|
HC CANNULA FEM ART
|
Facility
|
IP
|
$727.28
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$320.00 |
| 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: 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 |
$320.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$545.46
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,312.50
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$485.62 |
| Max. Negotiated Rate |
$1,181.25 |
| Rate for Payer: Aetna American Axle |
$853.12
|
| Rate for Payer: Aetna Commercial |
$1,115.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.12
|
| Rate for Payer: BCBS Complete |
$525.00
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cofinity Commercial |
$1,128.75
|
| Rate for Payer: Cofinity Commercial |
$918.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.00
|
| Rate for Payer: Healthscope Commercial |
$1,181.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$918.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,115.62
|
| Rate for Payer: PHP Commercial |
$1,115.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.75
|
| Rate for Payer: Priority Health SBD |
$826.88
|
| Rate for Payer: UMR Bronson Commercial |
$485.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.38
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,312.50
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$577.50 |
| Max. Negotiated Rate |
$1,181.25 |
| Rate for Payer: Aetna American Axle |
$853.12
|
| Rate for Payer: Aetna Commercial |
$1,115.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.12
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cofinity Commercial |
$1,128.75
|
| Rate for Payer: Cofinity Commercial |
$918.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.00
|
| Rate for Payer: Healthscope Commercial |
$1,181.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$918.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,115.62
|
| Rate for Payer: PHP Commercial |
$1,115.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$918.75
|
| Rate for Payer: Priority Health SBD |
$826.88
|
| Rate for Payer: UMR Bronson Commercial |
$577.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.38
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,262.50
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$555.50 |
| Max. Negotiated Rate |
$1,136.25 |
| Rate for Payer: Aetna American Axle |
$820.62
|
| Rate for Payer: Aetna Commercial |
$1,073.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.62
|
| Rate for Payer: Cash Price |
$1,010.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.75
|
| Rate for Payer: Cofinity Commercial |
$883.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,010.00
|
| Rate for Payer: Healthscope Commercial |
$1,136.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$883.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$946.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,073.12
|
| Rate for Payer: PHP Commercial |
$1,073.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.75
|
| Rate for Payer: Priority Health SBD |
$795.38
|
| Rate for Payer: UMR Bronson Commercial |
$555.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$946.88
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,262.50
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$467.12 |
| Max. Negotiated Rate |
$1,136.25 |
| Rate for Payer: Aetna American Axle |
$820.62
|
| Rate for Payer: Aetna Commercial |
$1,073.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.62
|
| Rate for Payer: BCBS Complete |
$505.00
|
| Rate for Payer: Cash Price |
$1,010.00
|
| Rate for Payer: Cofinity Commercial |
$1,085.75
|
| Rate for Payer: Cofinity Commercial |
$883.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,010.00
|
| Rate for Payer: Healthscope Commercial |
$1,136.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$883.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$946.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,073.12
|
| Rate for Payer: PHP Commercial |
$1,073.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.75
|
| Rate for Payer: Priority Health SBD |
$795.38
|
| Rate for Payer: UMR Bronson Commercial |
$467.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$946.88
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$69.00
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.53 |
| Max. Negotiated Rate |
$62.10 |
| Rate for Payer: Aetna American Axle |
$44.85
|
| Rate for Payer: Aetna Commercial |
$58.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.85
|
| Rate for Payer: BCBS Complete |
$27.60
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cofinity Commercial |
$48.30
|
| Rate for Payer: Cofinity Commercial |
$59.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.20
|
| Rate for Payer: Healthscope Commercial |
$62.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$48.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58.65
|
| Rate for Payer: PHP Commercial |
$58.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.30
|
| Rate for Payer: Priority Health SBD |
$43.47
|
| Rate for Payer: UMR Bronson Commercial |
$25.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.75
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$69.00
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.36 |
| Max. Negotiated Rate |
$62.10 |
| Rate for Payer: Aetna American Axle |
$44.85
|
| Rate for Payer: Aetna Commercial |
$58.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.85
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cofinity Commercial |
$48.30
|
| Rate for Payer: Cofinity Commercial |
$59.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.20
|
| Rate for Payer: Healthscope Commercial |
$62.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$48.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58.65
|
| Rate for Payer: PHP Commercial |
$58.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.30
|
| Rate for Payer: Priority Health SBD |
$43.47
|
| Rate for Payer: UMR Bronson Commercial |
$30.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.75
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$57.00
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.08 |
| Max. Negotiated Rate |
$51.30 |
| Rate for Payer: Aetna American Axle |
$37.05
|
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.05
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$39.90
|
| Rate for Payer: Cofinity Commercial |
$49.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.60
|
| Rate for Payer: Healthscope Commercial |
$51.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.45
|
| Rate for Payer: PHP Commercial |
$48.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health SBD |
$35.91
|
| Rate for Payer: UMR Bronson Commercial |
$25.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.75
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$57.00
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$51.30 |
| Rate for Payer: Aetna American Axle |
$37.05
|
| Rate for Payer: Aetna Commercial |
$48.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.05
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$39.90
|
| Rate for Payer: Cofinity Commercial |
$49.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.60
|
| Rate for Payer: Healthscope Commercial |
$51.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$48.45
|
| Rate for Payer: PHP Commercial |
$48.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health SBD |
$35.91
|
| Rate for Payer: UMR Bronson Commercial |
$21.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.75
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$297.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$109.89 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna American Axle |
$193.05
|
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.05
|
| Rate for Payer: BCBS Complete |
$118.80
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$207.90
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health SBD |
$187.11
|
| Rate for Payer: UMR Bronson Commercial |
$109.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$297.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$130.68 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna American Axle |
$193.05
|
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.05
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$207.90
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health SBD |
$187.11
|
| Rate for Payer: UMR Bronson Commercial |
$130.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$255.00
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$94.35 |
| Max. Negotiated Rate |
$229.50 |
| Rate for Payer: Aetna American Axle |
$165.75
|
| Rate for Payer: Aetna Commercial |
$216.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.75
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$178.50
|
| Rate for Payer: Cofinity Commercial |
$219.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.00
|
| Rate for Payer: Healthscope Commercial |
$229.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$178.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$191.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$216.75
|
| Rate for Payer: PHP Commercial |
$216.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.50
|
| Rate for Payer: Priority Health SBD |
$160.65
|
| Rate for Payer: UMR Bronson Commercial |
$94.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$191.25
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$255.00
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$112.20 |
| Max. Negotiated Rate |
$229.50 |
| Rate for Payer: Aetna American Axle |
$165.75
|
| Rate for Payer: Aetna Commercial |
$216.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.75
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$178.50
|
| Rate for Payer: Cofinity Commercial |
$219.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.00
|
| Rate for Payer: Healthscope Commercial |
$229.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$178.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$191.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$216.75
|
| Rate for Payer: PHP Commercial |
$216.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.50
|
| Rate for Payer: Priority Health SBD |
$160.65
|
| Rate for Payer: UMR Bronson Commercial |
$112.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$191.25
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$204.00
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$89.76 |
| Max. Negotiated Rate |
$183.60 |
| Rate for Payer: Aetna American Axle |
$132.60
|
| Rate for Payer: Aetna Commercial |
$173.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.60
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$142.80
|
| Rate for Payer: Cofinity Commercial |
$175.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.20
|
| Rate for Payer: Healthscope Commercial |
$183.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$142.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$173.40
|
| Rate for Payer: PHP Commercial |
$173.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.80
|
| Rate for Payer: Priority Health SBD |
$128.52
|
| Rate for Payer: UMR Bronson Commercial |
$89.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.00
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$204.00
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$75.48 |
| Max. Negotiated Rate |
$183.60 |
| Rate for Payer: Aetna American Axle |
$132.60
|
| Rate for Payer: Aetna Commercial |
$173.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.60
|
| Rate for Payer: BCBS Complete |
$81.60
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$142.80
|
| Rate for Payer: Cofinity Commercial |
$175.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.20
|
| Rate for Payer: Healthscope Commercial |
$183.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$142.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$173.40
|
| Rate for Payer: PHP Commercial |
$173.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.80
|
| Rate for Payer: Priority Health SBD |
$128.52
|
| Rate for Payer: UMR Bronson Commercial |
$75.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.00
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
IP
|
$304.91
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.16 |
| Max. Negotiated Rate |
$274.42 |
| Rate for Payer: Aetna American Axle |
$198.19
|
| Rate for Payer: Aetna Commercial |
$259.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.19
|
| Rate for Payer: Cash Price |
$243.93
|
| Rate for Payer: Cofinity Commercial |
$213.44
|
| Rate for Payer: Cofinity Commercial |
$262.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$243.93
|
| Rate for Payer: Healthscope Commercial |
$274.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$213.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$228.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$259.17
|
| Rate for Payer: PHP Commercial |
$259.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.44
|
| Rate for Payer: Priority Health SBD |
$192.09
|
| Rate for Payer: UMR Bronson Commercial |
$134.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$228.68
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$304.91
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$112.82 |
| Max. Negotiated Rate |
$274.42 |
| Rate for Payer: Aetna American Axle |
$198.19
|
| Rate for Payer: Aetna Commercial |
$259.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.19
|
| Rate for Payer: BCBS Complete |
$121.96
|
| Rate for Payer: Cash Price |
$243.93
|
| Rate for Payer: Cofinity Commercial |
$213.44
|
| Rate for Payer: Cofinity Commercial |
$262.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$243.93
|
| Rate for Payer: Healthscope Commercial |
$274.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$213.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$228.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$259.17
|
| Rate for Payer: PHP Commercial |
$259.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.44
|
| Rate for Payer: Priority Health SBD |
$192.09
|
| Rate for Payer: UMR Bronson Commercial |
$112.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$228.68
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
IP
|
$34.50
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$31.05 |
| Rate for Payer: Aetna American Axle |
$22.42
|
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.42
|
| Rate for Payer: Cash Price |
$27.60
|
| Rate for Payer: Cofinity Commercial |
$24.15
|
| Rate for Payer: Cofinity Commercial |
$29.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.60
|
| Rate for Payer: Healthscope Commercial |
$31.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$29.32
|
| Rate for Payer: PHP Commercial |
$29.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.15
|
| Rate for Payer: Priority Health SBD |
$21.74
|
| Rate for Payer: UMR Bronson Commercial |
$15.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.88
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
OP
|
$34.50
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.76 |
| Max. Negotiated Rate |
$31.05 |
| Rate for Payer: Aetna American Axle |
$22.42
|
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.42
|
| Rate for Payer: BCBS Complete |
$13.80
|
| Rate for Payer: Cash Price |
$27.60
|
| Rate for Payer: Cofinity Commercial |
$24.15
|
| Rate for Payer: Cofinity Commercial |
$29.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.60
|
| Rate for Payer: Healthscope Commercial |
$31.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$29.32
|
| Rate for Payer: PHP Commercial |
$29.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.15
|
| Rate for Payer: Priority Health SBD |
$21.74
|
| Rate for Payer: UMR Bronson Commercial |
$12.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.88
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
IP
|
$84.00
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.96 |
| Max. Negotiated Rate |
$75.60 |
| Rate for Payer: Aetna American Axle |
$54.60
|
| Rate for Payer: Aetna Commercial |
$71.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.60
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$58.80
|
| Rate for Payer: Cofinity Commercial |
$72.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.20
|
| Rate for Payer: Healthscope Commercial |
$75.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$71.40
|
| Rate for Payer: PHP Commercial |
$71.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.80
|
| Rate for Payer: Priority Health SBD |
$52.92
|
| Rate for Payer: UMR Bronson Commercial |
$36.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.00
|
|
|
HC CANNULA VENOUS RT PVC
|
Facility
|
OP
|
$84.00
|
|
| Hospital Charge Code |
27000681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$31.08 |
| Max. Negotiated Rate |
$75.60 |
| Rate for Payer: Aetna American Axle |
$54.60
|
| Rate for Payer: Aetna Commercial |
$71.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.60
|
| Rate for Payer: BCBS Complete |
$33.60
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$58.80
|
| Rate for Payer: Cofinity Commercial |
$72.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.20
|
| Rate for Payer: Healthscope Commercial |
$75.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$58.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$71.40
|
| Rate for Payer: PHP Commercial |
$71.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.80
|
| Rate for Payer: Priority Health SBD |
$52.92
|
| Rate for Payer: UMR Bronson Commercial |
$31.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.00
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
IP
|
$72.00
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$31.68 |
| Max. Negotiated Rate |
$64.80 |
| Rate for Payer: Aetna American Axle |
$46.80
|
| Rate for Payer: Aetna Commercial |
$61.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.80
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$61.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$64.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.20
|
| Rate for Payer: PHP Commercial |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: Priority Health SBD |
$45.36
|
| Rate for Payer: UMR Bronson Commercial |
$31.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.00
|
|
|
HC CANNULA VEN SINGLE STAGE
|
Facility
|
OP
|
$72.00
|
|
| Hospital Charge Code |
27000263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.64 |
| Max. Negotiated Rate |
$64.80 |
| Rate for Payer: Aetna American Axle |
$46.80
|
| Rate for Payer: Aetna Commercial |
$61.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.80
|
| Rate for Payer: BCBS Complete |
$28.80
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$61.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$64.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.20
|
| Rate for Payer: PHP Commercial |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: Priority Health SBD |
$45.36
|
| Rate for Payer: UMR Bronson Commercial |
$26.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.00
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
IP
|
$96.00
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.24 |
| Max. Negotiated Rate |
$86.40 |
| Rate for Payer: Aetna American Axle |
$62.40
|
| Rate for Payer: Aetna Commercial |
$81.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.40
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cofinity Commercial |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$82.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.80
|
| Rate for Payer: Healthscope Commercial |
$86.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$81.60
|
| Rate for Payer: PHP Commercial |
$81.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.20
|
| Rate for Payer: Priority Health SBD |
$60.48
|
| Rate for Payer: UMR Bronson Commercial |
$42.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.00
|
|
|
HC CANNULA VEN SNGL STG RT ANG
|
Facility
|
OP
|
$96.00
|
|
| Hospital Charge Code |
27000267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.52 |
| Max. Negotiated Rate |
$86.40 |
| Rate for Payer: Aetna American Axle |
$62.40
|
| Rate for Payer: Aetna Commercial |
$81.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.40
|
| Rate for Payer: BCBS Complete |
$38.40
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cofinity Commercial |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$82.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.80
|
| Rate for Payer: Healthscope Commercial |
$86.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$81.60
|
| Rate for Payer: PHP Commercial |
$81.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.20
|
| Rate for Payer: Priority Health SBD |
$60.48
|
| Rate for Payer: UMR Bronson Commercial |
$35.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.00
|
|
