|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$341.19
|
|
| Hospital Charge Code |
27006711
|
|
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 RT ANG 6MM
|
Facility
|
IP
|
$341.19
|
|
| Hospital Charge Code |
27006711
|
|
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 7MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006712
|
|
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 7MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006712
|
|
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 8MM
|
Facility
|
IP
|
$313.65
|
|
| Hospital Charge Code |
27006713
|
|
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 8MM
|
Facility
|
OP
|
$313.65
|
|
| Hospital Charge Code |
27006713
|
|
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 (DUCKBILL)
|
Facility
|
IP
|
$17.60
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.74 |
| Max. Negotiated Rate |
$15.84 |
| Rate for Payer: Aetna American Axle |
$11.44
|
| Rate for Payer: Aetna Commercial |
$14.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.44
|
| Rate for Payer: Cash Price |
$14.08
|
| Rate for Payer: Cofinity Commercial |
$12.32
|
| Rate for Payer: Cofinity Commercial |
$15.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.08
|
| Rate for Payer: Healthscope Commercial |
$15.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.96
|
| Rate for Payer: PHP Commercial |
$14.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.44
|
| Rate for Payer: Priority Health SBD |
$11.09
|
| Rate for Payer: UMR Bronson Commercial |
$7.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.20
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.60
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.51 |
| Max. Negotiated Rate |
$15.84 |
| Rate for Payer: Aetna American Axle |
$11.44
|
| Rate for Payer: Aetna Commercial |
$14.96
|
| Rate for Payer: Aetna Medicare |
$8.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.44
|
| Rate for Payer: BCBS Complete |
$7.04
|
| Rate for Payer: Cash Price |
$14.08
|
| Rate for Payer: Cofinity Commercial |
$12.32
|
| Rate for Payer: Cofinity Commercial |
$15.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.08
|
| Rate for Payer: Healthscope Commercial |
$15.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.96
|
| Rate for Payer: PHP Commercial |
$14.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.44
|
| Rate for Payer: Priority Health SBD |
$11.09
|
| Rate for Payer: UMR Bronson Commercial |
$6.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.20
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$741.83
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$274.48 |
| Max. Negotiated Rate |
$667.65 |
| Rate for Payer: Healthscope Commercial |
$667.65
|
| Rate for Payer: Aetna American Axle |
$482.19
|
| Rate for Payer: Aetna Commercial |
$630.56
|
| Rate for Payer: Aetna Medicare |
$370.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.19
|
| Rate for Payer: BCBS Complete |
$296.73
|
| Rate for Payer: Cash Price |
$593.46
|
| Rate for Payer: Cofinity Commercial |
$519.28
|
| Rate for Payer: Cofinity Commercial |
$637.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$519.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$593.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$519.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$556.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$630.56
|
| Rate for Payer: PHP Commercial |
$630.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.19
|
| Rate for Payer: Priority Health SBD |
$467.35
|
| Rate for Payer: UMR Bronson Commercial |
$274.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$556.37
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$741.83
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$326.41 |
| Max. Negotiated Rate |
$667.65 |
| Rate for Payer: Aetna American Axle |
$482.19
|
| Rate for Payer: Aetna Commercial |
$630.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.19
|
| Rate for Payer: Cash Price |
$593.46
|
| Rate for Payer: Cofinity Commercial |
$519.28
|
| Rate for Payer: Cofinity Commercial |
$637.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$519.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$593.46
|
| Rate for Payer: Healthscope Commercial |
$667.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$519.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$556.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$630.56
|
| Rate for Payer: PHP Commercial |
$630.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.19
|
| Rate for Payer: Priority Health SBD |
$467.35
|
| Rate for Payer: UMR Bronson Commercial |
$326.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$556.37
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,338.75
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$589.05 |
| Max. Negotiated Rate |
$1,204.88 |
| Rate for Payer: Aetna American Axle |
$870.19
|
| Rate for Payer: Aetna Commercial |
$1,137.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$870.19
|
| Rate for Payer: Cash Price |
$1,071.00
|
| Rate for Payer: Cofinity Commercial |
$1,151.32
|
| Rate for Payer: Cofinity Commercial |
$937.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$937.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Commercial |
$1,204.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$937.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,004.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.94
|
| Rate for Payer: PHP Commercial |
$1,137.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.19
|
| Rate for Payer: Priority Health SBD |
$843.41
|
| Rate for Payer: UMR Bronson Commercial |
$589.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,004.06
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,338.75
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$495.34 |
| Max. Negotiated Rate |
$1,204.88 |
| Rate for Payer: Aetna American Axle |
$870.19
|
| Rate for Payer: Aetna Commercial |
$1,137.94
|
| Rate for Payer: Aetna Medicare |
$669.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$870.19
|
| Rate for Payer: BCBS Complete |
$535.50
|
| Rate for Payer: Cash Price |
$1,071.00
|
| Rate for Payer: Cofinity Commercial |
$1,151.32
|
| Rate for Payer: Cofinity Commercial |
$937.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$937.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Commercial |
$1,204.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$937.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,004.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.94
|
| Rate for Payer: PHP Commercial |
$1,137.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.19
|
| Rate for Payer: Priority Health SBD |
$843.41
|
| Rate for Payer: UMR Bronson Commercial |
$495.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,004.06
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,287.75
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$566.61 |
| Max. Negotiated Rate |
$1,158.98 |
| Rate for Payer: Aetna American Axle |
$837.04
|
| Rate for Payer: Aetna Commercial |
$1,094.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.04
|
| Rate for Payer: Cash Price |
$1,030.20
|
| Rate for Payer: Cofinity Commercial |
$1,107.46
|
| Rate for Payer: Cofinity Commercial |
$901.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$901.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,030.20
|
| Rate for Payer: Healthscope Commercial |
$1,158.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$901.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$965.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.59
|
| Rate for Payer: PHP Commercial |
$1,094.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.04
|
| Rate for Payer: Priority Health SBD |
$811.28
|
| Rate for Payer: UMR Bronson Commercial |
$566.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$965.81
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,287.75
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$476.47 |
| Max. Negotiated Rate |
$1,158.98 |
| Rate for Payer: Aetna American Axle |
$837.04
|
| Rate for Payer: Aetna Commercial |
$1,094.59
|
| Rate for Payer: Aetna Medicare |
$643.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.04
|
| Rate for Payer: BCBS Complete |
$515.10
|
| Rate for Payer: Cash Price |
$1,030.20
|
| Rate for Payer: Cofinity Commercial |
$1,107.46
|
| Rate for Payer: Cofinity Commercial |
$901.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$901.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,030.20
|
| Rate for Payer: Healthscope Commercial |
$1,158.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$901.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$965.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.59
|
| Rate for Payer: PHP Commercial |
$1,094.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.04
|
| Rate for Payer: Priority Health SBD |
$811.28
|
| Rate for Payer: UMR Bronson Commercial |
$476.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$965.81
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$70.38
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.04 |
| Max. Negotiated Rate |
$63.34 |
| Rate for Payer: Cofinity Commercial |
$60.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.27
|
| Rate for Payer: Aetna American Axle |
$45.75
|
| Rate for Payer: Aetna Commercial |
$59.82
|
| Rate for Payer: Aetna Medicare |
$35.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.75
|
| Rate for Payer: BCBS Complete |
$28.15
|
| Rate for Payer: Cash Price |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$49.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.30
|
| Rate for Payer: Healthscope Commercial |
$63.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.82
|
| Rate for Payer: PHP Commercial |
$59.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.75
|
| Rate for Payer: Priority Health SBD |
$44.34
|
| Rate for Payer: UMR Bronson Commercial |
$26.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.78
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$70.38
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.97 |
| Max. Negotiated Rate |
$63.34 |
| Rate for Payer: Aetna American Axle |
$45.75
|
| Rate for Payer: Aetna Commercial |
$59.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.75
|
| Rate for Payer: Cash Price |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$49.27
|
| Rate for Payer: Cofinity Commercial |
$60.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.30
|
| Rate for Payer: Healthscope Commercial |
$63.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.82
|
| Rate for Payer: PHP Commercial |
$59.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.75
|
| Rate for Payer: Priority Health SBD |
$44.34
|
| Rate for Payer: UMR Bronson Commercial |
$30.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.78
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$58.14
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.51 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna American Axle |
$37.79
|
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna Medicare |
$29.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$40.70
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health SBD |
$36.63
|
| Rate for Payer: UMR Bronson Commercial |
$21.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$58.14
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.58 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna American Axle |
$37.79
|
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.79
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$40.70
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health SBD |
$36.63
|
| Rate for Payer: UMR Bronson Commercial |
$25.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$302.94
|
|
| Hospital Charge Code |
27000664
|
|
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 OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$302.94
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$112.09 |
| Max. Negotiated Rate |
$272.65 |
| Rate for Payer: Aetna American Axle |
$196.91
|
| Rate for Payer: Aetna Commercial |
$257.50
|
| Rate for Payer: Aetna Medicare |
$151.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.91
|
| Rate for Payer: BCBS Complete |
$121.18
|
| 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 |
$112.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$227.20
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$260.10
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$114.44 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna American Axle |
$169.06
|
| Rate for Payer: Aetna Commercial |
$221.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.06
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$182.07
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Cofinity Medicare Advantage |
$182.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.08
|
| Rate for Payer: PHP Commercial |
$221.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$169.06
|
| Rate for Payer: Priority Health SBD |
$163.86
|
| Rate for Payer: UMR Bronson Commercial |
$114.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.08
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$260.10
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$96.24 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna American Axle |
$169.06
|
| Rate for Payer: Aetna Commercial |
$221.08
|
| Rate for Payer: Aetna Medicare |
$130.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.06
|
| Rate for Payer: BCBS Complete |
$104.04
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$182.07
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Cofinity Medicare Advantage |
$182.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$182.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.08
|
| Rate for Payer: PHP Commercial |
$221.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$169.06
|
| Rate for Payer: Priority Health SBD |
$163.86
|
| Rate for Payer: UMR Bronson Commercial |
$96.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.08
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$208.08
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$76.99 |
| Max. Negotiated Rate |
$187.27 |
| Rate for Payer: Aetna American Axle |
$135.25
|
| Rate for Payer: Aetna Commercial |
$176.87
|
| Rate for Payer: Aetna Medicare |
$104.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.25
|
| Rate for Payer: BCBS Complete |
$83.23
|
| Rate for Payer: Cash Price |
$166.46
|
| Rate for Payer: Cofinity Commercial |
$145.66
|
| Rate for Payer: Cofinity Commercial |
$178.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$145.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.46
|
| Rate for Payer: Healthscope Commercial |
$187.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.87
|
| Rate for Payer: PHP Commercial |
$176.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.25
|
| Rate for Payer: Priority Health SBD |
$131.09
|
| Rate for Payer: UMR Bronson Commercial |
$76.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.06
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$208.08
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$91.56 |
| Max. Negotiated Rate |
$187.27 |
| Rate for Payer: Aetna American Axle |
$135.25
|
| Rate for Payer: Aetna Commercial |
$176.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.25
|
| Rate for Payer: Cash Price |
$166.46
|
| Rate for Payer: Cofinity Commercial |
$145.66
|
| Rate for Payer: Cofinity Commercial |
$178.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$145.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.46
|
| Rate for Payer: Healthscope Commercial |
$187.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$145.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176.87
|
| Rate for Payer: PHP Commercial |
$176.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.25
|
| Rate for Payer: Priority Health SBD |
$131.09
|
| Rate for Payer: UMR Bronson Commercial |
$91.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.06
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$311.01
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$115.07 |
| Max. Negotiated Rate |
$279.91 |
| Rate for Payer: Aetna American Axle |
$202.16
|
| Rate for Payer: Aetna Commercial |
$264.36
|
| Rate for Payer: Aetna Medicare |
$155.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.16
|
| Rate for Payer: BCBS Complete |
$124.40
|
| Rate for Payer: Cash Price |
$248.81
|
| Rate for Payer: Cofinity Commercial |
$217.71
|
| Rate for Payer: Cofinity Commercial |
$267.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$217.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.81
|
| Rate for Payer: Healthscope Commercial |
$279.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$217.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$233.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$264.36
|
| Rate for Payer: PHP Commercial |
$264.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$202.16
|
| Rate for Payer: Priority Health SBD |
$195.94
|
| Rate for Payer: UMR Bronson Commercial |
$115.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$233.26
|
|
