|
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
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,457.53
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,406.44 |
| Max. Negotiated Rate |
$3,111.78 |
| Rate for Payer: Aetna Commercial |
$2,938.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,855.57
|
| Rate for Payer: BCN Commercial |
$2,855.57
|
| Rate for Payer: Cash Price |
$2,766.02
|
| Rate for Payer: Cofinity Commercial |
$2,973.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.02
|
| Rate for Payer: Healthscope Commercial |
$3,111.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,593.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.90
|
| Rate for Payer: Nomi Health Commercial |
$2,835.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,593.15
|
| Rate for Payer: PHP Commercial |
$2,938.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,008.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,406.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,042.63
|
| Rate for Payer: UHC Core |
$2,887.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,593.15
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,457.53
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$609.56 |
| Max. Negotiated Rate |
$3,111.78 |
| Rate for Payer: Aetna Commercial |
$2,938.90
|
| Rate for Payer: Aetna Medicare |
$898.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,080.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,080.48
|
| Rate for Payer: BCBS Complete |
$639.99
|
| Rate for Payer: BCBS MAPPO |
$864.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,842.44
|
| Rate for Payer: BCN Commercial |
$2,842.44
|
| Rate for Payer: BCN Medicare Advantage |
$864.38
|
| Rate for Payer: Cash Price |
$2,766.02
|
| Rate for Payer: Cofinity Commercial |
$2,973.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$864.38
|
| Rate for Payer: Healthscope Commercial |
$3,111.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,593.15
|
| Rate for Payer: Mclaren Medicaid |
$609.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$907.60
|
| Rate for Payer: Meridian Medicaid |
$639.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$994.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$950.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.90
|
| Rate for Payer: Nomi Health Commercial |
$2,835.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,593.15
|
| Rate for Payer: PACE Senior Care Partners |
$821.16
|
| Rate for Payer: PACE SWMI |
$864.38
|
| Rate for Payer: PHP Commercial |
$2,938.90
|
| Rate for Payer: PHP Medicare Advantage |
$864.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,008.05
|
| Rate for Payer: Priority Health Medicare |
$873.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,406.44
|
| Rate for Payer: Railroad Medicare Medicare |
$864.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,042.63
|
| Rate for Payer: UHC Core |
$2,887.04
|
| Rate for Payer: UHC Exchange |
$864.38
|
| Rate for Payer: UHC Medicaid |
$609.56
|
| Rate for Payer: UHC Medicare Advantage |
$864.38
|
| Rate for Payer: UHCCP Medicaid |
$609.56
|
| Rate for Payer: VA VA |
$864.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,593.15
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$2,009.58
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$354.29 |
| Max. Negotiated Rate |
$1,808.62 |
| Rate for Payer: Aetna Commercial |
$1,708.14
|
| Rate for Payer: Aetna Medicare |
$522.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$627.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$627.99
|
| Rate for Payer: BCBS Complete |
$371.97
|
| Rate for Payer: BCBS MAPPO |
$502.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,652.08
|
| Rate for Payer: BCN Commercial |
$1,652.08
|
| Rate for Payer: BCN Medicare Advantage |
$502.39
|
| Rate for Payer: Cash Price |
$1,607.66
|
| Rate for Payer: Cofinity Commercial |
$1,728.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,607.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.39
|
| Rate for Payer: Healthscope Commercial |
$1,808.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,507.18
|
| Rate for Payer: Mclaren Medicaid |
$354.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.51
|
| Rate for Payer: Meridian Medicaid |
$371.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$577.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$552.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,708.14
|
| Rate for Payer: Nomi Health Commercial |
$1,647.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.18
|
| Rate for Payer: PACE Senior Care Partners |
$477.28
|
| Rate for Payer: PACE SWMI |
$502.39
|
| Rate for Payer: PHP Commercial |
$1,708.14
|
| Rate for Payer: PHP Medicare Advantage |
$502.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,748.33
|
| Rate for Payer: Priority Health Medicare |
$507.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,398.67
|
| Rate for Payer: Railroad Medicare Medicare |
$502.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,768.43
|
| Rate for Payer: UHC Core |
$1,678.00
|
| Rate for Payer: UHC Exchange |
$502.39
|
| Rate for Payer: UHC Medicaid |
$354.29
|
| Rate for Payer: UHC Medicare Advantage |
$502.39
|
| Rate for Payer: UHCCP Medicaid |
$354.29
|
| Rate for Payer: VA VA |
$502.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,507.18
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$2,009.58
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,398.67 |
| Max. Negotiated Rate |
$1,808.62 |
| Rate for Payer: Aetna Commercial |
$1,708.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.71
|
| Rate for Payer: BCN Commercial |
$1,659.71
|
| Rate for Payer: Cash Price |
$1,607.66
|
| Rate for Payer: Cofinity Commercial |
$1,728.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,607.66
|
| Rate for Payer: Healthscope Commercial |
$1,808.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,507.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,708.14
|
| Rate for Payer: Nomi Health Commercial |
$1,647.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.18
|
| Rate for Payer: PHP Commercial |
$1,708.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,748.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,398.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,768.43
|
| Rate for Payer: UHC Core |
$1,678.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,507.18
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,117.55
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$197.02 |
| Max. Negotiated Rate |
$1,005.79 |
| Rate for Payer: Aetna Commercial |
$949.92
|
| Rate for Payer: Aetna Medicare |
$290.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$349.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$349.23
|
| Rate for Payer: BCBS Complete |
$206.86
|
| Rate for Payer: BCBS MAPPO |
$279.39
|
| Rate for Payer: BCBS Trust/PPO |
$918.74
|
| Rate for Payer: BCN Commercial |
$918.74
|
| Rate for Payer: BCN Medicare Advantage |
$279.39
|
| Rate for Payer: Cash Price |
$894.04
|
| Rate for Payer: Cofinity Commercial |
$961.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$894.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.39
|
| Rate for Payer: Healthscope Commercial |
$1,005.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$838.16
|
| Rate for Payer: Mclaren Medicaid |
$197.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.36
|
| Rate for Payer: Meridian Medicaid |
$206.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$321.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$307.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$949.92
|
| Rate for Payer: Nomi Health Commercial |
$916.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$838.16
|
| Rate for Payer: PACE Senior Care Partners |
$265.42
|
| Rate for Payer: PACE SWMI |
$279.39
|
| Rate for Payer: PHP Commercial |
$949.92
|
| Rate for Payer: PHP Medicare Advantage |
$279.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$972.27
|
| Rate for Payer: Priority Health Medicare |
$282.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.81
|
| Rate for Payer: Railroad Medicare Medicare |
$279.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$983.44
|
| Rate for Payer: UHC Core |
$933.15
|
| Rate for Payer: UHC Exchange |
$279.39
|
| Rate for Payer: UHC Medicaid |
$197.02
|
| Rate for Payer: UHC Medicare Advantage |
$279.39
|
| Rate for Payer: UHCCP Medicaid |
$197.02
|
| Rate for Payer: VA VA |
$279.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$838.16
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,117.55
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$777.81 |
| Max. Negotiated Rate |
$1,005.79 |
| Rate for Payer: Aetna Commercial |
$949.92
|
| Rate for Payer: BCBS Trust/PPO |
$922.98
|
| Rate for Payer: BCN Commercial |
$922.98
|
| Rate for Payer: Cash Price |
$894.04
|
| Rate for Payer: Cofinity Commercial |
$961.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$894.04
|
| Rate for Payer: Healthscope Commercial |
$1,005.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$838.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$949.92
|
| Rate for Payer: Nomi Health Commercial |
$916.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$838.16
|
| Rate for Payer: PHP Commercial |
$949.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$972.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$983.44
|
| Rate for Payer: UHC Core |
$933.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$838.16
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$23,009.20
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$16,014.40 |
| Max. Negotiated Rate |
$20,708.28 |
| Rate for Payer: Aetna Commercial |
$19,557.82
|
| Rate for Payer: BCBS Trust/PPO |
$19,003.30
|
| Rate for Payer: BCN Commercial |
$19,003.30
|
| Rate for Payer: Cash Price |
$18,407.36
|
| Rate for Payer: Cofinity Commercial |
$19,787.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,407.36
|
| Rate for Payer: Healthscope Commercial |
$20,708.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17,256.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,557.82
|
| Rate for Payer: Nomi Health Commercial |
$18,867.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,256.90
|
| Rate for Payer: PHP Commercial |
$19,557.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20,018.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16,014.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,248.10
|
| Rate for Payer: UHC Core |
$19,212.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17,256.90
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
OP
|
$23,009.20
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,056.52 |
| Max. Negotiated Rate |
$20,708.28 |
| Rate for Payer: Aetna Commercial |
$19,557.82
|
| Rate for Payer: Aetna Medicare |
$5,982.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,190.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,190.38
|
| Rate for Payer: BCBS Complete |
$4,259.00
|
| Rate for Payer: BCBS MAPPO |
$5,752.30
|
| Rate for Payer: BCBS Trust/PPO |
$18,915.86
|
| Rate for Payer: BCN Commercial |
$18,915.86
|
| Rate for Payer: BCN Medicare Advantage |
$5,752.30
|
| Rate for Payer: Cash Price |
$18,407.36
|
| Rate for Payer: Cofinity Commercial |
$19,787.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,407.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,752.30
|
| Rate for Payer: Healthscope Commercial |
$20,708.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17,256.90
|
| Rate for Payer: Mclaren Medicaid |
$4,056.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,039.91
|
| Rate for Payer: Meridian Medicaid |
$4,259.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,615.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,327.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,557.82
|
| Rate for Payer: Nomi Health Commercial |
$18,867.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,256.90
|
| Rate for Payer: PACE Senior Care Partners |
$5,464.69
|
| Rate for Payer: PACE SWMI |
$5,752.30
|
| Rate for Payer: PHP Commercial |
$19,557.82
|
| Rate for Payer: PHP Medicare Advantage |
$5,752.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,056.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20,018.00
|
| Rate for Payer: Priority Health Medicare |
$5,809.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16,014.40
|
| Rate for Payer: Railroad Medicare Medicare |
$5,752.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,248.10
|
| Rate for Payer: UHC Core |
$19,212.68
|
| Rate for Payer: UHC Exchange |
$5,752.30
|
| Rate for Payer: UHC Medicaid |
$4,056.52
|
| Rate for Payer: UHC Medicare Advantage |
$5,752.30
|
| Rate for Payer: UHCCP Medicaid |
$4,056.52
|
| Rate for Payer: VA VA |
$5,752.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17,256.90
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
OP
|
$19,404.42
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,421.00 |
| Max. Negotiated Rate |
$17,463.98 |
| Rate for Payer: Aetna Commercial |
$16,493.76
|
| Rate for Payer: Aetna Medicare |
$5,045.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,063.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,063.88
|
| Rate for Payer: BCBS Complete |
$3,591.76
|
| Rate for Payer: BCBS MAPPO |
$4,851.10
|
| Rate for Payer: BCBS Trust/PPO |
$15,952.37
|
| Rate for Payer: BCN Commercial |
$15,952.37
|
| Rate for Payer: BCN Medicare Advantage |
$4,851.10
|
| Rate for Payer: Cash Price |
$15,523.54
|
| Rate for Payer: Cofinity Commercial |
$16,687.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,523.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,851.10
|
| Rate for Payer: Healthscope Commercial |
$17,463.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,553.32
|
| Rate for Payer: Mclaren Medicaid |
$3,421.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,093.66
|
| Rate for Payer: Meridian Medicaid |
$3,591.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,578.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,336.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,493.76
|
| Rate for Payer: Nomi Health Commercial |
$15,911.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,553.32
|
| Rate for Payer: PACE Senior Care Partners |
$4,608.55
|
| Rate for Payer: PACE SWMI |
$4,851.10
|
| Rate for Payer: PHP Commercial |
$16,493.76
|
| Rate for Payer: PHP Medicare Advantage |
$4,851.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,421.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16,881.85
|
| Rate for Payer: Priority Health Medicare |
$4,899.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,505.48
|
| Rate for Payer: Railroad Medicare Medicare |
$4,851.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,075.89
|
| Rate for Payer: UHC Core |
$16,202.69
|
| Rate for Payer: UHC Exchange |
$4,851.10
|
| Rate for Payer: UHC Medicaid |
$3,421.00
|
| Rate for Payer: UHC Medicare Advantage |
$4,851.10
|
| Rate for Payer: UHCCP Medicaid |
$3,421.00
|
| Rate for Payer: VA VA |
$4,851.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,553.32
|
|
|
HC REPLACE MULTI CHAMBER PPM
|
Facility
|
IP
|
$19,404.42
|
|
|
Service Code
|
CPT 33229
|
| Hospital Charge Code |
36100356
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,505.48 |
| Max. Negotiated Rate |
$17,463.98 |
| Rate for Payer: Aetna Commercial |
$16,493.76
|
| Rate for Payer: BCBS Trust/PPO |
$16,026.11
|
| Rate for Payer: BCN Commercial |
$16,026.11
|
| Rate for Payer: Cash Price |
$15,523.54
|
| Rate for Payer: Cofinity Commercial |
$16,687.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,523.54
|
| Rate for Payer: Healthscope Commercial |
$17,463.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,553.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,493.76
|
| Rate for Payer: Nomi Health Commercial |
$15,911.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,553.32
|
| Rate for Payer: PHP Commercial |
$16,493.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16,881.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,505.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,075.89
|
| Rate for Payer: UHC Core |
$16,202.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,553.32
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
OP
|
$18,775.50
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,310.12 |
| Max. Negotiated Rate |
$16,897.95 |
| Rate for Payer: Aetna Commercial |
$15,959.17
|
| Rate for Payer: Aetna Medicare |
$4,881.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,867.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,867.34
|
| Rate for Payer: BCBS Complete |
$3,475.35
|
| Rate for Payer: BCBS MAPPO |
$4,693.88
|
| Rate for Payer: BCBS Trust/PPO |
$15,435.34
|
| Rate for Payer: BCN Commercial |
$15,435.34
|
| Rate for Payer: BCN Medicare Advantage |
$4,693.88
|
| Rate for Payer: Cash Price |
$15,020.40
|
| Rate for Payer: Cofinity Commercial |
$16,146.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,020.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,693.88
|
| Rate for Payer: Healthscope Commercial |
$16,897.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,081.62
|
| Rate for Payer: Mclaren Medicaid |
$3,310.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,928.57
|
| Rate for Payer: Meridian Medicaid |
$3,475.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,397.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,163.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,959.17
|
| Rate for Payer: Nomi Health Commercial |
$15,395.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,081.62
|
| Rate for Payer: PACE Senior Care Partners |
$4,459.18
|
| Rate for Payer: PACE SWMI |
$4,693.88
|
| Rate for Payer: PHP Commercial |
$15,959.17
|
| Rate for Payer: PHP Medicare Advantage |
$4,693.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,310.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16,334.68
|
| Rate for Payer: Priority Health Medicare |
$4,740.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,067.75
|
| Rate for Payer: Railroad Medicare Medicare |
$4,693.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,522.44
|
| Rate for Payer: UHC Core |
$15,677.54
|
| Rate for Payer: UHC Exchange |
$4,693.88
|
| Rate for Payer: UHC Medicaid |
$3,310.12
|
| Rate for Payer: UHC Medicare Advantage |
$4,693.88
|
| Rate for Payer: UHCCP Medicaid |
$3,310.12
|
| Rate for Payer: VA VA |
$4,693.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,081.62
|
|
|
HC REPLACE SINGLE CHAMBER ICD
|
Facility
|
IP
|
$18,775.50
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100357
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,067.75 |
| Max. Negotiated Rate |
$16,897.95 |
| Rate for Payer: Aetna Commercial |
$15,959.17
|
| Rate for Payer: BCBS Trust/PPO |
$15,506.69
|
| Rate for Payer: BCN Commercial |
$15,506.69
|
| Rate for Payer: Cash Price |
$15,020.40
|
| Rate for Payer: Cofinity Commercial |
$16,146.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,020.40
|
| Rate for Payer: Healthscope Commercial |
$16,897.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,081.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,959.17
|
| Rate for Payer: Nomi Health Commercial |
$15,395.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,081.62
|
| Rate for Payer: PHP Commercial |
$15,959.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16,334.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,067.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,522.44
|
| Rate for Payer: UHC Core |
$15,677.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,081.62
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
OP
|
$12,424.69
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,190.47 |
| Max. Negotiated Rate |
$11,182.22 |
| Rate for Payer: Aetna Commercial |
$10,560.99
|
| Rate for Payer: Aetna Medicare |
$3,230.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,882.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,882.72
|
| Rate for Payer: BCBS Complete |
$2,299.81
|
| Rate for Payer: BCBS MAPPO |
$3,106.17
|
| Rate for Payer: BCBS Trust/PPO |
$10,214.34
|
| Rate for Payer: BCN Commercial |
$10,214.34
|
| Rate for Payer: BCN Medicare Advantage |
$3,106.17
|
| Rate for Payer: Cash Price |
$9,939.75
|
| Rate for Payer: Cofinity Commercial |
$10,685.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,939.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,106.17
|
| Rate for Payer: Healthscope Commercial |
$11,182.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,318.52
|
| Rate for Payer: Mclaren Medicaid |
$2,190.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,261.48
|
| Rate for Payer: Meridian Medicaid |
$2,299.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,572.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,416.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,560.99
|
| Rate for Payer: Nomi Health Commercial |
$10,188.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,318.52
|
| Rate for Payer: PACE Senior Care Partners |
$2,950.86
|
| Rate for Payer: PACE SWMI |
$3,106.17
|
| Rate for Payer: PHP Commercial |
$10,560.99
|
| Rate for Payer: PHP Medicare Advantage |
$3,106.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,190.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,809.48
|
| Rate for Payer: Priority Health Medicare |
$3,137.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,647.58
|
| Rate for Payer: Railroad Medicare Medicare |
$3,106.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,933.73
|
| Rate for Payer: UHC Core |
$10,374.62
|
| Rate for Payer: UHC Exchange |
$3,106.17
|
| Rate for Payer: UHC Medicaid |
$2,190.47
|
| Rate for Payer: UHC Medicare Advantage |
$3,106.17
|
| Rate for Payer: UHCCP Medicaid |
$2,190.47
|
| Rate for Payer: VA VA |
$3,106.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,318.52
|
|
|
HC REPLACE SINGLE CHAMBER PPM
|
Facility
|
IP
|
$12,424.69
|
|
|
Service Code
|
CPT 33227
|
| Hospital Charge Code |
36100354
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,647.58 |
| Max. Negotiated Rate |
$11,182.22 |
| Rate for Payer: Aetna Commercial |
$10,560.99
|
| Rate for Payer: BCBS Trust/PPO |
$10,261.55
|
| Rate for Payer: BCN Commercial |
$10,261.55
|
| Rate for Payer: Cash Price |
$9,939.75
|
| Rate for Payer: Cofinity Commercial |
$10,685.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,939.75
|
| Rate for Payer: Healthscope Commercial |
$11,182.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,318.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,560.99
|
| Rate for Payer: Nomi Health Commercial |
$10,188.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,318.52
|
| Rate for Payer: PHP Commercial |
$10,560.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,809.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,647.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,933.73
|
| Rate for Payer: UHC Core |
$10,374.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,318.52
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
OP
|
$36,955.60
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,515.27 |
| Max. Negotiated Rate |
$33,260.04 |
| Rate for Payer: Aetna Commercial |
$31,412.26
|
| Rate for Payer: Aetna Medicare |
$9,608.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,548.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,548.62
|
| Rate for Payer: BCBS Complete |
$6,840.48
|
| Rate for Payer: BCBS MAPPO |
$9,238.90
|
| Rate for Payer: BCBS Trust/PPO |
$30,381.20
|
| Rate for Payer: BCN Commercial |
$30,381.20
|
| Rate for Payer: BCN Medicare Advantage |
$9,238.90
|
| Rate for Payer: Cash Price |
$29,564.48
|
| Rate for Payer: Cofinity Commercial |
$31,781.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29,564.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,238.90
|
| Rate for Payer: Healthscope Commercial |
$33,260.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27,716.70
|
| Rate for Payer: Mclaren Medicaid |
$6,515.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,700.84
|
| Rate for Payer: Meridian Medicaid |
$6,840.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,624.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,162.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,412.26
|
| Rate for Payer: Nomi Health Commercial |
$30,303.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27,716.70
|
| Rate for Payer: PACE Senior Care Partners |
$8,776.95
|
| Rate for Payer: PACE SWMI |
$9,238.90
|
| Rate for Payer: PHP Commercial |
$31,412.26
|
| Rate for Payer: PHP Medicare Advantage |
$9,238.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,515.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32,151.37
|
| Rate for Payer: Priority Health Medicare |
$9,331.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25,721.10
|
| Rate for Payer: Railroad Medicare Medicare |
$9,238.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,520.93
|
| Rate for Payer: UHC Core |
$30,857.93
|
| Rate for Payer: UHC Exchange |
$9,238.90
|
| Rate for Payer: UHC Medicaid |
$6,515.27
|
| Rate for Payer: UHC Medicare Advantage |
$9,238.90
|
| Rate for Payer: UHCCP Medicaid |
$6,515.27
|
| Rate for Payer: VA VA |
$9,238.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27,716.70
|
|
|
HC REPLACE SQ ICD ONLY
|
Facility
|
IP
|
$36,955.60
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
36100551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$25,721.10 |
| Max. Negotiated Rate |
$33,260.04 |
| Rate for Payer: Aetna Commercial |
$31,412.26
|
| Rate for Payer: BCBS Trust/PPO |
$30,521.63
|
| Rate for Payer: BCN Commercial |
$30,521.63
|
| Rate for Payer: Cash Price |
$29,564.48
|
| Rate for Payer: Cofinity Commercial |
$31,781.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29,564.48
|
| Rate for Payer: Healthscope Commercial |
$33,260.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27,716.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,412.26
|
| Rate for Payer: Nomi Health Commercial |
$30,303.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27,716.70
|
| Rate for Payer: PHP Commercial |
$31,412.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32,151.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25,721.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,520.93
|
| Rate for Payer: UHC Core |
$30,857.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27,716.70
|
|
|
HC REPOSITION CVAC
|
Facility
|
IP
|
$2,559.00
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,781.06 |
| Max. Negotiated Rate |
$2,303.10 |
| Rate for Payer: Aetna Commercial |
$2,175.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,113.48
|
| Rate for Payer: BCN Commercial |
$2,113.48
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cofinity Commercial |
$2,200.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,047.20
|
| Rate for Payer: Healthscope Commercial |
$2,303.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,919.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,175.15
|
| Rate for Payer: Nomi Health Commercial |
$2,098.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,919.25
|
| Rate for Payer: PHP Commercial |
$2,175.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,226.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,781.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,251.92
|
| Rate for Payer: UHC Core |
$2,136.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,919.25
|
|
|
HC REPOSITION CVAC
|
Facility
|
OP
|
$2,559.00
|
|
|
Service Code
|
CPT 36597
|
| Hospital Charge Code |
36100144
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$451.15 |
| Max. Negotiated Rate |
$2,303.10 |
| Rate for Payer: Aetna Commercial |
$2,175.15
|
| Rate for Payer: Aetna Medicare |
$665.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$799.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$799.69
|
| Rate for Payer: BCBS Complete |
$473.67
|
| Rate for Payer: BCBS MAPPO |
$639.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,103.75
|
| Rate for Payer: BCN Commercial |
$2,103.75
|
| Rate for Payer: BCN Medicare Advantage |
$639.75
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cofinity Commercial |
$2,200.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,047.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.75
|
| Rate for Payer: Healthscope Commercial |
$2,303.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,919.25
|
| Rate for Payer: Mclaren Medicaid |
$451.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.74
|
| Rate for Payer: Meridian Medicaid |
$473.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$735.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$703.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,175.15
|
| Rate for Payer: Nomi Health Commercial |
$2,098.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,919.25
|
| Rate for Payer: PACE Senior Care Partners |
$607.76
|
| Rate for Payer: PACE SWMI |
$639.75
|
| Rate for Payer: PHP Commercial |
$2,175.15
|
| Rate for Payer: PHP Medicare Advantage |
$639.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$451.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,226.33
|
| Rate for Payer: Priority Health Medicare |
$646.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,781.06
|
| Rate for Payer: Railroad Medicare Medicare |
$639.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,251.92
|
| Rate for Payer: UHC Core |
$2,136.76
|
| Rate for Payer: UHC Exchange |
$639.75
|
| Rate for Payer: UHC Medicaid |
$451.15
|
| Rate for Payer: UHC Medicare Advantage |
$639.75
|
| Rate for Payer: UHCCP Medicaid |
$451.15
|
| Rate for Payer: VA VA |
$639.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,919.25
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
OP
|
$3,000.46
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$528.98 |
| Max. Negotiated Rate |
$2,700.41 |
| Rate for Payer: Aetna Commercial |
$2,550.39
|
| Rate for Payer: Aetna Medicare |
$780.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$937.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$937.64
|
| Rate for Payer: BCBS Complete |
$555.39
|
| Rate for Payer: BCBS MAPPO |
$750.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,466.68
|
| Rate for Payer: BCN Commercial |
$2,466.68
|
| Rate for Payer: BCN Medicare Advantage |
$750.12
|
| Rate for Payer: Cash Price |
$2,400.37
|
| Rate for Payer: Cofinity Commercial |
$2,580.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,400.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$750.12
|
| Rate for Payer: Healthscope Commercial |
$2,700.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,250.34
|
| Rate for Payer: Mclaren Medicaid |
$528.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$787.62
|
| Rate for Payer: Meridian Medicaid |
$555.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$862.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$825.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,550.39
|
| Rate for Payer: Nomi Health Commercial |
$2,460.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,250.34
|
| Rate for Payer: PACE Senior Care Partners |
$712.61
|
| Rate for Payer: PACE SWMI |
$750.12
|
| Rate for Payer: PHP Commercial |
$2,550.39
|
| Rate for Payer: PHP Medicare Advantage |
$750.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$528.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,610.40
|
| Rate for Payer: Priority Health Medicare |
$757.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,088.32
|
| Rate for Payer: Railroad Medicare Medicare |
$750.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,640.40
|
| Rate for Payer: UHC Core |
$2,505.38
|
| Rate for Payer: UHC Exchange |
$750.12
|
| Rate for Payer: UHC Medicaid |
$528.98
|
| Rate for Payer: UHC Medicare Advantage |
$750.12
|
| Rate for Payer: UHCCP Medicaid |
$528.98
|
| Rate for Payer: VA VA |
$750.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,250.34
|
|
|
HC REPOSITION RA/RV ELECTRODE
|
Facility
|
IP
|
$3,000.46
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
36100064
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,088.32 |
| Max. Negotiated Rate |
$2,700.41 |
| Rate for Payer: Aetna Commercial |
$2,550.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,478.08
|
| Rate for Payer: BCN Commercial |
$2,478.08
|
| Rate for Payer: Cash Price |
$2,400.37
|
| Rate for Payer: Cofinity Commercial |
$2,580.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,400.37
|
| Rate for Payer: Healthscope Commercial |
$2,700.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,250.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,550.39
|
| Rate for Payer: Nomi Health Commercial |
$2,460.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,250.34
|
| Rate for Payer: PHP Commercial |
$2,550.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,610.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,088.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,640.40
|
| Rate for Payer: UHC Core |
$2,505.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,250.34
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
IP
|
$109.24
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$76.03 |
| Max. Negotiated Rate |
$98.32 |
| Rate for Payer: Aetna Commercial |
$92.85
|
| Rate for Payer: BCBS Trust/PPO |
$90.22
|
| Rate for Payer: BCN Commercial |
$90.22
|
| Rate for Payer: Cash Price |
$87.39
|
| Rate for Payer: Cofinity Commercial |
$93.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.39
|
| Rate for Payer: Healthscope Commercial |
$98.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.85
|
| Rate for Payer: Nomi Health Commercial |
$89.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.93
|
| Rate for Payer: PHP Commercial |
$92.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$95.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.13
|
| Rate for Payer: UHC Core |
$91.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.93
|
|
|
HC RESERVOIR 20 MICRON
|
Facility
|
OP
|
$109.24
|
|
| Hospital Charge Code |
27000039
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.26 |
| Max. Negotiated Rate |
$98.32 |
| Rate for Payer: Aetna Commercial |
$92.85
|
| Rate for Payer: Aetna Medicare |
$28.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.14
|
| Rate for Payer: BCBS Complete |
$20.22
|
| Rate for Payer: BCBS MAPPO |
$27.31
|
| Rate for Payer: BCBS Trust/PPO |
$89.81
|
| Rate for Payer: BCN Commercial |
$89.81
|
| Rate for Payer: BCN Medicare Advantage |
$27.31
|
| Rate for Payer: Cash Price |
$87.39
|
| Rate for Payer: Cofinity Commercial |
$93.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.31
|
| Rate for Payer: Healthscope Commercial |
$98.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.93
|
| Rate for Payer: Mclaren Medicaid |
$19.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.68
|
| Rate for Payer: Meridian Medicaid |
$20.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.85
|
| Rate for Payer: Nomi Health Commercial |
$89.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.93
|
| Rate for Payer: PACE Senior Care Partners |
$25.94
|
| Rate for Payer: PACE SWMI |
$27.31
|
| Rate for Payer: PHP Commercial |
$92.85
|
| Rate for Payer: PHP Medicare Advantage |
$27.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$95.04
|
| Rate for Payer: Priority Health Medicare |
$27.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.03
|
| Rate for Payer: Railroad Medicare Medicare |
$27.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.13
|
| Rate for Payer: UHC Core |
$91.22
|
| Rate for Payer: UHC Exchange |
$27.31
|
| Rate for Payer: UHC Medicaid |
$19.26
|
| Rate for Payer: UHC Medicare Advantage |
$27.31
|
| Rate for Payer: UHCCP Medicaid |
$19.26
|
| Rate for Payer: VA VA |
$27.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.93
|
|
|
HC RESERVOIR OUTLET Y
|
Facility
|
IP
|
$31.21
|
|
| Hospital Charge Code |
27000668
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.72 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: BCBS Trust/PPO |
$25.78
|
| Rate for Payer: BCN Commercial |
$25.78
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Nomi Health Commercial |
$25.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.46
|
| Rate for Payer: UHC Core |
$26.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.41
|
|
|
HC RESERVOIR OUTLET Y
|
Facility
|
OP
|
$31.21
|
|
| Hospital Charge Code |
27000668
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.50 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna Medicare |
$8.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.75
|
| Rate for Payer: BCBS Complete |
$5.78
|
| Rate for Payer: BCBS MAPPO |
$7.80
|
| Rate for Payer: BCBS Trust/PPO |
$25.66
|
| Rate for Payer: BCN Commercial |
$25.66
|
| Rate for Payer: BCN Medicare Advantage |
$7.80
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.80
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.41
|
| Rate for Payer: Mclaren Medicaid |
$5.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.19
|
| Rate for Payer: Meridian Medicaid |
$5.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Nomi Health Commercial |
$25.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PACE Senior Care Partners |
$7.41
|
| Rate for Payer: PACE SWMI |
$7.80
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$7.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.15
|
| Rate for Payer: Priority Health Medicare |
$7.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.72
|
| Rate for Payer: Railroad Medicare Medicare |
$7.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.46
|
| Rate for Payer: UHC Core |
$26.06
|
| Rate for Payer: UHC Exchange |
$7.80
|
| Rate for Payer: UHC Medicaid |
$5.50
|
| Rate for Payer: UHC Medicare Advantage |
$7.80
|
| Rate for Payer: UHCCP Medicaid |
$5.50
|
| Rate for Payer: VA VA |
$7.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.41
|
|
