
$6,971.43
|
|
|
Service Code
|
CPT 36011
|
| Hospital Charge Code |
36100097
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,852.12 |
| Max. Negotiated Rate |
$6,274.29 |
| Rate for Payer: Aetna Commercial |
$5,925.72
|
| Rate for Payer: BCBS Trust/PPO |
$5,757.70
|
| Rate for Payer: BCN Commercial |
$5,757.70
|
| Rate for Payer: Cash Price |
$5,577.14
|
| Rate for Payer: Cofinity Commercial |
$5,995.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,577.14
|
| Rate for Payer: Healthscope Commercial |
$6,274.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,228.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,925.72
|
| Rate for Payer: Nomi Health Commercial |
$5,716.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,228.57
|
| Rate for Payer: PHP Commercial |
$5,925.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,065.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,852.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,134.86
|
| Rate for Payer: UHC Core |
$5,821.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,228.57
|
|
|
HC PLACEMENT SELECTIVE VENOUS 2ND ORDER
|
Facility
|
IP
|
$5,793.73
|
|
|
Service Code
|
CPT 36012
|
| Hospital Charge Code |
36100098
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,032.44 |
| Max. Negotiated Rate |
$5,214.36 |
| Rate for Payer: Aetna Commercial |
$4,924.67
|
| Rate for Payer: BCBS Trust/PPO |
$4,785.04
|
| Rate for Payer: BCN Commercial |
$4,785.04
|
| Rate for Payer: Cash Price |
$4,634.98
|
| Rate for Payer: Cofinity Commercial |
$4,982.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,634.98
|
| Rate for Payer: Healthscope Commercial |
$5,214.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,345.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,924.67
|
| Rate for Payer: Nomi Health Commercial |
$4,750.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,345.30
|
| Rate for Payer: PHP Commercial |
$4,924.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,040.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,032.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,098.48
|
| Rate for Payer: UHC Core |
$4,837.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,345.30
|
|
|
HC PLACEMENT SELECTIVE VENOUS 2ND ORDER
|
Facility
|
OP
|
$5,793.73
|
|
|
Service Code
|
CPT 36012
|
| Hospital Charge Code |
36100098
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,021.43 |
| Max. Negotiated Rate |
$5,214.36 |
| Rate for Payer: Aetna Commercial |
$4,924.67
|
| Rate for Payer: Aetna Medicare |
$1,506.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,810.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,810.54
|
| Rate for Payer: BCBS Complete |
$1,072.42
|
| Rate for Payer: BCBS MAPPO |
$1,448.43
|
| Rate for Payer: BCBS Trust/PPO |
$4,763.03
|
| Rate for Payer: BCN Commercial |
$4,763.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,448.43
|
| Rate for Payer: Cash Price |
$4,634.98
|
| Rate for Payer: Cofinity Commercial |
$4,982.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,634.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,448.43
|
| Rate for Payer: Healthscope Commercial |
$5,214.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,345.30
|
| Rate for Payer: Mclaren Medicaid |
$1,021.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,520.85
|
| Rate for Payer: Meridian Medicaid |
$1,072.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,665.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,593.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,924.67
|
| Rate for Payer: Nomi Health Commercial |
$4,750.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,345.30
|
| Rate for Payer: PACE Senior Care Partners |
$1,376.01
|
| Rate for Payer: PACE SWMI |
$1,448.43
|
| Rate for Payer: PHP Commercial |
$4,924.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,448.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,021.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,040.55
|
| Rate for Payer: Priority Health Medicare |
$1,462.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,032.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,448.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,098.48
|
| Rate for Payer: UHC Core |
$4,837.76
|
| Rate for Payer: UHC Exchange |
$1,448.43
|
| Rate for Payer: UHC Medicaid |
$1,021.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,448.43
|
| Rate for Payer: UHCCP Medicaid |
$1,021.43
|
| Rate for Payer: VA VA |
$1,448.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,345.30
|
|
|
HC PLACE NEPHROSTOMY CATHETER
|
Facility
|
IP
|
$3,515.62
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
36100504
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,446.87 |
| Max. Negotiated Rate |
$3,164.06 |
| Rate for Payer: Aetna Commercial |
$2,988.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,903.55
|
| Rate for Payer: BCN Commercial |
$2,903.55
|
| Rate for Payer: Cash Price |
$2,812.50
|
| Rate for Payer: Cofinity Commercial |
$3,023.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,812.50
|
| Rate for Payer: Healthscope Commercial |
$3,164.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,636.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,988.28
|
| Rate for Payer: Nomi Health Commercial |
$2,882.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,636.72
|
| Rate for Payer: PHP Commercial |
$2,988.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,058.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,446.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,093.75
|
| Rate for Payer: UHC Core |
$2,935.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,636.72
|
|
|
HC PLACE NEPHROSTOMY CATHETER
|
Facility
|
OP
|
$3,515.62
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
36100504
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$619.80 |
| Max. Negotiated Rate |
$3,164.06 |
| Rate for Payer: Aetna Commercial |
$2,988.28
|
| Rate for Payer: Aetna Medicare |
$914.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,098.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,098.63
|
| Rate for Payer: BCBS Complete |
$650.74
|
| Rate for Payer: BCBS MAPPO |
$878.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,890.19
|
| Rate for Payer: BCN Commercial |
$2,890.19
|
| Rate for Payer: BCN Medicare Advantage |
$878.90
|
| Rate for Payer: Cash Price |
$2,812.50
|
| Rate for Payer: Cofinity Commercial |
$3,023.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,812.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$878.90
|
| Rate for Payer: Healthscope Commercial |
$3,164.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,636.72
|
| Rate for Payer: Mclaren Medicaid |
$619.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$922.85
|
| Rate for Payer: Meridian Medicaid |
$650.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,010.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$966.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,988.28
|
| Rate for Payer: Nomi Health Commercial |
$2,882.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,636.72
|
| Rate for Payer: PACE Senior Care Partners |
$834.96
|
| Rate for Payer: PACE SWMI |
$878.90
|
| Rate for Payer: PHP Commercial |
$2,988.28
|
| Rate for Payer: PHP Medicare Advantage |
$878.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,058.59
|
| Rate for Payer: Priority Health Medicare |
$887.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,446.87
|
| Rate for Payer: Railroad Medicare Medicare |
$878.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,093.75
|
| Rate for Payer: UHC Core |
$2,935.54
|
| Rate for Payer: UHC Exchange |
$878.90
|
| Rate for Payer: UHC Medicaid |
$619.80
|
| Rate for Payer: UHC Medicare Advantage |
$878.90
|
| Rate for Payer: UHCCP Medicaid |
$619.80
|
| Rate for Payer: VA VA |
$878.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,636.72
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
OP
|
$3,415.17
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$602.09 |
| Max. Negotiated Rate |
$3,073.65 |
| Rate for Payer: Aetna Commercial |
$2,902.89
|
| Rate for Payer: Aetna Medicare |
$887.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,067.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,067.24
|
| Rate for Payer: BCBS Complete |
$632.15
|
| Rate for Payer: BCBS MAPPO |
$853.79
|
| Rate for Payer: BCBS Trust/PPO |
$2,807.61
|
| Rate for Payer: BCN Commercial |
$2,807.61
|
| Rate for Payer: BCN Medicare Advantage |
$853.79
|
| Rate for Payer: Cash Price |
$2,732.14
|
| Rate for Payer: Cofinity Commercial |
$2,937.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,732.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.79
|
| Rate for Payer: Healthscope Commercial |
$3,073.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,561.38
|
| Rate for Payer: Mclaren Medicaid |
$602.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$896.48
|
| Rate for Payer: Meridian Medicaid |
$632.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$981.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$939.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,902.89
|
| Rate for Payer: Nomi Health Commercial |
$2,800.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,561.38
|
| Rate for Payer: PACE Senior Care Partners |
$811.10
|
| Rate for Payer: PACE SWMI |
$853.79
|
| Rate for Payer: PHP Commercial |
$2,902.89
|
| Rate for Payer: PHP Medicare Advantage |
$853.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$602.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,971.20
|
| Rate for Payer: Priority Health Medicare |
$862.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,376.96
|
| Rate for Payer: Railroad Medicare Medicare |
$853.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,005.35
|
| Rate for Payer: UHC Core |
$2,851.67
|
| Rate for Payer: UHC Exchange |
$853.79
|
| Rate for Payer: UHC Medicaid |
$602.09
|
| Rate for Payer: UHC Medicare Advantage |
$853.79
|
| Rate for Payer: UHCCP Medicaid |
$602.09
|
| Rate for Payer: VA VA |
$853.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,561.38
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
IP
|
$3,415.17
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,376.96 |
| Max. Negotiated Rate |
$3,073.65 |
| Rate for Payer: Aetna Commercial |
$2,902.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,820.59
|
| Rate for Payer: BCN Commercial |
$2,820.59
|
| Rate for Payer: Cash Price |
$2,732.14
|
| Rate for Payer: Cofinity Commercial |
$2,937.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,732.14
|
| Rate for Payer: Healthscope Commercial |
$3,073.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,561.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,902.89
|
| Rate for Payer: Nomi Health Commercial |
$2,800.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,561.38
|
| Rate for Payer: PHP Commercial |
$2,902.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,971.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,376.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,005.35
|
| Rate for Payer: UHC Core |
$2,851.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,561.38
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
IP
|
$9,019.47
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,277.55 |
| Max. Negotiated Rate |
$8,117.52 |
| Rate for Payer: Aetna Commercial |
$7,666.55
|
| Rate for Payer: BCBS Trust/PPO |
$7,449.18
|
| Rate for Payer: BCN Commercial |
$7,449.18
|
| Rate for Payer: Cash Price |
$7,215.58
|
| Rate for Payer: Cofinity Commercial |
$7,756.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,215.58
|
| Rate for Payer: Healthscope Commercial |
$8,117.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,764.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,666.55
|
| Rate for Payer: Nomi Health Commercial |
$7,395.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,764.60
|
| Rate for Payer: PHP Commercial |
$7,666.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,846.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,277.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,937.13
|
| Rate for Payer: UHC Core |
$7,531.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,764.60
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
OP
|
$9,019.47
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,590.13 |
| Max. Negotiated Rate |
$8,117.52 |
| Rate for Payer: Aetna Commercial |
$7,666.55
|
| Rate for Payer: Aetna Medicare |
$2,345.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,818.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,818.58
|
| Rate for Payer: BCBS Complete |
$1,669.50
|
| Rate for Payer: BCBS MAPPO |
$2,254.87
|
| Rate for Payer: BCBS Trust/PPO |
$7,414.91
|
| Rate for Payer: BCN Commercial |
$7,414.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,254.87
|
| Rate for Payer: Cash Price |
$7,215.58
|
| Rate for Payer: Cofinity Commercial |
$7,756.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,215.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,254.87
|
| Rate for Payer: Healthscope Commercial |
$8,117.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,764.60
|
| Rate for Payer: Mclaren Medicaid |
$1,590.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,367.61
|
| Rate for Payer: Meridian Medicaid |
$1,669.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,593.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,480.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,666.55
|
| Rate for Payer: Nomi Health Commercial |
$7,395.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,764.60
|
| Rate for Payer: PACE Senior Care Partners |
$2,142.12
|
| Rate for Payer: PACE SWMI |
$2,254.87
|
| Rate for Payer: PHP Commercial |
$7,666.55
|
| Rate for Payer: PHP Medicare Advantage |
$2,254.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,590.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,846.94
|
| Rate for Payer: Priority Health Medicare |
$2,277.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,277.55
|
| Rate for Payer: Railroad Medicare Medicare |
$2,254.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,937.13
|
| Rate for Payer: UHC Core |
$7,531.26
|
| Rate for Payer: UHC Exchange |
$2,254.87
|
| Rate for Payer: UHC Medicaid |
$1,590.13
|
| Rate for Payer: UHC Medicare Advantage |
$2,254.87
|
| Rate for Payer: UHCCP Medicaid |
$1,590.13
|
| Rate for Payer: VA VA |
$2,254.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,764.60
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
IP
|
$5,490.26
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,821.22 |
| Max. Negotiated Rate |
$4,941.23 |
| Rate for Payer: Aetna Commercial |
$4,666.72
|
| Rate for Payer: BCBS Trust/PPO |
$4,534.41
|
| Rate for Payer: BCN Commercial |
$4,534.41
|
| Rate for Payer: Cash Price |
$4,392.21
|
| Rate for Payer: Cofinity Commercial |
$4,721.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,392.21
|
| Rate for Payer: Healthscope Commercial |
$4,941.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,117.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,666.72
|
| Rate for Payer: Nomi Health Commercial |
$4,502.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,117.69
|
| Rate for Payer: PHP Commercial |
$4,666.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,776.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,821.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,831.43
|
| Rate for Payer: UHC Core |
$4,584.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,117.69
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
OP
|
$5,490.26
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$967.93 |
| Max. Negotiated Rate |
$4,941.23 |
| Rate for Payer: Aetna Commercial |
$4,666.72
|
| Rate for Payer: Aetna Medicare |
$1,427.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,715.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,715.71
|
| Rate for Payer: BCBS Complete |
$1,016.25
|
| Rate for Payer: BCBS MAPPO |
$1,372.57
|
| Rate for Payer: BCBS Trust/PPO |
$4,513.54
|
| Rate for Payer: BCN Commercial |
$4,513.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,372.57
|
| Rate for Payer: Cash Price |
$4,392.21
|
| Rate for Payer: Cofinity Commercial |
$4,721.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,392.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,372.57
|
| Rate for Payer: Healthscope Commercial |
$4,941.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,117.69
|
| Rate for Payer: Mclaren Medicaid |
$967.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,441.19
|
| Rate for Payer: Meridian Medicaid |
$1,016.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,578.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,509.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,666.72
|
| Rate for Payer: Nomi Health Commercial |
$4,502.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,117.69
|
| Rate for Payer: PACE Senior Care Partners |
$1,303.94
|
| Rate for Payer: PACE SWMI |
$1,372.57
|
| Rate for Payer: PHP Commercial |
$4,666.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,372.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$967.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,776.53
|
| Rate for Payer: Priority Health Medicare |
$1,386.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,821.22
|
| Rate for Payer: Railroad Medicare Medicare |
$1,372.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,831.43
|
| Rate for Payer: UHC Core |
$4,584.37
|
| Rate for Payer: UHC Exchange |
$1,372.57
|
| Rate for Payer: UHC Medicaid |
$967.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,372.57
|
| Rate for Payer: UHCCP Medicaid |
$967.93
|
| Rate for Payer: VA VA |
$1,372.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,117.69
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
OP
|
$777.55
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.08 |
| Max. Negotiated Rate |
$699.79 |
| Rate for Payer: Aetna Commercial |
$660.92
|
| Rate for Payer: Aetna Medicare |
$202.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.98
|
| Rate for Payer: BCBS Complete |
$143.92
|
| Rate for Payer: BCBS MAPPO |
$194.39
|
| Rate for Payer: BCBS Trust/PPO |
$639.22
|
| Rate for Payer: BCCCP Commercial |
$330.34
|
| Rate for Payer: BCN Commercial |
$639.22
|
| Rate for Payer: BCN Medicare Advantage |
$194.39
|
| Rate for Payer: Cash Price |
$622.04
|
| Rate for Payer: Cash Price |
$622.04
|
| Rate for Payer: Cofinity Commercial |
$668.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$622.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.39
|
| Rate for Payer: Healthscope Commercial |
$699.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$583.16
|
| Rate for Payer: Mclaren Medicaid |
$137.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.11
|
| Rate for Payer: Meridian Medicaid |
$143.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$223.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$213.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$660.92
|
| Rate for Payer: Nomi Health Commercial |
$637.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$583.16
|
| Rate for Payer: PACE Senior Care Partners |
$184.67
|
| Rate for Payer: PACE SWMI |
$194.39
|
| Rate for Payer: PHP Commercial |
$660.92
|
| Rate for Payer: PHP Medicare Advantage |
$194.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$676.47
|
| Rate for Payer: Priority Health Medicare |
$196.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.17
|
| Rate for Payer: Railroad Medicare Medicare |
$194.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$684.24
|
| Rate for Payer: UHC Core |
$649.25
|
| Rate for Payer: UHC Exchange |
$194.39
|
| Rate for Payer: UHC Medicaid |
$137.08
|
| Rate for Payer: UHC Medicare Advantage |
$194.39
|
| Rate for Payer: UHCCP Medicaid |
$137.08
|
| Rate for Payer: VA VA |
$194.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$583.16
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
IP
|
$777.55
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$541.17 |
| Max. Negotiated Rate |
$699.79 |
| Rate for Payer: Aetna Commercial |
$660.92
|
| Rate for Payer: BCBS Trust/PPO |
$642.18
|
| Rate for Payer: BCN Commercial |
$642.18
|
| Rate for Payer: Cash Price |
$622.04
|
| Rate for Payer: Cofinity Commercial |
$668.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$622.04
|
| Rate for Payer: Healthscope Commercial |
$699.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$583.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$660.92
|
| Rate for Payer: Nomi Health Commercial |
$637.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$583.16
|
| Rate for Payer: PHP Commercial |
$660.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$676.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$684.24
|
| Rate for Payer: UHC Core |
$649.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$583.16
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
IP
|
$442.62
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$308.06 |
| Max. Negotiated Rate |
$398.36 |
| Rate for Payer: Aetna Commercial |
$376.23
|
| Rate for Payer: BCBS Trust/PPO |
$365.56
|
| Rate for Payer: BCN Commercial |
$365.56
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cofinity Commercial |
$380.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.10
|
| Rate for Payer: Healthscope Commercial |
$398.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.23
|
| Rate for Payer: Nomi Health Commercial |
$362.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.96
|
| Rate for Payer: PHP Commercial |
$376.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$385.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$308.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$389.51
|
| Rate for Payer: UHC Core |
$369.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.96
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$442.62
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$78.03 |
| Max. Negotiated Rate |
$398.36 |
| Rate for Payer: Aetna Commercial |
$376.23
|
| Rate for Payer: Aetna Medicare |
$115.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$138.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$138.32
|
| Rate for Payer: BCBS Complete |
$81.93
|
| Rate for Payer: BCBS MAPPO |
$110.66
|
| Rate for Payer: BCBS Trust/PPO |
$363.88
|
| Rate for Payer: BCCCP Commercial |
$276.28
|
| Rate for Payer: BCN Commercial |
$363.88
|
| Rate for Payer: BCN Medicare Advantage |
$110.66
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cash Price |
$354.10
|
| Rate for Payer: Cofinity Commercial |
$380.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.66
|
| Rate for Payer: Healthscope Commercial |
$398.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.96
|
| Rate for Payer: Mclaren Medicaid |
$78.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.19
|
| Rate for Payer: Meridian Medicaid |
$81.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$121.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.23
|
| Rate for Payer: Nomi Health Commercial |
$362.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.96
|
| Rate for Payer: PACE Senior Care Partners |
$105.12
|
| Rate for Payer: PACE SWMI |
$110.66
|
| Rate for Payer: PHP Commercial |
$376.23
|
| Rate for Payer: PHP Medicare Advantage |
$110.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$385.08
|
| Rate for Payer: Priority Health Medicare |
$111.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$308.06
|
| Rate for Payer: Railroad Medicare Medicare |
$110.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$389.51
|
| Rate for Payer: UHC Core |
$369.59
|
| Rate for Payer: UHC Exchange |
$110.66
|
| Rate for Payer: UHC Medicaid |
$78.03
|
| Rate for Payer: UHC Medicare Advantage |
$110.66
|
| Rate for Payer: UHCCP Medicaid |
$78.03
|
| Rate for Payer: VA VA |
$110.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.96
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,955.38
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,226.23 |
| Max. Negotiated Rate |
$6,259.84 |
| Rate for Payer: Aetna Commercial |
$5,912.07
|
| Rate for Payer: Aetna Medicare |
$1,808.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,173.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,173.56
|
| Rate for Payer: BCBS Complete |
$1,287.44
|
| Rate for Payer: BCBS MAPPO |
$1,738.85
|
| Rate for Payer: BCBS Trust/PPO |
$5,718.02
|
| Rate for Payer: BCN Commercial |
$5,718.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,738.85
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cofinity Commercial |
$5,981.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,564.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,738.85
|
| Rate for Payer: Healthscope Commercial |
$6,259.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,216.53
|
| Rate for Payer: Mclaren Medicaid |
$1,226.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,825.79
|
| Rate for Payer: Meridian Medicaid |
$1,287.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,999.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,912.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,912.07
|
| Rate for Payer: Nomi Health Commercial |
$5,703.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,216.53
|
| Rate for Payer: PACE Senior Care Partners |
$1,651.90
|
| Rate for Payer: PACE SWMI |
$1,738.85
|
| Rate for Payer: PHP Commercial |
$5,912.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,738.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,226.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,051.18
|
| Rate for Payer: Priority Health Medicare |
$1,756.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,840.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,738.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,120.73
|
| Rate for Payer: UHC Core |
$5,807.74
|
| Rate for Payer: UHC Exchange |
$1,738.85
|
| Rate for Payer: UHC Medicaid |
$1,226.23
|
| Rate for Payer: UHC Medicare Advantage |
$1,738.85
|
| Rate for Payer: UHCCP Medicaid |
$1,226.23
|
| Rate for Payer: VA VA |
$1,738.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,216.53
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,955.38
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,840.94 |
| Max. Negotiated Rate |
$6,259.84 |
| Rate for Payer: Aetna Commercial |
$5,912.07
|
| Rate for Payer: BCBS Trust/PPO |
$5,744.45
|
| Rate for Payer: BCN Commercial |
$5,744.45
|
| Rate for Payer: Cash Price |
$5,564.30
|
| Rate for Payer: Cofinity Commercial |
$5,981.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,564.30
|
| Rate for Payer: Healthscope Commercial |
$6,259.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,216.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,912.07
|
| Rate for Payer: Nomi Health Commercial |
$5,703.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,216.53
|
| Rate for Payer: PHP Commercial |
$5,912.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,051.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,840.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,120.73
|
| Rate for Payer: UHC Core |
$5,807.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,216.53
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,756.65
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.20 |
| Max. Negotiated Rate |
$6,080.98 |
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: Aetna Medicare |
$1,756.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,111.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,111.45
|
| Rate for Payer: BCBS Complete |
$1,250.66
|
| Rate for Payer: BCBS MAPPO |
$1,689.16
|
| Rate for Payer: BCBS Trust/PPO |
$5,554.64
|
| Rate for Payer: BCN Commercial |
$5,554.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,689.16
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,689.16
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Mclaren Medicaid |
$1,191.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,773.62
|
| Rate for Payer: Meridian Medicaid |
$1,250.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,942.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,858.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PACE Senior Care Partners |
$1,604.70
|
| Rate for Payer: PACE SWMI |
$1,689.16
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,689.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,191.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,878.29
|
| Rate for Payer: Priority Health Medicare |
$1,706.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,702.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,689.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,945.85
|
| Rate for Payer: UHC Core |
$5,641.80
|
| Rate for Payer: UHC Exchange |
$1,689.16
|
| Rate for Payer: UHC Medicaid |
$1,191.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,689.16
|
| Rate for Payer: UHCCP Medicaid |
$1,191.20
|
| Rate for Payer: VA VA |
$1,689.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,756.65
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,702.63 |
| Max. Negotiated Rate |
$6,080.98 |
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: BCBS Trust/PPO |
$5,580.32
|
| Rate for Payer: BCN Commercial |
$5,580.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,878.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,702.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,945.85
|
| Rate for Payer: UHC Core |
$5,641.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,756.65
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.20 |
| Max. Negotiated Rate |
$6,080.98 |
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: Aetna Medicare |
$1,756.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,111.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,111.45
|
| Rate for Payer: BCBS Complete |
$1,250.66
|
| Rate for Payer: BCBS MAPPO |
$1,689.16
|
| Rate for Payer: BCBS Trust/PPO |
$5,554.64
|
| Rate for Payer: BCN Commercial |
$5,554.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,689.16
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,689.16
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Mclaren Medicaid |
$1,191.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,773.62
|
| Rate for Payer: Meridian Medicaid |
$1,250.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,942.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,858.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PACE Senior Care Partners |
$1,604.70
|
| Rate for Payer: PACE SWMI |
$1,689.16
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,689.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,191.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,878.29
|
| Rate for Payer: Priority Health Medicare |
$1,706.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,702.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,689.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,945.85
|
| Rate for Payer: UHC Core |
$5,641.80
|
| Rate for Payer: UHC Exchange |
$1,689.16
|
| Rate for Payer: UHC Medicaid |
$1,191.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,689.16
|
| Rate for Payer: UHCCP Medicaid |
$1,191.20
|
| Rate for Payer: VA VA |
$1,689.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
IP
|
$6,756.65
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,702.63 |
| Max. Negotiated Rate |
$6,080.98 |
| Rate for Payer: Aetna Commercial |
$5,743.15
|
| Rate for Payer: BCBS Trust/PPO |
$5,580.32
|
| Rate for Payer: BCN Commercial |
$5,580.32
|
| Rate for Payer: Cash Price |
$5,405.32
|
| Rate for Payer: Cofinity Commercial |
$5,810.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,405.32
|
| Rate for Payer: Healthscope Commercial |
$6,080.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,067.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,743.15
|
| Rate for Payer: Nomi Health Commercial |
$5,540.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,067.49
|
| Rate for Payer: PHP Commercial |
$5,743.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,878.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,702.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,945.85
|
| Rate for Payer: UHC Core |
$5,641.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,067.49
|
|
