Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

HC CANNULA COR OSTIA RT ANG 8MM

Facility

$313.65

Hospital Charge Code	27006713
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: BCBS Trust/PPO	$256.85
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$274.82
Rate for Payer: Priority Health Narrow Network	$219.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA RT ANG 8MM

Facility

$313.65

Hospital Charge Code	27006713
Hospital Revenue Code	270
Min. Negotiated Rate	$203.87
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Trust/PPO	$255.59
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA (DUCKBILL)

Facility

$17.60

Hospital Charge Code	27000059
Hospital Revenue Code	270
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$17.60
Rate for Payer: Aetna Commercial	$15.84
Rate for Payer: Aetna Medicare	$8.80
Rate for Payer: ASR ASR	$17.07
Rate for Payer: ASR Commercial	$17.07
Rate for Payer: BCBS Complete	$7.04
Rate for Payer: BCBS Trust/PPO	$14.41
Rate for Payer: BCN Commercial	$13.65
Rate for Payer: Cash Price	$14.08
Rate for Payer: Cofinity Commercial	$16.54
Rate for Payer: Encore Health Key Benefits Commercial	$14.08
Rate for Payer: Healthscope Commercial	$17.60
Rate for Payer: Healthscope Whirlpool	$17.07
Rate for Payer: Mclaren Commercial	$15.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.96
Rate for Payer: Nomi Health Commercial	$14.43
Rate for Payer: Priority Health Cigna Priority Health	$11.44
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$15.42
Rate for Payer: Priority Health Narrow Network	$12.34
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$15.49

HC CANNULA (DUCKBILL)

Facility

$17.60

Hospital Charge Code	27000059
Hospital Revenue Code	270
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$17.60
Rate for Payer: Aetna Commercial	$15.84
Rate for Payer: ASR ASR	$17.07
Rate for Payer: ASR Commercial	$17.07
Rate for Payer: BCBS Trust/PPO	$14.34
Rate for Payer: BCN Commercial	$13.65
Rate for Payer: Cash Price	$14.08
Rate for Payer: Cofinity Commercial	$16.54
Rate for Payer: Encore Health Key Benefits Commercial	$14.08
Rate for Payer: Healthscope Commercial	$17.60
Rate for Payer: Healthscope Whirlpool	$17.07
Rate for Payer: Mclaren Commercial	$15.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.96
Rate for Payer: Nomi Health Commercial	$14.43
Rate for Payer: Priority Health Cigna Priority Health	$11.44
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$15.49

HC CANNULA FEM ART

Facility

$741.83

Hospital Charge Code	27000392
Hospital Revenue Code	270
Min. Negotiated Rate	$482.19
Max. Negotiated Rate	$741.83
Rate for Payer: Aetna Commercial	$667.65
Rate for Payer: ASR ASR	$719.58
Rate for Payer: ASR Commercial	$719.58
Rate for Payer: BCBS Trust/PPO	$604.52
Rate for Payer: BCN Commercial	$575.14
Rate for Payer: Cash Price	$593.46
Rate for Payer: Cofinity Commercial	$697.32
Rate for Payer: Encore Health Key Benefits Commercial	$593.46
Rate for Payer: Healthscope Commercial	$741.83
Rate for Payer: Healthscope Whirlpool	$719.58
Rate for Payer: Mclaren Commercial	$667.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$630.56
Rate for Payer: Nomi Health Commercial	$608.30
Rate for Payer: Priority Health Cigna Priority Health	$482.19
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$652.81

HC CANNULA FEM ART

Facility

$741.83

Hospital Charge Code	27000392
Hospital Revenue Code	270
Min. Negotiated Rate	$296.73
Max. Negotiated Rate	$741.83
Rate for Payer: Aetna Commercial	$667.65
Rate for Payer: Aetna Medicare	$370.92
Rate for Payer: ASR ASR	$719.58
Rate for Payer: ASR Commercial	$719.58
Rate for Payer: BCBS Complete	$296.73
Rate for Payer: BCBS Trust/PPO	$607.48
Rate for Payer: BCN Commercial	$575.14
Rate for Payer: Cash Price	$593.46
Rate for Payer: Cofinity Commercial	$697.32
Rate for Payer: Encore Health Key Benefits Commercial	$593.46
Rate for Payer: Healthscope Commercial	$741.83
Rate for Payer: Healthscope Whirlpool	$719.58
Rate for Payer: Mclaren Commercial	$667.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$630.56
Rate for Payer: Nomi Health Commercial	$608.30
Rate for Payer: Priority Health Cigna Priority Health	$482.19
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$649.99
Rate for Payer: Priority Health Narrow Network	$520.02
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$652.81

HC CANNULA FEM VEN 19 FR

Facility

$1,338.75

Hospital Charge Code	27000671
Hospital Revenue Code	270
Min. Negotiated Rate	$870.19
Max. Negotiated Rate	$1,338.75
Rate for Payer: Aetna Commercial	$1,204.88
Rate for Payer: ASR ASR	$1,298.59
Rate for Payer: ASR Commercial	$1,298.59
Rate for Payer: BCBS Trust/PPO	$1,090.95
Rate for Payer: BCN Commercial	$1,037.93
Rate for Payer: Cash Price	$1,071.00
Rate for Payer: Cofinity Commercial	$1,258.42
Rate for Payer: Encore Health Key Benefits Commercial	$1,071.00
Rate for Payer: Healthscope Commercial	$1,338.75
Rate for Payer: Healthscope Whirlpool	$1,298.59
Rate for Payer: Mclaren Commercial	$1,204.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,137.94
Rate for Payer: Nomi Health Commercial	$1,097.78
Rate for Payer: Priority Health Cigna Priority Health	$870.19
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1,178.10

HC CANNULA FEM VEN 19 FR

Facility

$1,338.75

Hospital Charge Code	27000671
Hospital Revenue Code	270
Min. Negotiated Rate	$535.50
Max. Negotiated Rate	$1,338.75
Rate for Payer: Aetna Commercial	$1,204.88
Rate for Payer: Aetna Medicare	$669.38
Rate for Payer: ASR ASR	$1,298.59
Rate for Payer: ASR Commercial	$1,298.59
Rate for Payer: BCBS Complete	$535.50
Rate for Payer: BCBS Trust/PPO	$1,096.30
Rate for Payer: BCN Commercial	$1,037.93
Rate for Payer: Cash Price	$1,071.00
Rate for Payer: Cofinity Commercial	$1,258.42
Rate for Payer: Encore Health Key Benefits Commercial	$1,071.00
Rate for Payer: Healthscope Commercial	$1,338.75
Rate for Payer: Healthscope Whirlpool	$1,298.59
Rate for Payer: Mclaren Commercial	$1,204.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,137.94
Rate for Payer: Nomi Health Commercial	$1,097.78
Rate for Payer: Priority Health Cigna Priority Health	$870.19
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,173.01
Rate for Payer: Priority Health Narrow Network	$938.46
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1,178.10

HC CANNULA FEM VEN 21, 25 FR

Facility

$1,287.75

Hospital Charge Code	27000073
Hospital Revenue Code	270
Min. Negotiated Rate	$837.04
Max. Negotiated Rate	$1,287.75
Rate for Payer: Aetna Commercial	$1,158.97
Rate for Payer: ASR ASR	$1,249.12
Rate for Payer: ASR Commercial	$1,249.12
Rate for Payer: BCBS Trust/PPO	$1,049.39
Rate for Payer: BCN Commercial	$998.39
Rate for Payer: Cash Price	$1,030.20
Rate for Payer: Cofinity Commercial	$1,210.48
Rate for Payer: Encore Health Key Benefits Commercial	$1,030.20
Rate for Payer: Healthscope Commercial	$1,287.75
Rate for Payer: Healthscope Whirlpool	$1,249.12
Rate for Payer: Mclaren Commercial	$1,158.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,094.59
Rate for Payer: Nomi Health Commercial	$1,055.95
Rate for Payer: Priority Health Cigna Priority Health	$837.04
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1,133.22

HC CANNULA FEM VEN 21, 25 FR

Facility

$1,287.75

Hospital Charge Code	27000073
Hospital Revenue Code	270
Min. Negotiated Rate	$515.10
Max. Negotiated Rate	$1,287.75
Rate for Payer: Aetna Commercial	$1,158.97
Rate for Payer: Aetna Medicare	$643.88
Rate for Payer: ASR ASR	$1,249.12
Rate for Payer: ASR Commercial	$1,249.12
Rate for Payer: BCBS Complete	$515.10
Rate for Payer: BCBS Trust/PPO	$1,054.54
Rate for Payer: BCN Commercial	$998.39
Rate for Payer: Cash Price	$1,030.20
Rate for Payer: Cofinity Commercial	$1,210.48
Rate for Payer: Encore Health Key Benefits Commercial	$1,030.20
Rate for Payer: Healthscope Commercial	$1,287.75
Rate for Payer: Healthscope Whirlpool	$1,249.12
Rate for Payer: Mclaren Commercial	$1,158.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,094.59
Rate for Payer: Nomi Health Commercial	$1,055.95
Rate for Payer: Priority Health Cigna Priority Health	$837.04
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,128.33
Rate for Payer: Priority Health Narrow Network	$902.71
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1,133.22

HC CANNULA LV VENT

Facility

$70.38

Hospital Charge Code	27000104
Hospital Revenue Code	270
Min. Negotiated Rate	$45.75
Max. Negotiated Rate	$70.38
Rate for Payer: Aetna Commercial	$63.34
Rate for Payer: ASR ASR	$68.27
Rate for Payer: ASR Commercial	$68.27
Rate for Payer: BCBS Trust/PPO	$57.35
Rate for Payer: BCN Commercial	$54.57
Rate for Payer: Cash Price	$56.30
Rate for Payer: Cofinity Commercial	$66.16
Rate for Payer: Encore Health Key Benefits Commercial	$56.30
Rate for Payer: Healthscope Commercial	$70.38
Rate for Payer: Healthscope Whirlpool	$68.27
Rate for Payer: Mclaren Commercial	$63.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$59.82
Rate for Payer: Nomi Health Commercial	$57.71
Rate for Payer: Priority Health Cigna Priority Health	$45.75
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$61.93

HC CANNULA LV VENT

Facility

$70.38

Hospital Charge Code	27000104
Hospital Revenue Code	270
Min. Negotiated Rate	$28.15
Max. Negotiated Rate	$70.38
Rate for Payer: Aetna Commercial	$63.34
Rate for Payer: Aetna Medicare	$35.19
Rate for Payer: ASR ASR	$68.27
Rate for Payer: ASR Commercial	$68.27
Rate for Payer: BCBS Complete	$28.15
Rate for Payer: BCBS Trust/PPO	$57.63
Rate for Payer: BCN Commercial	$54.57
Rate for Payer: Cash Price	$56.30
Rate for Payer: Cofinity Commercial	$66.16
Rate for Payer: Encore Health Key Benefits Commercial	$56.30
Rate for Payer: Healthscope Commercial	$70.38
Rate for Payer: Healthscope Whirlpool	$68.27
Rate for Payer: Mclaren Commercial	$63.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$59.82
Rate for Payer: Nomi Health Commercial	$57.71
Rate for Payer: Priority Health Cigna Priority Health	$45.75
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$61.67
Rate for Payer: Priority Health Narrow Network	$49.34
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$61.93

HC CANNULA OSTIA

Facility

$58.14

Hospital Charge Code	27000061
Hospital Revenue Code	270
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$58.14
Rate for Payer: Aetna Commercial	$52.33
Rate for Payer: Aetna Medicare	$29.07
Rate for Payer: ASR ASR	$56.40
Rate for Payer: ASR Commercial	$56.40
Rate for Payer: BCBS Complete	$23.26
Rate for Payer: BCBS Trust/PPO	$47.61
Rate for Payer: BCN Commercial	$45.08
Rate for Payer: Cash Price	$46.51
Rate for Payer: Cofinity Commercial	$54.65
Rate for Payer: Encore Health Key Benefits Commercial	$46.51
Rate for Payer: Healthscope Commercial	$58.14
Rate for Payer: Healthscope Whirlpool	$56.40
Rate for Payer: Mclaren Commercial	$52.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$49.42
Rate for Payer: Nomi Health Commercial	$47.67
Rate for Payer: Priority Health Cigna Priority Health	$37.79
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$50.94
Rate for Payer: Priority Health Narrow Network	$40.76
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$51.16

HC CANNULA OSTIA

Facility

$58.14

Hospital Charge Code	27000061
Hospital Revenue Code	270
Min. Negotiated Rate	$37.79
Max. Negotiated Rate	$58.14
Rate for Payer: Aetna Commercial	$52.33
Rate for Payer: ASR ASR	$56.40
Rate for Payer: ASR Commercial	$56.40
Rate for Payer: BCBS Trust/PPO	$47.38
Rate for Payer: BCN Commercial	$45.08
Rate for Payer: Cash Price	$46.51
Rate for Payer: Cofinity Commercial	$54.65
Rate for Payer: Encore Health Key Benefits Commercial	$46.51
Rate for Payer: Healthscope Commercial	$58.14
Rate for Payer: Healthscope Whirlpool	$56.40
Rate for Payer: Mclaren Commercial	$52.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$49.42
Rate for Payer: Nomi Health Commercial	$47.67
Rate for Payer: Priority Health Cigna Priority Health	$37.79
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$51.16

HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM

Facility

$302.94

Hospital Charge Code	27000664
Hospital Revenue Code	270
Min. Negotiated Rate	$121.18
Max. Negotiated Rate	$302.94
Rate for Payer: Aetna Commercial	$272.65
Rate for Payer: Aetna Medicare	$151.47
Rate for Payer: ASR ASR	$293.85
Rate for Payer: ASR Commercial	$293.85
Rate for Payer: BCBS Complete	$121.18
Rate for Payer: BCBS Trust/PPO	$248.08
Rate for Payer: BCN Commercial	$234.87
Rate for Payer: Cash Price	$242.35
Rate for Payer: Cofinity Commercial	$284.76
Rate for Payer: Encore Health Key Benefits Commercial	$242.35
Rate for Payer: Healthscope Commercial	$302.94
Rate for Payer: Healthscope Whirlpool	$293.85
Rate for Payer: Mclaren Commercial	$272.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$257.50
Rate for Payer: Nomi Health Commercial	$248.41
Rate for Payer: Priority Health Cigna Priority Health	$196.91
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$265.44
Rate for Payer: Priority Health Narrow Network	$212.36
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$266.59

HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM

Facility

$302.94

Hospital Charge Code	27000664
Hospital Revenue Code	270
Min. Negotiated Rate	$196.91
Max. Negotiated Rate	$302.94
Rate for Payer: Aetna Commercial	$272.65
Rate for Payer: ASR ASR	$293.85
Rate for Payer: ASR Commercial	$293.85
Rate for Payer: BCBS Trust/PPO	$246.87
Rate for Payer: BCN Commercial	$234.87
Rate for Payer: Cash Price	$242.35
Rate for Payer: Cofinity Commercial	$284.76
Rate for Payer: Encore Health Key Benefits Commercial	$242.35
Rate for Payer: Healthscope Commercial	$302.94
Rate for Payer: Healthscope Whirlpool	$293.85
Rate for Payer: Mclaren Commercial	$272.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$257.50
Rate for Payer: Nomi Health Commercial	$248.41
Rate for Payer: Priority Health Cigna Priority Health	$196.91
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$266.59

HC CANNULA RCSP PVC AUTO 15 FR

Facility

$260.10

Hospital Charge Code	27000683
Hospital Revenue Code	270
Min. Negotiated Rate	$104.04
Max. Negotiated Rate	$260.10
Rate for Payer: Aetna Commercial	$234.09
Rate for Payer: Aetna Medicare	$130.05
Rate for Payer: ASR ASR	$252.30
Rate for Payer: ASR Commercial	$252.30
Rate for Payer: BCBS Complete	$104.04
Rate for Payer: BCBS Trust/PPO	$213.00
Rate for Payer: BCN Commercial	$201.66
Rate for Payer: Cash Price	$208.08
Rate for Payer: Cofinity Commercial	$244.49
Rate for Payer: Encore Health Key Benefits Commercial	$208.08
Rate for Payer: Healthscope Commercial	$260.10
Rate for Payer: Healthscope Whirlpool	$252.30
Rate for Payer: Mclaren Commercial	$234.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$221.09
Rate for Payer: Nomi Health Commercial	$213.28
Rate for Payer: Priority Health Cigna Priority Health	$169.06
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$227.90
Rate for Payer: Priority Health Narrow Network	$182.33
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$228.89

HC CANNULA RCSP PVC AUTO 15 FR

Facility

$260.10

Hospital Charge Code	27000683
Hospital Revenue Code	270
Min. Negotiated Rate	$169.06
Max. Negotiated Rate	$260.10
Rate for Payer: Aetna Commercial	$234.09
Rate for Payer: ASR ASR	$252.30
Rate for Payer: ASR Commercial	$252.30
Rate for Payer: BCBS Trust/PPO	$211.96
Rate for Payer: BCN Commercial	$201.66
Rate for Payer: Cash Price	$208.08
Rate for Payer: Cofinity Commercial	$244.49
Rate for Payer: Encore Health Key Benefits Commercial	$208.08
Rate for Payer: Healthscope Commercial	$260.10
Rate for Payer: Healthscope Whirlpool	$252.30
Rate for Payer: Mclaren Commercial	$234.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$221.09
Rate for Payer: Nomi Health Commercial	$213.28
Rate for Payer: Priority Health Cigna Priority Health	$169.06
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$228.89

HC CANNULA RETROGRADE

Facility

$208.08

Hospital Charge Code	27000142
Hospital Revenue Code	270
Min. Negotiated Rate	$83.23
Max. Negotiated Rate	$208.08
Rate for Payer: Aetna Commercial	$187.27
Rate for Payer: Aetna Medicare	$104.04
Rate for Payer: ASR ASR	$201.84
Rate for Payer: ASR Commercial	$201.84
Rate for Payer: BCBS Complete	$83.23
Rate for Payer: BCBS Trust/PPO	$170.40
Rate for Payer: BCN Commercial	$161.32
Rate for Payer: Cash Price	$166.46
Rate for Payer: Cofinity Commercial	$195.60
Rate for Payer: Encore Health Key Benefits Commercial	$166.46
Rate for Payer: Healthscope Commercial	$208.08
Rate for Payer: Healthscope Whirlpool	$201.84
Rate for Payer: Mclaren Commercial	$187.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$176.87
Rate for Payer: Nomi Health Commercial	$170.63
Rate for Payer: Priority Health Cigna Priority Health	$135.25
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$182.32
Rate for Payer: Priority Health Narrow Network	$145.86
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$183.11

HC CANNULA RETROGRADE

Facility

$208.08

Hospital Charge Code	27000142
Hospital Revenue Code	270
Min. Negotiated Rate	$135.25
Max. Negotiated Rate	$208.08
Rate for Payer: Aetna Commercial	$187.27
Rate for Payer: ASR ASR	$201.84
Rate for Payer: ASR Commercial	$201.84
Rate for Payer: BCBS Trust/PPO	$169.56
Rate for Payer: BCN Commercial	$161.32
Rate for Payer: Cash Price	$166.46
Rate for Payer: Cofinity Commercial	$195.60
Rate for Payer: Encore Health Key Benefits Commercial	$166.46
Rate for Payer: Healthscope Commercial	$208.08
Rate for Payer: Healthscope Whirlpool	$201.84
Rate for Payer: Mclaren Commercial	$187.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$176.87
Rate for Payer: Nomi Health Commercial	$170.63
Rate for Payer: Priority Health Cigna Priority Health	$135.25
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$183.11

HC CANNULA RETROGRD 15 FR

Facility

$311.01

Hospital Charge Code	27000447
Hospital Revenue Code	270
Min. Negotiated Rate	$124.40
Max. Negotiated Rate	$311.01
Rate for Payer: Aetna Commercial	$279.91
Rate for Payer: Aetna Medicare	$155.50
Rate for Payer: ASR ASR	$301.68
Rate for Payer: ASR Commercial	$301.68
Rate for Payer: BCBS Complete	$124.40
Rate for Payer: BCBS Trust/PPO	$254.69
Rate for Payer: BCN Commercial	$241.13
Rate for Payer: Cash Price	$248.81
Rate for Payer: Cofinity Commercial	$292.35
Rate for Payer: Encore Health Key Benefits Commercial	$248.81
Rate for Payer: Healthscope Commercial	$311.01
Rate for Payer: Healthscope Whirlpool	$301.68
Rate for Payer: Mclaren Commercial	$279.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$264.36
Rate for Payer: Nomi Health Commercial	$255.03
Rate for Payer: Priority Health Cigna Priority Health	$202.16
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$272.51
Rate for Payer: Priority Health Narrow Network	$218.02
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$273.69

HC CANNULA RETROGRD 15 FR

Facility

$311.01

Hospital Charge Code	27000447
Hospital Revenue Code	270
Min. Negotiated Rate	$202.16
Max. Negotiated Rate	$311.01
Rate for Payer: Aetna Commercial	$279.91
Rate for Payer: ASR ASR	$301.68
Rate for Payer: ASR Commercial	$301.68
Rate for Payer: BCBS Trust/PPO	$253.44
Rate for Payer: BCN Commercial	$241.13
Rate for Payer: Cash Price	$248.81
Rate for Payer: Cofinity Commercial	$292.35
Rate for Payer: Encore Health Key Benefits Commercial	$248.81
Rate for Payer: Healthscope Commercial	$311.01
Rate for Payer: Healthscope Whirlpool	$301.68
Rate for Payer: Mclaren Commercial	$279.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$264.36
Rate for Payer: Nomi Health Commercial	$255.03
Rate for Payer: Priority Health Cigna Priority Health	$202.16
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$273.69

HC CANNULA VEIN GRAFT

Facility

$35.19

Hospital Charge Code	27000096
Hospital Revenue Code	270
Min. Negotiated Rate	$14.08
Max. Negotiated Rate	$35.19
Rate for Payer: Aetna Commercial	$31.67
Rate for Payer: Aetna Medicare	$17.59
Rate for Payer: ASR ASR	$34.13
Rate for Payer: ASR Commercial	$34.13
Rate for Payer: BCBS Complete	$14.08
Rate for Payer: BCBS Trust/PPO	$28.82
Rate for Payer: BCN Commercial	$27.28
Rate for Payer: Cash Price	$28.15
Rate for Payer: Cofinity Commercial	$33.08
Rate for Payer: Encore Health Key Benefits Commercial	$28.15
Rate for Payer: Healthscope Commercial	$35.19
Rate for Payer: Healthscope Whirlpool	$34.13
Rate for Payer: Mclaren Commercial	$31.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$29.91
Rate for Payer: Nomi Health Commercial	$28.86
Rate for Payer: Priority Health Cigna Priority Health	$22.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$30.83
Rate for Payer: Priority Health Narrow Network	$24.67
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$30.97

HC CANNULA VEIN GRAFT

Facility

$35.19

Hospital Charge Code	27000096
Hospital Revenue Code	270
Min. Negotiated Rate	$22.87
Max. Negotiated Rate	$35.19
Rate for Payer: Aetna Commercial	$31.67
Rate for Payer: ASR ASR	$34.13
Rate for Payer: ASR Commercial	$34.13
Rate for Payer: BCBS Trust/PPO	$28.68
Rate for Payer: BCN Commercial	$27.28
Rate for Payer: Cash Price	$28.15
Rate for Payer: Cofinity Commercial	$33.08
Rate for Payer: Encore Health Key Benefits Commercial	$28.15
Rate for Payer: Healthscope Commercial	$35.19
Rate for Payer: Healthscope Whirlpool	$34.13
Rate for Payer: Mclaren Commercial	$31.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$29.91
Rate for Payer: Nomi Health Commercial	$28.86
Rate for Payer: Priority Health Cigna Priority Health	$22.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$30.97

HC CANNULA VENOUS RT PVC

Facility

$85.68

Hospital Charge Code	27000681
Hospital Revenue Code	270
Min. Negotiated Rate	$34.27
Max. Negotiated Rate	$85.68
Rate for Payer: Aetna Commercial	$77.11
Rate for Payer: Aetna Medicare	$42.84
Rate for Payer: ASR ASR	$83.11
Rate for Payer: ASR Commercial	$83.11
Rate for Payer: BCBS Complete	$34.27
Rate for Payer: BCBS Trust/PPO	$70.16
Rate for Payer: BCN Commercial	$66.43
Rate for Payer: Cash Price	$68.54
Rate for Payer: Cofinity Commercial	$80.54
Rate for Payer: Encore Health Key Benefits Commercial	$68.54
Rate for Payer: Healthscope Commercial	$85.68
Rate for Payer: Healthscope Whirlpool	$83.11
Rate for Payer: Mclaren Commercial	$77.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$72.83
Rate for Payer: Nomi Health Commercial	$70.26
Rate for Payer: Priority Health Cigna Priority Health	$55.69
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$75.07
Rate for Payer: Priority Health Narrow Network	$60.06
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$75.40

Know your out-of-pocket cost for care.

All Charges