|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$68,513.40
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$30,145.90 |
| Max. Negotiated Rate |
$61,662.06 |
| Rate for Payer: Aetna American Axle |
$44,533.71
|
| Rate for Payer: Aetna Commercial |
$58,236.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44,533.71
|
| Rate for Payer: Cash Price |
$54,810.72
|
| Rate for Payer: Cofinity Commercial |
$47,959.38
|
| Rate for Payer: Cofinity Commercial |
$58,921.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,810.72
|
| Rate for Payer: Healthscope Commercial |
$61,662.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47,959.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,385.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58,236.39
|
| Rate for Payer: PHP Commercial |
$58,236.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47,959.38
|
| Rate for Payer: Priority Health SBD |
$43,163.44
|
| Rate for Payer: UMR Bronson Commercial |
$30,145.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,385.05
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$68,513.40
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,305.84 |
| Max. Negotiated Rate |
$61,662.06 |
| Rate for Payer: Aetna American Axle |
$44,533.71
|
| Rate for Payer: Aetna Commercial |
$58,236.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44,533.71
|
| Rate for Payer: BCBS Complete |
$27,405.36
|
| Rate for Payer: BCBS Trust/PPO |
$5,681.22
|
| Rate for Payer: Cash Price |
$54,810.72
|
| Rate for Payer: Cash Price |
$54,810.72
|
| Rate for Payer: Cofinity Commercial |
$47,959.38
|
| Rate for Payer: Cofinity Commercial |
$58,921.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,810.72
|
| Rate for Payer: Healthscope Commercial |
$61,662.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47,959.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,385.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$58,236.39
|
| Rate for Payer: PHP Commercial |
$58,236.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47,959.38
|
| Rate for Payer: Priority Health SBD |
$43,163.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,436.42
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,305.84
|
| Rate for Payer: UMR Bronson Commercial |
$25,349.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,385.05
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$59,333.40
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$26,106.70 |
| Max. Negotiated Rate |
$53,400.06 |
| Rate for Payer: Aetna American Axle |
$38,566.71
|
| Rate for Payer: Aetna Commercial |
$50,433.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38,566.71
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cofinity Commercial |
$41,533.38
|
| Rate for Payer: Cofinity Commercial |
$51,026.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47,466.72
|
| Rate for Payer: Healthscope Commercial |
$53,400.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41,533.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44,500.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50,433.39
|
| Rate for Payer: PHP Commercial |
$50,433.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,533.38
|
| Rate for Payer: Priority Health SBD |
$37,380.04
|
| Rate for Payer: UMR Bronson Commercial |
$26,106.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44,500.05
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$59,333.40
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,159.80 |
| Max. Negotiated Rate |
$53,400.06 |
| Rate for Payer: Aetna American Axle |
$38,566.71
|
| Rate for Payer: Aetna Commercial |
$50,433.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38,566.71
|
| Rate for Payer: BCBS Complete |
$23,733.36
|
| Rate for Payer: BCBS Trust/PPO |
$4,769.31
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cash Price |
$47,466.72
|
| Rate for Payer: Cofinity Commercial |
$51,026.72
|
| Rate for Payer: Cofinity Commercial |
$41,533.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47,466.72
|
| Rate for Payer: Healthscope Commercial |
$53,400.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41,533.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44,500.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$50,433.39
|
| Rate for Payer: PHP Commercial |
$50,433.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,533.38
|
| Rate for Payer: Priority Health SBD |
$37,380.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,275.78
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,159.80
|
| Rate for Payer: UMR Bronson Commercial |
$21,953.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44,500.05
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$19,722.15
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$373.94 |
| Max. Negotiated Rate |
$65,958.25 |
| Rate for Payer: Aetna American Axle |
$12,819.40
|
| Rate for Payer: Aetna Commercial |
$16,763.83
|
| Rate for Payer: Aetna Medicare |
$21,790.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,819.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,190.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,190.15
|
| Rate for Payer: BCBS Complete |
$12,034.90
|
| Rate for Payer: BCBS MAPPO |
$20,952.12
|
| Rate for Payer: BCBS Trust/PPO |
$33,529.37
|
| Rate for Payer: BCN Medicare Advantage |
$20,952.12
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cofinity Commercial |
$13,805.50
|
| Rate for Payer: Cofinity Commercial |
$16,961.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,777.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,952.12
|
| Rate for Payer: Healthscope Commercial |
$17,749.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,805.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,791.61
|
| Rate for Payer: Mclaren Medicaid |
$11,460.81
|
| Rate for Payer: Mclaren Medicare |
$20,952.12
|
| Rate for Payer: Meridian Medicaid |
$12,034.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,999.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,094.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,763.83
|
| Rate for Payer: PACE Medicare |
$19,904.51
|
| Rate for Payer: PACE SWMI |
$20,952.12
|
| Rate for Payer: PHP Commercial |
$16,763.83
|
| Rate for Payer: PHP Medicare Advantage |
$20,952.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,460.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,805.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,958.25
|
| Rate for Payer: Priority Health Medicare |
$20,952.12
|
| Rate for Payer: Priority Health Narrow Network |
$52,766.60
|
| Rate for Payer: Priority Health SBD |
$12,424.95
|
| Rate for Payer: Railroad Medicare Medicare |
$20,952.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.33
|
| Rate for Payer: UHC Core |
$52,490.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,952.12
|
| Rate for Payer: UHC Exchange |
$373.94
|
| Rate for Payer: UHC Medicare Advantage |
$21,580.68
|
| Rate for Payer: UMR Bronson Commercial |
$7,297.20
|
| Rate for Payer: VA VA |
$20,952.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,791.61
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$19,722.15
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,677.75 |
| Max. Negotiated Rate |
$17,749.94 |
| Rate for Payer: Aetna American Axle |
$12,819.40
|
| Rate for Payer: Aetna Commercial |
$16,763.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,819.40
|
| Rate for Payer: Cash Price |
$15,777.72
|
| Rate for Payer: Cofinity Commercial |
$13,805.50
|
| Rate for Payer: Cofinity Commercial |
$16,961.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,777.72
|
| Rate for Payer: Healthscope Commercial |
$17,749.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,805.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,791.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,763.83
|
| Rate for Payer: PHP Commercial |
$16,763.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,805.50
|
| Rate for Payer: Priority Health SBD |
$12,424.95
|
| Rate for Payer: UMR Bronson Commercial |
$8,677.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,791.61
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$16,106.64
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$342.83 |
| Max. Negotiated Rate |
$29,880.23 |
| Rate for Payer: Aetna American Axle |
$10,469.32
|
| Rate for Payer: Aetna Commercial |
$13,690.64
|
| Rate for Payer: Aetna Medicare |
$9,871.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,469.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,864.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,864.60
|
| Rate for Payer: BCBS Complete |
$5,452.02
|
| Rate for Payer: BCBS MAPPO |
$9,491.68
|
| Rate for Payer: BCBS Trust/PPO |
$8,038.41
|
| Rate for Payer: BCN Medicare Advantage |
$9,491.68
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cofinity Commercial |
$11,274.65
|
| Rate for Payer: Cofinity Commercial |
$13,851.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,885.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,491.68
|
| Rate for Payer: Healthscope Commercial |
$14,495.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,274.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,079.98
|
| Rate for Payer: Mclaren Medicaid |
$5,191.95
|
| Rate for Payer: Mclaren Medicare |
$9,491.68
|
| Rate for Payer: Meridian Medicaid |
$5,452.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,966.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,915.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13,690.64
|
| Rate for Payer: PACE Medicare |
$9,017.10
|
| Rate for Payer: PACE SWMI |
$9,491.68
|
| Rate for Payer: PHP Commercial |
$13,690.64
|
| Rate for Payer: PHP Medicare Advantage |
$9,491.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,191.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,274.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,880.23
|
| Rate for Payer: Priority Health Medicare |
$9,491.68
|
| Rate for Payer: Priority Health Narrow Network |
$23,904.18
|
| Rate for Payer: Priority Health SBD |
$10,147.18
|
| Rate for Payer: Railroad Medicare Medicare |
$9,491.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.11
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,491.68
|
| Rate for Payer: UHC Exchange |
$342.83
|
| Rate for Payer: UHC Medicare Advantage |
$9,776.43
|
| Rate for Payer: UMR Bronson Commercial |
$5,959.46
|
| Rate for Payer: VA VA |
$9,491.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,079.98
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$16,106.64
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,086.92 |
| Max. Negotiated Rate |
$14,495.98 |
| Rate for Payer: Aetna American Axle |
$10,469.32
|
| Rate for Payer: Aetna Commercial |
$13,690.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,469.32
|
| Rate for Payer: Cash Price |
$12,885.31
|
| Rate for Payer: Cofinity Commercial |
$11,274.65
|
| Rate for Payer: Cofinity Commercial |
$13,851.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,885.31
|
| Rate for Payer: Healthscope Commercial |
$14,495.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,274.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,079.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13,690.64
|
| Rate for Payer: PHP Commercial |
$13,690.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,274.65
|
| Rate for Payer: Priority Health SBD |
$10,147.18
|
| Rate for Payer: UMR Bronson Commercial |
$7,086.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,079.98
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$2,992.48
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$197.77 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$1,945.11
|
| Rate for Payer: Aetna Commercial |
$2,543.61
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.11
|
| 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 |
$1,709.75
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cofinity Commercial |
$2,573.53
|
| Rate for Payer: Cofinity Commercial |
$2,094.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,393.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$2,693.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,094.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.36
|
| 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 |
$2,543.61
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$2,543.61
|
| 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 |
$2,094.74
|
| 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 |
$1,885.26
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.55
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$197.77
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,107.22
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.36
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$2,992.48
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,316.69 |
| Max. Negotiated Rate |
$2,693.23 |
| Rate for Payer: Aetna American Axle |
$1,945.11
|
| Rate for Payer: Aetna Commercial |
$2,543.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,945.11
|
| Rate for Payer: Cash Price |
$2,393.98
|
| Rate for Payer: Cofinity Commercial |
$2,094.74
|
| Rate for Payer: Cofinity Commercial |
$2,573.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,393.98
|
| Rate for Payer: Healthscope Commercial |
$2,693.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,094.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,244.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,543.61
|
| Rate for Payer: PHP Commercial |
$2,543.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,094.74
|
| Rate for Payer: Priority Health SBD |
$1,885.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,316.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,244.36
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,613.44
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,149.91 |
| Max. Negotiated Rate |
$2,352.10 |
| Rate for Payer: Aetna American Axle |
$1,698.74
|
| Rate for Payer: Aetna Commercial |
$2,221.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,698.74
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cofinity Commercial |
$1,829.41
|
| Rate for Payer: Cofinity Commercial |
$2,247.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,090.75
|
| Rate for Payer: Healthscope Commercial |
$2,352.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,829.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,960.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,221.42
|
| Rate for Payer: PHP Commercial |
$2,221.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,829.41
|
| Rate for Payer: Priority Health SBD |
$1,646.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,149.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,960.08
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,613.44
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$270.14 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$1,698.74
|
| Rate for Payer: Aetna Commercial |
$2,221.42
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,698.74
|
| 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 |
$1,894.36
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cash Price |
$2,090.75
|
| Rate for Payer: Cofinity Commercial |
$1,829.41
|
| Rate for Payer: Cofinity Commercial |
$2,247.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,090.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$2,352.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,829.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,960.08
|
| 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 |
$2,221.42
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$2,221.42
|
| 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 |
$1,829.41
|
| 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 |
$1,646.47
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.15
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$270.14
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$966.97
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,960.08
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,442.05
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$634.50 |
| Max. Negotiated Rate |
$1,297.84 |
| Rate for Payer: Aetna American Axle |
$937.33
|
| Rate for Payer: Aetna Commercial |
$1,225.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$937.33
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cofinity Commercial |
$1,009.44
|
| Rate for Payer: Cofinity Commercial |
$1,240.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,153.64
|
| Rate for Payer: Healthscope Commercial |
$1,297.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,009.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,081.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,225.74
|
| Rate for Payer: PHP Commercial |
$1,225.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,009.44
|
| Rate for Payer: Priority Health SBD |
$908.49
|
| Rate for Payer: UMR Bronson Commercial |
$634.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,081.54
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,442.05
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$62.54 |
| Max. Negotiated Rate |
$4,481.48 |
| Rate for Payer: Aetna American Axle |
$937.33
|
| Rate for Payer: Aetna Commercial |
$1,225.74
|
| Rate for Payer: Aetna Medicare |
$1,480.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$937.33
|
| 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 |
$640.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cash Price |
$1,153.64
|
| Rate for Payer: Cofinity Commercial |
$1,009.44
|
| Rate for Payer: Cofinity Commercial |
$1,240.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,153.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$1,297.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,009.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,081.54
|
| 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 |
$1,225.74
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$1,225.74
|
| 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 |
$1,009.44
|
| 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 |
$908.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.79
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.57
|
| Rate for Payer: UHC Exchange |
$62.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: UMR Bronson Commercial |
$533.56
|
| Rate for Payer: VA VA |
$1,423.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,081.54
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,484.14
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$277.67 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$2,914.69
|
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| 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 |
$1,709.75
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,138.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| 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 |
$3,811.52
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| 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 |
$3,138.90
|
| 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 |
$2,825.01
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.44
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$277.67
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,659.13
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,484.14
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,973.02 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna American Axle |
$2,914.69
|
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,138.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health SBD |
$2,825.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,973.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,484.14
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,973.02 |
| Max. Negotiated Rate |
$4,035.73 |
| Rate for Payer: Aetna American Axle |
$2,914.69
|
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,138.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,811.52
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,138.90
|
| Rate for Payer: Priority Health SBD |
$2,825.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,973.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
OP
|
$4,484.14
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$322.20 |
| Max. Negotiated Rate |
$15,377.24 |
| Rate for Payer: Aetna American Axle |
$2,914.69
|
| Rate for Payer: Aetna Commercial |
$3,811.52
|
| Rate for Payer: Aetna Medicare |
$5,080.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,914.69
|
| 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 |
$5,344.45
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.69
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cash Price |
$3,587.31
|
| Rate for Payer: Cofinity Commercial |
$3,856.36
|
| Rate for Payer: Cofinity Commercial |
$3,138.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,587.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.69
|
| Rate for Payer: Healthscope Commercial |
$4,035.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,138.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,363.10
|
| 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 |
$3,811.52
|
| Rate for Payer: PACE Medicare |
$4,640.46
|
| Rate for Payer: PACE SWMI |
$4,884.69
|
| Rate for Payer: PHP Commercial |
$3,811.52
|
| 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 |
$3,138.90
|
| 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 |
$2,825.01
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$354.42
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,884.69
|
| Rate for Payer: UHC Exchange |
$322.20
|
| Rate for Payer: UHC Medicare Advantage |
$5,031.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,659.13
|
| Rate for Payer: VA VA |
$4,884.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,363.10
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,228.32
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,420.46 |
| Max. Negotiated Rate |
$2,905.49 |
| Rate for Payer: Aetna American Axle |
$2,098.41
|
| Rate for Payer: Aetna Commercial |
$2,744.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,098.41
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cofinity Commercial |
$2,259.82
|
| Rate for Payer: Cofinity Commercial |
$2,776.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,582.66
|
| Rate for Payer: Healthscope Commercial |
$2,905.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,259.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,421.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,744.07
|
| Rate for Payer: PHP Commercial |
$2,744.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,259.82
|
| Rate for Payer: Priority Health SBD |
$2,033.84
|
| Rate for Payer: UMR Bronson Commercial |
$1,420.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,421.24
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,228.32
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$176.16 |
| Max. Negotiated Rate |
$8,919.33 |
| Rate for Payer: Aetna American Axle |
$2,098.41
|
| Rate for Payer: Aetna Commercial |
$2,744.07
|
| Rate for Payer: Aetna Medicare |
$2,946.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,098.41
|
| 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 |
$2,447.92
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cash Price |
$2,582.66
|
| Rate for Payer: Cofinity Commercial |
$2,259.82
|
| Rate for Payer: Cofinity Commercial |
$2,776.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,582.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$2,905.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,259.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,421.24
|
| 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 |
$2,744.07
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$2,744.07
|
| 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 |
$2,259.82
|
| 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 |
$2,033.84
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.78
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,833.29
|
| Rate for Payer: UHC Exchange |
$176.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,194.48
|
| Rate for Payer: VA VA |
$2,833.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,421.24
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$1,931.55
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$849.88 |
| Max. Negotiated Rate |
$1,738.40 |
| Rate for Payer: Aetna American Axle |
$1,255.51
|
| Rate for Payer: Aetna Commercial |
$1,641.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,255.51
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cofinity Commercial |
$1,352.08
|
| Rate for Payer: Cofinity Commercial |
$1,661.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,545.24
|
| Rate for Payer: Healthscope Commercial |
$1,738.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,352.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,448.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,641.82
|
| Rate for Payer: PHP Commercial |
$1,641.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,352.08
|
| Rate for Payer: Priority Health SBD |
$1,216.88
|
| Rate for Payer: UMR Bronson Commercial |
$849.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,448.66
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$1,931.55
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$55.99 |
| Max. Negotiated Rate |
$4,481.48 |
| Rate for Payer: Aetna American Axle |
$1,255.51
|
| Rate for Payer: Aetna Commercial |
$1,641.82
|
| Rate for Payer: Aetna Medicare |
$1,480.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,255.51
|
| 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 |
$897.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cash Price |
$1,545.24
|
| Rate for Payer: Cofinity Commercial |
$1,352.08
|
| Rate for Payer: Cofinity Commercial |
$1,661.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,545.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$1,738.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,352.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,448.66
|
| 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 |
$1,641.82
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$1,641.82
|
| 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 |
$1,352.08
|
| 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 |
$1,216.88
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.59
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.57
|
| Rate for Payer: UHC Exchange |
$55.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: UMR Bronson Commercial |
$714.67
|
| Rate for Payer: VA VA |
$1,423.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,448.66
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,043.46
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$305.44 |
| Max. Negotiated Rate |
$1,757.86 |
| Rate for Payer: Aetna American Axle |
$678.25
|
| Rate for Payer: Aetna Commercial |
$886.94
|
| Rate for Payer: Aetna Medicare |
$580.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$698.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$698.00
|
| Rate for Payer: BCBS Complete |
$320.74
|
| Rate for Payer: BCBS MAPPO |
$558.40
|
| Rate for Payer: BCBS Trust/PPO |
$609.22
|
| Rate for Payer: BCN Medicare Advantage |
$558.40
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cofinity Commercial |
$730.42
|
| Rate for Payer: Cofinity Commercial |
$897.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.40
|
| Rate for Payer: Healthscope Commercial |
$939.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.60
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Mclaren Medicare |
$558.40
|
| Rate for Payer: Meridian Medicaid |
$320.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$886.94
|
| Rate for Payer: PACE Medicare |
$530.48
|
| Rate for Payer: PACE SWMI |
$558.40
|
| Rate for Payer: PHP Commercial |
$886.94
|
| Rate for Payer: PHP Medicare Advantage |
$558.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.86
|
| Rate for Payer: Priority Health Medicare |
$558.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,406.29
|
| Rate for Payer: Priority Health SBD |
$657.38
|
| Rate for Payer: Railroad Medicare Medicare |
$558.40
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.40
|
| Rate for Payer: UHC Medicare Advantage |
$575.15
|
| Rate for Payer: UMR Bronson Commercial |
$386.08
|
| Rate for Payer: VA VA |
$558.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.60
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,043.46
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$459.12 |
| Max. Negotiated Rate |
$939.11 |
| Rate for Payer: Aetna American Axle |
$678.25
|
| Rate for Payer: Aetna Commercial |
$886.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.25
|
| Rate for Payer: Cash Price |
$834.77
|
| Rate for Payer: Cofinity Commercial |
$730.42
|
| Rate for Payer: Cofinity Commercial |
$897.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.77
|
| Rate for Payer: Healthscope Commercial |
$939.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$886.94
|
| Rate for Payer: PHP Commercial |
$886.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$730.42
|
| Rate for Payer: Priority Health SBD |
$657.38
|
| Rate for Payer: UMR Bronson Commercial |
$459.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.60
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$19,921.38
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,765.41 |
| Max. Negotiated Rate |
$17,929.24 |
| Rate for Payer: Aetna American Axle |
$12,948.90
|
| Rate for Payer: Aetna Commercial |
$16,933.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,948.90
|
| Rate for Payer: Cash Price |
$15,937.10
|
| Rate for Payer: Cofinity Commercial |
$13,944.97
|
| Rate for Payer: Cofinity Commercial |
$17,132.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,937.10
|
| Rate for Payer: Healthscope Commercial |
$17,929.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,944.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,941.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16,933.17
|
| Rate for Payer: PHP Commercial |
$16,933.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,944.97
|
| Rate for Payer: Priority Health SBD |
$12,550.47
|
| Rate for Payer: UMR Bronson Commercial |
$8,765.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,941.04
|
|
