|
HC INSERTION PICC 5 YRS OR ABOVE WO IMAGING
|
Facility
|
IP
|
$1,806.05
|
|
|
Service Code
|
CPT 36569
|
| Hospital Charge Code |
36100128
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,354.54 |
| Max. Negotiated Rate |
$1,806.05 |
| Rate for Payer: Aetna Commercial |
$1,625.44
|
| Rate for Payer: ASR ASR |
$1,751.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,483.13
|
| Rate for Payer: BCN Commercial |
$1,483.13
|
| Rate for Payer: Cash Price |
$1,444.84
|
| Rate for Payer: Cofinity Commercial |
$1,697.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,444.84
|
| Rate for Payer: Healthscope Commercial |
$1,751.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,806.05
|
| Rate for Payer: Mclaren Commercial |
$1,625.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,535.14
|
| Rate for Payer: Nomi Health Commercial |
$1,480.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,354.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,589.32
|
|
|
HC INSERTION PICC LESS THAN 5 YRS WO IMAGING
|
Facility
|
OP
|
$1,675.08
|
|
|
Service Code
|
CPT 36568
|
| Hospital Charge Code |
36100127
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$820.32 |
| Max. Negotiated Rate |
$2,431.16 |
| Rate for Payer: Aetna Commercial |
$1,507.57
|
| Rate for Payer: Aetna Medicare |
$1,568.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: ASR ASR |
$1,624.83
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,381.10
|
| Rate for Payer: BCN Commercial |
$1,381.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,574.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,624.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,675.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,568.49
|
| Rate for Payer: Mclaren Commercial |
$1,507.57
|
| Rate for Payer: Mclaren Medicaid |
$1,568.49
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$861.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,725.34
|
| Rate for Payer: PHP Medicaid |
$840.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,467.71
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,174.23
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,474.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$2,431.16
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP DNSP |
$1,568.49
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC INSERTION PICC LESS THAN 5 YRS WO IMAGING
|
Facility
|
IP
|
$1,675.08
|
|
|
Service Code
|
CPT 36568
|
| Hospital Charge Code |
36100127
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,256.31 |
| Max. Negotiated Rate |
$1,675.08 |
| Rate for Payer: Aetna Commercial |
$1,507.57
|
| Rate for Payer: ASR ASR |
$1,624.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,375.58
|
| Rate for Payer: BCN Commercial |
$1,375.58
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,574.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Healthscope Commercial |
$1,624.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,675.08
|
| Rate for Payer: Mclaren Commercial |
$1,507.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,474.07
|
|
|
HC INSERTION PLEURAL DRAINAGE CATHETER
|
Facility
|
IP
|
$1,642.07
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
36100053
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,231.55 |
| Max. Negotiated Rate |
$1,642.07 |
| Rate for Payer: Aetna Commercial |
$1,477.86
|
| Rate for Payer: ASR ASR |
$1,592.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,348.47
|
| Rate for Payer: BCN Commercial |
$1,348.47
|
| Rate for Payer: Cash Price |
$1,313.66
|
| Rate for Payer: Cofinity Commercial |
$1,543.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.66
|
| Rate for Payer: Healthscope Commercial |
$1,592.81
|
| Rate for Payer: Healthscope Whirlpool |
$1,642.07
|
| Rate for Payer: Mclaren Commercial |
$1,477.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.76
|
| Rate for Payer: Nomi Health Commercial |
$1,346.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,231.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,445.02
|
|
|
HC INSERTION PLEURAL DRAINAGE CATHETER
|
Facility
|
OP
|
$1,642.07
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
36100053
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$741.82 |
| Max. Negotiated Rate |
$2,431.16 |
| Rate for Payer: Aetna Commercial |
$1,477.86
|
| Rate for Payer: Aetna Medicare |
$1,568.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: ASR ASR |
$1,592.81
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,353.89
|
| Rate for Payer: BCN Commercial |
$1,353.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,313.66
|
| Rate for Payer: Cash Price |
$1,313.66
|
| Rate for Payer: Cofinity Commercial |
$1,543.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,592.81
|
| Rate for Payer: Healthscope Whirlpool |
$1,642.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,568.49
|
| Rate for Payer: Mclaren Commercial |
$1,477.86
|
| Rate for Payer: Mclaren Medicaid |
$1,568.49
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$861.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.76
|
| Rate for Payer: Nomi Health Commercial |
$1,346.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,231.55
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,725.34
|
| Rate for Payer: PHP Medicaid |
$840.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$927.28
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health Narrow Network |
$741.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,445.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$2,431.16
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP DNSP |
$1,568.49
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC INSERTION TUNNELED CVA W PUMP
|
Facility
|
IP
|
$3,678.61
|
|
|
Service Code
|
CPT 36563
|
| Hospital Charge Code |
36100126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,758.96 |
| Max. Negotiated Rate |
$3,678.61 |
| Rate for Payer: Aetna Commercial |
$3,310.75
|
| Rate for Payer: ASR ASR |
$3,568.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,020.87
|
| Rate for Payer: BCN Commercial |
$3,020.87
|
| Rate for Payer: Cash Price |
$2,942.89
|
| Rate for Payer: Cofinity Commercial |
$3,457.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,942.89
|
| Rate for Payer: Healthscope Commercial |
$3,568.25
|
| Rate for Payer: Healthscope Whirlpool |
$3,678.61
|
| Rate for Payer: Mclaren Commercial |
$3,310.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,126.82
|
| Rate for Payer: Nomi Health Commercial |
$3,016.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,758.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,237.18
|
|
|
HC INSERTION TUNNELED CVA W PUMP
|
Facility
|
OP
|
$3,678.61
|
|
|
Service Code
|
CPT 36563
|
| Hospital Charge Code |
36100126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,578.71 |
| Max. Negotiated Rate |
$8,593.94 |
| Rate for Payer: Aetna Commercial |
$3,310.75
|
| Rate for Payer: Aetna Medicare |
$5,544.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: ASR ASR |
$3,568.25
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,033.01
|
| Rate for Payer: BCN Commercial |
$3,033.01
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$2,942.89
|
| Rate for Payer: Cash Price |
$2,942.89
|
| Rate for Payer: Cofinity Commercial |
$3,457.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,942.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$3,568.25
|
| Rate for Payer: Healthscope Whirlpool |
$3,678.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,544.48
|
| Rate for Payer: Mclaren Commercial |
$3,310.75
|
| Rate for Payer: Mclaren Medicaid |
$5,544.48
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$3,045.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,126.82
|
| Rate for Payer: Nomi Health Commercial |
$3,016.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,758.96
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$6,098.93
|
| Rate for Payer: PHP Medicaid |
$2,971.84
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,223.20
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health Narrow Network |
$2,578.71
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,237.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Exchange |
$8,593.94
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP DNSP |
$5,544.48
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: VA VA |
$5,544.48
|
|
|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
OP
|
$3,351.19
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,865.82 |
| Max. Negotiated Rate |
$5,529.67 |
| Rate for Payer: Aetna Commercial |
$3,016.07
|
| Rate for Payer: Aetna Medicare |
$3,567.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,459.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,459.41
|
| Rate for Payer: ASR ASR |
$3,250.65
|
| Rate for Payer: BCBS Complete |
$1,959.29
|
| Rate for Payer: BCBS MAPPO |
$3,567.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,763.06
|
| Rate for Payer: BCN Commercial |
$2,763.06
|
| Rate for Payer: BCN Medicare Advantage |
$3,567.53
|
| Rate for Payer: Cash Price |
$2,680.95
|
| Rate for Payer: Cash Price |
$2,680.95
|
| Rate for Payer: Cofinity Commercial |
$3,150.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,680.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,567.53
|
| Rate for Payer: Healthscope Commercial |
$3,250.65
|
| Rate for Payer: Healthscope Whirlpool |
$3,351.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,567.53
|
| Rate for Payer: Mclaren Commercial |
$3,016.07
|
| Rate for Payer: Mclaren Medicaid |
$3,567.53
|
| Rate for Payer: Mclaren Medicare |
$3,567.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,745.91
|
| Rate for Payer: Meridian Medicaid |
$1,959.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,102.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,924.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,848.51
|
| Rate for Payer: Nomi Health Commercial |
$2,747.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,513.39
|
| Rate for Payer: PACE Medicare |
$3,389.15
|
| Rate for Payer: PACE SWMI |
$3,567.53
|
| Rate for Payer: PHP Commercial |
$3,924.28
|
| Rate for Payer: PHP Medicaid |
$1,912.20
|
| Rate for Payer: PHP Medicare Advantage |
$3,567.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,865.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,936.31
|
| Rate for Payer: Priority Health Medicare |
$3,567.53
|
| Rate for Payer: Priority Health Narrow Network |
$2,349.18
|
| Rate for Payer: Railroad Medicare Medicare |
$3,567.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,949.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,567.53
|
| Rate for Payer: UHC Exchange |
$5,529.67
|
| Rate for Payer: UHC Medicaid |
$1,865.82
|
| Rate for Payer: UHCCP DNSP |
$3,567.53
|
| Rate for Payer: UHCCP Medicaid |
$1,865.82
|
| Rate for Payer: VA VA |
$3,567.53
|
|
|
HC INSERTION TUNNELED PLEURAL CATHETER
|
Facility
|
IP
|
$3,351.19
|
|
|
Service Code
|
CPT 32550
|
| Hospital Charge Code |
36100052
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,513.39 |
| Max. Negotiated Rate |
$3,351.19 |
| Rate for Payer: Aetna Commercial |
$3,016.07
|
| Rate for Payer: ASR ASR |
$3,250.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,752.00
|
| Rate for Payer: BCN Commercial |
$2,752.00
|
| Rate for Payer: Cash Price |
$2,680.95
|
| Rate for Payer: Cofinity Commercial |
$3,150.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,680.95
|
| Rate for Payer: Healthscope Commercial |
$3,250.65
|
| Rate for Payer: Healthscope Whirlpool |
$3,351.19
|
| Rate for Payer: Mclaren Commercial |
$3,016.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,848.51
|
| Rate for Payer: Nomi Health Commercial |
$2,747.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,513.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,949.05
|
|
|
HC INSERTION VENTRICULAR ASSIST DEVICE RIGHT HEART
|
Facility
|
OP
|
$3,141.86
|
|
|
Service Code
|
CPT 33995
|
| Hospital Charge Code |
48100136
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,162.49 |
| Max. Negotiated Rate |
$3,141.86 |
| Rate for Payer: Aetna Commercial |
$2,827.67
|
| Rate for Payer: Aetna Medicare |
$1,162.49
|
| Rate for Payer: ASR ASR |
$3,047.60
|
| Rate for Payer: BCBS Complete |
$1,256.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,590.46
|
| Rate for Payer: BCN Commercial |
$2,590.46
|
| Rate for Payer: Cash Price |
$2,513.49
|
| Rate for Payer: Cofinity Commercial |
$2,953.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,513.49
|
| Rate for Payer: Healthscope Commercial |
$3,047.60
|
| Rate for Payer: Healthscope Whirlpool |
$3,141.86
|
| Rate for Payer: Mclaren Commercial |
$2,827.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,513.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,670.58
|
| Rate for Payer: Nomi Health Commercial |
$2,576.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,356.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,752.90
|
| Rate for Payer: Priority Health Narrow Network |
$2,202.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,764.84
|
|
|
HC INSERTION VENTRICULAR ASSIST DEVICE RIGHT HEART
|
Facility
|
IP
|
$3,141.86
|
|
|
Service Code
|
CPT 33995
|
| Hospital Charge Code |
48100136
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,356.39 |
| Max. Negotiated Rate |
$3,141.86 |
| Rate for Payer: Aetna Commercial |
$2,827.67
|
| Rate for Payer: ASR ASR |
$3,047.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,580.10
|
| Rate for Payer: BCN Commercial |
$2,580.10
|
| Rate for Payer: Cash Price |
$2,513.49
|
| Rate for Payer: Cofinity Commercial |
$2,953.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,513.49
|
| Rate for Payer: Healthscope Commercial |
$3,047.60
|
| Rate for Payer: Healthscope Whirlpool |
$3,141.86
|
| Rate for Payer: Mclaren Commercial |
$2,827.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,670.58
|
| Rate for Payer: Nomi Health Commercial |
$2,576.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,356.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,764.84
|
|
|
HC INSERT PICC 5 YEARS OR ABOVE W IMAGING
|
Facility
|
OP
|
$2,293.98
|
|
|
Service Code
|
CPT 36573
|
| Hospital Charge Code |
36100553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$820.32 |
| Max. Negotiated Rate |
$2,431.16 |
| Rate for Payer: Aetna Commercial |
$2,064.58
|
| Rate for Payer: Aetna Medicare |
$1,568.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: ASR ASR |
$2,225.16
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,891.39
|
| Rate for Payer: BCN Commercial |
$1,891.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,835.18
|
| Rate for Payer: Cash Price |
$1,835.18
|
| Rate for Payer: Cofinity Commercial |
$2,156.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,835.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$2,225.16
|
| Rate for Payer: Healthscope Whirlpool |
$2,293.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,568.49
|
| Rate for Payer: Mclaren Commercial |
$2,064.58
|
| Rate for Payer: Mclaren Medicaid |
$1,568.49
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$861.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,949.88
|
| Rate for Payer: Nomi Health Commercial |
$1,881.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,720.48
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,725.34
|
| Rate for Payer: PHP Medicaid |
$840.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,380.42
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,104.34
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,018.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$2,431.16
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP DNSP |
$1,568.49
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC INSERT PICC 5 YEARS OR ABOVE W IMAGING
|
Facility
|
IP
|
$2,293.98
|
|
|
Service Code
|
CPT 36573
|
| Hospital Charge Code |
36100553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,720.48 |
| Max. Negotiated Rate |
$2,293.98 |
| Rate for Payer: Aetna Commercial |
$2,064.58
|
| Rate for Payer: ASR ASR |
$2,225.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,883.82
|
| Rate for Payer: BCN Commercial |
$1,883.82
|
| Rate for Payer: Cash Price |
$1,835.18
|
| Rate for Payer: Cofinity Commercial |
$2,156.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,835.18
|
| Rate for Payer: Healthscope Commercial |
$2,225.16
|
| Rate for Payer: Healthscope Whirlpool |
$2,293.98
|
| Rate for Payer: Mclaren Commercial |
$2,064.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,949.88
|
| Rate for Payer: Nomi Health Commercial |
$1,881.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,720.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,018.70
|
|
|
HC INSERT PICC LESS THAN 5 YRS W IMAGING
|
Facility
|
OP
|
$2,025.84
|
|
|
Service Code
|
CPT 36572
|
| Hospital Charge Code |
36100552
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$326.90 |
| Max. Negotiated Rate |
$2,025.84 |
| Rate for Payer: Aetna Commercial |
$1,823.26
|
| Rate for Payer: Aetna Medicare |
$625.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.31
|
| Rate for Payer: ASR ASR |
$1,965.06
|
| Rate for Payer: BCBS Complete |
$343.28
|
| Rate for Payer: BCBS MAPPO |
$625.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,670.31
|
| Rate for Payer: BCN Commercial |
$1,670.31
|
| Rate for Payer: BCN Medicare Advantage |
$625.05
|
| Rate for Payer: Cash Price |
$1,620.67
|
| Rate for Payer: Cash Price |
$1,620.67
|
| Rate for Payer: Cofinity Commercial |
$1,904.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,620.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.05
|
| Rate for Payer: Healthscope Commercial |
$1,965.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,025.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.05
|
| Rate for Payer: Mclaren Commercial |
$1,823.26
|
| Rate for Payer: Mclaren Medicaid |
$625.05
|
| Rate for Payer: Mclaren Medicare |
$625.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.30
|
| Rate for Payer: Meridian Medicaid |
$343.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$718.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$687.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,721.96
|
| Rate for Payer: Nomi Health Commercial |
$1,661.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,519.38
|
| Rate for Payer: PACE Medicare |
$593.80
|
| Rate for Payer: PACE SWMI |
$625.05
|
| Rate for Payer: PHP Commercial |
$687.55
|
| Rate for Payer: PHP Medicaid |
$335.03
|
| Rate for Payer: PHP Medicare Advantage |
$625.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$782.61
|
| Rate for Payer: Priority Health Medicare |
$625.05
|
| Rate for Payer: Priority Health Narrow Network |
$626.09
|
| Rate for Payer: Railroad Medicare Medicare |
$625.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,782.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$625.05
|
| Rate for Payer: UHC Exchange |
$968.83
|
| Rate for Payer: UHC Medicaid |
$326.90
|
| Rate for Payer: UHCCP DNSP |
$625.05
|
| Rate for Payer: UHCCP Medicaid |
$326.90
|
| Rate for Payer: VA VA |
$625.05
|
|
|
HC INSERT PICC LESS THAN 5 YRS W IMAGING
|
Facility
|
IP
|
$2,025.84
|
|
|
Service Code
|
CPT 36572
|
| Hospital Charge Code |
36100552
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,519.38 |
| Max. Negotiated Rate |
$2,025.84 |
| Rate for Payer: Aetna Commercial |
$1,823.26
|
| Rate for Payer: ASR ASR |
$1,965.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,663.62
|
| Rate for Payer: BCN Commercial |
$1,663.62
|
| Rate for Payer: Cash Price |
$1,620.67
|
| Rate for Payer: Cofinity Commercial |
$1,904.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,620.67
|
| Rate for Payer: Healthscope Commercial |
$1,965.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,025.84
|
| Rate for Payer: Mclaren Commercial |
$1,823.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,721.96
|
| Rate for Payer: Nomi Health Commercial |
$1,661.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,519.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,782.74
|
|
|
HC INSERT/REPLACE ICD W/SUBSTERNAL ELECTRODES
|
Facility
|
OP
|
$72,138.55
|
|
|
Service Code
|
CPT 0571T
|
| Hospital Charge Code |
48100134
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$16,357.34 |
| Max. Negotiated Rate |
$72,138.55 |
| Rate for Payer: Aetna Commercial |
$64,924.69
|
| Rate for Payer: Aetna Medicare |
$31,275.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,094.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,094.99
|
| Rate for Payer: ASR ASR |
$69,974.39
|
| Rate for Payer: BCBS Complete |
$17,176.77
|
| Rate for Payer: BCBS MAPPO |
$31,275.99
|
| Rate for Payer: BCBS Trust/PPO |
$59,478.23
|
| Rate for Payer: BCN Commercial |
$59,478.23
|
| Rate for Payer: BCN Medicare Advantage |
$31,275.99
|
| Rate for Payer: Cash Price |
$57,710.84
|
| Rate for Payer: Cash Price |
$57,710.84
|
| Rate for Payer: Cofinity Commercial |
$67,810.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,710.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,275.99
|
| Rate for Payer: Healthscope Commercial |
$69,974.39
|
| Rate for Payer: Healthscope Whirlpool |
$72,138.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,275.99
|
| Rate for Payer: Mclaren Commercial |
$64,924.69
|
| Rate for Payer: Mclaren Medicaid |
$31,275.99
|
| Rate for Payer: Mclaren Medicare |
$31,275.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,839.79
|
| Rate for Payer: Meridian Medicaid |
$17,176.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,967.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$34,403.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61,317.77
|
| Rate for Payer: Nomi Health Commercial |
$59,153.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54,103.91
|
| Rate for Payer: PACE Medicare |
$29,712.19
|
| Rate for Payer: PACE SWMI |
$31,275.99
|
| Rate for Payer: PHP Commercial |
$34,403.59
|
| Rate for Payer: PHP Medicaid |
$16,763.93
|
| Rate for Payer: PHP Medicare Advantage |
$31,275.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,357.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$63,207.80
|
| Rate for Payer: Priority Health Medicare |
$31,275.99
|
| Rate for Payer: Priority Health Narrow Network |
$50,569.12
|
| Rate for Payer: Railroad Medicare Medicare |
$31,275.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63,481.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31,275.99
|
| Rate for Payer: UHC Exchange |
$48,477.78
|
| Rate for Payer: UHC Medicaid |
$16,357.34
|
| Rate for Payer: UHCCP DNSP |
$31,275.99
|
| Rate for Payer: UHCCP Medicaid |
$16,357.34
|
| Rate for Payer: VA VA |
$31,275.99
|
|
|
HC INSERT/REPLACE ICD W/SUBSTERNAL ELECTRODES
|
Facility
|
IP
|
$72,138.55
|
|
|
Service Code
|
CPT 0571T
|
| Hospital Charge Code |
48100134
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$54,103.91 |
| Max. Negotiated Rate |
$72,138.55 |
| Rate for Payer: Aetna Commercial |
$64,924.69
|
| Rate for Payer: ASR ASR |
$69,974.39
|
| Rate for Payer: BCBS Trust/PPO |
$59,240.18
|
| Rate for Payer: BCN Commercial |
$59,240.18
|
| Rate for Payer: Cash Price |
$57,710.84
|
| Rate for Payer: Cofinity Commercial |
$67,810.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,710.84
|
| Rate for Payer: Healthscope Commercial |
$69,974.39
|
| Rate for Payer: Healthscope Whirlpool |
$72,138.55
|
| Rate for Payer: Mclaren Commercial |
$64,924.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61,317.77
|
| Rate for Payer: Nomi Health Commercial |
$59,153.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54,103.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63,481.92
|
|
|
HC INSERT/REPLACE SQ ICD W ELECTRODES
|
Facility
|
IP
|
$86,596.51
|
|
|
Service Code
|
CPT 33270
|
| Hospital Charge Code |
48100113
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$64,947.38 |
| Max. Negotiated Rate |
$86,596.51 |
| Rate for Payer: Aetna Commercial |
$77,936.86
|
| Rate for Payer: ASR ASR |
$83,998.61
|
| Rate for Payer: BCBS Trust/PPO |
$71,113.05
|
| Rate for Payer: BCN Commercial |
$71,113.05
|
| Rate for Payer: Cash Price |
$69,277.21
|
| Rate for Payer: Cofinity Commercial |
$81,400.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69,277.21
|
| Rate for Payer: Healthscope Commercial |
$83,998.61
|
| Rate for Payer: Healthscope Whirlpool |
$86,596.51
|
| Rate for Payer: Mclaren Commercial |
$77,936.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,607.03
|
| Rate for Payer: Nomi Health Commercial |
$71,009.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64,947.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$76,204.93
|
|
|
HC INSERT/REPLACE SQ ICD W ELECTRODES
|
Facility
|
OP
|
$86,596.51
|
|
|
Service Code
|
CPT 33270
|
| Hospital Charge Code |
48100113
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$16,357.34 |
| Max. Negotiated Rate |
$86,596.51 |
| Rate for Payer: Aetna Commercial |
$77,936.86
|
| Rate for Payer: Aetna Medicare |
$31,275.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,094.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,094.99
|
| Rate for Payer: ASR ASR |
$83,998.61
|
| Rate for Payer: BCBS Complete |
$17,176.77
|
| Rate for Payer: BCBS MAPPO |
$31,275.99
|
| Rate for Payer: BCBS Trust/PPO |
$71,398.82
|
| Rate for Payer: BCN Commercial |
$71,398.82
|
| Rate for Payer: BCN Medicare Advantage |
$31,275.99
|
| Rate for Payer: Cash Price |
$69,277.21
|
| Rate for Payer: Cash Price |
$69,277.21
|
| Rate for Payer: Cofinity Commercial |
$81,400.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69,277.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,275.99
|
| Rate for Payer: Healthscope Commercial |
$83,998.61
|
| Rate for Payer: Healthscope Whirlpool |
$86,596.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,275.99
|
| Rate for Payer: Mclaren Commercial |
$77,936.86
|
| Rate for Payer: Mclaren Medicaid |
$31,275.99
|
| Rate for Payer: Mclaren Medicare |
$31,275.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,839.79
|
| Rate for Payer: Meridian Medicaid |
$17,176.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,967.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$34,403.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,607.03
|
| Rate for Payer: Nomi Health Commercial |
$71,009.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64,947.38
|
| Rate for Payer: PACE Medicare |
$29,712.19
|
| Rate for Payer: PACE SWMI |
$31,275.99
|
| Rate for Payer: PHP Commercial |
$34,403.59
|
| Rate for Payer: PHP Medicaid |
$16,763.93
|
| Rate for Payer: PHP Medicare Advantage |
$31,275.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,357.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$75,875.86
|
| Rate for Payer: Priority Health Medicare |
$31,275.99
|
| Rate for Payer: Priority Health Narrow Network |
$60,704.15
|
| Rate for Payer: Railroad Medicare Medicare |
$31,275.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$76,204.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31,275.99
|
| Rate for Payer: UHC Exchange |
$48,477.78
|
| Rate for Payer: UHC Medicaid |
$16,357.34
|
| Rate for Payer: UHCCP DNSP |
$31,275.99
|
| Rate for Payer: UHCCP Medicaid |
$16,357.34
|
| Rate for Payer: VA VA |
$31,275.99
|
|
|
HC INSERT STRAIGHT CATH
|
Facility
|
OP
|
$189.01
|
|
|
Service Code
|
CPT 51701
|
| Hospital Charge Code |
45000003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$205.48 |
| Rate for Payer: Aetna Commercial |
$170.11
|
| Rate for Payer: Aetna Medicare |
$132.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: ASR ASR |
$183.34
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$155.84
|
| Rate for Payer: BCN Commercial |
$155.84
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$151.21
|
| Rate for Payer: Cash Price |
$151.21
|
| Rate for Payer: Cofinity Commercial |
$177.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$183.34
|
| Rate for Payer: Healthscope Whirlpool |
$189.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$132.57
|
| Rate for Payer: Mclaren Commercial |
$170.11
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$72.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.66
|
| Rate for Payer: Nomi Health Commercial |
$154.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.76
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$145.83
|
| Rate for Payer: PHP Medicaid |
$71.06
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$128.32
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health Narrow Network |
$102.66
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$166.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$205.48
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP DNSP |
$132.57
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: VA VA |
$132.57
|
|
|
HC INSERT STRAIGHT CATH
|
Facility
|
IP
|
$189.01
|
|
|
Service Code
|
CPT 51701
|
| Hospital Charge Code |
45000003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$141.76 |
| Max. Negotiated Rate |
$189.01 |
| Rate for Payer: Aetna Commercial |
$170.11
|
| Rate for Payer: ASR ASR |
$183.34
|
| Rate for Payer: BCBS Trust/PPO |
$155.22
|
| Rate for Payer: BCN Commercial |
$155.22
|
| Rate for Payer: Cash Price |
$151.21
|
| Rate for Payer: Cofinity Commercial |
$177.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.21
|
| Rate for Payer: Healthscope Commercial |
$183.34
|
| Rate for Payer: Healthscope Whirlpool |
$189.01
|
| Rate for Payer: Mclaren Commercial |
$170.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.66
|
| Rate for Payer: Nomi Health Commercial |
$154.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$166.33
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP ABOVE 5 YRS AGE
|
Facility
|
OP
|
$4,280.84
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
36100123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,645.43 |
| Max. Negotiated Rate |
$4,876.50 |
| Rate for Payer: Aetna Commercial |
$3,852.76
|
| Rate for Payer: Aetna Medicare |
$3,146.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: ASR ASR |
$4,152.41
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,529.55
|
| Rate for Payer: BCN Commercial |
$3,529.55
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,424.67
|
| Rate for Payer: Cash Price |
$3,424.67
|
| Rate for Payer: Cofinity Commercial |
$4,023.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,424.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$4,152.41
|
| Rate for Payer: Healthscope Whirlpool |
$4,280.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,146.13
|
| Rate for Payer: Mclaren Commercial |
$3,852.76
|
| Rate for Payer: Mclaren Medicaid |
$3,146.13
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$1,727.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,638.71
|
| Rate for Payer: Nomi Health Commercial |
$3,510.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,210.63
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,460.74
|
| Rate for Payer: PHP Medicaid |
$1,686.33
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,750.87
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,000.87
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,767.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$4,876.50
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP DNSP |
$3,146.13
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP ABOVE 5 YRS AGE
|
Facility
|
IP
|
$4,280.84
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
36100123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,210.63 |
| Max. Negotiated Rate |
$4,280.84 |
| Rate for Payer: Aetna Commercial |
$3,852.76
|
| Rate for Payer: ASR ASR |
$4,152.41
|
| Rate for Payer: BCBS Trust/PPO |
$3,515.43
|
| Rate for Payer: BCN Commercial |
$3,515.43
|
| Rate for Payer: Cash Price |
$3,424.67
|
| Rate for Payer: Cofinity Commercial |
$4,023.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,424.67
|
| Rate for Payer: Healthscope Commercial |
$4,152.41
|
| Rate for Payer: Healthscope Whirlpool |
$4,280.84
|
| Rate for Payer: Mclaren Commercial |
$3,852.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,638.71
|
| Rate for Payer: Nomi Health Commercial |
$3,510.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,210.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,767.14
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP LESS THAN 5 YRS AGE
|
Facility
|
IP
|
$4,222.35
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
36100122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,166.76 |
| Max. Negotiated Rate |
$4,222.35 |
| Rate for Payer: Aetna Commercial |
$3,800.11
|
| Rate for Payer: ASR ASR |
$4,095.68
|
| Rate for Payer: BCBS Trust/PPO |
$3,467.39
|
| Rate for Payer: BCN Commercial |
$3,467.39
|
| Rate for Payer: Cash Price |
$3,377.88
|
| Rate for Payer: Cofinity Commercial |
$3,969.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,377.88
|
| Rate for Payer: Healthscope Commercial |
$4,095.68
|
| Rate for Payer: Healthscope Whirlpool |
$4,222.35
|
| Rate for Payer: Mclaren Commercial |
$3,800.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,589.00
|
| Rate for Payer: Nomi Health Commercial |
$3,462.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,166.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,715.67
|
|
|
HC INSERT TUNNELED CENTRAL LINE WO PORT OR PUMP LESS THAN 5 YRS AGE
|
Facility
|
OP
|
$4,222.35
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
36100122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,899.76 |
| Max. Negotiated Rate |
$8,593.94 |
| Rate for Payer: Aetna Commercial |
$3,800.11
|
| Rate for Payer: Aetna Medicare |
$5,544.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: ASR ASR |
$4,095.68
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,481.33
|
| Rate for Payer: BCN Commercial |
$3,481.33
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$3,377.88
|
| Rate for Payer: Cash Price |
$3,377.88
|
| Rate for Payer: Cofinity Commercial |
$3,969.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,377.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$4,095.68
|
| Rate for Payer: Healthscope Whirlpool |
$4,222.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,544.48
|
| Rate for Payer: Mclaren Commercial |
$3,800.11
|
| Rate for Payer: Mclaren Medicaid |
$5,544.48
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$3,045.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,589.00
|
| Rate for Payer: Nomi Health Commercial |
$3,462.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,166.76
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$6,098.93
|
| Rate for Payer: PHP Medicaid |
$2,971.84
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,699.62
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health Narrow Network |
$2,959.87
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,715.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Exchange |
$8,593.94
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP DNSP |
$5,544.48
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: VA VA |
$5,544.48
|
|
