|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
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 8MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
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 (DUCKBILL)
|
Facility
|
IP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.90 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: Aetna American Axle |
$11.67
|
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.67
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Advantage |
$12.56
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: Priority Health SBD |
$11.31
|
| Rate for Payer: UMR Bronson Commercial |
$7.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.46
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.64 |
| Max. Negotiated Rate |
$16.16 |
| Rate for Payer: Aetna American Axle |
$11.67
|
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: Aetna Medicare |
$8.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.67
|
| Rate for Payer: BCBS Complete |
$7.18
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Advantage |
$12.56
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: Priority Health SBD |
$11.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.67
|
| Rate for Payer: UHC Core |
$9.35
|
| Rate for Payer: UHC Exchange |
$7.05
|
| Rate for Payer: UMR Bronson Commercial |
$6.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.46
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$279.97 |
| Max. Negotiated Rate |
$681.00 |
| Rate for Payer: Aetna American Axle |
$491.84
|
| Rate for Payer: Aetna Commercial |
$643.17
|
| Rate for Payer: Aetna Medicare |
$378.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$491.84
|
| Rate for Payer: BCBS Complete |
$302.67
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Advantage |
$529.67
|
| Rate for Payer: Cofinity Commercial |
$650.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$681.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$529.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$567.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$605.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: PHP Commercial |
$643.17
|
| Rate for Payer: Priority Health SBD |
$476.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$491.84
|
| Rate for Payer: UHC Core |
$394.23
|
| Rate for Payer: UHC Exchange |
$297.37
|
| Rate for Payer: UMR Bronson Commercial |
$279.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$567.50
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$332.93 |
| Max. Negotiated Rate |
$681.00 |
| Rate for Payer: Aetna American Axle |
$491.84
|
| Rate for Payer: Aetna Commercial |
$643.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$491.84
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Advantage |
$529.67
|
| Rate for Payer: Cofinity Commercial |
$650.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$681.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$529.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$567.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: PHP Commercial |
$643.17
|
| Rate for Payer: Priority Health SBD |
$476.70
|
| Rate for Payer: UMR Bronson Commercial |
$332.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$567.50
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$505.25 |
| Max. Negotiated Rate |
$1,228.98 |
| Rate for Payer: Aetna American Axle |
$887.59
|
| Rate for Payer: Aetna Commercial |
$1,160.70
|
| Rate for Payer: Aetna Medicare |
$682.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.59
|
| Rate for Payer: BCBS Complete |
$546.21
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Advantage |
$955.87
|
| Rate for Payer: Cofinity Commercial |
$1,174.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,228.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$955.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,024.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,092.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: PHP Commercial |
$1,160.70
|
| Rate for Payer: Priority Health SBD |
$860.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$887.59
|
| Rate for Payer: UHC Core |
$711.44
|
| Rate for Payer: UHC Exchange |
$536.65
|
| Rate for Payer: UMR Bronson Commercial |
$505.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,024.15
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$600.83 |
| Max. Negotiated Rate |
$1,228.98 |
| Rate for Payer: Aetna American Axle |
$887.59
|
| Rate for Payer: Aetna Commercial |
$1,160.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.59
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Advantage |
$955.87
|
| Rate for Payer: Cofinity Commercial |
$1,174.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,228.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$955.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,024.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: PHP Commercial |
$1,160.70
|
| Rate for Payer: Priority Health SBD |
$860.28
|
| Rate for Payer: UMR Bronson Commercial |
$600.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,024.15
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$486.00 |
| Max. Negotiated Rate |
$1,182.16 |
| Rate for Payer: Aetna American Axle |
$853.78
|
| Rate for Payer: Aetna Commercial |
$1,116.48
|
| Rate for Payer: Aetna Medicare |
$656.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.78
|
| Rate for Payer: BCBS Complete |
$525.40
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Advantage |
$919.46
|
| Rate for Payer: Cofinity Commercial |
$1,129.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,182.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$919.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$985.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,050.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: PHP Commercial |
$1,116.48
|
| Rate for Payer: Priority Health SBD |
$827.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$853.78
|
| Rate for Payer: UHC Core |
$684.34
|
| Rate for Payer: UHC Exchange |
$516.21
|
| Rate for Payer: UMR Bronson Commercial |
$486.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$985.13
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$577.94 |
| Max. Negotiated Rate |
$1,182.16 |
| Rate for Payer: Aetna American Axle |
$853.78
|
| Rate for Payer: Aetna Commercial |
$1,116.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.78
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Advantage |
$919.46
|
| Rate for Payer: Cofinity Commercial |
$1,129.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,182.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$919.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$985.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: PHP Commercial |
$1,116.48
|
| Rate for Payer: Priority Health SBD |
$827.51
|
| Rate for Payer: UMR Bronson Commercial |
$577.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$985.13
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.56 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna American Axle |
$46.66
|
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.66
|
| Rate for Payer: BCBS Complete |
$28.72
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Advantage |
$50.25
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: Priority Health SBD |
$45.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.66
|
| Rate for Payer: UHC Core |
$37.40
|
| Rate for Payer: UHC Exchange |
$28.21
|
| Rate for Payer: UMR Bronson Commercial |
$26.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$31.59 |
| Max. Negotiated Rate |
$64.61 |
| Rate for Payer: Aetna American Axle |
$46.66
|
| Rate for Payer: Aetna Commercial |
$61.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.66
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Advantage |
$50.25
|
| Rate for Payer: Cofinity Commercial |
$61.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$64.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: PHP Commercial |
$61.02
|
| Rate for Payer: Priority Health SBD |
$45.23
|
| Rate for Payer: UMR Bronson Commercial |
$31.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.09 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna American Axle |
$38.55
|
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.55
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Advantage |
$41.51
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: Priority Health SBD |
$37.36
|
| Rate for Payer: UMR Bronson Commercial |
$26.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.48
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.94 |
| Max. Negotiated Rate |
$53.37 |
| Rate for Payer: Aetna American Axle |
$38.55
|
| Rate for Payer: Aetna Commercial |
$50.41
|
| Rate for Payer: Aetna Medicare |
$29.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.55
|
| Rate for Payer: BCBS Complete |
$23.72
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Advantage |
$41.51
|
| Rate for Payer: Cofinity Commercial |
$51.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$53.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: Priority Health SBD |
$37.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.55
|
| Rate for Payer: UHC Core |
$30.90
|
| Rate for Payer: UHC Exchange |
$23.30
|
| Rate for Payer: UMR Bronson Commercial |
$21.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.48
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$135.96 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna American Axle |
$200.85
|
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.85
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Advantage |
$216.30
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$216.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: Priority Health SBD |
$194.67
|
| Rate for Payer: UMR Bronson Commercial |
$135.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.75
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$114.33 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna American Axle |
$200.85
|
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: Aetna Medicare |
$154.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.85
|
| Rate for Payer: BCBS Complete |
$123.60
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Advantage |
$216.30
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$216.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: Priority Health SBD |
$194.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.85
|
| Rate for Payer: UHC Core |
$160.99
|
| Rate for Payer: UHC Exchange |
$121.44
|
| Rate for Payer: UMR Bronson Commercial |
$114.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.75
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$98.16 |
| Max. Negotiated Rate |
$238.77 |
| Rate for Payer: Aetna American Axle |
$172.44
|
| Rate for Payer: Aetna Commercial |
$225.50
|
| Rate for Payer: Aetna Medicare |
$132.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.44
|
| Rate for Payer: BCBS Complete |
$106.12
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Advantage |
$185.71
|
| Rate for Payer: Cofinity Commercial |
$228.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$238.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: PHP Commercial |
$225.50
|
| Rate for Payer: Priority Health SBD |
$167.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.44
|
| Rate for Payer: UHC Core |
$138.22
|
| Rate for Payer: UHC Exchange |
$104.26
|
| Rate for Payer: UMR Bronson Commercial |
$98.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.97
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$116.73 |
| Max. Negotiated Rate |
$238.77 |
| Rate for Payer: Aetna American Axle |
$172.44
|
| Rate for Payer: Aetna Commercial |
$225.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.44
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Advantage |
$185.71
|
| Rate for Payer: Cofinity Commercial |
$228.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$238.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: PHP Commercial |
$225.50
|
| Rate for Payer: Priority Health SBD |
$167.14
|
| Rate for Payer: UMR Bronson Commercial |
$116.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.97
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$93.39 |
| Max. Negotiated Rate |
$191.02 |
| Rate for Payer: Aetna American Axle |
$137.96
|
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.96
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Advantage |
$148.57
|
| Rate for Payer: Cofinity Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$191.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$148.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: PHP Commercial |
$180.40
|
| Rate for Payer: Priority Health SBD |
$133.71
|
| Rate for Payer: UMR Bronson Commercial |
$93.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.18
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$78.53 |
| Max. Negotiated Rate |
$191.02 |
| Rate for Payer: Aetna American Axle |
$137.96
|
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna Medicare |
$106.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.96
|
| Rate for Payer: BCBS Complete |
$84.90
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Advantage |
$148.57
|
| Rate for Payer: Cofinity Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$191.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$148.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$159.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$169.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: PHP Commercial |
$180.40
|
| Rate for Payer: Priority Health SBD |
$133.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.96
|
| Rate for Payer: UHC Core |
$110.58
|
| Rate for Payer: UHC Exchange |
$83.41
|
| Rate for Payer: UMR Bronson Commercial |
$78.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$159.18
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
IP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$139.58 |
| Max. Negotiated Rate |
$285.51 |
| Rate for Payer: Aetna American Axle |
$206.20
|
| Rate for Payer: Aetna Commercial |
$269.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.20
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Advantage |
$222.06
|
| Rate for Payer: Cofinity Commercial |
$272.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$285.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$222.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: PHP Commercial |
$269.65
|
| Rate for Payer: Priority Health SBD |
$199.85
|
| Rate for Payer: UMR Bronson Commercial |
$139.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.92
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$117.38 |
| Max. Negotiated Rate |
$285.51 |
| Rate for Payer: Aetna American Axle |
$206.20
|
| Rate for Payer: Aetna Commercial |
$269.65
|
| Rate for Payer: Aetna Medicare |
$158.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.20
|
| Rate for Payer: BCBS Complete |
$126.89
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Advantage |
$222.06
|
| Rate for Payer: Cofinity Commercial |
$272.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$285.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$222.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$253.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: PHP Commercial |
$269.65
|
| Rate for Payer: Priority Health SBD |
$199.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$206.20
|
| Rate for Payer: UHC Core |
$165.28
|
| Rate for Payer: UHC Exchange |
$124.67
|
| Rate for Payer: UMR Bronson Commercial |
$117.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.92
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
IP
|
$35.89
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.79 |
| Max. Negotiated Rate |
$32.30 |
| Rate for Payer: Aetna American Axle |
$23.33
|
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.33
|
| Rate for Payer: Cash Price |
$28.71
|
| Rate for Payer: Cofinity Advantage |
$25.12
|
| Rate for Payer: Cofinity Commercial |
$30.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.71
|
| Rate for Payer: Healthscope Commercial |
$32.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.92
|
| Rate for Payer: PHP Commercial |
$30.51
|
| Rate for Payer: Priority Health SBD |
$22.61
|
| Rate for Payer: UMR Bronson Commercial |
$15.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.92
|
|
|
HC CANNULA VEIN GRAFT
|
Facility
|
OP
|
$35.89
|
|
| Hospital Charge Code |
27000096
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.28 |
| Max. Negotiated Rate |
$32.30 |
| Rate for Payer: Aetna American Axle |
$23.33
|
| Rate for Payer: Aetna Commercial |
$30.51
|
| Rate for Payer: Aetna Medicare |
$17.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.33
|
| Rate for Payer: BCBS Complete |
$14.36
|
| Rate for Payer: Cash Price |
$28.71
|
| Rate for Payer: Cofinity Advantage |
$25.12
|
| Rate for Payer: Cofinity Commercial |
$30.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.71
|
| Rate for Payer: Healthscope Commercial |
$32.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.92
|
| Rate for Payer: PHP Commercial |
$30.51
|
| Rate for Payer: Priority Health SBD |
$22.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.33
|
| Rate for Payer: UHC Core |
$18.70
|
| Rate for Payer: UHC Exchange |
$14.10
|
| Rate for Payer: UMR Bronson Commercial |
$13.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.92
|
|
|
HC CANNULA VENOUS 26FR
|
Facility
|
IP
|
$186.00
|
|
| Hospital Charge Code |
27000715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$81.84 |
| Max. Negotiated Rate |
$167.40 |
| Rate for Payer: Aetna American Axle |
$120.90
|
| Rate for Payer: Aetna Commercial |
$158.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.90
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Advantage |
$130.20
|
| Rate for Payer: Cofinity Commercial |
$159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.80
|
| Rate for Payer: Healthscope Commercial |
$167.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$130.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PHP Commercial |
$158.10
|
| Rate for Payer: Priority Health SBD |
$117.18
|
| Rate for Payer: UMR Bronson Commercial |
$81.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.50
|
|
