|
HC STENT PLACE OTHER THAN LOWER EXTREM CER CAROTID INTRACRAN EA ADDLL
|
Facility
|
IP
|
$10,828.91
|
|
|
Service Code
|
CPT 37237
|
| Hospital Charge Code |
36100425
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,536.92 |
| Max. Negotiated Rate |
$9,746.02 |
| Rate for Payer: Aetna Commercial |
$9,204.57
|
| Rate for Payer: BCBS Trust/PPO |
$8,943.60
|
| Rate for Payer: BCN Commercial |
$8,943.60
|
| Rate for Payer: Cash Price |
$8,663.13
|
| Rate for Payer: Cofinity Commercial |
$9,312.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,663.13
|
| Rate for Payer: Healthscope Commercial |
$9,746.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,121.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,204.57
|
| Rate for Payer: Nomi Health Commercial |
$8,879.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,121.68
|
| Rate for Payer: PHP Commercial |
$9,204.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,421.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,536.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,529.44
|
| Rate for Payer: UHC Core |
$9,042.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,121.68
|
|
|
HC STENT PLACE OTHER THAN LOWER EXTREM CER CAROTID INTRACRAN EA ADDLL
|
Facility
|
OP
|
$10,828.91
|
|
|
Service Code
|
CPT 37237
|
| Hospital Charge Code |
36100425
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,909.14 |
| Max. Negotiated Rate |
$9,746.02 |
| Rate for Payer: Aetna Commercial |
$9,204.57
|
| Rate for Payer: Aetna Medicare |
$2,815.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,384.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,384.03
|
| Rate for Payer: BCBS Complete |
$2,004.43
|
| Rate for Payer: BCBS MAPPO |
$2,707.23
|
| Rate for Payer: BCBS Trust/PPO |
$8,902.45
|
| Rate for Payer: BCN Commercial |
$8,902.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,707.23
|
| Rate for Payer: Cash Price |
$8,663.13
|
| Rate for Payer: Cofinity Commercial |
$9,312.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,663.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,707.23
|
| Rate for Payer: Healthscope Commercial |
$9,746.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,121.68
|
| Rate for Payer: Mclaren Medicaid |
$1,909.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,842.59
|
| Rate for Payer: Meridian Medicaid |
$2,004.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,113.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,977.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,204.57
|
| Rate for Payer: Nomi Health Commercial |
$8,879.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,121.68
|
| Rate for Payer: PACE Senior Care Partners |
$2,571.87
|
| Rate for Payer: PACE SWMI |
$2,707.23
|
| Rate for Payer: PHP Commercial |
$9,204.57
|
| Rate for Payer: PHP Medicare Advantage |
$2,707.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,909.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,421.15
|
| Rate for Payer: Priority Health Medicare |
$2,734.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,536.92
|
| Rate for Payer: Railroad Medicare Medicare |
$2,707.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,529.44
|
| Rate for Payer: UHC Core |
$9,042.14
|
| Rate for Payer: UHC Exchange |
$2,707.23
|
| Rate for Payer: UHC Medicaid |
$1,909.14
|
| Rate for Payer: UHC Medicare Advantage |
$2,707.23
|
| Rate for Payer: UHCCP Medicaid |
$1,909.14
|
| Rate for Payer: VA VA |
$2,707.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,121.68
|
|
|
HC STENT PLACE OTHER THAN LOWER EXTREM CERV CAROTID INTRACRAN
|
Facility
|
OP
|
$16,731.58
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
36100424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,949.78 |
| Max. Negotiated Rate |
$15,058.42 |
| Rate for Payer: Aetna Commercial |
$14,221.84
|
| Rate for Payer: Aetna Medicare |
$4,350.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,228.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,228.62
|
| Rate for Payer: BCBS Complete |
$3,097.02
|
| Rate for Payer: BCBS MAPPO |
$4,182.90
|
| Rate for Payer: BCBS Trust/PPO |
$13,755.03
|
| Rate for Payer: BCN Commercial |
$13,755.03
|
| Rate for Payer: BCN Medicare Advantage |
$4,182.90
|
| Rate for Payer: Cash Price |
$13,385.26
|
| Rate for Payer: Cofinity Commercial |
$14,389.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,385.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,182.90
|
| Rate for Payer: Healthscope Commercial |
$15,058.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,548.68
|
| Rate for Payer: Mclaren Medicaid |
$2,949.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,392.04
|
| Rate for Payer: Meridian Medicaid |
$3,097.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,810.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,601.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,221.84
|
| Rate for Payer: Nomi Health Commercial |
$13,719.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,548.68
|
| Rate for Payer: PACE Senior Care Partners |
$3,973.75
|
| Rate for Payer: PACE SWMI |
$4,182.90
|
| Rate for Payer: PHP Commercial |
$14,221.84
|
| Rate for Payer: PHP Medicare Advantage |
$4,182.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,949.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,556.47
|
| Rate for Payer: Priority Health Medicare |
$4,224.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,645.18
|
| Rate for Payer: Railroad Medicare Medicare |
$4,182.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,723.79
|
| Rate for Payer: UHC Core |
$13,970.87
|
| Rate for Payer: UHC Exchange |
$4,182.90
|
| Rate for Payer: UHC Medicaid |
$2,949.78
|
| Rate for Payer: UHC Medicare Advantage |
$4,182.90
|
| Rate for Payer: UHCCP Medicaid |
$2,949.78
|
| Rate for Payer: VA VA |
$4,182.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,548.68
|
|
|
HC STENT PLACE OTHER THAN LOWER EXTREM CERV CAROTID INTRACRAN
|
Facility
|
IP
|
$16,731.58
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
36100424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,645.18 |
| Max. Negotiated Rate |
$15,058.42 |
| Rate for Payer: Aetna Commercial |
$14,221.84
|
| Rate for Payer: BCBS Trust/PPO |
$13,818.61
|
| Rate for Payer: BCN Commercial |
$13,818.61
|
| Rate for Payer: Cash Price |
$13,385.26
|
| Rate for Payer: Cofinity Commercial |
$14,389.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,385.26
|
| Rate for Payer: Healthscope Commercial |
$15,058.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,548.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,221.84
|
| Rate for Payer: Nomi Health Commercial |
$13,719.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,548.68
|
| Rate for Payer: PHP Commercial |
$14,221.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,556.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,645.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,723.79
|
| Rate for Payer: UHC Core |
$13,970.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,548.68
|
|
|
HC STENT PLACE VENOUS
|
Facility
|
OP
|
$19,121.79
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
36100426
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,371.17 |
| Max. Negotiated Rate |
$17,209.61 |
| Rate for Payer: Aetna Commercial |
$16,253.52
|
| Rate for Payer: Aetna Medicare |
$4,971.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,975.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,975.56
|
| Rate for Payer: BCBS Complete |
$3,539.44
|
| Rate for Payer: BCBS MAPPO |
$4,780.45
|
| Rate for Payer: BCBS Trust/PPO |
$15,720.02
|
| Rate for Payer: BCN Commercial |
$15,720.02
|
| Rate for Payer: BCN Medicare Advantage |
$4,780.45
|
| Rate for Payer: Cash Price |
$15,297.43
|
| Rate for Payer: Cofinity Commercial |
$16,444.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,297.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,780.45
|
| Rate for Payer: Healthscope Commercial |
$17,209.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,341.34
|
| Rate for Payer: Mclaren Medicaid |
$3,371.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,019.47
|
| Rate for Payer: Meridian Medicaid |
$3,539.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,497.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,258.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,253.52
|
| Rate for Payer: Nomi Health Commercial |
$15,679.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,341.34
|
| Rate for Payer: PACE Senior Care Partners |
$4,541.43
|
| Rate for Payer: PACE SWMI |
$4,780.45
|
| Rate for Payer: PHP Commercial |
$16,253.52
|
| Rate for Payer: PHP Medicare Advantage |
$4,780.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,371.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16,635.96
|
| Rate for Payer: Priority Health Medicare |
$4,828.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,308.77
|
| Rate for Payer: Railroad Medicare Medicare |
$4,780.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,827.18
|
| Rate for Payer: UHC Core |
$15,966.69
|
| Rate for Payer: UHC Exchange |
$4,780.45
|
| Rate for Payer: UHC Medicaid |
$3,371.17
|
| Rate for Payer: UHC Medicare Advantage |
$4,780.45
|
| Rate for Payer: UHCCP Medicaid |
$3,371.17
|
| Rate for Payer: VA VA |
$4,780.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,341.34
|
|
|
HC STENT PLACE VENOUS
|
Facility
|
IP
|
$19,121.79
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
36100426
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,308.77 |
| Max. Negotiated Rate |
$17,209.61 |
| Rate for Payer: Aetna Commercial |
$16,253.52
|
| Rate for Payer: BCBS Trust/PPO |
$15,792.69
|
| Rate for Payer: BCN Commercial |
$15,792.69
|
| Rate for Payer: Cash Price |
$15,297.43
|
| Rate for Payer: Cofinity Commercial |
$16,444.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,297.43
|
| Rate for Payer: Healthscope Commercial |
$17,209.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,341.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,253.52
|
| Rate for Payer: Nomi Health Commercial |
$15,679.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,341.34
|
| Rate for Payer: PHP Commercial |
$16,253.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16,635.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13,308.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,827.18
|
| Rate for Payer: UHC Core |
$15,966.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,341.34
|
|
|
HC STENT PLACE VENOUS EA ADDL VEIN
|
Facility
|
OP
|
$10,828.91
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100427
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,909.14 |
| Max. Negotiated Rate |
$9,746.02 |
| Rate for Payer: Aetna Commercial |
$9,204.57
|
| Rate for Payer: Aetna Medicare |
$2,815.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,384.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,384.03
|
| Rate for Payer: BCBS Complete |
$2,004.43
|
| Rate for Payer: BCBS MAPPO |
$2,707.23
|
| Rate for Payer: BCBS Trust/PPO |
$8,902.45
|
| Rate for Payer: BCN Commercial |
$8,902.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,707.23
|
| Rate for Payer: Cash Price |
$8,663.13
|
| Rate for Payer: Cofinity Commercial |
$9,312.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,663.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,707.23
|
| Rate for Payer: Healthscope Commercial |
$9,746.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,121.68
|
| Rate for Payer: Mclaren Medicaid |
$1,909.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,842.59
|
| Rate for Payer: Meridian Medicaid |
$2,004.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,113.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,977.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,204.57
|
| Rate for Payer: Nomi Health Commercial |
$8,879.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,121.68
|
| Rate for Payer: PACE Senior Care Partners |
$2,571.87
|
| Rate for Payer: PACE SWMI |
$2,707.23
|
| Rate for Payer: PHP Commercial |
$9,204.57
|
| Rate for Payer: PHP Medicare Advantage |
$2,707.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,909.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,421.15
|
| Rate for Payer: Priority Health Medicare |
$2,734.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,536.92
|
| Rate for Payer: Railroad Medicare Medicare |
$2,707.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,529.44
|
| Rate for Payer: UHC Core |
$9,042.14
|
| Rate for Payer: UHC Exchange |
$2,707.23
|
| Rate for Payer: UHC Medicaid |
$1,909.14
|
| Rate for Payer: UHC Medicare Advantage |
$2,707.23
|
| Rate for Payer: UHCCP Medicaid |
$1,909.14
|
| Rate for Payer: VA VA |
$2,707.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,121.68
|
|
|
HC STENT PLACE VENOUS EA ADDL VEIN
|
Facility
|
IP
|
$10,828.91
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100427
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,536.92 |
| Max. Negotiated Rate |
$9,746.02 |
| Rate for Payer: Aetna Commercial |
$9,204.57
|
| Rate for Payer: BCBS Trust/PPO |
$8,943.60
|
| Rate for Payer: BCN Commercial |
$8,943.60
|
| Rate for Payer: Cash Price |
$8,663.13
|
| Rate for Payer: Cofinity Commercial |
$9,312.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,663.13
|
| Rate for Payer: Healthscope Commercial |
$9,746.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,121.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,204.57
|
| Rate for Payer: Nomi Health Commercial |
$8,879.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,121.68
|
| Rate for Payer: PHP Commercial |
$9,204.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,421.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,536.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,529.44
|
| Rate for Payer: UHC Core |
$9,042.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,121.68
|
|
|
HC STENT TRASCATH VEIN EACH ADDL
|
Facility
|
OP
|
$6,992.43
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100441
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,232.77 |
| Max. Negotiated Rate |
$6,293.19 |
| Rate for Payer: Aetna Commercial |
$5,943.57
|
| Rate for Payer: Aetna Medicare |
$1,818.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,185.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,185.13
|
| Rate for Payer: BCBS Complete |
$1,294.30
|
| Rate for Payer: BCBS MAPPO |
$1,748.11
|
| Rate for Payer: BCBS Trust/PPO |
$5,748.48
|
| Rate for Payer: BCN Commercial |
$5,748.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,748.11
|
| Rate for Payer: Cash Price |
$5,593.94
|
| Rate for Payer: Cofinity Commercial |
$6,013.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,593.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,748.11
|
| Rate for Payer: Healthscope Commercial |
$6,293.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,244.32
|
| Rate for Payer: Mclaren Medicaid |
$1,232.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,835.51
|
| Rate for Payer: Meridian Medicaid |
$1,294.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,010.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,922.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,943.57
|
| Rate for Payer: Nomi Health Commercial |
$5,733.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,244.32
|
| Rate for Payer: PACE Senior Care Partners |
$1,660.70
|
| Rate for Payer: PACE SWMI |
$1,748.11
|
| Rate for Payer: PHP Commercial |
$5,943.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,748.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,232.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,083.41
|
| Rate for Payer: Priority Health Medicare |
$1,765.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,866.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,748.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,153.34
|
| Rate for Payer: UHC Core |
$5,838.68
|
| Rate for Payer: UHC Exchange |
$1,748.11
|
| Rate for Payer: UHC Medicaid |
$1,232.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,748.11
|
| Rate for Payer: UHCCP Medicaid |
$1,232.77
|
| Rate for Payer: VA VA |
$1,748.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,244.32
|
|
|
HC STENT TRASCATH VEIN EACH ADDL
|
Facility
|
IP
|
$6,992.43
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
36100441
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,866.73 |
| Max. Negotiated Rate |
$6,293.19 |
| Rate for Payer: Aetna Commercial |
$5,943.57
|
| Rate for Payer: BCBS Trust/PPO |
$5,775.05
|
| Rate for Payer: BCN Commercial |
$5,775.05
|
| Rate for Payer: Cash Price |
$5,593.94
|
| Rate for Payer: Cofinity Commercial |
$6,013.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,593.94
|
| Rate for Payer: Healthscope Commercial |
$6,293.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,244.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,943.57
|
| Rate for Payer: Nomi Health Commercial |
$5,733.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,244.32
|
| Rate for Payer: PHP Commercial |
$5,943.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,083.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,866.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,153.34
|
| Rate for Payer: UHC Core |
$5,838.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,244.32
|
|
|
HC STENT VESSEL/BRANCH
|
Facility
|
OP
|
$25,160.93
|
|
|
Service Code
|
CPT 92928
|
| Hospital Charge Code |
48100073
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,435.87 |
| Max. Negotiated Rate |
$22,644.84 |
| Rate for Payer: Aetna Commercial |
$21,386.79
|
| Rate for Payer: Aetna Medicare |
$6,541.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,862.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,862.79
|
| Rate for Payer: BCBS Complete |
$4,657.29
|
| Rate for Payer: BCBS MAPPO |
$6,290.23
|
| Rate for Payer: BCBS Trust/PPO |
$20,684.80
|
| Rate for Payer: BCN Commercial |
$20,684.80
|
| Rate for Payer: BCN Medicare Advantage |
$6,290.23
|
| Rate for Payer: Cash Price |
$20,128.74
|
| Rate for Payer: Cofinity Commercial |
$21,638.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20,128.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,290.23
|
| Rate for Payer: Healthscope Commercial |
$22,644.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,870.70
|
| Rate for Payer: Mclaren Medicaid |
$4,435.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,604.74
|
| Rate for Payer: Meridian Medicaid |
$4,657.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,233.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,919.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,386.79
|
| Rate for Payer: Nomi Health Commercial |
$20,631.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18,870.70
|
| Rate for Payer: PACE Senior Care Partners |
$5,975.72
|
| Rate for Payer: PACE SWMI |
$6,290.23
|
| Rate for Payer: PHP Commercial |
$21,386.79
|
| Rate for Payer: PHP Medicare Advantage |
$6,290.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,435.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21,890.01
|
| Rate for Payer: Priority Health Medicare |
$6,353.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17,512.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6,290.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,141.62
|
| Rate for Payer: UHC Core |
$21,009.38
|
| Rate for Payer: UHC Exchange |
$6,290.23
|
| Rate for Payer: UHC Medicaid |
$4,435.87
|
| Rate for Payer: UHC Medicare Advantage |
$6,290.23
|
| Rate for Payer: UHCCP Medicaid |
$4,435.87
|
| Rate for Payer: VA VA |
$6,290.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,870.70
|
|
|
HC STENT VESSEL/BRANCH
|
Facility
|
IP
|
$25,160.93
|
|
|
Service Code
|
CPT 92928
|
| Hospital Charge Code |
48100073
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$17,512.01 |
| Max. Negotiated Rate |
$22,644.84 |
| Rate for Payer: Aetna Commercial |
$21,386.79
|
| Rate for Payer: BCBS Trust/PPO |
$20,780.41
|
| Rate for Payer: BCN Commercial |
$20,780.41
|
| Rate for Payer: Cash Price |
$20,128.74
|
| Rate for Payer: Cofinity Commercial |
$21,638.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20,128.74
|
| Rate for Payer: Healthscope Commercial |
$22,644.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,870.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,386.79
|
| Rate for Payer: Nomi Health Commercial |
$20,631.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18,870.70
|
| Rate for Payer: PHP Commercial |
$21,386.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21,890.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17,512.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,141.62
|
| Rate for Payer: UHC Core |
$21,009.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,870.70
|
|
|
HC ST JUDE CRT ICD
|
Facility
|
IP
|
$28,652.62
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500009
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$19,942.22 |
| Max. Negotiated Rate |
$25,787.36 |
| Rate for Payer: Aetna Commercial |
$24,354.73
|
| Rate for Payer: BCBS Trust/PPO |
$23,664.20
|
| Rate for Payer: BCN Commercial |
$23,664.20
|
| Rate for Payer: Cash Price |
$22,922.10
|
| Rate for Payer: Cofinity Commercial |
$24,641.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,922.10
|
| Rate for Payer: Healthscope Commercial |
$25,787.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,489.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,354.73
|
| Rate for Payer: Nomi Health Commercial |
$23,495.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,489.47
|
| Rate for Payer: PHP Commercial |
$24,354.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24,927.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,942.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,214.31
|
| Rate for Payer: UHC Core |
$23,924.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,489.47
|
|
|
HC ST JUDE CRT ICD
|
Facility
|
OP
|
$28,652.62
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500009
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,051.46 |
| Max. Negotiated Rate |
$25,787.36 |
| Rate for Payer: Aetna Commercial |
$24,354.73
|
| Rate for Payer: Aetna Medicare |
$7,449.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,953.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,953.94
|
| Rate for Payer: BCBS Complete |
$5,303.60
|
| Rate for Payer: BCBS MAPPO |
$7,163.15
|
| Rate for Payer: BCBS Trust/PPO |
$23,555.32
|
| Rate for Payer: BCN Commercial |
$23,555.32
|
| Rate for Payer: BCN Medicare Advantage |
$7,163.15
|
| Rate for Payer: Cash Price |
$22,922.10
|
| Rate for Payer: Cofinity Commercial |
$24,641.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,922.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,163.15
|
| Rate for Payer: Healthscope Commercial |
$25,787.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,489.47
|
| Rate for Payer: Mclaren Medicaid |
$5,051.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,521.31
|
| Rate for Payer: Meridian Medicaid |
$5,303.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,237.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,879.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,354.73
|
| Rate for Payer: Nomi Health Commercial |
$23,495.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,489.47
|
| Rate for Payer: PACE Senior Care Partners |
$6,805.00
|
| Rate for Payer: PACE SWMI |
$7,163.15
|
| Rate for Payer: PHP Commercial |
$24,354.73
|
| Rate for Payer: PHP Medicare Advantage |
$7,163.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,051.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24,927.78
|
| Rate for Payer: Priority Health Medicare |
$7,234.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,942.22
|
| Rate for Payer: Railroad Medicare Medicare |
$7,163.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,214.31
|
| Rate for Payer: UHC Core |
$23,924.94
|
| Rate for Payer: UHC Exchange |
$7,163.15
|
| Rate for Payer: UHC Medicaid |
$5,051.46
|
| Rate for Payer: UHC Medicare Advantage |
$7,163.15
|
| Rate for Payer: UHCCP Medicaid |
$5,051.46
|
| Rate for Payer: VA VA |
$7,163.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,489.47
|
|
|
HC ST JUDE CRT LEAD
|
Facility
|
IP
|
$5,942.76
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,136.16 |
| Max. Negotiated Rate |
$5,348.48 |
| Rate for Payer: Aetna Commercial |
$5,051.35
|
| Rate for Payer: BCBS Trust/PPO |
$4,908.13
|
| Rate for Payer: BCN Commercial |
$4,908.13
|
| Rate for Payer: Cash Price |
$4,754.21
|
| Rate for Payer: Cofinity Commercial |
$5,110.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,754.21
|
| Rate for Payer: Healthscope Commercial |
$5,348.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,457.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,051.35
|
| Rate for Payer: Nomi Health Commercial |
$4,873.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,457.07
|
| Rate for Payer: PHP Commercial |
$5,051.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,170.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,136.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,229.63
|
| Rate for Payer: UHC Core |
$4,962.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,457.07
|
|
|
HC ST JUDE CRT LEAD
|
Facility
|
OP
|
$5,942.76
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,047.71 |
| Max. Negotiated Rate |
$5,348.48 |
| Rate for Payer: Aetna Commercial |
$5,051.35
|
| Rate for Payer: Aetna Medicare |
$1,545.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,857.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,857.11
|
| Rate for Payer: BCBS Complete |
$1,100.00
|
| Rate for Payer: BCBS MAPPO |
$1,485.69
|
| Rate for Payer: BCBS Trust/PPO |
$4,885.54
|
| Rate for Payer: BCN Commercial |
$4,885.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,485.69
|
| Rate for Payer: Cash Price |
$4,754.21
|
| Rate for Payer: Cofinity Commercial |
$5,110.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,754.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,485.69
|
| Rate for Payer: Healthscope Commercial |
$5,348.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,457.07
|
| Rate for Payer: Mclaren Medicaid |
$1,047.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,559.97
|
| Rate for Payer: Meridian Medicaid |
$1,100.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,708.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,634.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,051.35
|
| Rate for Payer: Nomi Health Commercial |
$4,873.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,457.07
|
| Rate for Payer: PACE Senior Care Partners |
$1,411.41
|
| Rate for Payer: PACE SWMI |
$1,485.69
|
| Rate for Payer: PHP Commercial |
$5,051.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,485.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,047.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,170.20
|
| Rate for Payer: Priority Health Medicare |
$1,500.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,136.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,485.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,229.63
|
| Rate for Payer: UHC Core |
$4,962.20
|
| Rate for Payer: UHC Exchange |
$1,485.69
|
| Rate for Payer: UHC Medicaid |
$1,047.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,485.69
|
| Rate for Payer: UHCCP Medicaid |
$1,047.71
|
| Rate for Payer: VA VA |
$1,485.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,457.07
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
OP
|
$9,550.87
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,683.82 |
| Max. Negotiated Rate |
$8,595.78 |
| Rate for Payer: Aetna Commercial |
$8,118.24
|
| Rate for Payer: Aetna Medicare |
$2,483.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,984.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,984.65
|
| Rate for Payer: BCBS Complete |
$1,767.87
|
| Rate for Payer: BCBS MAPPO |
$2,387.72
|
| Rate for Payer: BCBS Trust/PPO |
$7,851.77
|
| Rate for Payer: BCN Commercial |
$7,851.77
|
| Rate for Payer: BCN Medicare Advantage |
$2,387.72
|
| Rate for Payer: Cash Price |
$7,640.70
|
| Rate for Payer: Cofinity Commercial |
$8,213.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,640.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,387.72
|
| Rate for Payer: Healthscope Commercial |
$8,595.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,163.15
|
| Rate for Payer: Mclaren Medicaid |
$1,683.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,507.10
|
| Rate for Payer: Meridian Medicaid |
$1,767.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,745.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,626.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,118.24
|
| Rate for Payer: Nomi Health Commercial |
$7,831.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,163.15
|
| Rate for Payer: PACE Senior Care Partners |
$2,268.33
|
| Rate for Payer: PACE SWMI |
$2,387.72
|
| Rate for Payer: PHP Commercial |
$8,118.24
|
| Rate for Payer: PHP Medicare Advantage |
$2,387.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,683.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,309.26
|
| Rate for Payer: Priority Health Medicare |
$2,411.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,647.41
|
| Rate for Payer: Railroad Medicare Medicare |
$2,387.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,404.77
|
| Rate for Payer: UHC Core |
$7,974.98
|
| Rate for Payer: UHC Exchange |
$2,387.72
|
| Rate for Payer: UHC Medicaid |
$1,683.82
|
| Rate for Payer: UHC Medicare Advantage |
$2,387.72
|
| Rate for Payer: UHCCP Medicaid |
$1,683.82
|
| Rate for Payer: VA VA |
$2,387.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,163.15
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
IP
|
$9,550.87
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$6,647.41 |
| Max. Negotiated Rate |
$8,595.78 |
| Rate for Payer: Aetna Commercial |
$8,118.24
|
| Rate for Payer: BCBS Trust/PPO |
$7,888.06
|
| Rate for Payer: BCN Commercial |
$7,888.06
|
| Rate for Payer: Cash Price |
$7,640.70
|
| Rate for Payer: Cofinity Commercial |
$8,213.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,640.70
|
| Rate for Payer: Healthscope Commercial |
$8,595.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,163.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,118.24
|
| Rate for Payer: Nomi Health Commercial |
$7,831.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,163.15
|
| Rate for Payer: PHP Commercial |
$8,118.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8,309.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,647.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,404.77
|
| Rate for Payer: UHC Core |
$7,974.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,163.15
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
OP
|
$21,648.64
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,816.66 |
| Max. Negotiated Rate |
$19,483.78 |
| Rate for Payer: Aetna Commercial |
$18,401.34
|
| Rate for Payer: Aetna Medicare |
$5,628.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,765.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,765.20
|
| Rate for Payer: BCBS Complete |
$4,007.16
|
| Rate for Payer: BCBS MAPPO |
$5,412.16
|
| Rate for Payer: BCBS Trust/PPO |
$17,797.35
|
| Rate for Payer: BCN Commercial |
$17,797.35
|
| Rate for Payer: BCN Medicare Advantage |
$5,412.16
|
| Rate for Payer: Cash Price |
$17,318.91
|
| Rate for Payer: Cofinity Commercial |
$18,617.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,318.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,412.16
|
| Rate for Payer: Healthscope Commercial |
$19,483.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,236.48
|
| Rate for Payer: Mclaren Medicaid |
$3,816.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,682.77
|
| Rate for Payer: Meridian Medicaid |
$4,007.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,223.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,953.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,401.34
|
| Rate for Payer: Nomi Health Commercial |
$17,751.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,236.48
|
| Rate for Payer: PACE Senior Care Partners |
$5,141.55
|
| Rate for Payer: PACE SWMI |
$5,412.16
|
| Rate for Payer: PHP Commercial |
$18,401.34
|
| Rate for Payer: PHP Medicare Advantage |
$5,412.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,816.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18,834.32
|
| Rate for Payer: Priority Health Medicare |
$5,466.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15,067.45
|
| Rate for Payer: Railroad Medicare Medicare |
$5,412.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,050.80
|
| Rate for Payer: UHC Core |
$18,076.61
|
| Rate for Payer: UHC Exchange |
$5,412.16
|
| Rate for Payer: UHC Medicaid |
$3,816.66
|
| Rate for Payer: UHC Medicare Advantage |
$5,412.16
|
| Rate for Payer: UHCCP Medicaid |
$3,816.66
|
| Rate for Payer: VA VA |
$5,412.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,236.48
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
IP
|
$21,648.64
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15,067.45 |
| Max. Negotiated Rate |
$19,483.78 |
| Rate for Payer: Aetna Commercial |
$18,401.34
|
| Rate for Payer: BCBS Trust/PPO |
$17,879.61
|
| Rate for Payer: BCN Commercial |
$17,879.61
|
| Rate for Payer: Cash Price |
$17,318.91
|
| Rate for Payer: Cofinity Commercial |
$18,617.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,318.91
|
| Rate for Payer: Healthscope Commercial |
$19,483.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,236.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,401.34
|
| Rate for Payer: Nomi Health Commercial |
$17,751.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,236.48
|
| Rate for Payer: PHP Commercial |
$18,401.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18,834.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15,067.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,050.80
|
| Rate for Payer: UHC Core |
$18,076.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,236.48
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
OP
|
$14,347.53
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,529.47 |
| Max. Negotiated Rate |
$12,912.78 |
| Rate for Payer: Aetna Commercial |
$12,195.40
|
| Rate for Payer: Aetna Medicare |
$3,730.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,483.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,483.60
|
| Rate for Payer: BCBS Complete |
$2,655.73
|
| Rate for Payer: BCBS MAPPO |
$3,586.88
|
| Rate for Payer: BCBS Trust/PPO |
$11,795.10
|
| Rate for Payer: BCN Commercial |
$11,795.10
|
| Rate for Payer: BCN Medicare Advantage |
$3,586.88
|
| Rate for Payer: Cash Price |
$11,478.02
|
| Rate for Payer: Cofinity Commercial |
$12,338.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,478.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,586.88
|
| Rate for Payer: Healthscope Commercial |
$12,912.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,760.65
|
| Rate for Payer: Mclaren Medicaid |
$2,529.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,766.23
|
| Rate for Payer: Meridian Medicaid |
$2,655.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,124.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,945.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,195.40
|
| Rate for Payer: Nomi Health Commercial |
$11,764.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,760.65
|
| Rate for Payer: PACE Senior Care Partners |
$3,407.54
|
| Rate for Payer: PACE SWMI |
$3,586.88
|
| Rate for Payer: PHP Commercial |
$12,195.40
|
| Rate for Payer: PHP Medicare Advantage |
$3,586.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,529.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,482.35
|
| Rate for Payer: Priority Health Medicare |
$3,622.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,985.88
|
| Rate for Payer: Railroad Medicare Medicare |
$3,586.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,625.83
|
| Rate for Payer: UHC Core |
$11,980.19
|
| Rate for Payer: UHC Exchange |
$3,586.88
|
| Rate for Payer: UHC Medicaid |
$2,529.47
|
| Rate for Payer: UHC Medicare Advantage |
$3,586.88
|
| Rate for Payer: UHCCP Medicaid |
$2,529.47
|
| Rate for Payer: VA VA |
$3,586.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,760.65
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
IP
|
$14,347.53
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,985.88 |
| Max. Negotiated Rate |
$12,912.78 |
| Rate for Payer: Aetna Commercial |
$12,195.40
|
| Rate for Payer: BCBS Trust/PPO |
$11,849.63
|
| Rate for Payer: BCN Commercial |
$11,849.63
|
| Rate for Payer: Cash Price |
$11,478.02
|
| Rate for Payer: Cofinity Commercial |
$12,338.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,478.02
|
| Rate for Payer: Healthscope Commercial |
$12,912.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,760.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,195.40
|
| Rate for Payer: Nomi Health Commercial |
$11,764.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,760.65
|
| Rate for Payer: PHP Commercial |
$12,195.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12,482.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,985.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,625.83
|
| Rate for Payer: UHC Core |
$11,980.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,760.65
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
OP
|
$7,322.34
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$1,290.93 |
| Max. Negotiated Rate |
$6,590.11 |
| Rate for Payer: Aetna Commercial |
$6,223.99
|
| Rate for Payer: Aetna Medicare |
$1,903.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,288.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,288.23
|
| Rate for Payer: BCBS Complete |
$1,355.37
|
| Rate for Payer: BCBS MAPPO |
$1,830.59
|
| Rate for Payer: BCBS Trust/PPO |
$6,019.70
|
| Rate for Payer: BCN Commercial |
$6,019.70
|
| Rate for Payer: BCN Medicare Advantage |
$1,830.59
|
| Rate for Payer: Cash Price |
$5,857.87
|
| Rate for Payer: Cofinity Commercial |
$6,297.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,857.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,830.59
|
| Rate for Payer: Healthscope Commercial |
$6,590.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,491.76
|
| Rate for Payer: Mclaren Medicaid |
$1,290.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,922.11
|
| Rate for Payer: Meridian Medicaid |
$1,355.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,105.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,013.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,223.99
|
| Rate for Payer: Nomi Health Commercial |
$6,004.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.76
|
| Rate for Payer: PACE Senior Care Partners |
$1,739.06
|
| Rate for Payer: PACE SWMI |
$1,830.59
|
| Rate for Payer: PHP Commercial |
$6,223.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,830.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,290.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,370.44
|
| Rate for Payer: Priority Health Medicare |
$1,848.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,096.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,830.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,443.66
|
| Rate for Payer: UHC Core |
$6,114.15
|
| Rate for Payer: UHC Exchange |
$1,830.59
|
| Rate for Payer: UHC Medicaid |
$1,290.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,830.59
|
| Rate for Payer: UHCCP Medicaid |
$1,290.93
|
| Rate for Payer: VA VA |
$1,830.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,491.76
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
IP
|
$7,322.34
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,096.35 |
| Max. Negotiated Rate |
$6,590.11 |
| Rate for Payer: Aetna Commercial |
$6,223.99
|
| Rate for Payer: BCBS Trust/PPO |
$6,047.52
|
| Rate for Payer: BCN Commercial |
$6,047.52
|
| Rate for Payer: Cash Price |
$5,857.87
|
| Rate for Payer: Cofinity Commercial |
$6,297.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,857.87
|
| Rate for Payer: Healthscope Commercial |
$6,590.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,491.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,223.99
|
| Rate for Payer: Nomi Health Commercial |
$6,004.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.76
|
| Rate for Payer: PHP Commercial |
$6,223.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,370.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,096.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,443.66
|
| Rate for Payer: UHC Core |
$6,114.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,491.76
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,328.01
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,796.29 |
| Max. Negotiated Rate |
$7,495.21 |
| Rate for Payer: Aetna Commercial |
$7,078.81
|
| Rate for Payer: BCBS Trust/PPO |
$6,878.10
|
| Rate for Payer: BCN Commercial |
$6,878.10
|
| Rate for Payer: Cash Price |
$6,662.41
|
| Rate for Payer: Cofinity Commercial |
$7,162.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,662.41
|
| Rate for Payer: Healthscope Commercial |
$7,495.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,246.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,078.81
|
| Rate for Payer: Nomi Health Commercial |
$6,828.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,246.01
|
| Rate for Payer: PHP Commercial |
$7,078.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,245.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,796.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,328.65
|
| Rate for Payer: UHC Core |
$6,953.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,246.01
|
|
