|
HC IR PLACE STENT VERTEBRAL ART EA AD
|
Facility
|
IP
|
$10,080.22
|
|
|
Service Code
|
CPT 0076T
|
| Hospital Charge Code |
36100368
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,435.30 |
| Max. Negotiated Rate |
$9,072.20 |
| Rate for Payer: Aetna American Axle |
$6,552.14
|
| Rate for Payer: Aetna Commercial |
$8,568.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,552.14
|
| Rate for Payer: Cash Price |
$8,064.18
|
| Rate for Payer: Cofinity Commercial |
$7,056.15
|
| Rate for Payer: Cofinity Commercial |
$8,668.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,064.18
|
| Rate for Payer: Healthscope Commercial |
$9,072.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,056.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,560.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,568.19
|
| Rate for Payer: PHP Commercial |
$8,568.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,056.15
|
| Rate for Payer: Priority Health SBD |
$6,350.54
|
| Rate for Payer: UMR Bronson Commercial |
$4,435.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,560.16
|
|
|
HC IR PLACE STENT VERTEBRAL ART INIT
|
Facility
|
IP
|
$10,080.22
|
|
|
Service Code
|
CPT 0075T
|
| Hospital Charge Code |
36100367
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,435.30 |
| Max. Negotiated Rate |
$9,072.20 |
| Rate for Payer: Aetna American Axle |
$6,552.14
|
| Rate for Payer: Aetna Commercial |
$8,568.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,552.14
|
| Rate for Payer: Cash Price |
$8,064.18
|
| Rate for Payer: Cofinity Commercial |
$7,056.15
|
| Rate for Payer: Cofinity Commercial |
$8,668.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,064.18
|
| Rate for Payer: Healthscope Commercial |
$9,072.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,056.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,560.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,568.19
|
| Rate for Payer: PHP Commercial |
$8,568.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,056.15
|
| Rate for Payer: Priority Health SBD |
$6,350.54
|
| Rate for Payer: UMR Bronson Commercial |
$4,435.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,560.16
|
|
|
HC IR PLACE STENT VERTEBRAL ART INIT
|
Facility
|
OP
|
$10,080.22
|
|
|
Service Code
|
CPT 0075T
|
| Hospital Charge Code |
36100367
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,879.00 |
| Max. Negotiated Rate |
$9,072.20 |
| Rate for Payer: Aetna American Axle |
$6,552.14
|
| Rate for Payer: Aetna Commercial |
$8,568.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,552.14
|
| Rate for Payer: BCBS Complete |
$4,032.09
|
| Rate for Payer: Cash Price |
$8,064.18
|
| Rate for Payer: Cash Price |
$8,064.18
|
| Rate for Payer: Cofinity Commercial |
$7,056.15
|
| Rate for Payer: Cofinity Commercial |
$8,668.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,064.18
|
| Rate for Payer: Healthscope Commercial |
$9,072.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,056.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,560.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$8,568.19
|
| Rate for Payer: PHP Commercial |
$8,568.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,056.15
|
| Rate for Payer: Priority Health SBD |
$6,350.54
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UMR Bronson Commercial |
$3,729.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,560.16
|
|
|
HC IR PULMONARY
|
Facility
|
OP
|
$1,971.02
|
|
|
Service Code
|
CPT 75741
|
| Hospital Charge Code |
32000195
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$127.37 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$1,281.16
|
| Rate for Payer: Aetna Commercial |
$1,675.37
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,281.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$134.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$1,576.82
|
| Rate for Payer: Cash Price |
$1,576.82
|
| Rate for Payer: Cofinity Commercial |
$1,379.71
|
| Rate for Payer: Cofinity Commercial |
$1,695.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,576.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$1,773.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,379.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,478.26
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,675.37
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$1,675.37
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,379.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.33
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.46
|
| Rate for Payer: Priority Health SBD |
$1,241.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.11
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$127.37
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$729.28
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,478.26
|
|
|
HC IR PULMONARY
|
Facility
|
IP
|
$1,971.02
|
|
|
Service Code
|
CPT 75741
|
| Hospital Charge Code |
32000195
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$867.25 |
| Max. Negotiated Rate |
$1,773.92 |
| Rate for Payer: Aetna American Axle |
$1,281.16
|
| Rate for Payer: Aetna Commercial |
$1,675.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,281.16
|
| Rate for Payer: Cash Price |
$1,576.82
|
| Rate for Payer: Cofinity Commercial |
$1,379.71
|
| Rate for Payer: Cofinity Commercial |
$1,695.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,576.82
|
| Rate for Payer: Healthscope Commercial |
$1,773.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,379.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,478.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,675.37
|
| Rate for Payer: PHP Commercial |
$1,675.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,379.71
|
| Rate for Payer: Priority Health SBD |
$1,241.74
|
| Rate for Payer: UMR Bronson Commercial |
$867.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,478.26
|
|
|
HC IR PULMONARY BILATERAL
|
Facility
|
OP
|
$3,430.91
|
|
|
Service Code
|
CPT 75743
|
| Hospital Charge Code |
32000196
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$137.46 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$2,230.09
|
| Rate for Payer: Aetna Commercial |
$2,916.27
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,230.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$137.46
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,744.73
|
| Rate for Payer: Cash Price |
$2,744.73
|
| Rate for Payer: Cofinity Commercial |
$2,950.58
|
| Rate for Payer: Cofinity Commercial |
$2,401.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,744.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$3,087.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,401.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,573.18
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,916.27
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$2,916.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,401.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.33
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.46
|
| Rate for Payer: Priority Health SBD |
$2,161.47
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.20
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$144.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,269.44
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,573.18
|
|
|
HC IR PULMONARY BILATERAL
|
Facility
|
IP
|
$3,430.91
|
|
|
Service Code
|
CPT 75743
|
| Hospital Charge Code |
32000196
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,509.60 |
| Max. Negotiated Rate |
$3,087.82 |
| Rate for Payer: Aetna American Axle |
$2,230.09
|
| Rate for Payer: Aetna Commercial |
$2,916.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,230.09
|
| Rate for Payer: Cash Price |
$2,744.73
|
| Rate for Payer: Cofinity Commercial |
$2,401.64
|
| Rate for Payer: Cofinity Commercial |
$2,950.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,744.73
|
| Rate for Payer: Healthscope Commercial |
$3,087.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,401.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,573.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,916.27
|
| Rate for Payer: PHP Commercial |
$2,916.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,401.64
|
| Rate for Payer: Priority Health SBD |
$2,161.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,509.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,573.18
|
|
|
HC IRRADIATION BLOOD PROD-EA UNIT
|
Facility
|
OP
|
$121.30
|
|
|
Service Code
|
CPT 86945
|
| Hospital Charge Code |
39000026
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$8.35 |
| Max. Negotiated Rate |
$112.22 |
| Rate for Payer: Aetna American Axle |
$78.84
|
| Rate for Payer: Aetna Commercial |
$103.10
|
| Rate for Payer: Aetna Medicare |
$37.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.56
|
| Rate for Payer: BCBS Complete |
$20.48
|
| Rate for Payer: BCBS MAPPO |
$35.65
|
| Rate for Payer: BCBS Trust/PPO |
$8.35
|
| Rate for Payer: BCN Medicare Advantage |
$35.65
|
| Rate for Payer: Cash Price |
$97.04
|
| Rate for Payer: Cash Price |
$97.04
|
| Rate for Payer: Cofinity Commercial |
$104.32
|
| Rate for Payer: Cofinity Commercial |
$84.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.65
|
| Rate for Payer: Healthscope Commercial |
$109.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.98
|
| Rate for Payer: Mclaren Medicaid |
$19.50
|
| Rate for Payer: Mclaren Medicare |
$35.65
|
| Rate for Payer: Meridian Medicaid |
$20.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$103.10
|
| Rate for Payer: PACE Medicare |
$33.87
|
| Rate for Payer: PACE SWMI |
$35.65
|
| Rate for Payer: PHP Commercial |
$103.10
|
| Rate for Payer: PHP Medicare Advantage |
$35.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.22
|
| Rate for Payer: Priority Health Medicare |
$35.65
|
| Rate for Payer: Priority Health Narrow Network |
$89.78
|
| Rate for Payer: Priority Health SBD |
$76.42
|
| Rate for Payer: Railroad Medicare Medicare |
$35.65
|
| Rate for Payer: UHC Core |
$21.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.65
|
| Rate for Payer: UHC Medicare Advantage |
$36.72
|
| Rate for Payer: UMR Bronson Commercial |
$44.88
|
| Rate for Payer: VA VA |
$35.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.98
|
|
|
HC IRRADIATION BLOOD PROD-EA UNIT
|
Facility
|
IP
|
$121.30
|
|
|
Service Code
|
CPT 86945
|
| Hospital Charge Code |
39000026
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$53.37 |
| Max. Negotiated Rate |
$109.17 |
| Rate for Payer: Aetna American Axle |
$78.84
|
| Rate for Payer: Aetna Commercial |
$103.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.84
|
| Rate for Payer: Cash Price |
$97.04
|
| Rate for Payer: Cofinity Commercial |
$104.32
|
| Rate for Payer: Cofinity Commercial |
$84.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.04
|
| Rate for Payer: Healthscope Commercial |
$109.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$103.10
|
| Rate for Payer: PHP Commercial |
$103.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.91
|
| Rate for Payer: Priority Health SBD |
$76.42
|
| Rate for Payer: UMR Bronson Commercial |
$53.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.98
|
|
|
HC IR RENIN
|
Facility
|
OP
|
$3,417.12
|
|
|
Service Code
|
CPT 75893
|
| Hospital Charge Code |
32000209
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$103.14 |
| Max. Negotiated Rate |
$15,377.24 |
| Rate for Payer: Aetna American Axle |
$2,221.13
|
| Rate for Payer: Aetna Commercial |
$2,904.55
|
| Rate for Payer: Aetna Medicare |
$5,080.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,221.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,105.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,105.86
|
| Rate for Payer: BCBS Complete |
$2,805.77
|
| Rate for Payer: BCBS MAPPO |
$4,884.69
|
| Rate for Payer: BCBS Trust/PPO |
$150.14
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.69
|
| Rate for Payer: Cash Price |
$2,733.70
|
| Rate for Payer: Cash Price |
$2,733.70
|
| Rate for Payer: Cofinity Commercial |
$2,391.98
|
| Rate for Payer: Cofinity Commercial |
$2,938.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,733.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.69
|
| Rate for Payer: Healthscope Commercial |
$3,075.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,391.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,562.84
|
| Rate for Payer: Mclaren Medicaid |
$2,671.93
|
| Rate for Payer: Mclaren Medicare |
$4,884.69
|
| Rate for Payer: Meridian Medicaid |
$2,805.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,128.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,617.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,904.55
|
| Rate for Payer: PACE Medicare |
$4,640.46
|
| Rate for Payer: PACE SWMI |
$4,884.69
|
| Rate for Payer: PHP Commercial |
$2,904.55
|
| Rate for Payer: PHP Medicare Advantage |
$4,884.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,671.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,391.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,377.24
|
| Rate for Payer: Priority Health Medicare |
$4,884.69
|
| Rate for Payer: Priority Health Narrow Network |
$12,301.79
|
| Rate for Payer: Priority Health SBD |
$2,152.79
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$113.45
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,884.69
|
| Rate for Payer: UHC Exchange |
$103.14
|
| Rate for Payer: UHC Medicare Advantage |
$5,031.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,264.33
|
| Rate for Payer: VA VA |
$4,884.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,562.84
|
|
|
HC IR RENIN
|
Facility
|
IP
|
$3,417.12
|
|
|
Service Code
|
CPT 75893
|
| Hospital Charge Code |
32000209
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,503.53 |
| Max. Negotiated Rate |
$3,075.41 |
| Rate for Payer: Aetna American Axle |
$2,221.13
|
| Rate for Payer: Aetna Commercial |
$2,904.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,221.13
|
| Rate for Payer: Cash Price |
$2,733.70
|
| Rate for Payer: Cofinity Commercial |
$2,391.98
|
| Rate for Payer: Cofinity Commercial |
$2,938.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,733.70
|
| Rate for Payer: Healthscope Commercial |
$3,075.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,391.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,562.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,904.55
|
| Rate for Payer: PHP Commercial |
$2,904.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,391.98
|
| Rate for Payer: Priority Health SBD |
$2,152.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,503.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,562.84
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY FEMPOP UNI
|
Facility
|
IP
|
$10,807.38
|
|
|
Service Code
|
CPT 37224
|
| Hospital Charge Code |
36100168
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,755.25 |
| Max. Negotiated Rate |
$9,726.64 |
| Rate for Payer: Aetna American Axle |
$7,024.80
|
| Rate for Payer: Aetna Commercial |
$9,186.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,024.80
|
| Rate for Payer: Cash Price |
$8,645.90
|
| Rate for Payer: Cofinity Commercial |
$7,565.17
|
| Rate for Payer: Cofinity Commercial |
$9,294.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,645.90
|
| Rate for Payer: Healthscope Commercial |
$9,726.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,565.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,105.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,186.27
|
| Rate for Payer: PHP Commercial |
$9,186.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,565.17
|
| Rate for Payer: Priority Health SBD |
$6,808.65
|
| Rate for Payer: UMR Bronson Commercial |
$4,755.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,105.54
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY FEMPOP UNI
|
Facility
|
OP
|
$10,807.38
|
|
|
Service Code
|
CPT 37224
|
| Hospital Charge Code |
36100168
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$423.71 |
| Max. Negotiated Rate |
$15,993.75 |
| Rate for Payer: Aetna American Axle |
$7,024.80
|
| Rate for Payer: Aetna Commercial |
$9,186.27
|
| Rate for Payer: Aetna Medicare |
$5,283.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,024.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,350.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,350.66
|
| Rate for Payer: BCBS Complete |
$2,918.26
|
| Rate for Payer: BCBS MAPPO |
$5,080.53
|
| Rate for Payer: BCBS Trust/PPO |
$6,331.58
|
| Rate for Payer: BCN Medicare Advantage |
$5,080.53
|
| Rate for Payer: Cash Price |
$8,645.90
|
| Rate for Payer: Cash Price |
$8,645.90
|
| Rate for Payer: Cofinity Commercial |
$9,294.35
|
| Rate for Payer: Cofinity Commercial |
$7,565.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,645.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,080.53
|
| Rate for Payer: Healthscope Commercial |
$9,726.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,565.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,105.54
|
| Rate for Payer: Mclaren Medicaid |
$2,779.05
|
| Rate for Payer: Mclaren Medicare |
$5,080.53
|
| Rate for Payer: Meridian Medicaid |
$2,918.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,334.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,842.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,186.27
|
| Rate for Payer: PACE Medicare |
$4,826.50
|
| Rate for Payer: PACE SWMI |
$5,080.53
|
| Rate for Payer: PHP Commercial |
$9,186.27
|
| Rate for Payer: PHP Medicare Advantage |
$5,080.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,779.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,565.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,993.75
|
| Rate for Payer: Priority Health Medicare |
$5,080.53
|
| Rate for Payer: Priority Health Narrow Network |
$12,795.00
|
| Rate for Payer: Priority Health SBD |
$6,808.65
|
| Rate for Payer: Railroad Medicare Medicare |
$5,080.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.08
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,080.53
|
| Rate for Payer: UHC Exchange |
$423.71
|
| Rate for Payer: UHC Medicare Advantage |
$5,232.95
|
| Rate for Payer: UMR Bronson Commercial |
$3,998.73
|
| Rate for Payer: VA VA |
$5,080.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,105.54
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY ILIAC UNILATERAL
|
Facility
|
IP
|
$10,896.68
|
|
|
Service Code
|
CPT 37220
|
| Hospital Charge Code |
36100164
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,794.54 |
| Max. Negotiated Rate |
$9,807.01 |
| Rate for Payer: Aetna American Axle |
$7,082.84
|
| Rate for Payer: Aetna Commercial |
$9,262.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,082.84
|
| Rate for Payer: Cash Price |
$8,717.34
|
| Rate for Payer: Cofinity Commercial |
$7,627.68
|
| Rate for Payer: Cofinity Commercial |
$9,371.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,717.34
|
| Rate for Payer: Healthscope Commercial |
$9,807.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,627.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,172.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,262.18
|
| Rate for Payer: PHP Commercial |
$9,262.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,627.68
|
| Rate for Payer: Priority Health SBD |
$6,864.91
|
| Rate for Payer: UMR Bronson Commercial |
$4,794.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,172.51
|
|
|
HC IR REVASCULARIZATION ANGIOPLASTY ILIAC UNILATERAL
|
Facility
|
OP
|
$10,896.68
|
|
|
Service Code
|
CPT 37220
|
| Hospital Charge Code |
36100164
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$381.14 |
| Max. Negotiated Rate |
$15,993.75 |
| Rate for Payer: Aetna American Axle |
$7,082.84
|
| Rate for Payer: Aetna Commercial |
$9,262.18
|
| Rate for Payer: Aetna Medicare |
$5,283.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,082.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,350.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,350.66
|
| Rate for Payer: BCBS Complete |
$2,918.26
|
| Rate for Payer: BCBS MAPPO |
$5,080.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,395.21
|
| Rate for Payer: BCN Medicare Advantage |
$5,080.53
|
| Rate for Payer: Cash Price |
$8,717.34
|
| Rate for Payer: Cash Price |
$8,717.34
|
| Rate for Payer: Cofinity Commercial |
$7,627.68
|
| Rate for Payer: Cofinity Commercial |
$9,371.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,717.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,080.53
|
| Rate for Payer: Healthscope Commercial |
$9,807.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,627.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,172.51
|
| Rate for Payer: Mclaren Medicaid |
$2,779.05
|
| Rate for Payer: Mclaren Medicare |
$5,080.53
|
| Rate for Payer: Meridian Medicaid |
$2,918.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,334.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,842.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,262.18
|
| Rate for Payer: PACE Medicare |
$4,826.50
|
| Rate for Payer: PACE SWMI |
$5,080.53
|
| Rate for Payer: PHP Commercial |
$9,262.18
|
| Rate for Payer: PHP Medicare Advantage |
$5,080.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,779.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,627.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,993.75
|
| Rate for Payer: Priority Health Medicare |
$5,080.53
|
| Rate for Payer: Priority Health Narrow Network |
$12,795.00
|
| Rate for Payer: Priority Health SBD |
$6,864.91
|
| Rate for Payer: Railroad Medicare Medicare |
$5,080.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$419.25
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,080.53
|
| Rate for Payer: UHC Exchange |
$381.14
|
| Rate for Payer: UHC Medicare Advantage |
$5,232.95
|
| Rate for Payer: UMR Bronson Commercial |
$4,031.77
|
| Rate for Payer: VA VA |
$5,080.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,172.51
|
|
|
HC IR REVASCULARIZATION ILIAC EACH ADDITIONAL
|
Facility
|
OP
|
$7,081.27
|
|
|
Service Code
|
CPT 37222
|
| Hospital Charge Code |
36100166
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$176.16 |
| Max. Negotiated Rate |
$8,596.00 |
| Rate for Payer: Aetna American Axle |
$4,602.83
|
| Rate for Payer: Aetna Commercial |
$6,019.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,602.83
|
| Rate for Payer: BCBS Complete |
$2,832.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,933.37
|
| Rate for Payer: Cash Price |
$5,665.02
|
| Rate for Payer: Cash Price |
$5,665.02
|
| Rate for Payer: Cofinity Commercial |
$4,956.89
|
| Rate for Payer: Cofinity Commercial |
$6,089.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,665.02
|
| Rate for Payer: Healthscope Commercial |
$6,373.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,956.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,310.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,019.08
|
| Rate for Payer: PHP Commercial |
$6,019.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,956.89
|
| Rate for Payer: Priority Health SBD |
$4,461.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.78
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Exchange |
$176.16
|
| Rate for Payer: UMR Bronson Commercial |
$2,620.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,310.95
|
|
|
HC IR REVASCULARIZATION ILIAC EACH ADDITIONAL
|
Facility
|
IP
|
$7,081.27
|
|
|
Service Code
|
CPT 37222
|
| Hospital Charge Code |
36100166
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,115.76 |
| Max. Negotiated Rate |
$6,373.14 |
| Rate for Payer: Aetna American Axle |
$4,602.83
|
| Rate for Payer: Aetna Commercial |
$6,019.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,602.83
|
| Rate for Payer: Cash Price |
$5,665.02
|
| Rate for Payer: Cofinity Commercial |
$4,956.89
|
| Rate for Payer: Cofinity Commercial |
$6,089.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,665.02
|
| Rate for Payer: Healthscope Commercial |
$6,373.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,956.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,310.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,019.08
|
| Rate for Payer: PHP Commercial |
$6,019.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,956.89
|
| Rate for Payer: Priority Health SBD |
$4,461.20
|
| Rate for Payer: UMR Bronson Commercial |
$3,115.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,310.95
|
|
|
HC IR REVASCULARIZATION ILIAC WITH STENT UNILATERAL
|
Facility
|
IP
|
$12,174.50
|
|
|
Service Code
|
CPT 37221
|
| Hospital Charge Code |
36100165
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,356.78 |
| Max. Negotiated Rate |
$10,957.05 |
| Rate for Payer: Aetna American Axle |
$7,913.42
|
| Rate for Payer: Aetna Commercial |
$10,348.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,913.42
|
| Rate for Payer: Cash Price |
$9,739.60
|
| Rate for Payer: Cofinity Commercial |
$10,470.07
|
| Rate for Payer: Cofinity Commercial |
$8,522.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,739.60
|
| Rate for Payer: Healthscope Commercial |
$10,957.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,522.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,130.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,348.32
|
| Rate for Payer: PHP Commercial |
$10,348.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,522.15
|
| Rate for Payer: Priority Health SBD |
$7,669.94
|
| Rate for Payer: UMR Bronson Commercial |
$5,356.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,130.88
|
|
|
HC IR REVASCULARIZATION ILIAC WITH STENT UNILATERAL
|
Facility
|
OP
|
$12,174.50
|
|
|
Service Code
|
CPT 37221
|
| Hospital Charge Code |
36100165
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$469.55 |
| Max. Negotiated Rate |
$30,783.77 |
| Rate for Payer: Aetna American Axle |
$7,913.42
|
| Rate for Payer: Aetna Commercial |
$10,348.32
|
| Rate for Payer: Aetna Medicare |
$10,169.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,913.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$8,156.24
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$9,739.60
|
| Rate for Payer: Cash Price |
$9,739.60
|
| Rate for Payer: Cofinity Commercial |
$8,522.15
|
| Rate for Payer: Cofinity Commercial |
$10,470.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,739.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$10,957.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,522.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,130.88
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,348.32
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$10,348.32
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,522.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,783.77
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$24,627.02
|
| Rate for Payer: Priority Health SBD |
$7,669.94
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.50
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,778.69
|
| Rate for Payer: UHC Exchange |
$469.55
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: UMR Bronson Commercial |
$4,504.56
|
| Rate for Payer: VA VA |
$9,778.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,130.88
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERONL UNI
|
Facility
|
IP
|
$13,437.71
|
|
|
Service Code
|
CPT 37228
|
| Hospital Charge Code |
36100172
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,912.59 |
| Max. Negotiated Rate |
$12,093.94 |
| Rate for Payer: Aetna American Axle |
$8,734.51
|
| Rate for Payer: Aetna Commercial |
$11,422.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,734.51
|
| Rate for Payer: Cash Price |
$10,750.17
|
| Rate for Payer: Cofinity Commercial |
$9,406.40
|
| Rate for Payer: Cofinity Commercial |
$11,556.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,750.17
|
| Rate for Payer: Healthscope Commercial |
$12,093.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,406.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,078.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,422.05
|
| Rate for Payer: PHP Commercial |
$11,422.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,406.40
|
| Rate for Payer: Priority Health SBD |
$8,465.76
|
| Rate for Payer: UMR Bronson Commercial |
$5,912.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,078.28
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERONL UNI
|
Facility
|
OP
|
$13,437.71
|
|
|
Service Code
|
CPT 37228
|
| Hospital Charge Code |
36100172
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$515.07 |
| Max. Negotiated Rate |
$30,783.77 |
| Rate for Payer: Aetna American Axle |
$8,734.51
|
| Rate for Payer: Aetna Commercial |
$11,422.05
|
| Rate for Payer: Aetna Medicare |
$10,169.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,734.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$6,577.90
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$10,750.17
|
| Rate for Payer: Cash Price |
$10,750.17
|
| Rate for Payer: Cofinity Commercial |
$11,556.43
|
| Rate for Payer: Cofinity Commercial |
$9,406.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,750.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$12,093.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,406.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,078.28
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$11,422.05
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$11,422.05
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,406.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,783.77
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$24,627.02
|
| Rate for Payer: Priority Health SBD |
$8,465.76
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.58
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,778.69
|
| Rate for Payer: UHC Exchange |
$515.07
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: UMR Bronson Commercial |
$4,971.95
|
| Rate for Payer: VA VA |
$9,778.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,078.28
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
OP
|
$7,435.33
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$189.59 |
| Max. Negotiated Rate |
$8,596.00 |
| Rate for Payer: Aetna American Axle |
$4,832.96
|
| Rate for Payer: Aetna Commercial |
$6,320.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,832.96
|
| Rate for Payer: BCBS Complete |
$2,974.13
|
| Rate for Payer: BCBS Trust/PPO |
$4,051.30
|
| Rate for Payer: Cash Price |
$5,948.26
|
| Rate for Payer: Cash Price |
$5,948.26
|
| Rate for Payer: Cofinity Commercial |
$6,394.38
|
| Rate for Payer: Cofinity Commercial |
$5,204.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,948.26
|
| Rate for Payer: Healthscope Commercial |
$6,691.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,204.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,576.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,320.03
|
| Rate for Payer: PHP Commercial |
$6,320.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,204.73
|
| Rate for Payer: Priority Health SBD |
$4,684.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$208.55
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Exchange |
$189.59
|
| Rate for Payer: UMR Bronson Commercial |
$2,751.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,576.50
|
|
|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
IP
|
$7,435.33
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,271.55 |
| Max. Negotiated Rate |
$6,691.80 |
| Rate for Payer: Aetna American Axle |
$4,832.96
|
| Rate for Payer: Aetna Commercial |
$6,320.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,832.96
|
| Rate for Payer: Cash Price |
$5,948.26
|
| Rate for Payer: Cofinity Commercial |
$5,204.73
|
| Rate for Payer: Cofinity Commercial |
$6,394.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,948.26
|
| Rate for Payer: Healthscope Commercial |
$6,691.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,204.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,576.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,320.03
|
| Rate for Payer: PHP Commercial |
$6,320.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,204.73
|
| Rate for Payer: Priority Health SBD |
$4,684.26
|
| Rate for Payer: UMR Bronson Commercial |
$3,271.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,576.50
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
IP
|
$12,133.54
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,338.76 |
| Max. Negotiated Rate |
$10,920.19 |
| Rate for Payer: Aetna American Axle |
$7,886.80
|
| Rate for Payer: Aetna Commercial |
$10,313.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,886.80
|
| Rate for Payer: Cash Price |
$9,706.83
|
| Rate for Payer: Cofinity Commercial |
$10,434.84
|
| Rate for Payer: Cofinity Commercial |
$8,493.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,706.83
|
| Rate for Payer: Healthscope Commercial |
$10,920.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,493.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,100.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,313.51
|
| Rate for Payer: PHP Commercial |
$10,313.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,493.48
|
| Rate for Payer: Priority Health SBD |
$7,644.13
|
| Rate for Payer: UMR Bronson Commercial |
$5,338.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,100.16
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
OP
|
$12,133.54
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$201.70 |
| Max. Negotiated Rate |
$10,920.19 |
| Rate for Payer: Aetna American Axle |
$7,886.80
|
| Rate for Payer: Aetna Commercial |
$10,313.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,886.80
|
| Rate for Payer: BCBS Complete |
$4,853.42
|
| Rate for Payer: BCBS Trust/PPO |
$8,695.32
|
| Rate for Payer: Cash Price |
$9,706.83
|
| Rate for Payer: Cash Price |
$9,706.83
|
| Rate for Payer: Cofinity Commercial |
$8,493.48
|
| Rate for Payer: Cofinity Commercial |
$10,434.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,706.83
|
| Rate for Payer: Healthscope Commercial |
$10,920.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,493.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,100.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,313.51
|
| Rate for Payer: PHP Commercial |
$10,313.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,493.48
|
| Rate for Payer: Priority Health SBD |
$7,644.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$221.87
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Exchange |
$201.70
|
| Rate for Payer: UMR Bronson Commercial |
$4,489.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,100.16
|
|
