|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
OP
|
$3,539.77
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$144.48 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,300.85
|
| Rate for Payer: Aetna Commercial |
$3,008.80
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,300.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$144.48
|
| Rate for Payer: BCN Commercial |
$144.48
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,831.82
|
| Rate for Payer: Cash Price |
$2,831.82
|
| Rate for Payer: Cofinity Advantage |
$2,477.84
|
| Rate for Payer: Cofinity Commercial |
$3,044.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,831.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,185.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,477.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,654.83
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,008.80
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,654.83
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,008.80
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,230.06
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,300.85
|
| Rate for Payer: UHC Core |
$1,844.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,391.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,309.71
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,654.83
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
IP
|
$3,539.77
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,557.50 |
| Max. Negotiated Rate |
$3,185.79 |
| Rate for Payer: Aetna American Axle |
$2,300.85
|
| Rate for Payer: Aetna Commercial |
$3,008.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,300.85
|
| Rate for Payer: Cash Price |
$2,831.82
|
| Rate for Payer: Cofinity Advantage |
$2,477.84
|
| Rate for Payer: Cofinity Commercial |
$3,044.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,831.82
|
| Rate for Payer: Healthscope Commercial |
$3,185.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,477.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,654.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,008.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,654.83
|
| Rate for Payer: PHP Commercial |
$3,008.80
|
| Rate for Payer: Priority Health SBD |
$2,230.06
|
| Rate for Payer: UMR Bronson Commercial |
$1,557.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,654.83
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
IP
|
$4,198.39
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,847.29 |
| Max. Negotiated Rate |
$3,778.55 |
| Rate for Payer: Aetna American Axle |
$2,728.95
|
| Rate for Payer: Aetna Commercial |
$3,568.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,728.95
|
| Rate for Payer: Cash Price |
$3,358.71
|
| Rate for Payer: Cofinity Advantage |
$2,938.87
|
| Rate for Payer: Cofinity Commercial |
$3,610.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,358.71
|
| Rate for Payer: Healthscope Commercial |
$3,778.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,938.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,148.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,568.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,148.79
|
| Rate for Payer: PHP Commercial |
$3,568.63
|
| Rate for Payer: Priority Health SBD |
$2,644.99
|
| Rate for Payer: UMR Bronson Commercial |
$1,847.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,148.79
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
OP
|
$4,198.39
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$166.65 |
| Max. Negotiated Rate |
$17,930.33 |
| Rate for Payer: Aetna American Axle |
$2,728.95
|
| Rate for Payer: Aetna Commercial |
$3,568.63
|
| Rate for Payer: Aetna Medicare |
$5,766.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,728.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$166.65
|
| Rate for Payer: BCN Commercial |
$166.65
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$3,358.71
|
| Rate for Payer: Cash Price |
$3,358.71
|
| Rate for Payer: Cofinity Advantage |
$2,938.87
|
| Rate for Payer: Cofinity Commercial |
$3,610.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,358.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$3,778.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,938.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,148.79
|
| Rate for Payer: Mclaren Medicaid |
$5,544.48
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$5,821.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,568.63
|
| Rate for Payer: Nomi Health Commercial |
$16,633.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,148.79
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$3,568.63
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,930.33
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health SBD |
$2,644.99
|
| Rate for Payer: Priority Health Tiered Network |
$14,344.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,728.95
|
| Rate for Payer: UHC Core |
$2,187.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Exchange |
$1,649.97
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,553.40
|
| Rate for Payer: VA VA |
$5,544.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,148.79
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
IP
|
$3,862.58
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,699.54 |
| Max. Negotiated Rate |
$3,476.32 |
| Rate for Payer: Aetna American Axle |
$2,510.68
|
| Rate for Payer: Aetna Commercial |
$3,283.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,510.68
|
| Rate for Payer: Cash Price |
$3,090.06
|
| Rate for Payer: Cofinity Advantage |
$2,703.81
|
| Rate for Payer: Cofinity Commercial |
$3,321.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,090.06
|
| Rate for Payer: Healthscope Commercial |
$3,476.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,703.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,896.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,283.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,896.93
|
| Rate for Payer: PHP Commercial |
$3,283.19
|
| Rate for Payer: Priority Health SBD |
$2,433.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,699.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,896.93
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
OP
|
$3,862.58
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$165.83 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,510.68
|
| Rate for Payer: Aetna Commercial |
$3,283.19
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,510.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$165.83
|
| Rate for Payer: BCN Commercial |
$165.83
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,090.06
|
| Rate for Payer: Cash Price |
$3,090.06
|
| Rate for Payer: Cofinity Advantage |
$2,703.81
|
| Rate for Payer: Cofinity Commercial |
$3,321.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,090.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,476.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,703.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,896.93
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,283.19
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,896.93
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,283.19
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,433.43
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,510.68
|
| Rate for Payer: UHC Core |
$2,012.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,517.99
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,429.15
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,896.93
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
IP
|
$3,237.62
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,424.55 |
| Max. Negotiated Rate |
$2,913.86 |
| Rate for Payer: Aetna American Axle |
$2,104.45
|
| Rate for Payer: Aetna Commercial |
$2,751.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,104.45
|
| Rate for Payer: Cash Price |
$2,590.10
|
| Rate for Payer: Cofinity Advantage |
$2,266.33
|
| Rate for Payer: Cofinity Commercial |
$2,784.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,590.10
|
| Rate for Payer: Healthscope Commercial |
$2,913.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,266.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,428.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,751.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,428.22
|
| Rate for Payer: PHP Commercial |
$2,751.98
|
| Rate for Payer: Priority Health SBD |
$2,039.70
|
| Rate for Payer: UMR Bronson Commercial |
$1,424.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,428.22
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
OP
|
$3,237.62
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$175.68 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,104.45
|
| Rate for Payer: Aetna Commercial |
$2,751.98
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,104.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$175.68
|
| Rate for Payer: BCN Commercial |
$175.68
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,590.10
|
| Rate for Payer: Cash Price |
$2,590.10
|
| Rate for Payer: Cofinity Advantage |
$2,266.33
|
| Rate for Payer: Cofinity Commercial |
$2,784.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,590.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$2,913.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,266.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,428.22
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,751.98
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,428.22
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$2,751.98
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,039.70
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,104.45
|
| Rate for Payer: UHC Core |
$1,686.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,272.38
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,197.92
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,428.22
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
IP
|
$20,435.36
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,991.56 |
| Max. Negotiated Rate |
$18,391.82 |
| Rate for Payer: Aetna American Axle |
$13,282.98
|
| Rate for Payer: Aetna Commercial |
$17,370.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,282.98
|
| Rate for Payer: Cash Price |
$16,348.29
|
| Rate for Payer: Cofinity Advantage |
$14,304.75
|
| Rate for Payer: Cofinity Commercial |
$17,574.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,348.29
|
| Rate for Payer: Healthscope Commercial |
$18,391.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,304.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,326.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,370.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,326.52
|
| Rate for Payer: PHP Commercial |
$17,370.06
|
| Rate for Payer: Priority Health SBD |
$12,874.28
|
| Rate for Payer: UMR Bronson Commercial |
$8,991.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,326.52
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
OP
|
$20,435.36
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,561.08 |
| Max. Negotiated Rate |
$21,323.55 |
| Rate for Payer: Aetna American Axle |
$13,282.98
|
| Rate for Payer: Aetna Commercial |
$17,370.06
|
| Rate for Payer: Aetna Medicare |
$10,217.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,282.98
|
| Rate for Payer: BCBS Complete |
$8,174.14
|
| Rate for Payer: BCBS Trust/PPO |
$21,323.55
|
| Rate for Payer: BCN Commercial |
$21,323.55
|
| Rate for Payer: Cash Price |
$16,348.29
|
| Rate for Payer: Cash Price |
$16,348.29
|
| Rate for Payer: Cash Price |
$16,348.29
|
| Rate for Payer: Cofinity Advantage |
$14,304.75
|
| Rate for Payer: Cofinity Commercial |
$17,574.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,348.29
|
| Rate for Payer: Healthscope Commercial |
$18,391.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,304.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,326.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,348.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,370.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,326.52
|
| Rate for Payer: PHP Commercial |
$17,370.06
|
| Rate for Payer: Priority Health SBD |
$12,874.28
|
| Rate for Payer: UMR Bronson Commercial |
$7,561.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,326.52
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
OP
|
$17,684.12
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,543.12 |
| Max. Negotiated Rate |
$15,915.71 |
| Rate for Payer: Aetna American Axle |
$11,494.68
|
| Rate for Payer: Aetna Commercial |
$15,031.50
|
| Rate for Payer: Aetna Medicare |
$8,842.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,494.68
|
| Rate for Payer: BCBS Complete |
$7,073.65
|
| Rate for Payer: BCBS Trust/PPO |
$13,456.32
|
| Rate for Payer: BCN Commercial |
$13,456.32
|
| Rate for Payer: Cash Price |
$14,147.30
|
| Rate for Payer: Cash Price |
$14,147.30
|
| Rate for Payer: Cash Price |
$14,147.30
|
| Rate for Payer: Cofinity Advantage |
$12,378.88
|
| Rate for Payer: Cofinity Commercial |
$15,208.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,147.30
|
| Rate for Payer: Healthscope Commercial |
$15,915.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,378.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,263.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,147.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,031.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,263.09
|
| Rate for Payer: PHP Commercial |
$15,031.50
|
| Rate for Payer: Priority Health SBD |
$11,141.00
|
| Rate for Payer: UMR Bronson Commercial |
$6,543.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,263.09
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
IP
|
$17,684.12
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,781.01 |
| Max. Negotiated Rate |
$15,915.71 |
| Rate for Payer: Aetna American Axle |
$11,494.68
|
| Rate for Payer: Aetna Commercial |
$15,031.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,494.68
|
| Rate for Payer: Cash Price |
$14,147.30
|
| Rate for Payer: Cofinity Advantage |
$12,378.88
|
| Rate for Payer: Cofinity Commercial |
$15,208.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,147.30
|
| Rate for Payer: Healthscope Commercial |
$15,915.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,378.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,263.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,031.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,263.09
|
| Rate for Payer: PHP Commercial |
$15,031.50
|
| Rate for Payer: Priority Health SBD |
$11,141.00
|
| Rate for Payer: UMR Bronson Commercial |
$7,781.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,263.09
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
IP
|
$20,490.12
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,015.65 |
| Max. Negotiated Rate |
$18,441.11 |
| Rate for Payer: Aetna American Axle |
$13,318.58
|
| Rate for Payer: Aetna Commercial |
$17,416.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,318.58
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cofinity Advantage |
$14,343.08
|
| Rate for Payer: Cofinity Commercial |
$17,621.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,392.10
|
| Rate for Payer: Healthscope Commercial |
$18,441.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,343.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,367.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,416.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,367.59
|
| Rate for Payer: PHP Commercial |
$17,416.60
|
| Rate for Payer: Priority Health SBD |
$12,908.78
|
| Rate for Payer: UMR Bronson Commercial |
$9,015.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,367.59
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
OP
|
$20,490.12
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,581.34 |
| Max. Negotiated Rate |
$18,867.75 |
| Rate for Payer: Aetna American Axle |
$13,318.58
|
| Rate for Payer: Aetna Commercial |
$17,416.60
|
| Rate for Payer: Aetna Medicare |
$10,245.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,318.58
|
| Rate for Payer: BCBS Complete |
$8,196.05
|
| Rate for Payer: BCBS Trust/PPO |
$18,867.75
|
| Rate for Payer: BCN Commercial |
$18,867.75
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cofinity Advantage |
$14,343.08
|
| Rate for Payer: Cofinity Commercial |
$17,621.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,392.10
|
| Rate for Payer: Healthscope Commercial |
$18,441.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,343.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,367.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,392.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,416.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,367.59
|
| Rate for Payer: PHP Commercial |
$17,416.60
|
| Rate for Payer: Priority Health SBD |
$12,908.78
|
| Rate for Payer: UMR Bronson Commercial |
$7,581.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,367.59
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
IP
|
$22,398.77
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,855.46 |
| Max. Negotiated Rate |
$20,158.89 |
| Rate for Payer: Aetna American Axle |
$14,559.20
|
| Rate for Payer: Aetna Commercial |
$19,038.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,559.20
|
| Rate for Payer: Cash Price |
$17,919.02
|
| Rate for Payer: Cofinity Advantage |
$15,679.14
|
| Rate for Payer: Cofinity Commercial |
$19,262.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,919.02
|
| Rate for Payer: Healthscope Commercial |
$20,158.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,679.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,799.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,038.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,799.08
|
| Rate for Payer: PHP Commercial |
$19,038.95
|
| Rate for Payer: Priority Health SBD |
$14,111.23
|
| Rate for Payer: UMR Bronson Commercial |
$9,855.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,799.08
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
OP
|
$22,398.77
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,287.54 |
| Max. Negotiated Rate |
$20,158.89 |
| Rate for Payer: Aetna American Axle |
$14,559.20
|
| Rate for Payer: Aetna Commercial |
$19,038.95
|
| Rate for Payer: Aetna Medicare |
$11,199.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,559.20
|
| Rate for Payer: BCBS Complete |
$8,959.51
|
| Rate for Payer: BCBS Trust/PPO |
$15,387.98
|
| Rate for Payer: BCN Commercial |
$15,387.98
|
| Rate for Payer: Cash Price |
$17,919.02
|
| Rate for Payer: Cash Price |
$17,919.02
|
| Rate for Payer: Cash Price |
$17,919.02
|
| Rate for Payer: Cofinity Advantage |
$15,679.14
|
| Rate for Payer: Cofinity Commercial |
$19,262.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,919.02
|
| Rate for Payer: Healthscope Commercial |
$20,158.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,679.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,799.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,919.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,038.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,799.08
|
| Rate for Payer: PHP Commercial |
$19,038.95
|
| Rate for Payer: Priority Health SBD |
$14,111.23
|
| Rate for Payer: UMR Bronson Commercial |
$8,287.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,799.08
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$9,706.02
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,270.65 |
| Max. Negotiated Rate |
$8,735.42 |
| Rate for Payer: Aetna American Axle |
$6,308.91
|
| Rate for Payer: Aetna Commercial |
$8,250.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,308.91
|
| Rate for Payer: Cash Price |
$7,764.82
|
| Rate for Payer: Cofinity Advantage |
$6,794.21
|
| Rate for Payer: Cofinity Commercial |
$8,347.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,764.82
|
| Rate for Payer: Healthscope Commercial |
$8,735.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,794.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,279.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,250.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,279.52
|
| Rate for Payer: PHP Commercial |
$8,250.12
|
| Rate for Payer: Priority Health SBD |
$6,114.79
|
| Rate for Payer: UMR Bronson Commercial |
$4,270.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,279.52
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$9,706.02
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,591.23 |
| Max. Negotiated Rate |
$8,735.42 |
| Rate for Payer: Aetna American Axle |
$6,308.91
|
| Rate for Payer: Aetna Commercial |
$8,250.12
|
| Rate for Payer: Aetna Medicare |
$4,853.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,308.91
|
| Rate for Payer: BCBS Complete |
$3,882.41
|
| Rate for Payer: BCBS Trust/PPO |
$6,204.82
|
| Rate for Payer: BCN Commercial |
$6,204.82
|
| Rate for Payer: Cash Price |
$7,764.82
|
| Rate for Payer: Cash Price |
$7,764.82
|
| Rate for Payer: Cash Price |
$7,764.82
|
| Rate for Payer: Cofinity Advantage |
$6,794.21
|
| Rate for Payer: Cofinity Commercial |
$8,347.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,764.82
|
| Rate for Payer: Healthscope Commercial |
$8,735.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,794.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,279.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,764.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,250.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,279.52
|
| Rate for Payer: PHP Commercial |
$8,250.12
|
| Rate for Payer: Priority Health SBD |
$6,114.79
|
| Rate for Payer: UMR Bronson Commercial |
$3,591.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,279.52
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
OP
|
$20,490.12
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,581.34 |
| Max. Negotiated Rate |
$21,323.55 |
| Rate for Payer: Aetna American Axle |
$13,318.58
|
| Rate for Payer: Aetna Commercial |
$17,416.60
|
| Rate for Payer: Aetna Medicare |
$10,245.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,318.58
|
| Rate for Payer: BCBS Complete |
$8,196.05
|
| Rate for Payer: BCBS Trust/PPO |
$21,323.55
|
| Rate for Payer: BCN Commercial |
$21,323.55
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cofinity Advantage |
$14,343.08
|
| Rate for Payer: Cofinity Commercial |
$17,621.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,392.10
|
| Rate for Payer: Healthscope Commercial |
$18,441.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,343.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,367.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,392.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,416.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,367.59
|
| Rate for Payer: PHP Commercial |
$17,416.60
|
| Rate for Payer: Priority Health SBD |
$12,908.78
|
| Rate for Payer: UMR Bronson Commercial |
$7,581.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,367.59
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
IP
|
$20,490.12
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,015.65 |
| Max. Negotiated Rate |
$18,441.11 |
| Rate for Payer: Aetna American Axle |
$13,318.58
|
| Rate for Payer: Aetna Commercial |
$17,416.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,318.58
|
| Rate for Payer: Cash Price |
$16,392.10
|
| Rate for Payer: Cofinity Advantage |
$14,343.08
|
| Rate for Payer: Cofinity Commercial |
$17,621.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,392.10
|
| Rate for Payer: Healthscope Commercial |
$18,441.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,343.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,367.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,416.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15,367.59
|
| Rate for Payer: PHP Commercial |
$17,416.60
|
| Rate for Payer: Priority Health SBD |
$12,908.78
|
| Rate for Payer: UMR Bronson Commercial |
$9,015.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,367.59
|
|
|
HC IR CATHETER
|
Facility
|
OP
|
$45.63
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.88 |
| Max. Negotiated Rate |
$41.07 |
| Rate for Payer: Aetna American Axle |
$29.66
|
| Rate for Payer: Aetna Commercial |
$38.79
|
| Rate for Payer: Aetna Medicare |
$22.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.66
|
| Rate for Payer: BCBS Complete |
$18.25
|
| Rate for Payer: Cash Price |
$36.50
|
| Rate for Payer: Cofinity Advantage |
$31.94
|
| Rate for Payer: Cofinity Commercial |
$39.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.50
|
| Rate for Payer: Healthscope Commercial |
$41.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.22
|
| Rate for Payer: PHP Commercial |
$38.79
|
| Rate for Payer: Priority Health SBD |
$28.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.66
|
| Rate for Payer: UHC Core |
$23.77
|
| Rate for Payer: UHC Exchange |
$17.93
|
| Rate for Payer: UMR Bronson Commercial |
$16.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.22
|
|
|
HC IR CATHETER
|
Facility
|
IP
|
$45.63
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.08 |
| Max. Negotiated Rate |
$41.07 |
| Rate for Payer: Aetna American Axle |
$29.66
|
| Rate for Payer: Aetna Commercial |
$38.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.66
|
| Rate for Payer: Cash Price |
$36.50
|
| Rate for Payer: Cofinity Advantage |
$31.94
|
| Rate for Payer: Cofinity Commercial |
$39.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.50
|
| Rate for Payer: Healthscope Commercial |
$41.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.22
|
| Rate for Payer: PHP Commercial |
$38.79
|
| Rate for Payer: Priority Health SBD |
$28.75
|
| Rate for Payer: UMR Bronson Commercial |
$20.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.22
|
|
|
HC IR CATHETER.
|
Facility
|
IP
|
$238.77
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$105.06 |
| Max. Negotiated Rate |
$214.89 |
| Rate for Payer: Aetna American Axle |
$155.20
|
| Rate for Payer: Aetna Commercial |
$202.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.20
|
| Rate for Payer: Cash Price |
$191.02
|
| Rate for Payer: Cofinity Advantage |
$167.14
|
| Rate for Payer: Cofinity Commercial |
$205.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$191.02
|
| Rate for Payer: Healthscope Commercial |
$214.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$167.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$179.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$179.08
|
| Rate for Payer: PHP Commercial |
$202.95
|
| Rate for Payer: Priority Health SBD |
$150.43
|
| Rate for Payer: UMR Bronson Commercial |
$105.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$179.08
|
|
|
HC IR CATHETER.
|
Facility
|
OP
|
$238.77
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.34 |
| Max. Negotiated Rate |
$214.89 |
| Rate for Payer: Aetna American Axle |
$155.20
|
| Rate for Payer: Aetna Commercial |
$202.95
|
| Rate for Payer: Aetna Medicare |
$119.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.20
|
| Rate for Payer: BCBS Complete |
$95.51
|
| Rate for Payer: Cash Price |
$191.02
|
| Rate for Payer: Cofinity Advantage |
$167.14
|
| Rate for Payer: Cofinity Commercial |
$205.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$191.02
|
| Rate for Payer: Healthscope Commercial |
$214.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$167.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$179.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$191.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$179.08
|
| Rate for Payer: PHP Commercial |
$202.95
|
| Rate for Payer: Priority Health SBD |
$150.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.20
|
| Rate for Payer: UHC Core |
$124.40
|
| Rate for Payer: UHC Exchange |
$93.84
|
| Rate for Payer: UMR Bronson Commercial |
$88.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$179.08
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
OP
|
$566.77
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$110.84 |
| Max. Negotiated Rate |
$685.39 |
| Rate for Payer: Aetna American Axle |
$368.40
|
| Rate for Payer: Aetna Commercial |
$481.75
|
| Rate for Payer: Aetna Medicare |
$220.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$264.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$264.93
|
| Rate for Payer: BCBS Complete |
$116.40
|
| Rate for Payer: BCBS MAPPO |
$211.94
|
| Rate for Payer: BCBS Trust/PPO |
$279.90
|
| Rate for Payer: BCN Commercial |
$279.90
|
| Rate for Payer: BCN Medicare Advantage |
$211.94
|
| Rate for Payer: Cash Price |
$453.42
|
| Rate for Payer: Cash Price |
$453.42
|
| Rate for Payer: Cash Price |
$453.42
|
| Rate for Payer: Cofinity Advantage |
$396.74
|
| Rate for Payer: Cofinity Commercial |
$487.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$453.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.94
|
| Rate for Payer: Healthscope Commercial |
$510.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$396.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$425.08
|
| Rate for Payer: Mclaren Medicaid |
$211.94
|
| Rate for Payer: Mclaren Medicare |
$211.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.54
|
| Rate for Payer: Meridian Medicaid |
$222.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$243.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$233.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$481.75
|
| Rate for Payer: Nomi Health Commercial |
$635.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.08
|
| Rate for Payer: PACE Medicare |
$201.34
|
| Rate for Payer: PACE SWMI |
$211.94
|
| Rate for Payer: PHP Commercial |
$481.75
|
| Rate for Payer: PHP Medicare Advantage |
$211.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$685.39
|
| Rate for Payer: Priority Health Medicare |
$211.94
|
| Rate for Payer: Priority Health SBD |
$357.07
|
| Rate for Payer: Priority Health Tiered Network |
$548.31
|
| Rate for Payer: Railroad Medicare Medicare |
$211.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$211.94
|
| Rate for Payer: UHC Medicaid |
$110.84
|
| Rate for Payer: UHCCP Medicaid |
$110.84
|
| Rate for Payer: UMR Bronson Commercial |
$209.70
|
| Rate for Payer: VA VA |
$211.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$425.08
|
|
