|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$316.73
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$139.36 |
| Max. Negotiated Rate |
$285.06 |
| Rate for Payer: Aetna American Axle |
$205.87
|
| Rate for Payer: Aetna Commercial |
$269.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.87
|
| Rate for Payer: Cash Price |
$253.38
|
| Rate for Payer: Cofinity Commercial |
$221.71
|
| Rate for Payer: Cofinity Commercial |
$272.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.38
|
| Rate for Payer: Healthscope Commercial |
$285.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$221.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$269.22
|
| Rate for Payer: PHP Commercial |
$269.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.71
|
| Rate for Payer: Priority Health SBD |
$199.54
|
| Rate for Payer: UMR Bronson Commercial |
$139.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.55
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$316.73
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$117.19 |
| Max. Negotiated Rate |
$285.06 |
| Rate for Payer: Aetna American Axle |
$205.87
|
| Rate for Payer: Aetna Commercial |
$269.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.87
|
| Rate for Payer: BCBS Complete |
$126.69
|
| Rate for Payer: Cash Price |
$253.38
|
| Rate for Payer: Cofinity Commercial |
$221.71
|
| Rate for Payer: Cofinity Commercial |
$272.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.38
|
| Rate for Payer: Healthscope Commercial |
$285.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$221.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$269.22
|
| Rate for Payer: PHP Commercial |
$269.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.71
|
| Rate for Payer: Priority Health SBD |
$199.54
|
| Rate for Payer: UMR Bronson Commercial |
$117.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.55
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$113.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.30 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$135.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$75.00
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna American Axle |
$48.75
|
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$52.50
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health SBD |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$33.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$75.00
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.75 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna American Axle |
$48.75
|
| Rate for Payer: Aetna Commercial |
$63.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$52.50
|
| Rate for Payer: Cofinity Commercial |
$64.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: PHP Commercial |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health SBD |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$27.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.25
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$147.18 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$147.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$123.76 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: BCBS Complete |
$133.80
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$123.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$123.76 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: BCBS Complete |
$133.80
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$123.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$147.18 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$147.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$113.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.30 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$135.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$113.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.30 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$135.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$123.76 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: BCBS Complete |
$133.80
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$123.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$147.18 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$147.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$334.50
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$123.76 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: BCBS Complete |
$133.80
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$123.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$334.50
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$147.18 |
| Max. Negotiated Rate |
$301.05 |
| Rate for Payer: Aetna American Axle |
$217.42
|
| Rate for Payer: Aetna Commercial |
$284.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
| Rate for Payer: Cash Price |
$267.60
|
| Rate for Payer: Cofinity Commercial |
$234.15
|
| Rate for Payer: Cofinity Commercial |
$287.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$267.60
|
| Rate for Payer: Healthscope Commercial |
$301.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$234.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$250.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
| Rate for Payer: PHP Commercial |
$284.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
| Rate for Payer: Priority Health SBD |
$210.74
|
| Rate for Payer: UMR Bronson Commercial |
$147.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$250.88
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$113.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.30 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$135.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
IP
|
$307.50
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.30 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$135.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
OP
|
$307.50
|
|
| Hospital Charge Code |
27006713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna American Axle |
$199.88
|
| Rate for Payer: Aetna Commercial |
$261.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
| Rate for Payer: BCBS Complete |
$123.00
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$264.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.00
|
| Rate for Payer: Healthscope Commercial |
$276.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
| Rate for Payer: PHP Commercial |
$261.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
| Rate for Payer: Priority Health SBD |
$193.72
|
| Rate for Payer: UMR Bronson Commercial |
$113.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.62
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.25
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.38 |
| Max. Negotiated Rate |
$15.52 |
| Rate for Payer: Aetna American Axle |
$11.21
|
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.21
|
| Rate for Payer: BCBS Complete |
$6.90
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cofinity Commercial |
$12.08
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.80
|
| Rate for Payer: Healthscope Commercial |
$15.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.66
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.08
|
| Rate for Payer: Priority Health SBD |
$10.87
|
| Rate for Payer: UMR Bronson Commercial |
$6.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
IP
|
$17.25
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.59 |
| Max. Negotiated Rate |
$15.52 |
| Rate for Payer: Aetna American Axle |
$11.21
|
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.21
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cofinity Commercial |
$12.08
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.80
|
| Rate for Payer: Healthscope Commercial |
$15.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.66
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.08
|
| Rate for Payer: Priority Health SBD |
$10.87
|
| Rate for Payer: UMR Bronson Commercial |
$7.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$727.28
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$269.09 |
| Max. Negotiated Rate |
$654.55 |
| Rate for Payer: Aetna American Axle |
$472.73
|
| Rate for Payer: Aetna Commercial |
$618.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$472.73
|
| Rate for Payer: BCBS Complete |
$290.91
|
| Rate for Payer: Cash Price |
$581.82
|
| Rate for Payer: Cofinity Commercial |
$509.10
|
| Rate for Payer: Cofinity Commercial |
$625.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$581.82
|
| Rate for Payer: Healthscope Commercial |
$654.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$509.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$545.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$618.19
|
| Rate for Payer: PHP Commercial |
$618.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$509.10
|
| Rate for Payer: Priority Health SBD |
$458.19
|
| Rate for Payer: UMR Bronson Commercial |
$269.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$545.46
|
|
