|
HC PLACEMENT SELECTIVE ART BELOW ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
OP
|
$1,020.78
|
|
|
Service Code
|
CPT 36248
|
| Hospital Charge Code |
36100113
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$242.44 |
| Max. Negotiated Rate |
$918.70 |
| Rate for Payer: Aetna Commercial |
$867.66
|
| Rate for Payer: Aetna Medicare |
$265.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$318.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$318.99
|
| Rate for Payer: BCBS Complete |
$408.31
|
| Rate for Payer: BCBS MAPPO |
$255.19
|
| Rate for Payer: BCBS Trust/PPO |
$839.18
|
| Rate for Payer: BCN Commercial |
$793.66
|
| Rate for Payer: BCN Medicare Advantage |
$255.19
|
| Rate for Payer: Cash Price |
$816.62
|
| Rate for Payer: Cofinity Commercial |
$877.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$816.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$255.19
|
| Rate for Payer: Healthscope Commercial |
$918.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$765.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.66
|
| Rate for Payer: Nomi Health Commercial |
$837.04
|
| Rate for Payer: PACE Senior Care Partners |
$242.44
|
| Rate for Payer: PACE SWMI |
$255.19
|
| Rate for Payer: PHP Commercial |
$867.66
|
| Rate for Payer: PHP Medicare Advantage |
$255.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$663.51
|
| Rate for Payer: Priority Health HMO/PPO |
$888.08
|
| Rate for Payer: Priority Health Medicare |
$257.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$683.92
|
| Rate for Payer: Railroad Medicare Medicare |
$255.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$898.29
|
| Rate for Payer: UHC Core |
$852.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$255.19
|
| Rate for Payer: UHC Exchange |
$255.19
|
| Rate for Payer: UHC Medicare Advantage |
$255.19
|
| Rate for Payer: VA VA |
$255.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$765.59
|
|
|
HC PLACEMENT SELECTIVE ART BELOW ARCH ADDL 2ND OR 3RD ORDER
|
Facility
|
IP
|
$1,020.78
|
|
|
Service Code
|
CPT 36248
|
| Hospital Charge Code |
36100113
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$663.51 |
| Max. Negotiated Rate |
$918.70 |
| Rate for Payer: Aetna Commercial |
$867.66
|
| Rate for Payer: BCBS Trust/PPO |
$833.26
|
| Rate for Payer: BCN Commercial |
$788.86
|
| Rate for Payer: Cash Price |
$816.62
|
| Rate for Payer: Cofinity Commercial |
$877.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$816.62
|
| Rate for Payer: Healthscope Commercial |
$918.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$765.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.66
|
| Rate for Payer: Nomi Health Commercial |
$837.04
|
| Rate for Payer: PHP Commercial |
$867.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$663.51
|
| Rate for Payer: Priority Health HMO/PPO |
$888.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$683.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$898.29
|
| Rate for Payer: UHC Core |
$852.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$765.59
|
|
|
HC PLACEMENT SELECTIVE PULMONARY
|
Facility
|
OP
|
$930.40
|
|
|
Service Code
|
CPT 36014
|
| Hospital Charge Code |
36100100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$220.97 |
| Max. Negotiated Rate |
$837.36 |
| Rate for Payer: Aetna Commercial |
$790.84
|
| Rate for Payer: Aetna Medicare |
$241.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$290.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$290.75
|
| Rate for Payer: BCBS Complete |
$372.16
|
| Rate for Payer: BCBS MAPPO |
$232.60
|
| Rate for Payer: BCBS Trust/PPO |
$764.88
|
| Rate for Payer: BCN Commercial |
$723.39
|
| Rate for Payer: BCN Medicare Advantage |
$232.60
|
| Rate for Payer: Cash Price |
$744.32
|
| Rate for Payer: Cofinity Commercial |
$800.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$744.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.60
|
| Rate for Payer: Healthscope Commercial |
$837.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$697.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$244.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$267.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$790.84
|
| Rate for Payer: Nomi Health Commercial |
$762.93
|
| Rate for Payer: PACE Senior Care Partners |
$220.97
|
| Rate for Payer: PACE SWMI |
$232.60
|
| Rate for Payer: PHP Commercial |
$790.84
|
| Rate for Payer: PHP Medicare Advantage |
$232.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.76
|
| Rate for Payer: Priority Health HMO/PPO |
$809.45
|
| Rate for Payer: Priority Health Medicare |
$234.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.37
|
| Rate for Payer: Railroad Medicare Medicare |
$232.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$818.75
|
| Rate for Payer: UHC Core |
$776.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.60
|
| Rate for Payer: UHC Exchange |
$232.60
|
| Rate for Payer: UHC Medicare Advantage |
$232.60
|
| Rate for Payer: VA VA |
$232.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$697.80
|
|
|
HC PLACEMENT SELECTIVE PULMONARY
|
Facility
|
IP
|
$930.40
|
|
|
Service Code
|
CPT 36014
|
| Hospital Charge Code |
36100100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$604.76 |
| Max. Negotiated Rate |
$837.36 |
| Rate for Payer: Aetna Commercial |
$790.84
|
| Rate for Payer: BCBS Trust/PPO |
$759.49
|
| Rate for Payer: BCN Commercial |
$719.01
|
| Rate for Payer: Cash Price |
$744.32
|
| Rate for Payer: Cofinity Commercial |
$800.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$744.32
|
| Rate for Payer: Healthscope Commercial |
$837.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$697.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$790.84
|
| Rate for Payer: Nomi Health Commercial |
$762.93
|
| Rate for Payer: PHP Commercial |
$790.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.76
|
| Rate for Payer: Priority Health HMO/PPO |
$809.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$818.75
|
| Rate for Payer: UHC Core |
$776.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$697.80
|
|
|
HC PLACEMENT SELECTIVE VENOUS 1ST ORDER
|
Facility
|
IP
|
$6,639.46
|
|
|
Service Code
|
CPT 36011
|
| Hospital Charge Code |
36100097
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,315.65 |
| Max. Negotiated Rate |
$5,975.51 |
| Rate for Payer: Aetna Commercial |
$5,643.54
|
| Rate for Payer: BCBS Trust/PPO |
$5,419.79
|
| Rate for Payer: BCN Commercial |
$5,130.97
|
| Rate for Payer: Cash Price |
$5,311.57
|
| Rate for Payer: Cofinity Commercial |
$5,709.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,311.57
|
| Rate for Payer: Healthscope Commercial |
$5,975.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,979.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,643.54
|
| Rate for Payer: Nomi Health Commercial |
$5,444.36
|
| Rate for Payer: PHP Commercial |
$5,643.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,315.65
|
| Rate for Payer: Priority Health HMO/PPO |
$5,776.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,448.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,842.72
|
| Rate for Payer: UHC Core |
$5,543.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,979.60
|
|
|
HC PLACEMENT SELECTIVE VENOUS 1ST ORDER
|
Facility
|
OP
|
$6,639.46
|
|
|
Service Code
|
CPT 36011
|
| Hospital Charge Code |
36100097
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,576.87 |
| Max. Negotiated Rate |
$5,975.51 |
| Rate for Payer: Aetna Commercial |
$5,643.54
|
| Rate for Payer: Aetna Medicare |
$1,726.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,074.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,074.83
|
| Rate for Payer: BCBS Complete |
$2,655.78
|
| Rate for Payer: BCBS MAPPO |
$1,659.87
|
| Rate for Payer: BCBS Trust/PPO |
$5,458.30
|
| Rate for Payer: BCN Commercial |
$5,162.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,659.87
|
| Rate for Payer: Cash Price |
$5,311.57
|
| Rate for Payer: Cofinity Commercial |
$5,709.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,311.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,659.87
|
| Rate for Payer: Healthscope Commercial |
$5,975.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,979.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,742.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,908.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,643.54
|
| Rate for Payer: Nomi Health Commercial |
$5,444.36
|
| Rate for Payer: PACE Senior Care Partners |
$1,576.87
|
| Rate for Payer: PACE SWMI |
$1,659.87
|
| Rate for Payer: PHP Commercial |
$5,643.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,659.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,315.65
|
| Rate for Payer: Priority Health HMO/PPO |
$5,776.33
|
| Rate for Payer: Priority Health Medicare |
$1,676.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,448.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,659.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,842.72
|
| Rate for Payer: UHC Core |
$5,543.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,659.87
|
| Rate for Payer: UHC Exchange |
$1,659.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,659.87
|
| Rate for Payer: VA VA |
$1,659.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,979.60
|
|
|
HC PLACEMENT SELECTIVE VENOUS 2ND ORDER
|
Facility
|
OP
|
$5,517.84
|
|
|
Service Code
|
CPT 36012
|
| Hospital Charge Code |
36100098
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,310.49 |
| Max. Negotiated Rate |
$4,966.06 |
| Rate for Payer: Aetna Commercial |
$4,690.16
|
| Rate for Payer: Aetna Medicare |
$1,434.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,724.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,724.33
|
| Rate for Payer: BCBS Complete |
$2,207.14
|
| Rate for Payer: BCBS MAPPO |
$1,379.46
|
| Rate for Payer: BCBS Trust/PPO |
$4,536.22
|
| Rate for Payer: BCN Commercial |
$4,290.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,379.46
|
| Rate for Payer: Cash Price |
$4,414.27
|
| Rate for Payer: Cofinity Commercial |
$4,745.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,414.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,379.46
|
| Rate for Payer: Healthscope Commercial |
$4,966.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,138.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,448.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,586.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,690.16
|
| Rate for Payer: Nomi Health Commercial |
$4,524.63
|
| Rate for Payer: PACE Senior Care Partners |
$1,310.49
|
| Rate for Payer: PACE SWMI |
$1,379.46
|
| Rate for Payer: PHP Commercial |
$4,690.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,379.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,586.60
|
| Rate for Payer: Priority Health HMO/PPO |
$4,800.52
|
| Rate for Payer: Priority Health Medicare |
$1,393.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,696.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1,379.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,855.70
|
| Rate for Payer: UHC Core |
$4,607.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,379.46
|
| Rate for Payer: UHC Exchange |
$1,379.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,379.46
|
| Rate for Payer: VA VA |
$1,379.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,138.38
|
|
|
HC PLACEMENT SELECTIVE VENOUS 2ND ORDER
|
Facility
|
IP
|
$5,517.84
|
|
|
Service Code
|
CPT 36012
|
| Hospital Charge Code |
36100098
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,586.60 |
| Max. Negotiated Rate |
$4,966.06 |
| Rate for Payer: Aetna Commercial |
$4,690.16
|
| Rate for Payer: BCBS Trust/PPO |
$4,504.21
|
| Rate for Payer: BCN Commercial |
$4,264.19
|
| Rate for Payer: Cash Price |
$4,414.27
|
| Rate for Payer: Cofinity Commercial |
$4,745.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,414.27
|
| Rate for Payer: Healthscope Commercial |
$4,966.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,138.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,690.16
|
| Rate for Payer: Nomi Health Commercial |
$4,524.63
|
| Rate for Payer: PHP Commercial |
$4,690.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,586.60
|
| Rate for Payer: Priority Health HMO/PPO |
$4,800.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,696.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,855.70
|
| Rate for Payer: UHC Core |
$4,607.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,138.38
|
|
|
HC PLACE NEPHROSTOMY CATHETER
|
Facility
|
OP
|
$3,348.21
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
36100504
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$795.20 |
| Max. Negotiated Rate |
$3,013.39 |
| Rate for Payer: Aetna Commercial |
$2,845.98
|
| Rate for Payer: Aetna Medicare |
$870.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,046.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,046.32
|
| Rate for Payer: BCBS Complete |
$1,555.23
|
| Rate for Payer: BCBS MAPPO |
$837.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,752.56
|
| Rate for Payer: BCN Commercial |
$2,603.23
|
| Rate for Payer: BCN Medicare Advantage |
$837.05
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cofinity Commercial |
$2,879.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,678.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$837.05
|
| Rate for Payer: Healthscope Commercial |
$3,013.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,511.16
|
| Rate for Payer: Mclaren Medicaid |
$1,481.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$878.91
|
| Rate for Payer: Meridian Medicaid |
$1,555.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$962.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,845.98
|
| Rate for Payer: Nomi Health Commercial |
$2,745.53
|
| Rate for Payer: PACE Senior Care Partners |
$795.20
|
| Rate for Payer: PACE SWMI |
$837.05
|
| Rate for Payer: PHP Commercial |
$2,845.98
|
| Rate for Payer: PHP Medicare Advantage |
$837.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,481.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.34
|
| Rate for Payer: Priority Health HMO/PPO |
$2,912.94
|
| Rate for Payer: Priority Health Medicare |
$845.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,243.30
|
| Rate for Payer: Railroad Medicare Medicare |
$837.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,946.42
|
| Rate for Payer: UHC Core |
$2,795.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$837.05
|
| Rate for Payer: UHC Exchange |
$837.05
|
| Rate for Payer: UHC Medicare Advantage |
$837.05
|
| Rate for Payer: UHCCP Medicaid |
$1,481.07
|
| Rate for Payer: VA VA |
$837.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,511.16
|
|
|
HC PLACE NEPHROSTOMY CATHETER
|
Facility
|
IP
|
$3,348.21
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
36100504
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,176.34 |
| Max. Negotiated Rate |
$3,013.39 |
| Rate for Payer: Aetna Commercial |
$2,845.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,733.14
|
| Rate for Payer: BCN Commercial |
$2,587.50
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cofinity Commercial |
$2,879.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,678.57
|
| Rate for Payer: Healthscope Commercial |
$3,013.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,511.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,845.98
|
| Rate for Payer: Nomi Health Commercial |
$2,745.53
|
| Rate for Payer: PHP Commercial |
$2,845.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.34
|
| Rate for Payer: Priority Health HMO/PPO |
$2,912.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,243.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,946.42
|
| Rate for Payer: UHC Core |
$2,795.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,511.16
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
OP
|
$3,348.21
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$795.20 |
| Max. Negotiated Rate |
$3,013.39 |
| Rate for Payer: Aetna Commercial |
$2,845.98
|
| Rate for Payer: Aetna Medicare |
$870.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,046.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,046.32
|
| Rate for Payer: BCBS Complete |
$2,618.46
|
| Rate for Payer: BCBS MAPPO |
$837.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,752.56
|
| Rate for Payer: BCN Commercial |
$2,603.23
|
| Rate for Payer: BCN Medicare Advantage |
$837.05
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cofinity Commercial |
$2,879.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,678.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$837.05
|
| Rate for Payer: Healthscope Commercial |
$3,013.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,511.16
|
| Rate for Payer: Mclaren Medicaid |
$2,493.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$878.91
|
| Rate for Payer: Meridian Medicaid |
$2,618.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$962.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,845.98
|
| Rate for Payer: Nomi Health Commercial |
$2,745.53
|
| Rate for Payer: PACE Senior Care Partners |
$795.20
|
| Rate for Payer: PACE SWMI |
$837.05
|
| Rate for Payer: PHP Commercial |
$2,845.98
|
| Rate for Payer: PHP Medicare Advantage |
$837.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,493.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.34
|
| Rate for Payer: Priority Health HMO/PPO |
$2,912.94
|
| Rate for Payer: Priority Health Medicare |
$845.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,243.30
|
| Rate for Payer: Railroad Medicare Medicare |
$837.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,946.42
|
| Rate for Payer: UHC Core |
$2,795.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$837.05
|
| Rate for Payer: UHC Exchange |
$837.05
|
| Rate for Payer: UHC Medicare Advantage |
$837.05
|
| Rate for Payer: UHCCP Medicaid |
$2,493.61
|
| Rate for Payer: VA VA |
$837.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,511.16
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
IP
|
$3,348.21
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,176.34 |
| Max. Negotiated Rate |
$3,013.39 |
| Rate for Payer: Aetna Commercial |
$2,845.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,733.14
|
| Rate for Payer: BCN Commercial |
$2,587.50
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cofinity Commercial |
$2,879.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,678.57
|
| Rate for Payer: Healthscope Commercial |
$3,013.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,511.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,845.98
|
| Rate for Payer: Nomi Health Commercial |
$2,745.53
|
| Rate for Payer: PHP Commercial |
$2,845.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.34
|
| Rate for Payer: Priority Health HMO/PPO |
$2,912.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,243.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,946.42
|
| Rate for Payer: UHC Core |
$2,795.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,511.16
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
OP
|
$8,589.97
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,040.12 |
| Max. Negotiated Rate |
$7,730.97 |
| Rate for Payer: Aetna Commercial |
$7,301.47
|
| Rate for Payer: Aetna Medicare |
$2,233.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,684.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,684.37
|
| Rate for Payer: BCBS Complete |
$3,435.99
|
| Rate for Payer: BCBS MAPPO |
$2,147.49
|
| Rate for Payer: BCBS Trust/PPO |
$7,061.81
|
| Rate for Payer: BCN Commercial |
$6,678.70
|
| Rate for Payer: BCN Medicare Advantage |
$2,147.49
|
| Rate for Payer: Cash Price |
$6,871.98
|
| Rate for Payer: Cofinity Commercial |
$7,387.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,871.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,147.49
|
| Rate for Payer: Healthscope Commercial |
$7,730.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,442.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,254.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,469.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,301.47
|
| Rate for Payer: Nomi Health Commercial |
$7,043.78
|
| Rate for Payer: PACE Senior Care Partners |
$2,040.12
|
| Rate for Payer: PACE SWMI |
$2,147.49
|
| Rate for Payer: PHP Commercial |
$7,301.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,147.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,583.48
|
| Rate for Payer: Priority Health HMO/PPO |
$7,473.27
|
| Rate for Payer: Priority Health Medicare |
$2,168.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,755.28
|
| Rate for Payer: Railroad Medicare Medicare |
$2,147.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,559.17
|
| Rate for Payer: UHC Core |
$7,172.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,147.49
|
| Rate for Payer: UHC Exchange |
$2,147.49
|
| Rate for Payer: UHC Medicare Advantage |
$2,147.49
|
| Rate for Payer: VA VA |
$2,147.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,442.48
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
IP
|
$8,589.97
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,583.48 |
| Max. Negotiated Rate |
$7,730.97 |
| Rate for Payer: Aetna Commercial |
$7,301.47
|
| Rate for Payer: BCBS Trust/PPO |
$7,011.99
|
| Rate for Payer: BCN Commercial |
$6,638.33
|
| Rate for Payer: Cash Price |
$6,871.98
|
| Rate for Payer: Cofinity Commercial |
$7,387.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,871.98
|
| Rate for Payer: Healthscope Commercial |
$7,730.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,442.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,301.47
|
| Rate for Payer: Nomi Health Commercial |
$7,043.78
|
| Rate for Payer: PHP Commercial |
$7,301.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,583.48
|
| Rate for Payer: Priority Health HMO/PPO |
$7,473.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,755.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,559.17
|
| Rate for Payer: UHC Core |
$7,172.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,442.48
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
OP
|
$5,382.61
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,278.37 |
| Max. Negotiated Rate |
$4,844.35 |
| Rate for Payer: Aetna Commercial |
$4,575.22
|
| Rate for Payer: Aetna Medicare |
$1,399.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,682.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,682.07
|
| Rate for Payer: BCBS Complete |
$2,153.04
|
| Rate for Payer: BCBS MAPPO |
$1,345.65
|
| Rate for Payer: BCBS Trust/PPO |
$4,425.04
|
| Rate for Payer: BCN Commercial |
$4,184.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,345.65
|
| Rate for Payer: Cash Price |
$4,306.09
|
| Rate for Payer: Cofinity Commercial |
$4,629.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,306.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,345.65
|
| Rate for Payer: Healthscope Commercial |
$4,844.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,036.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,412.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,547.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,575.22
|
| Rate for Payer: Nomi Health Commercial |
$4,413.74
|
| Rate for Payer: PACE Senior Care Partners |
$1,278.37
|
| Rate for Payer: PACE SWMI |
$1,345.65
|
| Rate for Payer: PHP Commercial |
$4,575.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,345.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,498.70
|
| Rate for Payer: Priority Health HMO/PPO |
$4,682.87
|
| Rate for Payer: Priority Health Medicare |
$1,359.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,606.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,345.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,736.70
|
| Rate for Payer: UHC Core |
$4,494.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,345.65
|
| Rate for Payer: UHC Exchange |
$1,345.65
|
| Rate for Payer: UHC Medicare Advantage |
$1,345.65
|
| Rate for Payer: VA VA |
$1,345.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,036.96
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
IP
|
$5,382.61
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,498.70 |
| Max. Negotiated Rate |
$4,844.35 |
| Rate for Payer: Aetna Commercial |
$4,575.22
|
| Rate for Payer: BCBS Trust/PPO |
$4,393.82
|
| Rate for Payer: BCN Commercial |
$4,159.68
|
| Rate for Payer: Cash Price |
$4,306.09
|
| Rate for Payer: Cofinity Commercial |
$4,629.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,306.09
|
| Rate for Payer: Healthscope Commercial |
$4,844.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,036.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,575.22
|
| Rate for Payer: Nomi Health Commercial |
$4,413.74
|
| Rate for Payer: PHP Commercial |
$4,575.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,498.70
|
| Rate for Payer: Priority Health HMO/PPO |
$4,682.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,606.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,736.70
|
| Rate for Payer: UHC Core |
$4,494.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,036.96
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
IP
|
$740.52
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$481.34 |
| Max. Negotiated Rate |
$666.47 |
| Rate for Payer: Aetna Commercial |
$629.44
|
| Rate for Payer: BCBS Trust/PPO |
$604.49
|
| Rate for Payer: BCN Commercial |
$572.27
|
| Rate for Payer: Cash Price |
$592.42
|
| Rate for Payer: Cofinity Commercial |
$636.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.42
|
| Rate for Payer: Healthscope Commercial |
$666.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.44
|
| Rate for Payer: Nomi Health Commercial |
$607.23
|
| Rate for Payer: PHP Commercial |
$629.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.34
|
| Rate for Payer: Priority Health HMO/PPO |
$644.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$496.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$651.66
|
| Rate for Payer: UHC Core |
$618.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.39
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
OP
|
$740.52
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$175.87 |
| Max. Negotiated Rate |
$666.47 |
| Rate for Payer: Aetna Commercial |
$629.44
|
| Rate for Payer: Aetna Medicare |
$192.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$231.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$231.41
|
| Rate for Payer: BCBS Complete |
$534.17
|
| Rate for Payer: BCBS MAPPO |
$185.13
|
| Rate for Payer: BCBS Trust/PPO |
$608.78
|
| Rate for Payer: BCN Commercial |
$575.75
|
| Rate for Payer: BCN Medicare Advantage |
$185.13
|
| Rate for Payer: Cash Price |
$592.42
|
| Rate for Payer: Cash Price |
$592.42
|
| Rate for Payer: Cofinity Commercial |
$636.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.13
|
| Rate for Payer: Healthscope Commercial |
$666.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$555.39
|
| Rate for Payer: Mclaren Medicaid |
$508.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.39
|
| Rate for Payer: Meridian Medicaid |
$534.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.44
|
| Rate for Payer: Nomi Health Commercial |
$607.23
|
| Rate for Payer: PACE Senior Care Partners |
$175.87
|
| Rate for Payer: PACE SWMI |
$185.13
|
| Rate for Payer: PHP Commercial |
$629.44
|
| Rate for Payer: PHP Medicare Advantage |
$185.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.34
|
| Rate for Payer: Priority Health HMO/PPO |
$644.25
|
| Rate for Payer: Priority Health Medicare |
$186.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$496.15
|
| Rate for Payer: Railroad Medicare Medicare |
$185.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$651.66
|
| Rate for Payer: UHC Core |
$618.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.13
|
| Rate for Payer: UHC Exchange |
$185.13
|
| Rate for Payer: UHC Medicare Advantage |
$185.13
|
| Rate for Payer: UHCCP Medicaid |
$508.70
|
| Rate for Payer: VA VA |
$185.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$555.39
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
IP
|
$421.54
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$274.00 |
| Max. Negotiated Rate |
$379.39 |
| Rate for Payer: Aetna Commercial |
$358.31
|
| Rate for Payer: BCBS Trust/PPO |
$344.10
|
| Rate for Payer: BCN Commercial |
$325.77
|
| Rate for Payer: Cash Price |
$337.23
|
| Rate for Payer: Cofinity Commercial |
$362.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.23
|
| Rate for Payer: Healthscope Commercial |
$379.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.31
|
| Rate for Payer: Nomi Health Commercial |
$345.66
|
| Rate for Payer: PHP Commercial |
$358.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.00
|
| Rate for Payer: Priority Health HMO/PPO |
$366.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.96
|
| Rate for Payer: UHC Core |
$351.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.15
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$421.54
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$100.12 |
| Max. Negotiated Rate |
$379.39 |
| Rate for Payer: Aetna Commercial |
$358.31
|
| Rate for Payer: Aetna Medicare |
$109.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$131.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$131.73
|
| Rate for Payer: BCBS Complete |
$168.62
|
| Rate for Payer: BCBS MAPPO |
$105.39
|
| Rate for Payer: BCBS Trust/PPO |
$346.55
|
| Rate for Payer: BCN Commercial |
$327.75
|
| Rate for Payer: BCN Medicare Advantage |
$105.39
|
| Rate for Payer: Cash Price |
$337.23
|
| Rate for Payer: Cofinity Commercial |
$362.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.39
|
| Rate for Payer: Healthscope Commercial |
$379.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$121.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.31
|
| Rate for Payer: Nomi Health Commercial |
$345.66
|
| Rate for Payer: PACE Senior Care Partners |
$100.12
|
| Rate for Payer: PACE SWMI |
$105.39
|
| Rate for Payer: PHP Commercial |
$358.31
|
| Rate for Payer: PHP Medicare Advantage |
$105.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.00
|
| Rate for Payer: Priority Health HMO/PPO |
$366.74
|
| Rate for Payer: Priority Health Medicare |
$106.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.43
|
| Rate for Payer: Railroad Medicare Medicare |
$105.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.96
|
| Rate for Payer: UHC Core |
$351.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.39
|
| Rate for Payer: UHC Exchange |
$105.39
|
| Rate for Payer: UHC Medicare Advantage |
$105.39
|
| Rate for Payer: VA VA |
$105.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.15
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,573.24 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna Medicare |
$1,722.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,070.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,070.05
|
| Rate for Payer: BCBS Complete |
$4,429.45
|
| Rate for Payer: BCBS MAPPO |
$1,656.04
|
| Rate for Payer: BCBS Trust/PPO |
$5,445.73
|
| Rate for Payer: BCN Commercial |
$5,150.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,656.04
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,656.04
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Mclaren Medicaid |
$4,218.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,738.84
|
| Rate for Payer: Meridian Medicaid |
$4,429.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,904.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PACE Senior Care Partners |
$1,573.24
|
| Rate for Payer: PACE SWMI |
$1,656.04
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,656.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,218.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO |
$5,763.03
|
| Rate for Payer: Priority Health Medicare |
$1,672.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,438.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,656.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,829.27
|
| Rate for Payer: UHC Core |
$5,531.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,656.04
|
| Rate for Payer: UHC Exchange |
$1,656.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,656.04
|
| Rate for Payer: UHCCP Medicaid |
$4,218.24
|
| Rate for Payer: VA VA |
$1,656.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,305.71 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: BCBS Trust/PPO |
$5,407.31
|
| Rate for Payer: BCN Commercial |
$5,119.16
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO |
$5,763.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,438.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,829.27
|
| Rate for Payer: UHC Core |
$5,531.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,573.24 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna Medicare |
$1,722.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,070.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,070.05
|
| Rate for Payer: BCBS Complete |
$4,429.45
|
| Rate for Payer: BCBS MAPPO |
$1,656.04
|
| Rate for Payer: BCBS Trust/PPO |
$5,445.73
|
| Rate for Payer: BCN Commercial |
$5,150.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,656.04
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,656.04
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Mclaren Medicaid |
$4,218.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,738.84
|
| Rate for Payer: Meridian Medicaid |
$4,429.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,904.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PACE Senior Care Partners |
$1,573.24
|
| Rate for Payer: PACE SWMI |
$1,656.04
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,656.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,218.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO |
$5,763.03
|
| Rate for Payer: Priority Health Medicare |
$1,672.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,438.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,656.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,829.27
|
| Rate for Payer: UHC Core |
$5,531.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,656.04
|
| Rate for Payer: UHC Exchange |
$1,656.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,656.04
|
| Rate for Payer: UHCCP Medicaid |
$4,218.24
|
| Rate for Payer: VA VA |
$1,656.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,305.71 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: BCBS Trust/PPO |
$5,407.31
|
| Rate for Payer: BCN Commercial |
$5,119.16
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO |
$5,763.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,438.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,829.27
|
| Rate for Payer: UHC Core |
$5,531.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,573.24 |
| Max. Negotiated Rate |
$5,961.75 |
| Rate for Payer: Aetna Commercial |
$5,630.54
|
| Rate for Payer: Aetna Medicare |
$1,722.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,070.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,070.05
|
| Rate for Payer: BCBS Complete |
$4,429.45
|
| Rate for Payer: BCBS MAPPO |
$1,656.04
|
| Rate for Payer: BCBS Trust/PPO |
$5,445.73
|
| Rate for Payer: BCN Commercial |
$5,150.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,656.04
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$5,696.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,656.04
|
| Rate for Payer: Healthscope Commercial |
$5,961.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,968.13
|
| Rate for Payer: Mclaren Medicaid |
$4,218.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,738.84
|
| Rate for Payer: Meridian Medicaid |
$4,429.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,904.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PACE Senior Care Partners |
$1,573.24
|
| Rate for Payer: PACE SWMI |
$1,656.04
|
| Rate for Payer: PHP Commercial |
$5,630.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,656.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,218.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO |
$5,763.03
|
| Rate for Payer: Priority Health Medicare |
$1,672.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,438.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,656.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,829.27
|
| Rate for Payer: UHC Core |
$5,531.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,656.04
|
| Rate for Payer: UHC Exchange |
$1,656.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,656.04
|
| Rate for Payer: UHCCP Medicaid |
$4,218.24
|
| Rate for Payer: VA VA |
$1,656.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,968.13
|
|
