|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 46
|
Facility
|
IP
|
$4,620.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,003.00 |
| Max. Negotiated Rate |
$4,620.00 |
| Rate for Payer: Aetna Commercial |
$4,158.00
|
| Rate for Payer: ASR ASR |
$4,481.40
|
| Rate for Payer: ASR Commercial |
$4,481.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,764.84
|
| Rate for Payer: BCN Commercial |
$3,581.89
|
| Rate for Payer: Cash Price |
$3,696.00
|
| Rate for Payer: Cofinity Commercial |
$4,342.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,696.00
|
| Rate for Payer: Healthscope Commercial |
$4,620.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,481.40
|
| Rate for Payer: Mclaren Commercial |
$4,158.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,927.00
|
| Rate for Payer: Nomi Health Commercial |
$3,788.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,003.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,065.60
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47
|
Facility
|
IP
|
$4,788.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200373
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,112.20 |
| Max. Negotiated Rate |
$4,788.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: ASR ASR |
$4,644.36
|
| Rate for Payer: ASR Commercial |
$4,644.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,901.74
|
| Rate for Payer: BCN Commercial |
$3,712.14
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cofinity Commercial |
$4,500.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,830.40
|
| Rate for Payer: Healthscope Commercial |
$4,788.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,644.36
|
| Rate for Payer: Mclaren Commercial |
$4,309.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,069.80
|
| Rate for Payer: Nomi Health Commercial |
$3,926.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,112.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,213.44
|
|
|
HC ELECTROPHYSIOLOGY CATH 3D OR VECTOR MAPPING LEVEL 47
|
Facility
|
OP
|
$4,788.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200373
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,915.20 |
| Max. Negotiated Rate |
$4,788.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: Aetna Medicare |
$2,394.00
|
| Rate for Payer: ASR ASR |
$4,644.36
|
| Rate for Payer: ASR Commercial |
$4,644.36
|
| Rate for Payer: BCBS Complete |
$1,915.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,920.89
|
| Rate for Payer: BCN Commercial |
$3,712.14
|
| Rate for Payer: Cash Price |
$3,830.40
|
| Rate for Payer: Cofinity Commercial |
$4,500.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,830.40
|
| Rate for Payer: Healthscope Commercial |
$4,788.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,644.36
|
| Rate for Payer: Mclaren Commercial |
$4,309.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,069.80
|
| Rate for Payer: Nomi Health Commercial |
$3,926.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,112.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,195.25
|
| Rate for Payer: Priority Health Narrow Network |
$3,356.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,213.44
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11
|
Facility
|
OP
|
$1,119.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$447.60 |
| Max. Negotiated Rate |
$1,119.00 |
| Rate for Payer: Aetna Commercial |
$1,007.10
|
| Rate for Payer: Aetna Medicare |
$559.50
|
| Rate for Payer: ASR ASR |
$1,085.43
|
| Rate for Payer: ASR Commercial |
$1,085.43
|
| Rate for Payer: BCBS Complete |
$447.60
|
| Rate for Payer: BCBS Trust/PPO |
$916.35
|
| Rate for Payer: BCN Commercial |
$867.56
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Commercial |
$1,051.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.20
|
| Rate for Payer: Healthscope Commercial |
$1,119.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,085.43
|
| Rate for Payer: Mclaren Commercial |
$1,007.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$951.15
|
| Rate for Payer: Nomi Health Commercial |
$917.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$727.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$980.47
|
| Rate for Payer: Priority Health Narrow Network |
$784.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$984.72
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 11
|
Facility
|
IP
|
$1,119.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$727.35 |
| Max. Negotiated Rate |
$1,119.00 |
| Rate for Payer: Aetna Commercial |
$1,007.10
|
| Rate for Payer: ASR ASR |
$1,085.43
|
| Rate for Payer: ASR Commercial |
$1,085.43
|
| Rate for Payer: BCBS Trust/PPO |
$911.87
|
| Rate for Payer: BCN Commercial |
$867.56
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Commercial |
$1,051.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.20
|
| Rate for Payer: Healthscope Commercial |
$1,119.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,085.43
|
| Rate for Payer: Mclaren Commercial |
$1,007.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$951.15
|
| Rate for Payer: Nomi Health Commercial |
$917.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$727.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$984.72
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13
|
Facility
|
OP
|
$1,342.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200375
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$537.00 |
| Max. Negotiated Rate |
$1,342.50 |
| Rate for Payer: Aetna Commercial |
$1,208.25
|
| Rate for Payer: Aetna Medicare |
$671.25
|
| Rate for Payer: ASR ASR |
$1,302.22
|
| Rate for Payer: ASR Commercial |
$1,302.22
|
| Rate for Payer: BCBS Complete |
$537.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,099.37
|
| Rate for Payer: BCN Commercial |
$1,040.84
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cofinity Commercial |
$1,261.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.00
|
| Rate for Payer: Healthscope Commercial |
$1,342.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,302.22
|
| Rate for Payer: Mclaren Commercial |
$1,208.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.12
|
| Rate for Payer: Nomi Health Commercial |
$1,100.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,176.30
|
| Rate for Payer: Priority Health Narrow Network |
$941.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,181.40
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 13
|
Facility
|
IP
|
$1,342.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200375
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$872.62 |
| Max. Negotiated Rate |
$1,342.50 |
| Rate for Payer: Aetna Commercial |
$1,208.25
|
| Rate for Payer: ASR ASR |
$1,302.22
|
| Rate for Payer: ASR Commercial |
$1,302.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,094.00
|
| Rate for Payer: BCN Commercial |
$1,040.84
|
| Rate for Payer: Cash Price |
$1,074.00
|
| Rate for Payer: Cofinity Commercial |
$1,261.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.00
|
| Rate for Payer: Healthscope Commercial |
$1,342.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,302.22
|
| Rate for Payer: Mclaren Commercial |
$1,208.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.12
|
| Rate for Payer: Nomi Health Commercial |
$1,100.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,181.40
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15
|
Facility
|
OP
|
$1,537.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200363
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$615.00 |
| Max. Negotiated Rate |
$1,537.50 |
| Rate for Payer: Aetna Commercial |
$1,383.75
|
| Rate for Payer: Aetna Medicare |
$768.75
|
| Rate for Payer: ASR ASR |
$1,491.38
|
| Rate for Payer: ASR Commercial |
$1,491.38
|
| Rate for Payer: BCBS Complete |
$615.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,259.06
|
| Rate for Payer: BCN Commercial |
$1,192.02
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cofinity Commercial |
$1,445.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,230.00
|
| Rate for Payer: Healthscope Commercial |
$1,537.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,491.38
|
| Rate for Payer: Mclaren Commercial |
$1,383.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.88
|
| Rate for Payer: Nomi Health Commercial |
$1,260.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$999.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,347.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,077.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,353.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 15
|
Facility
|
IP
|
$1,537.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200363
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$999.38 |
| Max. Negotiated Rate |
$1,537.50 |
| Rate for Payer: Aetna Commercial |
$1,383.75
|
| Rate for Payer: ASR ASR |
$1,491.38
|
| Rate for Payer: ASR Commercial |
$1,491.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,252.91
|
| Rate for Payer: BCN Commercial |
$1,192.02
|
| Rate for Payer: Cash Price |
$1,230.00
|
| Rate for Payer: Cofinity Commercial |
$1,445.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,230.00
|
| Rate for Payer: Healthscope Commercial |
$1,537.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,491.38
|
| Rate for Payer: Mclaren Commercial |
$1,383.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,306.88
|
| Rate for Payer: Nomi Health Commercial |
$1,260.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$999.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,353.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37
|
Facility
|
IP
|
$3,750.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200365
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,437.50 |
| Max. Negotiated Rate |
$3,750.00 |
| Rate for Payer: Aetna Commercial |
$3,375.00
|
| Rate for Payer: ASR ASR |
$3,637.50
|
| Rate for Payer: ASR Commercial |
$3,637.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,055.88
|
| Rate for Payer: BCN Commercial |
$2,907.38
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cofinity Commercial |
$3,525.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,000.00
|
| Rate for Payer: Healthscope Commercial |
$3,750.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,637.50
|
| Rate for Payer: Mclaren Commercial |
$3,375.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,187.50
|
| Rate for Payer: Nomi Health Commercial |
$3,075.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,437.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,300.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 37
|
Facility
|
OP
|
$3,750.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200365
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,500.00 |
| Max. Negotiated Rate |
$3,750.00 |
| Rate for Payer: Aetna Commercial |
$3,375.00
|
| Rate for Payer: Aetna Medicare |
$1,875.00
|
| Rate for Payer: ASR ASR |
$3,637.50
|
| Rate for Payer: ASR Commercial |
$3,637.50
|
| Rate for Payer: BCBS Complete |
$1,500.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,070.88
|
| Rate for Payer: BCN Commercial |
$2,907.38
|
| Rate for Payer: Cash Price |
$3,000.00
|
| Rate for Payer: Cofinity Commercial |
$3,525.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,000.00
|
| Rate for Payer: Healthscope Commercial |
$3,750.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,637.50
|
| Rate for Payer: Mclaren Commercial |
$3,375.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,187.50
|
| Rate for Payer: Nomi Health Commercial |
$3,075.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,437.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,285.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,628.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,300.00
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4
|
Facility
|
IP
|
$438.60
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$285.09 |
| Max. Negotiated Rate |
$438.60 |
| Rate for Payer: Aetna Commercial |
$394.74
|
| Rate for Payer: ASR ASR |
$425.44
|
| Rate for Payer: ASR Commercial |
$425.44
|
| Rate for Payer: BCBS Trust/PPO |
$357.42
|
| Rate for Payer: BCN Commercial |
$340.05
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cofinity Commercial |
$412.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.88
|
| Rate for Payer: Healthscope Commercial |
$438.60
|
| Rate for Payer: Healthscope Whirlpool |
$425.44
|
| Rate for Payer: Mclaren Commercial |
$394.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$372.81
|
| Rate for Payer: Nomi Health Commercial |
$359.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$285.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$385.97
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 19 OR < ELECTRODES LEVEL 4
|
Facility
|
OP
|
$438.60
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$175.44 |
| Max. Negotiated Rate |
$438.60 |
| Rate for Payer: Aetna Commercial |
$394.74
|
| Rate for Payer: Aetna Medicare |
$219.30
|
| Rate for Payer: ASR ASR |
$425.44
|
| Rate for Payer: ASR Commercial |
$425.44
|
| Rate for Payer: BCBS Complete |
$175.44
|
| Rate for Payer: BCBS Trust/PPO |
$359.17
|
| Rate for Payer: BCN Commercial |
$340.05
|
| Rate for Payer: Cash Price |
$350.88
|
| Rate for Payer: Cofinity Commercial |
$412.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.88
|
| Rate for Payer: Healthscope Commercial |
$438.60
|
| Rate for Payer: Healthscope Whirlpool |
$425.44
|
| Rate for Payer: Mclaren Commercial |
$394.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$372.81
|
| Rate for Payer: Nomi Health Commercial |
$359.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$285.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$384.30
|
| Rate for Payer: Priority Health Narrow Network |
$307.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$385.97
|
|
|
HC ELECTROPHYSIOLOGY CATH NO 3D 20 OR > ELECTRODES LEVEL 25
|
Facility
|
IP
|
$2,500.00
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,625.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Aetna Commercial |
$2,250.00
|
| Rate for Payer: ASR ASR |
$2,425.00
|
| Rate for Payer: ASR Commercial |
$2,425.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,037.25
|
| Rate for Payer: BCN Commercial |
$1,938.25
|
| 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 |
$2,500.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,425.00
|
| Rate for Payer: Mclaren Commercial |
$2,250.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Nomi Health Commercial |
$2,050.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,625.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,200.00
|
|
|
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 |
$1,000.00 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Aetna Commercial |
$2,250.00
|
| Rate for Payer: Aetna Medicare |
$1,250.00
|
| Rate for Payer: ASR ASR |
$2,425.00
|
| Rate for Payer: ASR Commercial |
$2,425.00
|
| Rate for Payer: BCBS Complete |
$1,000.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,047.25
|
| Rate for Payer: BCN Commercial |
$1,938.25
|
| 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 |
$2,500.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,425.00
|
| Rate for Payer: Mclaren Commercial |
$2,250.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,125.00
|
| Rate for Payer: Nomi Health Commercial |
$2,050.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,625.00
|
| Rate for Payer: 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 |
$1,297.00 |
| Max. Negotiated Rate |
$3,242.50 |
| Rate for Payer: Aetna Commercial |
$2,918.25
|
| Rate for Payer: Aetna Medicare |
$1,621.25
|
| Rate for Payer: ASR ASR |
$3,145.22
|
| Rate for Payer: ASR Commercial |
$3,145.22
|
| Rate for Payer: BCBS Complete |
$1,297.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,655.28
|
| Rate for Payer: BCN Commercial |
$2,513.91
|
| 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 |
$3,242.50
|
| Rate for Payer: Healthscope Whirlpool |
$3,145.22
|
| 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: Priority Health Cigna Priority Health |
$2,107.62
|
| Rate for Payer: 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 |
$2,107.62 |
| 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: ASR Commercial |
$3,145.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.31
|
| Rate for Payer: BCN Commercial |
$2,513.91
|
| 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 |
$3,242.50
|
| Rate for Payer: Healthscope Whirlpool |
$3,145.22
|
| 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: Priority Health Cigna Priority Health |
$2,107.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,853.40
|
|
|
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 |
$536.25 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Aetna Commercial |
$742.50
|
| Rate for Payer: ASR ASR |
$800.25
|
| Rate for Payer: ASR Commercial |
$800.25
|
| Rate for Payer: BCBS Trust/PPO |
$672.29
|
| Rate for Payer: BCN Commercial |
$639.62
|
| 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 |
$825.00
|
| Rate for Payer: Healthscope Whirlpool |
$800.25
|
| 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: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$726.00
|
|
|
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 |
$330.00 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Aetna Commercial |
$742.50
|
| Rate for Payer: Aetna Medicare |
$412.50
|
| Rate for Payer: ASR ASR |
$800.25
|
| Rate for Payer: ASR Commercial |
$800.25
|
| Rate for Payer: BCBS Complete |
$330.00
|
| Rate for Payer: BCBS Trust/PPO |
$675.59
|
| Rate for Payer: BCN Commercial |
$639.62
|
| 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 |
$825.00
|
| Rate for Payer: Healthscope Whirlpool |
$800.25
|
| 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: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: 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 9
|
Facility
|
IP
|
$900.00
|
|
|
Service Code
|
CPT C1731
|
| Hospital Charge Code |
27200366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$585.00 |
| Max. Negotiated Rate |
$900.00 |
| Rate for Payer: Aetna Commercial |
$810.00
|
| Rate for Payer: ASR ASR |
$873.00
|
| Rate for Payer: ASR Commercial |
$873.00
|
| Rate for Payer: BCBS Trust/PPO |
$733.41
|
| Rate for Payer: BCN Commercial |
$697.77
|
| 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 |
$900.00
|
| Rate for Payer: Healthscope Whirlpool |
$873.00
|
| 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: Priority Health Cigna Priority Health |
$585.00
|
| 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 |
$360.00 |
| Max. Negotiated Rate |
$900.00 |
| Rate for Payer: Aetna Commercial |
$810.00
|
| Rate for Payer: Aetna Medicare |
$450.00
|
| Rate for Payer: ASR ASR |
$873.00
|
| Rate for Payer: ASR Commercial |
$873.00
|
| Rate for Payer: BCBS Complete |
$360.00
|
| Rate for Payer: BCBS Trust/PPO |
$737.01
|
| Rate for Payer: BCN Commercial |
$697.77
|
| 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 |
$900.00
|
| Rate for Payer: Healthscope Whirlpool |
$873.00
|
| 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: Priority Health Cigna Priority Health |
$585.00
|
| Rate for Payer: 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
|
IP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,112.50 |
| 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: ASR Commercial |
$3,152.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,648.43
|
| Rate for Payer: BCN Commercial |
$2,519.72
|
| 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 |
$3,250.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,152.50
|
| 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: Priority Health Cigna Priority Health |
$2,112.50
|
| 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
|
OP
|
$3,250.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,300.00 |
| Max. Negotiated Rate |
$3,250.00 |
| Rate for Payer: Aetna Commercial |
$2,925.00
|
| Rate for Payer: Aetna Medicare |
$1,625.00
|
| Rate for Payer: ASR ASR |
$3,152.50
|
| Rate for Payer: ASR Commercial |
$3,152.50
|
| Rate for Payer: BCBS Complete |
$1,300.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,661.43
|
| Rate for Payer: BCN Commercial |
$2,519.72
|
| 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 |
$3,250.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,152.50
|
| 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: Priority Health Cigna Priority Health |
$2,112.50
|
| Rate for Payer: 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 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 |
$575.61 |
| Max. Negotiated Rate |
$1,439.03 |
| Rate for Payer: Aetna Commercial |
$1,295.13
|
| Rate for Payer: Aetna Medicare |
$719.51
|
| Rate for Payer: ASR ASR |
$1,395.86
|
| Rate for Payer: ASR Commercial |
$1,395.86
|
| Rate for Payer: BCBS Complete |
$575.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,178.42
|
| Rate for Payer: BCN Commercial |
$1,115.68
|
| 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 |
$1,439.03
|
| Rate for Payer: Healthscope Whirlpool |
$1,395.86
|
| 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: Priority Health Cigna Priority Health |
$935.37
|
| Rate for Payer: 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 14
|
Facility
|
IP
|
$1,439.03
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200028
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$935.37 |
| 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: ASR Commercial |
$1,395.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,172.67
|
| Rate for Payer: BCN Commercial |
$1,115.68
|
| 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 |
$1,439.03
|
| Rate for Payer: Healthscope Whirlpool |
$1,395.86
|
| 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: Priority Health Cigna Priority Health |
$935.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,266.35
|
|
