|
HC ASPIRATION CYST OVARIAN ABDOMINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$4,421.07
|
|
|
Service Code
|
CPT 58805
|
| Hospital Charge Code |
36100258
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,315.80 |
| Max. Negotiated Rate |
$4,421.07 |
| Rate for Payer: Aetna Commercial |
$3,978.96
|
| Rate for Payer: ASR ASR |
$4,288.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,630.58
|
| Rate for Payer: BCN Commercial |
$3,630.58
|
| Rate for Payer: Cash Price |
$3,536.86
|
| Rate for Payer: Cofinity Commercial |
$4,155.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,536.86
|
| Rate for Payer: Healthscope Commercial |
$4,288.44
|
| Rate for Payer: Healthscope Whirlpool |
$4,421.07
|
| Rate for Payer: Mclaren Commercial |
$3,978.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,757.91
|
| Rate for Payer: Nomi Health Commercial |
$3,625.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,315.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,890.54
|
|
|
HC ASPIRATION CYST OVARIAN ABDOMINAL APPROACH UNI OR BIL
|
Facility
|
OP
|
$4,421.07
|
|
|
Service Code
|
CPT 58805
|
| Hospital Charge Code |
36100258
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,686.93 |
| Max. Negotiated Rate |
$4,999.51 |
| Rate for Payer: Aetna Commercial |
$3,978.96
|
| Rate for Payer: Aetna Medicare |
$3,225.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: ASR ASR |
$4,288.44
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$3,645.17
|
| Rate for Payer: BCN Commercial |
$3,645.17
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Cash Price |
$3,536.86
|
| Rate for Payer: Cash Price |
$3,536.86
|
| Rate for Payer: Cofinity Commercial |
$4,155.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,536.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Healthscope Commercial |
$4,288.44
|
| Rate for Payer: Healthscope Whirlpool |
$4,421.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,225.49
|
| Rate for Payer: Mclaren Commercial |
$3,978.96
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$1,771.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,757.91
|
| Rate for Payer: Nomi Health Commercial |
$3,625.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,315.80
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Commercial |
$3,548.04
|
| Rate for Payer: PHP Medicaid |
$1,728.86
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,873.74
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health Narrow Network |
$3,099.17
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,890.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Exchange |
$4,999.51
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP DNSP |
$3,225.49
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: VA VA |
$3,225.49
|
|
|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
OP
|
$2,595.19
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,686.93 |
| Max. Negotiated Rate |
$4,999.51 |
| Rate for Payer: Aetna Commercial |
$2,335.67
|
| Rate for Payer: Aetna Medicare |
$3,225.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: ASR ASR |
$2,517.33
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,139.73
|
| Rate for Payer: BCN Commercial |
$2,139.73
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Cash Price |
$2,076.15
|
| Rate for Payer: Cash Price |
$2,076.15
|
| Rate for Payer: Cofinity Commercial |
$2,439.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,076.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Healthscope Commercial |
$2,517.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,595.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,225.49
|
| Rate for Payer: Mclaren Commercial |
$2,335.67
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$1,771.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,205.91
|
| Rate for Payer: Nomi Health Commercial |
$2,128.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,946.39
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Commercial |
$3,548.04
|
| Rate for Payer: PHP Medicaid |
$1,728.86
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,273.91
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,819.23
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,283.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Exchange |
$4,999.51
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP DNSP |
$3,225.49
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: VA VA |
$3,225.49
|
|
|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$2,595.19
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,946.39 |
| Max. Negotiated Rate |
$2,595.19 |
| Rate for Payer: Aetna Commercial |
$2,335.67
|
| Rate for Payer: ASR ASR |
$2,517.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,131.17
|
| Rate for Payer: BCN Commercial |
$2,131.17
|
| Rate for Payer: Cash Price |
$2,076.15
|
| Rate for Payer: Cofinity Commercial |
$2,439.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,076.15
|
| Rate for Payer: Healthscope Commercial |
$2,517.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,595.19
|
| Rate for Payer: Mclaren Commercial |
$2,335.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,205.91
|
| Rate for Payer: Nomi Health Commercial |
$2,128.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,946.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,283.77
|
|
|
HC ASPIRATION DISK
|
Facility
|
OP
|
$4,706.49
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$4,706.49 |
| Rate for Payer: Aetna Commercial |
$4,235.84
|
| Rate for Payer: Aetna Medicare |
$1,945.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: ASR ASR |
$4,565.30
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,880.50
|
| Rate for Payer: BCN Commercial |
$3,880.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cofinity Commercial |
$4,424.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,765.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$4,565.30
|
| Rate for Payer: Healthscope Whirlpool |
$4,706.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,945.70
|
| Rate for Payer: Mclaren Commercial |
$4,235.84
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$1,068.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.52
|
| Rate for Payer: Nomi Health Commercial |
$3,859.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,529.87
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,140.27
|
| Rate for Payer: PHP Medicaid |
$1,042.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,123.83
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health Narrow Network |
$3,299.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,141.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$3,015.84
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP DNSP |
$1,945.70
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: VA VA |
$1,945.70
|
|
|
HC ASPIRATION DISK
|
Facility
|
IP
|
$4,706.49
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,529.87 |
| Max. Negotiated Rate |
$4,706.49 |
| Rate for Payer: Aetna Commercial |
$4,235.84
|
| Rate for Payer: ASR ASR |
$4,565.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,864.97
|
| Rate for Payer: BCN Commercial |
$3,864.97
|
| Rate for Payer: Cash Price |
$3,765.19
|
| Rate for Payer: Cofinity Commercial |
$4,424.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,765.19
|
| Rate for Payer: Healthscope Commercial |
$4,565.30
|
| Rate for Payer: Healthscope Whirlpool |
$4,706.49
|
| Rate for Payer: Mclaren Commercial |
$4,235.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.52
|
| Rate for Payer: Nomi Health Commercial |
$3,859.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,529.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,141.71
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
IP
|
$422.82
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$317.12 |
| Max. Negotiated Rate |
$422.82 |
| Rate for Payer: Aetna Commercial |
$380.54
|
| Rate for Payer: ASR ASR |
$410.14
|
| Rate for Payer: BCBS Trust/PPO |
$347.22
|
| Rate for Payer: BCN Commercial |
$347.22
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cofinity Commercial |
$397.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.26
|
| Rate for Payer: Healthscope Commercial |
$410.14
|
| Rate for Payer: Healthscope Whirlpool |
$422.82
|
| Rate for Payer: Mclaren Commercial |
$380.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.40
|
| Rate for Payer: Nomi Health Commercial |
$346.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$372.08
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
OP
|
$422.82
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$156.44 |
| Max. Negotiated Rate |
$422.82 |
| Rate for Payer: Aetna Commercial |
$380.54
|
| Rate for Payer: Aetna Medicare |
$156.44
|
| Rate for Payer: ASR ASR |
$410.14
|
| Rate for Payer: BCBS Complete |
$169.13
|
| Rate for Payer: BCBS Trust/PPO |
$348.62
|
| Rate for Payer: BCN Commercial |
$348.62
|
| Rate for Payer: Cash Price |
$338.26
|
| Rate for Payer: Cofinity Commercial |
$397.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.26
|
| Rate for Payer: Healthscope Commercial |
$410.14
|
| Rate for Payer: Healthscope Whirlpool |
$422.82
|
| Rate for Payer: Mclaren Commercial |
$380.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$338.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359.40
|
| Rate for Payer: Nomi Health Commercial |
$346.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$370.47
|
| Rate for Payer: Priority Health Narrow Network |
$296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$372.08
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
OP
|
$503.73
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$369.02 |
| Max. Negotiated Rate |
$1,093.66 |
| Rate for Payer: Aetna Commercial |
$453.36
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$488.62
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$415.33
|
| Rate for Payer: BCN Commercial |
$415.33
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cofinity Commercial |
$473.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$488.62
|
| Rate for Payer: Healthscope Whirlpool |
$503.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$453.36
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$428.17
|
| Rate for Payer: Nomi Health Commercial |
$413.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.80
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$765.08
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$612.07
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$443.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
IP
|
$503.73
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$377.80 |
| Max. Negotiated Rate |
$503.73 |
| Rate for Payer: Aetna Commercial |
$453.36
|
| Rate for Payer: ASR ASR |
$488.62
|
| Rate for Payer: BCBS Trust/PPO |
$413.66
|
| Rate for Payer: BCN Commercial |
$413.66
|
| Rate for Payer: Cash Price |
$402.98
|
| Rate for Payer: Cofinity Commercial |
$473.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.98
|
| Rate for Payer: Healthscope Commercial |
$488.62
|
| Rate for Payer: Healthscope Whirlpool |
$503.73
|
| Rate for Payer: Mclaren Commercial |
$453.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$428.17
|
| Rate for Payer: Nomi Health Commercial |
$413.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$377.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$443.28
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
OP
|
$238.35
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$52.94 |
| Max. Negotiated Rate |
$238.35 |
| Rate for Payer: Aetna Commercial |
$214.51
|
| Rate for Payer: Aetna Medicare |
$101.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.53
|
| Rate for Payer: ASR ASR |
$231.20
|
| Rate for Payer: BCBS Complete |
$55.59
|
| Rate for Payer: BCBS MAPPO |
$101.22
|
| Rate for Payer: BCBS Trust/PPO |
$196.52
|
| Rate for Payer: BCN Commercial |
$196.52
|
| Rate for Payer: BCN Medicare Advantage |
$101.22
|
| Rate for Payer: Cash Price |
$190.68
|
| Rate for Payer: Cash Price |
$190.68
|
| Rate for Payer: Cofinity Commercial |
$224.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.22
|
| Rate for Payer: Healthscope Commercial |
$231.20
|
| Rate for Payer: Healthscope Whirlpool |
$238.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$101.22
|
| Rate for Payer: Mclaren Commercial |
$214.51
|
| Rate for Payer: Mclaren Medicaid |
$101.22
|
| Rate for Payer: Mclaren Medicare |
$101.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.28
|
| Rate for Payer: Meridian Medicaid |
$55.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.60
|
| Rate for Payer: Nomi Health Commercial |
$195.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.76
|
| Rate for Payer: PACE Medicare |
$96.16
|
| Rate for Payer: PACE SWMI |
$101.22
|
| Rate for Payer: PHP Commercial |
$111.34
|
| Rate for Payer: PHP Medicaid |
$54.25
|
| Rate for Payer: PHP Medicare Advantage |
$101.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$90.81
|
| Rate for Payer: Priority Health Medicare |
$101.22
|
| Rate for Payer: Priority Health Narrow Network |
$72.65
|
| Rate for Payer: Railroad Medicare Medicare |
$101.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$209.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$101.22
|
| Rate for Payer: UHC Exchange |
$156.89
|
| Rate for Payer: UHC Medicaid |
$52.94
|
| Rate for Payer: UHCCP DNSP |
$101.22
|
| Rate for Payer: UHCCP Medicaid |
$52.94
|
| Rate for Payer: VA VA |
$101.22
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
IP
|
$238.35
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$178.76 |
| Max. Negotiated Rate |
$238.35 |
| Rate for Payer: Aetna Commercial |
$214.51
|
| Rate for Payer: ASR ASR |
$231.20
|
| Rate for Payer: BCBS Trust/PPO |
$195.73
|
| Rate for Payer: BCN Commercial |
$195.73
|
| Rate for Payer: Cash Price |
$190.68
|
| Rate for Payer: Cofinity Commercial |
$224.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.68
|
| Rate for Payer: Healthscope Commercial |
$231.20
|
| Rate for Payer: Healthscope Whirlpool |
$238.35
|
| Rate for Payer: Mclaren Commercial |
$214.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.60
|
| Rate for Payer: Nomi Health Commercial |
$195.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$209.75
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
OP
|
$1,637.46
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$605.86 |
| Max. Negotiated Rate |
$1,637.46 |
| Rate for Payer: Aetna Commercial |
$1,473.71
|
| Rate for Payer: Aetna Medicare |
$605.86
|
| Rate for Payer: ASR ASR |
$1,588.34
|
| Rate for Payer: BCBS Complete |
$654.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,350.09
|
| Rate for Payer: BCN Commercial |
$1,350.09
|
| Rate for Payer: Cash Price |
$1,309.97
|
| Rate for Payer: Cofinity Commercial |
$1,539.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,309.97
|
| Rate for Payer: Healthscope Commercial |
$1,588.34
|
| Rate for Payer: Healthscope Whirlpool |
$1,637.46
|
| Rate for Payer: Mclaren Commercial |
$1,473.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,309.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,391.84
|
| Rate for Payer: Nomi Health Commercial |
$1,342.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,228.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,434.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,147.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,440.96
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
IP
|
$1,637.46
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$1,228.10 |
| Max. Negotiated Rate |
$1,637.46 |
| Rate for Payer: Aetna Commercial |
$1,473.71
|
| Rate for Payer: ASR ASR |
$1,588.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,344.68
|
| Rate for Payer: BCN Commercial |
$1,344.68
|
| Rate for Payer: Cash Price |
$1,309.97
|
| Rate for Payer: Cofinity Commercial |
$1,539.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,309.97
|
| Rate for Payer: Healthscope Commercial |
$1,588.34
|
| Rate for Payer: Healthscope Whirlpool |
$1,637.46
|
| Rate for Payer: Mclaren Commercial |
$1,473.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,391.84
|
| Rate for Payer: Nomi Health Commercial |
$1,342.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,228.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,440.96
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
IP
|
$15,187.37
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,390.53 |
| Max. Negotiated Rate |
$15,187.37 |
| Rate for Payer: Aetna Commercial |
$13,668.63
|
| Rate for Payer: ASR ASR |
$14,731.75
|
| Rate for Payer: BCBS Trust/PPO |
$12,471.87
|
| Rate for Payer: BCN Commercial |
$12,471.87
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Commercial |
$14,276.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Healthscope Commercial |
$14,731.75
|
| Rate for Payer: Healthscope Whirlpool |
$15,187.37
|
| Rate for Payer: Mclaren Commercial |
$13,668.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Nomi Health Commercial |
$12,453.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,364.89
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
OP
|
$15,187.37
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$17,829.15 |
| Rate for Payer: Aetna Commercial |
$13,668.63
|
| Rate for Payer: Aetna Medicare |
$11,502.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: ASR ASR |
$14,731.75
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$12,521.99
|
| Rate for Payer: BCN Commercial |
$12,521.99
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Commercial |
$14,276.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$14,731.75
|
| Rate for Payer: Healthscope Whirlpool |
$15,187.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,502.68
|
| Rate for Payer: Mclaren Commercial |
$13,668.63
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$6,317.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Nomi Health Commercial |
$12,453.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$12,652.95
|
| Rate for Payer: PHP Medicaid |
$6,165.44
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13,307.17
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health Narrow Network |
$10,646.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,364.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Exchange |
$17,829.15
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP DNSP |
$11,502.68
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: VA VA |
$11,502.68
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
IP
|
$15,187.37
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,390.53 |
| Max. Negotiated Rate |
$15,187.37 |
| Rate for Payer: Aetna Commercial |
$13,668.63
|
| Rate for Payer: ASR ASR |
$14,731.75
|
| Rate for Payer: BCBS Trust/PPO |
$12,471.87
|
| Rate for Payer: BCN Commercial |
$12,471.87
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Commercial |
$14,276.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Healthscope Commercial |
$14,731.75
|
| Rate for Payer: Healthscope Whirlpool |
$15,187.37
|
| Rate for Payer: Mclaren Commercial |
$13,668.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Nomi Health Commercial |
$12,453.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,364.89
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
OP
|
$15,187.37
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$17,829.15 |
| Rate for Payer: Aetna Commercial |
$13,668.63
|
| Rate for Payer: Aetna Medicare |
$11,502.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: ASR ASR |
$14,731.75
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$12,521.99
|
| Rate for Payer: BCN Commercial |
$12,521.99
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cash Price |
$12,149.90
|
| Rate for Payer: Cofinity Commercial |
$14,276.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,149.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$14,731.75
|
| Rate for Payer: Healthscope Whirlpool |
$15,187.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,502.68
|
| Rate for Payer: Mclaren Commercial |
$13,668.63
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$6,317.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,909.26
|
| Rate for Payer: Nomi Health Commercial |
$12,453.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,390.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$12,652.95
|
| Rate for Payer: PHP Medicaid |
$6,165.44
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13,307.17
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health Narrow Network |
$10,646.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,364.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Exchange |
$17,829.15
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP DNSP |
$11,502.68
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: VA VA |
$11,502.68
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
OP
|
$12,327.15
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,641.33 |
| Max. Negotiated Rate |
$28,311.87 |
| Rate for Payer: Aetna Commercial |
$11,094.43
|
| Rate for Payer: Aetna Medicare |
$18,265.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: ASR ASR |
$11,957.34
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCBS Trust/PPO |
$10,163.74
|
| Rate for Payer: BCN Commercial |
$10,163.74
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cofinity Commercial |
$11,587.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,861.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$11,957.34
|
| Rate for Payer: Healthscope Whirlpool |
$12,327.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,265.72
|
| Rate for Payer: Mclaren Commercial |
$11,094.43
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$10,031.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,478.08
|
| Rate for Payer: Nomi Health Commercial |
$10,108.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,245.36
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$20,092.29
|
| Rate for Payer: PHP Medicaid |
$9,790.43
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10,801.05
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health Narrow Network |
$8,641.33
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,847.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Exchange |
$28,311.87
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP DNSP |
$18,265.72
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: VA VA |
$18,265.72
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
IP
|
$12,327.15
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,245.36 |
| Max. Negotiated Rate |
$12,327.15 |
| Rate for Payer: Aetna Commercial |
$11,094.43
|
| Rate for Payer: ASR ASR |
$11,957.34
|
| Rate for Payer: BCBS Trust/PPO |
$10,123.06
|
| Rate for Payer: BCN Commercial |
$10,123.06
|
| Rate for Payer: Cash Price |
$9,861.72
|
| Rate for Payer: Cofinity Commercial |
$11,587.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,861.72
|
| Rate for Payer: Healthscope Commercial |
$11,957.34
|
| Rate for Payer: Healthscope Whirlpool |
$12,327.15
|
| Rate for Payer: Mclaren Commercial |
$11,094.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,478.08
|
| Rate for Payer: Nomi Health Commercial |
$10,108.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,245.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,847.89
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
OP
|
$13,229.90
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$17,829.15 |
| Rate for Payer: Aetna Commercial |
$11,906.91
|
| Rate for Payer: Aetna Medicare |
$11,502.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: ASR ASR |
$12,833.00
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$10,908.05
|
| Rate for Payer: BCN Commercial |
$10,908.05
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Commercial |
$12,436.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$12,833.00
|
| Rate for Payer: Healthscope Whirlpool |
$13,229.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,502.68
|
| Rate for Payer: Mclaren Commercial |
$11,906.91
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$6,317.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Nomi Health Commercial |
$10,848.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$12,652.95
|
| Rate for Payer: PHP Medicaid |
$6,165.44
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,592.04
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health Narrow Network |
$9,274.16
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,642.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Exchange |
$17,829.15
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP DNSP |
$11,502.68
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: VA VA |
$11,502.68
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
IP
|
$13,229.90
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,922.42 |
| Max. Negotiated Rate |
$13,229.90 |
| Rate for Payer: Aetna Commercial |
$11,906.91
|
| Rate for Payer: ASR ASR |
$12,833.00
|
| Rate for Payer: BCBS Trust/PPO |
$10,864.39
|
| Rate for Payer: BCN Commercial |
$10,864.39
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Commercial |
$12,436.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Healthscope Commercial |
$12,833.00
|
| Rate for Payer: Healthscope Whirlpool |
$13,229.90
|
| Rate for Payer: Mclaren Commercial |
$11,906.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Nomi Health Commercial |
$10,848.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,642.31
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
OP
|
$13,229.90
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,895.06 |
| Max. Negotiated Rate |
$13,229.90 |
| Rate for Payer: Aetna Commercial |
$11,906.91
|
| Rate for Payer: Aetna Medicare |
$4,895.06
|
| Rate for Payer: ASR ASR |
$12,833.00
|
| Rate for Payer: BCBS Complete |
$5,291.96
|
| Rate for Payer: BCBS Trust/PPO |
$10,908.05
|
| Rate for Payer: BCN Commercial |
$10,908.05
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Commercial |
$12,436.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Healthscope Commercial |
$12,833.00
|
| Rate for Payer: Healthscope Whirlpool |
$13,229.90
|
| Rate for Payer: Mclaren Commercial |
$11,906.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,583.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Nomi Health Commercial |
$10,848.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,592.04
|
| Rate for Payer: Priority Health Narrow Network |
$9,274.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,642.31
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
IP
|
$13,229.90
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,922.42 |
| Max. Negotiated Rate |
$13,229.90 |
| Rate for Payer: Aetna Commercial |
$11,906.91
|
| Rate for Payer: ASR ASR |
$12,833.00
|
| Rate for Payer: BCBS Trust/PPO |
$10,864.39
|
| Rate for Payer: BCN Commercial |
$10,864.39
|
| Rate for Payer: Cash Price |
$10,583.92
|
| Rate for Payer: Cofinity Commercial |
$12,436.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,583.92
|
| Rate for Payer: Healthscope Commercial |
$12,833.00
|
| Rate for Payer: Healthscope Whirlpool |
$13,229.90
|
| Rate for Payer: Mclaren Commercial |
$11,906.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,245.42
|
| Rate for Payer: Nomi Health Commercial |
$10,848.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,922.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,642.31
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
OP
|
$2,295.46
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$849.32 |
| Max. Negotiated Rate |
$2,295.46 |
| Rate for Payer: Aetna Commercial |
$2,065.91
|
| Rate for Payer: Aetna Medicare |
$849.32
|
| Rate for Payer: ASR ASR |
$2,226.60
|
| Rate for Payer: BCBS Complete |
$918.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,892.61
|
| Rate for Payer: BCN Commercial |
$1,892.61
|
| Rate for Payer: Cash Price |
$1,836.37
|
| Rate for Payer: Cofinity Commercial |
$2,157.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,836.37
|
| Rate for Payer: Healthscope Commercial |
$2,226.60
|
| Rate for Payer: Healthscope Whirlpool |
$2,295.46
|
| Rate for Payer: Mclaren Commercial |
$2,065.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,836.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,951.14
|
| Rate for Payer: Nomi Health Commercial |
$1,882.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,011.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,609.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,020.00
|
|
