|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$48.38
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.90 |
| Max. Negotiated Rate |
$43.54 |
| Rate for Payer: Aetna American Axle |
$31.45
|
| Rate for Payer: Aetna Commercial |
$41.12
|
| Rate for Payer: Aetna Medicare |
$24.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.45
|
| Rate for Payer: BCBS Complete |
$19.35
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Cofinity Advantage |
$33.87
|
| Rate for Payer: Cofinity Commercial |
$41.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.70
|
| Rate for Payer: Healthscope Commercial |
$43.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.28
|
| Rate for Payer: PHP Commercial |
$41.12
|
| Rate for Payer: Priority Health SBD |
$30.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.45
|
| Rate for Payer: UHC Core |
$25.21
|
| Rate for Payer: UHC Exchange |
$19.01
|
| Rate for Payer: UMR Bronson Commercial |
$17.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.28
|
|
|
HC CANNULA CARDIOPLEGIA ANTEGRADE 14G
|
Facility
|
IP
|
$45.00
|
|
| Hospital Charge Code |
27000720
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.80 |
| Max. Negotiated Rate |
$40.50 |
| Rate for Payer: Aetna American Axle |
$29.25
|
| Rate for Payer: Aetna Commercial |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.25
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Advantage |
$31.50
|
| Rate for Payer: Cofinity Commercial |
$38.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.00
|
| Rate for Payer: Healthscope Commercial |
$40.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PHP Commercial |
$38.25
|
| Rate for Payer: Priority Health SBD |
$28.35
|
| Rate for Payer: UMR Bronson Commercial |
$19.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.75
|
|
|
HC CANNULA CARDIOPLEGIA ANTEGRADE 14G
|
Facility
|
OP
|
$45.00
|
|
| Hospital Charge Code |
27000720
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.65 |
| Max. Negotiated Rate |
$40.50 |
| Rate for Payer: Aetna American Axle |
$29.25
|
| Rate for Payer: Aetna Commercial |
$38.25
|
| Rate for Payer: Aetna Medicare |
$22.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.25
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Advantage |
$31.50
|
| Rate for Payer: Cofinity Commercial |
$38.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.00
|
| Rate for Payer: Healthscope Commercial |
$40.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PHP Commercial |
$38.25
|
| Rate for Payer: Priority Health SBD |
$28.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.25
|
| Rate for Payer: UHC Core |
$23.45
|
| Rate for Payer: UHC Exchange |
$17.68
|
| Rate for Payer: UMR Bronson Commercial |
$16.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.75
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$329.52
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$121.92 |
| Max. Negotiated Rate |
$296.57 |
| Rate for Payer: Aetna American Axle |
$214.19
|
| Rate for Payer: Aetna Commercial |
$280.09
|
| Rate for Payer: Aetna Medicare |
$164.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.19
|
| Rate for Payer: BCBS Complete |
$131.81
|
| Rate for Payer: Cash Price |
$263.62
|
| Rate for Payer: Cofinity Advantage |
$230.66
|
| Rate for Payer: Cofinity Commercial |
$283.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.62
|
| Rate for Payer: Healthscope Commercial |
$296.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$263.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.14
|
| Rate for Payer: PHP Commercial |
$280.09
|
| Rate for Payer: Priority Health SBD |
$207.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$214.19
|
| Rate for Payer: UHC Core |
$171.68
|
| Rate for Payer: UHC Exchange |
$129.50
|
| Rate for Payer: UMR Bronson Commercial |
$121.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.14
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$329.52
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$144.99 |
| Max. Negotiated Rate |
$296.57 |
| Rate for Payer: Aetna American Axle |
$214.19
|
| Rate for Payer: Aetna Commercial |
$280.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.19
|
| Rate for Payer: Cash Price |
$263.62
|
| Rate for Payer: Cofinity Advantage |
$230.66
|
| Rate for Payer: Cofinity Commercial |
$283.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.62
|
| Rate for Payer: Healthscope Commercial |
$296.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.14
|
| Rate for Payer: PHP Commercial |
$280.09
|
| Rate for Payer: Priority Health SBD |
$207.60
|
| Rate for Payer: UMR Bronson Commercial |
$144.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.14
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$140.76 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UMR Bronson Commercial |
$140.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
| Rate for Payer: UMR Bronson Commercial |
$118.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA CORONARY 14FR
|
Facility
|
OP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
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 Medicare |
$36.00
|
| 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 Advantage |
$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: MI Amish Medical Board Commercial |
$57.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: PHP Commercial |
$61.20
|
| Rate for Payer: Priority Health SBD |
$45.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.80
|
| Rate for Payer: UHC Core |
$37.51
|
| Rate for Payer: UHC Exchange |
$28.30
|
| Rate for Payer: UMR Bronson Commercial |
$26.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.00
|
|
|
HC CANNULA CORONARY 14FR
|
Facility
|
IP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
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 Advantage |
$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 Commercial |
$61.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: PHP Commercial |
$61.20
|
| 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 COR OSTIA CONCAVE
|
Facility
|
OP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.87 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna American Axle |
$50.72
|
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$39.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.72
|
| Rate for Payer: BCBS Complete |
$31.21
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Advantage |
$54.62
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health SBD |
$49.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.72
|
| Rate for Payer: UHC Core |
$40.65
|
| Rate for Payer: UHC Exchange |
$30.67
|
| Rate for Payer: UMR Bronson Commercial |
$28.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.33 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna American Axle |
$50.72
|
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.72
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Advantage |
$54.62
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health SBD |
$49.16
|
| Rate for Payer: UMR Bronson Commercial |
$34.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
| Rate for Payer: UMR Bronson Commercial |
$128.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$153.12 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UMR Bronson Commercial |
$153.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$153.12 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UMR Bronson Commercial |
$153.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
| Rate for Payer: UMR Bronson Commercial |
$128.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
| Rate for Payer: UMR Bronson Commercial |
$118.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$140.76 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UMR Bronson Commercial |
$140.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
| Rate for Payer: UMR Bronson Commercial |
$118.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$140.76 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UMR Bronson Commercial |
$140.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
| Rate for Payer: UMR Bronson Commercial |
$128.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$153.12 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UMR Bronson Commercial |
$153.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$153.12 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UMR Bronson Commercial |
$153.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$313.21 |
| Rate for Payer: Aetna American Axle |
$226.21
|
| Rate for Payer: Aetna Commercial |
$295.81
|
| Rate for Payer: Aetna Medicare |
$174.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.21
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Advantage |
$243.61
|
| Rate for Payer: Cofinity Commercial |
$299.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$313.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: PHP Commercial |
$295.81
|
| Rate for Payer: Priority Health SBD |
$219.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.21
|
| Rate for Payer: UHC Core |
$181.31
|
| Rate for Payer: UHC Exchange |
$136.77
|
| Rate for Payer: UMR Bronson Commercial |
$128.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.01
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$159.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.95
|
| Rate for Payer: UHC Core |
$166.68
|
| Rate for Payer: UHC Exchange |
$125.73
|
| Rate for Payer: UMR Bronson Commercial |
$118.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$140.76 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna American Axle |
$207.95
|
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.95
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Advantage |
$223.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health SBD |
$201.55
|
| Rate for Payer: UMR Bronson Commercial |
$140.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
