|
HC INTER REP WD FACE, EARS, EYELIDS, NOSE, LIP, MUC MEMBRANES 2.6 TO 5.0 CM
|
Facility
|
OP
|
$309.75
|
|
|
Service Code
|
CPT 12052
|
| Hospital Charge Code |
76100119
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$201.34 |
| Max. Negotiated Rate |
$606.75 |
| Rate for Payer: Aetna Commercial |
$278.78
|
| Rate for Payer: Aetna Medicare |
$391.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$489.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$489.31
|
| Rate for Payer: ASR ASR |
$300.46
|
| Rate for Payer: ASR Commercial |
$300.46
|
| Rate for Payer: BCBS Complete |
$220.31
|
| Rate for Payer: BCBS MAPPO |
$391.45
|
| Rate for Payer: BCBS Trust/PPO |
$253.65
|
| Rate for Payer: BCN Commercial |
$240.15
|
| Rate for Payer: BCN Medicare Advantage |
$391.45
|
| Rate for Payer: Cash Price |
$247.80
|
| Rate for Payer: Cash Price |
$247.80
|
| Rate for Payer: Cofinity Commercial |
$291.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.45
|
| Rate for Payer: Healthscope Commercial |
$309.75
|
| Rate for Payer: Healthscope Whirlpool |
$300.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$391.45
|
| Rate for Payer: Mclaren Commercial |
$278.78
|
| Rate for Payer: Mclaren Medicaid |
$209.82
|
| Rate for Payer: Mclaren Medicare |
$391.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.02
|
| Rate for Payer: Meridian Medicaid |
$220.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.29
|
| Rate for Payer: Nomi Health Commercial |
$254.00
|
| Rate for Payer: PACE Medicare |
$371.88
|
| Rate for Payer: PACE SWMI |
$391.45
|
| Rate for Payer: PHP Commercial |
$430.60
|
| Rate for Payer: PHP Medicaid |
$209.82
|
| Rate for Payer: PHP Medicare Advantage |
$391.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$265.98
|
| Rate for Payer: Priority Health Medicare |
$391.45
|
| Rate for Payer: Priority Health Narrow Network |
$212.78
|
| Rate for Payer: Railroad Medicare Medicare |
$391.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$272.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.45
|
| Rate for Payer: UHC Exchange |
$606.75
|
| Rate for Payer: UHC Medicare Advantage |
$391.45
|
| Rate for Payer: UHCCP DNSP |
$391.45
|
| Rate for Payer: UHCCP Medicaid |
$209.82
|
| Rate for Payer: VA VA |
$391.45
|
|
|
HC INTMD RPR WND FACE/MM 5.1-7.5 CM
|
Facility
|
IP
|
$899.53
|
|
|
Service Code
|
CPT 12053
|
| Hospital Charge Code |
76100315
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$584.69 |
| Max. Negotiated Rate |
$899.53 |
| Rate for Payer: Aetna Commercial |
$809.58
|
| Rate for Payer: ASR ASR |
$872.54
|
| Rate for Payer: ASR Commercial |
$872.54
|
| Rate for Payer: BCBS Trust/PPO |
$733.03
|
| Rate for Payer: BCN Commercial |
$697.41
|
| Rate for Payer: Cash Price |
$719.62
|
| Rate for Payer: Cofinity Commercial |
$845.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$719.62
|
| Rate for Payer: Healthscope Commercial |
$899.53
|
| Rate for Payer: Healthscope Whirlpool |
$872.54
|
| Rate for Payer: Mclaren Commercial |
$809.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$764.60
|
| Rate for Payer: Nomi Health Commercial |
$737.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$584.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$791.59
|
|
|
HC INTMD RPR WND FACE/MM 5.1-7.5 CM
|
Facility
|
OP
|
$899.53
|
|
|
Service Code
|
CPT 12053
|
| Hospital Charge Code |
76100315
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$209.82 |
| Max. Negotiated Rate |
$899.53 |
| Rate for Payer: Aetna Commercial |
$809.58
|
| Rate for Payer: Aetna Medicare |
$391.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$489.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$489.31
|
| Rate for Payer: ASR ASR |
$872.54
|
| Rate for Payer: ASR Commercial |
$872.54
|
| Rate for Payer: BCBS Complete |
$220.31
|
| Rate for Payer: BCBS MAPPO |
$391.45
|
| Rate for Payer: BCBS Trust/PPO |
$736.63
|
| Rate for Payer: BCN Commercial |
$697.41
|
| Rate for Payer: BCN Medicare Advantage |
$391.45
|
| Rate for Payer: Cash Price |
$719.62
|
| Rate for Payer: Cash Price |
$719.62
|
| Rate for Payer: Cofinity Commercial |
$845.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$719.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.45
|
| Rate for Payer: Healthscope Commercial |
$899.53
|
| Rate for Payer: Healthscope Whirlpool |
$872.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$391.45
|
| Rate for Payer: Mclaren Commercial |
$809.58
|
| Rate for Payer: Mclaren Medicaid |
$209.82
|
| Rate for Payer: Mclaren Medicare |
$391.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.02
|
| Rate for Payer: Meridian Medicaid |
$220.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$764.60
|
| Rate for Payer: Nomi Health Commercial |
$737.61
|
| Rate for Payer: PACE Medicare |
$371.88
|
| Rate for Payer: PACE SWMI |
$391.45
|
| Rate for Payer: PHP Commercial |
$430.60
|
| Rate for Payer: PHP Medicaid |
$209.82
|
| Rate for Payer: PHP Medicare Advantage |
$391.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$584.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$265.98
|
| Rate for Payer: Priority Health Medicare |
$391.45
|
| Rate for Payer: Priority Health Narrow Network |
$212.78
|
| Rate for Payer: Railroad Medicare Medicare |
$391.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$791.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.45
|
| Rate for Payer: UHC Exchange |
$606.75
|
| Rate for Payer: UHC Medicare Advantage |
$391.45
|
| Rate for Payer: UHCCP DNSP |
$391.45
|
| Rate for Payer: UHCCP Medicaid |
$209.82
|
| Rate for Payer: VA VA |
$391.45
|
|
|
HC INTRA AORTIC BALLOON INSERTION
|
Facility
|
IP
|
$2,205.80
|
|
|
Service Code
|
CPT 33967
|
| Hospital Charge Code |
36100083
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,433.77 |
| Max. Negotiated Rate |
$2,205.80 |
| Rate for Payer: Aetna Commercial |
$1,985.22
|
| Rate for Payer: ASR ASR |
$2,139.63
|
| Rate for Payer: ASR Commercial |
$2,139.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,797.51
|
| Rate for Payer: BCN Commercial |
$1,710.16
|
| Rate for Payer: Cash Price |
$1,764.64
|
| Rate for Payer: Cofinity Commercial |
$2,073.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,764.64
|
| Rate for Payer: Healthscope Commercial |
$2,205.80
|
| Rate for Payer: Healthscope Whirlpool |
$2,139.63
|
| Rate for Payer: Mclaren Commercial |
$1,985.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,874.93
|
| Rate for Payer: Nomi Health Commercial |
$1,808.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,941.10
|
|
|
HC INTRA AORTIC BALLOON INSERTION
|
Facility
|
OP
|
$2,205.80
|
|
|
Service Code
|
CPT 33967
|
| Hospital Charge Code |
36100083
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$882.32 |
| Max. Negotiated Rate |
$2,205.80 |
| Rate for Payer: Aetna Commercial |
$1,985.22
|
| Rate for Payer: Aetna Medicare |
$1,102.90
|
| Rate for Payer: ASR ASR |
$2,139.63
|
| Rate for Payer: ASR Commercial |
$2,139.63
|
| Rate for Payer: BCBS Complete |
$882.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,806.33
|
| Rate for Payer: BCN Commercial |
$1,710.16
|
| Rate for Payer: Cash Price |
$1,764.64
|
| Rate for Payer: Cofinity Commercial |
$2,073.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,764.64
|
| Rate for Payer: Healthscope Commercial |
$2,205.80
|
| Rate for Payer: Healthscope Whirlpool |
$2,139.63
|
| Rate for Payer: Mclaren Commercial |
$1,985.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,874.93
|
| Rate for Payer: Nomi Health Commercial |
$1,808.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,932.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,546.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,941.10
|
|
|
HC INTRA AORTIC BALLOON REMOVAL PERCUTANEOUS
|
Facility
|
IP
|
$1,340.24
|
|
|
Service Code
|
CPT 33968
|
| Hospital Charge Code |
48100104
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$871.16 |
| Max. Negotiated Rate |
$1,340.24 |
| Rate for Payer: Aetna Commercial |
$1,206.22
|
| Rate for Payer: ASR ASR |
$1,300.03
|
| Rate for Payer: ASR Commercial |
$1,300.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,092.16
|
| Rate for Payer: BCN Commercial |
$1,039.09
|
| Rate for Payer: Cash Price |
$1,072.19
|
| Rate for Payer: Cofinity Commercial |
$1,259.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,072.19
|
| Rate for Payer: Healthscope Commercial |
$1,340.24
|
| Rate for Payer: Healthscope Whirlpool |
$1,300.03
|
| Rate for Payer: Mclaren Commercial |
$1,206.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,139.20
|
| Rate for Payer: Nomi Health Commercial |
$1,099.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$871.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,179.41
|
|
|
HC INTRA AORTIC BALLOON REMOVAL PERCUTANEOUS
|
Facility
|
OP
|
$1,340.24
|
|
|
Service Code
|
CPT 33968
|
| Hospital Charge Code |
48100104
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$536.10 |
| Max. Negotiated Rate |
$1,340.24 |
| Rate for Payer: Aetna Commercial |
$1,206.22
|
| Rate for Payer: Aetna Medicare |
$670.12
|
| Rate for Payer: ASR ASR |
$1,300.03
|
| Rate for Payer: ASR Commercial |
$1,300.03
|
| Rate for Payer: BCBS Complete |
$536.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,097.52
|
| Rate for Payer: BCN Commercial |
$1,039.09
|
| Rate for Payer: Cash Price |
$1,072.19
|
| Rate for Payer: Cofinity Commercial |
$1,259.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,072.19
|
| Rate for Payer: Healthscope Commercial |
$1,340.24
|
| Rate for Payer: Healthscope Whirlpool |
$1,300.03
|
| Rate for Payer: Mclaren Commercial |
$1,206.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,139.20
|
| Rate for Payer: Nomi Health Commercial |
$1,099.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$871.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,174.32
|
| Rate for Payer: Priority Health Narrow Network |
$939.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,179.41
|
|
|
HC INTRA ART ADMIN RP PARTICULATE
|
Facility
|
IP
|
$1,073.12
|
|
|
Service Code
|
CPT 79445
|
| Hospital Charge Code |
34200001
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$697.53 |
| Max. Negotiated Rate |
$1,073.12 |
| Rate for Payer: Aetna Commercial |
$965.81
|
| Rate for Payer: ASR ASR |
$1,040.93
|
| Rate for Payer: ASR Commercial |
$1,040.93
|
| Rate for Payer: BCBS Trust/PPO |
$874.49
|
| Rate for Payer: BCN Commercial |
$831.99
|
| Rate for Payer: Cash Price |
$858.50
|
| Rate for Payer: Cofinity Commercial |
$1,008.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$858.50
|
| Rate for Payer: Healthscope Commercial |
$1,073.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,040.93
|
| Rate for Payer: Mclaren Commercial |
$965.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$912.15
|
| Rate for Payer: Nomi Health Commercial |
$879.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$944.35
|
|
|
HC INTRA ART ADMIN RP PARTICULATE
|
Facility
|
OP
|
$1,073.12
|
|
|
Service Code
|
CPT 79445
|
| Hospital Charge Code |
34200001
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$117.71 |
| Max. Negotiated Rate |
$1,073.12 |
| Rate for Payer: Aetna Commercial |
$965.81
|
| Rate for Payer: Aetna Medicare |
$219.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$274.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$274.50
|
| Rate for Payer: ASR ASR |
$1,040.93
|
| Rate for Payer: ASR Commercial |
$1,040.93
|
| Rate for Payer: BCBS Complete |
$123.59
|
| Rate for Payer: BCBS MAPPO |
$219.60
|
| Rate for Payer: BCBS Trust/PPO |
$878.78
|
| Rate for Payer: BCN Commercial |
$831.99
|
| Rate for Payer: BCN Medicare Advantage |
$219.60
|
| Rate for Payer: Cash Price |
$858.50
|
| Rate for Payer: Cash Price |
$858.50
|
| Rate for Payer: Cofinity Commercial |
$1,008.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$858.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.60
|
| Rate for Payer: Healthscope Commercial |
$1,073.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,040.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$219.60
|
| Rate for Payer: Mclaren Commercial |
$965.81
|
| Rate for Payer: Mclaren Medicaid |
$117.71
|
| Rate for Payer: Mclaren Medicare |
$219.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.58
|
| Rate for Payer: Meridian Medicaid |
$123.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$252.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$912.15
|
| Rate for Payer: Nomi Health Commercial |
$879.96
|
| Rate for Payer: PACE Medicare |
$208.62
|
| Rate for Payer: PACE SWMI |
$219.60
|
| Rate for Payer: PHP Commercial |
$241.56
|
| Rate for Payer: PHP Medicaid |
$117.71
|
| Rate for Payer: PHP Medicare Advantage |
$219.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$940.27
|
| Rate for Payer: Priority Health Medicare |
$219.60
|
| Rate for Payer: Priority Health Narrow Network |
$752.26
|
| Rate for Payer: Railroad Medicare Medicare |
$219.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$944.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.60
|
| Rate for Payer: UHC Exchange |
$340.38
|
| Rate for Payer: UHC Medicare Advantage |
$219.60
|
| Rate for Payer: UHCCP DNSP |
$219.60
|
| Rate for Payer: UHCCP Medicaid |
$117.71
|
| Rate for Payer: VA VA |
$219.60
|
|
|
HC INTRA ATRIAL PACING
|
Facility
|
OP
|
$3,148.49
|
|
|
Service Code
|
CPT 93610
|
| Hospital Charge Code |
48100033
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,046.52 |
| Max. Negotiated Rate |
$11,523.74 |
| Rate for Payer: Aetna Commercial |
$2,833.64
|
| Rate for Payer: Aetna Medicare |
$7,434.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,293.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,293.34
|
| Rate for Payer: ASR ASR |
$3,054.04
|
| Rate for Payer: ASR Commercial |
$3,054.04
|
| Rate for Payer: BCBS Complete |
$4,184.23
|
| Rate for Payer: BCBS MAPPO |
$7,434.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,578.30
|
| Rate for Payer: BCN Commercial |
$2,441.02
|
| Rate for Payer: BCN Medicare Advantage |
$7,434.67
|
| Rate for Payer: Cash Price |
$2,518.79
|
| Rate for Payer: Cash Price |
$2,518.79
|
| Rate for Payer: Cofinity Commercial |
$2,959.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,518.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,434.67
|
| Rate for Payer: Healthscope Commercial |
$3,148.49
|
| Rate for Payer: Healthscope Whirlpool |
$3,054.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,434.67
|
| Rate for Payer: Mclaren Commercial |
$2,833.64
|
| Rate for Payer: Mclaren Medicaid |
$3,984.98
|
| Rate for Payer: Mclaren Medicare |
$7,434.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,806.40
|
| Rate for Payer: Meridian Medicaid |
$4,184.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,549.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,676.22
|
| Rate for Payer: Nomi Health Commercial |
$2,581.76
|
| Rate for Payer: PACE Medicare |
$7,062.94
|
| Rate for Payer: PACE SWMI |
$7,434.67
|
| Rate for Payer: PHP Commercial |
$8,178.14
|
| Rate for Payer: PHP Medicaid |
$3,984.98
|
| Rate for Payer: PHP Medicare Advantage |
$7,434.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,984.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,046.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,758.71
|
| Rate for Payer: Priority Health Medicare |
$7,434.67
|
| Rate for Payer: Priority Health Narrow Network |
$2,207.09
|
| Rate for Payer: Railroad Medicare Medicare |
$7,434.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,770.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,434.67
|
| Rate for Payer: UHC Exchange |
$11,523.74
|
| Rate for Payer: UHC Medicare Advantage |
$7,434.67
|
| Rate for Payer: UHCCP DNSP |
$7,434.67
|
| Rate for Payer: UHCCP Medicaid |
$3,984.98
|
| Rate for Payer: VA VA |
$7,434.67
|
|
|
HC INTRA ATRIAL PACING
|
Facility
|
IP
|
$3,148.49
|
|
|
Service Code
|
CPT 93610
|
| Hospital Charge Code |
48100033
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,046.52 |
| Max. Negotiated Rate |
$3,148.49 |
| Rate for Payer: Aetna Commercial |
$2,833.64
|
| Rate for Payer: ASR ASR |
$3,054.04
|
| Rate for Payer: ASR Commercial |
$3,054.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,565.70
|
| Rate for Payer: BCN Commercial |
$2,441.02
|
| Rate for Payer: Cash Price |
$2,518.79
|
| Rate for Payer: Cofinity Commercial |
$2,959.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,518.79
|
| Rate for Payer: Healthscope Commercial |
$3,148.49
|
| Rate for Payer: Healthscope Whirlpool |
$3,054.04
|
| Rate for Payer: Mclaren Commercial |
$2,833.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,676.22
|
| Rate for Payer: Nomi Health Commercial |
$2,581.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,046.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,770.67
|
|
|
HC INTRA ATRIAL RECORDING
|
Facility
|
IP
|
$3,037.97
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
48100030
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,974.68 |
| Max. Negotiated Rate |
$3,037.97 |
| Rate for Payer: Aetna Commercial |
$2,734.17
|
| Rate for Payer: ASR ASR |
$2,946.83
|
| Rate for Payer: ASR Commercial |
$2,946.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,475.64
|
| Rate for Payer: BCN Commercial |
$2,355.34
|
| Rate for Payer: Cash Price |
$2,430.38
|
| Rate for Payer: Cofinity Commercial |
$2,855.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,430.38
|
| Rate for Payer: Healthscope Commercial |
$3,037.97
|
| Rate for Payer: Healthscope Whirlpool |
$2,946.83
|
| Rate for Payer: Mclaren Commercial |
$2,734.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,582.27
|
| Rate for Payer: Nomi Health Commercial |
$2,491.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,974.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,673.41
|
|
|
HC INTRA ATRIAL RECORDING
|
Facility
|
OP
|
$3,037.97
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
48100030
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,974.68 |
| Max. Negotiated Rate |
$11,523.74 |
| Rate for Payer: Aetna Commercial |
$2,734.17
|
| Rate for Payer: Aetna Medicare |
$7,434.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,293.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,293.34
|
| Rate for Payer: ASR ASR |
$2,946.83
|
| Rate for Payer: ASR Commercial |
$2,946.83
|
| Rate for Payer: BCBS Complete |
$4,184.23
|
| Rate for Payer: BCBS MAPPO |
$7,434.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,487.79
|
| Rate for Payer: BCN Commercial |
$2,355.34
|
| Rate for Payer: BCN Medicare Advantage |
$7,434.67
|
| Rate for Payer: Cash Price |
$2,430.38
|
| Rate for Payer: Cash Price |
$2,430.38
|
| Rate for Payer: Cofinity Commercial |
$2,855.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,430.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,434.67
|
| Rate for Payer: Healthscope Commercial |
$3,037.97
|
| Rate for Payer: Healthscope Whirlpool |
$2,946.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,434.67
|
| Rate for Payer: Mclaren Commercial |
$2,734.17
|
| Rate for Payer: Mclaren Medicaid |
$3,984.98
|
| Rate for Payer: Mclaren Medicare |
$7,434.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,806.40
|
| Rate for Payer: Meridian Medicaid |
$4,184.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,549.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,582.27
|
| Rate for Payer: Nomi Health Commercial |
$2,491.14
|
| Rate for Payer: PACE Medicare |
$7,062.94
|
| Rate for Payer: PACE SWMI |
$7,434.67
|
| Rate for Payer: PHP Commercial |
$8,178.14
|
| Rate for Payer: PHP Medicaid |
$3,984.98
|
| Rate for Payer: PHP Medicare Advantage |
$7,434.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,984.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,974.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,661.87
|
| Rate for Payer: Priority Health Medicare |
$7,434.67
|
| Rate for Payer: Priority Health Narrow Network |
$2,129.62
|
| Rate for Payer: Railroad Medicare Medicare |
$7,434.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,673.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,434.67
|
| Rate for Payer: UHC Exchange |
$11,523.74
|
| Rate for Payer: UHC Medicare Advantage |
$7,434.67
|
| Rate for Payer: UHCCP DNSP |
$7,434.67
|
| Rate for Payer: UHCCP Medicaid |
$3,984.98
|
| Rate for Payer: VA VA |
$7,434.67
|
|
|
HC INTRACARDIAC ECHOCARDIOGRAPHY
|
Facility
|
IP
|
$5,511.38
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
48100047
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,582.40 |
| Max. Negotiated Rate |
$5,511.38 |
| Rate for Payer: Aetna Commercial |
$4,960.24
|
| Rate for Payer: ASR ASR |
$5,346.04
|
| Rate for Payer: ASR Commercial |
$5,346.04
|
| Rate for Payer: BCBS Trust/PPO |
$4,491.22
|
| Rate for Payer: BCN Commercial |
$4,272.97
|
| Rate for Payer: Cash Price |
$4,409.10
|
| Rate for Payer: Cofinity Commercial |
$5,180.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,409.10
|
| Rate for Payer: Healthscope Commercial |
$5,511.38
|
| Rate for Payer: Healthscope Whirlpool |
$5,346.04
|
| Rate for Payer: Mclaren Commercial |
$4,960.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,684.67
|
| Rate for Payer: Nomi Health Commercial |
$4,519.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,582.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,850.01
|
|
|
HC INTRACARDIAC ECHOCARDIOGRAPHY
|
Facility
|
OP
|
$5,511.38
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
48100047
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,204.55 |
| Max. Negotiated Rate |
$5,511.38 |
| Rate for Payer: Aetna Commercial |
$4,960.24
|
| Rate for Payer: Aetna Medicare |
$2,755.69
|
| Rate for Payer: ASR ASR |
$5,346.04
|
| Rate for Payer: ASR Commercial |
$5,346.04
|
| Rate for Payer: BCBS Complete |
$2,204.55
|
| Rate for Payer: BCBS Trust/PPO |
$4,513.27
|
| Rate for Payer: BCN Commercial |
$4,272.97
|
| Rate for Payer: Cash Price |
$4,409.10
|
| Rate for Payer: Cofinity Commercial |
$5,180.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,409.10
|
| Rate for Payer: Healthscope Commercial |
$5,511.38
|
| Rate for Payer: Healthscope Whirlpool |
$5,346.04
|
| Rate for Payer: Mclaren Commercial |
$4,960.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,684.67
|
| Rate for Payer: Nomi Health Commercial |
$4,519.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,582.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,829.07
|
| Rate for Payer: Priority Health Narrow Network |
$3,863.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,850.01
|
|
|
HC INTRACARDIAC ELECTROCARDIOGRAPHY CATH LVL 55
|
Facility
|
IP
|
$5,500.00
|
|
|
Service Code
|
HCPCS C1759
|
| Hospital Charge Code |
27200379
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,575.00 |
| Max. Negotiated Rate |
$5,500.00 |
| Rate for Payer: Aetna Commercial |
$4,950.00
|
| Rate for Payer: ASR ASR |
$5,335.00
|
| Rate for Payer: ASR Commercial |
$5,335.00
|
| Rate for Payer: BCBS Trust/PPO |
$4,481.95
|
| Rate for Payer: BCN Commercial |
$4,264.15
|
| Rate for Payer: Cash Price |
$4,400.00
|
| Rate for Payer: Cofinity Commercial |
$5,170.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,400.00
|
| Rate for Payer: Healthscope Commercial |
$5,500.00
|
| Rate for Payer: Healthscope Whirlpool |
$5,335.00
|
| Rate for Payer: Mclaren Commercial |
$4,950.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,675.00
|
| Rate for Payer: Nomi Health Commercial |
$4,510.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,575.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,840.00
|
|
|
HC INTRACARDIAC ELECTROCARDIOGRAPHY CATH LVL 55
|
Facility
|
OP
|
$5,500.00
|
|
|
Service Code
|
HCPCS C1759
|
| Hospital Charge Code |
27200379
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,200.00 |
| Max. Negotiated Rate |
$5,500.00 |
| Rate for Payer: Aetna Commercial |
$4,950.00
|
| Rate for Payer: Aetna Medicare |
$2,750.00
|
| Rate for Payer: ASR ASR |
$5,335.00
|
| Rate for Payer: ASR Commercial |
$5,335.00
|
| Rate for Payer: BCBS Complete |
$2,200.00
|
| Rate for Payer: BCBS Trust/PPO |
$4,503.95
|
| Rate for Payer: BCN Commercial |
$4,264.15
|
| Rate for Payer: Cash Price |
$4,400.00
|
| Rate for Payer: Cofinity Commercial |
$5,170.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,400.00
|
| Rate for Payer: Healthscope Commercial |
$5,500.00
|
| Rate for Payer: Healthscope Whirlpool |
$5,335.00
|
| Rate for Payer: Mclaren Commercial |
$4,950.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,675.00
|
| Rate for Payer: Nomi Health Commercial |
$4,510.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,575.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,819.10
|
| Rate for Payer: Priority Health Narrow Network |
$3,855.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,840.00
|
|
|
HC INTRACAV APPL - I
|
Facility
|
OP
|
$573.26
|
|
|
Service Code
|
CPT 77762
|
| Hospital Charge Code |
33300028
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$303.79 |
| Max. Negotiated Rate |
$878.49 |
| Rate for Payer: Aetna Commercial |
$515.93
|
| Rate for Payer: Aetna Medicare |
$566.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$708.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$708.46
|
| Rate for Payer: ASR ASR |
$556.06
|
| Rate for Payer: ASR Commercial |
$556.06
|
| Rate for Payer: BCBS Complete |
$318.98
|
| Rate for Payer: BCBS MAPPO |
$566.77
|
| Rate for Payer: BCBS Trust/PPO |
$469.44
|
| Rate for Payer: BCN Commercial |
$444.45
|
| Rate for Payer: BCN Medicare Advantage |
$566.77
|
| Rate for Payer: Cash Price |
$458.61
|
| Rate for Payer: Cash Price |
$458.61
|
| Rate for Payer: Cofinity Commercial |
$538.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$458.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.77
|
| Rate for Payer: Healthscope Commercial |
$573.26
|
| Rate for Payer: Healthscope Whirlpool |
$556.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$566.77
|
| Rate for Payer: Mclaren Commercial |
$515.93
|
| Rate for Payer: Mclaren Medicaid |
$303.79
|
| Rate for Payer: Mclaren Medicare |
$566.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$595.11
|
| Rate for Payer: Meridian Medicaid |
$318.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$651.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$487.27
|
| Rate for Payer: Nomi Health Commercial |
$470.07
|
| Rate for Payer: PACE Medicare |
$538.43
|
| Rate for Payer: PACE SWMI |
$566.77
|
| Rate for Payer: PHP Commercial |
$623.45
|
| Rate for Payer: PHP Medicaid |
$303.79
|
| Rate for Payer: PHP Medicare Advantage |
$566.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$372.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$502.29
|
| Rate for Payer: Priority Health Medicare |
$566.77
|
| Rate for Payer: Priority Health Narrow Network |
$401.86
|
| Rate for Payer: Railroad Medicare Medicare |
$566.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$504.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.77
|
| Rate for Payer: UHC Exchange |
$878.49
|
| Rate for Payer: UHC Medicare Advantage |
$566.77
|
| Rate for Payer: UHCCP DNSP |
$566.77
|
| Rate for Payer: UHCCP Medicaid |
$303.79
|
| Rate for Payer: VA VA |
$566.77
|
|
|
HC INTRACAV APPL - I
|
Facility
|
IP
|
$573.26
|
|
|
Service Code
|
CPT 77762
|
| Hospital Charge Code |
33300028
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$372.62 |
| Max. Negotiated Rate |
$573.26 |
| Rate for Payer: Aetna Commercial |
$515.93
|
| Rate for Payer: ASR ASR |
$556.06
|
| Rate for Payer: ASR Commercial |
$556.06
|
| Rate for Payer: BCBS Trust/PPO |
$467.15
|
| Rate for Payer: BCN Commercial |
$444.45
|
| Rate for Payer: Cash Price |
$458.61
|
| Rate for Payer: Cofinity Commercial |
$538.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$458.61
|
| Rate for Payer: Healthscope Commercial |
$573.26
|
| Rate for Payer: Healthscope Whirlpool |
$556.06
|
| Rate for Payer: Mclaren Commercial |
$515.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$487.27
|
| Rate for Payer: Nomi Health Commercial |
$470.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$372.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$504.47
|
|
|
HC INTRACAV APPL - S
|
Facility
|
IP
|
$436.97
|
|
|
Service Code
|
CPT 77761
|
| Hospital Charge Code |
33300027
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$284.03 |
| Max. Negotiated Rate |
$436.97 |
| Rate for Payer: Aetna Commercial |
$393.27
|
| Rate for Payer: ASR ASR |
$423.86
|
| Rate for Payer: ASR Commercial |
$423.86
|
| Rate for Payer: BCBS Trust/PPO |
$356.09
|
| Rate for Payer: BCN Commercial |
$338.78
|
| Rate for Payer: Cash Price |
$349.58
|
| Rate for Payer: Cofinity Commercial |
$410.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.58
|
| Rate for Payer: Healthscope Commercial |
$436.97
|
| Rate for Payer: Healthscope Whirlpool |
$423.86
|
| Rate for Payer: Mclaren Commercial |
$393.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.42
|
| Rate for Payer: Nomi Health Commercial |
$358.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$384.53
|
|
|
HC INTRACAV APPL - S
|
Facility
|
OP
|
$436.97
|
|
|
Service Code
|
CPT 77761
|
| Hospital Charge Code |
33300027
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$284.03 |
| Max. Negotiated Rate |
$878.49 |
| Rate for Payer: Aetna Commercial |
$393.27
|
| Rate for Payer: Aetna Medicare |
$566.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$708.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$708.46
|
| Rate for Payer: ASR ASR |
$423.86
|
| Rate for Payer: ASR Commercial |
$423.86
|
| Rate for Payer: BCBS Complete |
$318.98
|
| Rate for Payer: BCBS MAPPO |
$566.77
|
| Rate for Payer: BCBS Trust/PPO |
$357.83
|
| Rate for Payer: BCN Commercial |
$338.78
|
| Rate for Payer: BCN Medicare Advantage |
$566.77
|
| Rate for Payer: Cash Price |
$349.58
|
| Rate for Payer: Cash Price |
$349.58
|
| Rate for Payer: Cofinity Commercial |
$410.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.77
|
| Rate for Payer: Healthscope Commercial |
$436.97
|
| Rate for Payer: Healthscope Whirlpool |
$423.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$566.77
|
| Rate for Payer: Mclaren Commercial |
$393.27
|
| Rate for Payer: Mclaren Medicaid |
$303.79
|
| Rate for Payer: Mclaren Medicare |
$566.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$595.11
|
| Rate for Payer: Meridian Medicaid |
$318.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$651.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.42
|
| Rate for Payer: Nomi Health Commercial |
$358.32
|
| Rate for Payer: PACE Medicare |
$538.43
|
| Rate for Payer: PACE SWMI |
$566.77
|
| Rate for Payer: PHP Commercial |
$623.45
|
| Rate for Payer: PHP Medicaid |
$303.79
|
| Rate for Payer: PHP Medicare Advantage |
$566.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$382.87
|
| Rate for Payer: Priority Health Medicare |
$566.77
|
| Rate for Payer: Priority Health Narrow Network |
$306.32
|
| Rate for Payer: Railroad Medicare Medicare |
$566.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$384.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.77
|
| Rate for Payer: UHC Exchange |
$878.49
|
| Rate for Payer: UHC Medicare Advantage |
$566.77
|
| Rate for Payer: UHCCP DNSP |
$566.77
|
| Rate for Payer: UHCCP Medicaid |
$303.79
|
| Rate for Payer: VA VA |
$566.77
|
|
|
HC INTRAOSSEOUS NEEDLE PLACEMENT
|
Facility
|
OP
|
$484.89
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
45000080
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$209.56 |
| Max. Negotiated Rate |
$606.00 |
| Rate for Payer: Aetna Commercial |
$436.40
|
| Rate for Payer: Aetna Medicare |
$390.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$488.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$488.71
|
| Rate for Payer: ASR ASR |
$470.34
|
| Rate for Payer: ASR Commercial |
$470.34
|
| Rate for Payer: BCBS Complete |
$220.04
|
| Rate for Payer: BCBS MAPPO |
$390.97
|
| Rate for Payer: BCBS Trust/PPO |
$397.08
|
| Rate for Payer: BCN Commercial |
$375.94
|
| Rate for Payer: BCN Medicare Advantage |
$390.97
|
| Rate for Payer: Cash Price |
$387.91
|
| Rate for Payer: Cash Price |
$387.91
|
| Rate for Payer: Cofinity Commercial |
$455.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$390.97
|
| Rate for Payer: Healthscope Commercial |
$484.89
|
| Rate for Payer: Healthscope Whirlpool |
$470.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$390.97
|
| Rate for Payer: Mclaren Commercial |
$436.40
|
| Rate for Payer: Mclaren Medicaid |
$209.56
|
| Rate for Payer: Mclaren Medicare |
$390.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.52
|
| Rate for Payer: Meridian Medicaid |
$220.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$449.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.16
|
| Rate for Payer: Nomi Health Commercial |
$397.61
|
| Rate for Payer: PACE Medicare |
$371.42
|
| Rate for Payer: PACE SWMI |
$390.97
|
| Rate for Payer: PHP Commercial |
$430.07
|
| Rate for Payer: PHP Medicaid |
$209.56
|
| Rate for Payer: PHP Medicare Advantage |
$390.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$424.86
|
| Rate for Payer: Priority Health Medicare |
$390.97
|
| Rate for Payer: Priority Health Narrow Network |
$339.91
|
| Rate for Payer: Railroad Medicare Medicare |
$390.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$426.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$390.97
|
| Rate for Payer: UHC Exchange |
$606.00
|
| Rate for Payer: UHC Medicare Advantage |
$390.97
|
| Rate for Payer: UHCCP DNSP |
$390.97
|
| Rate for Payer: UHCCP Medicaid |
$209.56
|
| Rate for Payer: VA VA |
$390.97
|
|
|
HC INTRAOSSEOUS NEEDLE PLACEMENT
|
Facility
|
IP
|
$484.89
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
45000080
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$315.18 |
| Max. Negotiated Rate |
$484.89 |
| Rate for Payer: Aetna Commercial |
$436.40
|
| Rate for Payer: ASR ASR |
$470.34
|
| Rate for Payer: ASR Commercial |
$470.34
|
| Rate for Payer: BCBS Trust/PPO |
$395.14
|
| Rate for Payer: BCN Commercial |
$375.94
|
| Rate for Payer: Cash Price |
$387.91
|
| Rate for Payer: Cofinity Commercial |
$455.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.91
|
| Rate for Payer: Healthscope Commercial |
$484.89
|
| Rate for Payer: Healthscope Whirlpool |
$470.34
|
| Rate for Payer: Mclaren Commercial |
$436.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.16
|
| Rate for Payer: Nomi Health Commercial |
$397.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$426.70
|
|
|
HC INTRASPINAL CATHETER
|
Facility
|
OP
|
$292.74
|
|
|
Service Code
|
HCPCS C1755
|
| Hospital Charge Code |
27200248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$117.10 |
| Max. Negotiated Rate |
$292.74 |
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Medicare |
$146.37
|
| Rate for Payer: ASR ASR |
$283.96
|
| Rate for Payer: ASR Commercial |
$283.96
|
| Rate for Payer: BCBS Complete |
$117.10
|
| Rate for Payer: BCBS Trust/PPO |
$239.72
|
| Rate for Payer: BCN Commercial |
$226.96
|
| Rate for Payer: Cash Price |
$234.19
|
| Rate for Payer: Cofinity Commercial |
$275.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.19
|
| Rate for Payer: Healthscope Commercial |
$292.74
|
| Rate for Payer: Healthscope Whirlpool |
$283.96
|
| Rate for Payer: Mclaren Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$248.83
|
| Rate for Payer: Nomi Health Commercial |
$240.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$190.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$256.50
|
| Rate for Payer: Priority Health Narrow Network |
$205.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$257.61
|
|
|
HC INTRASPINAL CATHETER
|
Facility
|
IP
|
$292.74
|
|
|
Service Code
|
HCPCS C1755
|
| Hospital Charge Code |
27200248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$190.28 |
| Max. Negotiated Rate |
$292.74 |
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: ASR ASR |
$283.96
|
| Rate for Payer: ASR Commercial |
$283.96
|
| Rate for Payer: BCBS Trust/PPO |
$238.55
|
| Rate for Payer: BCN Commercial |
$226.96
|
| Rate for Payer: Cash Price |
$234.19
|
| Rate for Payer: Cofinity Commercial |
$275.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.19
|
| Rate for Payer: Healthscope Commercial |
$292.74
|
| Rate for Payer: Healthscope Whirlpool |
$283.96
|
| Rate for Payer: Mclaren Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$248.83
|
| Rate for Payer: Nomi Health Commercial |
$240.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$190.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$257.61
|
|
