|
HC IR SPHENOID ELECTRODE PLACEMENT
|
Facility
|
IP
|
$1,537.29
|
|
|
Service Code
|
CPT 95830
|
| Hospital Charge Code |
74000009
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$676.41 |
| Max. Negotiated Rate |
$1,383.56 |
| Rate for Payer: Aetna American Axle |
$999.24
|
| Rate for Payer: Aetna Commercial |
$1,306.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$999.24
|
| Rate for Payer: Cash Price |
$1,229.83
|
| Rate for Payer: Cofinity Commercial |
$1,076.10
|
| Rate for Payer: Cofinity Commercial |
$1,322.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,229.83
|
| Rate for Payer: Healthscope Commercial |
$1,383.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,076.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,152.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,306.70
|
| Rate for Payer: PHP Commercial |
$1,306.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,076.10
|
| Rate for Payer: Priority Health SBD |
$968.49
|
| Rate for Payer: UMR Bronson Commercial |
$676.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,152.97
|
|
|
HC IR SPINAL ANGIOGRAPHY
|
Facility
|
IP
|
$3,727.13
|
|
|
Service Code
|
CPT 75705
|
| Hospital Charge Code |
32000188
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,639.94 |
| Max. Negotiated Rate |
$3,354.42 |
| Rate for Payer: Aetna American Axle |
$2,422.63
|
| Rate for Payer: Aetna Commercial |
$3,168.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,422.63
|
| Rate for Payer: Cash Price |
$2,981.70
|
| Rate for Payer: Cofinity Commercial |
$2,608.99
|
| Rate for Payer: Cofinity Commercial |
$3,205.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,981.70
|
| Rate for Payer: Healthscope Commercial |
$3,354.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,608.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,795.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,168.06
|
| Rate for Payer: PHP Commercial |
$3,168.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,608.99
|
| Rate for Payer: Priority Health SBD |
$2,348.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,639.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,795.35
|
|
|
HC IR SPINAL ANGIOGRAPHY
|
Facility
|
OP
|
$3,727.13
|
|
|
Service Code
|
CPT 75705
|
| Hospital Charge Code |
32000188
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$245.91 |
| Max. Negotiated Rate |
$15,377.24 |
| Rate for Payer: Aetna American Axle |
$2,422.63
|
| Rate for Payer: Aetna Commercial |
$3,168.06
|
| Rate for Payer: Aetna Medicare |
$5,080.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,422.63
|
| 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 |
$253.39
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.69
|
| Rate for Payer: Cash Price |
$2,981.70
|
| Rate for Payer: Cash Price |
$2,981.70
|
| Rate for Payer: Cofinity Commercial |
$3,205.33
|
| Rate for Payer: Cofinity Commercial |
$2,608.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,981.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.69
|
| Rate for Payer: Healthscope Commercial |
$3,354.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,608.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,795.35
|
| 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 |
$3,168.06
|
| Rate for Payer: PACE Medicare |
$4,640.46
|
| Rate for Payer: PACE SWMI |
$4,884.69
|
| Rate for Payer: PHP Commercial |
$3,168.06
|
| 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 |
$2,608.99
|
| 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 |
$2,348.09
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.50
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,884.69
|
| Rate for Payer: UHC Exchange |
$245.91
|
| Rate for Payer: UHC Medicare Advantage |
$5,031.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,379.04
|
| Rate for Payer: VA VA |
$4,884.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,795.35
|
|
|
HC IR SUPERIOR VENACAVAGRAM
|
Facility
|
OP
|
$2,602.17
|
|
|
Service Code
|
CPT 75827
|
| Hospital Charge Code |
32000206
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$116.57 |
| Max. Negotiated Rate |
$4,481.48 |
| Rate for Payer: Aetna American Axle |
$1,691.41
|
| Rate for Payer: Aetna Commercial |
$2,211.84
|
| Rate for Payer: Aetna Medicare |
$1,480.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,691.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,779.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,779.46
|
| Rate for Payer: BCBS Complete |
$817.70
|
| Rate for Payer: BCBS MAPPO |
$1,423.57
|
| Rate for Payer: BCBS Trust/PPO |
$126.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$2,081.74
|
| Rate for Payer: Cash Price |
$2,081.74
|
| Rate for Payer: Cofinity Commercial |
$1,821.52
|
| Rate for Payer: Cofinity Commercial |
$2,237.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,081.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$2,341.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,821.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,951.63
|
| Rate for Payer: Mclaren Medicaid |
$778.69
|
| Rate for Payer: Mclaren Medicare |
$1,423.57
|
| Rate for Payer: Meridian Medicaid |
$817.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,637.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,211.84
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$2,211.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,821.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,481.48
|
| Rate for Payer: Priority Health Medicare |
$1,423.57
|
| Rate for Payer: Priority Health Narrow Network |
$3,585.18
|
| Rate for Payer: Priority Health SBD |
$1,639.37
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.23
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.57
|
| Rate for Payer: UHC Exchange |
$116.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: UMR Bronson Commercial |
$962.80
|
| Rate for Payer: VA VA |
$1,423.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,951.63
|
|
|
HC IR SUPERIOR VENACAVAGRAM
|
Facility
|
IP
|
$2,602.17
|
|
|
Service Code
|
CPT 75827
|
| Hospital Charge Code |
32000206
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,144.95 |
| Max. Negotiated Rate |
$2,341.95 |
| Rate for Payer: Aetna American Axle |
$1,691.41
|
| Rate for Payer: Aetna Commercial |
$2,211.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,691.41
|
| Rate for Payer: Cash Price |
$2,081.74
|
| Rate for Payer: Cofinity Commercial |
$1,821.52
|
| Rate for Payer: Cofinity Commercial |
$2,237.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,081.74
|
| Rate for Payer: Healthscope Commercial |
$2,341.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,821.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,951.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,211.84
|
| Rate for Payer: PHP Commercial |
$2,211.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,821.52
|
| Rate for Payer: Priority Health SBD |
$1,639.37
|
| Rate for Payer: UMR Bronson Commercial |
$1,144.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,951.63
|
|
|
HC IR THROMBECTOMY 1ST ARTERIAL GRAFT W FLUOROSCPY
|
Facility
|
OP
|
$7,341.10
|
|
|
Service Code
|
CPT 37184
|
| Hospital Charge Code |
36100149
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$410.94 |
| Max. Negotiated Rate |
$49,067.27 |
| Rate for Payer: Aetna American Axle |
$4,771.72
|
| Rate for Payer: Aetna Commercial |
$6,239.94
|
| Rate for Payer: Aetna Medicare |
$16,210.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,771.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,483.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,483.22
|
| Rate for Payer: BCBS Complete |
$8,952.93
|
| Rate for Payer: BCBS MAPPO |
$15,586.58
|
| Rate for Payer: BCBS Trust/PPO |
$4,379.52
|
| Rate for Payer: BCN Medicare Advantage |
$15,586.58
|
| Rate for Payer: Cash Price |
$5,872.88
|
| Rate for Payer: Cash Price |
$5,872.88
|
| Rate for Payer: Cofinity Commercial |
$5,138.77
|
| Rate for Payer: Cofinity Commercial |
$6,313.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,872.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,586.58
|
| Rate for Payer: Healthscope Commercial |
$6,606.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,138.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,505.82
|
| Rate for Payer: Mclaren Medicaid |
$8,525.86
|
| Rate for Payer: Mclaren Medicare |
$15,586.58
|
| Rate for Payer: Meridian Medicaid |
$8,952.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,365.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,924.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,239.94
|
| Rate for Payer: PACE Medicare |
$14,807.25
|
| Rate for Payer: PACE SWMI |
$15,586.58
|
| Rate for Payer: PHP Commercial |
$6,239.94
|
| Rate for Payer: PHP Medicare Advantage |
$15,586.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,525.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,138.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,067.27
|
| Rate for Payer: Priority Health Medicare |
$15,586.58
|
| Rate for Payer: Priority Health Narrow Network |
$39,253.82
|
| Rate for Payer: Priority Health SBD |
$4,624.89
|
| Rate for Payer: Railroad Medicare Medicare |
$15,586.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$452.03
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,586.58
|
| Rate for Payer: UHC Exchange |
$410.94
|
| Rate for Payer: UHC Medicare Advantage |
$16,054.18
|
| Rate for Payer: UMR Bronson Commercial |
$2,716.21
|
| Rate for Payer: VA VA |
$15,586.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,505.82
|
|
|
HC IR THROMBECTOMY 1ST ARTERIAL GRAFT W FLUOROSCPY
|
Facility
|
IP
|
$7,341.10
|
|
|
Service Code
|
CPT 37184
|
| Hospital Charge Code |
36100149
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,230.08 |
| Max. Negotiated Rate |
$6,606.99 |
| Rate for Payer: Aetna American Axle |
$4,771.72
|
| Rate for Payer: Aetna Commercial |
$6,239.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,771.72
|
| Rate for Payer: Cash Price |
$5,872.88
|
| Rate for Payer: Cofinity Commercial |
$5,138.77
|
| Rate for Payer: Cofinity Commercial |
$6,313.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,872.88
|
| Rate for Payer: Healthscope Commercial |
$6,606.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,138.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,505.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,239.94
|
| Rate for Payer: PHP Commercial |
$6,239.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,138.77
|
| Rate for Payer: Priority Health SBD |
$4,624.89
|
| Rate for Payer: UMR Bronson Commercial |
$3,230.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,505.82
|
|
|
HC IR THROMBECTOMY 2ND ARTERIAL GRAFT W FLUOROSCPY
|
Facility
|
IP
|
$2,356.66
|
|
|
Service Code
|
CPT 37186
|
| Hospital Charge Code |
36100151
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,036.93 |
| Max. Negotiated Rate |
$2,120.99 |
| Rate for Payer: Aetna American Axle |
$1,531.83
|
| Rate for Payer: Aetna Commercial |
$2,003.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,531.83
|
| Rate for Payer: Cash Price |
$1,885.33
|
| Rate for Payer: Cofinity Commercial |
$1,649.66
|
| Rate for Payer: Cofinity Commercial |
$2,026.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,885.33
|
| Rate for Payer: Healthscope Commercial |
$2,120.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,649.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,767.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,003.16
|
| Rate for Payer: PHP Commercial |
$2,003.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,649.66
|
| Rate for Payer: Priority Health SBD |
$1,484.70
|
| Rate for Payer: UMR Bronson Commercial |
$1,036.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,767.50
|
|
|
HC IR THROMBECTOMY 2ND ARTERIAL GRAFT W FLUOROSCPY
|
Facility
|
OP
|
$2,356.66
|
|
|
Service Code
|
CPT 37186
|
| Hospital Charge Code |
36100151
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$232.48 |
| Max. Negotiated Rate |
$4,562.09 |
| Rate for Payer: Aetna American Axle |
$1,531.83
|
| Rate for Payer: Aetna Commercial |
$2,003.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,531.83
|
| Rate for Payer: BCBS Complete |
$942.66
|
| Rate for Payer: BCBS Trust/PPO |
$4,562.09
|
| Rate for Payer: Cash Price |
$1,885.33
|
| Rate for Payer: Cash Price |
$1,885.33
|
| Rate for Payer: Cofinity Commercial |
$2,026.73
|
| Rate for Payer: Cofinity Commercial |
$1,649.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,885.33
|
| Rate for Payer: Healthscope Commercial |
$2,120.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,649.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,767.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,003.16
|
| Rate for Payer: PHP Commercial |
$2,003.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,649.66
|
| Rate for Payer: Priority Health SBD |
$1,484.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$255.73
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$232.48
|
| Rate for Payer: UMR Bronson Commercial |
$871.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,767.50
|
|
|
HC IR THROMBECTOMY ARTERIAL GRAFT 2ND AND SUBSEQUENT VESSELS
|
Facility
|
OP
|
$5,605.92
|
|
|
Service Code
|
CPT 37185
|
| Hospital Charge Code |
36100150
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$155.21 |
| Max. Negotiated Rate |
$5,045.33 |
| Rate for Payer: Aetna American Axle |
$3,643.85
|
| Rate for Payer: Aetna Commercial |
$4,765.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,643.85
|
| Rate for Payer: BCBS Complete |
$2,242.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,409.35
|
| Rate for Payer: Cash Price |
$4,484.74
|
| Rate for Payer: Cash Price |
$4,484.74
|
| Rate for Payer: Cofinity Commercial |
$4,821.09
|
| Rate for Payer: Cofinity Commercial |
$3,924.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,484.74
|
| Rate for Payer: Healthscope Commercial |
$5,045.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,924.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,204.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,765.03
|
| Rate for Payer: PHP Commercial |
$4,765.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,924.14
|
| Rate for Payer: Priority Health SBD |
$3,531.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.73
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$155.21
|
| Rate for Payer: UMR Bronson Commercial |
$2,074.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,204.44
|
|
|
HC IR THROMBECTOMY ARTERIAL GRAFT 2ND AND SUBSEQUENT VESSELS
|
Facility
|
IP
|
$5,605.92
|
|
|
Service Code
|
CPT 37185
|
| Hospital Charge Code |
36100150
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,466.60 |
| Max. Negotiated Rate |
$5,045.33 |
| Rate for Payer: Aetna American Axle |
$3,643.85
|
| Rate for Payer: Aetna Commercial |
$4,765.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,643.85
|
| Rate for Payer: Cash Price |
$4,484.74
|
| Rate for Payer: Cofinity Commercial |
$3,924.14
|
| Rate for Payer: Cofinity Commercial |
$4,821.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,484.74
|
| Rate for Payer: Healthscope Commercial |
$5,045.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,924.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,204.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,765.03
|
| Rate for Payer: PHP Commercial |
$4,765.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,924.14
|
| Rate for Payer: Priority Health SBD |
$3,531.73
|
| Rate for Payer: UMR Bronson Commercial |
$2,466.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,204.44
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY
|
Facility
|
IP
|
$7,296.32
|
|
|
Service Code
|
CPT 37187
|
| Hospital Charge Code |
36100152
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,210.38 |
| Max. Negotiated Rate |
$6,566.69 |
| Rate for Payer: Aetna American Axle |
$4,742.61
|
| Rate for Payer: Aetna Commercial |
$6,201.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,742.61
|
| Rate for Payer: Cash Price |
$5,837.06
|
| Rate for Payer: Cofinity Commercial |
$5,107.42
|
| Rate for Payer: Cofinity Commercial |
$6,274.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,837.06
|
| Rate for Payer: Healthscope Commercial |
$6,566.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,107.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,472.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,201.87
|
| Rate for Payer: PHP Commercial |
$6,201.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,107.42
|
| Rate for Payer: Priority Health SBD |
$4,596.68
|
| Rate for Payer: UMR Bronson Commercial |
$3,210.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,472.24
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY
|
Facility
|
OP
|
$7,296.32
|
|
|
Service Code
|
CPT 37187
|
| Hospital Charge Code |
36100152
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$374.92 |
| Max. Negotiated Rate |
$30,783.77 |
| Rate for Payer: Aetna American Axle |
$4,742.61
|
| Rate for Payer: Aetna Commercial |
$6,201.87
|
| Rate for Payer: Aetna Medicare |
$10,169.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,742.61
|
| 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 |
$3,674.03
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$5,837.06
|
| Rate for Payer: Cash Price |
$5,837.06
|
| Rate for Payer: Cofinity Commercial |
$5,107.42
|
| Rate for Payer: Cofinity Commercial |
$6,274.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,837.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$6,566.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,107.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,472.24
|
| 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 |
$6,201.87
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$6,201.87
|
| 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 |
$5,107.42
|
| 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 |
$4,596.68
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.41
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,778.69
|
| Rate for Payer: UHC Exchange |
$374.92
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: UMR Bronson Commercial |
$2,699.64
|
| Rate for Payer: VA VA |
$9,778.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,472.24
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY SUBSEQUENT DAY
|
Facility
|
OP
|
$5,264.30
|
|
|
Service Code
|
CPT 37188
|
| Hospital Charge Code |
36100153
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$268.17 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$3,421.80
|
| Rate for Payer: Aetna Commercial |
$4,474.66
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,421.80
|
| 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 |
$2,657.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$4,211.44
|
| Rate for Payer: Cash Price |
$4,211.44
|
| Rate for Payer: Cofinity Commercial |
$4,527.30
|
| Rate for Payer: Cofinity Commercial |
$3,685.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,211.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$4,737.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,685.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,948.22
|
| 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 |
$4,474.66
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$4,474.66
|
| 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 |
$3,685.01
|
| 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 |
$3,316.51
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.99
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$268.17
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,947.79
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,948.22
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY SUBSEQUENT DAY
|
Facility
|
IP
|
$5,264.30
|
|
|
Service Code
|
CPT 37188
|
| Hospital Charge Code |
36100153
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,316.29 |
| Max. Negotiated Rate |
$4,737.87 |
| Rate for Payer: Aetna American Axle |
$3,421.80
|
| Rate for Payer: Aetna Commercial |
$4,474.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,421.80
|
| Rate for Payer: Cash Price |
$4,211.44
|
| Rate for Payer: Cofinity Commercial |
$3,685.01
|
| Rate for Payer: Cofinity Commercial |
$4,527.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,211.44
|
| Rate for Payer: Healthscope Commercial |
$4,737.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,685.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,948.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,474.66
|
| Rate for Payer: PHP Commercial |
$4,474.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,685.01
|
| Rate for Payer: Priority Health SBD |
$3,316.51
|
| Rate for Payer: UMR Bronson Commercial |
$2,316.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,948.22
|
|
|
HC IR TRANSCATHETER BIOPSY
|
Facility
|
IP
|
$1,763.20
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
32000224
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$775.81 |
| Max. Negotiated Rate |
$1,586.88 |
| Rate for Payer: Aetna American Axle |
$1,146.08
|
| Rate for Payer: Aetna Commercial |
$1,498.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,146.08
|
| Rate for Payer: Cash Price |
$1,410.56
|
| Rate for Payer: Cofinity Commercial |
$1,234.24
|
| Rate for Payer: Cofinity Commercial |
$1,516.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,410.56
|
| Rate for Payer: Healthscope Commercial |
$1,586.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,234.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,322.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,498.72
|
| Rate for Payer: PHP Commercial |
$1,498.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.24
|
| Rate for Payer: Priority Health SBD |
$1,110.82
|
| Rate for Payer: UMR Bronson Commercial |
$775.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,322.40
|
|
|
HC IR TRANSCATHETER BIOPSY
|
Facility
|
OP
|
$1,763.20
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
32000224
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$1,586.88 |
| Rate for Payer: Aetna American Axle |
$1,146.08
|
| Rate for Payer: Aetna Commercial |
$1,498.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,146.08
|
| Rate for Payer: BCBS Complete |
$705.28
|
| Rate for Payer: BCBS Trust/PPO |
$750.68
|
| Rate for Payer: Cash Price |
$1,410.56
|
| Rate for Payer: Cash Price |
$1,410.56
|
| Rate for Payer: Cofinity Commercial |
$1,516.35
|
| Rate for Payer: Cofinity Commercial |
$1,234.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,410.56
|
| Rate for Payer: Healthscope Commercial |
$1,586.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,234.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,322.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,498.72
|
| Rate for Payer: PHP Commercial |
$1,498.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.24
|
| Rate for Payer: Priority Health SBD |
$1,110.82
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UMR Bronson Commercial |
$652.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,322.40
|
|
|
HC IR UNLISTED URINARY SYSTEM
|
Facility
|
OP
|
$2,129.88
|
|
|
Service Code
|
CPT 53899
|
| Hospital Charge Code |
36100254
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$120.16 |
| Max. Negotiated Rate |
$1,916.89 |
| Rate for Payer: Aetna American Axle |
$1,384.42
|
| Rate for Payer: Aetna Commercial |
$1,810.40
|
| Rate for Payer: Aetna Medicare |
$228.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,384.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$274.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$274.60
|
| Rate for Payer: BCBS Complete |
$126.18
|
| Rate for Payer: BCBS MAPPO |
$219.68
|
| Rate for Payer: BCBS Trust/PPO |
$192.40
|
| Rate for Payer: BCN Medicare Advantage |
$219.68
|
| Rate for Payer: Cash Price |
$1,703.90
|
| Rate for Payer: Cash Price |
$1,703.90
|
| Rate for Payer: Cofinity Commercial |
$1,831.70
|
| Rate for Payer: Cofinity Commercial |
$1,490.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,703.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.68
|
| Rate for Payer: Healthscope Commercial |
$1,916.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,490.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,597.41
|
| Rate for Payer: Mclaren Medicaid |
$120.16
|
| Rate for Payer: Mclaren Medicare |
$219.68
|
| Rate for Payer: Meridian Medicaid |
$126.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$230.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$252.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,810.40
|
| Rate for Payer: PACE Medicare |
$208.70
|
| Rate for Payer: PACE SWMI |
$219.68
|
| Rate for Payer: PHP Commercial |
$1,810.40
|
| Rate for Payer: PHP Medicare Advantage |
$219.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,490.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$691.57
|
| Rate for Payer: Priority Health Medicare |
$219.68
|
| Rate for Payer: Priority Health Narrow Network |
$553.26
|
| Rate for Payer: Priority Health SBD |
$1,341.82
|
| Rate for Payer: Railroad Medicare Medicare |
$219.68
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.68
|
| Rate for Payer: UHC Medicare Advantage |
$226.27
|
| Rate for Payer: UMR Bronson Commercial |
$788.06
|
| Rate for Payer: VA VA |
$219.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,597.41
|
|
|
HC IR UNLISTED URINARY SYSTEM
|
Facility
|
IP
|
$2,129.88
|
|
|
Service Code
|
CPT 53899
|
| Hospital Charge Code |
36100254
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$937.15 |
| Max. Negotiated Rate |
$1,916.89 |
| Rate for Payer: Aetna American Axle |
$1,384.42
|
| Rate for Payer: Aetna Commercial |
$1,810.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,384.42
|
| Rate for Payer: Cash Price |
$1,703.90
|
| Rate for Payer: Cofinity Commercial |
$1,490.92
|
| Rate for Payer: Cofinity Commercial |
$1,831.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,703.90
|
| Rate for Payer: Healthscope Commercial |
$1,916.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,490.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,597.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,810.40
|
| Rate for Payer: PHP Commercial |
$1,810.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,490.92
|
| Rate for Payer: Priority Health SBD |
$1,341.82
|
| Rate for Payer: UMR Bronson Commercial |
$937.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,597.41
|
|
|
HC IR UROGRAPHY ANTEGRADE
|
Facility
|
IP
|
$454.34
|
|
|
Service Code
|
CPT 74425
|
| Hospital Charge Code |
32000161
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$199.91 |
| Max. Negotiated Rate |
$408.91 |
| Rate for Payer: Aetna American Axle |
$295.32
|
| Rate for Payer: Aetna Commercial |
$386.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$295.32
|
| Rate for Payer: Cash Price |
$363.47
|
| Rate for Payer: Cofinity Commercial |
$318.04
|
| Rate for Payer: Cofinity Commercial |
$390.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$363.47
|
| Rate for Payer: Healthscope Commercial |
$408.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$318.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$386.19
|
| Rate for Payer: PHP Commercial |
$386.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.04
|
| Rate for Payer: Priority Health SBD |
$286.23
|
| Rate for Payer: UMR Bronson Commercial |
$199.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.76
|
|
|
HC IR UROGRAPHY ANTEGRADE
|
Facility
|
OP
|
$454.34
|
|
|
Service Code
|
CPT 74425
|
| Hospital Charge Code |
32000161
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$133.27 |
| Max. Negotiated Rate |
$1,076.13 |
| Rate for Payer: Aetna American Axle |
$295.32
|
| Rate for Payer: Aetna Commercial |
$386.19
|
| Rate for Payer: Aetna Medicare |
$355.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$295.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$216.02
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$363.47
|
| Rate for Payer: Cash Price |
$363.47
|
| Rate for Payer: Cofinity Commercial |
$390.73
|
| Rate for Payer: Cofinity Commercial |
$318.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$363.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$408.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$318.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.76
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$386.19
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$386.19
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.13
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$860.90
|
| Rate for Payer: Priority Health SBD |
$286.23
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.60
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.84
|
| Rate for Payer: UHC Exchange |
$133.27
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: UMR Bronson Commercial |
$168.11
|
| Rate for Payer: VA VA |
$341.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.76
|
|
|
HC IR US GUIDED VASC ACCESS
|
Facility
|
IP
|
$350.37
|
|
|
Service Code
|
CPT 76937
|
| Hospital Charge Code |
40200043
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$154.16 |
| Max. Negotiated Rate |
$315.33 |
| Rate for Payer: Aetna American Axle |
$227.74
|
| Rate for Payer: Aetna Commercial |
$297.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.74
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cofinity Commercial |
$245.26
|
| Rate for Payer: Cofinity Commercial |
$301.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.30
|
| Rate for Payer: Healthscope Commercial |
$315.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$245.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$297.81
|
| Rate for Payer: PHP Commercial |
$297.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.26
|
| Rate for Payer: Priority Health SBD |
$220.73
|
| Rate for Payer: UMR Bronson Commercial |
$154.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.78
|
|
|
HC IR US GUIDED VASC ACCESS
|
Facility
|
OP
|
$350.37
|
|
|
Service Code
|
CPT 76937
|
| Hospital Charge Code |
40200043
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$37.66 |
| Max. Negotiated Rate |
$367.00 |
| Rate for Payer: Aetna American Axle |
$227.74
|
| Rate for Payer: Aetna Commercial |
$297.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.74
|
| Rate for Payer: BCBS Complete |
$140.15
|
| Rate for Payer: BCBS Trust/PPO |
$48.14
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cofinity Commercial |
$245.26
|
| Rate for Payer: Cofinity Commercial |
$301.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.30
|
| Rate for Payer: Healthscope Commercial |
$315.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$245.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$297.81
|
| Rate for Payer: PHP Commercial |
$297.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.26
|
| Rate for Payer: Priority Health SBD |
$220.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.43
|
| Rate for Payer: UHC Core |
$367.00
|
| Rate for Payer: UHC Exchange |
$37.66
|
| Rate for Payer: UMR Bronson Commercial |
$129.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.78
|
|
|
HC IR VASCULAR UNLISTED PROCEDURE
|
Facility
|
OP
|
$480.78
|
|
|
Service Code
|
CPT 36299
|
| Hospital Charge Code |
36100114
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$177.89 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$312.51
|
| Rate for Payer: Aetna Commercial |
$408.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.51
|
| Rate for Payer: BCBS Complete |
$192.31
|
| Rate for Payer: BCBS Trust/PPO |
$590.01
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cofinity Commercial |
$336.55
|
| Rate for Payer: Cofinity Commercial |
$413.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$384.62
|
| Rate for Payer: Healthscope Commercial |
$432.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$336.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$360.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$408.66
|
| Rate for Payer: PHP Commercial |
$408.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.55
|
| Rate for Payer: Priority Health SBD |
$302.89
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UMR Bronson Commercial |
$177.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$360.58
|
|
|
HC IR VASCULAR UNLISTED PROCEDURE
|
Facility
|
IP
|
$480.78
|
|
|
Service Code
|
CPT 36299
|
| Hospital Charge Code |
36100114
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$211.54 |
| Max. Negotiated Rate |
$432.70 |
| Rate for Payer: Aetna American Axle |
$312.51
|
| Rate for Payer: Aetna Commercial |
$408.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.51
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cofinity Commercial |
$336.55
|
| Rate for Payer: Cofinity Commercial |
$413.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$384.62
|
| Rate for Payer: Healthscope Commercial |
$432.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$336.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$360.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$408.66
|
| Rate for Payer: PHP Commercial |
$408.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.55
|
| Rate for Payer: Priority Health SBD |
$302.89
|
| Rate for Payer: UMR Bronson Commercial |
$211.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$360.58
|
|
