|
HC IR ANGIOGRAM PELVIC
|
Facility
|
OP
|
$3,266.13
|
|
|
Service Code
|
CPT 75736
|
| Hospital Charge Code |
32000194
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$132.62 |
| Max. Negotiated Rate |
$16,646.50 |
| Rate for Payer: Aetna American Axle |
$2,122.98
|
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: Aetna Medicare |
$5,508.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,122.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.50
|
| Rate for Payer: BCBS Complete |
$2,980.81
|
| Rate for Payer: BCBS MAPPO |
$5,296.40
|
| Rate for Payer: BCBS Trust/PPO |
$189.52
|
| Rate for Payer: BCN Commercial |
$189.52
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Cofinity Commercial |
$2,286.29
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,286.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.40
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,286.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Mclaren Medicaid |
$2,838.87
|
| Rate for Payer: Mclaren Medicare |
$5,296.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,561.22
|
| Rate for Payer: Meridian Medicaid |
$2,980.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$15,889.20
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,838.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,646.50
|
| Rate for Payer: Priority Health Medicare |
$5,296.40
|
| Rate for Payer: Priority Health Narrow Network |
$13,317.20
|
| Rate for Payer: Priority Health SBD |
$2,057.66
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.88
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$132.62
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,208.47
|
| Rate for Payer: VA VA |
$5,296.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC IR ANGIOGRAM PELVIC
|
Facility
|
IP
|
$3,266.13
|
|
|
Service Code
|
CPT 75736
|
| Hospital Charge Code |
32000194
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,437.10 |
| Max. Negotiated Rate |
$2,939.52 |
| Rate for Payer: Aetna American Axle |
$2,122.98
|
| Rate for Payer: Aetna Commercial |
$2,776.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,122.98
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$2,286.29
|
| Rate for Payer: Cofinity Commercial |
$2,808.87
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,286.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Healthscope Commercial |
$2,939.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,286.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,449.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: PHP Commercial |
$2,776.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health SBD |
$2,057.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,437.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,449.60
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL
|
Facility
|
IP
|
$3,457.60
|
|
|
Service Code
|
CPT 61630
|
| Hospital Charge Code |
36100273
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,521.34 |
| Max. Negotiated Rate |
$3,111.84 |
| Rate for Payer: Aetna American Axle |
$2,247.44
|
| Rate for Payer: Aetna Commercial |
$2,938.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,247.44
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cofinity Commercial |
$2,420.32
|
| Rate for Payer: Cofinity Commercial |
$2,973.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,420.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.08
|
| Rate for Payer: Healthscope Commercial |
$3,111.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,420.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,593.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.96
|
| Rate for Payer: PHP Commercial |
$2,938.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.44
|
| Rate for Payer: Priority Health SBD |
$2,178.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,521.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,593.20
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL
|
Facility
|
OP
|
$3,457.60
|
|
|
Service Code
|
CPT 61630
|
| Hospital Charge Code |
36100273
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,279.31 |
| Max. Negotiated Rate |
$3,111.84 |
| Rate for Payer: Aetna American Axle |
$2,247.44
|
| Rate for Payer: Aetna Commercial |
$2,938.96
|
| Rate for Payer: Aetna Medicare |
$1,728.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,247.44
|
| Rate for Payer: BCBS Complete |
$1,383.04
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cofinity Commercial |
$2,973.54
|
| Rate for Payer: Cofinity Commercial |
$2,420.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,420.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.08
|
| Rate for Payer: Healthscope Commercial |
$3,111.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,420.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,593.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.96
|
| Rate for Payer: PHP Commercial |
$2,938.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.44
|
| Rate for Payer: Priority Health SBD |
$2,178.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,476.35
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,342.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,279.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,593.20
|
|
|
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 |
$1,879.00 |
| 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: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$8,474.56
|
| Rate for Payer: Cofinity Commercial |
$6,897.90
|
| 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: UHC Core |
$1,879.00
|
| 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
|
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 ABDOMEN
|
Facility
|
OP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$2,255.73
|
| Rate for Payer: Aetna Commercial |
$2,949.81
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,255.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$123.15
|
| Rate for Payer: BCN Commercial |
$123.15
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| 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 |
$3,083.86
|
| 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 |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: Nomi Health Commercial |
$9,251.58
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$2,949.81
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,692.51
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$7,754.01
|
| Rate for Payer: Priority Health SBD |
$2,186.33
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.05
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$119.14
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,284.03
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,602.77
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
OP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$112.42 |
| Max. Negotiated Rate |
$16,646.50 |
| Rate for Payer: Aetna American Axle |
$2,675.45
|
| Rate for Payer: Aetna Commercial |
$3,498.66
|
| Rate for Payer: Aetna Medicare |
$5,508.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,675.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.50
|
| Rate for Payer: BCBS Complete |
$2,980.81
|
| Rate for Payer: BCBS MAPPO |
$5,296.40
|
| Rate for Payer: BCBS Trust/PPO |
$140.25
|
| Rate for Payer: BCN Commercial |
$140.25
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| 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 |
$5,296.40
|
| 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 |
$2,838.87
|
| Rate for Payer: Mclaren Medicare |
$5,296.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,561.22
|
| Rate for Payer: Meridian Medicaid |
$2,980.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: Nomi Health Commercial |
$15,889.20
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$3,498.66
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,838.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,646.50
|
| Rate for Payer: Priority Health Medicare |
$5,296.40
|
| Rate for Payer: Priority Health Narrow Network |
$13,317.20
|
| Rate for Payer: Priority Health SBD |
$2,593.12
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$123.66
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$112.42
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,522.95
|
| Rate for Payer: VA VA |
$5,296.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,087.05
|
|
|
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 ARTERIOGRAM
|
Facility
|
OP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$141.48 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$2,461.45
|
| Rate for Payer: Aetna Commercial |
$3,218.81
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,461.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$141.63
|
| Rate for Payer: BCN Commercial |
$141.63
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| 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 |
$3,083.86
|
| 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 |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: Nomi Health Commercial |
$9,251.58
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,218.81
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,692.51
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$7,754.01
|
| Rate for Payer: Priority Health SBD |
$2,385.71
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.63
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$141.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,401.13
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,840.13
|
|
|
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 EXTREMITY BILAT
|
Facility
|
OP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$147.78 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$2,063.19
|
| Rate for Payer: Aetna Commercial |
$2,698.02
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,063.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$147.78
|
| Rate for Payer: BCN Commercial |
$147.78
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| 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 |
$3,083.86
|
| 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 |
$2,380.60
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: Nomi Health Commercial |
$9,251.58
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$2,698.02
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,692.51
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$7,754.01
|
| Rate for Payer: Priority Health SBD |
$1,999.71
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.61
|
| Rate for Payer: UHC Core |
$262.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$153.28
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,174.43
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,380.60
|
|
|
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 |
$2,380.60
|
| 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 |
$2,380.60
|
|
|
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 |
$702.85 |
| Max. Negotiated Rate |
$55,296.52 |
| Rate for Payer: Aetna American Axle |
$13,022.54
|
| Rate for Payer: Aetna Commercial |
$17,029.47
|
| Rate for Payer: Aetna Medicare |
$18,297.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,022.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,992.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,992.05
|
| Rate for Payer: BCBS Complete |
$9,901.70
|
| Rate for Payer: BCBS MAPPO |
$17,593.64
|
| Rate for Payer: BCBS Trust/PPO |
$17,650.55
|
| Rate for Payer: BCN Commercial |
$17,650.55
|
| Rate for Payer: BCN Medicare Advantage |
$17,593.64
|
| Rate for Payer: Cash Price |
$16,027.74
|
| 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 |
$17,593.64
|
| 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 |
$9,430.19
|
| Rate for Payer: Mclaren Medicare |
$17,593.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,473.32
|
| Rate for Payer: Meridian Medicaid |
$9,901.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,232.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: Nomi Health Commercial |
$36,946.64
|
| Rate for Payer: PACE Medicare |
$16,713.96
|
| Rate for Payer: PACE SWMI |
$17,593.64
|
| Rate for Payer: PHP Commercial |
$17,029.47
|
| Rate for Payer: PHP Medicare Advantage |
$17,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,430.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,296.52
|
| Rate for Payer: Priority Health Medicare |
$17,593.64
|
| Rate for Payer: Priority Health Narrow Network |
$44,237.22
|
| Rate for Payer: Priority Health SBD |
$12,621.84
|
| Rate for Payer: Railroad Medicare Medicare |
$17,593.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$773.14
|
| Rate for Payer: UHC Core |
$30,600.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,593.64
|
| Rate for Payer: UHC Exchange |
$702.85
|
| Rate for Payer: UHC Medicare Advantage |
$17,593.64
|
| Rate for Payer: UHCCP Medicaid |
$9,430.19
|
| Rate for Payer: UMR Bronson Commercial |
$7,412.83
|
| Rate for Payer: VA VA |
$17,593.64
|
| 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 |
$575.37 |
| Max. Negotiated Rate |
$55,296.52 |
| Rate for Payer: Aetna American Axle |
$11,269.29
|
| Rate for Payer: Aetna Commercial |
$14,736.76
|
| Rate for Payer: Aetna Medicare |
$18,297.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,269.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,992.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,992.05
|
| Rate for Payer: BCBS Complete |
$9,901.70
|
| Rate for Payer: BCBS MAPPO |
$17,593.64
|
| Rate for Payer: BCBS Trust/PPO |
$11,138.45
|
| Rate for Payer: BCN Commercial |
$11,138.45
|
| Rate for Payer: BCN Medicare Advantage |
$17,593.64
|
| Rate for Payer: Cash Price |
$13,869.90
|
| 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 |
$17,593.64
|
| 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 |
$9,430.19
|
| Rate for Payer: Mclaren Medicare |
$17,593.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,473.32
|
| Rate for Payer: Meridian Medicaid |
$9,901.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,232.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: Nomi Health Commercial |
$36,946.64
|
| Rate for Payer: PACE Medicare |
$16,713.96
|
| Rate for Payer: PACE SWMI |
$17,593.64
|
| Rate for Payer: PHP Commercial |
$14,736.76
|
| Rate for Payer: PHP Medicare Advantage |
$17,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,430.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,296.52
|
| Rate for Payer: Priority Health Medicare |
$17,593.64
|
| Rate for Payer: Priority Health Narrow Network |
$44,237.22
|
| Rate for Payer: Priority Health SBD |
$10,922.54
|
| Rate for Payer: Railroad Medicare Medicare |
$17,593.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.91
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,593.64
|
| Rate for Payer: UHC Exchange |
$575.37
|
| Rate for Payer: UHC Medicare Advantage |
$17,593.64
|
| Rate for Payer: UHCCP Medicaid |
$9,430.19
|
| Rate for Payer: UMR Bronson Commercial |
$6,414.83
|
| Rate for Payer: VA VA |
$17,593.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,003.03
|
|
|
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 |
$689.22 |
| Max. Negotiated Rate |
$55,296.52 |
| Rate for Payer: Aetna American Axle |
$13,057.43
|
| Rate for Payer: Aetna Commercial |
$17,075.10
|
| Rate for Payer: Aetna Medicare |
$18,297.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13,057.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,992.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,992.05
|
| Rate for Payer: BCBS Complete |
$9,901.70
|
| Rate for Payer: BCBS MAPPO |
$17,593.64
|
| Rate for Payer: BCBS Trust/PPO |
$15,617.76
|
| Rate for Payer: BCN Commercial |
$15,617.76
|
| Rate for Payer: BCN Medicare Advantage |
$17,593.64
|
| Rate for Payer: Cash Price |
$16,070.68
|
| 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 |
$17,593.64
|
| Rate for Payer: Healthscope Commercial |
$18,079.52
|
| 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 |
$9,430.19
|
| Rate for Payer: Mclaren Medicare |
$17,593.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,473.32
|
| Rate for Payer: Meridian Medicaid |
$9,901.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,232.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$36,946.64
|
| Rate for Payer: PACE Medicare |
$16,713.96
|
| Rate for Payer: PACE SWMI |
$17,593.64
|
| Rate for Payer: PHP Commercial |
$17,075.10
|
| Rate for Payer: PHP Medicare Advantage |
$17,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,430.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,296.52
|
| Rate for Payer: Priority Health Medicare |
$17,593.64
|
| Rate for Payer: Priority Health Narrow Network |
$44,237.22
|
| Rate for Payer: Priority Health SBD |
$12,655.66
|
| Rate for Payer: Railroad Medicare Medicare |
$17,593.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$758.14
|
| Rate for Payer: UHC Core |
$30,600.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,593.64
|
| Rate for Payer: UHC Exchange |
$689.22
|
| Rate for Payer: UHC Medicare Advantage |
$17,593.64
|
| Rate for Payer: UHCCP Medicaid |
$9,430.19
|
| Rate for Payer: UMR Bronson Commercial |
$7,432.69
|
| Rate for Payer: VA VA |
$17,593.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15,066.26
|
|
|
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 |
$18,079.52 |
| 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 |
$18,079.52
|
| 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 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 |
$16,469.68
|
| 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 |
$16,469.68
|
|
|
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 |
$665.23 |
| Max. Negotiated Rate |
$55,296.52 |
| Rate for Payer: Aetna American Axle |
$14,273.73
|
| Rate for Payer: Aetna Commercial |
$18,665.64
|
| Rate for Payer: Aetna Medicare |
$18,297.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,273.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,992.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,992.05
|
| Rate for Payer: BCBS Complete |
$9,901.70
|
| Rate for Payer: BCBS MAPPO |
$17,593.64
|
| Rate for Payer: BCBS Trust/PPO |
$12,737.38
|
| Rate for Payer: BCN Commercial |
$12,737.38
|
| Rate for Payer: BCN Medicare Advantage |
$17,593.64
|
| Rate for Payer: Cash Price |
$17,567.66
|
| 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 |
$17,593.64
|
| 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 |
$16,469.68
|
| Rate for Payer: Mclaren Medicaid |
$9,430.19
|
| Rate for Payer: Mclaren Medicare |
$17,593.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,473.32
|
| Rate for Payer: Meridian Medicaid |
$9,901.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,232.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: Nomi Health Commercial |
$36,946.64
|
| Rate for Payer: PACE Medicare |
$16,713.96
|
| Rate for Payer: PACE SWMI |
$17,593.64
|
| Rate for Payer: PHP Commercial |
$18,665.64
|
| Rate for Payer: PHP Medicare Advantage |
$17,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,430.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,296.52
|
| Rate for Payer: Priority Health Medicare |
$17,593.64
|
| Rate for Payer: Priority Health Narrow Network |
$44,237.22
|
| Rate for Payer: Priority Health SBD |
$13,834.54
|
| Rate for Payer: Railroad Medicare Medicare |
$17,593.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$731.75
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,593.64
|
| Rate for Payer: UHC Exchange |
$665.23
|
| Rate for Payer: UHC Medicare Advantage |
$17,593.64
|
| Rate for Payer: UHCCP Medicaid |
$9,430.19
|
| Rate for Payer: UMR Bronson Commercial |
$8,125.04
|
| Rate for Payer: VA VA |
$17,593.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,469.68
|
|
|
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 |
$308.87 |
| Max. Negotiated Rate |
$13,752.00 |
| Rate for Payer: Aetna American Axle |
$6,185.21
|
| Rate for Payer: Aetna Commercial |
$8,088.35
|
| Rate for Payer: Aetna Medicare |
$4,757.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,185.21
|
| Rate for Payer: BCBS Complete |
$3,806.28
|
| Rate for Payer: BCBS Trust/PPO |
$5,136.03
|
| Rate for Payer: BCN Commercial |
$5,136.03
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$8,183.51
|
| Rate for Payer: Cofinity Commercial |
$6,661.00
|
| 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: UHC All Payor (Choice/PPO) |
$339.76
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Exchange |
$308.87
|
| 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 |
$18,079.52 |
| 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 |
$18,079.52
|
| 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
|
|
