|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$10,729.33
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,969.85 |
| Max. Negotiated Rate |
$16,793.42 |
| Rate for Payer: Aetna American Axle |
$6,974.06
|
| Rate for Payer: Aetna Commercial |
$9,119.93
|
| Rate for Payer: Aetna Medicare |
$5,364.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,974.06
|
| Rate for Payer: BCBS Complete |
$4,291.73
|
| Rate for Payer: BCBS Trust/PPO |
$16,793.42
|
| Rate for Payer: BCN Commercial |
$16,793.42
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cofinity Advantage |
$7,510.53
|
| Rate for Payer: Cofinity Commercial |
$9,227.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,583.46
|
| Rate for Payer: Healthscope Commercial |
$9,656.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,510.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,047.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,583.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,119.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,047.00
|
| Rate for Payer: PHP Commercial |
$9,119.93
|
| Rate for Payer: Priority Health SBD |
$6,759.48
|
| Rate for Payer: UMR Bronson Commercial |
$3,969.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,047.00
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$10,729.33
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,720.91 |
| Max. Negotiated Rate |
$9,656.40 |
| Rate for Payer: Aetna American Axle |
$6,974.06
|
| Rate for Payer: Aetna Commercial |
$9,119.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,974.06
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cofinity Advantage |
$7,510.53
|
| Rate for Payer: Cofinity Commercial |
$9,227.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,583.46
|
| Rate for Payer: Healthscope Commercial |
$9,656.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,510.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,047.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,119.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,047.00
|
| Rate for Payer: PHP Commercial |
$9,119.93
|
| Rate for Payer: Priority Health SBD |
$6,759.48
|
| Rate for Payer: UMR Bronson Commercial |
$4,720.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,047.00
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
IP
|
$11,611.66
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,109.13 |
| Max. Negotiated Rate |
$10,450.49 |
| Rate for Payer: Aetna American Axle |
$7,547.58
|
| Rate for Payer: Aetna Commercial |
$9,869.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,547.58
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cofinity Advantage |
$8,128.16
|
| Rate for Payer: Cofinity Commercial |
$9,986.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,289.33
|
| Rate for Payer: Healthscope Commercial |
$10,450.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,128.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,708.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,869.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,708.75
|
| Rate for Payer: PHP Commercial |
$9,869.91
|
| Rate for Payer: Priority Health SBD |
$7,315.35
|
| Rate for Payer: UMR Bronson Commercial |
$5,109.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,708.75
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
OP
|
$11,611.66
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$18,339.80 |
| Rate for Payer: Aetna American Axle |
$7,547.58
|
| Rate for Payer: Aetna Commercial |
$9,869.91
|
| Rate for Payer: Aetna Medicare |
$5,897.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,547.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCBS Trust/PPO |
$5,444.48
|
| Rate for Payer: BCN Commercial |
$5,444.48
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cofinity Advantage |
$8,128.16
|
| Rate for Payer: Cofinity Commercial |
$9,986.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,289.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$10,450.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,128.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,708.75
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$5,954.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,869.91
|
| Rate for Payer: Nomi Health Commercial |
$17,013.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,708.75
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$9,869.91
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,339.80
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health SBD |
$7,315.35
|
| Rate for Payer: Priority Health Tiered Network |
$14,671.84
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: UMR Bronson Commercial |
$4,296.31
|
| Rate for Payer: VA VA |
$5,671.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,708.75
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
IP
|
$14,177.75
|
|
|
Service Code
|
CPT 37265
|
| Hospital Charge Code |
36100643
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,238.21 |
| Max. Negotiated Rate |
$12,759.98 |
| Rate for Payer: Aetna American Axle |
$9,215.54
|
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,215.54
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Advantage |
$9,924.42
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,924.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: Priority Health SBD |
$8,931.98
|
| Rate for Payer: UMR Bronson Commercial |
$6,238.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
OP
|
$14,177.75
|
|
|
Service Code
|
CPT 37265
|
| Hospital Charge Code |
36100643
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$18,339.80 |
| Rate for Payer: Aetna American Axle |
$9,215.54
|
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: Aetna Medicare |
$5,897.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,215.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Advantage |
$9,924.42
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,924.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$5,954.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$17,013.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,339.80
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health SBD |
$8,931.98
|
| Rate for Payer: Priority Health Tiered Network |
$14,671.84
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: UMR Bronson Commercial |
$5,245.77
|
| Rate for Payer: VA VA |
$5,671.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$14,177.75
|
|
|
Service Code
|
CPT 37263
|
| Hospital Charge Code |
36100642
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$18,339.80 |
| Rate for Payer: Aetna American Axle |
$9,215.54
|
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: Aetna Medicare |
$5,897.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,215.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Advantage |
$9,924.42
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,924.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$5,954.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$17,013.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,339.80
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health SBD |
$8,931.98
|
| Rate for Payer: Priority Health Tiered Network |
$14,671.84
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: UMR Bronson Commercial |
$5,245.77
|
| Rate for Payer: VA VA |
$5,671.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$14,177.75
|
|
|
Service Code
|
CPT 37263
|
| Hospital Charge Code |
36100642
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,238.21 |
| Max. Negotiated Rate |
$12,759.98 |
| Rate for Payer: Aetna American Axle |
$9,215.54
|
| Rate for Payer: Aetna Commercial |
$12,051.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,215.54
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Advantage |
$9,924.42
|
| Rate for Payer: Cofinity Commercial |
$12,192.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Healthscope Commercial |
$12,759.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,924.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,633.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PHP Commercial |
$12,051.09
|
| Rate for Payer: Priority Health SBD |
$8,931.98
|
| Rate for Payer: UMR Bronson Commercial |
$6,238.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,633.31
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT COMPLEX INIT
|
Facility
|
OP
|
$45,664.30
|
|
|
Service Code
|
CPT 37273
|
| Hospital Charge Code |
36100645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,552.97 |
| Max. Negotiated Rate |
$59,069.70 |
| Rate for Payer: Aetna American Axle |
$29,681.79
|
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: Aetna Medicare |
$18,996.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29,681.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Advantage |
$31,965.01
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31,965.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$19,179.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$54,797.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59,069.70
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health SBD |
$28,768.51
|
| Rate for Payer: Priority Health Tiered Network |
$47,255.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: UMR Bronson Commercial |
$16,895.79
|
| Rate for Payer: VA VA |
$18,265.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT COMPLEX INIT
|
Facility
|
IP
|
$45,664.30
|
|
|
Service Code
|
CPT 37273
|
| Hospital Charge Code |
36100645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$20,092.29 |
| Max. Negotiated Rate |
$41,097.87 |
| Rate for Payer: Aetna American Axle |
$29,681.79
|
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29,681.79
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Advantage |
$31,965.01
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31,965.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: Priority Health SBD |
$28,768.51
|
| Rate for Payer: UMR Bronson Commercial |
$20,092.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$45,664.30
|
|
|
Service Code
|
CPT 37271
|
| Hospital Charge Code |
36100644
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$20,092.29 |
| Max. Negotiated Rate |
$41,097.87 |
| Rate for Payer: Aetna American Axle |
$29,681.79
|
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29,681.79
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Advantage |
$31,965.01
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31,965.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: Priority Health SBD |
$28,768.51
|
| Rate for Payer: UMR Bronson Commercial |
$20,092.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$45,664.30
|
|
|
Service Code
|
CPT 37271
|
| Hospital Charge Code |
36100644
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,552.97 |
| Max. Negotiated Rate |
$59,069.70 |
| Rate for Payer: Aetna American Axle |
$29,681.79
|
| Rate for Payer: Aetna Commercial |
$38,814.65
|
| Rate for Payer: Aetna Medicare |
$18,996.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29,681.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Advantage |
$31,965.01
|
| Rate for Payer: Cofinity Commercial |
$39,271.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$41,097.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31,965.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34,248.22
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$19,179.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$54,797.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$38,814.65
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$59,069.70
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health SBD |
$28,768.51
|
| Rate for Payer: Priority Health Tiered Network |
$47,255.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: UMR Bronson Commercial |
$16,895.79
|
| Rate for Payer: VA VA |
$18,265.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34,248.22
|
|
|
HC IR REVSC IVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37257
|
| Hospital Charge Code |
36100641
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,178.08 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna American Axle |
$4,694.89
|
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,694.89
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Advantage |
$5,056.03
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,056.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: Priority Health SBD |
$4,550.43
|
| Rate for Payer: UMR Bronson Commercial |
$3,178.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC IVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37257
|
| Hospital Charge Code |
36100641
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,672.47 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna American Axle |
$4,694.89
|
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: Aetna Medicare |
$3,611.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,694.89
|
| Rate for Payer: BCBS Complete |
$2,889.16
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Advantage |
$5,056.03
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,056.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,778.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: Priority Health SBD |
$4,550.43
|
| Rate for Payer: UMR Bronson Commercial |
$2,672.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC IVT W ANGIO UNILAT SF EA ADD
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37255
|
| Hospital Charge Code |
36100640
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,672.47 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna American Axle |
$4,694.89
|
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: Aetna Medicare |
$3,611.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,694.89
|
| Rate for Payer: BCBS Complete |
$2,889.16
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Advantage |
$5,056.03
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,056.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,778.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: Priority Health SBD |
$4,550.43
|
| Rate for Payer: UMR Bronson Commercial |
$2,672.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC IVT W ANGIO UNILAT SF EA ADD
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37255
|
| Hospital Charge Code |
36100640
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,178.08 |
| Max. Negotiated Rate |
$6,500.61 |
| Rate for Payer: Aetna American Axle |
$4,694.89
|
| Rate for Payer: Aetna Commercial |
$6,139.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,694.89
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Advantage |
$5,056.03
|
| Rate for Payer: Cofinity Commercial |
$6,211.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$6,500.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,056.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,417.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: PHP Commercial |
$6,139.47
|
| Rate for Payer: Priority Health SBD |
$4,550.43
|
| Rate for Payer: UMR Bronson Commercial |
$3,178.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,417.18
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37283
|
| Hospital Charge Code |
36100649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,806.09 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna American Axle |
$4,929.63
|
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna Medicare |
$3,792.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,929.63
|
| Rate for Payer: BCBS Complete |
$3,033.62
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Advantage |
$5,308.83
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,308.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,067.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health SBD |
$4,777.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,806.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37283
|
| Hospital Charge Code |
36100649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,336.98 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna American Axle |
$4,929.63
|
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,929.63
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Advantage |
$5,308.83
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,308.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health SBD |
$4,777.95
|
| Rate for Payer: UMR Bronson Commercial |
$3,336.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37282
|
| Hospital Charge Code |
36100647
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,652.95 |
| Max. Negotiated Rate |
$25,881.03 |
| Rate for Payer: Aetna American Axle |
$18,691.85
|
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,691.85
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Advantage |
$20,129.69
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,129.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: Priority Health SBD |
$18,116.72
|
| Rate for Payer: UMR Bronson Commercial |
$12,652.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37282
|
| Hospital Charge Code |
36100647
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$18,691.85
|
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,691.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Advantage |
$20,129.69
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,129.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$18,116.72
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$10,639.98
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF EA ADD
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37281
|
| Hospital Charge Code |
36100648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,806.09 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna American Axle |
$4,929.63
|
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna Medicare |
$3,792.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,929.63
|
| Rate for Payer: BCBS Complete |
$3,033.62
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Advantage |
$5,308.83
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,308.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,067.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health SBD |
$4,777.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,806.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF EA ADD
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37281
|
| Hospital Charge Code |
36100648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,336.98 |
| Max. Negotiated Rate |
$6,825.64 |
| Rate for Payer: Aetna American Axle |
$4,929.63
|
| Rate for Payer: Aetna Commercial |
$6,446.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,929.63
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Advantage |
$5,308.83
|
| Rate for Payer: Cofinity Commercial |
$6,522.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$6,825.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5,308.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,688.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: PHP Commercial |
$6,446.43
|
| Rate for Payer: Priority Health SBD |
$4,777.95
|
| Rate for Payer: UMR Bronson Commercial |
$3,336.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,688.03
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37280
|
| Hospital Charge Code |
36100646
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna American Axle |
$18,691.85
|
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,691.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Advantage |
$20,129.69
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,129.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$18,116.72
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: UMR Bronson Commercial |
$10,639.98
|
| Rate for Payer: VA VA |
$11,502.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37280
|
| Hospital Charge Code |
36100646
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,652.95 |
| Max. Negotiated Rate |
$25,881.03 |
| Rate for Payer: Aetna American Axle |
$18,691.85
|
| Rate for Payer: Aetna Commercial |
$24,443.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,691.85
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Advantage |
$20,129.69
|
| Rate for Payer: Cofinity Commercial |
$24,730.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Healthscope Commercial |
$25,881.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20,129.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,567.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PHP Commercial |
$24,443.19
|
| Rate for Payer: Priority Health SBD |
$18,116.72
|
| Rate for Payer: UMR Bronson Commercial |
$12,652.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,567.53
|
|
|
HC IR REVSC TPVT W STENT UNILAT SF EA ADD
|
Facility
|
OP
|
$10,518.95
|
|
|
Service Code
|
CPT 37285
|
| Hospital Charge Code |
36100650
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,892.01 |
| Max. Negotiated Rate |
$9,467.06 |
| Rate for Payer: Aetna American Axle |
$6,837.32
|
| Rate for Payer: Aetna Commercial |
$8,941.11
|
| Rate for Payer: Aetna Medicare |
$5,259.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,837.32
|
| Rate for Payer: BCBS Complete |
$4,207.58
|
| Rate for Payer: Cash Price |
$8,415.16
|
| Rate for Payer: Cofinity Advantage |
$7,363.27
|
| Rate for Payer: Cofinity Commercial |
$9,046.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,415.16
|
| Rate for Payer: Healthscope Commercial |
$9,467.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7,363.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,889.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,415.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,941.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,889.21
|
| Rate for Payer: PHP Commercial |
$8,941.11
|
| Rate for Payer: Priority Health SBD |
$6,626.94
|
| Rate for Payer: UMR Bronson Commercial |
$3,892.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,889.21
|
|
