|
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 |
$1,316.86 |
| 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 |
$34,941.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45,424.39
|
| Rate for Payer: BCBS Complete |
$27,953.47
|
| Rate for Payer: BCBS Trust/PPO |
$5,958.53
|
| Rate for Payer: BCN Commercial |
$5,958.53
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$60,099.96
|
| Rate for Payer: Cofinity Commercial |
$48,918.57
|
| 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: UHC All Payor (Choice/PPO) |
$1,448.55
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,316.86
|
| 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 |
$1,167.01 |
| 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 |
$30,260.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39,338.05
|
| Rate for Payer: BCBS Complete |
$24,208.03
|
| Rate for Payer: BCBS Trust/PPO |
$5,002.11
|
| Rate for Payer: BCN Commercial |
$5,002.11
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$52,047.26
|
| Rate for Payer: Cofinity Commercial |
$42,364.05
|
| 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: UHC All Payor (Choice/PPO) |
$1,283.71
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,167.01
|
| Rate for Payer: UMR Bronson Commercial |
$22,392.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45,390.05
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$21,694.37
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$370.30 |
| Max. Negotiated Rate |
$69,121.55 |
| Rate for Payer: BCN Medicare Advantage |
$21,992.33
|
| Rate for Payer: Aetna American Axle |
$14,101.34
|
| Rate for Payer: Aetna Commercial |
$18,440.21
|
| Rate for Payer: Aetna Medicare |
$22,872.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,101.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,490.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,490.41
|
| Rate for Payer: BCBS Complete |
$12,377.28
|
| Rate for Payer: BCBS MAPPO |
$21,992.33
|
| Rate for Payer: BCBS Trust/PPO |
$35,166.02
|
| Rate for Payer: BCN Commercial |
$35,166.02
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cofinity Commercial |
$18,657.16
|
| Rate for Payer: Cofinity Commercial |
$15,186.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$15,186.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,355.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,992.33
|
| Rate for Payer: Healthscope Commercial |
$19,524.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,186.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,270.78
|
| Rate for Payer: Mclaren Medicaid |
$11,787.89
|
| Rate for Payer: Mclaren Medicare |
$21,992.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,091.95
|
| Rate for Payer: Meridian Medicaid |
$12,377.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,291.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,440.21
|
| Rate for Payer: Nomi Health Commercial |
$46,183.89
|
| Rate for Payer: PACE Medicare |
$20,892.71
|
| Rate for Payer: PACE SWMI |
$21,992.33
|
| Rate for Payer: PHP Commercial |
$18,440.21
|
| Rate for Payer: PHP Medicare Advantage |
$21,992.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,787.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,101.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69,121.55
|
| Rate for Payer: Priority Health Medicare |
$21,992.33
|
| Rate for Payer: Priority Health Narrow Network |
$55,297.24
|
| Rate for Payer: Priority Health SBD |
$13,667.45
|
| Rate for Payer: Railroad Medicare Medicare |
$21,992.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.33
|
| Rate for Payer: UHC Core |
$52,490.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,992.33
|
| Rate for Payer: UHC Exchange |
$370.30
|
| Rate for Payer: UHC Medicare Advantage |
$21,992.33
|
| Rate for Payer: UHCCP Medicaid |
$11,787.89
|
| Rate for Payer: UMR Bronson Commercial |
$8,026.92
|
| Rate for Payer: VA VA |
$21,992.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,270.78
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$21,694.37
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,545.52 |
| Max. Negotiated Rate |
$19,524.93 |
| Rate for Payer: Aetna American Axle |
$14,101.34
|
| Rate for Payer: Aetna Commercial |
$18,440.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,101.34
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cofinity Commercial |
$15,186.06
|
| Rate for Payer: Cofinity Commercial |
$18,657.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$15,186.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,355.50
|
| Rate for Payer: Healthscope Commercial |
$19,524.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,186.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,270.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,440.21
|
| Rate for Payer: PHP Commercial |
$18,440.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,101.34
|
| Rate for Payer: Priority Health SBD |
$13,667.45
|
| Rate for Payer: UMR Bronson Commercial |
$9,545.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,270.78
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$16,428.77
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,228.66 |
| Max. Negotiated Rate |
$14,785.89 |
| Rate for Payer: Aetna American Axle |
$10,678.70
|
| Rate for Payer: Aetna Commercial |
$13,964.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,678.70
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cofinity Commercial |
$11,500.14
|
| Rate for Payer: Cofinity Commercial |
$14,128.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$11,500.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,143.02
|
| Rate for Payer: Healthscope Commercial |
$14,785.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,500.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,321.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,964.45
|
| Rate for Payer: PHP Commercial |
$13,964.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,678.70
|
| Rate for Payer: Priority Health SBD |
$10,350.13
|
| Rate for Payer: UMR Bronson Commercial |
$7,228.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,321.58
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$16,428.77
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$339.22 |
| Max. Negotiated Rate |
$32,227.28 |
| Rate for Payer: Aetna American Axle |
$10,678.70
|
| Rate for Payer: Aetna Commercial |
$13,964.45
|
| Rate for Payer: Aetna Medicare |
$10,663.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,678.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,817.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,817.15
|
| Rate for Payer: BCBS Complete |
$5,770.79
|
| Rate for Payer: BCBS MAPPO |
$10,253.72
|
| Rate for Payer: BCBS Trust/PPO |
$8,430.79
|
| Rate for Payer: BCN Commercial |
$8,430.79
|
| Rate for Payer: BCN Medicare Advantage |
$10,253.72
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cofinity Commercial |
$14,128.74
|
| Rate for Payer: Cofinity Commercial |
$11,500.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$11,500.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,143.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,253.72
|
| Rate for Payer: Healthscope Commercial |
$14,785.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11,500.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12,321.58
|
| Rate for Payer: Mclaren Medicaid |
$5,495.99
|
| Rate for Payer: Mclaren Medicare |
$10,253.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,766.41
|
| Rate for Payer: Meridian Medicaid |
$5,770.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,791.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,964.45
|
| Rate for Payer: Nomi Health Commercial |
$21,532.81
|
| Rate for Payer: PACE Medicare |
$9,741.03
|
| Rate for Payer: PACE SWMI |
$10,253.72
|
| Rate for Payer: PHP Commercial |
$13,964.45
|
| Rate for Payer: PHP Medicare Advantage |
$10,253.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,495.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,678.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,227.28
|
| Rate for Payer: Priority Health Medicare |
$10,253.72
|
| Rate for Payer: Priority Health Narrow Network |
$25,781.82
|
| Rate for Payer: Priority Health SBD |
$10,350.13
|
| Rate for Payer: Railroad Medicare Medicare |
$10,253.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$373.14
|
| Rate for Payer: UHC Core |
$13,752.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,253.72
|
| Rate for Payer: UHC Exchange |
$339.22
|
| Rate for Payer: UHC Medicare Advantage |
$10,253.72
|
| Rate for Payer: UHCCP Medicaid |
$5,495.99
|
| Rate for Payer: UMR Bronson Commercial |
$6,078.64
|
| Rate for Payer: VA VA |
$10,253.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12,321.58
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$3,052.33
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,343.03 |
| Max. Negotiated Rate |
$2,747.10 |
| Rate for Payer: Aetna American Axle |
$1,984.01
|
| Rate for Payer: Aetna Commercial |
$2,594.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,984.01
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cofinity Commercial |
$2,136.63
|
| Rate for Payer: Cofinity Commercial |
$2,625.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,136.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,441.86
|
| Rate for Payer: Healthscope Commercial |
$2,747.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,136.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,289.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.48
|
| Rate for Payer: PHP Commercial |
$2,594.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,984.01
|
| Rate for Payer: Priority Health SBD |
$1,922.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,343.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,289.25
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$3,052.33
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$195.42 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$1,984.01
|
| Rate for Payer: Aetna Commercial |
$2,594.48
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,984.01
|
| 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 |
$1,793.20
|
| Rate for Payer: BCN Commercial |
$1,793.20
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cofinity Commercial |
$2,625.00
|
| Rate for Payer: Cofinity Commercial |
$2,136.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,136.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,441.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$2,747.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,136.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,289.25
|
| 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 |
$2,594.48
|
| Rate for Payer: Nomi Health Commercial |
$6,476.11
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$2,594.48
|
| 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 |
$1,984.01
|
| 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 |
$1,922.97
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$214.96
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$195.42
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,129.36
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,289.25
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,665.71
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,172.91 |
| Max. Negotiated Rate |
$2,399.14 |
| Rate for Payer: Aetna American Axle |
$1,732.71
|
| Rate for Payer: Aetna Commercial |
$2,265.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,732.71
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cofinity Commercial |
$1,866.00
|
| Rate for Payer: Cofinity Commercial |
$2,292.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,866.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,132.57
|
| Rate for Payer: Healthscope Commercial |
$2,399.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,866.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,999.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,265.85
|
| Rate for Payer: PHP Commercial |
$2,265.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.71
|
| Rate for Payer: Priority Health SBD |
$1,679.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,172.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,999.28
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,665.71
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$265.39 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$1,732.71
|
| Rate for Payer: Aetna Commercial |
$2,265.85
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,732.71
|
| 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 |
$1,986.82
|
| Rate for Payer: BCN Commercial |
$1,986.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cofinity Commercial |
$2,292.51
|
| Rate for Payer: Cofinity Commercial |
$1,866.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,866.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,132.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$2,399.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,866.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,999.28
|
| 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 |
$2,265.85
|
| Rate for Payer: Nomi Health Commercial |
$6,476.11
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$2,265.85
|
| 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 |
$1,732.71
|
| 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 |
$1,679.40
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$291.93
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$265.39
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$986.31
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,999.28
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,470.89
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$62.25 |
| Max. Negotiated Rate |
$4,783.71 |
| Rate for Payer: Aetna American Axle |
$956.08
|
| Rate for Payer: Aetna Commercial |
$1,250.26
|
| Rate for Payer: Aetna Medicare |
$1,582.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$956.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,902.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,902.54
|
| Rate for Payer: BCBS Complete |
$856.60
|
| Rate for Payer: BCBS MAPPO |
$1,522.03
|
| Rate for Payer: BCBS Trust/PPO |
$671.78
|
| Rate for Payer: BCN Commercial |
$671.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.03
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cofinity Commercial |
$1,264.97
|
| Rate for Payer: Cofinity Commercial |
$1,029.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,029.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,176.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.03
|
| Rate for Payer: Healthscope Commercial |
$1,323.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,029.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,103.17
|
| Rate for Payer: Mclaren Medicaid |
$815.81
|
| Rate for Payer: Mclaren Medicare |
$1,522.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.13
|
| Rate for Payer: Meridian Medicaid |
$856.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,750.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,250.26
|
| Rate for Payer: Nomi Health Commercial |
$3,196.26
|
| Rate for Payer: PACE Medicare |
$1,445.93
|
| Rate for Payer: PACE SWMI |
$1,522.03
|
| Rate for Payer: PHP Commercial |
$1,250.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$815.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,783.71
|
| Rate for Payer: Priority Health Medicare |
$1,522.03
|
| Rate for Payer: Priority Health Narrow Network |
$3,826.97
|
| Rate for Payer: Priority Health SBD |
$926.66
|
| Rate for Payer: Railroad Medicare Medicare |
$1,522.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.48
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.03
|
| Rate for Payer: UHC Exchange |
$62.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.03
|
| Rate for Payer: UHCCP Medicaid |
$815.81
|
| Rate for Payer: UMR Bronson Commercial |
$544.23
|
| Rate for Payer: VA VA |
$1,522.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,103.17
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,470.89
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$647.19 |
| Max. Negotiated Rate |
$1,323.80 |
| Rate for Payer: Aetna American Axle |
$956.08
|
| Rate for Payer: Aetna Commercial |
$1,250.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$956.08
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cofinity Commercial |
$1,029.62
|
| Rate for Payer: Cofinity Commercial |
$1,264.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,029.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,176.71
|
| Rate for Payer: Healthscope Commercial |
$1,323.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,029.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,103.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,250.26
|
| Rate for Payer: PHP Commercial |
$1,250.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.08
|
| Rate for Payer: Priority Health SBD |
$926.66
|
| Rate for Payer: UMR Bronson Commercial |
$647.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,103.17
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,573.82
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$274.88 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$2,972.98
|
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,972.98
|
| 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 |
$1,793.20
|
| Rate for Payer: BCN Commercial |
$1,793.20
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Cofinity Commercial |
$3,201.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,201.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,201.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| 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 |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$6,476.11
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| 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 |
$2,972.98
|
| 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 |
$2,881.51
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$302.37
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$274.88
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,692.31
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,573.82
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,012.48 |
| Max. Negotiated Rate |
$4,116.44 |
| Rate for Payer: Aetna American Axle |
$2,972.98
|
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,972.98
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,201.67
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,201.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,201.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health SBD |
$2,881.51
|
| Rate for Payer: UMR Bronson Commercial |
$2,012.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,573.82
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,012.48 |
| Max. Negotiated Rate |
$4,116.44 |
| Rate for Payer: Aetna American Axle |
$2,972.98
|
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,972.98
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,201.67
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,201.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,201.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health SBD |
$2,881.51
|
| Rate for Payer: UMR Bronson Commercial |
$2,012.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
OP
|
$4,573.82
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$319.28 |
| Max. Negotiated Rate |
$16,646.50 |
| Rate for Payer: Aetna American Axle |
$2,972.98
|
| Rate for Payer: Aetna Commercial |
$3,887.75
|
| Rate for Payer: Aetna Medicare |
$5,508.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,972.98
|
| 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 |
$5,605.33
|
| Rate for Payer: BCN Commercial |
$5,605.33
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$3,933.49
|
| Rate for Payer: Cofinity Commercial |
$3,201.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,201.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.40
|
| Rate for Payer: Healthscope Commercial |
$4,116.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,201.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,430.36
|
| 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 |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$11,122.44
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$3,887.75
|
| 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 |
$2,972.98
|
| 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 |
$2,881.51
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.21
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$319.28
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,692.31
|
| Rate for Payer: VA VA |
$5,296.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,430.36
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$3,292.89
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,448.87 |
| Max. Negotiated Rate |
$2,963.60 |
| Rate for Payer: Aetna American Axle |
$2,140.38
|
| Rate for Payer: Aetna Commercial |
$2,798.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,140.38
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cofinity Commercial |
$2,305.02
|
| Rate for Payer: Cofinity Commercial |
$2,831.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,305.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,634.31
|
| Rate for Payer: Healthscope Commercial |
$2,963.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,305.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,469.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,798.96
|
| Rate for Payer: PHP Commercial |
$2,798.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,140.38
|
| Rate for Payer: Priority Health SBD |
$2,074.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,448.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,469.67
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,292.89
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$173.50 |
| Max. Negotiated Rate |
$9,692.51 |
| Rate for Payer: Aetna American Axle |
$2,140.38
|
| Rate for Payer: Aetna Commercial |
$2,798.96
|
| Rate for Payer: Aetna Medicare |
$3,207.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,140.38
|
| 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 |
$2,567.41
|
| Rate for Payer: BCN Commercial |
$2,567.41
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cofinity Commercial |
$2,831.89
|
| Rate for Payer: Cofinity Commercial |
$2,305.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,305.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,634.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$2,963.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,305.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,469.67
|
| 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 |
$2,798.96
|
| Rate for Payer: Nomi Health Commercial |
$6,476.11
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$2,798.96
|
| 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 |
$2,140.38
|
| 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 |
$2,074.52
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$190.85
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$173.50
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,218.37
|
| Rate for Payer: VA VA |
$3,083.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,469.67
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
OP
|
$1,970.18
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$55.54 |
| Max. Negotiated Rate |
$4,783.71 |
| Rate for Payer: Aetna American Axle |
$1,280.62
|
| Rate for Payer: Aetna Commercial |
$1,674.65
|
| Rate for Payer: Aetna Medicare |
$1,582.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,280.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,902.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,902.54
|
| Rate for Payer: BCBS Complete |
$856.60
|
| Rate for Payer: BCBS MAPPO |
$1,522.03
|
| Rate for Payer: BCBS Trust/PPO |
$941.13
|
| Rate for Payer: BCN Commercial |
$941.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.03
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cofinity Commercial |
$1,694.35
|
| Rate for Payer: Cofinity Commercial |
$1,379.13
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,379.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,576.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.03
|
| Rate for Payer: Healthscope Commercial |
$1,773.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,379.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,477.64
|
| Rate for Payer: Mclaren Medicaid |
$815.81
|
| Rate for Payer: Mclaren Medicare |
$1,522.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.13
|
| Rate for Payer: Meridian Medicaid |
$856.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,750.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,674.65
|
| Rate for Payer: Nomi Health Commercial |
$3,196.26
|
| Rate for Payer: PACE Medicare |
$1,445.93
|
| Rate for Payer: PACE SWMI |
$1,522.03
|
| Rate for Payer: PHP Commercial |
$1,674.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$815.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,783.71
|
| Rate for Payer: Priority Health Medicare |
$1,522.03
|
| Rate for Payer: Priority Health Narrow Network |
$3,826.97
|
| Rate for Payer: Priority Health SBD |
$1,241.21
|
| Rate for Payer: Railroad Medicare Medicare |
$1,522.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.09
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.03
|
| Rate for Payer: UHC Exchange |
$55.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.03
|
| Rate for Payer: UHCCP Medicaid |
$815.81
|
| Rate for Payer: UMR Bronson Commercial |
$728.97
|
| Rate for Payer: VA VA |
$1,522.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,477.64
|
|
|
HC REPLACEMENT OF PICC W IMAGING
|
Facility
|
IP
|
$1,970.18
|
|
|
Service Code
|
CPT 36584
|
| Hospital Charge Code |
36100138
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$866.88 |
| Max. Negotiated Rate |
$1,773.16 |
| Rate for Payer: Aetna American Axle |
$1,280.62
|
| Rate for Payer: Aetna Commercial |
$1,674.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,280.62
|
| Rate for Payer: Cash Price |
$1,576.14
|
| Rate for Payer: Cofinity Commercial |
$1,379.13
|
| Rate for Payer: Cofinity Commercial |
$1,694.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,379.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,576.14
|
| Rate for Payer: Healthscope Commercial |
$1,773.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,379.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,477.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,674.65
|
| Rate for Payer: PHP Commercial |
$1,674.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.62
|
| Rate for Payer: Priority Health SBD |
$1,241.21
|
| Rate for Payer: UMR Bronson Commercial |
$866.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,477.64
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
OP
|
$1,064.33
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$324.69 |
| Max. Negotiated Rate |
$1,903.90 |
| Rate for Payer: Aetna American Axle |
$691.81
|
| Rate for Payer: Aetna Commercial |
$904.68
|
| Rate for Payer: Aetna Medicare |
$629.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$691.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$757.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$757.20
|
| Rate for Payer: BCBS Complete |
$340.92
|
| Rate for Payer: BCBS MAPPO |
$605.76
|
| Rate for Payer: BCBS Trust/PPO |
$638.95
|
| Rate for Payer: BCN Commercial |
$638.95
|
| Rate for Payer: BCN Medicare Advantage |
$605.76
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cofinity Commercial |
$915.32
|
| Rate for Payer: Cofinity Commercial |
$745.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$745.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.76
|
| Rate for Payer: Healthscope Commercial |
$957.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$745.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.25
|
| Rate for Payer: Mclaren Medicaid |
$324.69
|
| Rate for Payer: Mclaren Medicare |
$605.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$636.05
|
| Rate for Payer: Meridian Medicaid |
$340.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$696.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$904.68
|
| Rate for Payer: Nomi Health Commercial |
$1,272.10
|
| Rate for Payer: PACE Medicare |
$575.47
|
| Rate for Payer: PACE SWMI |
$605.76
|
| Rate for Payer: PHP Commercial |
$904.68
|
| Rate for Payer: PHP Medicare Advantage |
$605.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$691.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,903.90
|
| Rate for Payer: Priority Health Medicare |
$605.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,523.12
|
| Rate for Payer: Priority Health SBD |
$670.53
|
| Rate for Payer: Railroad Medicare Medicare |
$605.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,705.15
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$605.76
|
| Rate for Payer: UHC Exchange |
$1,157.67
|
| Rate for Payer: UHC Medicare Advantage |
$605.76
|
| Rate for Payer: UHCCP Medicaid |
$324.69
|
| Rate for Payer: UMR Bronson Commercial |
$393.80
|
| Rate for Payer: VA VA |
$605.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.25
|
|
|
HC REPLACEMENT OF PICC WO IMAGING
|
Facility
|
IP
|
$1,064.33
|
|
|
Service Code
|
CPT 37799
|
| Hospital Charge Code |
36100563
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$468.31 |
| Max. Negotiated Rate |
$957.90 |
| Rate for Payer: Aetna American Axle |
$691.81
|
| Rate for Payer: Aetna Commercial |
$904.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$691.81
|
| Rate for Payer: Cash Price |
$851.46
|
| Rate for Payer: Cofinity Commercial |
$745.03
|
| Rate for Payer: Cofinity Commercial |
$915.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$745.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.46
|
| Rate for Payer: Healthscope Commercial |
$957.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$745.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$904.68
|
| Rate for Payer: PHP Commercial |
$904.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$691.81
|
| Rate for Payer: Priority Health SBD |
$670.53
|
| Rate for Payer: UMR Bronson Commercial |
$468.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.25
|
|
|
HC REPLACE MULTICHAMBER ICD
|
Facility
|
IP
|
$21,913.52
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
36100359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,641.95 |
| Max. Negotiated Rate |
$19,722.17 |
| Rate for Payer: Aetna American Axle |
$14,243.79
|
| Rate for Payer: Aetna Commercial |
$18,626.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,243.79
|
| Rate for Payer: Cash Price |
$17,530.82
|
| Rate for Payer: Cofinity Commercial |
$15,339.46
|
| Rate for Payer: Cofinity Commercial |
$18,845.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$15,339.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,530.82
|
| Rate for Payer: Healthscope Commercial |
$19,722.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,339.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,435.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,626.49
|
| Rate for Payer: PHP Commercial |
$18,626.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,243.79
|
| Rate for Payer: Priority Health SBD |
$13,805.52
|
| Rate for Payer: UMR Bronson Commercial |
$9,641.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,435.14
|
|
