|
HC IR ABSCESS DRAIN CATH PLACE
|
Facility
|
IP
|
$878.12
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
35000021
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$570.78 |
| Max. Negotiated Rate |
$878.12 |
| Rate for Payer: Aetna Commercial |
$790.31
|
| Rate for Payer: ASR ASR |
$851.78
|
| Rate for Payer: ASR Commercial |
$851.78
|
| Rate for Payer: BCBS Trust/PPO |
$715.58
|
| Rate for Payer: BCN Commercial |
$680.81
|
| Rate for Payer: Cash Price |
$702.50
|
| Rate for Payer: Cofinity Commercial |
$825.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$702.50
|
| Rate for Payer: Healthscope Commercial |
$878.12
|
| Rate for Payer: Healthscope Whirlpool |
$851.78
|
| Rate for Payer: Mclaren Commercial |
$790.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$746.40
|
| Rate for Payer: Nomi Health Commercial |
$720.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$570.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$772.75
|
|
|
HC IR ABSCESS DRAIN CATH PLACE
|
Facility
|
OP
|
$878.12
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
35000021
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$249.91 |
| Max. Negotiated Rate |
$878.12 |
| Rate for Payer: Aetna Commercial |
$790.31
|
| Rate for Payer: Aetna Medicare |
$439.06
|
| Rate for Payer: ASR ASR |
$851.78
|
| Rate for Payer: ASR Commercial |
$851.78
|
| Rate for Payer: BCBS Complete |
$351.25
|
| Rate for Payer: BCBS Trust/PPO |
$719.09
|
| Rate for Payer: BCN Commercial |
$680.81
|
| Rate for Payer: Cash Price |
$702.50
|
| Rate for Payer: Cash Price |
$702.50
|
| Rate for Payer: Cofinity Commercial |
$825.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$702.50
|
| Rate for Payer: Healthscope Commercial |
$878.12
|
| Rate for Payer: Healthscope Whirlpool |
$851.78
|
| Rate for Payer: Mclaren Commercial |
$790.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$746.40
|
| Rate for Payer: Nomi Health Commercial |
$720.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$570.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$312.39
|
| Rate for Payer: Priority Health Narrow Network |
$249.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$772.75
|
|
|
HC IR ABSCESS DRAIN TUBE CHECK
|
Facility
|
IP
|
$388.71
|
|
|
Service Code
|
CPT 76080
|
| Hospital Charge Code |
32000236
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$252.66 |
| Max. Negotiated Rate |
$388.71 |
| Rate for Payer: Aetna Commercial |
$349.84
|
| Rate for Payer: ASR ASR |
$377.05
|
| Rate for Payer: ASR Commercial |
$377.05
|
| Rate for Payer: BCBS Trust/PPO |
$316.76
|
| Rate for Payer: BCN Commercial |
$301.37
|
| Rate for Payer: Cash Price |
$310.97
|
| Rate for Payer: Cofinity Commercial |
$365.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.97
|
| Rate for Payer: Healthscope Commercial |
$388.71
|
| Rate for Payer: Healthscope Whirlpool |
$377.05
|
| Rate for Payer: Mclaren Commercial |
$349.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$330.40
|
| Rate for Payer: Nomi Health Commercial |
$318.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$342.06
|
|
|
HC IR ABSCESS DRAIN TUBE CHECK
|
Facility
|
OP
|
$388.71
|
|
|
Service Code
|
CPT 76080
|
| Hospital Charge Code |
32000236
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$252.66 |
| Max. Negotiated Rate |
$832.68 |
| Rate for Payer: Aetna Commercial |
$349.84
|
| Rate for Payer: Aetna Medicare |
$537.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.51
|
| Rate for Payer: ASR ASR |
$377.05
|
| Rate for Payer: ASR Commercial |
$377.05
|
| Rate for Payer: BCBS Complete |
$302.34
|
| Rate for Payer: BCBS MAPPO |
$537.21
|
| Rate for Payer: BCBS Trust/PPO |
$318.31
|
| Rate for Payer: BCN Commercial |
$301.37
|
| Rate for Payer: BCN Medicare Advantage |
$537.21
|
| Rate for Payer: Cash Price |
$310.97
|
| Rate for Payer: Cash Price |
$310.97
|
| Rate for Payer: Cofinity Commercial |
$365.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.21
|
| Rate for Payer: Healthscope Commercial |
$388.71
|
| Rate for Payer: Healthscope Whirlpool |
$377.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$537.21
|
| Rate for Payer: Mclaren Commercial |
$349.84
|
| Rate for Payer: Mclaren Medicaid |
$287.94
|
| Rate for Payer: Mclaren Medicare |
$537.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.07
|
| Rate for Payer: Meridian Medicaid |
$302.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$617.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$330.40
|
| Rate for Payer: Nomi Health Commercial |
$318.74
|
| Rate for Payer: PACE Medicare |
$510.35
|
| Rate for Payer: PACE SWMI |
$537.21
|
| Rate for Payer: PHP Commercial |
$590.93
|
| Rate for Payer: PHP Medicaid |
$287.94
|
| Rate for Payer: PHP Medicare Advantage |
$537.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$505.08
|
| Rate for Payer: Priority Health Medicare |
$537.21
|
| Rate for Payer: Priority Health Narrow Network |
$404.06
|
| Rate for Payer: Railroad Medicare Medicare |
$537.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$342.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$537.21
|
| Rate for Payer: UHC Exchange |
$832.68
|
| Rate for Payer: UHC Medicare Advantage |
$537.21
|
| Rate for Payer: UHCCP DNSP |
$537.21
|
| Rate for Payer: UHCCP Medicaid |
$287.94
|
| Rate for Payer: VA VA |
$537.21
|
|
|
HC IR ANGIO FU EMBO THROMBOLYSIS
|
Facility
|
IP
|
$1,716.86
|
|
|
Service Code
|
CPT 75898
|
| Hospital Charge Code |
32000212
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,115.96 |
| Max. Negotiated Rate |
$1,716.86 |
| Rate for Payer: Aetna Commercial |
$1,545.17
|
| Rate for Payer: ASR ASR |
$1,665.35
|
| Rate for Payer: ASR Commercial |
$1,665.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,399.07
|
| Rate for Payer: BCN Commercial |
$1,331.08
|
| Rate for Payer: Cash Price |
$1,373.49
|
| Rate for Payer: Cofinity Commercial |
$1,613.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,373.49
|
| Rate for Payer: Healthscope Commercial |
$1,716.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,665.35
|
| Rate for Payer: Mclaren Commercial |
$1,545.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,459.33
|
| Rate for Payer: Nomi Health Commercial |
$1,407.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,115.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,510.84
|
|
|
HC IR ANGIO FU EMBO THROMBOLYSIS
|
Facility
|
OP
|
$1,716.86
|
|
|
Service Code
|
CPT 75898
|
| Hospital Charge Code |
32000212
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,115.96 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$1,545.17
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$1,665.35
|
| Rate for Payer: ASR Commercial |
$1,665.35
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,405.94
|
| Rate for Payer: BCN Commercial |
$1,331.08
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$1,373.49
|
| Rate for Payer: Cash Price |
$1,373.49
|
| Rate for Payer: Cofinity Commercial |
$1,613.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,373.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$1,716.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,665.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$1,545.17
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,459.33
|
| Rate for Payer: Nomi Health Commercial |
$1,407.83
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,115.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,504.31
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,203.52
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,510.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC IR ANGIOGRAM PELVIC
|
Facility
|
IP
|
$3,266.13
|
|
|
Service Code
|
CPT 75736
|
| Hospital Charge Code |
32000194
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,122.98 |
| Max. Negotiated Rate |
$3,266.13 |
| Rate for Payer: Aetna Commercial |
$2,939.52
|
| Rate for Payer: ASR ASR |
$3,168.15
|
| Rate for Payer: ASR Commercial |
$3,168.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,661.57
|
| Rate for Payer: BCN Commercial |
$2,532.23
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$3,070.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Healthscope Commercial |
$3,266.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,168.15
|
| Rate for Payer: Mclaren Commercial |
$2,939.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,874.19
|
|
|
HC IR ANGIOGRAM PELVIC
|
Facility
|
OP
|
$3,266.13
|
|
|
Service Code
|
CPT 75736
|
| Hospital Charge Code |
32000194
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,122.98 |
| Max. Negotiated Rate |
$8,209.42 |
| Rate for Payer: Aetna Commercial |
$2,939.52
|
| Rate for Payer: Aetna Medicare |
$5,296.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.50
|
| Rate for Payer: ASR ASR |
$3,168.15
|
| Rate for Payer: ASR Commercial |
$3,168.15
|
| Rate for Payer: BCBS Complete |
$2,980.81
|
| Rate for Payer: BCBS MAPPO |
$5,296.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,674.63
|
| Rate for Payer: BCN Commercial |
$2,532.23
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$3,070.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.40
|
| Rate for Payer: Healthscope Commercial |
$3,266.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,168.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,296.40
|
| Rate for Payer: Mclaren Commercial |
$2,939.52
|
| Rate for Payer: Mclaren Medicaid |
$2,838.87
|
| Rate for Payer: Mclaren Medicare |
$5,296.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,561.22
|
| Rate for Payer: Meridian Medicaid |
$2,980.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$5,826.04
|
| Rate for Payer: PHP Medicaid |
$2,838.87
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,838.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,861.78
|
| Rate for Payer: Priority Health Medicare |
$5,296.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,289.56
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,874.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$8,209.42
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP DNSP |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: VA VA |
$5,296.40
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL
|
Facility
|
IP
|
$3,457.60
|
|
|
Service Code
|
CPT 61630
|
| Hospital Charge Code |
36100273
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,247.44 |
| Max. Negotiated Rate |
$3,457.60 |
| Rate for Payer: Aetna Commercial |
$3,111.84
|
| Rate for Payer: ASR ASR |
$3,353.87
|
| Rate for Payer: ASR Commercial |
$3,353.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,817.60
|
| Rate for Payer: BCN Commercial |
$2,680.68
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cofinity Commercial |
$3,250.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.08
|
| Rate for Payer: Healthscope Commercial |
$3,457.60
|
| Rate for Payer: Healthscope Whirlpool |
$3,353.87
|
| Rate for Payer: Mclaren Commercial |
$3,111.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.96
|
| Rate for Payer: Nomi Health Commercial |
$2,835.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,042.69
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL
|
Facility
|
OP
|
$3,457.60
|
|
|
Service Code
|
CPT 61630
|
| Hospital Charge Code |
36100273
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,383.04 |
| Max. Negotiated Rate |
$3,457.60 |
| Rate for Payer: Aetna Commercial |
$3,111.84
|
| Rate for Payer: Aetna Medicare |
$1,728.80
|
| Rate for Payer: ASR ASR |
$3,353.87
|
| Rate for Payer: ASR Commercial |
$3,353.87
|
| Rate for Payer: BCBS Complete |
$1,383.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,831.43
|
| Rate for Payer: BCN Commercial |
$2,680.68
|
| Rate for Payer: Cash Price |
$2,766.08
|
| Rate for Payer: Cofinity Commercial |
$3,250.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,766.08
|
| Rate for Payer: Healthscope Commercial |
$3,457.60
|
| Rate for Payer: Healthscope Whirlpool |
$3,353.87
|
| Rate for Payer: Mclaren Commercial |
$3,111.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.96
|
| Rate for Payer: Nomi Health Commercial |
$2,835.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,029.55
|
| Rate for Payer: Priority Health Narrow Network |
$2,423.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,042.69
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL VASOSPASM INIT
|
Facility
|
OP
|
$9,854.14
|
|
|
Service Code
|
CPT 61640
|
| Hospital Charge Code |
36100275
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,941.66 |
| Max. Negotiated Rate |
$9,854.14 |
| Rate for Payer: Aetna Commercial |
$8,868.73
|
| Rate for Payer: Aetna Medicare |
$4,927.07
|
| Rate for Payer: ASR ASR |
$9,558.52
|
| Rate for Payer: ASR Commercial |
$9,558.52
|
| Rate for Payer: BCBS Complete |
$3,941.66
|
| Rate for Payer: BCBS Trust/PPO |
$8,069.56
|
| Rate for Payer: BCN Commercial |
$7,639.91
|
| Rate for Payer: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$9,262.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,883.31
|
| Rate for Payer: Healthscope Commercial |
$9,854.14
|
| Rate for Payer: Healthscope Whirlpool |
$9,558.52
|
| Rate for Payer: Mclaren Commercial |
$8,868.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,376.02
|
| Rate for Payer: Nomi Health Commercial |
$8,080.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,405.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,634.20
|
| Rate for Payer: Priority Health Narrow Network |
$6,907.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,671.64
|
|
|
HC IR ANGIOPLASTY INTRACRANIAL VASOSPASM INIT
|
Facility
|
IP
|
$9,854.14
|
|
|
Service Code
|
CPT 61640
|
| Hospital Charge Code |
36100275
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,405.19 |
| Max. Negotiated Rate |
$9,854.14 |
| Rate for Payer: Aetna Commercial |
$8,868.73
|
| Rate for Payer: ASR ASR |
$9,558.52
|
| Rate for Payer: ASR Commercial |
$9,558.52
|
| Rate for Payer: BCBS Trust/PPO |
$8,030.14
|
| Rate for Payer: BCN Commercial |
$7,639.91
|
| Rate for Payer: Cash Price |
$7,883.31
|
| Rate for Payer: Cofinity Commercial |
$9,262.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,883.31
|
| Rate for Payer: Healthscope Commercial |
$9,854.14
|
| Rate for Payer: Healthscope Whirlpool |
$9,558.52
|
| Rate for Payer: Mclaren Commercial |
$8,868.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,376.02
|
| Rate for Payer: Nomi Health Commercial |
$8,080.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,405.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,671.64
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
OP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$3,123.32
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$3,366.25
|
| Rate for Payer: ASR Commercial |
$3,366.25
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,841.88
|
| Rate for Payer: BCN Commercial |
$2,690.57
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cofinity Commercial |
$3,262.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,776.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$3,470.36
|
| Rate for Payer: Healthscope Whirlpool |
$3,366.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$3,123.32
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: Nomi Health Commercial |
$2,845.70
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,040.73
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,432.72
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,053.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC IR AORTAGRAM ABDOMEN
|
Facility
|
IP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,255.73 |
| Max. Negotiated Rate |
$3,470.36 |
| Rate for Payer: Aetna Commercial |
$3,123.32
|
| Rate for Payer: ASR ASR |
$3,366.25
|
| Rate for Payer: ASR Commercial |
$3,366.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,828.00
|
| Rate for Payer: BCN Commercial |
$2,690.57
|
| Rate for Payer: Cash Price |
$2,776.29
|
| Rate for Payer: Cofinity Commercial |
$3,262.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,776.29
|
| Rate for Payer: Healthscope Commercial |
$3,470.36
|
| Rate for Payer: Healthscope Whirlpool |
$3,366.25
|
| Rate for Payer: Mclaren Commercial |
$3,123.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.81
|
| Rate for Payer: Nomi Health Commercial |
$2,845.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,255.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,053.92
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
IP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,675.45 |
| Max. Negotiated Rate |
$4,116.07 |
| Rate for Payer: Aetna Commercial |
$3,704.46
|
| Rate for Payer: ASR ASR |
$3,992.59
|
| Rate for Payer: ASR Commercial |
$3,992.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,354.19
|
| Rate for Payer: BCN Commercial |
$3,191.19
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cofinity Commercial |
$3,869.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,292.86
|
| Rate for Payer: Healthscope Commercial |
$4,116.07
|
| Rate for Payer: Healthscope Whirlpool |
$3,992.59
|
| Rate for Payer: Mclaren Commercial |
$3,704.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: Nomi Health Commercial |
$3,375.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,622.14
|
|
|
HC IR AORTAGRAM THORACIC
|
Facility
|
OP
|
$4,116.07
|
|
|
Service Code
|
CPT 75605
|
| Hospital Charge Code |
32000175
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,675.45 |
| Max. Negotiated Rate |
$8,209.42 |
| Rate for Payer: Aetna Commercial |
$3,704.46
|
| Rate for Payer: Aetna Medicare |
$5,296.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.50
|
| Rate for Payer: ASR ASR |
$3,992.59
|
| Rate for Payer: ASR Commercial |
$3,992.59
|
| Rate for Payer: BCBS Complete |
$2,980.81
|
| Rate for Payer: BCBS MAPPO |
$5,296.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.65
|
| Rate for Payer: BCN Commercial |
$3,191.19
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cash Price |
$3,292.86
|
| Rate for Payer: Cofinity Commercial |
$3,869.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,292.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.40
|
| Rate for Payer: Healthscope Commercial |
$4,116.07
|
| Rate for Payer: Healthscope Whirlpool |
$3,992.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,296.40
|
| Rate for Payer: Mclaren Commercial |
$3,704.46
|
| Rate for Payer: Mclaren Medicaid |
$2,838.87
|
| Rate for Payer: Mclaren Medicare |
$5,296.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,561.22
|
| Rate for Payer: Meridian Medicaid |
$2,980.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,498.66
|
| Rate for Payer: Nomi Health Commercial |
$3,375.18
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$5,826.04
|
| Rate for Payer: PHP Medicaid |
$2,838.87
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,838.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,675.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,606.50
|
| Rate for Payer: Priority Health Medicare |
$5,296.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,885.37
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,622.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$8,209.42
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP DNSP |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: VA VA |
$5,296.40
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
IP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,461.45 |
| Max. Negotiated Rate |
$3,786.84 |
| Rate for Payer: Aetna Commercial |
$3,408.16
|
| Rate for Payer: ASR ASR |
$3,673.23
|
| Rate for Payer: ASR Commercial |
$3,673.23
|
| Rate for Payer: BCBS Trust/PPO |
$3,085.90
|
| Rate for Payer: BCN Commercial |
$2,935.94
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cofinity Commercial |
$3,559.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,029.47
|
| Rate for Payer: Healthscope Commercial |
$3,786.84
|
| Rate for Payer: Healthscope Whirlpool |
$3,673.23
|
| Rate for Payer: Mclaren Commercial |
$3,408.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: Nomi Health Commercial |
$3,105.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,332.42
|
|
|
HC IR ARTERIOGRAM
|
Facility
|
OP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$3,408.16
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$3,673.23
|
| Rate for Payer: ASR Commercial |
$3,673.23
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,101.04
|
| Rate for Payer: BCN Commercial |
$2,935.94
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cash Price |
$3,029.47
|
| Rate for Payer: Cofinity Commercial |
$3,559.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,029.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$3,786.84
|
| Rate for Payer: Healthscope Whirlpool |
$3,673.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$3,408.16
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,218.81
|
| Rate for Payer: Nomi Health Commercial |
$3,105.21
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,461.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,318.03
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,654.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,332.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
IP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,063.19 |
| Max. Negotiated Rate |
$3,174.14 |
| Rate for Payer: Aetna Commercial |
$2,856.73
|
| Rate for Payer: ASR ASR |
$3,078.92
|
| Rate for Payer: ASR Commercial |
$3,078.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,586.61
|
| Rate for Payer: BCN Commercial |
$2,460.91
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cofinity Commercial |
$2,983.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,539.31
|
| Rate for Payer: Healthscope Commercial |
$3,174.14
|
| Rate for Payer: Healthscope Whirlpool |
$3,078.92
|
| Rate for Payer: Mclaren Commercial |
$2,856.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: Nomi Health Commercial |
$2,602.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,793.24
|
|
|
HC IR ARTERIOGRAM EXTREMITY BILAT
|
Facility
|
OP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$2,856.73
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$3,078.92
|
| Rate for Payer: ASR Commercial |
$3,078.92
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,599.30
|
| Rate for Payer: BCN Commercial |
$2,460.91
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cash Price |
$2,539.31
|
| Rate for Payer: Cofinity Commercial |
$2,983.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,539.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$3,174.14
|
| Rate for Payer: Healthscope Whirlpool |
$3,078.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$2,856.73
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,698.02
|
| Rate for Payer: Nomi Health Commercial |
$2,602.79
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,063.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,781.18
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,225.07
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,793.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
IP
|
$20,034.67
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,022.54 |
| Max. Negotiated Rate |
$20,034.67 |
| Rate for Payer: Aetna Commercial |
$18,031.20
|
| Rate for Payer: ASR ASR |
$19,433.63
|
| Rate for Payer: ASR Commercial |
$19,433.63
|
| Rate for Payer: BCBS Trust/PPO |
$16,326.25
|
| Rate for Payer: BCN Commercial |
$15,532.88
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cofinity Commercial |
$18,832.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,027.74
|
| Rate for Payer: Healthscope Commercial |
$20,034.67
|
| Rate for Payer: Healthscope Whirlpool |
$19,433.63
|
| Rate for Payer: Mclaren Commercial |
$18,031.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: Nomi Health Commercial |
$16,428.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17,630.51
|
|
|
HC IR ATHERECSTENT TIB PERO UNI
|
Facility
|
OP
|
$20,034.67
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100179
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,430.19 |
| Max. Negotiated Rate |
$27,270.14 |
| Rate for Payer: Aetna Commercial |
$18,031.20
|
| Rate for Payer: Aetna Medicare |
$17,593.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,992.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,992.05
|
| Rate for Payer: ASR ASR |
$19,433.63
|
| Rate for Payer: ASR Commercial |
$19,433.63
|
| Rate for Payer: BCBS Complete |
$9,901.70
|
| Rate for Payer: BCBS MAPPO |
$17,593.64
|
| Rate for Payer: BCBS Trust/PPO |
$16,406.39
|
| Rate for Payer: BCN Commercial |
$15,532.88
|
| Rate for Payer: BCN Medicare Advantage |
$17,593.64
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cash Price |
$16,027.74
|
| Rate for Payer: Cofinity Commercial |
$18,832.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,027.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,593.64
|
| Rate for Payer: Healthscope Commercial |
$20,034.67
|
| Rate for Payer: Healthscope Whirlpool |
$19,433.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,593.64
|
| Rate for Payer: Mclaren Commercial |
$18,031.20
|
| Rate for Payer: Mclaren Medicaid |
$9,430.19
|
| Rate for Payer: Mclaren Medicare |
$17,593.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,473.32
|
| Rate for Payer: Meridian Medicaid |
$9,901.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,232.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,029.47
|
| Rate for Payer: Nomi Health Commercial |
$16,428.43
|
| Rate for Payer: PACE Medicare |
$16,713.96
|
| Rate for Payer: PACE SWMI |
$17,593.64
|
| Rate for Payer: PHP Commercial |
$19,353.00
|
| Rate for Payer: PHP Medicaid |
$9,430.19
|
| Rate for Payer: PHP Medicare Advantage |
$17,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,430.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,022.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,554.38
|
| Rate for Payer: Priority Health Medicare |
$17,593.64
|
| Rate for Payer: Priority Health Narrow Network |
$14,044.30
|
| Rate for Payer: Railroad Medicare Medicare |
$17,593.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17,630.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,593.64
|
| Rate for Payer: UHC Exchange |
$27,270.14
|
| Rate for Payer: UHC Medicare Advantage |
$17,593.64
|
| Rate for Payer: UHCCP DNSP |
$17,593.64
|
| Rate for Payer: UHCCP Medicaid |
$9,430.19
|
| Rate for Payer: VA VA |
$17,593.64
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
OP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,430.19 |
| Max. Negotiated Rate |
$27,270.14 |
| Rate for Payer: Aetna Commercial |
$15,603.63
|
| Rate for Payer: Aetna Medicare |
$17,593.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,992.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,992.05
|
| Rate for Payer: ASR ASR |
$16,817.25
|
| Rate for Payer: ASR Commercial |
$16,817.25
|
| Rate for Payer: BCBS Complete |
$9,901.70
|
| Rate for Payer: BCBS MAPPO |
$17,593.64
|
| Rate for Payer: BCBS Trust/PPO |
$14,197.57
|
| Rate for Payer: BCN Commercial |
$13,441.66
|
| Rate for Payer: BCN Medicare Advantage |
$17,593.64
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cofinity Commercial |
$16,297.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,869.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,593.64
|
| Rate for Payer: Healthscope Commercial |
$17,337.37
|
| Rate for Payer: Healthscope Whirlpool |
$16,817.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,593.64
|
| Rate for Payer: Mclaren Commercial |
$15,603.63
|
| Rate for Payer: Mclaren Medicaid |
$9,430.19
|
| Rate for Payer: Mclaren Medicare |
$17,593.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,473.32
|
| Rate for Payer: Meridian Medicaid |
$9,901.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,232.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: Nomi Health Commercial |
$14,216.64
|
| Rate for Payer: PACE Medicare |
$16,713.96
|
| Rate for Payer: PACE SWMI |
$17,593.64
|
| Rate for Payer: PHP Commercial |
$19,353.00
|
| Rate for Payer: PHP Medicaid |
$9,430.19
|
| Rate for Payer: PHP Medicare Advantage |
$17,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,430.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,191.00
|
| Rate for Payer: Priority Health Medicare |
$17,593.64
|
| Rate for Payer: Priority Health Narrow Network |
$12,153.50
|
| Rate for Payer: Railroad Medicare Medicare |
$17,593.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,256.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,593.64
|
| Rate for Payer: UHC Exchange |
$27,270.14
|
| Rate for Payer: UHC Medicare Advantage |
$17,593.64
|
| Rate for Payer: UHCCP DNSP |
$17,593.64
|
| Rate for Payer: UHCCP Medicaid |
$9,430.19
|
| Rate for Payer: VA VA |
$17,593.64
|
|
|
HC IR ATHERECTOMY FEMPOP UNI
|
Facility
|
IP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,269.29 |
| Max. Negotiated Rate |
$17,337.37 |
| Rate for Payer: Aetna Commercial |
$15,603.63
|
| Rate for Payer: ASR ASR |
$16,817.25
|
| Rate for Payer: ASR Commercial |
$16,817.25
|
| Rate for Payer: BCBS Trust/PPO |
$14,128.22
|
| Rate for Payer: BCN Commercial |
$13,441.66
|
| Rate for Payer: Cash Price |
$13,869.90
|
| Rate for Payer: Cofinity Commercial |
$16,297.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,869.90
|
| Rate for Payer: Healthscope Commercial |
$17,337.37
|
| Rate for Payer: Healthscope Whirlpool |
$16,817.25
|
| Rate for Payer: Mclaren Commercial |
$15,603.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,736.76
|
| Rate for Payer: Nomi Health Commercial |
$14,216.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,269.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,256.89
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
IP
|
$20,088.35
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,057.43 |
| Max. Negotiated Rate |
$20,088.35 |
| Rate for Payer: Aetna Commercial |
$18,079.52
|
| Rate for Payer: ASR ASR |
$19,485.70
|
| Rate for Payer: ASR Commercial |
$19,485.70
|
| Rate for Payer: BCBS Trust/PPO |
$16,370.00
|
| Rate for Payer: BCN Commercial |
$15,574.50
|
| Rate for Payer: Cash Price |
$16,070.68
|
| Rate for Payer: Cofinity Commercial |
$18,883.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16,070.68
|
| Rate for Payer: Healthscope Commercial |
$20,088.35
|
| Rate for Payer: Healthscope Whirlpool |
$19,485.70
|
| Rate for Payer: Mclaren Commercial |
$18,079.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$16,472.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17,677.75
|
|
