|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$69,883.67
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$16,597.37 |
| Max. Negotiated Rate |
$62,895.30 |
| Rate for Payer: Aetna Commercial |
$59,401.12
|
| Rate for Payer: Aetna Medicare |
$18,169.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,838.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,838.65
|
| Rate for Payer: BCBS Complete |
$27,953.47
|
| Rate for Payer: BCBS MAPPO |
$17,470.92
|
| Rate for Payer: BCBS Trust/PPO |
$57,451.37
|
| Rate for Payer: BCN Commercial |
$54,334.55
|
| Rate for Payer: BCN Medicare Advantage |
$17,470.92
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$60,099.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55,906.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,470.92
|
| Rate for Payer: Healthscope Commercial |
$62,895.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52,412.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,344.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,091.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,401.12
|
| Rate for Payer: Nomi Health Commercial |
$57,304.61
|
| Rate for Payer: PACE Senior Care Partners |
$16,597.37
|
| Rate for Payer: PACE SWMI |
$17,470.92
|
| Rate for Payer: PHP Commercial |
$59,401.12
|
| Rate for Payer: PHP Medicare Advantage |
$17,470.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,424.39
|
| Rate for Payer: Priority Health HMO/PPO |
$60,798.79
|
| Rate for Payer: Priority Health Medicare |
$17,645.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46,822.06
|
| Rate for Payer: Railroad Medicare Medicare |
$17,470.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,497.63
|
| Rate for Payer: UHC Core |
$58,352.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,470.92
|
| Rate for Payer: UHC Exchange |
$17,470.92
|
| Rate for Payer: UHC Medicare Advantage |
$17,470.92
|
| Rate for Payer: VA VA |
$17,470.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52,412.75
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$69,883.67
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$45,424.39 |
| Max. Negotiated Rate |
$62,895.30 |
| Rate for Payer: Aetna Commercial |
$59,401.12
|
| Rate for Payer: BCBS Trust/PPO |
$57,046.04
|
| Rate for Payer: BCN Commercial |
$54,006.10
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$60,099.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55,906.94
|
| Rate for Payer: Healthscope Commercial |
$62,895.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52,412.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,401.12
|
| Rate for Payer: Nomi Health Commercial |
$57,304.61
|
| Rate for Payer: PHP Commercial |
$59,401.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,424.39
|
| Rate for Payer: Priority Health HMO/PPO |
$60,798.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46,822.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,497.63
|
| Rate for Payer: UHC Core |
$58,352.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52,412.75
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$60,520.07
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$39,338.05 |
| Max. Negotiated Rate |
$54,468.06 |
| Rate for Payer: Aetna Commercial |
$51,442.06
|
| Rate for Payer: BCBS Trust/PPO |
$49,402.53
|
| Rate for Payer: BCN Commercial |
$46,769.91
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$52,047.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48,416.06
|
| Rate for Payer: Healthscope Commercial |
$54,468.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45,390.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,442.06
|
| Rate for Payer: Nomi Health Commercial |
$49,626.46
|
| Rate for Payer: PHP Commercial |
$51,442.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39,338.05
|
| Rate for Payer: Priority Health HMO/PPO |
$52,652.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40,548.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,257.66
|
| Rate for Payer: UHC Core |
$50,534.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45,390.05
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$60,520.07
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$14,373.52 |
| Max. Negotiated Rate |
$54,468.06 |
| Rate for Payer: Aetna Commercial |
$51,442.06
|
| Rate for Payer: Aetna Medicare |
$15,735.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,912.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,912.52
|
| Rate for Payer: BCBS Complete |
$24,208.03
|
| Rate for Payer: BCBS MAPPO |
$15,130.02
|
| Rate for Payer: BCBS Trust/PPO |
$49,753.55
|
| Rate for Payer: BCN Commercial |
$47,054.35
|
| Rate for Payer: BCN Medicare Advantage |
$15,130.02
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$52,047.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48,416.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,130.02
|
| Rate for Payer: Healthscope Commercial |
$54,468.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45,390.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,886.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,399.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,442.06
|
| Rate for Payer: Nomi Health Commercial |
$49,626.46
|
| Rate for Payer: PACE Senior Care Partners |
$14,373.52
|
| Rate for Payer: PACE SWMI |
$15,130.02
|
| Rate for Payer: PHP Commercial |
$51,442.06
|
| Rate for Payer: PHP Medicare Advantage |
$15,130.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39,338.05
|
| Rate for Payer: Priority Health HMO/PPO |
$52,652.46
|
| Rate for Payer: Priority Health Medicare |
$15,281.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40,548.45
|
| Rate for Payer: Railroad Medicare Medicare |
$15,130.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,257.66
|
| Rate for Payer: UHC Core |
$50,534.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,130.02
|
| Rate for Payer: UHC Exchange |
$15,130.02
|
| Rate for Payer: UHC Medicare Advantage |
$15,130.02
|
| Rate for Payer: VA VA |
$15,130.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45,390.05
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$21,694.37
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,101.34 |
| Max. Negotiated Rate |
$19,524.93 |
| Rate for Payer: Aetna Commercial |
$18,440.21
|
| Rate for Payer: BCBS Trust/PPO |
$17,709.11
|
| Rate for Payer: BCN Commercial |
$16,765.41
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cofinity Commercial |
$18,657.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,355.50
|
| Rate for Payer: Healthscope Commercial |
$19,524.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,270.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,440.21
|
| Rate for Payer: Nomi Health Commercial |
$17,789.38
|
| Rate for Payer: PHP Commercial |
$18,440.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,101.34
|
| Rate for Payer: Priority Health HMO/PPO |
$18,874.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,535.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,091.05
|
| Rate for Payer: UHC Core |
$18,114.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,270.78
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$21,694.37
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,152.41 |
| Max. Negotiated Rate |
$19,524.93 |
| Rate for Payer: Aetna Commercial |
$18,440.21
|
| Rate for Payer: Aetna Medicare |
$5,640.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,779.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,779.49
|
| Rate for Payer: BCBS Complete |
$16,696.58
|
| Rate for Payer: BCBS MAPPO |
$5,423.59
|
| Rate for Payer: BCBS Trust/PPO |
$17,834.94
|
| Rate for Payer: BCN Commercial |
$16,867.37
|
| Rate for Payer: BCN Medicare Advantage |
$5,423.59
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cofinity Commercial |
$18,657.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,355.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,423.59
|
| Rate for Payer: Healthscope Commercial |
$19,524.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,270.78
|
| Rate for Payer: Mclaren Medicaid |
$15,900.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,694.77
|
| Rate for Payer: Meridian Medicaid |
$16,696.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,237.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,440.21
|
| Rate for Payer: Nomi Health Commercial |
$17,789.38
|
| Rate for Payer: PACE Senior Care Partners |
$5,152.41
|
| Rate for Payer: PACE SWMI |
$5,423.59
|
| Rate for Payer: PHP Commercial |
$18,440.21
|
| Rate for Payer: PHP Medicare Advantage |
$5,423.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,900.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,101.34
|
| Rate for Payer: Priority Health HMO/PPO |
$18,874.10
|
| Rate for Payer: Priority Health Medicare |
$5,477.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,535.23
|
| Rate for Payer: Railroad Medicare Medicare |
$5,423.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,091.05
|
| Rate for Payer: UHC Core |
$18,114.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,423.59
|
| Rate for Payer: UHC Exchange |
$5,423.59
|
| Rate for Payer: UHC Medicare Advantage |
$5,423.59
|
| Rate for Payer: UHCCP Medicaid |
$15,900.45
|
| Rate for Payer: VA VA |
$5,423.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,270.78
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$16,428.77
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,901.83 |
| Max. Negotiated Rate |
$14,785.89 |
| Rate for Payer: Aetna Commercial |
$13,964.45
|
| Rate for Payer: Aetna Medicare |
$4,271.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,133.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,133.99
|
| Rate for Payer: BCBS Complete |
$7,784.62
|
| Rate for Payer: BCBS MAPPO |
$4,107.19
|
| Rate for Payer: BCBS Trust/PPO |
$13,506.09
|
| Rate for Payer: BCN Commercial |
$12,773.37
|
| Rate for Payer: BCN Medicare Advantage |
$4,107.19
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cofinity Commercial |
$14,128.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,143.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,107.19
|
| Rate for Payer: Healthscope Commercial |
$14,785.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,321.58
|
| Rate for Payer: Mclaren Medicaid |
$7,413.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,312.55
|
| Rate for Payer: Meridian Medicaid |
$7,784.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,723.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,964.45
|
| Rate for Payer: Nomi Health Commercial |
$13,471.59
|
| Rate for Payer: PACE Senior Care Partners |
$3,901.83
|
| Rate for Payer: PACE SWMI |
$4,107.19
|
| Rate for Payer: PHP Commercial |
$13,964.45
|
| Rate for Payer: PHP Medicare Advantage |
$4,107.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,413.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,678.70
|
| Rate for Payer: Priority Health HMO/PPO |
$14,293.03
|
| Rate for Payer: Priority Health Medicare |
$4,148.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,007.28
|
| Rate for Payer: Railroad Medicare Medicare |
$4,107.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,457.32
|
| Rate for Payer: UHC Core |
$13,718.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,107.19
|
| Rate for Payer: UHC Exchange |
$4,107.19
|
| Rate for Payer: UHC Medicare Advantage |
$4,107.19
|
| Rate for Payer: UHCCP Medicaid |
$7,413.44
|
| Rate for Payer: VA VA |
$4,107.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,321.58
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$16,428.77
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,678.70 |
| Max. Negotiated Rate |
$14,785.89 |
| Rate for Payer: Aetna Commercial |
$13,964.45
|
| Rate for Payer: BCBS Trust/PPO |
$13,410.80
|
| Rate for Payer: BCN Commercial |
$12,696.15
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cofinity Commercial |
$14,128.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,143.02
|
| Rate for Payer: Healthscope Commercial |
$14,785.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,321.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,964.45
|
| Rate for Payer: Nomi Health Commercial |
$13,471.59
|
| Rate for Payer: PHP Commercial |
$13,964.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,678.70
|
| Rate for Payer: Priority Health HMO/PPO |
$14,293.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,007.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,457.32
|
| Rate for Payer: UHC Core |
$13,718.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,321.58
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$3,052.33
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$724.93 |
| Max. Negotiated Rate |
$2,747.10 |
| Rate for Payer: Aetna Commercial |
$2,594.48
|
| Rate for Payer: Aetna Medicare |
$793.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$953.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$953.85
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$763.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,509.32
|
| Rate for Payer: BCN Commercial |
$2,373.19
|
| Rate for Payer: BCN Medicare Advantage |
$763.08
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cofinity Commercial |
$2,625.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,441.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$763.08
|
| Rate for Payer: Healthscope Commercial |
$2,747.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,289.25
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$801.24
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$877.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.48
|
| Rate for Payer: Nomi Health Commercial |
$2,502.91
|
| Rate for Payer: PACE Senior Care Partners |
$724.93
|
| Rate for Payer: PACE SWMI |
$763.08
|
| Rate for Payer: PHP Commercial |
$2,594.48
|
| Rate for Payer: PHP Medicare Advantage |
$763.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,984.01
|
| Rate for Payer: Priority Health HMO/PPO |
$2,655.53
|
| Rate for Payer: Priority Health Medicare |
$770.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,045.06
|
| Rate for Payer: Railroad Medicare Medicare |
$763.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,686.05
|
| Rate for Payer: UHC Core |
$2,548.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$763.08
|
| Rate for Payer: UHC Exchange |
$763.08
|
| Rate for Payer: UHC Medicare Advantage |
$763.08
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$763.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,289.25
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$3,052.33
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,984.01 |
| Max. Negotiated Rate |
$2,747.10 |
| Rate for Payer: Aetna Commercial |
$2,594.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,491.62
|
| Rate for Payer: BCN Commercial |
$2,358.84
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cofinity Commercial |
$2,625.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,441.86
|
| Rate for Payer: Healthscope Commercial |
$2,747.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,289.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.48
|
| Rate for Payer: Nomi Health Commercial |
$2,502.91
|
| Rate for Payer: PHP Commercial |
$2,594.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,984.01
|
| Rate for Payer: Priority Health HMO/PPO |
$2,655.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,045.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,686.05
|
| Rate for Payer: UHC Core |
$2,548.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,289.25
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,665.71
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,732.71 |
| Max. Negotiated Rate |
$2,399.14 |
| Rate for Payer: Aetna Commercial |
$2,265.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,176.02
|
| Rate for Payer: BCN Commercial |
$2,060.06
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cofinity Commercial |
$2,292.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,132.57
|
| Rate for Payer: Healthscope Commercial |
$2,399.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,999.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,265.85
|
| Rate for Payer: Nomi Health Commercial |
$2,185.88
|
| Rate for Payer: PHP Commercial |
$2,265.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.71
|
| Rate for Payer: Priority Health HMO/PPO |
$2,319.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,786.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,345.82
|
| Rate for Payer: UHC Core |
$2,225.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,999.28
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,665.71
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$633.11 |
| Max. Negotiated Rate |
$2,399.14 |
| Rate for Payer: Aetna Commercial |
$2,265.85
|
| Rate for Payer: Aetna Medicare |
$693.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$833.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$833.03
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$666.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,191.48
|
| Rate for Payer: BCN Commercial |
$2,072.59
|
| Rate for Payer: BCN Medicare Advantage |
$666.43
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cofinity Commercial |
$2,292.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,132.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$666.43
|
| Rate for Payer: Healthscope Commercial |
$2,399.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,999.28
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.75
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$766.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,265.85
|
| Rate for Payer: Nomi Health Commercial |
$2,185.88
|
| Rate for Payer: PACE Senior Care Partners |
$633.11
|
| Rate for Payer: PACE SWMI |
$666.43
|
| Rate for Payer: PHP Commercial |
$2,265.85
|
| Rate for Payer: PHP Medicare Advantage |
$666.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.71
|
| Rate for Payer: Priority Health HMO/PPO |
$2,319.17
|
| Rate for Payer: Priority Health Medicare |
$673.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,786.03
|
| Rate for Payer: Railroad Medicare Medicare |
$666.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,345.82
|
| Rate for Payer: UHC Core |
$2,225.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$666.43
|
| Rate for Payer: UHC Exchange |
$666.43
|
| Rate for Payer: UHC Medicare Advantage |
$666.43
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$666.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,999.28
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,470.89
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$349.34 |
| Max. Negotiated Rate |
$1,323.80 |
| Rate for Payer: Aetna Commercial |
$1,250.26
|
| Rate for Payer: Aetna Medicare |
$382.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$459.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$459.65
|
| Rate for Payer: BCBS Complete |
$1,155.53
|
| Rate for Payer: BCBS MAPPO |
$367.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,209.22
|
| Rate for Payer: BCN Commercial |
$1,143.62
|
| Rate for Payer: BCN Medicare Advantage |
$367.72
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cofinity Commercial |
$1,264.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,176.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$367.72
|
| Rate for Payer: Healthscope Commercial |
$1,323.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,103.17
|
| Rate for Payer: Mclaren Medicaid |
$1,100.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.11
|
| Rate for Payer: Meridian Medicaid |
$1,155.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$422.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,250.26
|
| Rate for Payer: Nomi Health Commercial |
$1,206.13
|
| Rate for Payer: PACE Senior Care Partners |
$349.34
|
| Rate for Payer: PACE SWMI |
$367.72
|
| Rate for Payer: PHP Commercial |
$1,250.26
|
| Rate for Payer: PHP Medicare Advantage |
$367.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,100.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.08
|
| Rate for Payer: Priority Health HMO/PPO |
$1,279.67
|
| Rate for Payer: Priority Health Medicare |
$371.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$985.50
|
| Rate for Payer: Railroad Medicare Medicare |
$367.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,294.38
|
| Rate for Payer: UHC Core |
$1,228.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$367.72
|
| Rate for Payer: UHC Exchange |
$367.72
|
| Rate for Payer: UHC Medicare Advantage |
$367.72
|
| Rate for Payer: UHCCP Medicaid |
$1,100.43
|
| Rate for Payer: VA VA |
$367.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,103.17
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,470.89
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$956.08 |
| Max. Negotiated Rate |
$1,323.80 |
| Rate for Payer: Aetna Commercial |
$1,250.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,200.69
|
| Rate for Payer: BCN Commercial |
$1,136.70
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cofinity Commercial |
$1,264.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,176.71
|
| Rate for Payer: Healthscope Commercial |
$1,323.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,103.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,250.26
|
| Rate for Payer: Nomi Health Commercial |
$1,206.13
|
| Rate for Payer: PHP Commercial |
$1,250.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.08
|
| Rate for Payer: Priority Health HMO/PPO |
$1,279.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$985.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,294.38
|
| Rate for Payer: UHC Core |
$1,228.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,103.17
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,573.82
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,086.28 |
| Max. Negotiated Rate |
$4,116.44 |
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: Aetna Medicare |
$1,189.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,429.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,429.32
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$1,143.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,760.14
|
| Rate for Payer: BCN Commercial |
$3,556.15
|
| Rate for Payer: BCN Medicare Advantage |
$1,143.46
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,143.46
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,200.63
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,314.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: PACE Senior Care Partners |
$1,086.28
|
| Rate for Payer: PACE SWMI |
$1,143.46
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,143.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health HMO/PPO |
$3,979.22
|
| Rate for Payer: Priority Health Medicare |
$1,154.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,064.46
|
| Rate for Payer: Railroad Medicare Medicare |
$1,143.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,024.96
|
| Rate for Payer: UHC Core |
$3,819.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,143.46
|
| Rate for Payer: UHC Exchange |
$1,143.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,143.46
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$1,143.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,573.82
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,972.98 |
| Max. Negotiated Rate |
$4,116.44 |
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,733.61
|
| Rate for Payer: BCN Commercial |
$3,534.65
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health HMO/PPO |
$3,979.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,064.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,024.96
|
| Rate for Payer: UHC Core |
$3,819.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
OP
|
$4,573.82
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,086.28 |
| Max. Negotiated Rate |
$4,116.44 |
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: Aetna Medicare |
$1,189.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,429.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,429.32
|
| Rate for Payer: BCBS Complete |
$4,021.03
|
| Rate for Payer: BCBS MAPPO |
$1,143.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,760.14
|
| Rate for Payer: BCN Commercial |
$3,556.15
|
| Rate for Payer: BCN Medicare Advantage |
$1,143.46
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,143.46
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| Rate for Payer: Mclaren Medicaid |
$3,829.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,200.63
|
| Rate for Payer: Meridian Medicaid |
$4,021.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,314.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: PACE Senior Care Partners |
$1,086.28
|
| Rate for Payer: PACE SWMI |
$1,143.46
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,143.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,829.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health HMO/PPO |
$3,979.22
|
| Rate for Payer: Priority Health Medicare |
$1,154.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,064.46
|
| Rate for Payer: Railroad Medicare Medicare |
$1,143.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,024.96
|
| Rate for Payer: UHC Core |
$3,819.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,143.46
|
| Rate for Payer: UHC Exchange |
$1,143.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,143.46
|
| Rate for Payer: UHCCP Medicaid |
$3,829.30
|
| Rate for Payer: VA VA |
$1,143.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,573.82
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,972.98 |
| Max. Negotiated Rate |
$4,116.44 |
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,733.61
|
| Rate for Payer: BCN Commercial |
$3,534.65
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health HMO/PPO |
$3,979.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,064.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,024.96
|
| Rate for Payer: UHC Core |
$3,819.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,292.89
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$782.06 |
| Max. Negotiated Rate |
$2,963.60 |
| Rate for Payer: Aetna Commercial |
$2,798.96
|
| Rate for Payer: Aetna Medicare |
$856.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,029.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,029.03
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$823.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,707.08
|
| Rate for Payer: BCN Commercial |
$2,560.22
|
| Rate for Payer: BCN Medicare Advantage |
$823.22
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cofinity Commercial |
$2,831.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,634.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$823.22
|
| Rate for Payer: Healthscope Commercial |
$2,963.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,469.67
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$864.38
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$946.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,798.96
|
| Rate for Payer: Nomi Health Commercial |
$2,700.17
|
| Rate for Payer: PACE Senior Care Partners |
$782.06
|
| Rate for Payer: PACE SWMI |
$823.22
|
| Rate for Payer: PHP Commercial |
$2,798.96
|
| Rate for Payer: PHP Medicare Advantage |
$823.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,140.38
|
| Rate for Payer: Priority Health HMO/PPO |
$2,864.81
|
| Rate for Payer: Priority Health Medicare |
$831.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,206.24
|
| Rate for Payer: Railroad Medicare Medicare |
$823.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,897.74
|
| Rate for Payer: UHC Core |
$2,749.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$823.22
|
| Rate for Payer: UHC Exchange |
$823.22
|
| Rate for Payer: UHC Medicare Advantage |
$823.22
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$823.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,469.67
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,292.89
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,140.38 |
| Max. Negotiated Rate |
$2,963.60 |
| Rate for Payer: Aetna Commercial |
$2,798.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,687.99
|
| Rate for Payer: BCN Commercial |
$2,544.75
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cofinity Commercial |
$2,831.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,634.31
|
| Rate for Payer: Healthscope Commercial |
$2,963.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,469.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,798.96
|
| Rate for Payer: Nomi Health Commercial |
$2,700.17
|
| Rate for Payer: PHP Commercial |
$2,798.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,140.38
|
| Rate for Payer: Priority Health HMO/PPO |
$2,864.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,206.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,897.74
|
| Rate for Payer: UHC Core |
$2,749.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,469.67
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$1,970.18
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,280.62 |
| Max. Negotiated Rate |
$1,773.16 |
| Rate for Payer: Aetna Commercial |
$1,674.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,608.26
|
| Rate for Payer: BCN Commercial |
$1,522.56
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cofinity Commercial |
$1,694.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,576.14
|
| Rate for Payer: Healthscope Commercial |
$1,773.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,477.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,674.65
|
| Rate for Payer: Nomi Health Commercial |
$1,615.55
|
| Rate for Payer: PHP Commercial |
$1,674.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.62
|
| Rate for Payer: Priority Health HMO/PPO |
$1,714.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,320.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,733.76
|
| Rate for Payer: UHC Core |
$1,645.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,477.64
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$1,970.18
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$467.92 |
| Max. Negotiated Rate |
$1,773.16 |
| Rate for Payer: Aetna Commercial |
$1,674.65
|
| Rate for Payer: Aetna Medicare |
$512.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$615.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$615.68
|
| Rate for Payer: BCBS Complete |
$1,155.53
|
| Rate for Payer: BCBS MAPPO |
$492.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,619.68
|
| Rate for Payer: BCN Commercial |
$1,531.81
|
| Rate for Payer: BCN Medicare Advantage |
$492.54
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cofinity Commercial |
$1,694.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,576.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.54
|
| Rate for Payer: Healthscope Commercial |
$1,773.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,477.64
|
| Rate for Payer: Mclaren Medicaid |
$1,100.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.17
|
| Rate for Payer: Meridian Medicaid |
$1,155.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$566.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,674.65
|
| Rate for Payer: Nomi Health Commercial |
$1,615.55
|
| Rate for Payer: PACE Senior Care Partners |
$467.92
|
| Rate for Payer: PACE SWMI |
$492.54
|
| Rate for Payer: PHP Commercial |
$1,674.65
|
| Rate for Payer: PHP Medicare Advantage |
$492.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,100.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.62
|
| Rate for Payer: Priority Health HMO/PPO |
$1,714.06
|
| Rate for Payer: Priority Health Medicare |
$497.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,320.02
|
| Rate for Payer: Railroad Medicare Medicare |
$492.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,733.76
|
| Rate for Payer: UHC Core |
$1,645.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.54
|
| Rate for Payer: UHC Exchange |
$492.54
|
| Rate for Payer: UHC Medicare Advantage |
$492.54
|
| Rate for Payer: UHCCP Medicaid |
$1,100.43
|
| Rate for Payer: VA VA |
$492.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,477.64
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,064.33
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$691.81 |
| Max. Negotiated Rate |
$957.90 |
| Rate for Payer: Aetna Commercial |
$904.68
|
| Rate for Payer: BCBS Trust/PPO |
$868.81
|
| Rate for Payer: BCN Commercial |
$822.51
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cofinity Commercial |
$915.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.46
|
| Rate for Payer: Healthscope Commercial |
$957.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$904.68
|
| Rate for Payer: Nomi Health Commercial |
$872.75
|
| Rate for Payer: PHP Commercial |
$904.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$691.81
|
| Rate for Payer: Priority Health HMO/PPO |
$925.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.61
|
| Rate for Payer: UHC Core |
$888.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.25
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,064.33
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$252.78 |
| Max. Negotiated Rate |
$957.90 |
| Rate for Payer: Aetna Commercial |
$904.68
|
| Rate for Payer: Aetna Medicare |
$276.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$332.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$332.60
|
| Rate for Payer: BCBS Complete |
$459.89
|
| Rate for Payer: BCBS MAPPO |
$266.08
|
| Rate for Payer: BCBS Trust/PPO |
$874.99
|
| Rate for Payer: BCN Commercial |
$827.52
|
| Rate for Payer: BCN Medicare Advantage |
$266.08
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cofinity Commercial |
$915.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.08
|
| Rate for Payer: Healthscope Commercial |
$957.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.25
|
| Rate for Payer: Mclaren Medicaid |
$437.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$279.39
|
| Rate for Payer: Meridian Medicaid |
$459.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$305.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$904.68
|
| Rate for Payer: Nomi Health Commercial |
$872.75
|
| Rate for Payer: PACE Senior Care Partners |
$252.78
|
| Rate for Payer: PACE SWMI |
$266.08
|
| Rate for Payer: PHP Commercial |
$904.68
|
| Rate for Payer: PHP Medicare Advantage |
$266.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$437.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$691.81
|
| Rate for Payer: Priority Health HMO/PPO |
$925.97
|
| Rate for Payer: Priority Health Medicare |
$268.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.10
|
| Rate for Payer: Railroad Medicare Medicare |
$266.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.61
|
| Rate for Payer: UHC Core |
$888.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.08
|
| Rate for Payer: UHC Exchange |
$266.08
|
| Rate for Payer: UHC Medicare Advantage |
$266.08
|
| Rate for Payer: UHCCP Medicaid |
$437.96
|
| Rate for Payer: VA VA |
$266.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.25
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
OP
|
$21,913.52
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,204.46 |
| Max. Negotiated Rate |
$23,848.97 |
| Rate for Payer: Aetna Commercial |
$18,626.49
|
| Rate for Payer: Aetna Medicare |
$5,697.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,847.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,847.98
|
| Rate for Payer: BCBS Complete |
$23,848.97
|
| Rate for Payer: BCBS MAPPO |
$5,478.38
|
| Rate for Payer: BCBS Trust/PPO |
$18,015.10
|
| Rate for Payer: BCN Commercial |
$17,037.76
|
| Rate for Payer: BCN Medicare Advantage |
$5,478.38
|
| Rate for Payer: Cash Price |
$17,530.82
|
| Rate for Payer: Cash Price |
$17,530.82
|
| Rate for Payer: Cofinity Commercial |
$18,845.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,530.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,478.38
|
| Rate for Payer: Healthscope Commercial |
$19,722.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,435.14
|
| Rate for Payer: Mclaren Medicaid |
$22,711.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,752.30
|
| Rate for Payer: Meridian Medicaid |
$23,848.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,300.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,626.49
|
| Rate for Payer: Nomi Health Commercial |
$17,969.09
|
| Rate for Payer: PACE Senior Care Partners |
$5,204.46
|
| Rate for Payer: PACE SWMI |
$5,478.38
|
| Rate for Payer: PHP Commercial |
$18,626.49
|
| Rate for Payer: PHP Medicare Advantage |
$5,478.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,711.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,243.79
|
| Rate for Payer: Priority Health HMO/PPO |
$19,064.76
|
| Rate for Payer: Priority Health Medicare |
$5,533.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14,682.06
|
| Rate for Payer: Railroad Medicare Medicare |
$5,478.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,283.90
|
| Rate for Payer: UHC Core |
$18,297.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,478.38
|
| Rate for Payer: UHC Exchange |
$5,478.38
|
| Rate for Payer: UHC Medicare Advantage |
$5,478.38
|
| Rate for Payer: UHCCP Medicaid |
$22,711.81
|
| Rate for Payer: VA VA |
$5,478.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,435.14
|
|
