|
HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM
|
Facility
|
IP
|
$1,662.60
|
|
|
Service Code
|
CPT 13132
|
| Hospital Charge Code |
76100379
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$731.54 |
| Max. Negotiated Rate |
$1,496.34 |
| Rate for Payer: Aetna American Axle |
$1,080.69
|
| Rate for Payer: Aetna Commercial |
$1,413.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,080.69
|
| Rate for Payer: Cash Price |
$1,330.08
|
| Rate for Payer: Cofinity Commercial |
$1,163.82
|
| Rate for Payer: Cofinity Commercial |
$1,429.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,163.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,330.08
|
| Rate for Payer: Healthscope Commercial |
$1,496.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,163.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,246.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,413.21
|
| Rate for Payer: PHP Commercial |
$1,413.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,080.69
|
| Rate for Payer: Priority Health SBD |
$1,047.44
|
| Rate for Payer: UMR Bronson Commercial |
$731.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,246.95
|
|
|
HC REPAIR CVAC WO PORT OR PUMP
|
Facility
|
IP
|
$1,069.35
|
|
|
Service Code
|
CPT 36575
|
| Hospital Charge Code |
36100131
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$470.51 |
| Max. Negotiated Rate |
$962.41 |
| Rate for Payer: Aetna American Axle |
$695.08
|
| Rate for Payer: Aetna Commercial |
$908.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$695.08
|
| Rate for Payer: Cash Price |
$855.48
|
| Rate for Payer: Cofinity Commercial |
$748.54
|
| Rate for Payer: Cofinity Commercial |
$919.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$748.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$855.48
|
| Rate for Payer: Healthscope Commercial |
$962.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$748.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$802.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$908.95
|
| Rate for Payer: PHP Commercial |
$908.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.08
|
| Rate for Payer: Priority Health SBD |
$673.69
|
| Rate for Payer: UMR Bronson Commercial |
$470.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$802.01
|
|
|
HC REPAIR CVAC WO PORT OR PUMP
|
Facility
|
OP
|
$1,069.35
|
|
|
Service Code
|
CPT 36575
|
| Hospital Charge Code |
36100131
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$323.20 |
| Max. Negotiated Rate |
$1,697.33 |
| Rate for Payer: Aetna American Axle |
$695.08
|
| Rate for Payer: Aetna Commercial |
$908.95
|
| Rate for Payer: Aetna Medicare |
$627.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$695.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$753.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$753.73
|
| Rate for Payer: BCBS Complete |
$339.36
|
| Rate for Payer: BCBS MAPPO |
$602.98
|
| Rate for Payer: BCN Medicare Advantage |
$602.98
|
| Rate for Payer: Cash Price |
$855.48
|
| Rate for Payer: Cash Price |
$855.48
|
| Rate for Payer: Cofinity Commercial |
$919.64
|
| Rate for Payer: Cofinity Commercial |
$748.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$748.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$855.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.98
|
| Rate for Payer: Healthscope Commercial |
$962.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$748.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$802.01
|
| Rate for Payer: Mclaren Medicaid |
$323.20
|
| Rate for Payer: Mclaren Medicare |
$602.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.13
|
| Rate for Payer: Meridian Medicaid |
$339.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$693.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$908.95
|
| Rate for Payer: PACE Medicare |
$572.83
|
| Rate for Payer: PACE SWMI |
$602.98
|
| Rate for Payer: PHP Commercial |
$908.95
|
| Rate for Payer: PHP Medicare Advantage |
$602.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.08
|
| Rate for Payer: Priority Health Medicare |
$602.98
|
| Rate for Payer: Priority Health SBD |
$673.69
|
| Rate for Payer: Railroad Medicare Medicare |
$602.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,697.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$602.98
|
| Rate for Payer: UHC Exchange |
$1,152.36
|
| Rate for Payer: UHC Medicare Advantage |
$602.98
|
| Rate for Payer: UHCCP Medicaid |
$323.20
|
| Rate for Payer: UMR Bronson Commercial |
$395.66
|
| Rate for Payer: VA VA |
$602.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$802.01
|
|
|
HC REPAIR EXT TENDON FINGER WO GRAFT EA
|
Facility
|
IP
|
$4,637.18
|
|
|
Service Code
|
CPT 26418
|
| Hospital Charge Code |
45000093
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,040.36 |
| Max. Negotiated Rate |
$4,173.46 |
| Rate for Payer: Aetna American Axle |
$3,014.17
|
| Rate for Payer: Aetna Commercial |
$3,941.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,014.17
|
| Rate for Payer: Cash Price |
$3,709.74
|
| Rate for Payer: Cofinity Commercial |
$3,246.03
|
| Rate for Payer: Cofinity Commercial |
$3,987.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,246.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,709.74
|
| Rate for Payer: Healthscope Commercial |
$4,173.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,246.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,477.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,941.60
|
| Rate for Payer: PHP Commercial |
$3,941.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,014.17
|
| Rate for Payer: Priority Health SBD |
$2,921.42
|
| Rate for Payer: UMR Bronson Commercial |
$2,040.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,477.89
|
|
|
HC REPAIR EXT TENDON FINGER WO GRAFT EA
|
Facility
|
OP
|
$4,637.18
|
|
|
Service Code
|
CPT 26418
|
| Hospital Charge Code |
45000093
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$4,393.64 |
| Rate for Payer: Aetna American Axle |
$3,014.17
|
| Rate for Payer: Aetna Commercial |
$3,941.60
|
| Rate for Payer: Aetna Medicare |
$1,623.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,014.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Cash Price |
$3,709.74
|
| Rate for Payer: Cash Price |
$3,709.74
|
| Rate for Payer: Cofinity Commercial |
$3,987.97
|
| Rate for Payer: Cofinity Commercial |
$3,246.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,246.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,709.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Healthscope Commercial |
$4,173.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,246.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,477.89
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,941.60
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Commercial |
$3,941.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,014.17
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Priority Health SBD |
$2,921.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,393.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,982.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: UMR Bronson Commercial |
$1,715.76
|
| Rate for Payer: VA VA |
$1,560.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,477.89
|
|
|
HC REPAIR FINGER TENDON
|
Facility
|
IP
|
$4,291.95
|
|
|
Service Code
|
CPT 26432
|
| Hospital Charge Code |
76100358
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,888.46 |
| Max. Negotiated Rate |
$3,862.76 |
| Rate for Payer: Aetna American Axle |
$2,789.77
|
| Rate for Payer: Aetna Commercial |
$3,648.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,789.77
|
| Rate for Payer: Cash Price |
$3,433.56
|
| Rate for Payer: Cofinity Commercial |
$3,004.36
|
| Rate for Payer: Cofinity Commercial |
$3,691.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,004.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,433.56
|
| Rate for Payer: Healthscope Commercial |
$3,862.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,004.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,218.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,648.16
|
| Rate for Payer: PHP Commercial |
$3,648.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,789.77
|
| Rate for Payer: Priority Health SBD |
$2,703.93
|
| Rate for Payer: UMR Bronson Commercial |
$1,888.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,218.96
|
|
|
HC REPAIR FINGER TENDON
|
Facility
|
OP
|
$4,291.95
|
|
|
Service Code
|
CPT 26432
|
| Hospital Charge Code |
76100358
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$4,393.64 |
| Rate for Payer: Aetna American Axle |
$2,789.77
|
| Rate for Payer: Aetna Commercial |
$3,648.16
|
| Rate for Payer: Aetna Medicare |
$1,623.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,789.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Cash Price |
$3,433.56
|
| Rate for Payer: Cash Price |
$3,433.56
|
| Rate for Payer: Cofinity Commercial |
$3,691.08
|
| Rate for Payer: Cofinity Commercial |
$3,004.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,004.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,433.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Healthscope Commercial |
$3,862.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,004.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,218.96
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,648.16
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Commercial |
$3,648.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,789.77
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Priority Health SBD |
$2,703.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,393.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,982.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: UMR Bronson Commercial |
$1,588.02
|
| Rate for Payer: VA VA |
$1,560.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,218.96
|
|
|
HC REPAIR OF CIRCUMCISION
|
Facility
|
IP
|
$5,814.00
|
|
|
Service Code
|
CPT 54163
|
| Hospital Charge Code |
76100416
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,558.16 |
| Max. Negotiated Rate |
$5,232.60 |
| Rate for Payer: Aetna American Axle |
$3,779.10
|
| Rate for Payer: Aetna Commercial |
$4,941.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,779.10
|
| Rate for Payer: Cash Price |
$4,651.20
|
| Rate for Payer: Cofinity Commercial |
$4,069.80
|
| Rate for Payer: Cofinity Commercial |
$5,000.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,069.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,651.20
|
| Rate for Payer: Healthscope Commercial |
$5,232.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,069.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,360.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,941.90
|
| Rate for Payer: PHP Commercial |
$4,941.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,779.10
|
| Rate for Payer: Priority Health SBD |
$3,662.82
|
| Rate for Payer: UMR Bronson Commercial |
$2,558.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,360.50
|
|
|
HC REPAIR OF CIRCUMCISION
|
Facility
|
OP
|
$5,814.00
|
|
|
Service Code
|
CPT 54163
|
| Hospital Charge Code |
76100416
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,070.86 |
| Max. Negotiated Rate |
$5,623.80 |
| Rate for Payer: Aetna American Axle |
$3,779.10
|
| Rate for Payer: Aetna Commercial |
$4,941.90
|
| Rate for Payer: Aetna Medicare |
$2,077.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,779.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,497.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,497.34
|
| Rate for Payer: BCBS Complete |
$1,124.40
|
| Rate for Payer: BCBS MAPPO |
$1,997.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,997.87
|
| Rate for Payer: Cash Price |
$4,651.20
|
| Rate for Payer: Cash Price |
$4,651.20
|
| Rate for Payer: Cofinity Commercial |
$5,000.04
|
| Rate for Payer: Cofinity Commercial |
$4,069.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,069.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,651.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,997.87
|
| Rate for Payer: Healthscope Commercial |
$5,232.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,069.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,360.50
|
| Rate for Payer: Mclaren Medicaid |
$1,070.86
|
| Rate for Payer: Mclaren Medicare |
$1,997.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,097.76
|
| Rate for Payer: Meridian Medicaid |
$1,124.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,297.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,941.90
|
| Rate for Payer: PACE Medicare |
$1,897.98
|
| Rate for Payer: PACE SWMI |
$1,997.87
|
| Rate for Payer: PHP Commercial |
$4,941.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,997.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,070.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,779.10
|
| Rate for Payer: Priority Health Medicare |
$1,997.87
|
| Rate for Payer: Priority Health SBD |
$3,662.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,997.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,623.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,997.87
|
| Rate for Payer: UHC Exchange |
$3,818.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,997.87
|
| Rate for Payer: UHCCP Medicaid |
$1,070.86
|
| Rate for Payer: UMR Bronson Commercial |
$2,151.18
|
| Rate for Payer: VA VA |
$1,997.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,360.50
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
OP
|
$4,885.51
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,807.64 |
| Max. Negotiated Rate |
$9,991.04 |
| Rate for Payer: Aetna American Axle |
$3,175.58
|
| Rate for Payer: Aetna Commercial |
$4,152.68
|
| Rate for Payer: Aetna Medicare |
$3,691.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,175.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,436.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,436.68
|
| Rate for Payer: BCBS Complete |
$1,997.57
|
| Rate for Payer: BCBS MAPPO |
$3,549.34
|
| Rate for Payer: BCN Medicare Advantage |
$3,549.34
|
| Rate for Payer: Cash Price |
$3,908.41
|
| Rate for Payer: Cash Price |
$3,908.41
|
| Rate for Payer: Cofinity Commercial |
$4,201.54
|
| Rate for Payer: Cofinity Commercial |
$3,419.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,419.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,908.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,549.34
|
| Rate for Payer: Healthscope Commercial |
$4,396.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,419.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,664.13
|
| Rate for Payer: Mclaren Medicaid |
$1,902.45
|
| Rate for Payer: Mclaren Medicare |
$3,549.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,726.81
|
| Rate for Payer: Meridian Medicaid |
$1,997.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,081.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,152.68
|
| Rate for Payer: PACE Medicare |
$3,371.87
|
| Rate for Payer: PACE SWMI |
$3,549.34
|
| Rate for Payer: PHP Commercial |
$4,152.68
|
| Rate for Payer: PHP Medicare Advantage |
$3,549.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,902.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,175.58
|
| Rate for Payer: Priority Health Medicare |
$3,549.34
|
| Rate for Payer: Priority Health SBD |
$3,077.87
|
| Rate for Payer: Railroad Medicare Medicare |
$3,549.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,991.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,549.34
|
| Rate for Payer: UHC Exchange |
$6,783.14
|
| Rate for Payer: UHC Medicare Advantage |
$3,549.34
|
| Rate for Payer: UHCCP Medicaid |
$1,902.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,807.64
|
| Rate for Payer: VA VA |
$3,549.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,664.13
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
IP
|
$4,885.51
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,149.62 |
| Max. Negotiated Rate |
$4,396.96 |
| Rate for Payer: Aetna American Axle |
$3,175.58
|
| Rate for Payer: Aetna Commercial |
$4,152.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,175.58
|
| Rate for Payer: Cash Price |
$3,908.41
|
| Rate for Payer: Cofinity Commercial |
$3,419.86
|
| Rate for Payer: Cofinity Commercial |
$4,201.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,419.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,908.41
|
| Rate for Payer: Healthscope Commercial |
$4,396.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,419.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,664.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,152.68
|
| Rate for Payer: PHP Commercial |
$4,152.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,175.58
|
| Rate for Payer: Priority Health SBD |
$3,077.87
|
| Rate for Payer: UMR Bronson Commercial |
$2,149.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,664.13
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
IP
|
$193.91
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$85.32 |
| Max. Negotiated Rate |
$174.52 |
| Rate for Payer: Aetna American Axle |
$126.04
|
| Rate for Payer: Aetna Commercial |
$164.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.04
|
| Rate for Payer: Cash Price |
$155.13
|
| Rate for Payer: Cofinity Commercial |
$135.74
|
| Rate for Payer: Cofinity Commercial |
$166.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$135.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.13
|
| Rate for Payer: Healthscope Commercial |
$174.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$135.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164.82
|
| Rate for Payer: PHP Commercial |
$164.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.04
|
| Rate for Payer: Priority Health SBD |
$122.16
|
| Rate for Payer: UMR Bronson Commercial |
$85.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.43
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
OP
|
$193.91
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$71.75 |
| Max. Negotiated Rate |
$433.18 |
| Rate for Payer: Aetna American Axle |
$126.04
|
| Rate for Payer: Aetna Commercial |
$164.82
|
| Rate for Payer: Aetna Medicare |
$160.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$192.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$192.36
|
| Rate for Payer: BCBS Complete |
$86.61
|
| Rate for Payer: BCBS MAPPO |
$153.89
|
| Rate for Payer: BCN Medicare Advantage |
$153.89
|
| Rate for Payer: Cash Price |
$155.13
|
| Rate for Payer: Cash Price |
$155.13
|
| Rate for Payer: Cofinity Commercial |
$166.76
|
| Rate for Payer: Cofinity Commercial |
$135.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$135.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.89
|
| Rate for Payer: Healthscope Commercial |
$174.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$135.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.43
|
| Rate for Payer: Mclaren Medicaid |
$82.49
|
| Rate for Payer: Mclaren Medicare |
$153.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.58
|
| Rate for Payer: Meridian Medicaid |
$86.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164.82
|
| Rate for Payer: PACE Medicare |
$146.20
|
| Rate for Payer: PACE SWMI |
$153.89
|
| Rate for Payer: PHP Commercial |
$164.82
|
| Rate for Payer: PHP Medicare Advantage |
$153.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.04
|
| Rate for Payer: Priority Health Medicare |
$153.89
|
| Rate for Payer: Priority Health SBD |
$122.16
|
| Rate for Payer: Railroad Medicare Medicare |
$153.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$433.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.89
|
| Rate for Payer: UHC Exchange |
$294.10
|
| Rate for Payer: UHC Medicare Advantage |
$153.89
|
| Rate for Payer: UHCCP Medicaid |
$82.49
|
| Rate for Payer: UMR Bronson Commercial |
$71.75
|
| Rate for Payer: VA VA |
$153.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.43
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
OP
|
$4,214.96
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,559.54 |
| Max. Negotiated Rate |
$3,793.46 |
| Rate for Payer: Aetna American Axle |
$2,739.72
|
| Rate for Payer: Aetna Commercial |
$3,582.72
|
| Rate for Payer: Aetna Medicare |
$2,107.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,739.72
|
| Rate for Payer: BCBS Complete |
$1,685.98
|
| Rate for Payer: Cash Price |
$3,371.97
|
| Rate for Payer: Cofinity Commercial |
$2,950.47
|
| Rate for Payer: Cofinity Commercial |
$3,624.87
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,950.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,371.97
|
| Rate for Payer: Healthscope Commercial |
$3,793.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,950.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,161.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,582.72
|
| Rate for Payer: PHP Commercial |
$3,582.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,739.72
|
| Rate for Payer: Priority Health SBD |
$2,655.42
|
| Rate for Payer: UMR Bronson Commercial |
$1,559.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,161.22
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
IP
|
$4,214.96
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,854.58 |
| Max. Negotiated Rate |
$3,793.46 |
| Rate for Payer: Aetna American Axle |
$2,739.72
|
| Rate for Payer: Aetna Commercial |
$3,582.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,739.72
|
| Rate for Payer: Cash Price |
$3,371.97
|
| Rate for Payer: Cofinity Commercial |
$2,950.47
|
| Rate for Payer: Cofinity Commercial |
$3,624.87
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,950.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,371.97
|
| Rate for Payer: Healthscope Commercial |
$3,793.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,950.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,161.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,582.72
|
| Rate for Payer: PHP Commercial |
$3,582.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,739.72
|
| Rate for Payer: Priority Health SBD |
$2,655.42
|
| Rate for Payer: UMR Bronson Commercial |
$1,854.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,161.22
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,642.24
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$722.59 |
| Max. Negotiated Rate |
$1,478.02 |
| Rate for Payer: Aetna American Axle |
$1,067.46
|
| Rate for Payer: Aetna Commercial |
$1,395.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,067.46
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cofinity Commercial |
$1,149.57
|
| Rate for Payer: Cofinity Commercial |
$1,412.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,149.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.79
|
| Rate for Payer: Healthscope Commercial |
$1,478.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,149.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,231.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.90
|
| Rate for Payer: PHP Commercial |
$1,395.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,067.46
|
| Rate for Payer: Priority Health SBD |
$1,034.61
|
| Rate for Payer: UMR Bronson Commercial |
$722.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,231.68
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,642.24
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$607.63 |
| Max. Negotiated Rate |
$4,264.69 |
| Rate for Payer: Aetna American Axle |
$1,067.46
|
| Rate for Payer: Aetna Commercial |
$1,395.90
|
| Rate for Payer: Aetna Medicare |
$1,575.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,067.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,893.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,893.80
|
| Rate for Payer: BCBS Complete |
$852.66
|
| Rate for Payer: BCBS MAPPO |
$1,515.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,515.04
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cofinity Commercial |
$1,412.33
|
| Rate for Payer: Cofinity Commercial |
$1,149.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,149.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,515.04
|
| Rate for Payer: Healthscope Commercial |
$1,478.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,149.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,231.68
|
| Rate for Payer: Mclaren Medicaid |
$812.06
|
| Rate for Payer: Mclaren Medicare |
$1,515.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,590.79
|
| Rate for Payer: Meridian Medicaid |
$852.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,742.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.90
|
| Rate for Payer: PACE Medicare |
$1,439.29
|
| Rate for Payer: PACE SWMI |
$1,515.04
|
| Rate for Payer: PHP Commercial |
$1,395.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,515.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$812.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,067.46
|
| Rate for Payer: Priority Health Medicare |
$1,515.04
|
| Rate for Payer: Priority Health SBD |
$1,034.61
|
| Rate for Payer: Railroad Medicare Medicare |
$1,515.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,264.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,515.04
|
| Rate for Payer: UHC Exchange |
$2,895.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,515.04
|
| Rate for Payer: UHCCP Medicaid |
$812.06
|
| Rate for Payer: UMR Bronson Commercial |
$607.63
|
| Rate for Payer: VA VA |
$1,515.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,231.68
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$66,762.47
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$29,375.49 |
| Max. Negotiated Rate |
$60,086.22 |
| Rate for Payer: Aetna American Axle |
$43,395.61
|
| Rate for Payer: Aetna Commercial |
$56,748.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43,395.61
|
| Rate for Payer: Cash Price |
$53,409.98
|
| Rate for Payer: Cofinity Commercial |
$46,733.73
|
| Rate for Payer: Cofinity Commercial |
$57,415.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$46,733.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53,409.98
|
| Rate for Payer: Healthscope Commercial |
$60,086.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46,733.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50,071.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,748.10
|
| Rate for Payer: PHP Commercial |
$56,748.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,395.61
|
| Rate for Payer: Priority Health SBD |
$42,060.36
|
| Rate for Payer: UMR Bronson Commercial |
$29,375.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50,071.85
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$66,762.47
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$24,702.11 |
| Max. Negotiated Rate |
$60,086.22 |
| Rate for Payer: Aetna American Axle |
$43,395.61
|
| Rate for Payer: Aetna Commercial |
$56,748.10
|
| Rate for Payer: Aetna Medicare |
$33,381.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43,395.61
|
| Rate for Payer: BCBS Complete |
$26,704.99
|
| Rate for Payer: Cash Price |
$53,409.98
|
| Rate for Payer: Cofinity Commercial |
$46,733.73
|
| Rate for Payer: Cofinity Commercial |
$57,415.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$46,733.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53,409.98
|
| Rate for Payer: Healthscope Commercial |
$60,086.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46,733.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50,071.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,748.10
|
| Rate for Payer: PHP Commercial |
$56,748.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,395.61
|
| Rate for Payer: Priority Health SBD |
$42,060.36
|
| Rate for Payer: UMR Bronson Commercial |
$24,702.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50,071.85
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$63,641.27
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$23,547.27 |
| Max. Negotiated Rate |
$57,277.14 |
| Rate for Payer: Aetna American Axle |
$41,366.83
|
| Rate for Payer: Aetna Commercial |
$54,095.08
|
| Rate for Payer: Aetna Medicare |
$31,820.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41,366.83
|
| Rate for Payer: BCBS Complete |
$25,456.51
|
| Rate for Payer: Cash Price |
$50,913.02
|
| Rate for Payer: Cofinity Commercial |
$44,548.89
|
| Rate for Payer: Cofinity Commercial |
$54,731.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$44,548.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50,913.02
|
| Rate for Payer: Healthscope Commercial |
$57,277.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44,548.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47,730.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,095.08
|
| Rate for Payer: PHP Commercial |
$54,095.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,366.83
|
| Rate for Payer: Priority Health SBD |
$40,094.00
|
| Rate for Payer: UMR Bronson Commercial |
$23,547.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47,730.95
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$63,641.27
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$28,002.16 |
| Max. Negotiated Rate |
$57,277.14 |
| Rate for Payer: Aetna American Axle |
$41,366.83
|
| Rate for Payer: Aetna Commercial |
$54,095.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41,366.83
|
| Rate for Payer: Cash Price |
$50,913.02
|
| Rate for Payer: Cofinity Commercial |
$44,548.89
|
| Rate for Payer: Cofinity Commercial |
$54,731.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$44,548.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50,913.02
|
| Rate for Payer: Healthscope Commercial |
$57,277.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44,548.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47,730.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,095.08
|
| Rate for Payer: PHP Commercial |
$54,095.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,366.83
|
| Rate for Payer: Priority Health SBD |
$40,094.00
|
| Rate for Payer: UMR Bronson Commercial |
$28,002.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47,730.95
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$69,883.67
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$30,748.81 |
| Max. Negotiated Rate |
$62,895.30 |
| Rate for Payer: Aetna American Axle |
$45,424.39
|
| Rate for Payer: Aetna Commercial |
$59,401.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45,424.39
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$48,918.57
|
| Rate for Payer: Cofinity Commercial |
$60,099.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$48,918.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55,906.94
|
| Rate for Payer: Healthscope Commercial |
$62,895.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$48,918.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52,412.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,401.12
|
| Rate for Payer: PHP Commercial |
$59,401.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,424.39
|
| Rate for Payer: Priority Health SBD |
$44,026.71
|
| Rate for Payer: UMR Bronson Commercial |
$30,748.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52,412.75
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$69,883.67
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$25,856.96 |
| Max. Negotiated Rate |
$62,895.30 |
| Rate for Payer: Aetna American Axle |
$45,424.39
|
| Rate for Payer: Aetna Commercial |
$59,401.12
|
| Rate for Payer: Aetna Medicare |
$34,941.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45,424.39
|
| Rate for Payer: BCBS Complete |
$27,953.47
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$48,918.57
|
| Rate for Payer: Cofinity Commercial |
$60,099.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$48,918.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55,906.94
|
| Rate for Payer: Healthscope Commercial |
$62,895.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$48,918.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52,412.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,401.12
|
| Rate for Payer: PHP Commercial |
$59,401.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,424.39
|
| Rate for Payer: Priority Health SBD |
$44,026.71
|
| Rate for Payer: UMR Bronson Commercial |
$25,856.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52,412.75
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$60,520.07
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$26,628.83 |
| Max. Negotiated Rate |
$54,468.06 |
| Rate for Payer: Aetna American Axle |
$39,338.05
|
| Rate for Payer: Aetna Commercial |
$51,442.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39,338.05
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$42,364.05
|
| Rate for Payer: Cofinity Commercial |
$52,047.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$42,364.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48,416.06
|
| Rate for Payer: Healthscope Commercial |
$54,468.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42,364.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45,390.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,442.06
|
| Rate for Payer: PHP Commercial |
$51,442.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39,338.05
|
| Rate for Payer: Priority Health SBD |
$38,127.64
|
| Rate for Payer: UMR Bronson Commercial |
$26,628.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45,390.05
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$60,520.07
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$22,392.43 |
| Max. Negotiated Rate |
$54,468.06 |
| Rate for Payer: Aetna American Axle |
$39,338.05
|
| Rate for Payer: Aetna Commercial |
$51,442.06
|
| Rate for Payer: Aetna Medicare |
$30,260.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39,338.05
|
| Rate for Payer: BCBS Complete |
$24,208.03
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$42,364.05
|
| Rate for Payer: Cofinity Commercial |
$52,047.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$42,364.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48,416.06
|
| Rate for Payer: Healthscope Commercial |
$54,468.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42,364.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45,390.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,442.06
|
| Rate for Payer: PHP Commercial |
$51,442.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39,338.05
|
| Rate for Payer: Priority Health SBD |
$38,127.64
|
| Rate for Payer: UMR Bronson Commercial |
$22,392.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45,390.05
|
|
