|
HC ASPIRATION DISK
|
Facility
|
OP
|
$4,523.74
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,074.39 |
| Max. Negotiated Rate |
$4,071.37 |
| Rate for Payer: Aetna Commercial |
$3,845.18
|
| Rate for Payer: Aetna Medicare |
$1,176.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,413.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,413.67
|
| Rate for Payer: BCBS Complete |
$1,329.91
|
| Rate for Payer: BCBS MAPPO |
$1,130.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,517.21
|
| Rate for Payer: BCN Commercial |
$3,517.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.94
|
| Rate for Payer: Cash Price |
$3,618.99
|
| Rate for Payer: Cash Price |
$3,618.99
|
| Rate for Payer: Cofinity Commercial |
$3,890.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,618.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.94
|
| Rate for Payer: Healthscope Commercial |
$4,071.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,392.80
|
| Rate for Payer: Mclaren Medicaid |
$1,266.58
|
| Rate for Payer: Meridian Medicaid |
$1,329.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,187.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,300.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,845.18
|
| Rate for Payer: PACE Senior Care Partners |
$1,074.39
|
| Rate for Payer: PACE SWMI |
$1,130.94
|
| Rate for Payer: PHP Commercial |
$3,845.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,266.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,166.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,935.65
|
| Rate for Payer: Priority Health Medicare |
$1,130.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,759.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,130.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,980.89
|
| Rate for Payer: UHC Core |
$3,777.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,130.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,164.86
|
| Rate for Payer: VA VA |
$1,130.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,392.80
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
OP
|
$406.40
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$96.52 |
| Max. Negotiated Rate |
$365.76 |
| Rate for Payer: Aetna Commercial |
$345.44
|
| Rate for Payer: Aetna Medicare |
$105.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$127.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$127.00
|
| Rate for Payer: BCBS Complete |
$162.56
|
| Rate for Payer: BCBS MAPPO |
$101.60
|
| Rate for Payer: BCBS Trust/PPO |
$315.98
|
| Rate for Payer: BCN Commercial |
$315.98
|
| Rate for Payer: BCN Medicare Advantage |
$101.60
|
| Rate for Payer: Cash Price |
$325.12
|
| Rate for Payer: Cofinity Commercial |
$349.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.60
|
| Rate for Payer: Healthscope Commercial |
$365.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$106.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$345.44
|
| Rate for Payer: PACE Senior Care Partners |
$96.52
|
| Rate for Payer: PACE SWMI |
$101.60
|
| Rate for Payer: PHP Commercial |
$345.44
|
| Rate for Payer: PHP Medicare Advantage |
$101.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.57
|
| Rate for Payer: Priority Health Medicare |
$101.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.86
|
| Rate for Payer: Railroad Medicare Medicare |
$101.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.63
|
| Rate for Payer: UHC Core |
$339.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.60
|
| Rate for Payer: UHC Medicare Advantage |
$104.65
|
| Rate for Payer: VA VA |
$101.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.80
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
IP
|
$406.40
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$247.86 |
| Max. Negotiated Rate |
$365.76 |
| Rate for Payer: Aetna Commercial |
$345.44
|
| Rate for Payer: BCBS Trust/PPO |
$314.07
|
| Rate for Payer: BCN Commercial |
$314.07
|
| Rate for Payer: Cash Price |
$325.12
|
| Rate for Payer: Cofinity Commercial |
$349.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.12
|
| Rate for Payer: Healthscope Commercial |
$365.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$345.44
|
| Rate for Payer: PHP Commercial |
$345.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.63
|
| Rate for Payer: UHC Core |
$339.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.80
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
OP
|
$484.17
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$114.99 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$411.54
|
| Rate for Payer: Aetna Medicare |
$125.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$151.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$151.30
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$121.04
|
| Rate for Payer: BCBS Trust/PPO |
$376.44
|
| Rate for Payer: BCN Commercial |
$376.44
|
| Rate for Payer: BCN Medicare Advantage |
$121.04
|
| Rate for Payer: Cash Price |
$387.34
|
| Rate for Payer: Cash Price |
$387.34
|
| Rate for Payer: Cofinity Commercial |
$416.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.04
|
| Rate for Payer: Healthscope Commercial |
$435.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.13
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$127.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$411.54
|
| Rate for Payer: PACE Senior Care Partners |
$114.99
|
| Rate for Payer: PACE SWMI |
$121.04
|
| Rate for Payer: PHP Commercial |
$411.54
|
| Rate for Payer: PHP Medicare Advantage |
$121.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.23
|
| Rate for Payer: Priority Health Medicare |
$121.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.30
|
| Rate for Payer: Railroad Medicare Medicare |
$121.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$426.07
|
| Rate for Payer: UHC Core |
$404.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$121.04
|
| Rate for Payer: UHC Medicare Advantage |
$124.67
|
| Rate for Payer: VA VA |
$121.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.13
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
IP
|
$484.17
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.30 |
| Max. Negotiated Rate |
$435.75 |
| Rate for Payer: Aetna Commercial |
$411.54
|
| Rate for Payer: BCBS Trust/PPO |
$374.17
|
| Rate for Payer: BCN Commercial |
$374.17
|
| Rate for Payer: Cash Price |
$387.34
|
| Rate for Payer: Cofinity Commercial |
$416.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.34
|
| Rate for Payer: Healthscope Commercial |
$435.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$411.54
|
| Rate for Payer: PHP Commercial |
$411.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$426.07
|
| Rate for Payer: UHC Core |
$404.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.13
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
IP
|
$229.10
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$139.73 |
| Max. Negotiated Rate |
$206.19 |
| Rate for Payer: Aetna Commercial |
$194.74
|
| Rate for Payer: BCBS Trust/PPO |
$177.05
|
| Rate for Payer: BCN Commercial |
$177.05
|
| Rate for Payer: Cash Price |
$183.28
|
| Rate for Payer: Cofinity Commercial |
$197.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.28
|
| Rate for Payer: Healthscope Commercial |
$206.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$194.74
|
| Rate for Payer: PHP Commercial |
$194.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.61
|
| Rate for Payer: UHC Core |
$191.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.82
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
OP
|
$229.10
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$54.41 |
| Max. Negotiated Rate |
$206.19 |
| Rate for Payer: Aetna Commercial |
$194.74
|
| Rate for Payer: Aetna Medicare |
$59.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71.59
|
| Rate for Payer: BCBS Complete |
$61.40
|
| Rate for Payer: BCBS MAPPO |
$57.28
|
| Rate for Payer: BCBS Trust/PPO |
$178.13
|
| Rate for Payer: BCN Commercial |
$178.13
|
| Rate for Payer: BCN Medicare Advantage |
$57.28
|
| Rate for Payer: Cash Price |
$183.28
|
| Rate for Payer: Cash Price |
$183.28
|
| Rate for Payer: Cofinity Commercial |
$197.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.28
|
| Rate for Payer: Healthscope Commercial |
$206.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.82
|
| Rate for Payer: Mclaren Medicaid |
$58.47
|
| Rate for Payer: Meridian Medicaid |
$61.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$60.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$194.74
|
| Rate for Payer: PACE Senior Care Partners |
$54.41
|
| Rate for Payer: PACE SWMI |
$57.28
|
| Rate for Payer: PHP Commercial |
$194.74
|
| Rate for Payer: PHP Medicare Advantage |
$57.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.32
|
| Rate for Payer: Priority Health Medicare |
$57.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.73
|
| Rate for Payer: Railroad Medicare Medicare |
$57.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.61
|
| Rate for Payer: UHC Core |
$191.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.28
|
| Rate for Payer: UHC Medicare Advantage |
$58.99
|
| Rate for Payer: VA VA |
$57.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.82
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
OP
|
$1,573.87
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$373.79 |
| Max. Negotiated Rate |
$1,416.48 |
| Rate for Payer: Aetna Commercial |
$1,337.79
|
| Rate for Payer: Aetna Medicare |
$409.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$491.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$491.83
|
| Rate for Payer: BCBS Complete |
$629.55
|
| Rate for Payer: BCBS MAPPO |
$393.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,223.68
|
| Rate for Payer: BCN Commercial |
$1,223.68
|
| Rate for Payer: BCN Medicare Advantage |
$393.47
|
| Rate for Payer: Cash Price |
$1,259.10
|
| Rate for Payer: Cofinity Commercial |
$1,353.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,259.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.47
|
| Rate for Payer: Healthscope Commercial |
$1,416.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,180.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$413.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$452.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,337.79
|
| Rate for Payer: PACE Senior Care Partners |
$373.79
|
| Rate for Payer: PACE SWMI |
$393.47
|
| Rate for Payer: PHP Commercial |
$1,337.79
|
| Rate for Payer: PHP Medicare Advantage |
$393.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,101.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,369.27
|
| Rate for Payer: Priority Health Medicare |
$393.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$959.90
|
| Rate for Payer: Railroad Medicare Medicare |
$393.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,385.01
|
| Rate for Payer: UHC Core |
$1,314.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.47
|
| Rate for Payer: UHC Medicare Advantage |
$405.27
|
| Rate for Payer: VA VA |
$393.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,180.40
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
IP
|
$1,573.87
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$959.90 |
| Max. Negotiated Rate |
$1,416.48 |
| Rate for Payer: Aetna Commercial |
$1,337.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,216.29
|
| Rate for Payer: BCN Commercial |
$1,216.29
|
| Rate for Payer: Cash Price |
$1,259.10
|
| Rate for Payer: Cofinity Commercial |
$1,353.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,259.10
|
| Rate for Payer: Healthscope Commercial |
$1,416.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,180.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,337.79
|
| Rate for Payer: PHP Commercial |
$1,337.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,101.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,369.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$959.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,385.01
|
| Rate for Payer: UHC Core |
$1,314.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,180.40
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
OP
|
$14,597.63
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,466.94 |
| Max. Negotiated Rate |
$13,137.87 |
| Rate for Payer: Aetna Commercial |
$12,407.99
|
| Rate for Payer: Aetna Medicare |
$3,795.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,561.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,561.76
|
| Rate for Payer: BCBS Complete |
$7,577.51
|
| Rate for Payer: BCBS MAPPO |
$3,649.41
|
| Rate for Payer: BCBS Trust/PPO |
$11,349.66
|
| Rate for Payer: BCN Commercial |
$11,349.66
|
| Rate for Payer: BCN Medicare Advantage |
$3,649.41
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$12,553.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,649.41
|
| Rate for Payer: Healthscope Commercial |
$13,137.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,948.22
|
| Rate for Payer: Mclaren Medicaid |
$7,216.67
|
| Rate for Payer: Meridian Medicaid |
$7,577.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,831.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,196.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: PACE Senior Care Partners |
$3,466.94
|
| Rate for Payer: PACE SWMI |
$3,649.41
|
| Rate for Payer: PHP Commercial |
$12,407.99
|
| Rate for Payer: PHP Medicare Advantage |
$3,649.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,699.94
|
| Rate for Payer: Priority Health Medicare |
$3,649.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,903.09
|
| Rate for Payer: Railroad Medicare Medicare |
$3,649.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,845.91
|
| Rate for Payer: UHC Core |
$12,189.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,649.41
|
| Rate for Payer: UHC Medicare Advantage |
$3,758.89
|
| Rate for Payer: VA VA |
$3,649.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,948.22
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
IP
|
$14,597.63
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,903.09 |
| Max. Negotiated Rate |
$13,137.87 |
| Rate for Payer: Aetna Commercial |
$12,407.99
|
| Rate for Payer: BCBS Trust/PPO |
$11,281.05
|
| Rate for Payer: BCN Commercial |
$11,281.05
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$12,553.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Healthscope Commercial |
$13,137.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,948.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: PHP Commercial |
$12,407.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,699.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,903.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,845.91
|
| Rate for Payer: UHC Core |
$12,189.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,948.22
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
IP
|
$14,597.63
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,903.09 |
| Max. Negotiated Rate |
$13,137.87 |
| Rate for Payer: Aetna Commercial |
$12,407.99
|
| Rate for Payer: BCBS Trust/PPO |
$11,281.05
|
| Rate for Payer: BCN Commercial |
$11,281.05
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$12,553.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Healthscope Commercial |
$13,137.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,948.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: PHP Commercial |
$12,407.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,699.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,903.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,845.91
|
| Rate for Payer: UHC Core |
$12,189.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,948.22
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
OP
|
$14,597.63
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,466.94 |
| Max. Negotiated Rate |
$13,137.87 |
| Rate for Payer: Aetna Commercial |
$12,407.99
|
| Rate for Payer: Aetna Medicare |
$3,795.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,561.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,561.76
|
| Rate for Payer: BCBS Complete |
$7,577.51
|
| Rate for Payer: BCBS MAPPO |
$3,649.41
|
| Rate for Payer: BCBS Trust/PPO |
$11,349.66
|
| Rate for Payer: BCN Commercial |
$11,349.66
|
| Rate for Payer: BCN Medicare Advantage |
$3,649.41
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$12,553.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,649.41
|
| Rate for Payer: Healthscope Commercial |
$13,137.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,948.22
|
| Rate for Payer: Mclaren Medicaid |
$7,216.67
|
| Rate for Payer: Meridian Medicaid |
$7,577.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,831.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,196.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: PACE Senior Care Partners |
$3,466.94
|
| Rate for Payer: PACE SWMI |
$3,649.41
|
| Rate for Payer: PHP Commercial |
$12,407.99
|
| Rate for Payer: PHP Medicare Advantage |
$3,649.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,699.94
|
| Rate for Payer: Priority Health Medicare |
$3,649.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,903.09
|
| Rate for Payer: Railroad Medicare Medicare |
$3,649.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,845.91
|
| Rate for Payer: UHC Core |
$12,189.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,649.41
|
| Rate for Payer: UHC Medicare Advantage |
$3,758.89
|
| Rate for Payer: VA VA |
$3,649.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,948.22
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
OP
|
$11,848.47
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,814.01 |
| Max. Negotiated Rate |
$12,078.04 |
| Rate for Payer: Aetna Commercial |
$10,071.20
|
| Rate for Payer: Aetna Medicare |
$3,080.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,702.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,702.65
|
| Rate for Payer: BCBS Complete |
$12,078.04
|
| Rate for Payer: BCBS MAPPO |
$2,962.12
|
| Rate for Payer: BCBS Trust/PPO |
$9,212.19
|
| Rate for Payer: BCN Commercial |
$9,212.19
|
| Rate for Payer: BCN Medicare Advantage |
$2,962.12
|
| Rate for Payer: Cash Price |
$9,478.78
|
| Rate for Payer: Cash Price |
$9,478.78
|
| Rate for Payer: Cofinity Commercial |
$10,189.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,478.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,962.12
|
| Rate for Payer: Healthscope Commercial |
$10,663.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,886.35
|
| Rate for Payer: Mclaren Medicaid |
$11,502.90
|
| Rate for Payer: Meridian Medicaid |
$12,078.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,110.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,406.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,071.20
|
| Rate for Payer: PACE Senior Care Partners |
$2,814.01
|
| Rate for Payer: PACE SWMI |
$2,962.12
|
| Rate for Payer: PHP Commercial |
$10,071.20
|
| Rate for Payer: PHP Medicare Advantage |
$2,962.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,502.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,293.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,308.17
|
| Rate for Payer: Priority Health Medicare |
$2,962.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,226.38
|
| Rate for Payer: Railroad Medicare Medicare |
$2,962.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,426.65
|
| Rate for Payer: UHC Core |
$9,893.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,962.12
|
| Rate for Payer: UHC Medicare Advantage |
$3,050.98
|
| Rate for Payer: VA VA |
$2,962.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,886.35
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
IP
|
$11,848.47
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,226.38 |
| Max. Negotiated Rate |
$10,663.62 |
| Rate for Payer: Aetna Commercial |
$10,071.20
|
| Rate for Payer: BCBS Trust/PPO |
$9,156.50
|
| Rate for Payer: BCN Commercial |
$9,156.50
|
| Rate for Payer: Cash Price |
$9,478.78
|
| Rate for Payer: Cofinity Commercial |
$10,189.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,478.78
|
| Rate for Payer: Healthscope Commercial |
$10,663.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,886.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,071.20
|
| Rate for Payer: PHP Commercial |
$10,071.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,293.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,308.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,226.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,426.65
|
| Rate for Payer: UHC Core |
$9,893.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,886.35
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
OP
|
$12,716.17
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,020.09 |
| Max. Negotiated Rate |
$11,444.55 |
| Rate for Payer: Aetna Commercial |
$10,808.74
|
| Rate for Payer: Aetna Medicare |
$3,306.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.80
|
| Rate for Payer: BCBS Complete |
$7,577.51
|
| Rate for Payer: BCBS MAPPO |
$3,179.04
|
| Rate for Payer: BCBS Trust/PPO |
$9,886.82
|
| Rate for Payer: BCN Commercial |
$9,886.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.04
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$10,935.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.04
|
| Rate for Payer: Healthscope Commercial |
$11,444.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,537.13
|
| Rate for Payer: Mclaren Medicaid |
$7,216.67
|
| Rate for Payer: Meridian Medicaid |
$7,577.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,337.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: PACE Senior Care Partners |
$3,020.09
|
| Rate for Payer: PACE SWMI |
$3,179.04
|
| Rate for Payer: PHP Commercial |
$10,808.74
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,063.07
|
| Rate for Payer: Priority Health Medicare |
$3,179.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,755.59
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,190.23
|
| Rate for Payer: UHC Core |
$10,618.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.04
|
| Rate for Payer: UHC Medicare Advantage |
$3,274.41
|
| Rate for Payer: VA VA |
$3,179.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,537.13
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
IP
|
$12,716.17
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,755.59 |
| Max. Negotiated Rate |
$11,444.55 |
| Rate for Payer: Aetna Commercial |
$10,808.74
|
| Rate for Payer: BCBS Trust/PPO |
$9,827.06
|
| Rate for Payer: BCN Commercial |
$9,827.06
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$10,935.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Healthscope Commercial |
$11,444.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,537.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: PHP Commercial |
$10,808.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,063.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,755.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,190.23
|
| Rate for Payer: UHC Core |
$10,618.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,537.13
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
IP
|
$12,716.17
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,755.59 |
| Max. Negotiated Rate |
$11,444.55 |
| Rate for Payer: Aetna Commercial |
$10,808.74
|
| Rate for Payer: BCBS Trust/PPO |
$9,827.06
|
| Rate for Payer: BCN Commercial |
$9,827.06
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$10,935.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Healthscope Commercial |
$11,444.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,537.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: PHP Commercial |
$10,808.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,063.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,755.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,190.23
|
| Rate for Payer: UHC Core |
$10,618.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,537.13
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
OP
|
$12,716.17
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,020.09 |
| Max. Negotiated Rate |
$11,444.55 |
| Rate for Payer: Aetna Commercial |
$10,808.74
|
| Rate for Payer: Aetna Medicare |
$3,306.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.80
|
| Rate for Payer: BCBS Complete |
$5,086.47
|
| Rate for Payer: BCBS MAPPO |
$3,179.04
|
| Rate for Payer: BCBS Trust/PPO |
$9,886.82
|
| Rate for Payer: BCN Commercial |
$9,886.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.04
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$10,935.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.04
|
| Rate for Payer: Healthscope Commercial |
$11,444.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,537.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,337.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: PACE Senior Care Partners |
$3,020.09
|
| Rate for Payer: PACE SWMI |
$3,179.04
|
| Rate for Payer: PHP Commercial |
$10,808.74
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,063.07
|
| Rate for Payer: Priority Health Medicare |
$3,179.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,755.59
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,190.23
|
| Rate for Payer: UHC Core |
$10,618.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.04
|
| Rate for Payer: UHC Medicare Advantage |
$3,274.41
|
| Rate for Payer: VA VA |
$3,179.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,537.13
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
IP
|
$2,206.32
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,345.63 |
| Max. Negotiated Rate |
$1,985.69 |
| Rate for Payer: Aetna Commercial |
$1,875.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,705.04
|
| Rate for Payer: BCN Commercial |
$1,705.04
|
| Rate for Payer: Cash Price |
$1,765.06
|
| Rate for Payer: Cofinity Commercial |
$1,897.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,765.06
|
| Rate for Payer: Healthscope Commercial |
$1,985.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,654.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,875.37
|
| Rate for Payer: PHP Commercial |
$1,875.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,544.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,919.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,345.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,941.56
|
| Rate for Payer: UHC Core |
$1,842.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,654.74
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
OP
|
$2,206.32
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$524.00 |
| Max. Negotiated Rate |
$1,985.69 |
| Rate for Payer: Aetna Commercial |
$1,875.37
|
| Rate for Payer: Aetna Medicare |
$573.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$689.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$689.48
|
| Rate for Payer: BCBS Complete |
$882.53
|
| Rate for Payer: BCBS MAPPO |
$551.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,715.41
|
| Rate for Payer: BCN Commercial |
$1,715.41
|
| Rate for Payer: BCN Medicare Advantage |
$551.58
|
| Rate for Payer: Cash Price |
$1,765.06
|
| Rate for Payer: Cofinity Commercial |
$1,897.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,765.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$551.58
|
| Rate for Payer: Healthscope Commercial |
$1,985.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,654.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$579.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$634.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,875.37
|
| Rate for Payer: PACE Senior Care Partners |
$524.00
|
| Rate for Payer: PACE SWMI |
$551.58
|
| Rate for Payer: PHP Commercial |
$1,875.37
|
| Rate for Payer: PHP Medicare Advantage |
$551.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,544.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,919.50
|
| Rate for Payer: Priority Health Medicare |
$551.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,345.63
|
| Rate for Payer: Railroad Medicare Medicare |
$551.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,941.56
|
| Rate for Payer: UHC Core |
$1,842.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$551.58
|
| Rate for Payer: UHC Medicare Advantage |
$568.13
|
| Rate for Payer: VA VA |
$551.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,654.74
|
|
|
HC ATS STAND BY HR
|
Facility
|
IP
|
$1,506.99
|
|
| Hospital Charge Code |
27000089
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$919.11 |
| Max. Negotiated Rate |
$1,356.29 |
| Rate for Payer: Aetna Commercial |
$1,280.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,164.60
|
| Rate for Payer: BCN Commercial |
$1,164.60
|
| Rate for Payer: Cash Price |
$1,205.59
|
| Rate for Payer: Cofinity Commercial |
$1,296.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,205.59
|
| Rate for Payer: Healthscope Commercial |
$1,356.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,130.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,280.94
|
| Rate for Payer: PHP Commercial |
$1,280.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,054.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,311.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$919.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,326.15
|
| Rate for Payer: UHC Core |
$1,258.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,130.24
|
|
|
HC ATS STAND BY HR
|
Facility
|
OP
|
$1,506.99
|
|
| Hospital Charge Code |
27000089
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$357.91 |
| Max. Negotiated Rate |
$1,356.29 |
| Rate for Payer: Aetna Commercial |
$1,280.94
|
| Rate for Payer: Aetna Medicare |
$391.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$470.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$470.93
|
| Rate for Payer: BCBS Complete |
$602.80
|
| Rate for Payer: BCBS MAPPO |
$376.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,171.68
|
| Rate for Payer: BCN Commercial |
$1,171.68
|
| Rate for Payer: BCN Medicare Advantage |
$376.75
|
| Rate for Payer: Cash Price |
$1,205.59
|
| Rate for Payer: Cofinity Commercial |
$1,296.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,205.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$376.75
|
| Rate for Payer: Healthscope Commercial |
$1,356.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,130.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$395.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$433.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,280.94
|
| Rate for Payer: PACE Senior Care Partners |
$357.91
|
| Rate for Payer: PACE SWMI |
$376.75
|
| Rate for Payer: PHP Commercial |
$1,280.94
|
| Rate for Payer: PHP Medicare Advantage |
$376.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,054.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,311.08
|
| Rate for Payer: Priority Health Medicare |
$376.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$919.11
|
| Rate for Payer: Railroad Medicare Medicare |
$376.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,326.15
|
| Rate for Payer: UHC Core |
$1,258.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$376.75
|
| Rate for Payer: UHC Medicare Advantage |
$388.05
|
| Rate for Payer: VA VA |
$376.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,130.24
|
|
|
HC ATYPICAL PNEUMO EVAL C PNEUM
|
Facility
|
IP
|
$15.30
|
|
|
Service Code
|
CPT 86631
|
| Hospital Charge Code |
30200240
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.33 |
| Max. Negotiated Rate |
$13.77 |
| Rate for Payer: Aetna Commercial |
$13.00
|
| Rate for Payer: BCBS Trust/PPO |
$11.82
|
| Rate for Payer: BCN Commercial |
$11.82
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Healthscope Commercial |
$13.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.00
|
| Rate for Payer: PHP Commercial |
$13.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.46
|
| Rate for Payer: UHC Core |
$12.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.48
|
|
|
HC ATYPICAL PNEUMO EVAL C PNEUM
|
Facility
|
OP
|
$15.30
|
|
|
Service Code
|
CPT 86631
|
| Hospital Charge Code |
30200240
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$13.77 |
| Rate for Payer: Aetna Commercial |
$13.00
|
| Rate for Payer: Aetna Medicare |
$3.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.78
|
| Rate for Payer: BCBS Complete |
$9.16
|
| Rate for Payer: BCBS MAPPO |
$3.82
|
| Rate for Payer: BCBS Trust/PPO |
$11.90
|
| Rate for Payer: BCN Commercial |
$11.90
|
| Rate for Payer: BCN Medicare Advantage |
$3.82
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.82
|
| Rate for Payer: Healthscope Commercial |
$13.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.48
|
| Rate for Payer: Mclaren Medicaid |
$8.72
|
| Rate for Payer: Meridian Medicaid |
$9.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.00
|
| Rate for Payer: PACE Senior Care Partners |
$3.63
|
| Rate for Payer: PACE SWMI |
$3.82
|
| Rate for Payer: PHP Commercial |
$13.00
|
| Rate for Payer: PHP Medicare Advantage |
$3.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.31
|
| Rate for Payer: Priority Health Medicare |
$3.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.33
|
| Rate for Payer: Railroad Medicare Medicare |
$3.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.46
|
| Rate for Payer: UHC Core |
$12.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.82
|
| Rate for Payer: UHC Medicare Advantage |
$3.94
|
| Rate for Payer: VA VA |
$3.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.48
|
|
