|
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 |
$2,405.00 |
| 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: ASR Commercial |
$3,589.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,015.13
|
| Rate for Payer: BCN Commercial |
$2,868.61
|
| 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 |
$3,700.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,589.00
|
| 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: Priority Health Cigna Priority Health |
$2,405.00
|
| 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 |
$1,480.00 |
| Max. Negotiated Rate |
$3,700.00 |
| Rate for Payer: Aetna Commercial |
$3,330.00
|
| Rate for Payer: Aetna Medicare |
$1,850.00
|
| Rate for Payer: ASR ASR |
$3,589.00
|
| Rate for Payer: ASR Commercial |
$3,589.00
|
| Rate for Payer: BCBS Complete |
$1,480.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,029.93
|
| Rate for Payer: BCN Commercial |
$2,868.61
|
| 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 |
$3,700.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,589.00
|
| 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: Priority Health Cigna Priority Health |
$2,405.00
|
| Rate for Payer: 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 |
$2,653.54 |
| 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: ASR Commercial |
$3,959.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,326.72
|
| Rate for Payer: BCN Commercial |
$3,165.06
|
| 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 |
$4,082.37
|
| Rate for Payer: Healthscope Whirlpool |
$3,959.90
|
| 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: Priority Health Cigna Priority Health |
$2,653.54
|
| 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 |
$1,632.95 |
| Max. Negotiated Rate |
$4,082.37 |
| Rate for Payer: Aetna Commercial |
$3,674.13
|
| Rate for Payer: Aetna Medicare |
$2,041.18
|
| Rate for Payer: ASR ASR |
$3,959.90
|
| Rate for Payer: ASR Commercial |
$3,959.90
|
| Rate for Payer: BCBS Complete |
$1,632.95
|
| Rate for Payer: BCBS Trust/PPO |
$3,343.05
|
| Rate for Payer: BCN Commercial |
$3,165.06
|
| 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 |
$4,082.37
|
| Rate for Payer: Healthscope Whirlpool |
$3,959.90
|
| 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: Priority Health Cigna Priority Health |
$2,653.54
|
| Rate for Payer: 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
|
OP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,640.00 |
| Max. Negotiated Rate |
$4,100.00 |
| Rate for Payer: Aetna Commercial |
$3,690.00
|
| Rate for Payer: Aetna Medicare |
$2,050.00
|
| Rate for Payer: ASR ASR |
$3,977.00
|
| Rate for Payer: ASR Commercial |
$3,977.00
|
| Rate for Payer: BCBS Complete |
$1,640.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,357.49
|
| Rate for Payer: BCN Commercial |
$3,178.73
|
| 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 |
$4,100.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,977.00
|
| 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: Priority Health Cigna Priority Health |
$2,665.00
|
| Rate for Payer: 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 41
|
Facility
|
IP
|
$4,100.00
|
|
|
Service Code
|
HCPCS C1732
|
| Hospital Charge Code |
27200380
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,665.00 |
| 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: ASR Commercial |
$3,977.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,341.09
|
| Rate for Payer: BCN Commercial |
$3,178.73
|
| 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 |
$4,100.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,977.00
|
| 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: Priority Health Cigna Priority Health |
$2,665.00
|
| 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 |
$3,043.17 |
| 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: ASR Commercial |
$4,541.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,815.20
|
| Rate for Payer: BCN Commercial |
$3,629.80
|
| 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 |
$4,681.80
|
| Rate for Payer: Healthscope Whirlpool |
$4,541.35
|
| 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: Priority Health Cigna Priority Health |
$3,043.17
|
| 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 |
$1,872.72 |
| Max. Negotiated Rate |
$4,681.80 |
| Rate for Payer: Aetna Commercial |
$4,213.62
|
| Rate for Payer: Aetna Medicare |
$2,340.90
|
| Rate for Payer: ASR ASR |
$4,541.35
|
| Rate for Payer: ASR Commercial |
$4,541.35
|
| Rate for Payer: BCBS Complete |
$1,872.72
|
| Rate for Payer: BCBS Trust/PPO |
$3,833.93
|
| Rate for Payer: BCN Commercial |
$3,629.80
|
| 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 |
$4,681.80
|
| Rate for Payer: Healthscope Whirlpool |
$4,541.35
|
| 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: Priority Health Cigna Priority Health |
$3,043.17
|
| Rate for Payer: 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 |
$2,549.64 |
| Max. Negotiated Rate |
$6,374.09 |
| Rate for Payer: Aetna Commercial |
$5,736.68
|
| Rate for Payer: Aetna Medicare |
$3,187.05
|
| Rate for Payer: ASR ASR |
$6,182.87
|
| Rate for Payer: ASR Commercial |
$6,182.87
|
| Rate for Payer: BCBS Complete |
$2,549.64
|
| Rate for Payer: BCBS Trust/PPO |
$5,219.74
|
| Rate for Payer: BCN Commercial |
$4,941.83
|
| 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 |
$6,374.09
|
| Rate for Payer: Healthscope Whirlpool |
$6,182.87
|
| 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: Priority Health Cigna Priority Health |
$4,143.16
|
| Rate for Payer: 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 |
$4,143.16 |
| 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: ASR Commercial |
$6,182.87
|
| Rate for Payer: BCBS Trust/PPO |
$5,194.25
|
| Rate for Payer: BCN Commercial |
$4,941.83
|
| 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 |
$6,374.09
|
| Rate for Payer: Healthscope Whirlpool |
$6,182.87
|
| 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: Priority Health Cigna Priority Health |
$4,143.16
|
| 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 |
$4,745.00 |
| 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: ASR Commercial |
$7,081.00
|
| Rate for Payer: BCBS Trust/PPO |
$5,948.77
|
| Rate for Payer: BCN Commercial |
$5,659.69
|
| 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 |
$7,300.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,081.00
|
| 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: Priority Health Cigna Priority Health |
$4,745.00
|
| 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 |
$2,920.00 |
| Max. Negotiated Rate |
$7,300.00 |
| Rate for Payer: Aetna Commercial |
$6,570.00
|
| Rate for Payer: Aetna Medicare |
$3,650.00
|
| Rate for Payer: ASR ASR |
$7,081.00
|
| Rate for Payer: ASR Commercial |
$7,081.00
|
| Rate for Payer: BCBS Complete |
$2,920.00
|
| Rate for Payer: BCBS Trust/PPO |
$5,977.97
|
| Rate for Payer: BCN Commercial |
$5,659.69
|
| 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 |
$7,300.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,081.00
|
| 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: Priority Health Cigna Priority Health |
$4,745.00
|
| Rate for Payer: 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 DIAG/ABLAT LEVEL 66
|
Facility
|
IP
|
$6,691.20
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,349.28 |
| Max. Negotiated Rate |
$6,691.20 |
| Rate for Payer: Aetna Commercial |
$6,022.08
|
| Rate for Payer: ASR ASR |
$6,490.46
|
| Rate for Payer: ASR Commercial |
$6,490.46
|
| Rate for Payer: BCBS Trust/PPO |
$5,452.66
|
| Rate for Payer: BCN Commercial |
$5,187.69
|
| Rate for Payer: Cash Price |
$5,352.96
|
| Rate for Payer: Cofinity Commercial |
$6,289.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,352.96
|
| Rate for Payer: Healthscope Commercial |
$6,691.20
|
| Rate for Payer: Healthscope Whirlpool |
$6,490.46
|
| Rate for Payer: Mclaren Commercial |
$6,022.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,687.52
|
| Rate for Payer: Nomi Health Commercial |
$5,486.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,349.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,888.26
|
|
|
HC ELECTROPHYSIOLOGY CATHS DIAG/ABLAT LEVEL 66
|
Facility
|
OP
|
$6,691.20
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,676.48 |
| Max. Negotiated Rate |
$6,691.20 |
| Rate for Payer: Aetna Commercial |
$6,022.08
|
| Rate for Payer: Aetna Medicare |
$3,345.60
|
| Rate for Payer: ASR ASR |
$6,490.46
|
| Rate for Payer: ASR Commercial |
$6,490.46
|
| Rate for Payer: BCBS Complete |
$2,676.48
|
| Rate for Payer: BCBS Trust/PPO |
$5,479.42
|
| Rate for Payer: BCN Commercial |
$5,187.69
|
| Rate for Payer: Cash Price |
$5,352.96
|
| Rate for Payer: Cofinity Commercial |
$6,289.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,352.96
|
| Rate for Payer: Healthscope Commercial |
$6,691.20
|
| Rate for Payer: Healthscope Whirlpool |
$6,490.46
|
| Rate for Payer: Mclaren Commercial |
$6,022.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,687.52
|
| Rate for Payer: Nomi Health Commercial |
$5,486.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,349.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,862.83
|
| Rate for Payer: Priority Health Narrow Network |
$4,690.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,888.26
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 12
|
Facility
|
IP
|
$1,232.87
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$801.37 |
| Max. Negotiated Rate |
$1,232.87 |
| Rate for Payer: Aetna Commercial |
$1,109.58
|
| Rate for Payer: ASR ASR |
$1,195.88
|
| Rate for Payer: ASR Commercial |
$1,195.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,004.67
|
| Rate for Payer: BCN Commercial |
$955.84
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cofinity Commercial |
$1,158.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.30
|
| Rate for Payer: Healthscope Commercial |
$1,232.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,195.88
|
| Rate for Payer: Mclaren Commercial |
$1,109.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.94
|
| Rate for Payer: Nomi Health Commercial |
$1,010.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$801.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,084.93
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 12
|
Facility
|
OP
|
$1,232.87
|
|
|
Service Code
|
CPT C1730
|
| Hospital Charge Code |
27200325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$493.15 |
| Max. Negotiated Rate |
$1,232.87 |
| Rate for Payer: Aetna Commercial |
$1,109.58
|
| Rate for Payer: Aetna Medicare |
$616.43
|
| Rate for Payer: ASR ASR |
$1,195.88
|
| Rate for Payer: ASR Commercial |
$1,195.88
|
| Rate for Payer: BCBS Complete |
$493.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.60
|
| Rate for Payer: BCN Commercial |
$955.84
|
| Rate for Payer: Cash Price |
$986.30
|
| Rate for Payer: Cofinity Commercial |
$1,158.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.30
|
| Rate for Payer: Healthscope Commercial |
$1,232.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,195.88
|
| Rate for Payer: Mclaren Commercial |
$1,109.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.94
|
| Rate for Payer: Nomi Health Commercial |
$1,010.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$801.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,080.24
|
| Rate for Payer: Priority Health Narrow Network |
$864.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,084.93
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 28
|
Facility
|
IP
|
$2,871.30
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,866.35 |
| Max. Negotiated Rate |
$2,871.30 |
| Rate for Payer: Aetna Commercial |
$2,584.17
|
| Rate for Payer: ASR ASR |
$2,785.16
|
| Rate for Payer: ASR Commercial |
$2,785.16
|
| Rate for Payer: BCBS Trust/PPO |
$2,339.82
|
| Rate for Payer: BCN Commercial |
$2,226.12
|
| Rate for Payer: Cash Price |
$2,297.04
|
| Rate for Payer: Cofinity Commercial |
$2,699.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,297.04
|
| Rate for Payer: Healthscope Commercial |
$2,871.30
|
| Rate for Payer: Healthscope Whirlpool |
$2,785.16
|
| Rate for Payer: Mclaren Commercial |
$2,584.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,440.61
|
| Rate for Payer: Nomi Health Commercial |
$2,354.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,866.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,526.74
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 28
|
Facility
|
OP
|
$2,871.30
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200299
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,148.52 |
| Max. Negotiated Rate |
$2,871.30 |
| Rate for Payer: Aetna Commercial |
$2,584.17
|
| Rate for Payer: Aetna Medicare |
$1,435.65
|
| Rate for Payer: ASR ASR |
$2,785.16
|
| Rate for Payer: ASR Commercial |
$2,785.16
|
| Rate for Payer: BCBS Complete |
$1,148.52
|
| Rate for Payer: BCBS Trust/PPO |
$2,351.31
|
| Rate for Payer: BCN Commercial |
$2,226.12
|
| Rate for Payer: Cash Price |
$2,297.04
|
| Rate for Payer: Cofinity Commercial |
$2,699.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,297.04
|
| Rate for Payer: Healthscope Commercial |
$2,871.30
|
| Rate for Payer: Healthscope Whirlpool |
$2,785.16
|
| Rate for Payer: Mclaren Commercial |
$2,584.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,440.61
|
| Rate for Payer: Nomi Health Commercial |
$2,354.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,866.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,515.83
|
| Rate for Payer: Priority Health Narrow Network |
$2,012.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,526.74
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 32
|
Facility
|
OP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,305.60 |
| Max. Negotiated Rate |
$3,264.00 |
| Rate for Payer: Aetna Commercial |
$2,937.60
|
| Rate for Payer: Aetna Medicare |
$1,632.00
|
| Rate for Payer: ASR ASR |
$3,166.08
|
| Rate for Payer: ASR Commercial |
$3,166.08
|
| Rate for Payer: BCBS Complete |
$1,305.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,672.89
|
| Rate for Payer: BCN Commercial |
$2,530.58
|
| Rate for Payer: Cash Price |
$2,611.20
|
| Rate for Payer: Cofinity Commercial |
$3,068.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,611.20
|
| Rate for Payer: Healthscope Commercial |
$3,264.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,166.08
|
| Rate for Payer: Mclaren Commercial |
$2,937.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,774.40
|
| Rate for Payer: Nomi Health Commercial |
$2,676.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,121.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,859.92
|
| Rate for Payer: Priority Health Narrow Network |
$2,288.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,872.32
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 32
|
Facility
|
IP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200304
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,121.60 |
| Max. Negotiated Rate |
$3,264.00 |
| Rate for Payer: Aetna Commercial |
$2,937.60
|
| Rate for Payer: ASR ASR |
$3,166.08
|
| Rate for Payer: ASR Commercial |
$3,166.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,659.83
|
| Rate for Payer: BCN Commercial |
$2,530.58
|
| Rate for Payer: Cash Price |
$2,611.20
|
| Rate for Payer: Cofinity Commercial |
$3,068.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,611.20
|
| Rate for Payer: Healthscope Commercial |
$3,264.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,166.08
|
| Rate for Payer: Mclaren Commercial |
$2,937.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,774.40
|
| Rate for Payer: Nomi Health Commercial |
$2,676.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,121.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,872.32
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 6
|
Facility
|
IP
|
$688.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$447.52 |
| Max. Negotiated Rate |
$688.50 |
| Rate for Payer: Aetna Commercial |
$619.65
|
| Rate for Payer: ASR ASR |
$667.85
|
| Rate for Payer: ASR Commercial |
$667.85
|
| Rate for Payer: BCBS Trust/PPO |
$561.06
|
| Rate for Payer: BCN Commercial |
$533.79
|
| Rate for Payer: Cash Price |
$550.80
|
| Rate for Payer: Cofinity Commercial |
$647.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.80
|
| Rate for Payer: Healthscope Commercial |
$688.50
|
| Rate for Payer: Healthscope Whirlpool |
$667.85
|
| Rate for Payer: Mclaren Commercial |
$619.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.23
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$605.88
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 19 OR < ELECTRODES LEVEL 6
|
Facility
|
OP
|
$688.50
|
|
|
Service Code
|
HCPCS C1730
|
| Hospital Charge Code |
27200298
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$275.40 |
| Max. Negotiated Rate |
$688.50 |
| Rate for Payer: Aetna Commercial |
$619.65
|
| Rate for Payer: Aetna Medicare |
$344.25
|
| Rate for Payer: ASR ASR |
$667.85
|
| Rate for Payer: ASR Commercial |
$667.85
|
| Rate for Payer: BCBS Complete |
$275.40
|
| Rate for Payer: BCBS Trust/PPO |
$563.81
|
| Rate for Payer: BCN Commercial |
$533.79
|
| Rate for Payer: Cash Price |
$550.80
|
| Rate for Payer: Cofinity Commercial |
$647.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$550.80
|
| Rate for Payer: Healthscope Commercial |
$688.50
|
| Rate for Payer: Healthscope Whirlpool |
$667.85
|
| Rate for Payer: Mclaren Commercial |
$619.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.23
|
| Rate for Payer: Nomi Health Commercial |
$564.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$603.26
|
| Rate for Payer: Priority Health Narrow Network |
$482.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$605.88
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 20 OR > ELECTRODES LEVEL 46
|
Facility
|
IP
|
$4,792.38
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200056
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,115.05 |
| Max. Negotiated Rate |
$4,792.38 |
| Rate for Payer: Aetna Commercial |
$4,313.14
|
| Rate for Payer: ASR ASR |
$4,648.61
|
| Rate for Payer: ASR Commercial |
$4,648.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,905.31
|
| Rate for Payer: BCN Commercial |
$3,715.53
|
| Rate for Payer: Cash Price |
$3,833.90
|
| Rate for Payer: Cofinity Commercial |
$4,504.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,833.90
|
| Rate for Payer: Healthscope Commercial |
$4,792.38
|
| Rate for Payer: Healthscope Whirlpool |
$4,648.61
|
| Rate for Payer: Mclaren Commercial |
$4,313.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,073.52
|
| Rate for Payer: Nomi Health Commercial |
$3,929.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,115.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,217.29
|
|
|
HC ELECTROPHYSIOLOGY CATHS NO 3D 20 OR > ELECTRODES LEVEL 46
|
Facility
|
OP
|
$4,792.38
|
|
|
Service Code
|
HCPCS C1731
|
| Hospital Charge Code |
27200056
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,916.95 |
| Max. Negotiated Rate |
$4,792.38 |
| Rate for Payer: Aetna Commercial |
$4,313.14
|
| Rate for Payer: Aetna Medicare |
$2,396.19
|
| Rate for Payer: ASR ASR |
$4,648.61
|
| Rate for Payer: ASR Commercial |
$4,648.61
|
| Rate for Payer: BCBS Complete |
$1,916.95
|
| Rate for Payer: BCBS Trust/PPO |
$3,924.48
|
| Rate for Payer: BCN Commercial |
$3,715.53
|
| Rate for Payer: Cash Price |
$3,833.90
|
| Rate for Payer: Cofinity Commercial |
$4,504.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,833.90
|
| Rate for Payer: Healthscope Commercial |
$4,792.38
|
| Rate for Payer: Healthscope Whirlpool |
$4,648.61
|
| Rate for Payer: Mclaren Commercial |
$4,313.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,073.52
|
| Rate for Payer: Nomi Health Commercial |
$3,929.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,115.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,199.08
|
| Rate for Payer: Priority Health Narrow Network |
$3,359.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,217.29
|
|
|
HC ELECTROPHYSIOLOGY PACK
|
Facility
|
OP
|
$266.93
|
|
| Hospital Charge Code |
62200002
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$106.77 |
| Max. Negotiated Rate |
$266.93 |
| Rate for Payer: Aetna Commercial |
$240.24
|
| Rate for Payer: Aetna Medicare |
$133.47
|
| Rate for Payer: ASR ASR |
$258.92
|
| Rate for Payer: ASR Commercial |
$258.92
|
| Rate for Payer: BCBS Complete |
$106.77
|
| Rate for Payer: BCBS Trust/PPO |
$218.59
|
| Rate for Payer: BCN Commercial |
$206.95
|
| Rate for Payer: Cash Price |
$213.54
|
| Rate for Payer: Cofinity Commercial |
$250.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.54
|
| Rate for Payer: Healthscope Commercial |
$266.93
|
| Rate for Payer: Healthscope Whirlpool |
$258.92
|
| Rate for Payer: Mclaren Commercial |
$240.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.89
|
| Rate for Payer: Nomi Health Commercial |
$218.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$233.88
|
| Rate for Payer: Priority Health Narrow Network |
$187.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$234.90
|
|
