|
HC IR REVASCULARIZATION PLASTY TIB PERO UNI E
|
Facility
|
OP
|
$7,735.72
|
|
|
Service Code
|
CPT 37232
|
| Hospital Charge Code |
36100176
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,862.22 |
| Max. Negotiated Rate |
$7,735.72 |
| Rate for Payer: Aetna Commercial |
$6,962.15
|
| Rate for Payer: Aetna Medicare |
$2,862.22
|
| Rate for Payer: ASR ASR |
$7,503.65
|
| Rate for Payer: BCBS Complete |
$3,094.29
|
| Rate for Payer: BCBS Trust/PPO |
$6,378.10
|
| Rate for Payer: BCN Commercial |
$6,378.10
|
| Rate for Payer: Cash Price |
$6,188.58
|
| Rate for Payer: Cofinity Commercial |
$7,271.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,188.58
|
| Rate for Payer: Healthscope Commercial |
$7,503.65
|
| Rate for Payer: Healthscope Whirlpool |
$7,735.72
|
| Rate for Payer: Mclaren Commercial |
$6,962.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,188.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,575.36
|
| Rate for Payer: Nomi Health Commercial |
$6,343.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,801.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,778.04
|
| Rate for Payer: Priority Health Narrow Network |
$5,422.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,807.43
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
IP
|
$12,623.73
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,467.80 |
| Max. Negotiated Rate |
$12,623.73 |
| Rate for Payer: Aetna Commercial |
$11,361.36
|
| Rate for Payer: ASR ASR |
$12,245.02
|
| Rate for Payer: BCBS Trust/PPO |
$10,366.61
|
| Rate for Payer: BCN Commercial |
$10,366.61
|
| Rate for Payer: Cash Price |
$10,098.98
|
| Rate for Payer: Cofinity Commercial |
$11,866.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,098.98
|
| Rate for Payer: Healthscope Commercial |
$12,245.02
|
| Rate for Payer: Healthscope Whirlpool |
$12,623.73
|
| Rate for Payer: Mclaren Commercial |
$11,361.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,730.17
|
| Rate for Payer: Nomi Health Commercial |
$10,351.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,467.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,108.88
|
|
|
HC IR REVASCULARIZATION STENT ILIAC UNI EACH ADDL
|
Facility
|
OP
|
$12,623.73
|
|
|
Service Code
|
CPT 37223
|
| Hospital Charge Code |
36100167
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,670.78 |
| Max. Negotiated Rate |
$12,623.73 |
| Rate for Payer: Aetna Commercial |
$11,361.36
|
| Rate for Payer: Aetna Medicare |
$4,670.78
|
| Rate for Payer: ASR ASR |
$12,245.02
|
| Rate for Payer: BCBS Complete |
$5,049.49
|
| Rate for Payer: BCBS Trust/PPO |
$10,408.27
|
| Rate for Payer: BCN Commercial |
$10,408.27
|
| Rate for Payer: Cash Price |
$10,098.98
|
| Rate for Payer: Cofinity Commercial |
$11,866.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,098.98
|
| Rate for Payer: Healthscope Commercial |
$12,245.02
|
| Rate for Payer: Healthscope Whirlpool |
$12,623.73
|
| Rate for Payer: Mclaren Commercial |
$11,361.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,098.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,730.17
|
| Rate for Payer: Nomi Health Commercial |
$10,351.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,467.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,060.91
|
| Rate for Payer: Priority Health Narrow Network |
$8,849.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,108.88
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$10,729.33
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,047.00 |
| Max. Negotiated Rate |
$10,729.33 |
| Rate for Payer: Aetna Commercial |
$9,656.40
|
| Rate for Payer: ASR ASR |
$10,407.45
|
| Rate for Payer: BCBS Trust/PPO |
$8,810.93
|
| Rate for Payer: BCN Commercial |
$8,810.93
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cofinity Commercial |
$10,085.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,583.46
|
| Rate for Payer: Healthscope Commercial |
$10,407.45
|
| Rate for Payer: Healthscope Whirlpool |
$10,729.33
|
| Rate for Payer: Mclaren Commercial |
$9,656.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,119.93
|
| Rate for Payer: Nomi Health Commercial |
$8,798.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,047.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,441.81
|
|
|
HC IR REVASCULARIZATION STENT TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$10,729.33
|
|
|
Service Code
|
CPT 37234
|
| Hospital Charge Code |
36100178
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,969.85 |
| Max. Negotiated Rate |
$10,729.33 |
| Rate for Payer: Aetna Commercial |
$9,656.40
|
| Rate for Payer: Aetna Medicare |
$3,969.85
|
| Rate for Payer: ASR ASR |
$10,407.45
|
| Rate for Payer: BCBS Complete |
$4,291.73
|
| Rate for Payer: BCBS Trust/PPO |
$8,846.33
|
| Rate for Payer: BCN Commercial |
$8,846.33
|
| Rate for Payer: Cash Price |
$8,583.46
|
| Rate for Payer: Cofinity Commercial |
$10,085.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,583.46
|
| Rate for Payer: Healthscope Commercial |
$10,407.45
|
| Rate for Payer: Healthscope Whirlpool |
$10,729.33
|
| Rate for Payer: Mclaren Commercial |
$9,656.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,583.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,119.93
|
| Rate for Payer: Nomi Health Commercial |
$8,798.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,047.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$9,401.04
|
| Rate for Payer: Priority Health Narrow Network |
$7,521.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,441.81
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
OP
|
$11,611.66
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$11,611.66 |
| Rate for Payer: Aetna Commercial |
$10,450.49
|
| Rate for Payer: Aetna Medicare |
$5,671.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: ASR ASR |
$11,263.31
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCBS Trust/PPO |
$9,573.81
|
| Rate for Payer: BCN Commercial |
$9,573.81
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cofinity Commercial |
$10,914.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,289.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$11,263.31
|
| Rate for Payer: Healthscope Whirlpool |
$11,611.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,671.10
|
| Rate for Payer: Mclaren Commercial |
$10,450.49
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$3,114.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,869.91
|
| Rate for Payer: Nomi Health Commercial |
$9,521.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,708.75
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$6,238.21
|
| Rate for Payer: PHP Medicaid |
$3,039.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10,174.14
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health Narrow Network |
$8,139.77
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,218.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Exchange |
$8,790.20
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP DNSP |
$5,671.10
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: VA VA |
$5,671.10
|
|
|
HC IR REVISION TIPS WITH FLUORO
|
Facility
|
IP
|
$11,611.66
|
|
|
Service Code
|
CPT 37183
|
| Hospital Charge Code |
36100148
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,708.75 |
| Max. Negotiated Rate |
$11,611.66 |
| Rate for Payer: Aetna Commercial |
$10,450.49
|
| Rate for Payer: ASR ASR |
$11,263.31
|
| Rate for Payer: BCBS Trust/PPO |
$9,535.50
|
| Rate for Payer: BCN Commercial |
$9,535.50
|
| Rate for Payer: Cash Price |
$9,289.33
|
| Rate for Payer: Cofinity Commercial |
$10,914.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,289.33
|
| Rate for Payer: Healthscope Commercial |
$11,263.31
|
| Rate for Payer: Healthscope Whirlpool |
$11,611.66
|
| Rate for Payer: Mclaren Commercial |
$10,450.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,869.91
|
| Rate for Payer: Nomi Health Commercial |
$9,521.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,708.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,218.26
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
IP
|
$14,177.75
|
|
|
Service Code
|
CPT 37265
|
| Hospital Charge Code |
36100643
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,633.31 |
| Max. Negotiated Rate |
$14,177.75 |
| Rate for Payer: Aetna Commercial |
$12,759.98
|
| Rate for Payer: ASR ASR |
$13,752.42
|
| Rate for Payer: BCBS Trust/PPO |
$11,642.77
|
| Rate for Payer: BCN Commercial |
$11,642.77
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$13,327.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Healthscope Commercial |
$13,752.42
|
| Rate for Payer: Healthscope Whirlpool |
$14,177.75
|
| Rate for Payer: Mclaren Commercial |
$12,759.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,476.42
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
OP
|
$14,177.75
|
|
|
Service Code
|
CPT 37265
|
| Hospital Charge Code |
36100643
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$14,177.75 |
| Rate for Payer: Aetna Commercial |
$12,759.98
|
| Rate for Payer: Aetna Medicare |
$5,671.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: ASR ASR |
$13,752.42
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCBS Trust/PPO |
$11,689.55
|
| Rate for Payer: BCN Commercial |
$11,689.55
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$13,327.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$13,752.42
|
| Rate for Payer: Healthscope Whirlpool |
$14,177.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,671.10
|
| Rate for Payer: Mclaren Commercial |
$12,759.98
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$3,114.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$6,238.21
|
| Rate for Payer: PHP Medicaid |
$3,039.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,105.58
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health Narrow Network |
$4,884.47
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,476.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Exchange |
$8,790.20
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP DNSP |
$5,671.10
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: VA VA |
$5,671.10
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$14,177.75
|
|
|
Service Code
|
CPT 37263
|
| Hospital Charge Code |
36100642
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$14,177.75 |
| Rate for Payer: Aetna Commercial |
$12,759.98
|
| Rate for Payer: Aetna Medicare |
$5,671.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: ASR ASR |
$13,752.42
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCBS Trust/PPO |
$11,689.55
|
| Rate for Payer: BCN Commercial |
$11,689.55
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$13,327.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$13,752.42
|
| Rate for Payer: Healthscope Whirlpool |
$14,177.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,671.10
|
| Rate for Payer: Mclaren Commercial |
$12,759.98
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$3,114.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$6,238.21
|
| Rate for Payer: PHP Medicaid |
$3,039.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,105.58
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health Narrow Network |
$4,884.47
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,476.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Exchange |
$8,790.20
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP DNSP |
$5,671.10
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: VA VA |
$5,671.10
|
|
|
HC IR REVSC FPVT W ANGIO UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$14,177.75
|
|
|
Service Code
|
CPT 37263
|
| Hospital Charge Code |
36100642
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,633.31 |
| Max. Negotiated Rate |
$14,177.75 |
| Rate for Payer: Aetna Commercial |
$12,759.98
|
| Rate for Payer: ASR ASR |
$13,752.42
|
| Rate for Payer: BCBS Trust/PPO |
$11,642.77
|
| Rate for Payer: BCN Commercial |
$11,642.77
|
| Rate for Payer: Cash Price |
$11,342.20
|
| Rate for Payer: Cofinity Commercial |
$13,327.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,342.20
|
| Rate for Payer: Healthscope Commercial |
$13,752.42
|
| Rate for Payer: Healthscope Whirlpool |
$14,177.75
|
| Rate for Payer: Mclaren Commercial |
$12,759.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,051.09
|
| Rate for Payer: Nomi Health Commercial |
$11,625.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,633.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,476.42
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT COMPLEX INIT
|
Facility
|
OP
|
$45,664.30
|
|
|
Service Code
|
CPT 37273
|
| Hospital Charge Code |
36100645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,552.97 |
| Max. Negotiated Rate |
$45,664.30 |
| Rate for Payer: Aetna Commercial |
$41,097.87
|
| Rate for Payer: Aetna Medicare |
$18,265.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: ASR ASR |
$44,294.37
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCBS Trust/PPO |
$37,650.22
|
| Rate for Payer: BCN Commercial |
$37,650.22
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$42,924.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$44,294.37
|
| Rate for Payer: Healthscope Whirlpool |
$45,664.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,265.72
|
| Rate for Payer: Mclaren Commercial |
$41,097.87
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$10,031.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$20,092.29
|
| Rate for Payer: PHP Medicaid |
$9,790.43
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19,665.12
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health Narrow Network |
$15,732.10
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40,184.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Exchange |
$28,311.87
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP DNSP |
$18,265.72
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: VA VA |
$18,265.72
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT COMPLEX INIT
|
Facility
|
IP
|
$45,664.30
|
|
|
Service Code
|
CPT 37273
|
| Hospital Charge Code |
36100645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$34,248.22 |
| Max. Negotiated Rate |
$45,664.30 |
| Rate for Payer: Aetna Commercial |
$41,097.87
|
| Rate for Payer: ASR ASR |
$44,294.37
|
| Rate for Payer: BCBS Trust/PPO |
$37,499.52
|
| Rate for Payer: BCN Commercial |
$37,499.52
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$42,924.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Healthscope Commercial |
$44,294.37
|
| Rate for Payer: Healthscope Whirlpool |
$45,664.30
|
| Rate for Payer: Mclaren Commercial |
$41,097.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40,184.58
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT SF INIT VESSEL
|
Facility
|
OP
|
$45,664.30
|
|
|
Service Code
|
CPT 37271
|
| Hospital Charge Code |
36100644
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,552.97 |
| Max. Negotiated Rate |
$45,664.30 |
| Rate for Payer: Aetna Commercial |
$41,097.87
|
| Rate for Payer: Aetna Medicare |
$18,265.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,832.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,832.15
|
| Rate for Payer: ASR ASR |
$44,294.37
|
| Rate for Payer: BCBS Complete |
$10,031.53
|
| Rate for Payer: BCBS MAPPO |
$18,265.72
|
| Rate for Payer: BCBS Trust/PPO |
$37,650.22
|
| Rate for Payer: BCN Commercial |
$37,650.22
|
| Rate for Payer: BCN Medicare Advantage |
$18,265.72
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$42,924.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,265.72
|
| Rate for Payer: Healthscope Commercial |
$44,294.37
|
| Rate for Payer: Healthscope Whirlpool |
$45,664.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,265.72
|
| Rate for Payer: Mclaren Commercial |
$41,097.87
|
| Rate for Payer: Mclaren Medicaid |
$18,265.72
|
| Rate for Payer: Mclaren Medicare |
$18,265.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,179.01
|
| Rate for Payer: Meridian Medicaid |
$10,031.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,005.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,092.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: PACE Medicare |
$17,352.43
|
| Rate for Payer: PACE SWMI |
$18,265.72
|
| Rate for Payer: PHP Commercial |
$20,092.29
|
| Rate for Payer: PHP Medicaid |
$9,790.43
|
| Rate for Payer: PHP Medicare Advantage |
$18,265.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,552.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19,665.12
|
| Rate for Payer: Priority Health Medicare |
$18,265.72
|
| Rate for Payer: Priority Health Narrow Network |
$15,732.10
|
| Rate for Payer: Railroad Medicare Medicare |
$18,265.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40,184.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,265.72
|
| Rate for Payer: UHC Exchange |
$28,311.87
|
| Rate for Payer: UHC Medicaid |
$9,552.97
|
| Rate for Payer: UHCCP DNSP |
$18,265.72
|
| Rate for Payer: UHCCP Medicaid |
$9,552.97
|
| Rate for Payer: VA VA |
$18,265.72
|
|
|
HC IR REVSC FPVT W ATHERECT UNILAT SF INIT VESSEL
|
Facility
|
IP
|
$45,664.30
|
|
|
Service Code
|
CPT 37271
|
| Hospital Charge Code |
36100644
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$34,248.22 |
| Max. Negotiated Rate |
$45,664.30 |
| Rate for Payer: Aetna Commercial |
$41,097.87
|
| Rate for Payer: ASR ASR |
$44,294.37
|
| Rate for Payer: BCBS Trust/PPO |
$37,499.52
|
| Rate for Payer: BCN Commercial |
$37,499.52
|
| Rate for Payer: Cash Price |
$36,531.44
|
| Rate for Payer: Cofinity Commercial |
$42,924.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36,531.44
|
| Rate for Payer: Healthscope Commercial |
$44,294.37
|
| Rate for Payer: Healthscope Whirlpool |
$45,664.30
|
| Rate for Payer: Mclaren Commercial |
$41,097.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,814.65
|
| Rate for Payer: Nomi Health Commercial |
$37,444.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34,248.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40,184.58
|
|
|
HC IR REVSC IVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37257
|
| Hospital Charge Code |
36100641
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,417.18 |
| Max. Negotiated Rate |
$7,222.90 |
| Rate for Payer: Aetna Commercial |
$6,500.61
|
| Rate for Payer: ASR ASR |
$7,006.21
|
| Rate for Payer: BCBS Trust/PPO |
$5,931.45
|
| Rate for Payer: BCN Commercial |
$5,931.45
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,789.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$7,006.21
|
| Rate for Payer: Healthscope Whirlpool |
$7,222.90
|
| Rate for Payer: Mclaren Commercial |
$6,500.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,356.15
|
|
|
HC IR REVSC IVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37257
|
| Hospital Charge Code |
36100641
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,056.33 |
| Max. Negotiated Rate |
$7,222.90 |
| Rate for Payer: Aetna Commercial |
$6,500.61
|
| Rate for Payer: Aetna Medicare |
$2,672.47
|
| Rate for Payer: ASR ASR |
$7,006.21
|
| Rate for Payer: BCBS Complete |
$2,889.16
|
| Rate for Payer: BCBS Trust/PPO |
$5,955.28
|
| Rate for Payer: BCN Commercial |
$5,955.28
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,789.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$7,006.21
|
| Rate for Payer: Healthscope Whirlpool |
$7,222.90
|
| Rate for Payer: Mclaren Commercial |
$6,500.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,778.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,320.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,056.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,356.15
|
|
|
HC IR REVSC IVT W ANGIO UNILAT SF EA ADD
|
Facility
|
OP
|
$7,222.90
|
|
|
Service Code
|
CPT 37255
|
| Hospital Charge Code |
36100640
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$973.85 |
| Max. Negotiated Rate |
$7,222.90 |
| Rate for Payer: Aetna Commercial |
$6,500.61
|
| Rate for Payer: Aetna Medicare |
$2,672.47
|
| Rate for Payer: ASR ASR |
$7,006.21
|
| Rate for Payer: BCBS Complete |
$2,889.16
|
| Rate for Payer: BCBS Trust/PPO |
$5,955.28
|
| Rate for Payer: BCN Commercial |
$5,955.28
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,789.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$7,006.21
|
| Rate for Payer: Healthscope Whirlpool |
$7,222.90
|
| Rate for Payer: Mclaren Commercial |
$6,500.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,778.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,217.32
|
| Rate for Payer: Priority Health Narrow Network |
$973.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,356.15
|
|
|
HC IR REVSC IVT W ANGIO UNILAT SF EA ADD
|
Facility
|
IP
|
$7,222.90
|
|
|
Service Code
|
CPT 37255
|
| Hospital Charge Code |
36100640
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,417.18 |
| Max. Negotiated Rate |
$7,222.90 |
| Rate for Payer: Aetna Commercial |
$6,500.61
|
| Rate for Payer: ASR ASR |
$7,006.21
|
| Rate for Payer: BCBS Trust/PPO |
$5,931.45
|
| Rate for Payer: BCN Commercial |
$5,931.45
|
| Rate for Payer: Cash Price |
$5,778.32
|
| Rate for Payer: Cofinity Commercial |
$6,789.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,778.32
|
| Rate for Payer: Healthscope Commercial |
$7,006.21
|
| Rate for Payer: Healthscope Whirlpool |
$7,222.90
|
| Rate for Payer: Mclaren Commercial |
$6,500.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.47
|
| Rate for Payer: Nomi Health Commercial |
$5,922.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,417.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,356.15
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37283
|
| Hospital Charge Code |
36100649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,738.12 |
| Max. Negotiated Rate |
$7,584.04 |
| Rate for Payer: Aetna Commercial |
$6,825.64
|
| Rate for Payer: Aetna Medicare |
$2,806.09
|
| Rate for Payer: ASR ASR |
$7,356.52
|
| Rate for Payer: BCBS Complete |
$3,033.62
|
| Rate for Payer: BCBS Trust/PPO |
$6,253.04
|
| Rate for Payer: BCN Commercial |
$6,253.04
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$7,129.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$7,356.52
|
| Rate for Payer: Healthscope Whirlpool |
$7,584.04
|
| Rate for Payer: Mclaren Commercial |
$6,825.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,067.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,172.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,738.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,673.96
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX EA ADD
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37283
|
| Hospital Charge Code |
36100649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,688.03 |
| Max. Negotiated Rate |
$7,584.04 |
| Rate for Payer: Aetna Commercial |
$6,825.64
|
| Rate for Payer: ASR ASR |
$7,356.52
|
| Rate for Payer: BCBS Trust/PPO |
$6,228.01
|
| Rate for Payer: BCN Commercial |
$6,228.01
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$7,129.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$7,356.52
|
| Rate for Payer: Healthscope Whirlpool |
$7,584.04
|
| Rate for Payer: Mclaren Commercial |
$6,825.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,673.96
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
OP
|
$28,756.70
|
|
|
Service Code
|
CPT 37282
|
| Hospital Charge Code |
36100647
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,015.90 |
| Max. Negotiated Rate |
$28,756.70 |
| Rate for Payer: Aetna Commercial |
$25,881.03
|
| Rate for Payer: Aetna Medicare |
$11,502.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: ASR ASR |
$27,894.00
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$23,709.90
|
| Rate for Payer: BCN Commercial |
$23,709.90
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Commercial |
$27,031.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$27,894.00
|
| Rate for Payer: Healthscope Whirlpool |
$28,756.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,502.68
|
| Rate for Payer: Mclaren Commercial |
$25,881.03
|
| Rate for Payer: Mclaren Medicaid |
$11,502.68
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$6,317.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$23,580.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$12,652.95
|
| Rate for Payer: PHP Medicaid |
$6,165.44
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,383.94
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health Narrow Network |
$9,907.15
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25,305.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Exchange |
$17,829.15
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP DNSP |
$11,502.68
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: VA VA |
$11,502.68
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT COMPLEX INIT
|
Facility
|
IP
|
$28,756.70
|
|
|
Service Code
|
CPT 37282
|
| Hospital Charge Code |
36100647
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$21,567.53 |
| Max. Negotiated Rate |
$28,756.70 |
| Rate for Payer: Aetna Commercial |
$25,881.03
|
| Rate for Payer: ASR ASR |
$27,894.00
|
| Rate for Payer: BCBS Trust/PPO |
$23,615.00
|
| Rate for Payer: BCN Commercial |
$23,615.00
|
| Rate for Payer: Cash Price |
$23,005.36
|
| Rate for Payer: Cofinity Commercial |
$27,031.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23,005.36
|
| Rate for Payer: Healthscope Commercial |
$27,894.00
|
| Rate for Payer: Healthscope Whirlpool |
$28,756.70
|
| Rate for Payer: Mclaren Commercial |
$25,881.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,443.19
|
| Rate for Payer: Nomi Health Commercial |
$23,580.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,567.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25,305.90
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF EA ADD
|
Facility
|
OP
|
$7,584.04
|
|
|
Service Code
|
CPT 37281
|
| Hospital Charge Code |
36100648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,548.74 |
| Max. Negotiated Rate |
$7,584.04 |
| Rate for Payer: Aetna Commercial |
$6,825.64
|
| Rate for Payer: Aetna Medicare |
$2,806.09
|
| Rate for Payer: ASR ASR |
$7,356.52
|
| Rate for Payer: BCBS Complete |
$3,033.62
|
| Rate for Payer: BCBS Trust/PPO |
$6,253.04
|
| Rate for Payer: BCN Commercial |
$6,253.04
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$7,129.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$7,356.52
|
| Rate for Payer: Healthscope Whirlpool |
$7,584.04
|
| Rate for Payer: Mclaren Commercial |
$6,825.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,067.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,935.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,548.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,673.96
|
|
|
HC IR REVSC TPVT W ANGIO UNILAT SF EA ADD
|
Facility
|
IP
|
$7,584.04
|
|
|
Service Code
|
CPT 37281
|
| Hospital Charge Code |
36100648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,688.03 |
| Max. Negotiated Rate |
$7,584.04 |
| Rate for Payer: Aetna Commercial |
$6,825.64
|
| Rate for Payer: ASR ASR |
$7,356.52
|
| Rate for Payer: BCBS Trust/PPO |
$6,228.01
|
| Rate for Payer: BCN Commercial |
$6,228.01
|
| Rate for Payer: Cash Price |
$6,067.23
|
| Rate for Payer: Cofinity Commercial |
$7,129.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,067.23
|
| Rate for Payer: Healthscope Commercial |
$7,356.52
|
| Rate for Payer: Healthscope Whirlpool |
$7,584.04
|
| Rate for Payer: Mclaren Commercial |
$6,825.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,446.43
|
| Rate for Payer: Nomi Health Commercial |
$6,218.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,688.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,673.96
|
|
