|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
IP
|
$302.94
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$133.29 |
| Max. Negotiated Rate |
$272.65 |
| Rate for Payer: Aetna American Axle |
$196.91
|
| Rate for Payer: Aetna Commercial |
$257.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.91
|
| Rate for Payer: Cash Price |
$242.35
|
| Rate for Payer: Cofinity Commercial |
$212.06
|
| Rate for Payer: Cofinity Commercial |
$260.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$212.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.35
|
| Rate for Payer: Healthscope Commercial |
$272.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$212.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$227.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.50
|
| Rate for Payer: PHP Commercial |
$257.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.91
|
| Rate for Payer: Priority Health SBD |
$190.85
|
| Rate for Payer: UMR Bronson Commercial |
$133.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$227.20
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
OP
|
$116.28
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$43.02 |
| Max. Negotiated Rate |
$104.65 |
| Rate for Payer: Aetna American Axle |
$75.58
|
| Rate for Payer: Aetna Commercial |
$98.84
|
| Rate for Payer: Aetna Medicare |
$58.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.58
|
| Rate for Payer: BCBS Complete |
$46.51
|
| Rate for Payer: Cash Price |
$93.02
|
| Rate for Payer: Cofinity Commercial |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$81.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$81.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.02
|
| Rate for Payer: Healthscope Commercial |
$104.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.84
|
| Rate for Payer: PHP Commercial |
$98.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.58
|
| Rate for Payer: Priority Health SBD |
$73.26
|
| Rate for Payer: UMR Bronson Commercial |
$43.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.21
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
IP
|
$116.28
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$51.16 |
| Max. Negotiated Rate |
$104.65 |
| Rate for Payer: Aetna American Axle |
$75.58
|
| Rate for Payer: Aetna Commercial |
$98.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.58
|
| Rate for Payer: Cash Price |
$93.02
|
| Rate for Payer: Cofinity Commercial |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$81.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$81.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.02
|
| Rate for Payer: Healthscope Commercial |
$104.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.84
|
| Rate for Payer: PHP Commercial |
$98.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.58
|
| Rate for Payer: Priority Health SBD |
$73.26
|
| Rate for Payer: UMR Bronson Commercial |
$51.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.21
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
OP
|
$24.48
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.06 |
| Max. Negotiated Rate |
$22.03 |
| Rate for Payer: Cofinity Commercial |
$21.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.14
|
| Rate for Payer: Aetna American Axle |
$15.91
|
| Rate for Payer: Aetna Commercial |
$20.81
|
| Rate for Payer: Aetna Medicare |
$12.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.91
|
| Rate for Payer: BCBS Complete |
$9.79
|
| Rate for Payer: Cash Price |
$19.58
|
| Rate for Payer: Cofinity Commercial |
$17.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.58
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.81
|
| Rate for Payer: PHP Commercial |
$20.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.91
|
| Rate for Payer: Priority Health SBD |
$15.42
|
| Rate for Payer: UMR Bronson Commercial |
$9.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.36
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
IP
|
$24.48
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.77 |
| Max. Negotiated Rate |
$22.03 |
| Rate for Payer: Aetna American Axle |
$15.91
|
| Rate for Payer: Aetna Commercial |
$20.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.91
|
| Rate for Payer: Cash Price |
$19.58
|
| Rate for Payer: Cofinity Commercial |
$17.14
|
| Rate for Payer: Cofinity Commercial |
$21.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.58
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.81
|
| Rate for Payer: PHP Commercial |
$20.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.91
|
| Rate for Payer: Priority Health SBD |
$15.42
|
| Rate for Payer: UMR Bronson Commercial |
$10.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.36
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
OP
|
$1,473.47
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$545.18 |
| Max. Negotiated Rate |
$1,326.12 |
| Rate for Payer: Aetna American Axle |
$957.76
|
| Rate for Payer: Aetna Commercial |
$1,252.45
|
| Rate for Payer: Aetna Medicare |
$736.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.76
|
| Rate for Payer: BCBS Complete |
$589.39
|
| Rate for Payer: Cash Price |
$1,178.78
|
| Rate for Payer: Cofinity Commercial |
$1,031.43
|
| Rate for Payer: Cofinity Commercial |
$1,267.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,031.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,178.78
|
| Rate for Payer: Healthscope Commercial |
$1,326.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,031.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,105.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,252.45
|
| Rate for Payer: PHP Commercial |
$1,252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$957.76
|
| Rate for Payer: Priority Health SBD |
$928.29
|
| Rate for Payer: UMR Bronson Commercial |
$545.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,105.10
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
IP
|
$1,473.47
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$648.33 |
| Max. Negotiated Rate |
$1,326.12 |
| Rate for Payer: Aetna American Axle |
$957.76
|
| Rate for Payer: Aetna Commercial |
$1,252.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.76
|
| Rate for Payer: Cash Price |
$1,178.78
|
| Rate for Payer: Cofinity Commercial |
$1,031.43
|
| Rate for Payer: Cofinity Commercial |
$1,267.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,031.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,178.78
|
| Rate for Payer: Healthscope Commercial |
$1,326.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,031.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,105.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,252.45
|
| Rate for Payer: PHP Commercial |
$1,252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$957.76
|
| Rate for Payer: Priority Health SBD |
$928.29
|
| Rate for Payer: UMR Bronson Commercial |
$648.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,105.10
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
IP
|
$47.43
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.87 |
| Max. Negotiated Rate |
$42.69 |
| Rate for Payer: Aetna American Axle |
$30.83
|
| Rate for Payer: Aetna Commercial |
$40.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.83
|
| Rate for Payer: Cash Price |
$37.94
|
| Rate for Payer: Cofinity Commercial |
$33.20
|
| Rate for Payer: Cofinity Commercial |
$40.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.94
|
| Rate for Payer: Healthscope Commercial |
$42.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.32
|
| Rate for Payer: PHP Commercial |
$40.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.83
|
| Rate for Payer: Priority Health SBD |
$29.88
|
| Rate for Payer: UMR Bronson Commercial |
$20.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.57
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$47.43
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.55 |
| Max. Negotiated Rate |
$42.69 |
| Rate for Payer: Aetna American Axle |
$30.83
|
| Rate for Payer: Aetna Commercial |
$40.32
|
| Rate for Payer: Aetna Medicare |
$23.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.83
|
| Rate for Payer: BCBS Complete |
$18.97
|
| Rate for Payer: Cash Price |
$37.94
|
| Rate for Payer: Cofinity Commercial |
$33.20
|
| Rate for Payer: Cofinity Commercial |
$40.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.94
|
| Rate for Payer: Healthscope Commercial |
$42.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.32
|
| Rate for Payer: PHP Commercial |
$40.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.83
|
| Rate for Payer: Priority Health SBD |
$29.88
|
| Rate for Payer: UMR Bronson Commercial |
$17.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.57
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$323.06
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$119.53 |
| Max. Negotiated Rate |
$290.75 |
| Rate for Payer: Aetna American Axle |
$209.99
|
| Rate for Payer: Aetna Commercial |
$274.60
|
| Rate for Payer: Aetna Medicare |
$161.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.99
|
| Rate for Payer: BCBS Complete |
$129.22
|
| Rate for Payer: Cash Price |
$258.45
|
| Rate for Payer: Cofinity Commercial |
$226.14
|
| Rate for Payer: Cofinity Commercial |
$277.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$226.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.45
|
| Rate for Payer: Healthscope Commercial |
$290.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$226.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.60
|
| Rate for Payer: PHP Commercial |
$274.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.99
|
| Rate for Payer: Priority Health SBD |
$203.53
|
| Rate for Payer: UMR Bronson Commercial |
$119.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.30
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$323.06
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$142.15 |
| Max. Negotiated Rate |
$290.75 |
| Rate for Payer: Aetna American Axle |
$209.99
|
| Rate for Payer: Aetna Commercial |
$274.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.99
|
| Rate for Payer: Cash Price |
$258.45
|
| Rate for Payer: Cofinity Commercial |
$226.14
|
| Rate for Payer: Cofinity Commercial |
$277.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$226.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.45
|
| Rate for Payer: Healthscope Commercial |
$290.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$226.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$242.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.60
|
| Rate for Payer: PHP Commercial |
$274.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.99
|
| Rate for Payer: Priority Health SBD |
$203.53
|
| Rate for Payer: UMR Bronson Commercial |
$142.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$242.30
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$138.01 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Aetna American Axle |
$203.87
|
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$219.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
| Rate for Payer: UMR Bronson Commercial |
$138.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$116.05 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna American Axle |
$203.87
|
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$219.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
| Rate for Payer: UMR Bronson Commercial |
$116.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$76.50
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.30 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna American Axle |
$49.72
|
| Rate for Payer: Aetna Commercial |
$65.02
|
| Rate for Payer: Aetna Medicare |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.72
|
| Rate for Payer: BCBS Complete |
$30.60
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Commercial |
$53.55
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.02
|
| Rate for Payer: PHP Commercial |
$65.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.72
|
| Rate for Payer: Priority Health SBD |
$48.20
|
| Rate for Payer: UMR Bronson Commercial |
$28.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.38
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$76.50
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.66 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna American Axle |
$49.72
|
| Rate for Payer: Aetna Commercial |
$65.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.72
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Commercial |
$53.55
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.02
|
| Rate for Payer: PHP Commercial |
$65.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.72
|
| Rate for Payer: Priority Health SBD |
$48.20
|
| Rate for Payer: UMR Bronson Commercial |
$33.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.38
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$126.24 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna American Axle |
$221.77
|
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$170.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
| Rate for Payer: UMR Bronson Commercial |
$126.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$150.12 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna American Axle |
$221.77
|
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
| Rate for Payer: UMR Bronson Commercial |
$150.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$126.24 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna American Axle |
$221.77
|
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$170.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
| Rate for Payer: UMR Bronson Commercial |
$126.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$150.12 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna American Axle |
$221.77
|
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
| Rate for Payer: UMR Bronson Commercial |
$150.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$116.05 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna American Axle |
$203.87
|
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$219.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
| Rate for Payer: UMR Bronson Commercial |
$116.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$138.01 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna American Axle |
$203.87
|
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$219.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
| Rate for Payer: UMR Bronson Commercial |
$138.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$138.01 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna American Axle |
$203.87
|
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$219.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
| Rate for Payer: UMR Bronson Commercial |
$138.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$116.05 |
| Max. Negotiated Rate |
$282.28 |
| Rate for Payer: Aetna American Axle |
$203.87
|
| Rate for Payer: Aetna Commercial |
$266.60
|
| Rate for Payer: Aetna Medicare |
$156.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.87
|
| Rate for Payer: BCBS Complete |
$125.46
|
| Rate for Payer: Cash Price |
$250.92
|
| Rate for Payer: Cofinity Commercial |
$219.56
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$219.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.92
|
| Rate for Payer: Healthscope Commercial |
$282.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$219.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$235.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$266.60
|
| Rate for Payer: PHP Commercial |
$266.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.87
|
| Rate for Payer: Priority Health SBD |
$197.60
|
| Rate for Payer: UMR Bronson Commercial |
$116.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$235.24
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$150.12 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Aetna American Axle |
$221.77
|
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
| Rate for Payer: UMR Bronson Commercial |
$150.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$126.24 |
| Max. Negotiated Rate |
$307.07 |
| Rate for Payer: Cofinity Commercial |
$293.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$238.83
|
| Rate for Payer: Aetna American Axle |
$221.77
|
| Rate for Payer: Aetna Commercial |
$290.01
|
| Rate for Payer: Aetna Medicare |
$170.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.77
|
| Rate for Payer: BCBS Complete |
$136.48
|
| Rate for Payer: Cash Price |
$272.95
|
| Rate for Payer: Cofinity Commercial |
$238.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.95
|
| Rate for Payer: Healthscope Commercial |
$307.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.01
|
| Rate for Payer: PHP Commercial |
$290.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.77
|
| Rate for Payer: Priority Health SBD |
$214.95
|
| Rate for Payer: UMR Bronson Commercial |
$126.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.89
|
|
