|
HC PERC IMPLANT OF NEUROSTIM EPIDURAL
|
Facility
|
OP
|
$14,101.06
|
|
|
Service Code
|
CPT 63650
|
| Hospital Charge Code |
36100610
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,430.76 |
| Max. Negotiated Rate |
$14,101.06 |
| Rate for Payer: Aetna Commercial |
$12,690.95
|
| Rate for Payer: Aetna Medicare |
$6,400.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,000.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,000.84
|
| Rate for Payer: ASR ASR |
$13,678.03
|
| Rate for Payer: ASR Commercial |
$13,678.03
|
| Rate for Payer: BCBS Complete |
$3,602.30
|
| Rate for Payer: BCBS MAPPO |
$6,400.67
|
| Rate for Payer: BCBS Trust/PPO |
$11,547.36
|
| Rate for Payer: BCN Commercial |
$10,932.55
|
| Rate for Payer: BCN Medicare Advantage |
$6,400.67
|
| Rate for Payer: Cash Price |
$11,280.85
|
| Rate for Payer: Cash Price |
$11,280.85
|
| Rate for Payer: Cofinity Commercial |
$13,255.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,280.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,400.67
|
| Rate for Payer: Healthscope Commercial |
$14,101.06
|
| Rate for Payer: Healthscope Whirlpool |
$13,678.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,400.67
|
| Rate for Payer: Mclaren Commercial |
$12,690.95
|
| Rate for Payer: Mclaren Medicaid |
$3,430.76
|
| Rate for Payer: Mclaren Medicare |
$6,400.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,720.70
|
| Rate for Payer: Meridian Medicaid |
$3,602.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,360.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,985.90
|
| Rate for Payer: Nomi Health Commercial |
$11,562.87
|
| Rate for Payer: PACE Medicare |
$6,080.64
|
| Rate for Payer: PACE SWMI |
$6,400.67
|
| Rate for Payer: PHP Commercial |
$7,040.74
|
| Rate for Payer: PHP Medicaid |
$3,430.76
|
| Rate for Payer: PHP Medicare Advantage |
$6,400.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,430.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,165.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,355.35
|
| Rate for Payer: Priority Health Medicare |
$6,400.67
|
| Rate for Payer: Priority Health Narrow Network |
$9,884.84
|
| Rate for Payer: Railroad Medicare Medicare |
$6,400.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,408.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,400.67
|
| Rate for Payer: UHC Exchange |
$9,921.04
|
| Rate for Payer: UHC Medicare Advantage |
$6,400.67
|
| Rate for Payer: UHCCP DNSP |
$6,400.67
|
| Rate for Payer: UHCCP Medicaid |
$3,430.76
|
| Rate for Payer: VA VA |
$6,400.67
|
|
|
HC PERC IMPLANT OF NEUROSTIM EPIDURAL
|
Facility
|
IP
|
$14,101.06
|
|
|
Service Code
|
CPT 63650
|
| Hospital Charge Code |
36100610
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,165.69 |
| Max. Negotiated Rate |
$14,101.06 |
| Rate for Payer: Aetna Commercial |
$12,690.95
|
| Rate for Payer: ASR ASR |
$13,678.03
|
| Rate for Payer: ASR Commercial |
$13,678.03
|
| Rate for Payer: BCBS Trust/PPO |
$11,490.95
|
| Rate for Payer: BCN Commercial |
$10,932.55
|
| Rate for Payer: Cash Price |
$11,280.85
|
| Rate for Payer: Cofinity Commercial |
$13,255.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,280.85
|
| Rate for Payer: Healthscope Commercial |
$14,101.06
|
| Rate for Payer: Healthscope Whirlpool |
$13,678.03
|
| Rate for Payer: Mclaren Commercial |
$12,690.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,985.90
|
| Rate for Payer: Nomi Health Commercial |
$11,562.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,165.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,408.93
|
|
|
HC PERCLOSE
|
Facility
|
IP
|
$1,052.23
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
27200060
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$683.95 |
| Max. Negotiated Rate |
$1,052.23 |
| Rate for Payer: Aetna Commercial |
$947.01
|
| Rate for Payer: ASR ASR |
$1,020.66
|
| Rate for Payer: ASR Commercial |
$1,020.66
|
| Rate for Payer: BCBS Trust/PPO |
$857.46
|
| Rate for Payer: BCN Commercial |
$815.79
|
| Rate for Payer: Cash Price |
$841.78
|
| Rate for Payer: Cofinity Commercial |
$989.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$841.78
|
| Rate for Payer: Healthscope Commercial |
$1,052.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,020.66
|
| Rate for Payer: Mclaren Commercial |
$947.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$894.40
|
| Rate for Payer: Nomi Health Commercial |
$862.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$925.96
|
|
|
HC PERCLOSE
|
Facility
|
OP
|
$1,052.23
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
27200060
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.89 |
| Max. Negotiated Rate |
$1,052.23 |
| Rate for Payer: Aetna Commercial |
$947.01
|
| Rate for Payer: Aetna Medicare |
$526.12
|
| Rate for Payer: ASR ASR |
$1,020.66
|
| Rate for Payer: ASR Commercial |
$1,020.66
|
| Rate for Payer: BCBS Complete |
$420.89
|
| Rate for Payer: BCBS Trust/PPO |
$861.67
|
| Rate for Payer: BCN Commercial |
$815.79
|
| Rate for Payer: Cash Price |
$841.78
|
| Rate for Payer: Cofinity Commercial |
$989.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$841.78
|
| Rate for Payer: Healthscope Commercial |
$1,052.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,020.66
|
| Rate for Payer: Mclaren Commercial |
$947.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$894.40
|
| Rate for Payer: Nomi Health Commercial |
$862.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.96
|
| Rate for Payer: Priority Health Narrow Network |
$737.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$925.96
|
|
|
HC PERC THROMBECTOMY OR INFUSION DIALYSIS CIRCUIT W IMAGING
|
Facility
|
IP
|
$6,509.34
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
36100528
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,231.07 |
| Max. Negotiated Rate |
$6,509.34 |
| Rate for Payer: Aetna Commercial |
$5,858.41
|
| Rate for Payer: ASR ASR |
$6,314.06
|
| Rate for Payer: ASR Commercial |
$6,314.06
|
| Rate for Payer: BCBS Trust/PPO |
$5,304.46
|
| Rate for Payer: BCN Commercial |
$5,046.69
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cofinity Commercial |
$6,118.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,207.47
|
| Rate for Payer: Healthscope Commercial |
$6,509.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,314.06
|
| Rate for Payer: Mclaren Commercial |
$5,858.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,532.94
|
| Rate for Payer: Nomi Health Commercial |
$5,337.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,231.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,728.22
|
|
|
HC PERC THROMBECTOMY OR INFUSION DIALYSIS CIRCUIT W IMAGING
|
Facility
|
OP
|
$6,509.34
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
36100528
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,980.47 |
| Max. Negotiated Rate |
$8,618.90 |
| Rate for Payer: Aetna Commercial |
$5,858.41
|
| Rate for Payer: Aetna Medicare |
$5,560.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,950.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,950.73
|
| Rate for Payer: ASR ASR |
$6,314.06
|
| Rate for Payer: ASR Commercial |
$6,314.06
|
| Rate for Payer: BCBS Complete |
$3,129.49
|
| Rate for Payer: BCBS MAPPO |
$5,560.58
|
| Rate for Payer: BCBS Trust/PPO |
$5,330.50
|
| Rate for Payer: BCN Commercial |
$5,046.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,560.58
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cofinity Commercial |
$6,118.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,207.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,560.58
|
| Rate for Payer: Healthscope Commercial |
$6,509.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,314.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,560.58
|
| Rate for Payer: Mclaren Commercial |
$5,858.41
|
| Rate for Payer: Mclaren Medicaid |
$2,980.47
|
| Rate for Payer: Mclaren Medicare |
$5,560.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,838.61
|
| Rate for Payer: Meridian Medicaid |
$3,129.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,394.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,532.94
|
| Rate for Payer: Nomi Health Commercial |
$5,337.66
|
| Rate for Payer: PACE Medicare |
$5,282.55
|
| Rate for Payer: PACE SWMI |
$5,560.58
|
| Rate for Payer: PHP Commercial |
$6,116.64
|
| Rate for Payer: PHP Medicaid |
$2,980.47
|
| Rate for Payer: PHP Medicare Advantage |
$5,560.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,980.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,231.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,703.48
|
| Rate for Payer: Priority Health Medicare |
$5,560.58
|
| Rate for Payer: Priority Health Narrow Network |
$4,563.05
|
| Rate for Payer: Railroad Medicare Medicare |
$5,560.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,728.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,560.58
|
| Rate for Payer: UHC Exchange |
$8,618.90
|
| Rate for Payer: UHC Medicare Advantage |
$5,560.58
|
| Rate for Payer: UHCCP DNSP |
$5,560.58
|
| Rate for Payer: UHCCP Medicaid |
$2,980.47
|
| Rate for Payer: VA VA |
$5,560.58
|
|
|
HC PERC THROMBECT OR INF W ANGIOPLASTY PERIPH DIALYSIS W IMAGING
|
Facility
|
IP
|
$17,692.54
|
|
|
Service Code
|
CPT 36905
|
| Hospital Charge Code |
36100529
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,500.15 |
| Max. Negotiated Rate |
$17,692.54 |
| Rate for Payer: Aetna Commercial |
$15,923.29
|
| Rate for Payer: ASR ASR |
$17,161.76
|
| Rate for Payer: ASR Commercial |
$17,161.76
|
| Rate for Payer: BCBS Trust/PPO |
$14,417.65
|
| Rate for Payer: BCN Commercial |
$13,717.03
|
| Rate for Payer: Cash Price |
$14,154.03
|
| Rate for Payer: Cofinity Commercial |
$16,630.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,154.03
|
| Rate for Payer: Healthscope Commercial |
$17,692.54
|
| Rate for Payer: Healthscope Whirlpool |
$17,161.76
|
| Rate for Payer: Mclaren Commercial |
$15,923.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,038.66
|
| Rate for Payer: Nomi Health Commercial |
$14,507.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,500.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,569.44
|
|
|
HC PERC THROMBECT OR INF W ANGIOPLASTY PERIPH DIALYSIS W IMAGING
|
Facility
|
OP
|
$17,692.54
|
|
|
Service Code
|
CPT 36905
|
| Hospital Charge Code |
36100529
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,928.28 |
| Max. Negotiated Rate |
$17,692.54 |
| Rate for Payer: Aetna Commercial |
$15,923.29
|
| Rate for Payer: Aetna Medicare |
$11,060.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,825.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,825.29
|
| Rate for Payer: ASR ASR |
$17,161.76
|
| Rate for Payer: ASR Commercial |
$17,161.76
|
| Rate for Payer: BCBS Complete |
$6,224.70
|
| Rate for Payer: BCBS MAPPO |
$11,060.23
|
| Rate for Payer: BCBS Trust/PPO |
$14,488.42
|
| Rate for Payer: BCN Commercial |
$13,717.03
|
| Rate for Payer: BCN Medicare Advantage |
$11,060.23
|
| Rate for Payer: Cash Price |
$14,154.03
|
| Rate for Payer: Cash Price |
$14,154.03
|
| Rate for Payer: Cofinity Commercial |
$16,630.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,154.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,060.23
|
| Rate for Payer: Healthscope Commercial |
$17,692.54
|
| Rate for Payer: Healthscope Whirlpool |
$17,161.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,060.23
|
| Rate for Payer: Mclaren Commercial |
$15,923.29
|
| Rate for Payer: Mclaren Medicaid |
$5,928.28
|
| Rate for Payer: Mclaren Medicare |
$11,060.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,613.24
|
| Rate for Payer: Meridian Medicaid |
$6,224.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,719.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,038.66
|
| Rate for Payer: Nomi Health Commercial |
$14,507.88
|
| Rate for Payer: PACE Medicare |
$10,507.22
|
| Rate for Payer: PACE SWMI |
$11,060.23
|
| Rate for Payer: PHP Commercial |
$12,166.25
|
| Rate for Payer: PHP Medicaid |
$5,928.28
|
| Rate for Payer: PHP Medicare Advantage |
$11,060.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,928.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11,500.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,502.20
|
| Rate for Payer: Priority Health Medicare |
$11,060.23
|
| Rate for Payer: Priority Health Narrow Network |
$12,402.47
|
| Rate for Payer: Railroad Medicare Medicare |
$11,060.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,569.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,060.23
|
| Rate for Payer: UHC Exchange |
$17,143.36
|
| Rate for Payer: UHC Medicare Advantage |
$11,060.23
|
| Rate for Payer: UHCCP DNSP |
$11,060.23
|
| Rate for Payer: UHCCP Medicaid |
$5,928.28
|
| Rate for Payer: VA VA |
$11,060.23
|
|
|
HC PERC THROMBECT OR INF W STENT PERIPH DIALYSIS W IMAGING
|
Facility
|
OP
|
$28,095.29
|
|
|
Service Code
|
CPT 36906
|
| Hospital Charge Code |
36100530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,386.88 |
| Max. Negotiated Rate |
$28,095.29 |
| Rate for Payer: Aetna Commercial |
$25,285.76
|
| 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 |
$27,252.43
|
| Rate for Payer: ASR Commercial |
$27,252.43
|
| Rate for Payer: BCBS Complete |
$9,856.22
|
| Rate for Payer: BCBS MAPPO |
$17,512.83
|
| Rate for Payer: BCBS Trust/PPO |
$23,007.23
|
| Rate for Payer: BCN Commercial |
$21,782.28
|
| Rate for Payer: BCN Medicare Advantage |
$17,512.83
|
| Rate for Payer: Cash Price |
$22,476.23
|
| Rate for Payer: Cash Price |
$22,476.23
|
| Rate for Payer: Cofinity Commercial |
$26,409.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,476.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,512.83
|
| Rate for Payer: Healthscope Commercial |
$28,095.29
|
| Rate for Payer: Healthscope Whirlpool |
$27,252.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,512.83
|
| Rate for Payer: Mclaren Commercial |
$25,285.76
|
| 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 |
$23,881.00
|
| Rate for Payer: Nomi Health Commercial |
$23,038.14
|
| 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 |
$18,261.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,617.09
|
| Rate for Payer: Priority Health Medicare |
$17,512.83
|
| Rate for Payer: Priority Health Narrow Network |
$19,694.80
|
| Rate for Payer: Railroad Medicare Medicare |
$17,512.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24,723.86
|
| 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 PERC THROMBECT OR INF W STENT PERIPH DIALYSIS W IMAGING
|
Facility
|
IP
|
$28,095.29
|
|
|
Service Code
|
CPT 36906
|
| Hospital Charge Code |
36100530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$18,261.94 |
| Max. Negotiated Rate |
$28,095.29 |
| Rate for Payer: Aetna Commercial |
$25,285.76
|
| Rate for Payer: ASR ASR |
$27,252.43
|
| Rate for Payer: ASR Commercial |
$27,252.43
|
| Rate for Payer: BCBS Trust/PPO |
$22,894.85
|
| Rate for Payer: BCN Commercial |
$21,782.28
|
| Rate for Payer: Cash Price |
$22,476.23
|
| Rate for Payer: Cofinity Commercial |
$26,409.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,476.23
|
| Rate for Payer: Healthscope Commercial |
$28,095.29
|
| Rate for Payer: Healthscope Whirlpool |
$27,252.43
|
| Rate for Payer: Mclaren Commercial |
$25,285.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,881.00
|
| Rate for Payer: Nomi Health Commercial |
$23,038.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18,261.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24,723.86
|
|
|
HC PERCUTANEOUS NEEDLE
|
Facility
|
IP
|
$13.69
|
|
| Hospital Charge Code |
27200144
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.90 |
| Max. Negotiated Rate |
$13.69 |
| Rate for Payer: Aetna Commercial |
$12.32
|
| Rate for Payer: ASR ASR |
$13.28
|
| Rate for Payer: ASR Commercial |
$13.28
|
| Rate for Payer: BCBS Trust/PPO |
$11.16
|
| Rate for Payer: BCN Commercial |
$10.61
|
| Rate for Payer: Cash Price |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$12.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.95
|
| Rate for Payer: Healthscope Commercial |
$13.69
|
| Rate for Payer: Healthscope Whirlpool |
$13.28
|
| Rate for Payer: Mclaren Commercial |
$12.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.64
|
| Rate for Payer: Nomi Health Commercial |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.05
|
|
|
HC PERCUTANEOUS NEEDLE
|
Facility
|
OP
|
$13.69
|
|
| Hospital Charge Code |
27200144
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.48 |
| Max. Negotiated Rate |
$13.69 |
| Rate for Payer: Aetna Commercial |
$12.32
|
| Rate for Payer: Aetna Medicare |
$6.84
|
| Rate for Payer: ASR ASR |
$13.28
|
| Rate for Payer: ASR Commercial |
$13.28
|
| Rate for Payer: BCBS Complete |
$5.48
|
| Rate for Payer: BCBS Trust/PPO |
$11.21
|
| Rate for Payer: BCN Commercial |
$10.61
|
| Rate for Payer: Cash Price |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$12.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.95
|
| Rate for Payer: Healthscope Commercial |
$13.69
|
| Rate for Payer: Healthscope Whirlpool |
$13.28
|
| Rate for Payer: Mclaren Commercial |
$12.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.64
|
| Rate for Payer: Nomi Health Commercial |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.00
|
| Rate for Payer: Priority Health Narrow Network |
$9.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.05
|
|
|
HC PERCUTANEOUS TRACHEOSTOMY
|
Facility
|
OP
|
$4,538.03
|
|
|
Service Code
|
CPT 31600
|
| Hospital Charge Code |
36000001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,695.31 |
| Max. Negotiated Rate |
$4,902.49 |
| Rate for Payer: Aetna Commercial |
$4,084.23
|
| Rate for Payer: Aetna Medicare |
$3,162.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,953.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,953.62
|
| Rate for Payer: ASR ASR |
$4,401.89
|
| Rate for Payer: ASR Commercial |
$4,401.89
|
| Rate for Payer: BCBS Complete |
$1,780.08
|
| Rate for Payer: BCBS MAPPO |
$3,162.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,716.19
|
| Rate for Payer: BCN Commercial |
$3,518.33
|
| Rate for Payer: BCN Medicare Advantage |
$3,162.90
|
| Rate for Payer: Cash Price |
$3,630.42
|
| Rate for Payer: Cash Price |
$3,630.42
|
| Rate for Payer: Cofinity Commercial |
$4,265.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,630.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,162.90
|
| Rate for Payer: Healthscope Commercial |
$4,538.03
|
| Rate for Payer: Healthscope Whirlpool |
$4,401.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,162.90
|
| Rate for Payer: Mclaren Commercial |
$4,084.23
|
| Rate for Payer: Mclaren Medicaid |
$1,695.31
|
| Rate for Payer: Mclaren Medicare |
$3,162.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,321.05
|
| Rate for Payer: Meridian Medicaid |
$1,780.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,637.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,857.33
|
| Rate for Payer: Nomi Health Commercial |
$3,721.18
|
| Rate for Payer: PACE Medicare |
$3,004.76
|
| Rate for Payer: PACE SWMI |
$3,162.90
|
| Rate for Payer: PHP Commercial |
$3,479.19
|
| Rate for Payer: PHP Medicaid |
$1,695.31
|
| Rate for Payer: PHP Medicare Advantage |
$3,162.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,949.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,976.22
|
| Rate for Payer: Priority Health Medicare |
$3,162.90
|
| Rate for Payer: Priority Health Narrow Network |
$3,181.16
|
| Rate for Payer: Railroad Medicare Medicare |
$3,162.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,993.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,162.90
|
| Rate for Payer: UHC Exchange |
$4,902.49
|
| Rate for Payer: UHC Medicare Advantage |
$3,162.90
|
| Rate for Payer: UHCCP DNSP |
$3,162.90
|
| Rate for Payer: UHCCP Medicaid |
$1,695.31
|
| Rate for Payer: VA VA |
$3,162.90
|
|
|
HC PERCUTANEOUS TRACHEOSTOMY
|
Facility
|
IP
|
$4,538.03
|
|
|
Service Code
|
CPT 31600
|
| Hospital Charge Code |
36000001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,949.72 |
| Max. Negotiated Rate |
$4,538.03 |
| Rate for Payer: Aetna Commercial |
$4,084.23
|
| Rate for Payer: ASR ASR |
$4,401.89
|
| Rate for Payer: ASR Commercial |
$4,401.89
|
| Rate for Payer: BCBS Trust/PPO |
$3,698.04
|
| Rate for Payer: BCN Commercial |
$3,518.33
|
| Rate for Payer: Cash Price |
$3,630.42
|
| Rate for Payer: Cofinity Commercial |
$4,265.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,630.42
|
| Rate for Payer: Healthscope Commercial |
$4,538.03
|
| Rate for Payer: Healthscope Whirlpool |
$4,401.89
|
| Rate for Payer: Mclaren Commercial |
$4,084.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,857.33
|
| Rate for Payer: Nomi Health Commercial |
$3,721.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,949.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,993.47
|
|
|
HC PERENNIAL RYE IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200097
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Complete |
$2.94
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.79
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Mclaren Medicaid |
$2.80
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.25
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$17.80
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicare Advantage |
$5.22
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.80
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC PERENNIAL RYE IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200097
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Trust/PPO |
$20.69
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
|
|
HC PERFUSION OPEN HEART
|
Facility
|
OP
|
$6,525.68
|
|
| Hospital Charge Code |
27000107
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,610.27 |
| Max. Negotiated Rate |
$6,525.68 |
| Rate for Payer: Aetna Commercial |
$5,873.11
|
| Rate for Payer: Aetna Medicare |
$3,262.84
|
| Rate for Payer: ASR ASR |
$6,329.91
|
| Rate for Payer: ASR Commercial |
$6,329.91
|
| Rate for Payer: BCBS Complete |
$2,610.27
|
| Rate for Payer: BCBS Trust/PPO |
$5,343.88
|
| Rate for Payer: BCN Commercial |
$5,059.36
|
| Rate for Payer: Cash Price |
$5,220.54
|
| Rate for Payer: Cofinity Commercial |
$6,134.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,220.54
|
| Rate for Payer: Healthscope Commercial |
$6,525.68
|
| Rate for Payer: Healthscope Whirlpool |
$6,329.91
|
| Rate for Payer: Mclaren Commercial |
$5,873.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,546.83
|
| Rate for Payer: Nomi Health Commercial |
$5,351.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,241.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,717.80
|
| Rate for Payer: Priority Health Narrow Network |
$4,574.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,742.60
|
|
|
HC PERFUSION OPEN HEART
|
Facility
|
IP
|
$6,525.68
|
|
| Hospital Charge Code |
27000107
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4,241.69 |
| Max. Negotiated Rate |
$6,525.68 |
| Rate for Payer: Aetna Commercial |
$5,873.11
|
| Rate for Payer: ASR ASR |
$6,329.91
|
| Rate for Payer: ASR Commercial |
$6,329.91
|
| Rate for Payer: BCBS Trust/PPO |
$5,317.78
|
| Rate for Payer: BCN Commercial |
$5,059.36
|
| Rate for Payer: Cash Price |
$5,220.54
|
| Rate for Payer: Cofinity Commercial |
$6,134.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,220.54
|
| Rate for Payer: Healthscope Commercial |
$6,525.68
|
| Rate for Payer: Healthscope Whirlpool |
$6,329.91
|
| Rate for Payer: Mclaren Commercial |
$5,873.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,546.83
|
| Rate for Payer: Nomi Health Commercial |
$5,351.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,241.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,742.60
|
|
|
HC PERIDARDIOCENTESIS WITH GUIDANCE
|
Facility
|
OP
|
$2,545.27
|
|
|
Service Code
|
CPT 33016
|
| Hospital Charge Code |
36100582
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$812.06 |
| Max. Negotiated Rate |
$2,545.27 |
| Rate for Payer: Aetna Commercial |
$2,290.74
|
| Rate for Payer: Aetna Medicare |
$1,515.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,893.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,893.80
|
| Rate for Payer: ASR ASR |
$2,468.91
|
| Rate for Payer: ASR Commercial |
$2,468.91
|
| Rate for Payer: BCBS Complete |
$852.66
|
| Rate for Payer: BCBS MAPPO |
$1,515.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,084.32
|
| Rate for Payer: BCN Commercial |
$1,973.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,515.04
|
| Rate for Payer: Cash Price |
$2,036.22
|
| Rate for Payer: Cash Price |
$2,036.22
|
| Rate for Payer: Cofinity Commercial |
$2,392.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,036.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,515.04
|
| Rate for Payer: Healthscope Commercial |
$2,545.27
|
| Rate for Payer: Healthscope Whirlpool |
$2,468.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,515.04
|
| Rate for Payer: Mclaren Commercial |
$2,290.74
|
| Rate for Payer: Mclaren Medicaid |
$812.06
|
| Rate for Payer: Mclaren Medicare |
$1,515.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,590.79
|
| Rate for Payer: Meridian Medicaid |
$852.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,742.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,163.48
|
| Rate for Payer: Nomi Health Commercial |
$2,087.12
|
| Rate for Payer: PACE Medicare |
$1,439.29
|
| Rate for Payer: PACE SWMI |
$1,515.04
|
| Rate for Payer: PHP Commercial |
$1,666.54
|
| Rate for Payer: PHP Medicaid |
$812.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,515.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$812.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,230.17
|
| Rate for Payer: Priority Health Medicare |
$1,515.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,784.23
|
| Rate for Payer: Railroad Medicare Medicare |
$1,515.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,239.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,515.04
|
| Rate for Payer: UHC Exchange |
$2,348.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,515.04
|
| Rate for Payer: UHCCP DNSP |
$1,515.04
|
| Rate for Payer: UHCCP Medicaid |
$812.06
|
| Rate for Payer: VA VA |
$1,515.04
|
|
|
HC PERIDARDIOCENTESIS WITH GUIDANCE
|
Facility
|
IP
|
$2,545.27
|
|
|
Service Code
|
CPT 33016
|
| Hospital Charge Code |
36100582
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,654.43 |
| Max. Negotiated Rate |
$2,545.27 |
| Rate for Payer: Aetna Commercial |
$2,290.74
|
| Rate for Payer: ASR ASR |
$2,468.91
|
| Rate for Payer: ASR Commercial |
$2,468.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,074.14
|
| Rate for Payer: BCN Commercial |
$1,973.35
|
| Rate for Payer: Cash Price |
$2,036.22
|
| Rate for Payer: Cofinity Commercial |
$2,392.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,036.22
|
| Rate for Payer: Healthscope Commercial |
$2,545.27
|
| Rate for Payer: Healthscope Whirlpool |
$2,468.91
|
| Rate for Payer: Mclaren Commercial |
$2,290.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,163.48
|
| Rate for Payer: Nomi Health Commercial |
$2,087.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,239.84
|
|
|
HC PERIPH ARTERY DISEASE REHAB
|
Facility
|
IP
|
$103.24
|
|
|
Service Code
|
CPT 93668
|
| Hospital Charge Code |
94000006
|
|
Hospital Revenue Code
|
943
|
| Min. Negotiated Rate |
$67.11 |
| Max. Negotiated Rate |
$103.24 |
| Rate for Payer: Aetna Commercial |
$92.92
|
| Rate for Payer: ASR ASR |
$100.14
|
| Rate for Payer: ASR Commercial |
$100.14
|
| Rate for Payer: BCBS Trust/PPO |
$84.13
|
| Rate for Payer: BCN Commercial |
$80.04
|
| Rate for Payer: Cash Price |
$82.59
|
| Rate for Payer: Cofinity Commercial |
$97.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.59
|
| Rate for Payer: Healthscope Commercial |
$103.24
|
| Rate for Payer: Healthscope Whirlpool |
$100.14
|
| Rate for Payer: Mclaren Commercial |
$92.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.75
|
| Rate for Payer: Nomi Health Commercial |
$84.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$90.85
|
|
|
HC PERIPH ARTERY DISEASE REHAB
|
Facility
|
OP
|
$103.24
|
|
|
Service Code
|
CPT 93668
|
| Hospital Charge Code |
94000006
|
|
Hospital Revenue Code
|
943
|
| Min. Negotiated Rate |
$31.05 |
| Max. Negotiated Rate |
$103.24 |
| Rate for Payer: Aetna Commercial |
$92.92
|
| Rate for Payer: Aetna Medicare |
$57.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72.41
|
| Rate for Payer: ASR ASR |
$100.14
|
| Rate for Payer: ASR Commercial |
$100.14
|
| Rate for Payer: BCBS Complete |
$32.60
|
| Rate for Payer: BCBS MAPPO |
$57.93
|
| Rate for Payer: BCBS Trust/PPO |
$84.54
|
| Rate for Payer: BCN Commercial |
$80.04
|
| Rate for Payer: BCN Medicare Advantage |
$57.93
|
| Rate for Payer: Cash Price |
$82.59
|
| Rate for Payer: Cash Price |
$82.59
|
| Rate for Payer: Cofinity Commercial |
$97.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.93
|
| Rate for Payer: Healthscope Commercial |
$103.24
|
| Rate for Payer: Healthscope Whirlpool |
$100.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$57.93
|
| Rate for Payer: Mclaren Commercial |
$92.92
|
| Rate for Payer: Mclaren Medicaid |
$31.05
|
| Rate for Payer: Mclaren Medicare |
$57.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.83
|
| Rate for Payer: Meridian Medicaid |
$32.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.75
|
| Rate for Payer: Nomi Health Commercial |
$84.66
|
| Rate for Payer: PACE Medicare |
$55.03
|
| Rate for Payer: PACE SWMI |
$57.93
|
| Rate for Payer: PHP Commercial |
$63.72
|
| Rate for Payer: PHP Medicaid |
$31.05
|
| Rate for Payer: PHP Medicare Advantage |
$57.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.46
|
| Rate for Payer: Priority Health Medicare |
$57.93
|
| Rate for Payer: Priority Health Narrow Network |
$72.37
|
| Rate for Payer: Railroad Medicare Medicare |
$57.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$90.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.93
|
| Rate for Payer: UHC Exchange |
$89.79
|
| Rate for Payer: UHC Medicare Advantage |
$57.93
|
| Rate for Payer: UHCCP DNSP |
$57.93
|
| Rate for Payer: UHCCP Medicaid |
$31.05
|
| Rate for Payer: VA VA |
$57.93
|
|
|
HC PERIPHERAL DIAGNOSTIC CATHETER
|
Facility
|
IP
|
$283.83
|
|
| Hospital Charge Code |
27200145
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$184.49 |
| Max. Negotiated Rate |
$283.83 |
| Rate for Payer: Aetna Commercial |
$255.45
|
| Rate for Payer: ASR ASR |
$275.32
|
| Rate for Payer: ASR Commercial |
$275.32
|
| Rate for Payer: BCBS Trust/PPO |
$231.29
|
| Rate for Payer: BCN Commercial |
$220.05
|
| Rate for Payer: Cash Price |
$227.06
|
| Rate for Payer: Cofinity Commercial |
$266.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.06
|
| Rate for Payer: Healthscope Commercial |
$283.83
|
| Rate for Payer: Healthscope Whirlpool |
$275.32
|
| Rate for Payer: Mclaren Commercial |
$255.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.26
|
| Rate for Payer: Nomi Health Commercial |
$232.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.77
|
|
|
HC PERIPHERAL DIAGNOSTIC CATHETER
|
Facility
|
OP
|
$283.83
|
|
| Hospital Charge Code |
27200145
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$113.53 |
| Max. Negotiated Rate |
$283.83 |
| Rate for Payer: Aetna Commercial |
$255.45
|
| Rate for Payer: Aetna Medicare |
$141.91
|
| Rate for Payer: ASR ASR |
$275.32
|
| Rate for Payer: ASR Commercial |
$275.32
|
| Rate for Payer: BCBS Complete |
$113.53
|
| Rate for Payer: BCBS Trust/PPO |
$232.43
|
| Rate for Payer: BCN Commercial |
$220.05
|
| Rate for Payer: Cash Price |
$227.06
|
| Rate for Payer: Cofinity Commercial |
$266.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.06
|
| Rate for Payer: Healthscope Commercial |
$283.83
|
| Rate for Payer: Healthscope Whirlpool |
$275.32
|
| Rate for Payer: Mclaren Commercial |
$255.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.26
|
| Rate for Payer: Nomi Health Commercial |
$232.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.69
|
| Rate for Payer: Priority Health Narrow Network |
$198.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.77
|
|
|
HC PERIPHERAL INTRODUCER
|
Facility
|
IP
|
$684.29
|
|
| Hospital Charge Code |
27200146
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$444.79 |
| Max. Negotiated Rate |
$684.29 |
| Rate for Payer: Aetna Commercial |
$615.86
|
| Rate for Payer: ASR ASR |
$663.76
|
| Rate for Payer: ASR Commercial |
$663.76
|
| Rate for Payer: BCBS Trust/PPO |
$557.63
|
| Rate for Payer: BCN Commercial |
$530.53
|
| Rate for Payer: Cash Price |
$547.43
|
| Rate for Payer: Cofinity Commercial |
$643.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$547.43
|
| Rate for Payer: Healthscope Commercial |
$684.29
|
| Rate for Payer: Healthscope Whirlpool |
$663.76
|
| Rate for Payer: Mclaren Commercial |
$615.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$581.65
|
| Rate for Payer: Nomi Health Commercial |
$561.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$444.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$602.18
|
|
