|
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
|
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
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 7MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006712
|
|
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 8MM
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
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 8MM
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006713
|
|
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 (DUCKBILL)
|
Facility
|
IP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$17.95 |
| Rate for Payer: Aetna Commercial |
$16.16
|
| Rate for Payer: ASR ASR |
$17.41
|
| Rate for Payer: BCBS Trust/PPO |
$14.74
|
| Rate for Payer: BCN Commercial |
$14.74
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Commercial |
$16.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$17.41
|
| Rate for Payer: Healthscope Whirlpool |
$17.95
|
| Rate for Payer: Mclaren Commercial |
$16.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Nomi Health Commercial |
$14.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.80
|
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.95
|
|
| Hospital Charge Code |
27000059
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.64 |
| Max. Negotiated Rate |
$17.95 |
| Rate for Payer: Aetna Commercial |
$16.16
|
| Rate for Payer: Aetna Medicare |
$6.64
|
| Rate for Payer: ASR ASR |
$17.41
|
| Rate for Payer: BCBS Complete |
$7.18
|
| Rate for Payer: BCBS Trust/PPO |
$14.80
|
| Rate for Payer: BCN Commercial |
$14.80
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cofinity Commercial |
$16.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Healthscope Commercial |
$17.41
|
| Rate for Payer: Healthscope Whirlpool |
$17.95
|
| Rate for Payer: Mclaren Commercial |
$16.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.26
|
| Rate for Payer: Nomi Health Commercial |
$14.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15.73
|
| Rate for Payer: Priority Health Narrow Network |
$12.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.80
|
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$567.50 |
| Max. Negotiated Rate |
$756.67 |
| Rate for Payer: Aetna Commercial |
$681.00
|
| Rate for Payer: ASR ASR |
$733.97
|
| Rate for Payer: BCBS Trust/PPO |
$621.38
|
| Rate for Payer: BCN Commercial |
$621.38
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Commercial |
$711.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$733.97
|
| Rate for Payer: Healthscope Whirlpool |
$756.67
|
| Rate for Payer: Mclaren Commercial |
$681.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Nomi Health Commercial |
$620.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$665.87
|
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$756.67
|
|
| Hospital Charge Code |
27000392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$279.97 |
| Max. Negotiated Rate |
$756.67 |
| Rate for Payer: Aetna Commercial |
$681.00
|
| Rate for Payer: Aetna Medicare |
$279.97
|
| Rate for Payer: ASR ASR |
$733.97
|
| Rate for Payer: BCBS Complete |
$302.67
|
| Rate for Payer: BCBS Trust/PPO |
$623.87
|
| Rate for Payer: BCN Commercial |
$623.87
|
| Rate for Payer: Cash Price |
$605.34
|
| Rate for Payer: Cofinity Commercial |
$711.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$605.34
|
| Rate for Payer: Healthscope Commercial |
$733.97
|
| Rate for Payer: Healthscope Whirlpool |
$756.67
|
| Rate for Payer: Mclaren Commercial |
$681.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$605.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$643.17
|
| Rate for Payer: Nomi Health Commercial |
$620.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$662.99
|
| Rate for Payer: Priority Health Narrow Network |
$530.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$665.87
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$505.25 |
| Max. Negotiated Rate |
$1,365.53 |
| Rate for Payer: Aetna Commercial |
$1,228.98
|
| Rate for Payer: Aetna Medicare |
$505.25
|
| Rate for Payer: ASR ASR |
$1,324.56
|
| Rate for Payer: BCBS Complete |
$546.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.88
|
| Rate for Payer: BCN Commercial |
$1,125.88
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Commercial |
$1,283.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,324.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,365.53
|
| Rate for Payer: Mclaren Commercial |
$1,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,092.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Nomi Health Commercial |
$1,119.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,196.48
|
| Rate for Payer: Priority Health Narrow Network |
$957.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,201.67
|
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,365.53
|
|
| Hospital Charge Code |
27000671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,024.15 |
| Max. Negotiated Rate |
$1,365.53 |
| Rate for Payer: Aetna Commercial |
$1,228.98
|
| Rate for Payer: ASR ASR |
$1,324.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,121.37
|
| Rate for Payer: BCN Commercial |
$1,121.37
|
| Rate for Payer: Cash Price |
$1,092.42
|
| Rate for Payer: Cofinity Commercial |
$1,283.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Commercial |
$1,324.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,365.53
|
| Rate for Payer: Mclaren Commercial |
$1,228.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.70
|
| Rate for Payer: Nomi Health Commercial |
$1,119.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,024.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,201.67
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
OP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$486.00 |
| Max. Negotiated Rate |
$1,313.51 |
| Rate for Payer: Aetna Commercial |
$1,182.16
|
| Rate for Payer: Aetna Medicare |
$486.00
|
| Rate for Payer: ASR ASR |
$1,274.10
|
| Rate for Payer: BCBS Complete |
$525.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,082.99
|
| Rate for Payer: BCN Commercial |
$1,082.99
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Commercial |
$1,234.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,274.10
|
| Rate for Payer: Healthscope Whirlpool |
$1,313.51
|
| Rate for Payer: Mclaren Commercial |
$1,182.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,050.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Nomi Health Commercial |
$1,077.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,150.90
|
| Rate for Payer: Priority Health Narrow Network |
$920.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,155.89
|
|
|
HC CANNULA FEM VEN 21, 25 FR
|
Facility
|
IP
|
$1,313.51
|
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$985.13 |
| Max. Negotiated Rate |
$1,313.51 |
| Rate for Payer: Aetna Commercial |
$1,182.16
|
| Rate for Payer: ASR ASR |
$1,274.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,078.65
|
| Rate for Payer: BCN Commercial |
$1,078.65
|
| Rate for Payer: Cash Price |
$1,050.81
|
| Rate for Payer: Cofinity Commercial |
$1,234.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.81
|
| Rate for Payer: Healthscope Commercial |
$1,274.10
|
| Rate for Payer: Healthscope Whirlpool |
$1,313.51
|
| Rate for Payer: Mclaren Commercial |
$1,182.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.48
|
| Rate for Payer: Nomi Health Commercial |
$1,077.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$985.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,155.89
|
|
|
HC CANNULA LV VENT
|
Facility
|
OP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.56 |
| Max. Negotiated Rate |
$71.79 |
| Rate for Payer: Aetna Commercial |
$64.61
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: ASR ASR |
$69.64
|
| Rate for Payer: BCBS Complete |
$28.72
|
| Rate for Payer: BCBS Trust/PPO |
$59.19
|
| Rate for Payer: BCN Commercial |
$59.19
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Commercial |
$67.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$69.64
|
| Rate for Payer: Healthscope Whirlpool |
$71.79
|
| Rate for Payer: Mclaren Commercial |
$64.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Nomi Health Commercial |
$58.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$62.90
|
| Rate for Payer: Priority Health Narrow Network |
$50.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.18
|
|
|
HC CANNULA LV VENT
|
Facility
|
IP
|
$71.79
|
|
| Hospital Charge Code |
27000104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$53.84 |
| Max. Negotiated Rate |
$71.79 |
| Rate for Payer: Aetna Commercial |
$64.61
|
| Rate for Payer: ASR ASR |
$69.64
|
| Rate for Payer: BCBS Trust/PPO |
$58.95
|
| Rate for Payer: BCN Commercial |
$58.95
|
| Rate for Payer: Cash Price |
$57.43
|
| Rate for Payer: Cofinity Commercial |
$67.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.43
|
| Rate for Payer: Healthscope Commercial |
$69.64
|
| Rate for Payer: Healthscope Whirlpool |
$71.79
|
| Rate for Payer: Mclaren Commercial |
$64.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.02
|
| Rate for Payer: Nomi Health Commercial |
$58.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.18
|
|
|
HC CANNULA OSTIA
|
Facility
|
IP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$44.48 |
| Max. Negotiated Rate |
$59.30 |
| Rate for Payer: Aetna Commercial |
$53.37
|
| Rate for Payer: ASR ASR |
$57.52
|
| Rate for Payer: BCBS Trust/PPO |
$48.70
|
| Rate for Payer: BCN Commercial |
$48.70
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$55.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$57.52
|
| Rate for Payer: Healthscope Whirlpool |
$59.30
|
| Rate for Payer: Mclaren Commercial |
$53.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Nomi Health Commercial |
$48.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.18
|
|
|
HC CANNULA OSTIA
|
Facility
|
OP
|
$59.30
|
|
| Hospital Charge Code |
27000061
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.94 |
| Max. Negotiated Rate |
$59.30 |
| Rate for Payer: Aetna Commercial |
$53.37
|
| Rate for Payer: Aetna Medicare |
$21.94
|
| Rate for Payer: ASR ASR |
$57.52
|
| Rate for Payer: BCBS Complete |
$23.72
|
| Rate for Payer: BCBS Trust/PPO |
$48.89
|
| Rate for Payer: BCN Commercial |
$48.89
|
| Rate for Payer: Cash Price |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$55.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.44
|
| Rate for Payer: Healthscope Commercial |
$57.52
|
| Rate for Payer: Healthscope Whirlpool |
$59.30
|
| Rate for Payer: Mclaren Commercial |
$53.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.41
|
| Rate for Payer: Nomi Health Commercial |
$48.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.96
|
| Rate for Payer: Priority Health Narrow Network |
$41.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.18
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
OP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$114.33 |
| Max. Negotiated Rate |
$309.00 |
| Rate for Payer: Aetna Commercial |
$278.10
|
| Rate for Payer: Aetna Medicare |
$114.33
|
| Rate for Payer: ASR ASR |
$299.73
|
| Rate for Payer: BCBS Complete |
$123.60
|
| Rate for Payer: BCBS Trust/PPO |
$254.77
|
| Rate for Payer: BCN Commercial |
$254.77
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$290.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$299.73
|
| Rate for Payer: Healthscope Whirlpool |
$309.00
|
| Rate for Payer: Mclaren Commercial |
$278.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$253.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$270.75
|
| Rate for Payer: Priority Health Narrow Network |
$216.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$271.92
|
|
|
HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM
|
Facility
|
IP
|
$309.00
|
|
| Hospital Charge Code |
27000664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$231.75 |
| Max. Negotiated Rate |
$309.00 |
| Rate for Payer: Aetna Commercial |
$278.10
|
| Rate for Payer: ASR ASR |
$299.73
|
| Rate for Payer: BCBS Trust/PPO |
$253.75
|
| Rate for Payer: BCN Commercial |
$253.75
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$290.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$299.73
|
| Rate for Payer: Healthscope Whirlpool |
$309.00
|
| Rate for Payer: Mclaren Commercial |
$278.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$253.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$271.92
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
IP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$198.97 |
| Max. Negotiated Rate |
$265.30 |
| Rate for Payer: Aetna Commercial |
$238.77
|
| Rate for Payer: ASR ASR |
$257.34
|
| Rate for Payer: BCBS Trust/PPO |
$217.86
|
| Rate for Payer: BCN Commercial |
$217.86
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Commercial |
$249.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$257.34
|
| Rate for Payer: Healthscope Whirlpool |
$265.30
|
| Rate for Payer: Mclaren Commercial |
$238.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Nomi Health Commercial |
$217.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$233.46
|
|
|
HC CANNULA RCSP PVC AUTO 15 FR
|
Facility
|
OP
|
$265.30
|
|
| Hospital Charge Code |
27000683
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$98.16 |
| Max. Negotiated Rate |
$265.30 |
| Rate for Payer: Aetna Commercial |
$238.77
|
| Rate for Payer: Aetna Medicare |
$98.16
|
| Rate for Payer: ASR ASR |
$257.34
|
| Rate for Payer: BCBS Complete |
$106.12
|
| Rate for Payer: BCBS Trust/PPO |
$218.74
|
| Rate for Payer: BCN Commercial |
$218.74
|
| Rate for Payer: Cash Price |
$212.24
|
| Rate for Payer: Cofinity Commercial |
$249.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.24
|
| Rate for Payer: Healthscope Commercial |
$257.34
|
| Rate for Payer: Healthscope Whirlpool |
$265.30
|
| Rate for Payer: Mclaren Commercial |
$238.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.50
|
| Rate for Payer: Nomi Health Commercial |
$217.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$232.46
|
| Rate for Payer: Priority Health Narrow Network |
$185.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$233.46
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
OP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$78.53 |
| Max. Negotiated Rate |
$212.24 |
| Rate for Payer: Aetna Commercial |
$191.02
|
| Rate for Payer: Aetna Medicare |
$78.53
|
| Rate for Payer: ASR ASR |
$205.87
|
| Rate for Payer: BCBS Complete |
$84.90
|
| Rate for Payer: BCBS Trust/PPO |
$174.99
|
| Rate for Payer: BCN Commercial |
$174.99
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Commercial |
$199.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$205.87
|
| Rate for Payer: Healthscope Whirlpool |
$212.24
|
| Rate for Payer: Mclaren Commercial |
$191.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$169.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Nomi Health Commercial |
$174.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$185.96
|
| Rate for Payer: Priority Health Narrow Network |
$148.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$186.77
|
|
|
HC CANNULA RETROGRADE
|
Facility
|
IP
|
$212.24
|
|
| Hospital Charge Code |
27000142
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$159.18 |
| Max. Negotiated Rate |
$212.24 |
| Rate for Payer: Aetna Commercial |
$191.02
|
| Rate for Payer: ASR ASR |
$205.87
|
| Rate for Payer: BCBS Trust/PPO |
$174.29
|
| Rate for Payer: BCN Commercial |
$174.29
|
| Rate for Payer: Cash Price |
$169.79
|
| Rate for Payer: Cofinity Commercial |
$199.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.79
|
| Rate for Payer: Healthscope Commercial |
$205.87
|
| Rate for Payer: Healthscope Whirlpool |
$212.24
|
| Rate for Payer: Mclaren Commercial |
$191.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.40
|
| Rate for Payer: Nomi Health Commercial |
$174.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$186.77
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
IP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$237.92 |
| Max. Negotiated Rate |
$317.23 |
| Rate for Payer: Aetna Commercial |
$285.51
|
| Rate for Payer: ASR ASR |
$307.71
|
| Rate for Payer: BCBS Trust/PPO |
$260.51
|
| Rate for Payer: BCN Commercial |
$260.51
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Commercial |
$298.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$307.71
|
| Rate for Payer: Healthscope Whirlpool |
$317.23
|
| Rate for Payer: Mclaren Commercial |
$285.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$279.16
|
|
|
HC CANNULA RETROGRD 15 FR
|
Facility
|
OP
|
$317.23
|
|
| Hospital Charge Code |
27000447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$117.38 |
| Max. Negotiated Rate |
$317.23 |
| Rate for Payer: Aetna Commercial |
$285.51
|
| Rate for Payer: Aetna Medicare |
$117.38
|
| Rate for Payer: ASR ASR |
$307.71
|
| Rate for Payer: BCBS Complete |
$126.89
|
| Rate for Payer: BCBS Trust/PPO |
$261.56
|
| Rate for Payer: BCN Commercial |
$261.56
|
| Rate for Payer: Cash Price |
$253.78
|
| Rate for Payer: Cofinity Commercial |
$298.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.78
|
| Rate for Payer: Healthscope Commercial |
$307.71
|
| Rate for Payer: Healthscope Whirlpool |
$317.23
|
| Rate for Payer: Mclaren Commercial |
$285.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$253.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.65
|
| Rate for Payer: Nomi Health Commercial |
$260.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$277.96
|
| Rate for Payer: Priority Health Narrow Network |
$222.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$279.16
|
|
