|
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 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 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 ABDOMEN
|
Facility
|
OP
|
$3,470.36
|
|
|
Service Code
|
CPT 75625
|
| Hospital Charge Code |
32000176
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$4,758.02 |
| Rate for Payer: Aetna Commercial |
$3,123.32
|
| Rate for Payer: Aetna Medicare |
$3,069.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: ASR ASR |
$3,366.25
|
| Rate for Payer: ASR Commercial |
$3,366.25
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,841.88
|
| Rate for Payer: BCN Commercial |
$2,690.57
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| 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 |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$3,470.36
|
| Rate for Payer: Healthscope Whirlpool |
$3,366.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,069.69
|
| Rate for Payer: Mclaren Commercial |
$3,123.32
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| 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 |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$3,376.66
|
| Rate for Payer: PHP Medicaid |
$1,645.35
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| 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 |
$3,069.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,432.72
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,053.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$4,758.02
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP DNSP |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
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 |
$8,171.71 |
| Rate for Payer: Aetna Commercial |
$3,704.46
|
| Rate for Payer: Aetna Medicare |
$5,272.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,590.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,590.09
|
| Rate for Payer: ASR ASR |
$3,992.59
|
| Rate for Payer: ASR Commercial |
$3,992.59
|
| Rate for Payer: BCBS Complete |
$2,967.12
|
| Rate for Payer: BCBS MAPPO |
$5,272.07
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.65
|
| Rate for Payer: BCN Commercial |
$3,191.19
|
| Rate for Payer: BCN Medicare Advantage |
$5,272.07
|
| 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 |
$5,272.07
|
| Rate for Payer: Healthscope Commercial |
$4,116.07
|
| Rate for Payer: Healthscope Whirlpool |
$3,992.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,272.07
|
| Rate for Payer: Mclaren Commercial |
$3,704.46
|
| Rate for Payer: Mclaren Medicaid |
$2,825.83
|
| Rate for Payer: Mclaren Medicare |
$5,272.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,535.67
|
| Rate for Payer: Meridian Medicaid |
$2,967.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,062.88
|
| 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 |
$5,008.47
|
| Rate for Payer: PACE SWMI |
$5,272.07
|
| Rate for Payer: PHP Commercial |
$5,799.28
|
| Rate for Payer: PHP Medicaid |
$2,825.83
|
| Rate for Payer: PHP Medicare Advantage |
$5,272.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,825.83
|
| 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 |
$5,272.07
|
| Rate for Payer: Priority Health Narrow Network |
$2,885.37
|
| Rate for Payer: Railroad Medicare Medicare |
$5,272.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,622.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,272.07
|
| Rate for Payer: UHC Exchange |
$8,171.71
|
| Rate for Payer: UHC Medicare Advantage |
$5,272.07
|
| Rate for Payer: UHCCP DNSP |
$5,272.07
|
| Rate for Payer: UHCCP Medicaid |
$2,825.83
|
| Rate for Payer: VA VA |
$5,272.07
|
|
|
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 ARTERIOGRAM
|
Facility
|
OP
|
$3,786.84
|
|
|
Service Code
|
CPT 75710
|
| Hospital Charge Code |
32000189
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$4,758.02 |
| Rate for Payer: Aetna Commercial |
$3,408.16
|
| Rate for Payer: Aetna Medicare |
$3,069.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: ASR ASR |
$3,673.23
|
| Rate for Payer: ASR Commercial |
$3,673.23
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCBS Trust/PPO |
$3,101.04
|
| Rate for Payer: BCN Commercial |
$2,935.94
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| 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 |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$3,786.84
|
| Rate for Payer: Healthscope Whirlpool |
$3,673.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,069.69
|
| Rate for Payer: Mclaren Commercial |
$3,408.16
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| 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 |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$3,376.66
|
| Rate for Payer: PHP Medicaid |
$1,645.35
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| 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 |
$3,069.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,654.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,332.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$4,758.02
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP DNSP |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
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 EXTREMITY BILAT
|
Facility
|
OP
|
$3,174.14
|
|
|
Service Code
|
CPT 75716
|
| Hospital Charge Code |
32000190
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$4,758.02 |
| Rate for Payer: Aetna Commercial |
$2,856.73
|
| Rate for Payer: Aetna Medicare |
$3,069.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: ASR ASR |
$3,078.92
|
| Rate for Payer: ASR Commercial |
$3,078.92
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,599.30
|
| Rate for Payer: BCN Commercial |
$2,460.91
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| 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 |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$3,174.14
|
| Rate for Payer: Healthscope Whirlpool |
$3,078.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,069.69
|
| Rate for Payer: Mclaren Commercial |
$2,856.73
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| 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 |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$3,376.66
|
| Rate for Payer: PHP Medicaid |
$1,645.35
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| 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 |
$3,069.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,225.07
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,793.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$4,758.02
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP DNSP |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
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 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 |
$9,386.88 |
| Max. Negotiated Rate |
$27,144.89 |
| Rate for Payer: Aetna Commercial |
$18,031.20
|
| Rate for Payer: Aetna Medicare |
$17,512.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: ASR ASR |
$19,433.63
|
| Rate for Payer: ASR Commercial |
$19,433.63
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCBS Trust/PPO |
$16,406.39
|
| Rate for Payer: BCN Commercial |
$15,532.88
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| 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 |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$20,034.67
|
| Rate for Payer: Healthscope Whirlpool |
$19,433.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,512.83
|
| Rate for Payer: Mclaren Commercial |
$18,031.20
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| 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 |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$19,264.11
|
| Rate for Payer: PHP Medicaid |
$9,386.88
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| 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 |
$17,512.83
|
| Rate for Payer: Priority Health Narrow Network |
$14,044.30
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17,630.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$27,144.89
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP DNSP |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: VA VA |
$17,512.83
|
|
|
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 FEMPOP UNI
|
Facility
|
OP
|
$17,337.37
|
|
|
Service Code
|
CPT 37225
|
| Hospital Charge Code |
36100169
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,386.88 |
| Max. Negotiated Rate |
$27,144.89 |
| Rate for Payer: Aetna Commercial |
$15,603.63
|
| Rate for Payer: Aetna Medicare |
$17,512.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: ASR ASR |
$16,817.25
|
| Rate for Payer: ASR Commercial |
$16,817.25
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCBS Trust/PPO |
$14,197.57
|
| Rate for Payer: BCN Commercial |
$13,441.66
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| 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 |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$17,337.37
|
| Rate for Payer: Healthscope Whirlpool |
$16,817.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,512.83
|
| Rate for Payer: Mclaren Commercial |
$15,603.63
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| 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 |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$19,264.11
|
| Rate for Payer: PHP Medicaid |
$9,386.88
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| 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 |
$17,512.83
|
| Rate for Payer: Priority Health Narrow Network |
$12,153.50
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,256.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$27,144.89
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP DNSP |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: VA VA |
$17,512.83
|
|
|
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 |
$18,079.51
|
| 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 |
$18,079.51
|
| 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
|
|
|
HC IR ATHERECTOMY STENT FEMPOP UNI
|
Facility
|
OP
|
$20,088.35
|
|
|
Service Code
|
CPT 37227
|
| Hospital Charge Code |
36100171
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,386.88 |
| Max. Negotiated Rate |
$27,144.89 |
| Rate for Payer: Aetna Commercial |
$18,079.51
|
| Rate for Payer: Aetna Medicare |
$17,512.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: ASR ASR |
$19,485.70
|
| Rate for Payer: ASR Commercial |
$19,485.70
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCBS Trust/PPO |
$16,450.35
|
| Rate for Payer: BCN Commercial |
$15,574.50
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$16,070.68
|
| 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: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$20,088.35
|
| Rate for Payer: Healthscope Whirlpool |
$19,485.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,512.83
|
| Rate for Payer: Mclaren Commercial |
$18,079.51
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$16,472.45
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$19,264.11
|
| Rate for Payer: PHP Medicaid |
$9,386.88
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,601.41
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health Narrow Network |
$14,081.93
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17,677.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$27,144.89
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP DNSP |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: VA VA |
$17,512.83
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
OP
|
$21,959.58
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,386.88 |
| Max. Negotiated Rate |
$27,144.89 |
| Rate for Payer: Aetna Commercial |
$19,763.62
|
| Rate for Payer: Aetna Medicare |
$17,512.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: ASR ASR |
$21,300.79
|
| Rate for Payer: ASR Commercial |
$21,300.79
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCBS Trust/PPO |
$17,982.70
|
| Rate for Payer: BCN Commercial |
$17,025.26
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cofinity Commercial |
$20,642.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,567.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$21,959.58
|
| Rate for Payer: Healthscope Whirlpool |
$21,300.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,512.83
|
| Rate for Payer: Mclaren Commercial |
$19,763.62
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: Nomi Health Commercial |
$18,006.86
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$19,264.11
|
| Rate for Payer: PHP Medicaid |
$9,386.88
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,240.98
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health Narrow Network |
$15,393.67
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,324.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$27,144.89
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP DNSP |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: VA VA |
$17,512.83
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI
|
Facility
|
IP
|
$21,959.58
|
|
|
Service Code
|
CPT 37229
|
| Hospital Charge Code |
36100173
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,273.73 |
| Max. Negotiated Rate |
$21,959.58 |
| Rate for Payer: Aetna Commercial |
$19,763.62
|
| Rate for Payer: ASR ASR |
$21,300.79
|
| Rate for Payer: ASR Commercial |
$21,300.79
|
| Rate for Payer: BCBS Trust/PPO |
$17,894.86
|
| Rate for Payer: BCN Commercial |
$17,025.26
|
| Rate for Payer: Cash Price |
$17,567.66
|
| Rate for Payer: Cofinity Commercial |
$20,642.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,567.66
|
| Rate for Payer: Healthscope Commercial |
$21,959.58
|
| Rate for Payer: Healthscope Whirlpool |
$21,300.79
|
| Rate for Payer: Mclaren Commercial |
$19,763.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,665.64
|
| Rate for Payer: Nomi Health Commercial |
$18,006.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,273.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,324.43
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
IP
|
$9,515.71
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,185.21 |
| Max. Negotiated Rate |
$9,515.71 |
| Rate for Payer: Aetna Commercial |
$8,564.14
|
| Rate for Payer: ASR ASR |
$9,230.24
|
| Rate for Payer: ASR Commercial |
$9,230.24
|
| Rate for Payer: BCBS Trust/PPO |
$7,754.35
|
| Rate for Payer: BCN Commercial |
$7,377.53
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$8,944.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,612.57
|
| Rate for Payer: Healthscope Commercial |
$9,515.71
|
| Rate for Payer: Healthscope Whirlpool |
$9,230.24
|
| Rate for Payer: Mclaren Commercial |
$8,564.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,088.35
|
| Rate for Payer: Nomi Health Commercial |
$7,802.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,185.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,373.82
|
|
|
HC IR ATHERECTOMY TIB PERONL UNI EACH ADDL
|
Facility
|
OP
|
$9,515.71
|
|
|
Service Code
|
CPT 37233
|
| Hospital Charge Code |
36100177
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,806.28 |
| Max. Negotiated Rate |
$9,515.71 |
| Rate for Payer: Aetna Commercial |
$8,564.14
|
| Rate for Payer: Aetna Medicare |
$4,757.85
|
| Rate for Payer: ASR ASR |
$9,230.24
|
| Rate for Payer: ASR Commercial |
$9,230.24
|
| Rate for Payer: BCBS Complete |
$3,806.28
|
| Rate for Payer: BCBS Trust/PPO |
$7,792.41
|
| Rate for Payer: BCN Commercial |
$7,377.53
|
| Rate for Payer: Cash Price |
$7,612.57
|
| Rate for Payer: Cofinity Commercial |
$8,944.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,612.57
|
| Rate for Payer: Healthscope Commercial |
$9,515.71
|
| Rate for Payer: Healthscope Whirlpool |
$9,230.24
|
| Rate for Payer: Mclaren Commercial |
$8,564.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,088.35
|
| Rate for Payer: Nomi Health Commercial |
$7,802.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,185.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,337.67
|
| Rate for Payer: Priority Health Narrow Network |
$6,670.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,373.82
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
OP
|
$20,088.35
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,386.88 |
| Max. Negotiated Rate |
$27,144.89 |
| Rate for Payer: Aetna Commercial |
$18,079.51
|
| Rate for Payer: Aetna Medicare |
$17,512.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,891.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,891.04
|
| Rate for Payer: ASR ASR |
$19,485.70
|
| Rate for Payer: ASR Commercial |
$19,485.70
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCBS Trust/PPO |
$16,450.35
|
| Rate for Payer: BCN Commercial |
$15,574.50
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$16,070.68
|
| 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: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$20,088.35
|
| Rate for Payer: Healthscope Whirlpool |
$19,485.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,512.83
|
| Rate for Payer: Mclaren Commercial |
$18,079.51
|
| Rate for Payer: Mclaren Medicaid |
$9,386.88
|
| Rate for Payer: Mclaren Medicare |
$17,512.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,388.47
|
| Rate for Payer: Meridian Medicaid |
$9,856.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,139.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,075.10
|
| Rate for Payer: Nomi Health Commercial |
$16,472.45
|
| Rate for Payer: PACE Medicare |
$16,637.19
|
| Rate for Payer: PACE SWMI |
$17,512.83
|
| Rate for Payer: PHP Commercial |
$19,264.11
|
| Rate for Payer: PHP Medicaid |
$9,386.88
|
| Rate for Payer: PHP Medicare Advantage |
$17,512.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13,057.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,601.41
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health Narrow Network |
$14,081.93
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17,677.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,512.83
|
| Rate for Payer: UHC Exchange |
$27,144.89
|
| Rate for Payer: UHC Medicare Advantage |
$17,512.83
|
| Rate for Payer: UHCCP DNSP |
$17,512.83
|
| Rate for Payer: UHCCP Medicaid |
$9,386.88
|
| Rate for Payer: VA VA |
$17,512.83
|
|
|
HC IR ATHERECT STENT TIB PERON UN
|
Facility
|
IP
|
$20,088.35
|
|
|
Service Code
|
CPT 37231
|
| Hospital Charge Code |
36100175
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,057.43 |
| Max. Negotiated Rate |
$20,088.35 |
| Rate for Payer: Aetna Commercial |
$18,079.51
|
| 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 |
$18,079.51
|
| 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
|
|
|
HC IR CATHETER
|
Facility
|
OP
|
$44.74
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.90 |
| Max. Negotiated Rate |
$44.74 |
| Rate for Payer: Aetna Commercial |
$40.27
|
| Rate for Payer: Aetna Medicare |
$22.37
|
| Rate for Payer: ASR ASR |
$43.40
|
| Rate for Payer: ASR Commercial |
$43.40
|
| Rate for Payer: BCBS Complete |
$17.90
|
| Rate for Payer: BCBS Trust/PPO |
$36.64
|
| Rate for Payer: BCN Commercial |
$34.69
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cofinity Commercial |
$42.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.79
|
| Rate for Payer: Healthscope Commercial |
$44.74
|
| Rate for Payer: Healthscope Whirlpool |
$43.40
|
| Rate for Payer: Mclaren Commercial |
$40.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.03
|
| Rate for Payer: Nomi Health Commercial |
$36.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.20
|
| Rate for Payer: Priority Health Narrow Network |
$31.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.37
|
|
|
HC IR CATHETER
|
Facility
|
IP
|
$44.74
|
|
| Hospital Charge Code |
27200307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.08 |
| Max. Negotiated Rate |
$44.74 |
| Rate for Payer: Aetna Commercial |
$40.27
|
| Rate for Payer: ASR ASR |
$43.40
|
| Rate for Payer: ASR Commercial |
$43.40
|
| Rate for Payer: BCBS Trust/PPO |
$36.46
|
| Rate for Payer: BCN Commercial |
$34.69
|
| Rate for Payer: Cash Price |
$35.79
|
| Rate for Payer: Cofinity Commercial |
$42.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.79
|
| Rate for Payer: Healthscope Commercial |
$44.74
|
| Rate for Payer: Healthscope Whirlpool |
$43.40
|
| Rate for Payer: Mclaren Commercial |
$40.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.03
|
| Rate for Payer: Nomi Health Commercial |
$36.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.37
|
|
|
HC IR CATHETER.
|
Facility
|
IP
|
$234.09
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$152.16 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$210.68
|
| Rate for Payer: ASR ASR |
$227.07
|
| Rate for Payer: ASR Commercial |
$227.07
|
| Rate for Payer: BCBS Trust/PPO |
$190.76
|
| Rate for Payer: BCN Commercial |
$181.49
|
| Rate for Payer: Cash Price |
$187.27
|
| Rate for Payer: Cofinity Commercial |
$220.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.27
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Healthscope Whirlpool |
$227.07
|
| Rate for Payer: Mclaren Commercial |
$210.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.98
|
| Rate for Payer: Nomi Health Commercial |
$191.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$206.00
|
|
