|
HC REPAIR LIP AND BORDER
|
Facility
|
OP
|
$1,569.00
|
|
|
Service Code
|
CPT 40650
|
| Hospital Charge Code |
76100539
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,737.88 |
| Rate for Payer: Aetna American Axle |
$1,019.85
|
| Rate for Payer: Aetna Commercial |
$1,333.65
|
| Rate for Payer: Aetna Medicare |
$558.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$817.84
|
| Rate for Payer: BCN Commercial |
$817.84
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,255.20
|
| Rate for Payer: Cash Price |
$1,255.20
|
| Rate for Payer: Cash Price |
$1,255.20
|
| Rate for Payer: Cofinity Advantage |
$1,098.30
|
| Rate for Payer: Cofinity Commercial |
$1,349.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,255.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,412.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,098.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,176.75
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$564.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,333.65
|
| Rate for Payer: Nomi Health Commercial |
$1,612.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,176.75
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$1,333.65
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,737.88
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health SBD |
$988.47
|
| Rate for Payer: Priority Health Tiered Network |
$1,390.30
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,019.85
|
| Rate for Payer: UHC Core |
$817.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$616.62
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: UMR Bronson Commercial |
$580.53
|
| Rate for Payer: VA VA |
$537.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,176.75
|
|
|
HC REPAIR OF CIRCUMCISION
|
Facility
|
IP
|
$5,930.28
|
|
|
Service Code
|
CPT 54163
|
| Hospital Charge Code |
76100416
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,609.32 |
| Max. Negotiated Rate |
$5,337.25 |
| Rate for Payer: Aetna American Axle |
$3,854.68
|
| Rate for Payer: Aetna Commercial |
$5,040.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,854.68
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cofinity Advantage |
$4,151.20
|
| Rate for Payer: Cofinity Commercial |
$5,100.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,744.22
|
| Rate for Payer: Healthscope Commercial |
$5,337.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,151.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,447.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,040.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,447.71
|
| Rate for Payer: PHP Commercial |
$5,040.74
|
| Rate for Payer: Priority Health SBD |
$3,736.08
|
| Rate for Payer: UMR Bronson Commercial |
$2,609.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,447.71
|
|
|
HC REPAIR OF CIRCUMCISION
|
Facility
|
OP
|
$5,930.28
|
|
|
Service Code
|
CPT 54163
|
| Hospital Charge Code |
76100416
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,089.34 |
| Max. Negotiated Rate |
$6,735.82 |
| Rate for Payer: Aetna American Axle |
$3,854.68
|
| Rate for Payer: Aetna Commercial |
$5,040.74
|
| Rate for Payer: Aetna Medicare |
$2,166.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,854.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,603.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,603.59
|
| Rate for Payer: BCBS Complete |
$1,143.91
|
| Rate for Payer: BCBS MAPPO |
$2,082.87
|
| Rate for Payer: BCBS Trust/PPO |
$3,118.46
|
| Rate for Payer: BCN Commercial |
$3,118.46
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.87
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cofinity Advantage |
$4,151.20
|
| Rate for Payer: Cofinity Commercial |
$5,100.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,744.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.87
|
| Rate for Payer: Healthscope Commercial |
$5,337.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,151.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,447.71
|
| Rate for Payer: Mclaren Medicaid |
$2,082.87
|
| Rate for Payer: Mclaren Medicare |
$2,082.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,187.01
|
| Rate for Payer: Meridian Medicaid |
$2,187.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,395.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,291.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,040.74
|
| Rate for Payer: Nomi Health Commercial |
$6,248.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,447.71
|
| Rate for Payer: PACE Medicare |
$1,978.73
|
| Rate for Payer: PACE SWMI |
$2,082.87
|
| Rate for Payer: PHP Commercial |
$5,040.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,735.82
|
| Rate for Payer: Priority Health Medicare |
$2,082.87
|
| Rate for Payer: Priority Health SBD |
$3,736.08
|
| Rate for Payer: Priority Health Tiered Network |
$5,388.66
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,854.68
|
| Rate for Payer: UHC Core |
$3,089.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.87
|
| Rate for Payer: UHC Exchange |
$2,330.60
|
| Rate for Payer: UHC Medicaid |
$1,089.34
|
| Rate for Payer: UHCCP Medicaid |
$1,089.34
|
| Rate for Payer: UMR Bronson Commercial |
$2,194.20
|
| Rate for Payer: VA VA |
$2,082.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,447.71
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
IP
|
$4,983.22
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,192.62 |
| Max. Negotiated Rate |
$4,484.90 |
| Rate for Payer: Aetna American Axle |
$3,239.09
|
| Rate for Payer: Aetna Commercial |
$4,235.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,239.09
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cofinity Advantage |
$3,488.25
|
| Rate for Payer: Cofinity Commercial |
$4,285.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,986.58
|
| Rate for Payer: Healthscope Commercial |
$4,484.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,488.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,737.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,235.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,737.41
|
| Rate for Payer: PHP Commercial |
$4,235.74
|
| Rate for Payer: Priority Health SBD |
$3,139.43
|
| Rate for Payer: UMR Bronson Commercial |
$2,192.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,737.41
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
OP
|
$4,983.22
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,843.79 |
| Max. Negotiated Rate |
$12,041.54 |
| Rate for Payer: Aetna American Axle |
$3,239.09
|
| Rate for Payer: Aetna Commercial |
$4,235.74
|
| Rate for Payer: Aetna Medicare |
$3,872.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,239.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,654.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,654.40
|
| Rate for Payer: BCBS Complete |
$2,044.96
|
| Rate for Payer: BCBS MAPPO |
$3,723.52
|
| Rate for Payer: BCBS Trust/PPO |
$2,602.60
|
| Rate for Payer: BCN Commercial |
$2,602.60
|
| Rate for Payer: BCN Medicare Advantage |
$3,723.52
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cofinity Advantage |
$3,488.25
|
| Rate for Payer: Cofinity Commercial |
$4,285.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,986.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,723.52
|
| Rate for Payer: Healthscope Commercial |
$4,484.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,488.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,737.41
|
| Rate for Payer: Mclaren Medicaid |
$3,723.52
|
| Rate for Payer: Mclaren Medicare |
$3,723.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,909.70
|
| Rate for Payer: Meridian Medicaid |
$3,909.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,282.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,095.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,235.74
|
| Rate for Payer: Nomi Health Commercial |
$11,170.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,737.41
|
| Rate for Payer: PACE Medicare |
$3,537.34
|
| Rate for Payer: PACE SWMI |
$3,723.52
|
| Rate for Payer: PHP Commercial |
$4,235.74
|
| Rate for Payer: PHP Medicare Advantage |
$3,723.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,947.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,041.54
|
| Rate for Payer: Priority Health Medicare |
$3,723.52
|
| Rate for Payer: Priority Health SBD |
$3,139.43
|
| Rate for Payer: Priority Health Tiered Network |
$9,633.23
|
| Rate for Payer: Railroad Medicare Medicare |
$3,723.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,723.52
|
| Rate for Payer: UHC Medicaid |
$1,947.40
|
| Rate for Payer: UHCCP Medicaid |
$1,947.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,843.79
|
| Rate for Payer: VA VA |
$3,723.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,737.41
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
OP
|
$197.79
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$73.18 |
| Max. Negotiated Rate |
$523.62 |
| Rate for Payer: Aetna American Axle |
$128.56
|
| Rate for Payer: Aetna Commercial |
$168.12
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$92.40
|
| Rate for Payer: BCN Commercial |
$92.40
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cofinity Advantage |
$138.45
|
| Rate for Payer: Cofinity Commercial |
$170.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$158.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$178.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$138.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$148.34
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$170.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.12
|
| Rate for Payer: Nomi Health Commercial |
$485.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$148.34
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$168.12
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health SBD |
$124.61
|
| Rate for Payer: Priority Health Tiered Network |
$418.90
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.56
|
| Rate for Payer: UHC Core |
$103.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$77.73
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: UMR Bronson Commercial |
$73.18
|
| Rate for Payer: VA VA |
$161.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$148.34
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
IP
|
$197.79
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$87.03 |
| Max. Negotiated Rate |
$178.01 |
| Rate for Payer: Aetna American Axle |
$128.56
|
| Rate for Payer: Aetna Commercial |
$168.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.56
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cofinity Advantage |
$138.45
|
| Rate for Payer: Cofinity Commercial |
$170.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$158.23
|
| Rate for Payer: Healthscope Commercial |
$178.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$138.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$148.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$148.34
|
| Rate for Payer: PHP Commercial |
$168.12
|
| Rate for Payer: Priority Health SBD |
$124.61
|
| Rate for Payer: UMR Bronson Commercial |
$87.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$148.34
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
IP
|
$4,299.26
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,891.67 |
| Max. Negotiated Rate |
$3,869.33 |
| Rate for Payer: Aetna American Axle |
$2,794.52
|
| Rate for Payer: Aetna Commercial |
$3,654.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,794.52
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cofinity Advantage |
$3,009.48
|
| Rate for Payer: Cofinity Commercial |
$3,697.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,439.41
|
| Rate for Payer: Healthscope Commercial |
$3,869.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,009.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,224.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,654.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,224.45
|
| Rate for Payer: PHP Commercial |
$3,654.37
|
| Rate for Payer: Priority Health SBD |
$2,708.53
|
| Rate for Payer: UMR Bronson Commercial |
$1,891.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,224.45
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
OP
|
$4,299.26
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$3,869.33 |
| Rate for Payer: Aetna American Axle |
$2,794.52
|
| Rate for Payer: Aetna Commercial |
$3,654.37
|
| Rate for Payer: Aetna Medicare |
$2,149.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,794.52
|
| Rate for Payer: BCBS Complete |
$1,719.70
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cofinity Advantage |
$3,009.48
|
| Rate for Payer: Cofinity Commercial |
$3,697.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,439.41
|
| Rate for Payer: Healthscope Commercial |
$3,869.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,009.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,224.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,439.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,654.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,224.45
|
| Rate for Payer: PHP Commercial |
$3,654.37
|
| Rate for Payer: Priority Health SBD |
$2,708.53
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,590.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,224.45
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,675.08
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$737.04 |
| Max. Negotiated Rate |
$1,507.57 |
| Rate for Payer: Aetna American Axle |
$1,088.80
|
| Rate for Payer: Aetna Commercial |
$1,423.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,088.80
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Advantage |
$1,172.56
|
| Rate for Payer: Cofinity Commercial |
$1,440.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Healthscope Commercial |
$1,507.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,172.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,256.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PHP Commercial |
$1,423.82
|
| Rate for Payer: Priority Health SBD |
$1,055.30
|
| Rate for Payer: UMR Bronson Commercial |
$737.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,256.31
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,675.08
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$619.78 |
| Max. Negotiated Rate |
$5,072.36 |
| Rate for Payer: Aetna American Axle |
$1,088.80
|
| Rate for Payer: Aetna Commercial |
$1,423.82
|
| Rate for Payer: Aetna Medicare |
$1,631.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,088.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$811.58
|
| Rate for Payer: BCN Commercial |
$811.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Advantage |
$1,172.56
|
| Rate for Payer: Cofinity Commercial |
$1,440.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,507.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,172.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,256.31
|
| Rate for Payer: Mclaren Medicaid |
$1,568.49
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$1,646.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$4,705.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,423.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,072.36
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health SBD |
$1,055.30
|
| Rate for Payer: Priority Health Tiered Network |
$4,057.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: UMR Bronson Commercial |
$619.78
|
| Rate for Payer: VA VA |
$1,568.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,256.31
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$68,097.72
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,942.04 |
| Max. Negotiated Rate |
$61,287.95 |
| Rate for Payer: Aetna American Axle |
$44,263.52
|
| Rate for Payer: Aetna Commercial |
$57,883.06
|
| Rate for Payer: Aetna Medicare |
$34,048.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44,263.52
|
| Rate for Payer: BCBS Complete |
$27,239.09
|
| Rate for Payer: BCBS Trust/PPO |
$6,942.04
|
| Rate for Payer: BCN Commercial |
$6,942.04
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cofinity Advantage |
$47,668.40
|
| Rate for Payer: Cofinity Commercial |
$58,564.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,478.18
|
| Rate for Payer: Healthscope Commercial |
$61,287.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47,668.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,073.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,478.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,883.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51,073.29
|
| Rate for Payer: PHP Commercial |
$57,883.06
|
| Rate for Payer: Priority Health SBD |
$42,901.56
|
| Rate for Payer: UMR Bronson Commercial |
$25,196.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,073.29
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$68,097.72
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$29,963.00 |
| Max. Negotiated Rate |
$61,287.95 |
| Rate for Payer: Aetna American Axle |
$44,263.52
|
| Rate for Payer: Aetna Commercial |
$57,883.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44,263.52
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cofinity Advantage |
$47,668.40
|
| Rate for Payer: Cofinity Commercial |
$58,564.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,478.18
|
| Rate for Payer: Healthscope Commercial |
$61,287.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$47,668.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51,073.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,883.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51,073.29
|
| Rate for Payer: PHP Commercial |
$57,883.06
|
| Rate for Payer: Priority Health SBD |
$42,901.56
|
| Rate for Payer: UMR Bronson Commercial |
$29,963.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51,073.29
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$64,914.10
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$28,562.20 |
| Max. Negotiated Rate |
$58,422.69 |
| Rate for Payer: Aetna American Axle |
$42,194.17
|
| Rate for Payer: Aetna Commercial |
$55,176.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42,194.17
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cofinity Advantage |
$45,439.87
|
| Rate for Payer: Cofinity Commercial |
$55,826.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51,931.28
|
| Rate for Payer: Healthscope Commercial |
$58,422.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45,439.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48,685.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,176.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48,685.57
|
| Rate for Payer: PHP Commercial |
$55,176.99
|
| Rate for Payer: Priority Health SBD |
$40,895.88
|
| Rate for Payer: UMR Bronson Commercial |
$28,562.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48,685.57
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$64,914.10
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,594.04 |
| Max. Negotiated Rate |
$58,422.69 |
| Rate for Payer: Aetna American Axle |
$42,194.17
|
| Rate for Payer: Aetna Commercial |
$55,176.99
|
| Rate for Payer: Aetna Medicare |
$32,457.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42,194.17
|
| Rate for Payer: BCBS Complete |
$25,965.64
|
| Rate for Payer: BCBS Trust/PPO |
$6,594.04
|
| Rate for Payer: BCN Commercial |
$6,594.04
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cofinity Advantage |
$45,439.87
|
| Rate for Payer: Cofinity Commercial |
$55,826.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51,931.28
|
| Rate for Payer: Healthscope Commercial |
$58,422.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45,439.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48,685.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,931.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,176.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48,685.57
|
| Rate for Payer: PHP Commercial |
$55,176.99
|
| Rate for Payer: Priority Health SBD |
$40,895.88
|
| Rate for Payer: UMR Bronson Commercial |
$24,018.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48,685.57
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$71,281.34
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$31,363.79 |
| Max. Negotiated Rate |
$64,153.21 |
| Rate for Payer: Aetna American Axle |
$46,332.87
|
| Rate for Payer: Aetna Commercial |
$60,589.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46,332.87
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cofinity Advantage |
$49,896.94
|
| Rate for Payer: Cofinity Commercial |
$61,301.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,025.07
|
| Rate for Payer: Healthscope Commercial |
$64,153.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49,896.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53,461.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,589.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53,461.00
|
| Rate for Payer: PHP Commercial |
$60,589.14
|
| Rate for Payer: Priority Health SBD |
$44,907.24
|
| Rate for Payer: UMR Bronson Commercial |
$31,363.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53,461.00
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$71,281.34
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,198.48 |
| Max. Negotiated Rate |
$64,153.21 |
| Rate for Payer: Aetna American Axle |
$46,332.87
|
| Rate for Payer: Aetna Commercial |
$60,589.14
|
| Rate for Payer: Aetna Medicare |
$35,640.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46,332.87
|
| Rate for Payer: BCBS Complete |
$28,512.54
|
| Rate for Payer: BCBS Trust/PPO |
$7,198.48
|
| Rate for Payer: BCN Commercial |
$7,198.48
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cofinity Advantage |
$49,896.94
|
| Rate for Payer: Cofinity Commercial |
$61,301.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,025.07
|
| Rate for Payer: Healthscope Commercial |
$64,153.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49,896.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53,461.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,025.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,589.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53,461.00
|
| Rate for Payer: PHP Commercial |
$60,589.14
|
| Rate for Payer: Priority Health SBD |
$44,907.24
|
| Rate for Payer: UMR Bronson Commercial |
$26,374.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53,461.00
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$61,730.47
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$27,161.41 |
| Max. Negotiated Rate |
$55,557.42 |
| Rate for Payer: Aetna American Axle |
$40,124.81
|
| Rate for Payer: Aetna Commercial |
$52,470.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40,124.81
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cofinity Advantage |
$43,211.33
|
| Rate for Payer: Cofinity Commercial |
$53,088.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,384.38
|
| Rate for Payer: Healthscope Commercial |
$55,557.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43,211.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,297.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,470.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46,297.85
|
| Rate for Payer: PHP Commercial |
$52,470.90
|
| Rate for Payer: Priority Health SBD |
$38,890.20
|
| Rate for Payer: UMR Bronson Commercial |
$27,161.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,297.85
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$61,730.47
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,043.03 |
| Max. Negotiated Rate |
$55,557.42 |
| Rate for Payer: Aetna American Axle |
$40,124.81
|
| Rate for Payer: Aetna Commercial |
$52,470.90
|
| Rate for Payer: Aetna Medicare |
$30,865.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40,124.81
|
| Rate for Payer: BCBS Complete |
$24,692.19
|
| Rate for Payer: BCBS Trust/PPO |
$6,043.03
|
| Rate for Payer: BCN Commercial |
$6,043.03
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cofinity Advantage |
$43,211.33
|
| Rate for Payer: Cofinity Commercial |
$53,088.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,384.38
|
| Rate for Payer: Healthscope Commercial |
$55,557.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43,211.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46,297.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,384.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,470.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46,297.85
|
| Rate for Payer: PHP Commercial |
$52,470.90
|
| Rate for Payer: Priority Health SBD |
$38,890.20
|
| Rate for Payer: UMR Bronson Commercial |
$22,840.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46,297.85
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$22,779.09
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,428.26 |
| Max. Negotiated Rate |
$71,675.05 |
| Rate for Payer: Aetna American Axle |
$14,806.41
|
| Rate for Payer: Aetna Commercial |
$19,362.23
|
| Rate for Payer: Aetna Medicare |
$23,050.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,806.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,704.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,704.49
|
| Rate for Payer: BCBS Complete |
$12,172.24
|
| Rate for Payer: BCBS MAPPO |
$22,163.59
|
| Rate for Payer: BCBS Trust/PPO |
$42,483.91
|
| Rate for Payer: BCN Commercial |
$42,483.91
|
| Rate for Payer: BCN Medicare Advantage |
$22,163.59
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cofinity Advantage |
$15,945.36
|
| Rate for Payer: Cofinity Commercial |
$19,590.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,223.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,163.59
|
| Rate for Payer: Healthscope Commercial |
$20,501.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,945.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17,084.32
|
| Rate for Payer: Mclaren Medicaid |
$22,163.59
|
| Rate for Payer: Mclaren Medicare |
$22,163.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,271.77
|
| Rate for Payer: Meridian Medicaid |
$23,271.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,488.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,379.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,362.23
|
| Rate for Payer: Nomi Health Commercial |
$66,490.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,084.32
|
| Rate for Payer: PACE Medicare |
$21,055.41
|
| Rate for Payer: PACE SWMI |
$22,163.59
|
| Rate for Payer: PHP Commercial |
$19,362.23
|
| Rate for Payer: PHP Medicare Advantage |
$22,163.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,591.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$71,675.05
|
| Rate for Payer: Priority Health Medicare |
$22,163.59
|
| Rate for Payer: Priority Health SBD |
$14,350.83
|
| Rate for Payer: Priority Health Tiered Network |
$57,340.04
|
| Rate for Payer: Railroad Medicare Medicare |
$22,163.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22,163.59
|
| Rate for Payer: UHC Medicaid |
$11,591.56
|
| Rate for Payer: UHCCP Medicaid |
$11,591.56
|
| Rate for Payer: UMR Bronson Commercial |
$8,428.26
|
| Rate for Payer: VA VA |
$22,163.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17,084.32
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$22,779.09
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,022.80 |
| Max. Negotiated Rate |
$20,501.18 |
| Rate for Payer: Aetna American Axle |
$14,806.41
|
| Rate for Payer: Aetna Commercial |
$19,362.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,806.41
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cofinity Advantage |
$15,945.36
|
| Rate for Payer: Cofinity Commercial |
$19,590.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,223.27
|
| Rate for Payer: Healthscope Commercial |
$20,501.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,945.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17,084.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,362.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,084.32
|
| Rate for Payer: PHP Commercial |
$19,362.23
|
| Rate for Payer: Priority Health SBD |
$14,350.83
|
| Rate for Payer: UMR Bronson Commercial |
$10,022.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17,084.32
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$17,250.21
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,446.74 |
| Max. Negotiated Rate |
$33,679.26 |
| Rate for Payer: Aetna American Axle |
$11,212.64
|
| Rate for Payer: Aetna Commercial |
$14,662.68
|
| Rate for Payer: Aetna Medicare |
$10,830.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,212.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,018.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,018.01
|
| Rate for Payer: BCBS Complete |
$5,719.59
|
| Rate for Payer: BCBS MAPPO |
$10,414.41
|
| Rate for Payer: BCBS Trust/PPO |
$10,185.20
|
| Rate for Payer: BCN Commercial |
$10,185.20
|
| Rate for Payer: BCN Medicare Advantage |
$10,414.41
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cofinity Advantage |
$12,075.15
|
| Rate for Payer: Cofinity Commercial |
$14,835.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,800.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,414.41
|
| Rate for Payer: Healthscope Commercial |
$15,525.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,075.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,937.66
|
| Rate for Payer: Mclaren Medicaid |
$10,414.41
|
| Rate for Payer: Mclaren Medicare |
$10,414.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,935.13
|
| Rate for Payer: Meridian Medicaid |
$10,935.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,976.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,455.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,662.68
|
| Rate for Payer: Nomi Health Commercial |
$31,243.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,937.66
|
| Rate for Payer: PACE Medicare |
$9,893.69
|
| Rate for Payer: PACE SWMI |
$10,414.41
|
| Rate for Payer: PHP Commercial |
$14,662.68
|
| Rate for Payer: PHP Medicare Advantage |
$10,414.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,446.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$33,679.26
|
| Rate for Payer: Priority Health Medicare |
$10,414.41
|
| Rate for Payer: Priority Health SBD |
$10,867.63
|
| Rate for Payer: Priority Health Tiered Network |
$26,943.41
|
| Rate for Payer: Railroad Medicare Medicare |
$10,414.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,414.41
|
| Rate for Payer: UHC Medicaid |
$5,446.74
|
| Rate for Payer: UHCCP Medicaid |
$5,446.74
|
| Rate for Payer: UMR Bronson Commercial |
$6,382.58
|
| Rate for Payer: VA VA |
$10,414.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,937.66
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$17,250.21
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,590.09 |
| Max. Negotiated Rate |
$15,525.19 |
| Rate for Payer: Aetna American Axle |
$11,212.64
|
| Rate for Payer: Aetna Commercial |
$14,662.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,212.64
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cofinity Advantage |
$12,075.15
|
| Rate for Payer: Cofinity Commercial |
$14,835.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,800.17
|
| Rate for Payer: Healthscope Commercial |
$15,525.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,075.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,937.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,662.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,937.66
|
| Rate for Payer: PHP Commercial |
$14,662.68
|
| Rate for Payer: Priority Health SBD |
$10,867.63
|
| Rate for Payer: UMR Bronson Commercial |
$7,590.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,937.66
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$3,113.38
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,151.95 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna American Axle |
$2,023.70
|
| Rate for Payer: Aetna Commercial |
$2,646.37
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,023.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,166.36
|
| Rate for Payer: BCN Commercial |
$2,166.36
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,490.70
|
| Rate for Payer: Cash Price |
$2,490.70
|
| Rate for Payer: Cash Price |
$2,490.70
|
| Rate for Payer: Cofinity Advantage |
$2,179.37
|
| Rate for Payer: Cofinity Commercial |
$2,677.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,490.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$2,802.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,179.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,335.03
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,646.37
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.03
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$2,646.37
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$1,961.43
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,151.95
|
| Rate for Payer: VA VA |
$3,146.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,335.03
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$3,113.38
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,369.89 |
| Max. Negotiated Rate |
$2,802.04 |
| Rate for Payer: Aetna American Axle |
$2,023.70
|
| Rate for Payer: Aetna Commercial |
$2,646.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,023.70
|
| Rate for Payer: Cash Price |
$2,490.70
|
| Rate for Payer: Cofinity Advantage |
$2,179.37
|
| Rate for Payer: Cofinity Commercial |
$2,677.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,490.70
|
| Rate for Payer: Healthscope Commercial |
$2,802.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,179.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,335.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,646.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,335.03
|
| Rate for Payer: PHP Commercial |
$2,646.37
|
| Rate for Payer: Priority Health SBD |
$1,961.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,369.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,335.03
|
|
