|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$2,595.19
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,141.88 |
| Max. Negotiated Rate |
$2,335.67 |
| Rate for Payer: Aetna American Axle |
$1,686.87
|
| Rate for Payer: Aetna Commercial |
$2,205.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,686.87
|
| Rate for Payer: Cash Price |
$2,076.15
|
| Rate for Payer: Cofinity Advantage |
$1,816.63
|
| Rate for Payer: Cofinity Commercial |
$2,231.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,076.15
|
| Rate for Payer: Healthscope Commercial |
$2,335.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,816.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,946.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,205.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,946.39
|
| Rate for Payer: PHP Commercial |
$2,205.91
|
| Rate for Payer: Priority Health SBD |
$1,634.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,141.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,946.39
|
|
|
HC ASPIRATION DISK
|
Facility
|
IP
|
$4,706.49
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,070.86 |
| Max. Negotiated Rate |
$4,235.84 |
| Rate for Payer: Aetna American Axle |
$3,059.22
|
| Rate for Payer: Aetna Commercial |
$4,000.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,059.22
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cofinity Advantage |
$3,294.54
|
| Rate for Payer: Cofinity Commercial |
$4,047.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,765.19
|
| Rate for Payer: Healthscope Commercial |
$4,235.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,294.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,529.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,529.87
|
| Rate for Payer: PHP Commercial |
$4,000.52
|
| Rate for Payer: Priority Health SBD |
$2,965.09
|
| Rate for Payer: UMR Bronson Commercial |
$2,070.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,529.87
|
|
|
HC ASPIRATION DISK
|
Facility
|
OP
|
$4,706.49
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$6,292.24 |
| Rate for Payer: Aetna American Axle |
$3,059.22
|
| Rate for Payer: Aetna Commercial |
$4,000.52
|
| Rate for Payer: Aetna Medicare |
$2,023.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,059.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,550.06
|
| Rate for Payer: BCN Commercial |
$3,550.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cofinity Advantage |
$3,294.54
|
| Rate for Payer: Cofinity Commercial |
$4,047.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,765.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$4,235.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,294.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,529.87
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$2,042.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.52
|
| Rate for Payer: Nomi Health Commercial |
$5,837.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,529.87
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$4,000.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,292.24
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health SBD |
$2,965.09
|
| Rate for Payer: Priority Health Tiered Network |
$5,033.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,059.22
|
| Rate for Payer: UHC Core |
$2,452.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$1,849.65
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,741.40
|
| Rate for Payer: VA VA |
$1,945.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,529.87
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
OP
|
$422.82
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$380.54 |
| Rate for Payer: Aetna American Axle |
$274.83
|
| Rate for Payer: Aetna Commercial |
$359.40
|
| Rate for Payer: Aetna Medicare |
$211.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.83
|
| Rate for Payer: BCBS Complete |
$169.13
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cofinity Advantage |
$295.97
|
| Rate for Payer: Cofinity Commercial |
$363.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.26
|
| Rate for Payer: Healthscope Commercial |
$380.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$338.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.12
|
| Rate for Payer: PHP Commercial |
$359.40
|
| Rate for Payer: Priority Health SBD |
$266.38
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$156.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.12
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
IP
|
$422.82
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$186.04 |
| Max. Negotiated Rate |
$380.54 |
| Rate for Payer: Aetna American Axle |
$274.83
|
| Rate for Payer: Aetna Commercial |
$359.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.83
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cofinity Advantage |
$295.97
|
| Rate for Payer: Cofinity Commercial |
$363.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.26
|
| Rate for Payer: Healthscope Commercial |
$380.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.12
|
| Rate for Payer: PHP Commercial |
$359.40
|
| Rate for Payer: Priority Health SBD |
$266.38
|
| Rate for Payer: UMR Bronson Commercial |
$186.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.12
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
OP
|
$503.73
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$130.81 |
| Max. Negotiated Rate |
$2,281.79 |
| Rate for Payer: Aetna American Axle |
$327.42
|
| Rate for Payer: Aetna Commercial |
$428.17
|
| Rate for Payer: Aetna Medicare |
$733.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$130.81
|
| Rate for Payer: BCN Commercial |
$130.81
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cofinity Advantage |
$352.61
|
| Rate for Payer: Cofinity Commercial |
$433.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$453.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$352.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.80
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$740.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$428.17
|
| Rate for Payer: Nomi Health Commercial |
$2,116.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.80
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$428.17
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,281.79
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health SBD |
$317.35
|
| Rate for Payer: Priority Health Tiered Network |
$1,825.43
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: UMR Bronson Commercial |
$186.38
|
| Rate for Payer: VA VA |
$705.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.80
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
IP
|
$503.73
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$221.64 |
| Max. Negotiated Rate |
$453.36 |
| Rate for Payer: Aetna American Axle |
$327.42
|
| Rate for Payer: Aetna Commercial |
$428.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.42
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cofinity Advantage |
$352.61
|
| Rate for Payer: Cofinity Commercial |
$433.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.98
|
| Rate for Payer: Healthscope Commercial |
$453.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$352.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$428.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.80
|
| Rate for Payer: PHP Commercial |
$428.17
|
| Rate for Payer: Priority Health SBD |
$317.35
|
| Rate for Payer: UMR Bronson Commercial |
$221.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.80
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
OP
|
$238.35
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$52.94 |
| Max. Negotiated Rate |
$423.41 |
| Rate for Payer: Aetna American Axle |
$154.93
|
| Rate for Payer: Aetna Commercial |
$202.60
|
| Rate for Payer: Aetna Medicare |
$105.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.53
|
| Rate for Payer: BCBS Complete |
$55.59
|
| Rate for Payer: BCBS MAPPO |
$101.22
|
| Rate for Payer: BCBS Trust/PPO |
$423.41
|
| Rate for Payer: BCN Commercial |
$423.41
|
| Rate for Payer: BCN Medicare Advantage |
$101.22
|
| Rate for Payer: Cash Price |
$190.68
|
| Rate for Payer: Cash Price |
$190.68
|
| Rate for Payer: Cofinity Advantage |
$166.84
|
| Rate for Payer: Cofinity Commercial |
$204.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.22
|
| Rate for Payer: Healthscope Commercial |
$214.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.76
|
| Rate for Payer: Mclaren Medicaid |
$101.22
|
| Rate for Payer: Mclaren Medicare |
$101.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.28
|
| Rate for Payer: Meridian Medicaid |
$106.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.60
|
| Rate for Payer: Nomi Health Commercial |
$303.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.76
|
| Rate for Payer: PACE Medicare |
$96.16
|
| Rate for Payer: PACE SWMI |
$101.22
|
| Rate for Payer: PHP Commercial |
$202.60
|
| Rate for Payer: PHP Medicare Advantage |
$101.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$327.36
|
| Rate for Payer: Priority Health Medicare |
$101.22
|
| Rate for Payer: Priority Health SBD |
$150.16
|
| Rate for Payer: Priority Health Tiered Network |
$261.89
|
| Rate for Payer: Railroad Medicare Medicare |
$101.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.93
|
| Rate for Payer: UHC Core |
$124.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$101.22
|
| Rate for Payer: UHC Exchange |
$93.67
|
| Rate for Payer: UHC Medicaid |
$52.94
|
| Rate for Payer: UHCCP Medicaid |
$52.94
|
| Rate for Payer: UMR Bronson Commercial |
$88.19
|
| Rate for Payer: VA VA |
$101.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.76
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
IP
|
$238.35
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$104.87 |
| Max. Negotiated Rate |
$214.51 |
| Rate for Payer: Aetna American Axle |
$154.93
|
| Rate for Payer: Aetna Commercial |
$202.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.93
|
| Rate for Payer: Cash Price |
$190.68
|
| Rate for Payer: Cofinity Advantage |
$166.84
|
| Rate for Payer: Cofinity Commercial |
$204.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.68
|
| Rate for Payer: Healthscope Commercial |
$214.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.76
|
| Rate for Payer: PHP Commercial |
$202.60
|
| Rate for Payer: Priority Health SBD |
$150.16
|
| Rate for Payer: UMR Bronson Commercial |
$104.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.76
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
IP
|
$1,637.46
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$720.48 |
| Max. Negotiated Rate |
$1,473.71 |
| Rate for Payer: Aetna American Axle |
$1,064.35
|
| Rate for Payer: Aetna Commercial |
$1,391.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,064.35
|
| Rate for Payer: Cash Price |
$1,309.97
|
| Rate for Payer: Cofinity Advantage |
$1,146.22
|
| Rate for Payer: Cofinity Commercial |
$1,408.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,309.97
|
| Rate for Payer: Healthscope Commercial |
$1,473.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,146.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,228.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,391.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,228.10
|
| Rate for Payer: PHP Commercial |
$1,391.84
|
| Rate for Payer: Priority Health SBD |
$1,031.60
|
| Rate for Payer: UMR Bronson Commercial |
$720.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,228.10
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
OP
|
$1,637.46
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$605.86 |
| Max. Negotiated Rate |
$1,473.71 |
| Rate for Payer: Aetna American Axle |
$1,064.35
|
| Rate for Payer: Aetna Commercial |
$1,391.84
|
| Rate for Payer: Aetna Medicare |
$818.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,064.35
|
| Rate for Payer: BCBS Complete |
$654.98
|
| Rate for Payer: Cash Price |
$1,309.97
|
| Rate for Payer: Cofinity Advantage |
$1,146.22
|
| Rate for Payer: Cofinity Commercial |
$1,408.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,309.97
|
| Rate for Payer: Healthscope Commercial |
$1,473.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,146.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,228.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,309.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,391.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,228.10
|
| Rate for Payer: PHP Commercial |
$1,391.84
|
| Rate for Payer: Priority Health SBD |
$1,031.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,064.35
|
| Rate for Payer: UHC Core |
$853.12
|
| Rate for Payer: UHC Exchange |
$643.52
|
| Rate for Payer: UMR Bronson Commercial |
$605.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,228.10
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
IP
|
$15,187.37
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,682.44 |
| Max. Negotiated Rate |
$13,668.63 |
| Rate for Payer: Aetna American Axle |
$9,871.79
|
| Rate for Payer: Aetna Commercial |
$12,909.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,871.79
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Advantage |
$10,631.16
|
| Rate for Payer: Cofinity Commercial |
$13,061.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Healthscope Commercial |
$13,668.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,631.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,390.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: PHP Commercial |
$12,909.26
|
| Rate for Payer: Priority Health SBD |
$9,568.04
|
| Rate for Payer: UMR Bronson Commercial |
$6,682.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,390.53
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
OP
|
$15,187.37
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,619.33 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$9,871.79
|
| Rate for Payer: Aetna Commercial |
$12,909.26
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,871.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$11,004.10
|
| Rate for Payer: BCN Commercial |
$11,004.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Advantage |
$10,631.16
|
| Rate for Payer: Cofinity Commercial |
$13,061.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$13,668.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,631.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,390.53
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$12,909.26
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$9,568.04
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$5,619.33
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,390.53
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
OP
|
$15,187.37
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,619.33 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$9,871.79
|
| Rate for Payer: Aetna Commercial |
$12,909.26
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,871.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$11,004.10
|
| Rate for Payer: BCN Commercial |
$11,004.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Advantage |
$10,631.16
|
| Rate for Payer: Cofinity Commercial |
$13,061.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$13,668.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,631.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,390.53
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$12,909.26
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$9,568.04
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$5,619.33
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,390.53
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
IP
|
$15,187.37
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,682.44 |
| Max. Negotiated Rate |
$13,668.63 |
| Rate for Payer: Aetna American Axle |
$9,871.79
|
| Rate for Payer: Aetna Commercial |
$12,909.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,871.79
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Advantage |
$10,631.16
|
| Rate for Payer: Cofinity Commercial |
$13,061.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Healthscope Commercial |
$13,668.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10,631.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11,390.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: PHP Commercial |
$12,909.26
|
| Rate for Payer: Priority Health SBD |
$9,568.04
|
| Rate for Payer: UMR Bronson Commercial |
$6,682.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11,390.53
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
OP
|
$12,327.15
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,561.05 |
| Max. Negotiated Rate |
$59,069.70 |
| Rate for Payer: Aetna American Axle |
$8,012.65
|
| Rate for Payer: Aetna Commercial |
$10,478.08
|
| Rate for Payer: Aetna Medicare |
$18,996.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,012.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCBS Trust/PPO |
$16,926.77
|
| Rate for Payer: BCN Commercial |
$16,926.77
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cofinity Advantage |
$8,629.00
|
| Rate for Payer: Cofinity Commercial |
$10,601.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,861.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$11,094.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,629.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,245.36
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$19,179.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,478.08
|
| Rate for Payer: Nomi Health Commercial |
$54,797.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,245.36
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$10,478.08
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59,069.70
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health SBD |
$7,766.10
|
| Rate for Payer: Priority Health Tiered Network |
$47,255.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: UMR Bronson Commercial |
$4,561.05
|
| Rate for Payer: VA VA |
$18,265.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,245.36
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
IP
|
$12,327.15
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,423.95 |
| Max. Negotiated Rate |
$11,094.43 |
| Rate for Payer: Aetna American Axle |
$8,012.65
|
| Rate for Payer: Aetna Commercial |
$10,478.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,012.65
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cofinity Advantage |
$8,629.00
|
| Rate for Payer: Cofinity Commercial |
$10,601.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,861.72
|
| Rate for Payer: Healthscope Commercial |
$11,094.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,629.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,245.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,478.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,245.36
|
| Rate for Payer: PHP Commercial |
$10,478.08
|
| Rate for Payer: Priority Health SBD |
$7,766.10
|
| Rate for Payer: UMR Bronson Commercial |
$5,423.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,245.36
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
IP
|
$13,229.90
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,821.16 |
| Max. Negotiated Rate |
$11,906.91 |
| Rate for Payer: Aetna American Axle |
$8,599.43
|
| Rate for Payer: Aetna Commercial |
$11,245.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,599.43
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Advantage |
$9,260.93
|
| Rate for Payer: Cofinity Commercial |
$11,377.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Healthscope Commercial |
$11,906.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,260.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,922.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: PHP Commercial |
$11,245.42
|
| Rate for Payer: Priority Health SBD |
$8,334.84
|
| Rate for Payer: UMR Bronson Commercial |
$5,821.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,922.42
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
OP
|
$13,229.90
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,895.06 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$8,599.43
|
| Rate for Payer: Aetna Commercial |
$11,245.42
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,599.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$11,004.10
|
| Rate for Payer: BCN Commercial |
$11,004.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Advantage |
$9,260.93
|
| Rate for Payer: Cofinity Commercial |
$11,377.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$11,906.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,260.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,922.42
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$11,245.42
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$8,334.84
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$4,895.06
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,922.42
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
OP
|
$13,229.90
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$631.24 |
| Max. Negotiated Rate |
$11,906.91 |
| Rate for Payer: Aetna American Axle |
$8,599.43
|
| Rate for Payer: Aetna Commercial |
$11,245.42
|
| Rate for Payer: Aetna Medicare |
$6,614.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,599.43
|
| Rate for Payer: BCBS Complete |
$5,291.96
|
| Rate for Payer: BCBS Trust/PPO |
$631.24
|
| Rate for Payer: BCN Commercial |
$631.24
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Advantage |
$9,260.93
|
| Rate for Payer: Cofinity Commercial |
$11,377.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Healthscope Commercial |
$11,906.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,260.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,922.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,583.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: PHP Commercial |
$11,245.42
|
| Rate for Payer: Priority Health SBD |
$8,334.84
|
| Rate for Payer: UMR Bronson Commercial |
$4,895.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,922.42
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
IP
|
$13,229.90
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,821.16 |
| Max. Negotiated Rate |
$11,906.91 |
| Rate for Payer: Aetna American Axle |
$8,599.43
|
| Rate for Payer: Aetna Commercial |
$11,245.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,599.43
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Advantage |
$9,260.93
|
| Rate for Payer: Cofinity Commercial |
$11,377.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Healthscope Commercial |
$11,906.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,260.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,922.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: PHP Commercial |
$11,245.42
|
| Rate for Payer: Priority Health SBD |
$8,334.84
|
| Rate for Payer: UMR Bronson Commercial |
$5,821.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,922.42
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
IP
|
$2,295.46
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,010.00 |
| Max. Negotiated Rate |
$2,065.91 |
| Rate for Payer: Aetna American Axle |
$1,492.05
|
| Rate for Payer: Aetna Commercial |
$1,951.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,492.05
|
| Rate for Payer: Cash Price |
$1,836.37
|
| Rate for Payer: Cofinity Advantage |
$1,606.82
|
| Rate for Payer: Cofinity Commercial |
$1,974.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,836.37
|
| Rate for Payer: Healthscope Commercial |
$2,065.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,606.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,721.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,951.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.60
|
| Rate for Payer: PHP Commercial |
$1,951.14
|
| Rate for Payer: Priority Health SBD |
$1,446.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,010.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,721.60
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
OP
|
$2,295.46
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$849.32 |
| Max. Negotiated Rate |
$2,065.91 |
| Rate for Payer: Aetna American Axle |
$1,492.05
|
| Rate for Payer: Aetna Commercial |
$1,951.14
|
| Rate for Payer: Aetna Medicare |
$1,147.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,492.05
|
| Rate for Payer: BCBS Complete |
$918.18
|
| Rate for Payer: Cash Price |
$1,836.37
|
| Rate for Payer: Cofinity Advantage |
$1,606.82
|
| Rate for Payer: Cofinity Commercial |
$1,974.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,836.37
|
| Rate for Payer: Healthscope Commercial |
$2,065.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,606.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,721.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,836.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,951.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.60
|
| Rate for Payer: PHP Commercial |
$1,951.14
|
| Rate for Payer: Priority Health SBD |
$1,446.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,492.05
|
| Rate for Payer: UHC Core |
$1,195.93
|
| Rate for Payer: UHC Exchange |
$902.12
|
| Rate for Payer: UMR Bronson Commercial |
$849.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,721.60
|
|
|
HC ATS STAND BY HR
|
Facility
|
IP
|
$1,567.87
|
|
| Hospital Charge Code |
27000089
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$689.86 |
| Max. Negotiated Rate |
$1,411.08 |
| Rate for Payer: Aetna American Axle |
$1,019.12
|
| Rate for Payer: Aetna Commercial |
$1,332.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.12
|
| Rate for Payer: Cash Price |
$1,254.30
|
| Rate for Payer: Cofinity Advantage |
$1,097.51
|
| Rate for Payer: Cofinity Commercial |
$1,348.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,254.30
|
| Rate for Payer: Healthscope Commercial |
$1,411.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,097.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,175.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,332.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,175.90
|
| Rate for Payer: PHP Commercial |
$1,332.69
|
| Rate for Payer: Priority Health SBD |
$987.76
|
| Rate for Payer: UMR Bronson Commercial |
$689.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,175.90
|
|
|
HC ATS STAND BY HR
|
Facility
|
OP
|
$1,567.87
|
|
| Hospital Charge Code |
27000089
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$580.11 |
| Max. Negotiated Rate |
$1,411.08 |
| Rate for Payer: Aetna American Axle |
$1,019.12
|
| Rate for Payer: Aetna Commercial |
$1,332.69
|
| Rate for Payer: Aetna Medicare |
$783.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.12
|
| Rate for Payer: BCBS Complete |
$627.15
|
| Rate for Payer: Cash Price |
$1,254.30
|
| Rate for Payer: Cofinity Advantage |
$1,097.51
|
| Rate for Payer: Cofinity Commercial |
$1,348.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,254.30
|
| Rate for Payer: Healthscope Commercial |
$1,411.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,097.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,175.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,254.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,332.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,175.90
|
| Rate for Payer: PHP Commercial |
$1,332.69
|
| Rate for Payer: Priority Health SBD |
$987.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,019.12
|
| Rate for Payer: UHC Core |
$816.86
|
| Rate for Payer: UHC Exchange |
$616.17
|
| Rate for Payer: UMR Bronson Commercial |
$580.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,175.90
|
|
