|
HC IR ANGIOPLASTY INTRACRANIAL VASOSPASM INIT
|
Facility
|
IP
|
$9,854.14
|
|
|
Service Code
|
CPT 61640
|
| Hospital Charge Code |
36100275
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,335.82 |
| Max. Negotiated Rate |
$8,868.73 |
| Rate for Payer: Aetna American Axle |
$6,405.19
|
| Rate for Payer: Aetna Commercial |
$8,376.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,405.19
|
| Rate for Payer: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$6,897.90
|
| Rate for Payer: Cofinity Commercial |
$8,474.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,897.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,883.31
|
| Rate for Payer: Healthscope Commercial |
$8,868.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,897.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,390.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,376.02
|
| Rate for Payer: PHP Commercial |
$8,376.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,405.19
|
| Rate for Payer: Priority Health SBD |
$6,208.11
|
| Rate for Payer: UMR Bronson Commercial |
$4,335.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,390.60
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL VASOSPASM INIT
|
Facility
|
OP
|
$9,854.14
|
|
|
Service Code
|
CPT 61640
|
| Hospital Charge Code |
36100275
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,646.03 |
| Max. Negotiated Rate |
$8,868.73 |
| Rate for Payer: Aetna American Axle |
$6,405.19
|
| Rate for Payer: Aetna Commercial |
$8,376.02
|
| Rate for Payer: Aetna Medicare |
$4,927.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,405.19
|
| Rate for Payer: BCBS Complete |
$3,941.66
|
| Rate for Payer: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$6,897.90
|
| Rate for Payer: Cofinity Commercial |
$8,474.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,897.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,883.31
|
| Rate for Payer: Healthscope Commercial |
$8,868.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,897.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,390.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,376.02
|
| Rate for Payer: PHP Commercial |
$8,376.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,405.19
|
| Rate for Payer: Priority Health SBD |
$6,208.11
|
| Rate for Payer: UMR Bronson Commercial |
$3,646.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,390.60
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
OP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$8,640.87 |
| Rate for Payer: Aetna American Axle |
$2,255.73
|
| Rate for Payer: Aetna Commercial |
$2,949.81
|
| Rate for Payer: Aetna Medicare |
$3,192.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,255.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cofinity Commercial |
$2,984.51
|
| Rate for Payer: Cofinity Commercial |
$2,429.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,429.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,776.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$3,123.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,429.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,602.77
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$2,949.81
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Priority Health SBD |
$2,186.33
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,640.87
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,284.03
|
| Rate for Payer: VA VA |
$3,069.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,602.77
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
IP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,526.96 |
| Max. Negotiated Rate |
$3,123.32 |
| Rate for Payer: Aetna American Axle |
$2,255.73
|
| Rate for Payer: Aetna Commercial |
$2,949.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,255.73
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cofinity Commercial |
$2,429.25
|
| Rate for Payer: Cofinity Commercial |
$2,984.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,429.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,776.29
|
| Rate for Payer: Healthscope Commercial |
$3,123.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,429.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,602.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: PHP Commercial |
$2,949.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: Priority Health SBD |
$2,186.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,526.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,602.77
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
IP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,811.07 |
| Max. Negotiated Rate |
$3,704.46 |
| Rate for Payer: Aetna American Axle |
$2,675.45
|
| Rate for Payer: Aetna Commercial |
$3,498.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,675.45
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cofinity Commercial |
$2,881.25
|
| Rate for Payer: Cofinity Commercial |
$3,539.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,881.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,292.86
|
| Rate for Payer: Healthscope Commercial |
$3,704.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,881.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,087.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: PHP Commercial |
$3,498.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: Priority Health SBD |
$2,593.12
|
| Rate for Payer: UMR Bronson Commercial |
$1,811.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,087.05
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
OP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$14,840.35 |
| Rate for Payer: Aetna American Axle |
$2,675.45
|
| Rate for Payer: Aetna Commercial |
$3,498.66
|
| Rate for Payer: Aetna Medicare |
$5,482.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,675.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,590.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,590.09
|
| Rate for Payer: BCBS Complete |
$2,967.12
|
| Rate for Payer: BCBS MAPPO |
$5,272.07
|
| Rate for Payer: BCN Medicare Advantage |
$5,272.07
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cofinity Commercial |
$3,539.82
|
| Rate for Payer: Cofinity Commercial |
$2,881.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,881.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,292.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,272.07
|
| Rate for Payer: Healthscope Commercial |
$3,704.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,881.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,087.05
|
| Rate for Payer: Mclaren Medicaid |
$2,825.83
|
| Rate for Payer: Mclaren Medicare |
$5,272.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,535.67
|
| Rate for Payer: Meridian Medicaid |
$2,967.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,062.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: PACE Medicare |
$5,008.47
|
| Rate for Payer: PACE SWMI |
$5,272.07
|
| Rate for Payer: PHP Commercial |
$3,498.66
|
| Rate for Payer: PHP Medicare Advantage |
$5,272.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,825.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: Priority Health Medicare |
$5,272.07
|
| Rate for Payer: Priority Health SBD |
$2,593.12
|
| Rate for Payer: Railroad Medicare Medicare |
$5,272.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,840.35
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,272.07
|
| Rate for Payer: UHC Exchange |
$10,075.45
|
| Rate for Payer: UHC Medicare Advantage |
$5,272.07
|
| Rate for Payer: UHCCP Medicaid |
$2,825.83
|
| Rate for Payer: UMR Bronson Commercial |
$1,522.95
|
| Rate for Payer: VA VA |
$5,272.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,087.05
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
IP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,666.21 |
| Max. Negotiated Rate |
$3,408.16 |
| Rate for Payer: Aetna American Axle |
$2,461.45
|
| Rate for Payer: Aetna Commercial |
$3,218.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,461.45
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cofinity Commercial |
$2,650.79
|
| Rate for Payer: Cofinity Commercial |
$3,256.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,650.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,029.47
|
| Rate for Payer: Healthscope Commercial |
$3,408.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,650.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,840.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: PHP Commercial |
$3,218.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: Priority Health SBD |
$2,385.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,666.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,840.13
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
OP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$8,640.87 |
| Rate for Payer: Aetna American Axle |
$2,461.45
|
| Rate for Payer: Aetna Commercial |
$3,218.81
|
| Rate for Payer: Aetna Medicare |
$3,192.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,461.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cofinity Commercial |
$3,256.68
|
| Rate for Payer: Cofinity Commercial |
$2,650.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,650.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,029.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$3,408.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,650.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,840.13
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$3,218.81
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Priority Health SBD |
$2,385.71
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,640.87
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,401.13
|
| Rate for Payer: VA VA |
$3,069.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,840.13
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
OP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$8,640.87 |
| Rate for Payer: Aetna American Axle |
$2,063.19
|
| Rate for Payer: Aetna Commercial |
$2,698.02
|
| Rate for Payer: Aetna Medicare |
$3,192.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,063.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cofinity Commercial |
$2,729.76
|
| Rate for Payer: Cofinity Commercial |
$2,221.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,221.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,539.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$2,856.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,221.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,380.61
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$2,698.02
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Priority Health SBD |
$1,999.71
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,640.87
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,174.43
|
| Rate for Payer: VA VA |
$3,069.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,380.61
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
IP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,396.62 |
| Max. Negotiated Rate |
$2,856.73 |
| Rate for Payer: Aetna American Axle |
$2,063.19
|
| Rate for Payer: Aetna Commercial |
$2,698.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,063.19
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cofinity Commercial |
$2,221.90
|
| Rate for Payer: Cofinity Commercial |
$2,729.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,221.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,539.31
|
| Rate for Payer: Healthscope Commercial |
$2,856.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,221.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,380.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: PHP Commercial |
$2,698.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: Priority Health SBD |
$1,999.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,396.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,380.61
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
IP
|
$20,034.67
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,815.25 |
| Max. Negotiated Rate |
$18,031.20 |
| Rate for Payer: Aetna American Axle |
$13,022.54
|
| Rate for Payer: Aetna Commercial |
$17,029.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,022.54
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cofinity Commercial |
$14,024.27
|
| Rate for Payer: Cofinity Commercial |
$17,229.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,024.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,027.74
|
| Rate for Payer: Healthscope Commercial |
$18,031.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,024.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,026.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: PHP Commercial |
$17,029.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: Priority Health SBD |
$12,621.84
|
| Rate for Payer: UMR Bronson Commercial |
$8,815.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,026.00
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
OP
|
$20,034.67
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,412.83 |
| Max. Negotiated Rate |
$49,296.87 |
| Rate for Payer: Aetna American Axle |
$13,022.54
|
| Rate for Payer: Aetna Commercial |
$17,029.47
|
| Rate for Payer: Aetna Medicare |
$18,213.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,022.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cofinity Commercial |
$17,229.82
|
| Rate for Payer: Cofinity Commercial |
$14,024.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,024.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,027.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$18,031.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,024.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,026.00
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$17,029.47
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health SBD |
$12,621.84
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,296.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$33,468.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: UMR Bronson Commercial |
$7,412.83
|
| Rate for Payer: VA VA |
$17,512.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,026.00
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
IP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,628.44 |
| Max. Negotiated Rate |
$15,603.63 |
| Rate for Payer: Aetna American Axle |
$11,269.29
|
| Rate for Payer: Aetna Commercial |
$14,736.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,269.29
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cofinity Commercial |
$12,136.16
|
| Rate for Payer: Cofinity Commercial |
$14,910.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$12,136.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,869.90
|
| Rate for Payer: Healthscope Commercial |
$15,603.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,136.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,003.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: PHP Commercial |
$14,736.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: Priority Health SBD |
$10,922.54
|
| Rate for Payer: UMR Bronson Commercial |
$7,628.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,003.03
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
OP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,414.83 |
| Max. Negotiated Rate |
$49,296.87 |
| Rate for Payer: Aetna American Axle |
$11,269.29
|
| Rate for Payer: Aetna Commercial |
$14,736.76
|
| Rate for Payer: Aetna Medicare |
$18,213.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,269.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cofinity Commercial |
$14,910.14
|
| Rate for Payer: Cofinity Commercial |
$12,136.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$12,136.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,869.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$15,603.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,136.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,003.03
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$14,736.76
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health SBD |
$10,922.54
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,296.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$33,468.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: UMR Bronson Commercial |
$6,414.83
|
| Rate for Payer: VA VA |
$17,512.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,003.03
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
IP
|
$20,088.35
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,838.87 |
| Max. Negotiated Rate |
$18,079.51 |
| Rate for Payer: Aetna American Axle |
$13,057.43
|
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,057.43
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$14,061.84
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,061.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Healthscope Commercial |
$18,079.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,061.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health SBD |
$12,655.66
|
| Rate for Payer: UMR Bronson Commercial |
$8,838.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
OP
|
$20,088.35
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,432.69 |
| Max. Negotiated Rate |
$49,296.87 |
| Rate for Payer: Aetna American Axle |
$13,057.43
|
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: Aetna Medicare |
$18,213.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,057.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Cofinity Commercial |
$14,061.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,061.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$18,079.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,061.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health SBD |
$12,655.66
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,296.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$33,468.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: UMR Bronson Commercial |
$7,432.69
|
| Rate for Payer: VA VA |
$17,512.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
OP
|
$21,959.58
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,125.04 |
| Max. Negotiated Rate |
$49,296.87 |
| Rate for Payer: Aetna American Axle |
$14,273.73
|
| Rate for Payer: Aetna Commercial |
$18,665.64
|
| Rate for Payer: Aetna Medicare |
$18,213.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,273.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cofinity Commercial |
$18,885.24
|
| Rate for Payer: Cofinity Commercial |
$15,371.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$15,371.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,567.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$19,763.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,371.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,469.69
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$18,665.64
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health SBD |
$13,834.54
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,296.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$33,468.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: UMR Bronson Commercial |
$8,125.04
|
| Rate for Payer: VA VA |
$17,512.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,469.69
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
IP
|
$21,959.58
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,662.22 |
| Max. Negotiated Rate |
$19,763.62 |
| Rate for Payer: Aetna American Axle |
$14,273.73
|
| Rate for Payer: Aetna Commercial |
$18,665.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,273.73
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cofinity Commercial |
$15,371.71
|
| Rate for Payer: Cofinity Commercial |
$18,885.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$15,371.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,567.66
|
| Rate for Payer: Healthscope Commercial |
$19,763.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,371.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,469.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: PHP Commercial |
$18,665.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: Priority Health SBD |
$13,834.54
|
| Rate for Payer: UMR Bronson Commercial |
$9,662.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,469.69
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$9,515.71
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,186.91 |
| Max. Negotiated Rate |
$8,564.14 |
| Rate for Payer: Aetna American Axle |
$6,185.21
|
| Rate for Payer: Aetna Commercial |
$8,088.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,185.21
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$6,661.00
|
| Rate for Payer: Cofinity Commercial |
$8,183.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,661.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,612.57
|
| Rate for Payer: Healthscope Commercial |
$8,564.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,661.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,136.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,088.35
|
| Rate for Payer: PHP Commercial |
$8,088.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,185.21
|
| Rate for Payer: Priority Health SBD |
$5,994.90
|
| Rate for Payer: UMR Bronson Commercial |
$4,186.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,136.78
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$9,515.71
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,520.81 |
| Max. Negotiated Rate |
$8,564.14 |
| Rate for Payer: Aetna American Axle |
$6,185.21
|
| Rate for Payer: Aetna Commercial |
$8,088.35
|
| Rate for Payer: Aetna Medicare |
$4,757.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,185.21
|
| Rate for Payer: BCBS Complete |
$3,806.28
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$6,661.00
|
| Rate for Payer: Cofinity Commercial |
$8,183.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,661.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,612.57
|
| Rate for Payer: Healthscope Commercial |
$8,564.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,661.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7,136.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,088.35
|
| Rate for Payer: PHP Commercial |
$8,088.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,185.21
|
| Rate for Payer: Priority Health SBD |
$5,994.90
|
| Rate for Payer: UMR Bronson Commercial |
$3,520.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7,136.78
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
IP
|
$20,088.35
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,838.87 |
| Max. Negotiated Rate |
$18,079.51 |
| Rate for Payer: Aetna American Axle |
$13,057.43
|
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,057.43
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$14,061.84
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,061.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Healthscope Commercial |
$18,079.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,061.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health SBD |
$12,655.66
|
| Rate for Payer: UMR Bronson Commercial |
$8,838.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
OP
|
$20,088.35
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,432.69 |
| Max. Negotiated Rate |
$49,296.87 |
| Rate for Payer: Aetna American Axle |
$13,057.43
|
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: Aetna Medicare |
$18,213.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,057.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$17,275.98
|
| Rate for Payer: Cofinity Commercial |
$14,061.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$14,061.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$18,079.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14,061.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15,066.26
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health SBD |
$12,655.66
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,296.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$33,468.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: UMR Bronson Commercial |
$7,432.69
|
| Rate for Payer: VA VA |
$17,512.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
HC IR CATHETER
|
Facility
|
OP
|
$44.74
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.55 |
| Max. Negotiated Rate |
$40.27 |
| Rate for Payer: Aetna American Axle |
$29.08
|
| Rate for Payer: Aetna Commercial |
$38.03
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.08
|
| Rate for Payer: BCBS Complete |
$17.90
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cofinity Commercial |
$31.32
|
| Rate for Payer: Cofinity Commercial |
$38.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$31.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.79
|
| Rate for Payer: Healthscope Commercial |
$40.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.03
|
| Rate for Payer: PHP Commercial |
$38.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.08
|
| Rate for Payer: Priority Health SBD |
$28.19
|
| Rate for Payer: UMR Bronson Commercial |
$16.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.55
|
|
|
HC IR CATHETER
|
Facility
|
IP
|
$44.74
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$40.27 |
| Rate for Payer: Aetna American Axle |
$29.08
|
| Rate for Payer: Aetna Commercial |
$38.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.08
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cofinity Commercial |
$31.32
|
| Rate for Payer: Cofinity Commercial |
$38.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$31.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.79
|
| Rate for Payer: Healthscope Commercial |
$40.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.03
|
| Rate for Payer: PHP Commercial |
$38.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.08
|
| Rate for Payer: Priority Health SBD |
$28.19
|
| Rate for Payer: UMR Bronson Commercial |
$19.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.55
|
|
|
HC IR CATHETER.
|
Facility
|
OP
|
$234.09
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$86.61 |
| Max. Negotiated Rate |
$210.68 |
| Rate for Payer: Aetna American Axle |
$152.16
|
| Rate for Payer: Aetna Commercial |
$198.98
|
| Rate for Payer: Aetna Medicare |
$117.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.16
|
| Rate for Payer: BCBS Complete |
$93.64
|
| Rate for Payer: Cash Price |
$187.27
|
| Rate for Payer: Cofinity Commercial |
$163.86
|
| Rate for Payer: Cofinity Commercial |
$201.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$163.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.27
|
| Rate for Payer: Healthscope Commercial |
$210.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$163.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$175.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.98
|
| Rate for Payer: PHP Commercial |
$198.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.16
|
| Rate for Payer: Priority Health SBD |
$147.48
|
| Rate for Payer: UMR Bronson Commercial |
$86.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$175.57
|
|
