|
HC BOOT HEEL PROTECT FLUID Z-FLEX
|
Facility
|
IP
|
$151.13
|
|
| Hospital Charge Code |
27000630
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.35 |
| Max. Negotiated Rate |
$151.13 |
| Rate for Payer: Aetna Commercial |
$136.02
|
| Rate for Payer: ASR ASR |
$146.60
|
| Rate for Payer: BCBS Trust/PPO |
$124.11
|
| Rate for Payer: BCN Commercial |
$124.11
|
| Rate for Payer: Cash Price |
$120.90
|
| Rate for Payer: Cofinity Commercial |
$142.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.90
|
| Rate for Payer: Healthscope Commercial |
$146.60
|
| Rate for Payer: Healthscope Whirlpool |
$151.13
|
| Rate for Payer: Mclaren Commercial |
$136.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$128.46
|
| Rate for Payer: Nomi Health Commercial |
$123.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$132.99
|
|
|
HC BOOT HEEL PROTECT FLUID Z-FLEX
|
Facility
|
OP
|
$151.13
|
|
| Hospital Charge Code |
27000630
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.92 |
| Max. Negotiated Rate |
$151.13 |
| Rate for Payer: Aetna Commercial |
$136.02
|
| Rate for Payer: Aetna Medicare |
$55.92
|
| Rate for Payer: ASR ASR |
$146.60
|
| Rate for Payer: BCBS Complete |
$60.45
|
| Rate for Payer: BCBS Trust/PPO |
$124.61
|
| Rate for Payer: BCN Commercial |
$124.61
|
| Rate for Payer: Cash Price |
$120.90
|
| Rate for Payer: Cofinity Commercial |
$142.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.90
|
| Rate for Payer: Healthscope Commercial |
$146.60
|
| Rate for Payer: Healthscope Whirlpool |
$151.13
|
| Rate for Payer: Mclaren Commercial |
$136.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$120.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$128.46
|
| Rate for Payer: Nomi Health Commercial |
$123.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$132.42
|
| Rate for Payer: Priority Health Narrow Network |
$105.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$132.99
|
|
|
HC BOOT STATIC AIR W/STAB Z-FLEX
|
Facility
|
OP
|
$49.78
|
|
| Hospital Charge Code |
27000631
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.42 |
| Max. Negotiated Rate |
$49.78 |
| Rate for Payer: Aetna Commercial |
$44.80
|
| Rate for Payer: Aetna Medicare |
$18.42
|
| Rate for Payer: ASR ASR |
$48.29
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS Trust/PPO |
$41.04
|
| Rate for Payer: BCN Commercial |
$41.04
|
| Rate for Payer: Cash Price |
$39.82
|
| Rate for Payer: Cofinity Commercial |
$46.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.82
|
| Rate for Payer: Healthscope Commercial |
$48.29
|
| Rate for Payer: Healthscope Whirlpool |
$49.78
|
| Rate for Payer: Mclaren Commercial |
$44.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.31
|
| Rate for Payer: Nomi Health Commercial |
$40.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.62
|
| Rate for Payer: Priority Health Narrow Network |
$34.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.81
|
|
|
HC BOOT STATIC AIR W/STAB Z-FLEX
|
Facility
|
IP
|
$49.78
|
|
| Hospital Charge Code |
27000631
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$37.34 |
| Max. Negotiated Rate |
$49.78 |
| Rate for Payer: Aetna Commercial |
$44.80
|
| Rate for Payer: ASR ASR |
$48.29
|
| Rate for Payer: BCBS Trust/PPO |
$40.88
|
| Rate for Payer: BCN Commercial |
$40.88
|
| Rate for Payer: Cash Price |
$39.82
|
| Rate for Payer: Cofinity Commercial |
$46.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.82
|
| Rate for Payer: Healthscope Commercial |
$48.29
|
| Rate for Payer: Healthscope Whirlpool |
$49.78
|
| Rate for Payer: Mclaren Commercial |
$44.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.31
|
| Rate for Payer: Nomi Health Commercial |
$40.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.81
|
|
|
HC BOSTON SCI CRT ICD
|
Facility
|
IP
|
$26,848.56
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500003
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$20,136.42 |
| Max. Negotiated Rate |
$26,848.56 |
| Rate for Payer: Aetna Commercial |
$24,163.70
|
| Rate for Payer: ASR ASR |
$26,043.10
|
| Rate for Payer: BCBS Trust/PPO |
$22,048.04
|
| Rate for Payer: BCN Commercial |
$22,048.04
|
| Rate for Payer: Cash Price |
$21,478.85
|
| Rate for Payer: Cofinity Commercial |
$25,237.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,478.85
|
| Rate for Payer: Healthscope Commercial |
$26,043.10
|
| Rate for Payer: Healthscope Whirlpool |
$26,848.56
|
| Rate for Payer: Mclaren Commercial |
$24,163.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,821.28
|
| Rate for Payer: Nomi Health Commercial |
$22,015.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20,136.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23,626.73
|
|
|
HC BOSTON SCI CRT ICD
|
Facility
|
OP
|
$26,848.56
|
|
|
Service Code
|
HCPCS C1882
|
| Hospital Charge Code |
27500003
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$9,933.97 |
| Max. Negotiated Rate |
$26,848.56 |
| Rate for Payer: Aetna Commercial |
$24,163.70
|
| Rate for Payer: Aetna Medicare |
$9,933.97
|
| Rate for Payer: ASR ASR |
$26,043.10
|
| Rate for Payer: BCBS Complete |
$10,739.42
|
| Rate for Payer: BCBS Trust/PPO |
$22,136.64
|
| Rate for Payer: BCN Commercial |
$22,136.64
|
| Rate for Payer: Cash Price |
$21,478.85
|
| Rate for Payer: Cofinity Commercial |
$25,237.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,478.85
|
| Rate for Payer: Healthscope Commercial |
$26,043.10
|
| Rate for Payer: Healthscope Whirlpool |
$26,848.56
|
| Rate for Payer: Mclaren Commercial |
$24,163.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,478.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,821.28
|
| Rate for Payer: Nomi Health Commercial |
$22,015.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20,136.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$23,524.71
|
| Rate for Payer: Priority Health Narrow Network |
$18,820.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23,626.73
|
|
|
HC BOSTON SCI CRT LEAD
|
Facility
|
OP
|
$7,024.55
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800076
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,599.08 |
| Max. Negotiated Rate |
$7,024.55 |
| Rate for Payer: Aetna Commercial |
$6,322.10
|
| Rate for Payer: Aetna Medicare |
$2,599.08
|
| Rate for Payer: ASR ASR |
$6,813.81
|
| Rate for Payer: BCBS Complete |
$2,809.82
|
| Rate for Payer: BCBS Trust/PPO |
$5,791.74
|
| Rate for Payer: BCN Commercial |
$5,791.74
|
| Rate for Payer: Cash Price |
$5,619.64
|
| Rate for Payer: Cofinity Commercial |
$6,603.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,619.64
|
| Rate for Payer: Healthscope Commercial |
$6,813.81
|
| Rate for Payer: Healthscope Whirlpool |
$7,024.55
|
| Rate for Payer: Mclaren Commercial |
$6,322.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,619.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,970.87
|
| Rate for Payer: Nomi Health Commercial |
$5,760.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,268.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,154.91
|
| Rate for Payer: Priority Health Narrow Network |
$4,924.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,181.60
|
|
|
HC BOSTON SCI CRT LEAD
|
Facility
|
IP
|
$7,024.55
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800076
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,268.41 |
| Max. Negotiated Rate |
$7,024.55 |
| Rate for Payer: Aetna Commercial |
$6,322.10
|
| Rate for Payer: ASR ASR |
$6,813.81
|
| Rate for Payer: BCBS Trust/PPO |
$5,768.56
|
| Rate for Payer: BCN Commercial |
$5,768.56
|
| Rate for Payer: Cash Price |
$5,619.64
|
| Rate for Payer: Cofinity Commercial |
$6,603.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,619.64
|
| Rate for Payer: Healthscope Commercial |
$6,813.81
|
| Rate for Payer: Healthscope Whirlpool |
$7,024.55
|
| Rate for Payer: Mclaren Commercial |
$6,322.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,970.87
|
| Rate for Payer: Nomi Health Commercial |
$5,760.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,268.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,181.60
|
|
|
HC BOSTON SCI DUAL PACEMAKER
|
Facility
|
IP
|
$8,744.36
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500004
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$6,558.27 |
| Max. Negotiated Rate |
$8,744.36 |
| Rate for Payer: Aetna Commercial |
$7,869.92
|
| Rate for Payer: ASR ASR |
$8,482.03
|
| Rate for Payer: BCBS Trust/PPO |
$7,180.87
|
| Rate for Payer: BCN Commercial |
$7,180.87
|
| Rate for Payer: Cash Price |
$6,995.49
|
| Rate for Payer: Cofinity Commercial |
$8,219.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,995.49
|
| Rate for Payer: Healthscope Commercial |
$8,482.03
|
| Rate for Payer: Healthscope Whirlpool |
$8,744.36
|
| Rate for Payer: Mclaren Commercial |
$7,869.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,432.71
|
| Rate for Payer: Nomi Health Commercial |
$7,170.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,558.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,695.04
|
|
|
HC BOSTON SCI DUAL PACEMAKER
|
Facility
|
OP
|
$8,744.36
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500004
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,235.41 |
| Max. Negotiated Rate |
$8,744.36 |
| Rate for Payer: Aetna Commercial |
$7,869.92
|
| Rate for Payer: Aetna Medicare |
$3,235.41
|
| Rate for Payer: ASR ASR |
$8,482.03
|
| Rate for Payer: BCBS Complete |
$3,497.74
|
| Rate for Payer: BCBS Trust/PPO |
$7,209.72
|
| Rate for Payer: BCN Commercial |
$7,209.72
|
| Rate for Payer: Cash Price |
$6,995.49
|
| Rate for Payer: Cofinity Commercial |
$8,219.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,995.49
|
| Rate for Payer: Healthscope Commercial |
$8,482.03
|
| Rate for Payer: Healthscope Whirlpool |
$8,744.36
|
| Rate for Payer: Mclaren Commercial |
$7,869.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,995.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,432.71
|
| Rate for Payer: Nomi Health Commercial |
$7,170.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,558.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,661.81
|
| Rate for Payer: Priority Health Narrow Network |
$6,129.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,695.04
|
|
|
HC BOSTON SCI ICD DUAL
|
Facility
|
OP
|
$18,889.50
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800002
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,989.11 |
| Max. Negotiated Rate |
$18,889.50 |
| Rate for Payer: Aetna Commercial |
$17,000.55
|
| Rate for Payer: Aetna Medicare |
$6,989.11
|
| Rate for Payer: ASR ASR |
$18,322.81
|
| Rate for Payer: BCBS Complete |
$7,555.80
|
| Rate for Payer: BCBS Trust/PPO |
$15,574.39
|
| Rate for Payer: BCN Commercial |
$15,574.39
|
| Rate for Payer: Cash Price |
$15,111.60
|
| Rate for Payer: Cofinity Commercial |
$17,756.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,111.60
|
| Rate for Payer: Healthscope Commercial |
$18,322.81
|
| Rate for Payer: Healthscope Whirlpool |
$18,889.50
|
| Rate for Payer: Mclaren Commercial |
$17,000.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,111.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,056.08
|
| Rate for Payer: Nomi Health Commercial |
$15,489.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,167.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$16,550.98
|
| Rate for Payer: Priority Health Narrow Network |
$13,241.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16,622.76
|
|
|
HC BOSTON SCI ICD DUAL
|
Facility
|
IP
|
$18,889.50
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800002
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14,167.12 |
| Max. Negotiated Rate |
$18,889.50 |
| Rate for Payer: Aetna Commercial |
$17,000.55
|
| Rate for Payer: ASR ASR |
$18,322.81
|
| Rate for Payer: BCBS Trust/PPO |
$15,512.06
|
| Rate for Payer: BCN Commercial |
$15,512.06
|
| Rate for Payer: Cash Price |
$15,111.60
|
| Rate for Payer: Cofinity Commercial |
$17,756.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,111.60
|
| Rate for Payer: Healthscope Commercial |
$18,322.81
|
| Rate for Payer: Healthscope Whirlpool |
$18,889.50
|
| Rate for Payer: Mclaren Commercial |
$17,000.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,056.08
|
| Rate for Payer: Nomi Health Commercial |
$15,489.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14,167.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16,622.76
|
|
|
HC BOSTON SCI ICD SINGLE
|
Facility
|
IP
|
$22,497.61
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800003
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16,873.21 |
| Max. Negotiated Rate |
$22,497.61 |
| Rate for Payer: Aetna Commercial |
$20,247.85
|
| Rate for Payer: ASR ASR |
$21,822.68
|
| Rate for Payer: BCBS Trust/PPO |
$18,475.04
|
| Rate for Payer: BCN Commercial |
$18,475.04
|
| Rate for Payer: Cash Price |
$17,998.09
|
| Rate for Payer: Cofinity Commercial |
$21,147.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,998.09
|
| Rate for Payer: Healthscope Commercial |
$21,822.68
|
| Rate for Payer: Healthscope Whirlpool |
$22,497.61
|
| Rate for Payer: Mclaren Commercial |
$20,247.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,122.97
|
| Rate for Payer: Nomi Health Commercial |
$18,448.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,873.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,797.90
|
|
|
HC BOSTON SCI ICD SINGLE
|
Facility
|
OP
|
$22,497.61
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800003
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,324.12 |
| Max. Negotiated Rate |
$22,497.61 |
| Rate for Payer: Aetna Commercial |
$20,247.85
|
| Rate for Payer: Aetna Medicare |
$8,324.12
|
| Rate for Payer: ASR ASR |
$21,822.68
|
| Rate for Payer: BCBS Complete |
$8,999.04
|
| Rate for Payer: BCBS Trust/PPO |
$18,549.28
|
| Rate for Payer: BCN Commercial |
$18,549.28
|
| Rate for Payer: Cash Price |
$17,998.09
|
| Rate for Payer: Cofinity Commercial |
$21,147.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,998.09
|
| Rate for Payer: Healthscope Commercial |
$21,822.68
|
| Rate for Payer: Healthscope Whirlpool |
$22,497.61
|
| Rate for Payer: Mclaren Commercial |
$20,247.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,998.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,122.97
|
| Rate for Payer: Nomi Health Commercial |
$18,448.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,873.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19,712.41
|
| Rate for Payer: Priority Health Narrow Network |
$15,770.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,797.90
|
|
|
HC BOSTON SCI PACEMAKER LEAD
|
Facility
|
OP
|
$2,302.92
|
|
|
Service Code
|
HCPCS C1898
|
| Hospital Charge Code |
27800074
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$852.08 |
| Max. Negotiated Rate |
$2,302.92 |
| Rate for Payer: Aetna Commercial |
$2,072.63
|
| Rate for Payer: Aetna Medicare |
$852.08
|
| Rate for Payer: ASR ASR |
$2,233.83
|
| Rate for Payer: BCBS Complete |
$921.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,898.76
|
| Rate for Payer: BCN Commercial |
$1,898.76
|
| Rate for Payer: Cash Price |
$1,842.34
|
| Rate for Payer: Cofinity Commercial |
$2,164.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,842.34
|
| Rate for Payer: Healthscope Commercial |
$2,233.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,302.92
|
| Rate for Payer: Mclaren Commercial |
$2,072.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,842.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,957.48
|
| Rate for Payer: Nomi Health Commercial |
$1,888.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,727.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,017.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,614.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,026.57
|
|
|
HC BOSTON SCI PACEMAKER LEAD
|
Facility
|
IP
|
$2,302.92
|
|
|
Service Code
|
HCPCS C1898
|
| Hospital Charge Code |
27800074
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,727.19 |
| Max. Negotiated Rate |
$2,302.92 |
| Rate for Payer: Aetna Commercial |
$2,072.63
|
| Rate for Payer: ASR ASR |
$2,233.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,891.16
|
| Rate for Payer: BCN Commercial |
$1,891.16
|
| Rate for Payer: Cash Price |
$1,842.34
|
| Rate for Payer: Cofinity Commercial |
$2,164.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,842.34
|
| Rate for Payer: Healthscope Commercial |
$2,233.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,302.92
|
| Rate for Payer: Mclaren Commercial |
$2,072.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,957.48
|
| Rate for Payer: Nomi Health Commercial |
$1,888.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,727.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,026.57
|
|
|
HC BOSTON SCI SINGLE PACEMAKER
|
Facility
|
OP
|
$14,510.97
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500005
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,369.06 |
| Max. Negotiated Rate |
$14,510.97 |
| Rate for Payer: Aetna Commercial |
$13,059.87
|
| Rate for Payer: Aetna Medicare |
$5,369.06
|
| Rate for Payer: ASR ASR |
$14,075.64
|
| Rate for Payer: BCBS Complete |
$5,804.39
|
| Rate for Payer: BCBS Trust/PPO |
$11,964.29
|
| Rate for Payer: BCN Commercial |
$11,964.29
|
| Rate for Payer: Cash Price |
$11,608.78
|
| Rate for Payer: Cofinity Commercial |
$13,640.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,608.78
|
| Rate for Payer: Healthscope Commercial |
$14,075.64
|
| Rate for Payer: Healthscope Whirlpool |
$14,510.97
|
| Rate for Payer: Mclaren Commercial |
$13,059.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,608.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,334.32
|
| Rate for Payer: Nomi Health Commercial |
$11,899.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,883.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,714.51
|
| Rate for Payer: Priority Health Narrow Network |
$10,172.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,769.65
|
|
|
HC BOSTON SCI SINGLE PACEMAKER
|
Facility
|
IP
|
$14,510.97
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500005
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$10,883.23 |
| Max. Negotiated Rate |
$14,510.97 |
| Rate for Payer: Aetna Commercial |
$13,059.87
|
| Rate for Payer: ASR ASR |
$14,075.64
|
| Rate for Payer: BCBS Trust/PPO |
$11,916.41
|
| Rate for Payer: BCN Commercial |
$11,916.41
|
| Rate for Payer: Cash Price |
$11,608.78
|
| Rate for Payer: Cofinity Commercial |
$13,640.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,608.78
|
| Rate for Payer: Healthscope Commercial |
$14,075.64
|
| Rate for Payer: Healthscope Whirlpool |
$14,510.97
|
| Rate for Payer: Mclaren Commercial |
$13,059.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,334.32
|
| Rate for Payer: Nomi Health Commercial |
$11,899.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,883.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,769.65
|
|
|
HC BOSTON SCI TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,948.46
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800075
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,711.35 |
| Max. Negotiated Rate |
$8,948.46 |
| Rate for Payer: Aetna Commercial |
$8,053.61
|
| Rate for Payer: ASR ASR |
$8,680.01
|
| Rate for Payer: BCBS Trust/PPO |
$7,348.48
|
| Rate for Payer: BCN Commercial |
$7,348.48
|
| Rate for Payer: Cash Price |
$7,158.77
|
| Rate for Payer: Cofinity Commercial |
$8,411.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,158.77
|
| Rate for Payer: Healthscope Commercial |
$8,680.01
|
| Rate for Payer: Healthscope Whirlpool |
$8,948.46
|
| Rate for Payer: Mclaren Commercial |
$8,053.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,606.19
|
| Rate for Payer: Nomi Health Commercial |
$7,337.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,711.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,874.64
|
|
|
HC BOSTON SCI TACHY (ICD) LEAD
|
Facility
|
OP
|
$8,948.46
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800075
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,310.93 |
| Max. Negotiated Rate |
$8,948.46 |
| Rate for Payer: Aetna Commercial |
$8,053.61
|
| Rate for Payer: Aetna Medicare |
$3,310.93
|
| Rate for Payer: ASR ASR |
$8,680.01
|
| Rate for Payer: BCBS Complete |
$3,579.38
|
| Rate for Payer: BCBS Trust/PPO |
$7,378.01
|
| Rate for Payer: BCN Commercial |
$7,378.01
|
| Rate for Payer: Cash Price |
$7,158.77
|
| Rate for Payer: Cofinity Commercial |
$8,411.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,158.77
|
| Rate for Payer: Healthscope Commercial |
$8,680.01
|
| Rate for Payer: Healthscope Whirlpool |
$8,948.46
|
| Rate for Payer: Mclaren Commercial |
$8,053.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,158.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,606.19
|
| Rate for Payer: Nomi Health Commercial |
$7,337.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,711.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,840.64
|
| Rate for Payer: Priority Health Narrow Network |
$6,272.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,874.64
|
|
|
HC BOTRYTIS CINEREA IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200075
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.69
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$18.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC BOTRYTIS CINEREA IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200075
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.43 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Trust/PPO |
$21.27
|
| Rate for Payer: BCN Commercial |
$21.27
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
|
|
HC BOTTLE A/B CDI 500
|
Facility
|
IP
|
$206.00
|
|
| Hospital Charge Code |
27000684
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$154.50 |
| Max. Negotiated Rate |
$206.00 |
| Rate for Payer: Aetna Commercial |
$185.40
|
| Rate for Payer: ASR ASR |
$199.82
|
| Rate for Payer: BCBS Trust/PPO |
$169.17
|
| Rate for Payer: BCN Commercial |
$169.17
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cofinity Commercial |
$193.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.80
|
| Rate for Payer: Healthscope Commercial |
$199.82
|
| Rate for Payer: Healthscope Whirlpool |
$206.00
|
| Rate for Payer: Mclaren Commercial |
$185.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.10
|
| Rate for Payer: Nomi Health Commercial |
$168.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.28
|
|
|
HC BOTTLE A/B CDI 500
|
Facility
|
OP
|
$206.00
|
|
| Hospital Charge Code |
27000684
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$76.22 |
| Max. Negotiated Rate |
$206.00 |
| Rate for Payer: Aetna Commercial |
$185.40
|
| Rate for Payer: Aetna Medicare |
$76.22
|
| Rate for Payer: ASR ASR |
$199.82
|
| Rate for Payer: BCBS Complete |
$82.40
|
| Rate for Payer: BCBS Trust/PPO |
$169.85
|
| Rate for Payer: BCN Commercial |
$169.85
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cofinity Commercial |
$193.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.80
|
| Rate for Payer: Healthscope Commercial |
$199.82
|
| Rate for Payer: Healthscope Whirlpool |
$206.00
|
| Rate for Payer: Mclaren Commercial |
$185.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$164.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.10
|
| Rate for Payer: Nomi Health Commercial |
$168.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$180.50
|
| Rate for Payer: Priority Health Narrow Network |
$144.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.28
|
|
|
HC BOWL
|
Facility
|
IP
|
$234.09
|
|
| Hospital Charge Code |
27000091
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$175.57 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$210.68
|
| Rate for Payer: ASR ASR |
$227.07
|
| Rate for Payer: BCBS Trust/PPO |
$192.23
|
| Rate for Payer: BCN Commercial |
$192.23
|
| Rate for Payer: Cash Price |
$187.27
|
| Rate for Payer: Cofinity Commercial |
$220.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.27
|
| Rate for Payer: Healthscope Commercial |
$227.07
|
| Rate for Payer: Healthscope Whirlpool |
$234.09
|
| Rate for Payer: Mclaren Commercial |
$210.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.98
|
| Rate for Payer: Nomi Health Commercial |
$191.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$175.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$206.00
|
|
