|
HC TRANS CARE MGMT 14 DAYS
|
Facility
|
IP
|
$122.04
|
|
|
Service Code
|
CPT 99495
|
| Hospital Charge Code |
51000086
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$84.94 |
| Max. Negotiated Rate |
$109.84 |
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: BCBS Trust/PPO |
$100.79
|
| Rate for Payer: BCN Commercial |
$100.79
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Nomi Health Commercial |
$100.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.53
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$106.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.40
|
| Rate for Payer: UHC Core |
$101.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
|
|
HC TRANS CARE MGMT 7 DAYS
|
Facility
|
OP
|
$122.04
|
|
|
Service Code
|
CPT 99496
|
| Hospital Charge Code |
51000087
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$21.52 |
| Max. Negotiated Rate |
$109.84 |
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Medicare |
$31.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.14
|
| Rate for Payer: BCBS Complete |
$22.59
|
| Rate for Payer: BCBS MAPPO |
$30.51
|
| Rate for Payer: BCBS Trust/PPO |
$100.33
|
| Rate for Payer: BCN Commercial |
$100.33
|
| Rate for Payer: BCN Medicare Advantage |
$30.51
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.51
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Mclaren Medicaid |
$21.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.04
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Nomi Health Commercial |
$100.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.53
|
| Rate for Payer: PACE Senior Care Partners |
$28.98
|
| Rate for Payer: PACE SWMI |
$30.51
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Medicare Advantage |
$30.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$106.17
|
| Rate for Payer: Priority Health Medicare |
$30.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.94
|
| Rate for Payer: Railroad Medicare Medicare |
$30.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.40
|
| Rate for Payer: UHC Core |
$101.90
|
| Rate for Payer: UHC Exchange |
$30.51
|
| Rate for Payer: UHC Medicaid |
$21.52
|
| Rate for Payer: UHC Medicare Advantage |
$30.51
|
| Rate for Payer: UHCCP Medicaid |
$21.52
|
| Rate for Payer: VA VA |
$30.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
|
|
HC TRANS CARE MGMT 7 DAYS
|
Facility
|
IP
|
$122.04
|
|
|
Service Code
|
CPT 99496
|
| Hospital Charge Code |
51000087
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$84.94 |
| Max. Negotiated Rate |
$109.84 |
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: BCBS Trust/PPO |
$100.79
|
| Rate for Payer: BCN Commercial |
$100.79
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Nomi Health Commercial |
$100.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.53
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$106.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.40
|
| Rate for Payer: UHC Core |
$101.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
|
|
HC TRANSCATH INSERT/REPLACE LDLS PACEMAKER DUAL CHAMBER
|
Facility
|
IP
|
$47,677.90
|
|
|
Service Code
|
CPT 0795T
|
| Hospital Charge Code |
48100139
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$33,183.82 |
| Max. Negotiated Rate |
$42,910.11 |
| Rate for Payer: Aetna Commercial |
$40,526.21
|
| Rate for Payer: BCBS Trust/PPO |
$39,377.18
|
| Rate for Payer: BCN Commercial |
$39,377.18
|
| Rate for Payer: Cash Price |
$38,142.32
|
| Rate for Payer: Cofinity Commercial |
$41,002.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38,142.32
|
| Rate for Payer: Healthscope Commercial |
$42,910.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35,758.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,526.21
|
| Rate for Payer: Nomi Health Commercial |
$39,095.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35,758.43
|
| Rate for Payer: PHP Commercial |
$40,526.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41,479.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33,183.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,956.55
|
| Rate for Payer: UHC Core |
$39,811.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35,758.43
|
|
|
HC TRANSCATH INSERT/REPLACE LDLS PACEMAKER DUAL CHAMBER
|
Facility
|
OP
|
$47,677.90
|
|
|
Service Code
|
CPT 0795T
|
| Hospital Charge Code |
48100139
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,405.61 |
| Max. Negotiated Rate |
$42,910.11 |
| Rate for Payer: Aetna Commercial |
$40,526.21
|
| Rate for Payer: Aetna Medicare |
$12,396.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,899.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,899.34
|
| Rate for Payer: BCBS Complete |
$8,825.18
|
| Rate for Payer: BCBS MAPPO |
$11,919.48
|
| Rate for Payer: BCBS Trust/PPO |
$39,196.00
|
| Rate for Payer: BCN Commercial |
$39,196.00
|
| Rate for Payer: BCN Medicare Advantage |
$11,919.48
|
| Rate for Payer: Cash Price |
$38,142.32
|
| Rate for Payer: Cofinity Commercial |
$41,002.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38,142.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,919.48
|
| Rate for Payer: Healthscope Commercial |
$42,910.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35,758.43
|
| Rate for Payer: Mclaren Medicaid |
$8,405.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,515.45
|
| Rate for Payer: Meridian Medicaid |
$8,825.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,707.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,111.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,526.21
|
| Rate for Payer: Nomi Health Commercial |
$39,095.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35,758.43
|
| Rate for Payer: PACE Senior Care Partners |
$11,323.50
|
| Rate for Payer: PACE SWMI |
$11,919.48
|
| Rate for Payer: PHP Commercial |
$40,526.21
|
| Rate for Payer: PHP Medicare Advantage |
$11,919.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,405.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41,479.77
|
| Rate for Payer: Priority Health Medicare |
$12,038.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33,183.82
|
| Rate for Payer: Railroad Medicare Medicare |
$11,919.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,956.55
|
| Rate for Payer: UHC Core |
$39,811.05
|
| Rate for Payer: UHC Exchange |
$11,919.48
|
| Rate for Payer: UHC Medicaid |
$8,405.61
|
| Rate for Payer: UHC Medicare Advantage |
$11,919.48
|
| Rate for Payer: UHCCP Medicaid |
$8,405.61
|
| Rate for Payer: VA VA |
$11,919.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35,758.43
|
|
|
HC TRANSCATH INSERT/REPLACE LDLS PACEMAKER VENTRICULAR
|
Facility
|
IP
|
$25,468.99
|
|
|
Service Code
|
CPT 33274
|
| Hospital Charge Code |
48100115
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$17,726.42 |
| Max. Negotiated Rate |
$22,922.09 |
| Rate for Payer: Aetna Commercial |
$21,648.64
|
| Rate for Payer: BCBS Trust/PPO |
$21,034.84
|
| Rate for Payer: BCN Commercial |
$21,034.84
|
| Rate for Payer: Cash Price |
$20,375.19
|
| Rate for Payer: Cofinity Commercial |
$21,903.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20,375.19
|
| Rate for Payer: Healthscope Commercial |
$22,922.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19,101.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,648.64
|
| Rate for Payer: Nomi Health Commercial |
$20,884.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19,101.74
|
| Rate for Payer: PHP Commercial |
$21,648.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22,158.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17,726.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,412.71
|
| Rate for Payer: UHC Core |
$21,266.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19,101.74
|
|
|
HC TRANSCATH INSERT/REPLACE LDLS PACEMAKER VENTRICULAR
|
Facility
|
OP
|
$25,468.99
|
|
|
Service Code
|
CPT 33274
|
| Hospital Charge Code |
48100115
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,490.18 |
| Max. Negotiated Rate |
$22,922.09 |
| Rate for Payer: Aetna Commercial |
$21,648.64
|
| Rate for Payer: Aetna Medicare |
$6,621.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,959.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,959.06
|
| Rate for Payer: BCBS Complete |
$4,714.31
|
| Rate for Payer: BCBS MAPPO |
$6,367.25
|
| Rate for Payer: BCBS Trust/PPO |
$20,938.06
|
| Rate for Payer: BCN Commercial |
$20,938.06
|
| Rate for Payer: BCN Medicare Advantage |
$6,367.25
|
| Rate for Payer: Cash Price |
$20,375.19
|
| Rate for Payer: Cofinity Commercial |
$21,903.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20,375.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,367.25
|
| Rate for Payer: Healthscope Commercial |
$22,922.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19,101.74
|
| Rate for Payer: Mclaren Medicaid |
$4,490.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,685.61
|
| Rate for Payer: Meridian Medicaid |
$4,714.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,322.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,003.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,648.64
|
| Rate for Payer: Nomi Health Commercial |
$20,884.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19,101.74
|
| Rate for Payer: PACE Senior Care Partners |
$6,048.89
|
| Rate for Payer: PACE SWMI |
$6,367.25
|
| Rate for Payer: PHP Commercial |
$21,648.64
|
| Rate for Payer: PHP Medicare Advantage |
$6,367.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,490.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22,158.02
|
| Rate for Payer: Priority Health Medicare |
$6,430.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17,726.42
|
| Rate for Payer: Railroad Medicare Medicare |
$6,367.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,412.71
|
| Rate for Payer: UHC Core |
$21,266.61
|
| Rate for Payer: UHC Exchange |
$6,367.25
|
| Rate for Payer: UHC Medicaid |
$4,490.18
|
| Rate for Payer: UHC Medicare Advantage |
$6,367.25
|
| Rate for Payer: UHCCP Medicaid |
$4,490.18
|
| Rate for Payer: VA VA |
$6,367.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19,101.74
|
|
|
HC TRANSCATH INSERT SINGLE CHAMBER LDLS PACEMAKER ATRIAL
|
Facility
|
IP
|
$47,677.90
|
|
|
Service Code
|
CPT 0823T
|
| Hospital Charge Code |
48100140
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$33,183.82 |
| Max. Negotiated Rate |
$42,910.11 |
| Rate for Payer: Aetna Commercial |
$40,526.21
|
| Rate for Payer: BCBS Trust/PPO |
$39,377.18
|
| Rate for Payer: BCN Commercial |
$39,377.18
|
| Rate for Payer: Cash Price |
$38,142.32
|
| Rate for Payer: Cofinity Commercial |
$41,002.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38,142.32
|
| Rate for Payer: Healthscope Commercial |
$42,910.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35,758.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,526.21
|
| Rate for Payer: Nomi Health Commercial |
$39,095.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35,758.43
|
| Rate for Payer: PHP Commercial |
$40,526.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41,479.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33,183.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,956.55
|
| Rate for Payer: UHC Core |
$39,811.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35,758.43
|
|
|
HC TRANSCATH INSERT SINGLE CHAMBER LDLS PACEMAKER ATRIAL
|
Facility
|
OP
|
$47,677.90
|
|
|
Service Code
|
CPT 0823T
|
| Hospital Charge Code |
48100140
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,405.61 |
| Max. Negotiated Rate |
$42,910.11 |
| Rate for Payer: Aetna Commercial |
$40,526.21
|
| Rate for Payer: Aetna Medicare |
$12,396.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,899.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,899.34
|
| Rate for Payer: BCBS Complete |
$8,825.18
|
| Rate for Payer: BCBS MAPPO |
$11,919.48
|
| Rate for Payer: BCBS Trust/PPO |
$39,196.00
|
| Rate for Payer: BCN Commercial |
$39,196.00
|
| Rate for Payer: BCN Medicare Advantage |
$11,919.48
|
| Rate for Payer: Cash Price |
$38,142.32
|
| Rate for Payer: Cofinity Commercial |
$41,002.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38,142.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,919.48
|
| Rate for Payer: Healthscope Commercial |
$42,910.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35,758.43
|
| Rate for Payer: Mclaren Medicaid |
$8,405.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,515.45
|
| Rate for Payer: Meridian Medicaid |
$8,825.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,707.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,111.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,526.21
|
| Rate for Payer: Nomi Health Commercial |
$39,095.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35,758.43
|
| Rate for Payer: PACE Senior Care Partners |
$11,323.50
|
| Rate for Payer: PACE SWMI |
$11,919.48
|
| Rate for Payer: PHP Commercial |
$40,526.21
|
| Rate for Payer: PHP Medicare Advantage |
$11,919.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,405.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41,479.77
|
| Rate for Payer: Priority Health Medicare |
$12,038.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33,183.82
|
| Rate for Payer: Railroad Medicare Medicare |
$11,919.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,956.55
|
| Rate for Payer: UHC Core |
$39,811.05
|
| Rate for Payer: UHC Exchange |
$11,919.48
|
| Rate for Payer: UHC Medicaid |
$8,405.61
|
| Rate for Payer: UHC Medicare Advantage |
$11,919.48
|
| Rate for Payer: UHCCP Medicaid |
$8,405.61
|
| Rate for Payer: VA VA |
$11,919.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35,758.43
|
|
|
HC TRANS CATH MITRAL VALVE IMPLNT/REPLACE
|
Facility
|
IP
|
$44,085.77
|
|
|
Service Code
|
CPT 0483T
|
| Hospital Charge Code |
48100121
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$30,683.70 |
| Max. Negotiated Rate |
$39,677.19 |
| Rate for Payer: Aetna Commercial |
$37,472.90
|
| Rate for Payer: BCBS Trust/PPO |
$36,410.44
|
| Rate for Payer: BCN Commercial |
$36,410.44
|
| Rate for Payer: Cash Price |
$35,268.62
|
| Rate for Payer: Cofinity Commercial |
$37,913.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35,268.62
|
| Rate for Payer: Healthscope Commercial |
$39,677.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33,064.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,472.90
|
| Rate for Payer: Nomi Health Commercial |
$36,150.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33,064.33
|
| Rate for Payer: PHP Commercial |
$37,472.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38,354.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30,683.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,795.48
|
| Rate for Payer: UHC Core |
$36,811.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33,064.33
|
|
|
HC TRANS CATH MITRAL VALVE IMPLNT/REPLACE
|
Facility
|
OP
|
$44,085.77
|
|
|
Service Code
|
CPT 0483T
|
| Hospital Charge Code |
48100121
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,772.32 |
| Max. Negotiated Rate |
$39,677.19 |
| Rate for Payer: Aetna Commercial |
$37,472.90
|
| Rate for Payer: Aetna Medicare |
$11,462.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,776.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,776.80
|
| Rate for Payer: BCBS Complete |
$8,160.28
|
| Rate for Payer: BCBS MAPPO |
$11,021.44
|
| Rate for Payer: BCBS Trust/PPO |
$36,242.91
|
| Rate for Payer: BCN Commercial |
$36,242.91
|
| Rate for Payer: BCN Medicare Advantage |
$11,021.44
|
| Rate for Payer: Cash Price |
$35,268.62
|
| Rate for Payer: Cofinity Commercial |
$37,913.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35,268.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,021.44
|
| Rate for Payer: Healthscope Commercial |
$39,677.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33,064.33
|
| Rate for Payer: Mclaren Medicaid |
$7,772.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,572.51
|
| Rate for Payer: Meridian Medicaid |
$8,160.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,674.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,123.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,472.90
|
| Rate for Payer: Nomi Health Commercial |
$36,150.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33,064.33
|
| Rate for Payer: PACE Senior Care Partners |
$10,470.37
|
| Rate for Payer: PACE SWMI |
$11,021.44
|
| Rate for Payer: PHP Commercial |
$37,472.90
|
| Rate for Payer: PHP Medicare Advantage |
$11,021.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,772.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38,354.62
|
| Rate for Payer: Priority Health Medicare |
$11,131.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30,683.70
|
| Rate for Payer: Railroad Medicare Medicare |
$11,021.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,795.48
|
| Rate for Payer: UHC Core |
$36,811.62
|
| Rate for Payer: UHC Exchange |
$11,021.44
|
| Rate for Payer: UHC Medicaid |
$7,772.32
|
| Rate for Payer: UHC Medicare Advantage |
$11,021.44
|
| Rate for Payer: UHCCP Medicaid |
$7,772.32
|
| Rate for Payer: VA VA |
$11,021.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33,064.33
|
|
|
HC TRANSCATH PERM OCCLS/EMBOL NON CNS HEAD/NECK
|
Facility
|
IP
|
$25,176.45
|
|
|
Service Code
|
CPT 61626
|
| Hospital Charge Code |
36100660
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$17,522.81 |
| Max. Negotiated Rate |
$22,658.81 |
| Rate for Payer: Aetna Commercial |
$21,399.98
|
| Rate for Payer: BCBS Trust/PPO |
$20,793.23
|
| Rate for Payer: BCN Commercial |
$20,793.23
|
| Rate for Payer: Cash Price |
$20,141.16
|
| Rate for Payer: Cofinity Commercial |
$21,651.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20,141.16
|
| Rate for Payer: Healthscope Commercial |
$22,658.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,882.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,399.98
|
| Rate for Payer: Nomi Health Commercial |
$20,644.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18,882.34
|
| Rate for Payer: PHP Commercial |
$21,399.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21,903.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17,522.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,155.28
|
| Rate for Payer: UHC Core |
$21,022.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,882.34
|
|
|
HC TRANSCATH PERM OCCLS/EMBOL NON CNS HEAD/NECK
|
Facility
|
OP
|
$25,176.45
|
|
|
Service Code
|
CPT 61626
|
| Hospital Charge Code |
36100660
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,438.61 |
| Max. Negotiated Rate |
$22,658.81 |
| Rate for Payer: Aetna Commercial |
$21,399.98
|
| Rate for Payer: Aetna Medicare |
$6,545.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,867.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,867.64
|
| Rate for Payer: BCBS Complete |
$4,660.16
|
| Rate for Payer: BCBS MAPPO |
$6,294.11
|
| Rate for Payer: BCBS Trust/PPO |
$20,697.56
|
| Rate for Payer: BCN Commercial |
$20,697.56
|
| Rate for Payer: BCN Medicare Advantage |
$6,294.11
|
| Rate for Payer: Cash Price |
$20,141.16
|
| Rate for Payer: Cofinity Commercial |
$21,651.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20,141.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,294.11
|
| Rate for Payer: Healthscope Commercial |
$22,658.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,882.34
|
| Rate for Payer: Mclaren Medicaid |
$4,438.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,608.82
|
| Rate for Payer: Meridian Medicaid |
$4,660.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,238.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,923.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,399.98
|
| Rate for Payer: Nomi Health Commercial |
$20,644.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18,882.34
|
| Rate for Payer: PACE Senior Care Partners |
$5,979.41
|
| Rate for Payer: PACE SWMI |
$6,294.11
|
| Rate for Payer: PHP Commercial |
$21,399.98
|
| Rate for Payer: PHP Medicare Advantage |
$6,294.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,438.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21,903.51
|
| Rate for Payer: Priority Health Medicare |
$6,357.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17,522.81
|
| Rate for Payer: Railroad Medicare Medicare |
$6,294.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,155.28
|
| Rate for Payer: UHC Core |
$21,022.34
|
| Rate for Payer: UHC Exchange |
$6,294.11
|
| Rate for Payer: UHC Medicaid |
$4,438.61
|
| Rate for Payer: UHC Medicare Advantage |
$6,294.11
|
| Rate for Payer: UHCCP Medicaid |
$4,438.61
|
| Rate for Payer: VA VA |
$6,294.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,882.34
|
|
|
HC TRANSCATH PERM OCCLS/EMBOL PERQ CNS
|
Facility
|
IP
|
$11,674.67
|
|
|
Service Code
|
CPT 61624
|
| Hospital Charge Code |
36100659
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,125.57 |
| Max. Negotiated Rate |
$10,507.20 |
| Rate for Payer: Aetna Commercial |
$9,923.47
|
| Rate for Payer: BCBS Trust/PPO |
$9,642.11
|
| Rate for Payer: BCN Commercial |
$9,642.11
|
| Rate for Payer: Cash Price |
$9,339.74
|
| Rate for Payer: Cofinity Commercial |
$10,040.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,339.74
|
| Rate for Payer: Healthscope Commercial |
$10,507.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,756.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,923.47
|
| Rate for Payer: Nomi Health Commercial |
$9,573.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,756.00
|
| Rate for Payer: PHP Commercial |
$9,923.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,156.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,125.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,273.71
|
| Rate for Payer: UHC Core |
$9,748.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,756.00
|
|
|
HC TRANSCATH PERM OCCLS/EMBOL PERQ CNS
|
Facility
|
OP
|
$11,674.67
|
|
|
Service Code
|
CPT 61624
|
| Hospital Charge Code |
36100659
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,058.24 |
| Max. Negotiated Rate |
$10,507.20 |
| Rate for Payer: Aetna Commercial |
$9,923.47
|
| Rate for Payer: Aetna Medicare |
$3,035.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,648.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,648.33
|
| Rate for Payer: BCBS Complete |
$2,160.98
|
| Rate for Payer: BCBS MAPPO |
$2,918.67
|
| Rate for Payer: BCBS Trust/PPO |
$9,597.75
|
| Rate for Payer: BCN Commercial |
$9,597.75
|
| Rate for Payer: BCN Medicare Advantage |
$2,918.67
|
| Rate for Payer: Cash Price |
$9,339.74
|
| Rate for Payer: Cofinity Commercial |
$10,040.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,339.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,918.67
|
| Rate for Payer: Healthscope Commercial |
$10,507.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,756.00
|
| Rate for Payer: Mclaren Medicaid |
$2,058.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,064.60
|
| Rate for Payer: Meridian Medicaid |
$2,160.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,356.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,210.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,923.47
|
| Rate for Payer: Nomi Health Commercial |
$9,573.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,756.00
|
| Rate for Payer: PACE Senior Care Partners |
$2,772.73
|
| Rate for Payer: PACE SWMI |
$2,918.67
|
| Rate for Payer: PHP Commercial |
$9,923.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,918.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,058.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10,156.96
|
| Rate for Payer: Priority Health Medicare |
$2,947.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,125.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,918.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,273.71
|
| Rate for Payer: UHC Core |
$9,748.35
|
| Rate for Payer: UHC Exchange |
$2,918.67
|
| Rate for Payer: UHC Medicaid |
$2,058.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.67
|
| Rate for Payer: UHCCP Medicaid |
$2,058.24
|
| Rate for Payer: VA VA |
$2,918.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,756.00
|
|
|
HC TRANSCATH REMOVAL PERM LEADLESS PACEMAKER
|
Facility
|
IP
|
$3,968.92
|
|
|
Service Code
|
CPT 33275
|
| Hospital Charge Code |
48100116
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,762.37 |
| Max. Negotiated Rate |
$3,572.03 |
| Rate for Payer: Aetna Commercial |
$3,373.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,277.93
|
| Rate for Payer: BCN Commercial |
$3,277.93
|
| Rate for Payer: Cash Price |
$3,175.14
|
| Rate for Payer: Cofinity Commercial |
$3,413.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,175.14
|
| Rate for Payer: Healthscope Commercial |
$3,572.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,976.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,373.58
|
| Rate for Payer: Nomi Health Commercial |
$3,254.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,976.69
|
| Rate for Payer: PHP Commercial |
$3,373.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,452.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,762.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,492.65
|
| Rate for Payer: UHC Core |
$3,314.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,976.69
|
|
|
HC TRANSCATH REMOVAL PERM LEADLESS PACEMAKER
|
Facility
|
OP
|
$3,968.92
|
|
|
Service Code
|
CPT 33275
|
| Hospital Charge Code |
48100116
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$699.72 |
| Max. Negotiated Rate |
$3,572.03 |
| Rate for Payer: Aetna Commercial |
$3,373.58
|
| Rate for Payer: Aetna Medicare |
$1,031.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,240.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,240.29
|
| Rate for Payer: BCBS Complete |
$734.65
|
| Rate for Payer: BCBS MAPPO |
$992.23
|
| Rate for Payer: BCBS Trust/PPO |
$3,262.85
|
| Rate for Payer: BCN Commercial |
$3,262.85
|
| Rate for Payer: BCN Medicare Advantage |
$992.23
|
| Rate for Payer: Cash Price |
$3,175.14
|
| Rate for Payer: Cofinity Commercial |
$3,413.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,175.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$992.23
|
| Rate for Payer: Healthscope Commercial |
$3,572.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,976.69
|
| Rate for Payer: Mclaren Medicaid |
$699.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,041.84
|
| Rate for Payer: Meridian Medicaid |
$734.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,141.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,091.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,373.58
|
| Rate for Payer: Nomi Health Commercial |
$3,254.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,976.69
|
| Rate for Payer: PACE Senior Care Partners |
$942.62
|
| Rate for Payer: PACE SWMI |
$992.23
|
| Rate for Payer: PHP Commercial |
$3,373.58
|
| Rate for Payer: PHP Medicare Advantage |
$992.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$699.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,452.96
|
| Rate for Payer: Priority Health Medicare |
$1,002.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,762.37
|
| Rate for Payer: Railroad Medicare Medicare |
$992.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,492.65
|
| Rate for Payer: UHC Core |
$3,314.05
|
| Rate for Payer: UHC Exchange |
$992.23
|
| Rate for Payer: UHC Medicaid |
$699.72
|
| Rate for Payer: UHC Medicare Advantage |
$992.23
|
| Rate for Payer: UHCCP Medicaid |
$699.72
|
| Rate for Payer: VA VA |
$992.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,976.69
|
|
|
HC TRANS CATH REPAIR MITRAL VALVE ADDL
|
Facility
|
IP
|
$4,326.94
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
48100155
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,011.55 |
| Max. Negotiated Rate |
$3,894.25 |
| Rate for Payer: Aetna Commercial |
$3,677.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,573.62
|
| Rate for Payer: BCN Commercial |
$3,573.62
|
| Rate for Payer: Cash Price |
$3,461.55
|
| Rate for Payer: Cofinity Commercial |
$3,721.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,461.55
|
| Rate for Payer: Healthscope Commercial |
$3,894.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,245.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,677.90
|
| Rate for Payer: Nomi Health Commercial |
$3,548.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,245.20
|
| Rate for Payer: PHP Commercial |
$3,677.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,764.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,011.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,807.71
|
| Rate for Payer: UHC Core |
$3,612.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,245.20
|
|
|
HC TRANS CATH REPAIR MITRAL VALVE ADDL
|
Facility
|
OP
|
$4,326.94
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
48100155
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$762.84 |
| Max. Negotiated Rate |
$3,894.25 |
| Rate for Payer: Aetna Commercial |
$3,677.90
|
| Rate for Payer: Aetna Medicare |
$1,125.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,352.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,352.17
|
| Rate for Payer: BCBS Complete |
$800.92
|
| Rate for Payer: BCBS MAPPO |
$1,081.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,557.18
|
| Rate for Payer: BCN Commercial |
$3,557.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,081.73
|
| Rate for Payer: Cash Price |
$3,461.55
|
| Rate for Payer: Cofinity Commercial |
$3,721.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,461.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,081.73
|
| Rate for Payer: Healthscope Commercial |
$3,894.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,245.20
|
| Rate for Payer: Mclaren Medicaid |
$762.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,135.82
|
| Rate for Payer: Meridian Medicaid |
$800.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,244.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,189.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,677.90
|
| Rate for Payer: Nomi Health Commercial |
$3,548.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,245.20
|
| Rate for Payer: PACE Senior Care Partners |
$1,027.65
|
| Rate for Payer: PACE SWMI |
$1,081.73
|
| Rate for Payer: PHP Commercial |
$3,677.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,081.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$762.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,764.44
|
| Rate for Payer: Priority Health Medicare |
$1,092.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,011.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,081.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,807.71
|
| Rate for Payer: UHC Core |
$3,612.99
|
| Rate for Payer: UHC Exchange |
$1,081.73
|
| Rate for Payer: UHC Medicaid |
$762.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,081.73
|
| Rate for Payer: UHCCP Medicaid |
$762.84
|
| Rate for Payer: VA VA |
$1,081.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,245.20
|
|
|
HC TRANS CATH REPAIR MITRAL VALVE INITIAL
|
Facility
|
OP
|
$18,306.49
|
|
|
Service Code
|
CPT 33418
|
| Hospital Charge Code |
48100154
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,227.43 |
| Max. Negotiated Rate |
$16,475.84 |
| Rate for Payer: Aetna Commercial |
$15,560.52
|
| Rate for Payer: Aetna Medicare |
$4,759.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,720.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,720.78
|
| Rate for Payer: BCBS Complete |
$3,388.53
|
| Rate for Payer: BCBS MAPPO |
$4,576.62
|
| Rate for Payer: BCBS Trust/PPO |
$15,049.77
|
| Rate for Payer: BCN Commercial |
$15,049.77
|
| Rate for Payer: BCN Medicare Advantage |
$4,576.62
|
| Rate for Payer: Cash Price |
$14,645.19
|
| Rate for Payer: Cofinity Commercial |
$15,743.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,645.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,576.62
|
| Rate for Payer: Healthscope Commercial |
$16,475.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,729.87
|
| Rate for Payer: Mclaren Medicaid |
$3,227.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,805.45
|
| Rate for Payer: Meridian Medicaid |
$3,388.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,263.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,034.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,560.52
|
| Rate for Payer: Nomi Health Commercial |
$15,011.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,729.87
|
| Rate for Payer: PACE Senior Care Partners |
$4,347.79
|
| Rate for Payer: PACE SWMI |
$4,576.62
|
| Rate for Payer: PHP Commercial |
$15,560.52
|
| Rate for Payer: PHP Medicare Advantage |
$4,576.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,227.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,926.65
|
| Rate for Payer: Priority Health Medicare |
$4,622.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,741.32
|
| Rate for Payer: Railroad Medicare Medicare |
$4,576.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,109.71
|
| Rate for Payer: UHC Core |
$15,285.92
|
| Rate for Payer: UHC Exchange |
$4,576.62
|
| Rate for Payer: UHC Medicaid |
$3,227.43
|
| Rate for Payer: UHC Medicare Advantage |
$4,576.62
|
| Rate for Payer: UHCCP Medicaid |
$3,227.43
|
| Rate for Payer: VA VA |
$4,576.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,729.87
|
|
|
HC TRANS CATH REPAIR MITRAL VALVE INITIAL
|
Facility
|
IP
|
$18,306.49
|
|
|
Service Code
|
CPT 33418
|
| Hospital Charge Code |
48100154
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,741.32 |
| Max. Negotiated Rate |
$16,475.84 |
| Rate for Payer: Aetna Commercial |
$15,560.52
|
| Rate for Payer: BCBS Trust/PPO |
$15,119.33
|
| Rate for Payer: BCN Commercial |
$15,119.33
|
| Rate for Payer: Cash Price |
$14,645.19
|
| Rate for Payer: Cofinity Commercial |
$15,743.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,645.19
|
| Rate for Payer: Healthscope Commercial |
$16,475.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,729.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,560.52
|
| Rate for Payer: Nomi Health Commercial |
$15,011.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,729.87
|
| Rate for Payer: PHP Commercial |
$15,560.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15,926.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12,741.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,109.71
|
| Rate for Payer: UHC Core |
$15,285.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,729.87
|
|
|
HC TRANS CATH RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
|
Facility
|
OP
|
$16,324.08
|
|
|
Service Code
|
CPT 0644T
|
| Hospital Charge Code |
36000125
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,877.94 |
| Max. Negotiated Rate |
$14,691.67 |
| Rate for Payer: Aetna Commercial |
$13,875.47
|
| Rate for Payer: Aetna Medicare |
$4,244.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,101.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,101.27
|
| Rate for Payer: BCBS Complete |
$3,021.59
|
| Rate for Payer: BCBS MAPPO |
$4,081.02
|
| Rate for Payer: BCBS Trust/PPO |
$13,420.03
|
| Rate for Payer: BCN Commercial |
$13,420.03
|
| Rate for Payer: BCN Medicare Advantage |
$4,081.02
|
| Rate for Payer: Cash Price |
$13,059.26
|
| Rate for Payer: Cofinity Commercial |
$14,038.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,059.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,081.02
|
| Rate for Payer: Healthscope Commercial |
$14,691.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,243.06
|
| Rate for Payer: Mclaren Medicaid |
$2,877.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,285.07
|
| Rate for Payer: Meridian Medicaid |
$3,021.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,693.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,489.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,875.47
|
| Rate for Payer: Nomi Health Commercial |
$13,385.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,243.06
|
| Rate for Payer: PACE Senior Care Partners |
$3,876.97
|
| Rate for Payer: PACE SWMI |
$4,081.02
|
| Rate for Payer: PHP Commercial |
$13,875.47
|
| Rate for Payer: PHP Medicare Advantage |
$4,081.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,877.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,201.95
|
| Rate for Payer: Priority Health Medicare |
$4,121.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,361.56
|
| Rate for Payer: Railroad Medicare Medicare |
$4,081.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,365.19
|
| Rate for Payer: UHC Core |
$13,630.61
|
| Rate for Payer: UHC Exchange |
$4,081.02
|
| Rate for Payer: UHC Medicaid |
$2,877.94
|
| Rate for Payer: UHC Medicare Advantage |
$4,081.02
|
| Rate for Payer: UHCCP Medicaid |
$2,877.94
|
| Rate for Payer: VA VA |
$4,081.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,243.06
|
|
|
HC TRANS CATH RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
|
Facility
|
IP
|
$16,324.08
|
|
|
Service Code
|
CPT 0644T
|
| Hospital Charge Code |
36000125
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$11,361.56 |
| Max. Negotiated Rate |
$14,691.67 |
| Rate for Payer: Aetna Commercial |
$13,875.47
|
| Rate for Payer: BCBS Trust/PPO |
$13,482.06
|
| Rate for Payer: BCN Commercial |
$13,482.06
|
| Rate for Payer: Cash Price |
$13,059.26
|
| Rate for Payer: Cofinity Commercial |
$14,038.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,059.26
|
| Rate for Payer: Healthscope Commercial |
$14,691.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,243.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,875.47
|
| Rate for Payer: Nomi Health Commercial |
$13,385.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,243.06
|
| Rate for Payer: PHP Commercial |
$13,875.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14,201.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11,361.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,365.19
|
| Rate for Payer: UHC Core |
$13,630.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,243.06
|
|
|
HC TRANSCERVICAL AMNIOINFUSION
|
Facility
|
IP
|
$574.63
|
|
| Hospital Charge Code |
27000647
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$399.94 |
| Max. Negotiated Rate |
$517.17 |
| Rate for Payer: Aetna Commercial |
$488.44
|
| Rate for Payer: BCBS Trust/PPO |
$474.59
|
| Rate for Payer: BCN Commercial |
$474.59
|
| Rate for Payer: Cash Price |
$459.70
|
| Rate for Payer: Cofinity Commercial |
$494.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$459.70
|
| Rate for Payer: Healthscope Commercial |
$517.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$430.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$488.44
|
| Rate for Payer: Nomi Health Commercial |
$471.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$430.97
|
| Rate for Payer: PHP Commercial |
$488.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$499.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$399.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$505.67
|
| Rate for Payer: UHC Core |
$479.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$430.97
|
|
|
HC TRANSCERVICAL AMNIOINFUSION
|
Facility
|
OP
|
$574.63
|
|
| Hospital Charge Code |
27000647
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$101.31 |
| Max. Negotiated Rate |
$517.17 |
| Rate for Payer: Aetna Commercial |
$488.44
|
| Rate for Payer: Aetna Medicare |
$149.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$179.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$179.57
|
| Rate for Payer: BCBS Complete |
$106.36
|
| Rate for Payer: BCBS MAPPO |
$143.66
|
| Rate for Payer: BCBS Trust/PPO |
$472.40
|
| Rate for Payer: BCN Commercial |
$472.40
|
| Rate for Payer: BCN Medicare Advantage |
$143.66
|
| Rate for Payer: Cash Price |
$459.70
|
| Rate for Payer: Cofinity Commercial |
$494.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$459.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.66
|
| Rate for Payer: Healthscope Commercial |
$517.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$430.97
|
| Rate for Payer: Mclaren Medicaid |
$101.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$150.84
|
| Rate for Payer: Meridian Medicaid |
$106.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$165.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$158.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$488.44
|
| Rate for Payer: Nomi Health Commercial |
$471.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$430.97
|
| Rate for Payer: PACE Senior Care Partners |
$136.47
|
| Rate for Payer: PACE SWMI |
$143.66
|
| Rate for Payer: PHP Commercial |
$488.44
|
| Rate for Payer: PHP Medicare Advantage |
$143.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$499.93
|
| Rate for Payer: Priority Health Medicare |
$145.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$399.94
|
| Rate for Payer: Railroad Medicare Medicare |
$143.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$505.67
|
| Rate for Payer: UHC Core |
$479.82
|
| Rate for Payer: UHC Exchange |
$143.66
|
| Rate for Payer: UHC Medicaid |
$101.31
|
| Rate for Payer: UHC Medicare Advantage |
$143.66
|
| Rate for Payer: UHCCP Medicaid |
$101.31
|
| Rate for Payer: VA VA |
$143.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$430.97
|
|
