|
HC CANNULA BIOMEDICUS
|
Facility
|
IP
|
$1,502.94
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,127.20 |
| Max. Negotiated Rate |
$1,502.94 |
| Rate for Payer: Aetna Commercial |
$1,352.65
|
| Rate for Payer: ASR ASR |
$1,457.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.21
|
| Rate for Payer: BCN Commercial |
$1,234.21
|
| Rate for Payer: Cash Price |
$1,202.35
|
| Rate for Payer: Cofinity Commercial |
$1,412.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,202.35
|
| Rate for Payer: Healthscope Commercial |
$1,457.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,502.94
|
| Rate for Payer: Mclaren Commercial |
$1,352.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,277.50
|
| Rate for Payer: Nomi Health Commercial |
$1,232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,322.59
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
OP
|
$1,502.94
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$556.09 |
| Max. Negotiated Rate |
$1,502.94 |
| Rate for Payer: Aetna Commercial |
$1,352.65
|
| Rate for Payer: Aetna Medicare |
$556.09
|
| Rate for Payer: ASR ASR |
$1,457.85
|
| Rate for Payer: BCBS Complete |
$601.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,239.17
|
| Rate for Payer: BCN Commercial |
$1,239.17
|
| Rate for Payer: Cash Price |
$1,202.35
|
| Rate for Payer: Cofinity Commercial |
$1,412.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,202.35
|
| Rate for Payer: Healthscope Commercial |
$1,457.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,502.94
|
| Rate for Payer: Mclaren Commercial |
$1,352.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,202.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,277.50
|
| Rate for Payer: Nomi Health Commercial |
$1,232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,316.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,053.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,322.59
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$48.38
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.90 |
| Max. Negotiated Rate |
$48.38 |
| Rate for Payer: Aetna Commercial |
$43.54
|
| Rate for Payer: Aetna Medicare |
$17.90
|
| Rate for Payer: ASR ASR |
$46.93
|
| Rate for Payer: BCBS Complete |
$19.35
|
| Rate for Payer: BCBS Trust/PPO |
$39.89
|
| Rate for Payer: BCN Commercial |
$39.89
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Cofinity Commercial |
$45.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.70
|
| Rate for Payer: Healthscope Commercial |
$46.93
|
| Rate for Payer: Healthscope Whirlpool |
$48.38
|
| Rate for Payer: Mclaren Commercial |
$43.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.12
|
| Rate for Payer: Nomi Health Commercial |
$39.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42.39
|
| Rate for Payer: Priority Health Narrow Network |
$33.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.57
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
IP
|
$48.38
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.28 |
| Max. Negotiated Rate |
$48.38 |
| Rate for Payer: Aetna Commercial |
$43.54
|
| Rate for Payer: ASR ASR |
$46.93
|
| Rate for Payer: BCBS Trust/PPO |
$39.73
|
| Rate for Payer: BCN Commercial |
$39.73
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Cofinity Commercial |
$45.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.70
|
| Rate for Payer: Healthscope Commercial |
$46.93
|
| Rate for Payer: Healthscope Whirlpool |
$48.38
|
| Rate for Payer: Mclaren Commercial |
$43.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.12
|
| Rate for Payer: Nomi Health Commercial |
$39.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.57
|
|
|
HC CANNULA CARDIOPLEGIA ANTEGRADE 14G
|
Facility
|
OP
|
$45.00
|
|
| Hospital Charge Code |
27000720
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.65 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Aetna Commercial |
$40.50
|
| Rate for Payer: Aetna Medicare |
$16.65
|
| Rate for Payer: ASR ASR |
$43.65
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS Trust/PPO |
$37.10
|
| Rate for Payer: BCN Commercial |
$37.10
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$42.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.00
|
| Rate for Payer: Healthscope Commercial |
$43.65
|
| Rate for Payer: Healthscope Whirlpool |
$45.00
|
| Rate for Payer: Mclaren Commercial |
$40.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.25
|
| Rate for Payer: Nomi Health Commercial |
$36.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$39.43
|
| Rate for Payer: Priority Health Narrow Network |
$31.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.60
|
|
|
HC CANNULA CARDIOPLEGIA ANTEGRADE 14G
|
Facility
|
IP
|
$45.00
|
|
| Hospital Charge Code |
27000720
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.75 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Aetna Commercial |
$40.50
|
| Rate for Payer: ASR ASR |
$43.65
|
| Rate for Payer: BCBS Trust/PPO |
$36.95
|
| Rate for Payer: BCN Commercial |
$36.95
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$42.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.00
|
| Rate for Payer: Healthscope Commercial |
$43.65
|
| Rate for Payer: Healthscope Whirlpool |
$45.00
|
| Rate for Payer: Mclaren Commercial |
$40.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.25
|
| Rate for Payer: Nomi Health Commercial |
$36.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.60
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$329.52
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$247.14 |
| Max. Negotiated Rate |
$329.52 |
| Rate for Payer: Aetna Commercial |
$296.57
|
| Rate for Payer: ASR ASR |
$319.63
|
| Rate for Payer: BCBS Trust/PPO |
$270.60
|
| Rate for Payer: BCN Commercial |
$270.60
|
| Rate for Payer: Cash Price |
$263.62
|
| Rate for Payer: Cofinity Commercial |
$309.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.62
|
| Rate for Payer: Healthscope Commercial |
$319.63
|
| Rate for Payer: Healthscope Whirlpool |
$329.52
|
| Rate for Payer: Mclaren Commercial |
$296.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.09
|
| Rate for Payer: Nomi Health Commercial |
$270.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$289.98
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$329.52
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$121.92 |
| Max. Negotiated Rate |
$329.52 |
| Rate for Payer: Aetna Commercial |
$296.57
|
| Rate for Payer: Aetna Medicare |
$121.92
|
| Rate for Payer: ASR ASR |
$319.63
|
| Rate for Payer: BCBS Complete |
$131.81
|
| Rate for Payer: BCBS Trust/PPO |
$271.69
|
| Rate for Payer: BCN Commercial |
$271.69
|
| Rate for Payer: Cash Price |
$263.62
|
| Rate for Payer: Cofinity Commercial |
$309.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.62
|
| Rate for Payer: Healthscope Commercial |
$319.63
|
| Rate for Payer: Healthscope Whirlpool |
$329.52
|
| Rate for Payer: Mclaren Commercial |
$296.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$263.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.09
|
| Rate for Payer: Nomi Health Commercial |
$270.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$288.73
|
| Rate for Payer: Priority Health Narrow Network |
$230.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$289.98
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$319.92 |
| Rate for Payer: Aetna Commercial |
$287.93
|
| Rate for Payer: Aetna Medicare |
$118.37
|
| Rate for Payer: ASR ASR |
$310.32
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: BCBS Trust/PPO |
$263.77
|
| Rate for Payer: BCN Commercial |
$263.77
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$300.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$310.32
|
| Rate for Payer: Healthscope Whirlpool |
$319.92
|
| Rate for Payer: Mclaren Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$280.31
|
| Rate for Payer: Priority Health Narrow Network |
$224.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.53
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$239.94 |
| Max. Negotiated Rate |
$319.92 |
| Rate for Payer: Aetna Commercial |
$287.93
|
| Rate for Payer: ASR ASR |
$310.32
|
| Rate for Payer: BCBS Trust/PPO |
$262.72
|
| Rate for Payer: BCN Commercial |
$262.72
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$300.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$310.32
|
| Rate for Payer: Healthscope Whirlpool |
$319.92
|
| Rate for Payer: Mclaren Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.53
|
|
|
HC CANNULA CORONARY 14FR
|
Facility
|
IP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$72.00 |
| Rate for Payer: Aetna Commercial |
$64.80
|
| Rate for Payer: ASR ASR |
$69.84
|
| Rate for Payer: BCBS Trust/PPO |
$59.13
|
| Rate for Payer: BCN Commercial |
$59.13
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$69.84
|
| Rate for Payer: Healthscope Whirlpool |
$72.00
|
| Rate for Payer: Mclaren Commercial |
$64.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.20
|
| Rate for Payer: Nomi Health Commercial |
$59.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.36
|
|
|
HC CANNULA CORONARY 14FR
|
Facility
|
OP
|
$72.00
|
|
| Hospital Charge Code |
27000718
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.64 |
| Max. Negotiated Rate |
$72.00 |
| Rate for Payer: Aetna Commercial |
$64.80
|
| Rate for Payer: Aetna Medicare |
$26.64
|
| Rate for Payer: ASR ASR |
$69.84
|
| Rate for Payer: BCBS Complete |
$28.80
|
| Rate for Payer: BCBS Trust/PPO |
$59.36
|
| Rate for Payer: BCN Commercial |
$59.36
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$69.84
|
| Rate for Payer: Healthscope Whirlpool |
$72.00
|
| Rate for Payer: Mclaren Commercial |
$64.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.20
|
| Rate for Payer: Nomi Health Commercial |
$59.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$63.09
|
| Rate for Payer: Priority Health Narrow Network |
$50.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.36
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.52 |
| Max. Negotiated Rate |
$78.03 |
| Rate for Payer: Aetna Commercial |
$70.23
|
| Rate for Payer: ASR ASR |
$75.69
|
| Rate for Payer: BCBS Trust/PPO |
$64.08
|
| Rate for Payer: BCN Commercial |
$64.08
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$73.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$75.69
|
| Rate for Payer: Healthscope Whirlpool |
$78.03
|
| Rate for Payer: Mclaren Commercial |
$70.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.67
|
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$78.03
|
|
| Hospital Charge Code |
27000265
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.87 |
| Max. Negotiated Rate |
$78.03 |
| Rate for Payer: Aetna Commercial |
$70.23
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: ASR ASR |
$75.69
|
| Rate for Payer: BCBS Complete |
$31.21
|
| Rate for Payer: BCBS Trust/PPO |
$64.34
|
| Rate for Payer: BCN Commercial |
$64.34
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$73.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$75.69
|
| Rate for Payer: Healthscope Whirlpool |
$78.03
|
| Rate for Payer: Mclaren Commercial |
$70.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$68.37
|
| Rate for Payer: Priority Health Narrow Network |
$54.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.67
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: Aetna Medicare |
$128.76
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: BCBS Trust/PPO |
$286.93
|
| Rate for Payer: BCN Commercial |
$286.93
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$304.93
|
| Rate for Payer: Priority Health Narrow Network |
$243.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$261.01 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Trust/PPO |
$285.79
|
| Rate for Payer: BCN Commercial |
$285.79
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$261.01 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Trust/PPO |
$285.79
|
| Rate for Payer: BCN Commercial |
$285.79
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: Aetna Medicare |
$128.76
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: BCBS Trust/PPO |
$286.93
|
| Rate for Payer: BCN Commercial |
$286.93
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$304.93
|
| Rate for Payer: Priority Health Narrow Network |
$243.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$239.94 |
| Max. Negotiated Rate |
$319.92 |
| Rate for Payer: Aetna Commercial |
$287.93
|
| Rate for Payer: ASR ASR |
$310.32
|
| Rate for Payer: BCBS Trust/PPO |
$262.72
|
| Rate for Payer: BCN Commercial |
$262.72
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$300.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$310.32
|
| Rate for Payer: Healthscope Whirlpool |
$319.92
|
| Rate for Payer: Mclaren Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.53
|
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006706
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$319.92 |
| Rate for Payer: Aetna Commercial |
$287.93
|
| Rate for Payer: Aetna Medicare |
$118.37
|
| Rate for Payer: ASR ASR |
$310.32
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: BCBS Trust/PPO |
$263.77
|
| Rate for Payer: BCN Commercial |
$263.77
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$300.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$310.32
|
| Rate for Payer: Healthscope Whirlpool |
$319.92
|
| Rate for Payer: Mclaren Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$280.31
|
| Rate for Payer: Priority Health Narrow Network |
$224.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.53
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$239.94 |
| Max. Negotiated Rate |
$319.92 |
| Rate for Payer: Aetna Commercial |
$287.93
|
| Rate for Payer: ASR ASR |
$310.32
|
| Rate for Payer: BCBS Trust/PPO |
$262.72
|
| Rate for Payer: BCN Commercial |
$262.72
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$300.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$310.32
|
| Rate for Payer: Healthscope Whirlpool |
$319.92
|
| Rate for Payer: Mclaren Commercial |
$287.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.53
|
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.37 |
| Max. Negotiated Rate |
$319.92 |
| Rate for Payer: Aetna Commercial |
$287.93
|
| Rate for Payer: Aetna Medicare |
$118.37
|
| Rate for Payer: ASR ASR |
$310.32
|
| Rate for Payer: BCBS Complete |
$127.97
|
| Rate for Payer: BCBS Trust/PPO |
$263.77
|
| Rate for Payer: BCN Commercial |
$263.77
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$300.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$310.32
|
| Rate for Payer: Healthscope Whirlpool |
$319.92
|
| Rate for Payer: Mclaren Commercial |
$287.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$255.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$280.31
|
| Rate for Payer: Priority Health Narrow Network |
$224.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.53
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$261.01 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Trust/PPO |
$285.79
|
| Rate for Payer: BCN Commercial |
$285.79
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$348.01
|
|
| Hospital Charge Code |
27006710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.76 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: Aetna Medicare |
$128.76
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Complete |
$139.20
|
| Rate for Payer: BCBS Trust/PPO |
$286.93
|
| Rate for Payer: BCN Commercial |
$286.93
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$304.93
|
| Rate for Payer: Priority Health Narrow Network |
$243.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$348.01
|
|
| Hospital Charge Code |
27006711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$261.01 |
| Max. Negotiated Rate |
$348.01 |
| Rate for Payer: Aetna Commercial |
$313.21
|
| Rate for Payer: ASR ASR |
$337.57
|
| Rate for Payer: BCBS Trust/PPO |
$285.79
|
| Rate for Payer: BCN Commercial |
$285.79
|
| Rate for Payer: Cash Price |
$278.41
|
| Rate for Payer: Cofinity Commercial |
$327.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.41
|
| Rate for Payer: Healthscope Commercial |
$337.57
|
| Rate for Payer: Healthscope Whirlpool |
$348.01
|
| Rate for Payer: Mclaren Commercial |
$313.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.81
|
| Rate for Payer: Nomi Health Commercial |
$285.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.25
|
|
