|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25
|
Facility
|
OP
|
$2,500.00
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$925.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Aetna Commercial |
$2,250.00
|
| Rate for Payer: Aetna Medicare |
$925.00
|
| Rate for Payer: ASR ASR |
$2,425.00
|
| Rate for Payer: BCBS Complete |
$1,000.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.25
|
| Rate for Payer: BCN Commercial |
$2,061.25
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cofinity Commercial |
$2,350.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,000.00
|
| Rate for Payer: Healthscope Commercial |
$2,425.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,500.00
|
| Rate for Payer: Mclaren Commercial |
$2,250.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Nomi Health Commercial |
$2,050.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,190.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,752.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,200.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32
|
Facility
|
OP
|
$3,242.50
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,199.72 |
| Max. Negotiated Rate |
$3,242.50 |
| Rate for Payer: Aetna Commercial |
$2,918.25
|
| Rate for Payer: Aetna Medicare |
$1,199.72
|
| Rate for Payer: ASR ASR |
$3,145.22
|
| Rate for Payer: BCBS Complete |
$1,297.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,673.44
|
| Rate for Payer: BCN Commercial |
$2,673.44
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cofinity Commercial |
$3,047.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,594.00
|
| Rate for Payer: Healthscope Commercial |
$3,145.22
|
| Rate for Payer: Healthscope Whirlpool |
$3,242.50
|
| Rate for Payer: Mclaren Commercial |
$2,918.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,594.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.12
|
| Rate for Payer: Nomi Health Commercial |
$2,658.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,431.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,841.08
|
| Rate for Payer: Priority Health Narrow Network |
$2,272.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,853.40
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 32
|
Facility
|
IP
|
$3,242.50
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,431.88 |
| Max. Negotiated Rate |
$3,242.50 |
| Rate for Payer: Aetna Commercial |
$2,918.25
|
| Rate for Payer: ASR ASR |
$3,145.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,662.74
|
| Rate for Payer: BCN Commercial |
$2,662.74
|
| Rate for Payer: Cash Price |
$2,594.00
|
| Rate for Payer: Cofinity Commercial |
$3,047.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,594.00
|
| Rate for Payer: Healthscope Commercial |
$3,145.22
|
| Rate for Payer: Healthscope Whirlpool |
$3,242.50
|
| Rate for Payer: Mclaren Commercial |
$2,918.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.12
|
| Rate for Payer: Nomi Health Commercial |
$2,658.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,431.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,853.40
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 8
|
Facility
|
OP
|
$825.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200376
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$305.25 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Aetna Commercial |
$742.50
|
| Rate for Payer: Aetna Medicare |
$305.25
|
| Rate for Payer: ASR ASR |
$800.25
|
| Rate for Payer: BCBS Complete |
$330.00
|
| Rate for Payer: BCBS Trust/PPO |
$680.21
|
| Rate for Payer: BCN Commercial |
$680.21
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$775.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.00
|
| Rate for Payer: Healthscope Commercial |
$800.25
|
| Rate for Payer: Healthscope Whirlpool |
$825.00
|
| Rate for Payer: Mclaren Commercial |
$742.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$660.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.25
|
| Rate for Payer: Nomi Health Commercial |
$676.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$618.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$722.87
|
| Rate for Payer: Priority Health Narrow Network |
$578.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$726.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 8
|
Facility
|
IP
|
$825.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200376
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$618.75 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Aetna Commercial |
$742.50
|
| Rate for Payer: ASR ASR |
$800.25
|
| Rate for Payer: BCBS Trust/PPO |
$677.49
|
| Rate for Payer: BCN Commercial |
$677.49
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$775.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.00
|
| Rate for Payer: Healthscope Commercial |
$800.25
|
| Rate for Payer: Healthscope Whirlpool |
$825.00
|
| Rate for Payer: Mclaren Commercial |
$742.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.25
|
| Rate for Payer: Nomi Health Commercial |
$676.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$618.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$726.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 9
|
Facility
|
IP
|
$900.00
|
|
|
Service Code
|
CPT C1731
|
| Hospital Charge Code |
27200366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$675.00 |
| Max. Negotiated Rate |
$900.00 |
| Rate for Payer: Aetna Commercial |
$810.00
|
| Rate for Payer: ASR ASR |
$873.00
|
| Rate for Payer: BCBS Trust/PPO |
$739.08
|
| Rate for Payer: BCN Commercial |
$739.08
|
| Rate for Payer: Cash Price |
$720.00
|
| Rate for Payer: Cofinity Commercial |
$846.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.00
|
| Rate for Payer: Healthscope Commercial |
$873.00
|
| Rate for Payer: Healthscope Whirlpool |
$900.00
|
| Rate for Payer: Mclaren Commercial |
$810.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$765.00
|
| Rate for Payer: Nomi Health Commercial |
$738.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$675.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$792.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 9
|
Facility
|
OP
|
$900.00
|
|
|
Service Code
|
CPT C1731
|
| Hospital Charge Code |
27200366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$333.00 |
| Max. Negotiated Rate |
$900.00 |
| Rate for Payer: Aetna Commercial |
$810.00
|
| Rate for Payer: Aetna Medicare |
$333.00
|
| Rate for Payer: ASR ASR |
$873.00
|
| Rate for Payer: BCBS Complete |
$360.00
|
| Rate for Payer: BCBS Trust/PPO |
$742.05
|
| Rate for Payer: BCN Commercial |
$742.05
|
| Rate for Payer: Cash Price |
$720.00
|
| Rate for Payer: Cofinity Commercial |
$846.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.00
|
| Rate for Payer: Healthscope Commercial |
$873.00
|
| Rate for Payer: Healthscope Whirlpool |
$900.00
|
| Rate for Payer: Mclaren Commercial |
$810.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$720.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$765.00
|
| Rate for Payer: Nomi Health Commercial |
$738.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$675.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$788.58
|
| Rate for Payer: Priority Health Narrow Network |
$630.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$792.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D OR VECTOR MAP OTHER THAN COOL TIP LVL 32
|
Facility
|
OP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,202.50 |
| Max. Negotiated Rate |
$3,250.00 |
| Rate for Payer: Aetna Commercial |
$2,925.00
|
| Rate for Payer: Aetna Medicare |
$1,202.50
|
| Rate for Payer: ASR ASR |
$3,152.50
|
| Rate for Payer: BCBS Complete |
$1,300.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,679.62
|
| Rate for Payer: BCN Commercial |
$2,679.62
|
| Rate for Payer: Cash Price |
$2,600.00
|
| Rate for Payer: Cofinity Commercial |
$3,055.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,600.00
|
| Rate for Payer: Healthscope Commercial |
$3,152.50
|
| Rate for Payer: Healthscope Whirlpool |
$3,250.00
|
| Rate for Payer: Mclaren Commercial |
$2,925.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,600.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,762.50
|
| Rate for Payer: Nomi Health Commercial |
$2,665.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,437.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,847.65
|
| Rate for Payer: Priority Health Narrow Network |
$2,278.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,860.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D OR VECTOR MAP OTHER THAN COOL TIP LVL 32
|
Facility
|
IP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,437.50 |
| Max. Negotiated Rate |
$3,250.00 |
| Rate for Payer: Aetna Commercial |
$2,925.00
|
| Rate for Payer: ASR ASR |
$3,152.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,668.90
|
| Rate for Payer: BCN Commercial |
$2,668.90
|
| Rate for Payer: Cash Price |
$2,600.00
|
| Rate for Payer: Cofinity Commercial |
$3,055.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,600.00
|
| Rate for Payer: Healthscope Commercial |
$3,152.50
|
| Rate for Payer: Healthscope Whirlpool |
$3,250.00
|
| Rate for Payer: Mclaren Commercial |
$2,925.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,762.50
|
| Rate for Payer: Nomi Health Commercial |
$2,665.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,437.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,860.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 14
|
Facility
|
IP
|
$1,439.03
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200028
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,079.27 |
| Max. Negotiated Rate |
$1,439.03 |
| Rate for Payer: Aetna Commercial |
$1,295.13
|
| Rate for Payer: ASR ASR |
$1,395.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.73
|
| Rate for Payer: BCN Commercial |
$1,181.73
|
| Rate for Payer: Cash Price |
$1,151.22
|
| Rate for Payer: Cofinity Commercial |
$1,352.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,151.22
|
| Rate for Payer: Healthscope Commercial |
$1,395.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,439.03
|
| Rate for Payer: Mclaren Commercial |
$1,295.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.18
|
| Rate for Payer: Nomi Health Commercial |
$1,180.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,079.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,266.35
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 14
|
Facility
|
OP
|
$1,439.03
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200028
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$532.44 |
| Max. Negotiated Rate |
$1,439.03 |
| Rate for Payer: Aetna Commercial |
$1,295.13
|
| Rate for Payer: Aetna Medicare |
$532.44
|
| Rate for Payer: ASR ASR |
$1,395.86
|
| Rate for Payer: BCBS Complete |
$575.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.48
|
| Rate for Payer: BCN Commercial |
$1,186.48
|
| Rate for Payer: Cash Price |
$1,151.22
|
| Rate for Payer: Cofinity Commercial |
$1,352.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,151.22
|
| Rate for Payer: Healthscope Commercial |
$1,395.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,439.03
|
| Rate for Payer: Mclaren Commercial |
$1,295.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,151.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.18
|
| Rate for Payer: Nomi Health Commercial |
$1,180.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,079.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,260.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,008.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,266.35
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 37
|
Facility
|
IP
|
$3,700.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200377
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,775.00 |
| Max. Negotiated Rate |
$3,700.00 |
| Rate for Payer: Aetna Commercial |
$3,330.00
|
| Rate for Payer: ASR ASR |
$3,589.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,038.44
|
| Rate for Payer: BCN Commercial |
$3,038.44
|
| Rate for Payer: Cash Price |
$2,960.00
|
| Rate for Payer: Cofinity Commercial |
$3,478.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,960.00
|
| Rate for Payer: Healthscope Commercial |
$3,589.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,700.00
|
| Rate for Payer: Mclaren Commercial |
$3,330.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,145.00
|
| Rate for Payer: Nomi Health Commercial |
$3,034.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,775.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,256.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 37
|
Facility
|
OP
|
$3,700.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200377
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,369.00 |
| Max. Negotiated Rate |
$3,700.00 |
| Rate for Payer: Aetna Commercial |
$3,330.00
|
| Rate for Payer: Aetna Medicare |
$1,369.00
|
| Rate for Payer: ASR ASR |
$3,589.00
|
| Rate for Payer: BCBS Complete |
$1,480.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,050.65
|
| Rate for Payer: BCN Commercial |
$3,050.65
|
| Rate for Payer: Cash Price |
$2,960.00
|
| Rate for Payer: Cofinity Commercial |
$3,478.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,960.00
|
| Rate for Payer: Healthscope Commercial |
$3,589.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,700.00
|
| Rate for Payer: Mclaren Commercial |
$3,330.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,960.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,145.00
|
| Rate for Payer: Nomi Health Commercial |
$3,034.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,775.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,241.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,593.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,256.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 40
|
Facility
|
IP
|
$4,082.37
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,061.78 |
| Max. Negotiated Rate |
$4,082.37 |
| Rate for Payer: Aetna Commercial |
$3,674.13
|
| Rate for Payer: ASR ASR |
$3,959.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.44
|
| Rate for Payer: BCN Commercial |
$3,352.44
|
| Rate for Payer: Cash Price |
$3,265.90
|
| Rate for Payer: Cofinity Commercial |
$3,837.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,265.90
|
| Rate for Payer: Healthscope Commercial |
$3,959.90
|
| Rate for Payer: Healthscope Whirlpool |
$4,082.37
|
| Rate for Payer: Mclaren Commercial |
$3,674.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,470.01
|
| Rate for Payer: Nomi Health Commercial |
$3,347.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,061.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,592.49
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 40
|
Facility
|
OP
|
$4,082.37
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200014
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,510.48 |
| Max. Negotiated Rate |
$4,082.37 |
| Rate for Payer: Aetna Commercial |
$3,674.13
|
| Rate for Payer: Aetna Medicare |
$1,510.48
|
| Rate for Payer: ASR ASR |
$3,959.90
|
| Rate for Payer: BCBS Complete |
$1,632.95
|
| Rate for Payer: BCBS Trust/PPO |
$3,365.91
|
| Rate for Payer: BCN Commercial |
$3,365.91
|
| Rate for Payer: Cash Price |
$3,265.90
|
| Rate for Payer: Cofinity Commercial |
$3,837.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,265.90
|
| Rate for Payer: Healthscope Commercial |
$3,959.90
|
| Rate for Payer: Healthscope Whirlpool |
$4,082.37
|
| Rate for Payer: Mclaren Commercial |
$3,674.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,265.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,470.01
|
| Rate for Payer: Nomi Health Commercial |
$3,347.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,061.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,576.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,861.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,592.49
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 41
|
Facility
|
IP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,075.00 |
| Max. Negotiated Rate |
$4,100.00 |
| Rate for Payer: Aetna Commercial |
$3,690.00
|
| Rate for Payer: ASR ASR |
$3,977.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,366.92
|
| Rate for Payer: BCN Commercial |
$3,366.92
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,854.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Healthscope Commercial |
$3,977.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,100.00
|
| Rate for Payer: Mclaren Commercial |
$3,690.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,485.00
|
| Rate for Payer: Nomi Health Commercial |
$3,362.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,075.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,608.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 41
|
Facility
|
OP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,517.00 |
| Max. Negotiated Rate |
$4,100.00 |
| Rate for Payer: Aetna Commercial |
$3,690.00
|
| Rate for Payer: Aetna Medicare |
$1,517.00
|
| Rate for Payer: ASR ASR |
$3,977.00
|
| Rate for Payer: BCBS Complete |
$1,640.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,380.45
|
| Rate for Payer: BCN Commercial |
$3,380.45
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cofinity Commercial |
$3,854.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,280.00
|
| Rate for Payer: Healthscope Commercial |
$3,977.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,100.00
|
| Rate for Payer: Mclaren Commercial |
$3,690.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,280.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,485.00
|
| Rate for Payer: Nomi Health Commercial |
$3,362.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,075.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,592.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,874.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,608.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 45
|
Facility
|
IP
|
$4,681.80
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,511.35 |
| Max. Negotiated Rate |
$4,681.80 |
| Rate for Payer: Aetna Commercial |
$4,213.62
|
| Rate for Payer: ASR ASR |
$4,541.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,844.69
|
| Rate for Payer: BCN Commercial |
$3,844.69
|
| Rate for Payer: Cash Price |
$3,745.44
|
| Rate for Payer: Cofinity Commercial |
$4,400.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,745.44
|
| Rate for Payer: Healthscope Commercial |
$4,541.35
|
| Rate for Payer: Healthscope Whirlpool |
$4,681.80
|
| Rate for Payer: Mclaren Commercial |
$4,213.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,979.53
|
| Rate for Payer: Nomi Health Commercial |
$3,839.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,511.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,119.98
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 45
|
Facility
|
OP
|
$4,681.80
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200013
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,732.27 |
| Max. Negotiated Rate |
$4,681.80 |
| Rate for Payer: Aetna Commercial |
$4,213.62
|
| Rate for Payer: Aetna Medicare |
$1,732.27
|
| Rate for Payer: ASR ASR |
$4,541.35
|
| Rate for Payer: BCBS Complete |
$1,872.72
|
| Rate for Payer: BCBS Trust/PPO |
$3,860.14
|
| Rate for Payer: BCN Commercial |
$3,860.14
|
| Rate for Payer: Cash Price |
$3,745.44
|
| Rate for Payer: Cofinity Commercial |
$4,400.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,745.44
|
| Rate for Payer: Healthscope Commercial |
$4,541.35
|
| Rate for Payer: Healthscope Whirlpool |
$4,681.80
|
| Rate for Payer: Mclaren Commercial |
$4,213.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,745.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,979.53
|
| Rate for Payer: Nomi Health Commercial |
$3,839.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,511.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,102.19
|
| Rate for Payer: Priority Health Narrow Network |
$3,281.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,119.98
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 62
|
Facility
|
OP
|
$6,374.09
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,358.41 |
| Max. Negotiated Rate |
$6,374.09 |
| Rate for Payer: Aetna Commercial |
$5,736.68
|
| Rate for Payer: Aetna Medicare |
$2,358.41
|
| Rate for Payer: ASR ASR |
$6,182.87
|
| Rate for Payer: BCBS Complete |
$2,549.64
|
| Rate for Payer: BCBS Trust/PPO |
$5,255.44
|
| Rate for Payer: BCN Commercial |
$5,255.44
|
| Rate for Payer: Cash Price |
$5,099.27
|
| Rate for Payer: Cofinity Commercial |
$5,991.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,099.27
|
| Rate for Payer: Healthscope Commercial |
$6,182.87
|
| Rate for Payer: Healthscope Whirlpool |
$6,374.09
|
| Rate for Payer: Mclaren Commercial |
$5,736.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,099.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,417.98
|
| Rate for Payer: Nomi Health Commercial |
$5,226.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,780.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,584.98
|
| Rate for Payer: Priority Health Narrow Network |
$4,468.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,609.20
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 62
|
Facility
|
IP
|
$6,374.09
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,780.57 |
| Max. Negotiated Rate |
$6,374.09 |
| Rate for Payer: Aetna Commercial |
$5,736.68
|
| Rate for Payer: ASR ASR |
$6,182.87
|
| Rate for Payer: BCBS Trust/PPO |
$5,234.40
|
| Rate for Payer: BCN Commercial |
$5,234.40
|
| Rate for Payer: Cash Price |
$5,099.27
|
| Rate for Payer: Cofinity Commercial |
$5,991.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,099.27
|
| Rate for Payer: Healthscope Commercial |
$6,182.87
|
| Rate for Payer: Healthscope Whirlpool |
$6,374.09
|
| Rate for Payer: Mclaren Commercial |
$5,736.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,417.98
|
| Rate for Payer: Nomi Health Commercial |
$5,226.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,780.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,609.20
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 73
|
Facility
|
IP
|
$7,300.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,475.00 |
| Max. Negotiated Rate |
$7,300.00 |
| Rate for Payer: Aetna Commercial |
$6,570.00
|
| Rate for Payer: ASR ASR |
$7,081.00
|
| Rate for Payer: BCBS Trust/PPO |
$5,994.76
|
| Rate for Payer: BCN Commercial |
$5,994.76
|
| Rate for Payer: Cash Price |
$5,840.00
|
| Rate for Payer: Cofinity Commercial |
$6,862.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,840.00
|
| Rate for Payer: Healthscope Commercial |
$7,081.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,300.00
|
| Rate for Payer: Mclaren Commercial |
$6,570.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,205.00
|
| Rate for Payer: Nomi Health Commercial |
$5,986.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,475.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,424.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 73
|
Facility
|
OP
|
$7,300.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,701.00 |
| Max. Negotiated Rate |
$7,300.00 |
| Rate for Payer: Aetna Commercial |
$6,570.00
|
| Rate for Payer: Aetna Medicare |
$2,701.00
|
| Rate for Payer: ASR ASR |
$7,081.00
|
| Rate for Payer: BCBS Complete |
$2,920.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,018.85
|
| Rate for Payer: BCN Commercial |
$6,018.85
|
| Rate for Payer: Cash Price |
$5,840.00
|
| Rate for Payer: Cofinity Commercial |
$6,862.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,840.00
|
| Rate for Payer: Healthscope Commercial |
$7,081.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,300.00
|
| Rate for Payer: Mclaren Commercial |
$6,570.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,840.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,205.00
|
| Rate for Payer: Nomi Health Commercial |
$5,986.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,475.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,396.26
|
| Rate for Payer: Priority Health Narrow Network |
$5,117.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,424.00
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 83
|
Facility
|
OP
|
$8,394.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,105.78 |
| Max. Negotiated Rate |
$8,394.00 |
| Rate for Payer: Aetna Commercial |
$7,554.60
|
| Rate for Payer: Aetna Medicare |
$3,105.78
|
| Rate for Payer: ASR ASR |
$8,142.18
|
| Rate for Payer: BCBS Complete |
$3,357.60
|
| Rate for Payer: BCBS Trust/PPO |
$6,920.85
|
| Rate for Payer: BCN Commercial |
$6,920.85
|
| Rate for Payer: Cash Price |
$6,715.20
|
| Rate for Payer: Cofinity Commercial |
$7,890.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,715.20
|
| Rate for Payer: Healthscope Commercial |
$8,142.18
|
| Rate for Payer: Healthscope Whirlpool |
$8,394.00
|
| Rate for Payer: Mclaren Commercial |
$7,554.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,715.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,134.90
|
| Rate for Payer: Nomi Health Commercial |
$6,883.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,295.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,354.82
|
| Rate for Payer: Priority Health Narrow Network |
$5,884.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,386.72
|
|
|
HC ELECTROPHYSIOLOGY CATHS 3D OR VECTOR MAPPING LEVEL 83
|
Facility
|
IP
|
$8,394.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6,295.50 |
| Max. Negotiated Rate |
$8,394.00 |
| Rate for Payer: Aetna Commercial |
$7,554.60
|
| Rate for Payer: ASR ASR |
$8,142.18
|
| Rate for Payer: BCBS Trust/PPO |
$6,893.15
|
| Rate for Payer: BCN Commercial |
$6,893.15
|
| Rate for Payer: Cash Price |
$6,715.20
|
| Rate for Payer: Cofinity Commercial |
$7,890.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,715.20
|
| Rate for Payer: Healthscope Commercial |
$8,142.18
|
| Rate for Payer: Healthscope Whirlpool |
$8,394.00
|
| Rate for Payer: Mclaren Commercial |
$7,554.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,134.90
|
| Rate for Payer: Nomi Health Commercial |
$6,883.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,295.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,386.72
|
|
