|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
IP
|
$4,299.26
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,992.28 |
| Max. Negotiated Rate |
$3,869.33 |
| Rate for Payer: Aetna Commercial |
$3,654.37
|
| Rate for Payer: BCBS Trust/PPO |
$3,550.76
|
| Rate for Payer: BCN Commercial |
$3,550.76
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cofinity Commercial |
$3,697.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,439.41
|
| Rate for Payer: Healthscope Commercial |
$3,869.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,224.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,654.37
|
| Rate for Payer: Nomi Health Commercial |
$3,525.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,224.45
|
| Rate for Payer: PHP Commercial |
$3,654.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,740.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,992.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,783.35
|
| Rate for Payer: UHC Core |
$3,589.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,224.45
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
OP
|
$4,299.26
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$3,869.33 |
| Rate for Payer: Aetna Commercial |
$3,654.37
|
| Rate for Payer: Aetna Medicare |
$1,117.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,343.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,343.52
|
| Rate for Payer: BCBS Complete |
$795.79
|
| Rate for Payer: BCBS MAPPO |
$1,074.82
|
| Rate for Payer: BCBS Trust/PPO |
$3,534.42
|
| Rate for Payer: BCN Commercial |
$3,534.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,074.82
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cofinity Commercial |
$3,697.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,439.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,074.82
|
| Rate for Payer: Healthscope Commercial |
$3,869.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,224.45
|
| Rate for Payer: Mclaren Medicaid |
$757.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,128.56
|
| Rate for Payer: Meridian Medicaid |
$795.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,236.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,182.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,654.37
|
| Rate for Payer: Nomi Health Commercial |
$3,525.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,224.45
|
| Rate for Payer: PACE Senior Care Partners |
$1,021.07
|
| Rate for Payer: PACE SWMI |
$1,074.82
|
| Rate for Payer: PHP Commercial |
$3,654.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,074.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$757.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,740.36
|
| Rate for Payer: Priority Health Medicare |
$1,085.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,992.28
|
| Rate for Payer: Railroad Medicare Medicare |
$1,074.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,783.35
|
| Rate for Payer: UHC Core |
$3,589.88
|
| Rate for Payer: UHC Exchange |
$1,074.82
|
| Rate for Payer: UHC Medicaid |
$757.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,074.82
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: VA VA |
$1,074.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,224.45
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,675.08
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.32 |
| Max. Negotiated Rate |
$1,507.57 |
| Rate for Payer: Aetna Commercial |
$1,423.82
|
| Rate for Payer: Aetna Medicare |
$435.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$523.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$523.46
|
| Rate for Payer: BCBS Complete |
$310.06
|
| Rate for Payer: BCBS MAPPO |
$418.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.08
|
| Rate for Payer: BCN Commercial |
$1,377.08
|
| Rate for Payer: BCN Medicare Advantage |
$418.77
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,440.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$418.77
|
| Rate for Payer: Healthscope Commercial |
$1,507.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,256.31
|
| Rate for Payer: Mclaren Medicaid |
$295.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$439.71
|
| Rate for Payer: Meridian Medicaid |
$310.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$481.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$460.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PACE Senior Care Partners |
$397.83
|
| Rate for Payer: PACE SWMI |
$418.77
|
| Rate for Payer: PHP Commercial |
$1,423.82
|
| Rate for Payer: PHP Medicare Advantage |
$418.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,457.32
|
| Rate for Payer: Priority Health Medicare |
$422.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,165.86
|
| Rate for Payer: Railroad Medicare Medicare |
$418.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,474.07
|
| Rate for Payer: UHC Core |
$1,398.69
|
| Rate for Payer: UHC Exchange |
$418.77
|
| Rate for Payer: UHC Medicaid |
$295.32
|
| Rate for Payer: UHC Medicare Advantage |
$418.77
|
| Rate for Payer: UHCCP Medicaid |
$295.32
|
| Rate for Payer: VA VA |
$418.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,256.31
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,675.08
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,165.86 |
| Max. Negotiated Rate |
$1,507.57 |
| Rate for Payer: Aetna Commercial |
$1,423.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,383.45
|
| Rate for Payer: BCN Commercial |
$1,383.45
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,440.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Healthscope Commercial |
$1,507.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,256.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PHP Commercial |
$1,423.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,457.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,165.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,474.07
|
| Rate for Payer: UHC Core |
$1,398.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,256.31
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$68,097.72
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,005.63 |
| Max. Negotiated Rate |
$61,287.95 |
| Rate for Payer: Aetna Commercial |
$57,883.06
|
| Rate for Payer: Aetna Medicare |
$17,705.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,280.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,280.54
|
| Rate for Payer: BCBS Complete |
$12,604.89
|
| Rate for Payer: BCBS MAPPO |
$17,024.43
|
| Rate for Payer: BCBS Trust/PPO |
$55,983.14
|
| Rate for Payer: BCN Commercial |
$55,983.14
|
| Rate for Payer: BCN Medicare Advantage |
$17,024.43
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cofinity Commercial |
$58,564.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,478.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,024.43
|
| Rate for Payer: Healthscope Commercial |
$61,287.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,073.29
|
| Rate for Payer: Mclaren Medicaid |
$12,005.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,875.65
|
| Rate for Payer: Meridian Medicaid |
$12,604.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,578.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$18,726.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,883.06
|
| Rate for Payer: Nomi Health Commercial |
$55,840.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51,073.29
|
| Rate for Payer: PACE Senior Care Partners |
$16,173.21
|
| Rate for Payer: PACE SWMI |
$17,024.43
|
| Rate for Payer: PHP Commercial |
$57,883.06
|
| Rate for Payer: PHP Medicare Advantage |
$17,024.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,005.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$59,245.02
|
| Rate for Payer: Priority Health Medicare |
$17,194.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47,396.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17,024.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,925.99
|
| Rate for Payer: UHC Core |
$56,861.60
|
| Rate for Payer: UHC Exchange |
$17,024.43
|
| Rate for Payer: UHC Medicaid |
$12,005.63
|
| Rate for Payer: UHC Medicare Advantage |
$17,024.43
|
| Rate for Payer: UHCCP Medicaid |
$12,005.63
|
| Rate for Payer: VA VA |
$17,024.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,073.29
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$68,097.72
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$47,396.01 |
| Max. Negotiated Rate |
$61,287.95 |
| Rate for Payer: Aetna Commercial |
$57,883.06
|
| Rate for Payer: BCBS Trust/PPO |
$56,241.91
|
| Rate for Payer: BCN Commercial |
$56,241.91
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cofinity Commercial |
$58,564.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,478.18
|
| Rate for Payer: Healthscope Commercial |
$61,287.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,073.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,883.06
|
| Rate for Payer: Nomi Health Commercial |
$55,840.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51,073.29
|
| Rate for Payer: PHP Commercial |
$57,883.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$59,245.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47,396.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,925.99
|
| Rate for Payer: UHC Core |
$56,861.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,073.29
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$64,914.10
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,444.36 |
| Max. Negotiated Rate |
$58,422.69 |
| Rate for Payer: Aetna Commercial |
$55,176.99
|
| Rate for Payer: Aetna Medicare |
$16,877.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,285.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,285.66
|
| Rate for Payer: BCBS Complete |
$12,015.60
|
| Rate for Payer: BCBS MAPPO |
$16,228.52
|
| Rate for Payer: BCBS Trust/PPO |
$53,365.88
|
| Rate for Payer: BCN Commercial |
$53,365.88
|
| Rate for Payer: BCN Medicare Advantage |
$16,228.52
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cofinity Commercial |
$55,826.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51,931.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,228.52
|
| Rate for Payer: Healthscope Commercial |
$58,422.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48,685.57
|
| Rate for Payer: Mclaren Medicaid |
$11,444.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,039.95
|
| Rate for Payer: Meridian Medicaid |
$12,015.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,662.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,851.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,176.99
|
| Rate for Payer: Nomi Health Commercial |
$53,229.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48,685.57
|
| Rate for Payer: PACE Senior Care Partners |
$15,417.10
|
| Rate for Payer: PACE SWMI |
$16,228.52
|
| Rate for Payer: PHP Commercial |
$55,176.99
|
| Rate for Payer: PHP Medicare Advantage |
$16,228.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,444.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$56,475.27
|
| Rate for Payer: Priority Health Medicare |
$16,390.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45,180.21
|
| Rate for Payer: Railroad Medicare Medicare |
$16,228.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,124.41
|
| Rate for Payer: UHC Core |
$54,203.27
|
| Rate for Payer: UHC Exchange |
$16,228.52
|
| Rate for Payer: UHC Medicaid |
$11,444.36
|
| Rate for Payer: UHC Medicare Advantage |
$16,228.52
|
| Rate for Payer: UHCCP Medicaid |
$11,444.36
|
| Rate for Payer: VA VA |
$16,228.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48,685.57
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$64,914.10
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$45,180.21 |
| Max. Negotiated Rate |
$58,422.69 |
| Rate for Payer: Aetna Commercial |
$55,176.99
|
| Rate for Payer: BCBS Trust/PPO |
$53,612.56
|
| Rate for Payer: BCN Commercial |
$53,612.56
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cofinity Commercial |
$55,826.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51,931.28
|
| Rate for Payer: Healthscope Commercial |
$58,422.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48,685.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,176.99
|
| Rate for Payer: Nomi Health Commercial |
$53,229.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48,685.57
|
| Rate for Payer: PHP Commercial |
$55,176.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$56,475.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45,180.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,124.41
|
| Rate for Payer: UHC Core |
$54,203.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48,685.57
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$71,281.34
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$49,611.81 |
| Max. Negotiated Rate |
$64,153.21 |
| Rate for Payer: Aetna Commercial |
$60,589.14
|
| Rate for Payer: BCBS Trust/PPO |
$58,871.26
|
| Rate for Payer: BCN Commercial |
$58,871.26
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cofinity Commercial |
$61,301.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,025.07
|
| Rate for Payer: Healthscope Commercial |
$64,153.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53,461.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,589.14
|
| Rate for Payer: Nomi Health Commercial |
$58,450.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53,461.00
|
| Rate for Payer: PHP Commercial |
$60,589.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62,014.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49,611.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62,727.58
|
| Rate for Payer: UHC Core |
$59,519.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53,461.00
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$71,281.34
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,566.90 |
| Max. Negotiated Rate |
$64,153.21 |
| Rate for Payer: Aetna Commercial |
$60,589.14
|
| Rate for Payer: Aetna Medicare |
$18,533.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,275.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,275.42
|
| Rate for Payer: BCBS Complete |
$13,194.18
|
| Rate for Payer: BCBS MAPPO |
$17,820.33
|
| Rate for Payer: BCBS Trust/PPO |
$58,600.39
|
| Rate for Payer: BCN Commercial |
$58,600.39
|
| Rate for Payer: BCN Medicare Advantage |
$17,820.33
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cofinity Commercial |
$61,301.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,025.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,820.33
|
| Rate for Payer: Healthscope Commercial |
$64,153.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53,461.00
|
| Rate for Payer: Mclaren Medicaid |
$12,566.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,711.35
|
| Rate for Payer: Meridian Medicaid |
$13,194.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,493.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,602.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,589.14
|
| Rate for Payer: Nomi Health Commercial |
$58,450.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53,461.00
|
| Rate for Payer: PACE Senior Care Partners |
$16,929.32
|
| Rate for Payer: PACE SWMI |
$17,820.33
|
| Rate for Payer: PHP Commercial |
$60,589.14
|
| Rate for Payer: PHP Medicare Advantage |
$17,820.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,566.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62,014.77
|
| Rate for Payer: Priority Health Medicare |
$17,998.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49,611.81
|
| Rate for Payer: Railroad Medicare Medicare |
$17,820.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62,727.58
|
| Rate for Payer: UHC Core |
$59,519.92
|
| Rate for Payer: UHC Exchange |
$17,820.33
|
| Rate for Payer: UHC Medicaid |
$12,566.90
|
| Rate for Payer: UHC Medicare Advantage |
$17,820.33
|
| Rate for Payer: UHCCP Medicaid |
$12,566.90
|
| Rate for Payer: VA VA |
$17,820.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53,461.00
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$61,730.47
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$42,964.41 |
| Max. Negotiated Rate |
$55,557.42 |
| Rate for Payer: Aetna Commercial |
$52,470.90
|
| Rate for Payer: BCBS Trust/PPO |
$50,983.20
|
| Rate for Payer: BCN Commercial |
$50,983.20
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cofinity Commercial |
$53,088.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,384.38
|
| Rate for Payer: Healthscope Commercial |
$55,557.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,297.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,470.90
|
| Rate for Payer: Nomi Health Commercial |
$50,618.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46,297.85
|
| Rate for Payer: PHP Commercial |
$52,470.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53,705.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42,964.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,322.81
|
| Rate for Payer: UHC Core |
$51,544.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,297.85
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$61,730.47
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$10,883.08 |
| Max. Negotiated Rate |
$55,557.42 |
| Rate for Payer: Aetna Commercial |
$52,470.90
|
| Rate for Payer: Aetna Medicare |
$16,049.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,290.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,290.77
|
| Rate for Payer: BCBS Complete |
$11,426.31
|
| Rate for Payer: BCBS MAPPO |
$15,432.62
|
| Rate for Payer: BCBS Trust/PPO |
$50,748.62
|
| Rate for Payer: BCN Commercial |
$50,748.62
|
| Rate for Payer: BCN Medicare Advantage |
$15,432.62
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cofinity Commercial |
$53,088.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,384.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,432.62
|
| Rate for Payer: Healthscope Commercial |
$55,557.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,297.85
|
| Rate for Payer: Mclaren Medicaid |
$10,883.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,204.25
|
| Rate for Payer: Meridian Medicaid |
$11,426.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,747.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,975.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,470.90
|
| Rate for Payer: Nomi Health Commercial |
$50,618.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46,297.85
|
| Rate for Payer: PACE Senior Care Partners |
$14,660.99
|
| Rate for Payer: PACE SWMI |
$15,432.62
|
| Rate for Payer: PHP Commercial |
$52,470.90
|
| Rate for Payer: PHP Medicare Advantage |
$15,432.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,883.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53,705.51
|
| Rate for Payer: Priority Health Medicare |
$15,586.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42,964.41
|
| Rate for Payer: Railroad Medicare Medicare |
$15,432.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,322.81
|
| Rate for Payer: UHC Core |
$51,544.94
|
| Rate for Payer: UHC Exchange |
$15,432.62
|
| Rate for Payer: UHC Medicaid |
$10,883.08
|
| Rate for Payer: UHC Medicare Advantage |
$15,432.62
|
| Rate for Payer: UHCCP Medicaid |
$10,883.08
|
| Rate for Payer: VA VA |
$15,432.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,297.85
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$22,779.09
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,015.95 |
| Max. Negotiated Rate |
$20,501.18 |
| Rate for Payer: Aetna Commercial |
$19,362.23
|
| Rate for Payer: Aetna Medicare |
$5,922.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,118.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,118.47
|
| Rate for Payer: BCBS Complete |
$4,216.41
|
| Rate for Payer: BCBS MAPPO |
$5,694.77
|
| Rate for Payer: BCBS Trust/PPO |
$18,726.69
|
| Rate for Payer: BCN Commercial |
$18,726.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,694.77
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cofinity Commercial |
$19,590.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,223.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,694.77
|
| Rate for Payer: Healthscope Commercial |
$20,501.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17,084.32
|
| Rate for Payer: Mclaren Medicaid |
$4,015.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,979.51
|
| Rate for Payer: Meridian Medicaid |
$4,216.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,548.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,264.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,362.23
|
| Rate for Payer: Nomi Health Commercial |
$18,678.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,084.32
|
| Rate for Payer: PACE Senior Care Partners |
$5,410.03
|
| Rate for Payer: PACE SWMI |
$5,694.77
|
| Rate for Payer: PHP Commercial |
$19,362.23
|
| Rate for Payer: PHP Medicare Advantage |
$5,694.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,015.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19,817.81
|
| Rate for Payer: Priority Health Medicare |
$5,751.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15,854.25
|
| Rate for Payer: Railroad Medicare Medicare |
$5,694.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,045.60
|
| Rate for Payer: UHC Core |
$19,020.54
|
| Rate for Payer: UHC Exchange |
$5,694.77
|
| Rate for Payer: UHC Medicaid |
$4,015.95
|
| Rate for Payer: UHC Medicare Advantage |
$5,694.77
|
| Rate for Payer: UHCCP Medicaid |
$4,015.95
|
| Rate for Payer: VA VA |
$5,694.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17,084.32
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$22,779.09
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$15,854.25 |
| Max. Negotiated Rate |
$20,501.18 |
| Rate for Payer: Aetna Commercial |
$19,362.23
|
| Rate for Payer: BCBS Trust/PPO |
$18,813.25
|
| Rate for Payer: BCN Commercial |
$18,813.25
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cofinity Commercial |
$19,590.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,223.27
|
| Rate for Payer: Healthscope Commercial |
$20,501.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17,084.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,362.23
|
| Rate for Payer: Nomi Health Commercial |
$18,678.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,084.32
|
| Rate for Payer: PHP Commercial |
$19,362.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19,817.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15,854.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,045.60
|
| Rate for Payer: UHC Core |
$19,020.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17,084.32
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$17,250.21
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,006.15 |
| Max. Negotiated Rate |
$15,525.19 |
| Rate for Payer: Aetna Commercial |
$14,662.68
|
| Rate for Payer: BCBS Trust/PPO |
$14,246.95
|
| Rate for Payer: BCN Commercial |
$14,246.95
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cofinity Commercial |
$14,835.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,800.17
|
| Rate for Payer: Healthscope Commercial |
$15,525.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,937.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,662.68
|
| Rate for Payer: Nomi Health Commercial |
$14,145.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,937.66
|
| Rate for Payer: PHP Commercial |
$14,662.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,007.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,006.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,180.18
|
| Rate for Payer: UHC Core |
$14,403.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,937.66
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$17,250.21
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,041.21 |
| Max. Negotiated Rate |
$15,525.19 |
| Rate for Payer: Aetna Commercial |
$14,662.68
|
| Rate for Payer: Aetna Medicare |
$4,485.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,390.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,390.69
|
| Rate for Payer: BCBS Complete |
$3,193.01
|
| Rate for Payer: BCBS MAPPO |
$4,312.55
|
| Rate for Payer: BCBS Trust/PPO |
$14,181.40
|
| Rate for Payer: BCN Commercial |
$14,181.40
|
| Rate for Payer: BCN Medicare Advantage |
$4,312.55
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cofinity Commercial |
$14,835.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,800.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,312.55
|
| Rate for Payer: Healthscope Commercial |
$15,525.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,937.66
|
| Rate for Payer: Mclaren Medicaid |
$3,041.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,528.18
|
| Rate for Payer: Meridian Medicaid |
$3,193.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,959.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,743.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,662.68
|
| Rate for Payer: Nomi Health Commercial |
$14,145.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,937.66
|
| Rate for Payer: PACE Senior Care Partners |
$4,096.92
|
| Rate for Payer: PACE SWMI |
$4,312.55
|
| Rate for Payer: PHP Commercial |
$14,662.68
|
| Rate for Payer: PHP Medicare Advantage |
$4,312.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,041.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,007.68
|
| Rate for Payer: Priority Health Medicare |
$4,355.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,006.15
|
| Rate for Payer: Railroad Medicare Medicare |
$4,312.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,180.18
|
| Rate for Payer: UHC Core |
$14,403.93
|
| Rate for Payer: UHC Exchange |
$4,312.55
|
| Rate for Payer: UHC Medicaid |
$3,041.21
|
| Rate for Payer: UHC Medicare Advantage |
$4,312.55
|
| Rate for Payer: UHCCP Medicaid |
$3,041.21
|
| Rate for Payer: VA VA |
$4,312.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,937.66
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$3,113.38
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$548.89 |
| Max. Negotiated Rate |
$2,802.04 |
| Rate for Payer: Aetna Commercial |
$2,646.37
|
| Rate for Payer: Aetna Medicare |
$809.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$972.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$972.93
|
| Rate for Payer: BCBS Complete |
$576.29
|
| Rate for Payer: BCBS MAPPO |
$778.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,559.51
|
| Rate for Payer: BCN Commercial |
$2,559.51
|
| Rate for Payer: BCN Medicare Advantage |
$778.35
|
| Rate for Payer: Cash Price |
$2,490.70
|
| Rate for Payer: Cofinity Commercial |
$2,677.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,490.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$778.35
|
| Rate for Payer: Healthscope Commercial |
$2,802.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,335.03
|
| Rate for Payer: Mclaren Medicaid |
$548.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$817.26
|
| Rate for Payer: Meridian Medicaid |
$576.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$895.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$856.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,646.37
|
| Rate for Payer: Nomi Health Commercial |
$2,552.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.03
|
| Rate for Payer: PACE Senior Care Partners |
$739.43
|
| Rate for Payer: PACE SWMI |
$778.35
|
| Rate for Payer: PHP Commercial |
$2,646.37
|
| Rate for Payer: PHP Medicare Advantage |
$778.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,708.64
|
| Rate for Payer: Priority Health Medicare |
$786.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,166.91
|
| Rate for Payer: Railroad Medicare Medicare |
$778.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,739.77
|
| Rate for Payer: UHC Core |
$2,599.67
|
| Rate for Payer: UHC Exchange |
$778.35
|
| Rate for Payer: UHC Medicaid |
$548.89
|
| Rate for Payer: UHC Medicare Advantage |
$778.35
|
| Rate for Payer: UHCCP Medicaid |
$548.89
|
| Rate for Payer: VA VA |
$778.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,335.03
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$3,113.38
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,166.91 |
| Max. Negotiated Rate |
$2,802.04 |
| Rate for Payer: Aetna Commercial |
$2,646.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,571.34
|
| Rate for Payer: BCN Commercial |
$2,571.34
|
| Rate for Payer: Cash Price |
$2,490.70
|
| Rate for Payer: Cofinity Commercial |
$2,677.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,490.70
|
| Rate for Payer: Healthscope Commercial |
$2,802.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,335.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,646.37
|
| Rate for Payer: Nomi Health Commercial |
$2,552.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.03
|
| Rate for Payer: PHP Commercial |
$2,646.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,708.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,166.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,739.77
|
| Rate for Payer: UHC Core |
$2,599.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,335.03
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,719.02
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,892.44 |
| Max. Negotiated Rate |
$2,447.12 |
| Rate for Payer: Aetna Commercial |
$2,311.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,245.64
|
| Rate for Payer: BCN Commercial |
$2,245.64
|
| Rate for Payer: Cash Price |
$2,175.22
|
| Rate for Payer: Cofinity Commercial |
$2,338.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,175.22
|
| Rate for Payer: Healthscope Commercial |
$2,447.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,039.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,311.17
|
| Rate for Payer: Nomi Health Commercial |
$2,229.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,039.27
|
| Rate for Payer: PHP Commercial |
$2,311.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,365.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,892.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,392.74
|
| Rate for Payer: UHC Core |
$2,270.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,039.27
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,719.02
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$479.36 |
| Max. Negotiated Rate |
$2,447.12 |
| Rate for Payer: Aetna Commercial |
$2,311.17
|
| Rate for Payer: Aetna Medicare |
$706.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$849.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$849.69
|
| Rate for Payer: BCBS Complete |
$503.29
|
| Rate for Payer: BCBS MAPPO |
$679.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,235.31
|
| Rate for Payer: BCN Commercial |
$2,235.31
|
| Rate for Payer: BCN Medicare Advantage |
$679.75
|
| Rate for Payer: Cash Price |
$2,175.22
|
| Rate for Payer: Cofinity Commercial |
$2,338.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,175.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.75
|
| Rate for Payer: Healthscope Commercial |
$2,447.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,039.27
|
| Rate for Payer: Mclaren Medicaid |
$479.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$713.74
|
| Rate for Payer: Meridian Medicaid |
$503.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$781.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$747.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,311.17
|
| Rate for Payer: Nomi Health Commercial |
$2,229.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,039.27
|
| Rate for Payer: PACE Senior Care Partners |
$645.77
|
| Rate for Payer: PACE SWMI |
$679.75
|
| Rate for Payer: PHP Commercial |
$2,311.17
|
| Rate for Payer: PHP Medicare Advantage |
$679.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,365.55
|
| Rate for Payer: Priority Health Medicare |
$686.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,892.44
|
| Rate for Payer: Railroad Medicare Medicare |
$679.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,392.74
|
| Rate for Payer: UHC Core |
$2,270.38
|
| Rate for Payer: UHC Exchange |
$679.75
|
| Rate for Payer: UHC Medicaid |
$479.36
|
| Rate for Payer: UHC Medicare Advantage |
$679.75
|
| Rate for Payer: UHCCP Medicaid |
$479.36
|
| Rate for Payer: VA VA |
$679.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,039.27
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,500.31
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$264.50 |
| Max. Negotiated Rate |
$1,350.28 |
| Rate for Payer: Aetna Commercial |
$1,275.26
|
| Rate for Payer: Aetna Medicare |
$390.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$468.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$468.85
|
| Rate for Payer: BCBS Complete |
$277.71
|
| Rate for Payer: BCBS MAPPO |
$375.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,233.40
|
| Rate for Payer: BCN Commercial |
$1,233.40
|
| Rate for Payer: BCN Medicare Advantage |
$375.08
|
| Rate for Payer: Cash Price |
$1,200.25
|
| Rate for Payer: Cofinity Commercial |
$1,290.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,200.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$375.08
|
| Rate for Payer: Healthscope Commercial |
$1,350.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,125.23
|
| Rate for Payer: Mclaren Medicaid |
$264.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$393.83
|
| Rate for Payer: Meridian Medicaid |
$277.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$431.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$412.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.26
|
| Rate for Payer: Nomi Health Commercial |
$1,230.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.23
|
| Rate for Payer: PACE Senior Care Partners |
$356.32
|
| Rate for Payer: PACE SWMI |
$375.08
|
| Rate for Payer: PHP Commercial |
$1,275.26
|
| Rate for Payer: PHP Medicare Advantage |
$375.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,305.27
|
| Rate for Payer: Priority Health Medicare |
$378.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,044.22
|
| Rate for Payer: Railroad Medicare Medicare |
$375.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,320.27
|
| Rate for Payer: UHC Core |
$1,252.76
|
| Rate for Payer: UHC Exchange |
$375.08
|
| Rate for Payer: UHC Medicaid |
$264.50
|
| Rate for Payer: UHC Medicare Advantage |
$375.08
|
| Rate for Payer: UHCCP Medicaid |
$264.50
|
| Rate for Payer: VA VA |
$375.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,125.23
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,500.31
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,044.22 |
| Max. Negotiated Rate |
$1,350.28 |
| Rate for Payer: Aetna Commercial |
$1,275.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,239.11
|
| Rate for Payer: BCN Commercial |
$1,239.11
|
| Rate for Payer: Cash Price |
$1,200.25
|
| Rate for Payer: Cofinity Commercial |
$1,290.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,200.25
|
| Rate for Payer: Healthscope Commercial |
$1,350.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,125.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.26
|
| Rate for Payer: Nomi Health Commercial |
$1,230.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.23
|
| Rate for Payer: PHP Commercial |
$1,275.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,305.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,044.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,320.27
|
| Rate for Payer: UHC Core |
$1,252.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,125.23
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,665.30
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$822.49 |
| Max. Negotiated Rate |
$4,198.77 |
| Rate for Payer: Aetna Commercial |
$3,965.51
|
| Rate for Payer: Aetna Medicare |
$1,212.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,457.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,457.91
|
| Rate for Payer: BCBS Complete |
$863.55
|
| Rate for Payer: BCBS MAPPO |
$1,166.33
|
| Rate for Payer: BCBS Trust/PPO |
$3,835.34
|
| Rate for Payer: BCN Commercial |
$3,835.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,166.33
|
| Rate for Payer: Cash Price |
$3,732.24
|
| Rate for Payer: Cofinity Commercial |
$4,012.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,732.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,166.33
|
| Rate for Payer: Healthscope Commercial |
$4,198.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,498.97
|
| Rate for Payer: Mclaren Medicaid |
$822.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,224.64
|
| Rate for Payer: Meridian Medicaid |
$863.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,341.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,282.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,965.51
|
| Rate for Payer: Nomi Health Commercial |
$3,825.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,498.97
|
| Rate for Payer: PACE Senior Care Partners |
$1,108.01
|
| Rate for Payer: PACE SWMI |
$1,166.33
|
| Rate for Payer: PHP Commercial |
$3,965.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,166.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,058.81
|
| Rate for Payer: Priority Health Medicare |
$1,177.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,247.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,166.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,105.46
|
| Rate for Payer: UHC Core |
$3,895.53
|
| Rate for Payer: UHC Exchange |
$1,166.33
|
| Rate for Payer: UHC Medicaid |
$822.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,166.33
|
| Rate for Payer: UHCCP Medicaid |
$822.49
|
| Rate for Payer: VA VA |
$1,166.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,498.97
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,665.30
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,247.05 |
| Max. Negotiated Rate |
$4,198.77 |
| Rate for Payer: Aetna Commercial |
$3,965.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,853.07
|
| Rate for Payer: BCN Commercial |
$3,853.07
|
| Rate for Payer: Cash Price |
$3,732.24
|
| Rate for Payer: Cofinity Commercial |
$4,012.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,732.24
|
| Rate for Payer: Healthscope Commercial |
$4,198.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,498.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,965.51
|
| Rate for Payer: Nomi Health Commercial |
$3,825.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,498.97
|
| Rate for Payer: PHP Commercial |
$3,965.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,058.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,247.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,105.46
|
| Rate for Payer: UHC Core |
$3,895.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,498.97
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,665.30
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,247.05 |
| Max. Negotiated Rate |
$4,198.77 |
| Rate for Payer: Aetna Commercial |
$3,965.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,853.07
|
| Rate for Payer: BCN Commercial |
$3,853.07
|
| Rate for Payer: Cash Price |
$3,732.24
|
| Rate for Payer: Cofinity Commercial |
$4,012.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,732.24
|
| Rate for Payer: Healthscope Commercial |
$4,198.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,498.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,965.51
|
| Rate for Payer: Nomi Health Commercial |
$3,825.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,498.97
|
| Rate for Payer: PHP Commercial |
$3,965.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,058.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,247.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,105.46
|
| Rate for Payer: UHC Core |
$3,895.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,498.97
|
|
