|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
OP
|
$3,348.21
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,811.27 |
| Max. Negotiated Rate |
$5,237.81 |
| Rate for Payer: Aetna Commercial |
$3,013.39
|
| Rate for Payer: Aetna Medicare |
$3,379.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,224.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,224.04
|
| Rate for Payer: ASR ASR |
$3,247.76
|
| Rate for Payer: ASR Commercial |
$3,247.76
|
| Rate for Payer: BCBS Complete |
$1,901.83
|
| Rate for Payer: BCBS MAPPO |
$3,379.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,741.85
|
| Rate for Payer: BCN Commercial |
$2,595.87
|
| Rate for Payer: BCN Medicare Advantage |
$3,379.23
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cofinity Commercial |
$3,147.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,678.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,379.23
|
| Rate for Payer: Healthscope Commercial |
$3,348.21
|
| Rate for Payer: Healthscope Whirlpool |
$3,247.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,379.23
|
| Rate for Payer: Mclaren Commercial |
$3,013.39
|
| Rate for Payer: Mclaren Medicaid |
$1,811.27
|
| Rate for Payer: Mclaren Medicare |
$3,379.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,548.19
|
| Rate for Payer: Meridian Medicaid |
$1,901.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,845.98
|
| Rate for Payer: Nomi Health Commercial |
$2,745.53
|
| Rate for Payer: PACE Medicare |
$3,210.27
|
| Rate for Payer: PACE SWMI |
$3,379.23
|
| Rate for Payer: PHP Commercial |
$3,717.15
|
| Rate for Payer: PHP Medicaid |
$1,811.27
|
| Rate for Payer: PHP Medicare Advantage |
$3,379.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,933.70
|
| Rate for Payer: Priority Health Medicare |
$3,379.23
|
| Rate for Payer: Priority Health Narrow Network |
$2,347.10
|
| Rate for Payer: Railroad Medicare Medicare |
$3,379.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,946.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,379.23
|
| Rate for Payer: UHC Exchange |
$5,237.81
|
| Rate for Payer: UHC Medicare Advantage |
$3,379.23
|
| Rate for Payer: UHCCP DNSP |
$3,379.23
|
| Rate for Payer: UHCCP Medicaid |
$1,811.27
|
| Rate for Payer: VA VA |
$3,379.23
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
IP
|
$3,348.21
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,176.34 |
| Max. Negotiated Rate |
$3,348.21 |
| Rate for Payer: Aetna Commercial |
$3,013.39
|
| Rate for Payer: ASR ASR |
$3,247.76
|
| Rate for Payer: ASR Commercial |
$3,247.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,728.46
|
| Rate for Payer: BCN Commercial |
$2,595.87
|
| Rate for Payer: Cash Price |
$2,678.57
|
| Rate for Payer: Cofinity Commercial |
$3,147.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,678.57
|
| Rate for Payer: Healthscope Commercial |
$3,348.21
|
| Rate for Payer: Healthscope Whirlpool |
$3,247.76
|
| Rate for Payer: Mclaren Commercial |
$3,013.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,845.98
|
| Rate for Payer: Nomi Health Commercial |
$2,745.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,946.42
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
IP
|
$8,589.97
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,583.48 |
| Max. Negotiated Rate |
$8,589.97 |
| Rate for Payer: Aetna Commercial |
$7,730.97
|
| Rate for Payer: ASR ASR |
$8,332.27
|
| Rate for Payer: ASR Commercial |
$8,332.27
|
| Rate for Payer: BCBS Trust/PPO |
$6,999.97
|
| Rate for Payer: BCN Commercial |
$6,659.80
|
| Rate for Payer: Cash Price |
$6,871.98
|
| Rate for Payer: Cofinity Commercial |
$8,074.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,871.98
|
| Rate for Payer: Healthscope Commercial |
$8,589.97
|
| Rate for Payer: Healthscope Whirlpool |
$8,332.27
|
| Rate for Payer: Mclaren Commercial |
$7,730.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,301.47
|
| Rate for Payer: Nomi Health Commercial |
$7,043.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,583.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,559.17
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
OP
|
$8,589.97
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,435.99 |
| Max. Negotiated Rate |
$8,589.97 |
| Rate for Payer: Aetna Commercial |
$7,730.97
|
| Rate for Payer: Aetna Medicare |
$4,294.98
|
| Rate for Payer: ASR ASR |
$8,332.27
|
| Rate for Payer: ASR Commercial |
$8,332.27
|
| Rate for Payer: BCBS Complete |
$3,435.99
|
| Rate for Payer: BCBS Trust/PPO |
$7,034.33
|
| Rate for Payer: BCN Commercial |
$6,659.80
|
| Rate for Payer: Cash Price |
$6,871.98
|
| Rate for Payer: Cofinity Commercial |
$8,074.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,871.98
|
| Rate for Payer: Healthscope Commercial |
$8,589.97
|
| Rate for Payer: Healthscope Whirlpool |
$8,332.27
|
| Rate for Payer: Mclaren Commercial |
$7,730.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,301.47
|
| Rate for Payer: Nomi Health Commercial |
$7,043.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,583.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,526.53
|
| Rate for Payer: Priority Health Narrow Network |
$6,021.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,559.17
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
IP
|
$5,382.61
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,498.70 |
| Max. Negotiated Rate |
$5,382.61 |
| Rate for Payer: Aetna Commercial |
$4,844.35
|
| Rate for Payer: ASR ASR |
$5,221.13
|
| Rate for Payer: ASR Commercial |
$5,221.13
|
| Rate for Payer: BCBS Trust/PPO |
$4,386.29
|
| Rate for Payer: BCN Commercial |
$4,173.14
|
| Rate for Payer: Cash Price |
$4,306.09
|
| Rate for Payer: Cofinity Commercial |
$5,059.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,306.09
|
| Rate for Payer: Healthscope Commercial |
$5,382.61
|
| Rate for Payer: Healthscope Whirlpool |
$5,221.13
|
| Rate for Payer: Mclaren Commercial |
$4,844.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,575.22
|
| Rate for Payer: Nomi Health Commercial |
$4,413.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,498.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,736.70
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
OP
|
$5,382.61
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,153.04 |
| Max. Negotiated Rate |
$5,382.61 |
| Rate for Payer: Aetna Commercial |
$4,844.35
|
| Rate for Payer: Aetna Medicare |
$2,691.30
|
| Rate for Payer: ASR ASR |
$5,221.13
|
| Rate for Payer: ASR Commercial |
$5,221.13
|
| Rate for Payer: BCBS Complete |
$2,153.04
|
| Rate for Payer: BCBS Trust/PPO |
$4,407.82
|
| Rate for Payer: BCN Commercial |
$4,173.14
|
| Rate for Payer: Cash Price |
$4,306.09
|
| Rate for Payer: Cofinity Commercial |
$5,059.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,306.09
|
| Rate for Payer: Healthscope Commercial |
$5,382.61
|
| Rate for Payer: Healthscope Whirlpool |
$5,221.13
|
| Rate for Payer: Mclaren Commercial |
$4,844.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,575.22
|
| Rate for Payer: Nomi Health Commercial |
$4,413.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,498.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,716.24
|
| Rate for Payer: Priority Health Narrow Network |
$3,773.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,736.70
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
IP
|
$740.52
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$481.34 |
| Max. Negotiated Rate |
$740.52 |
| Rate for Payer: Aetna Commercial |
$666.47
|
| Rate for Payer: ASR ASR |
$718.30
|
| Rate for Payer: ASR Commercial |
$718.30
|
| Rate for Payer: BCBS Trust/PPO |
$603.45
|
| Rate for Payer: BCN Commercial |
$574.13
|
| Rate for Payer: Cash Price |
$592.42
|
| Rate for Payer: Cofinity Commercial |
$696.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.42
|
| Rate for Payer: Healthscope Commercial |
$740.52
|
| Rate for Payer: Healthscope Whirlpool |
$718.30
|
| Rate for Payer: Mclaren Commercial |
$666.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.44
|
| Rate for Payer: Nomi Health Commercial |
$607.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$651.66
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
OP
|
$740.52
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$369.50 |
| Max. Negotiated Rate |
$1,068.51 |
| Rate for Payer: Aetna Commercial |
$666.47
|
| Rate for Payer: Aetna Medicare |
$689.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$861.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$861.70
|
| Rate for Payer: ASR ASR |
$718.30
|
| Rate for Payer: ASR Commercial |
$718.30
|
| Rate for Payer: BCBS Complete |
$387.97
|
| Rate for Payer: BCBS MAPPO |
$689.36
|
| Rate for Payer: BCBS Trust/PPO |
$606.41
|
| Rate for Payer: BCN Commercial |
$574.13
|
| Rate for Payer: BCN Medicare Advantage |
$689.36
|
| Rate for Payer: Cash Price |
$592.42
|
| Rate for Payer: Cash Price |
$592.42
|
| Rate for Payer: Cofinity Commercial |
$696.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$592.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.36
|
| Rate for Payer: Healthscope Commercial |
$740.52
|
| Rate for Payer: Healthscope Whirlpool |
$718.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$689.36
|
| Rate for Payer: Mclaren Commercial |
$666.47
|
| Rate for Payer: Mclaren Medicaid |
$369.50
|
| Rate for Payer: Mclaren Medicare |
$689.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.83
|
| Rate for Payer: Meridian Medicaid |
$387.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$792.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.44
|
| Rate for Payer: Nomi Health Commercial |
$607.23
|
| Rate for Payer: PACE Medicare |
$654.89
|
| Rate for Payer: PACE SWMI |
$689.36
|
| Rate for Payer: PHP Commercial |
$758.30
|
| Rate for Payer: PHP Medicaid |
$369.50
|
| Rate for Payer: PHP Medicare Advantage |
$689.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.84
|
| Rate for Payer: Priority Health Medicare |
$689.36
|
| Rate for Payer: Priority Health Narrow Network |
$519.10
|
| Rate for Payer: Railroad Medicare Medicare |
$689.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$651.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$689.36
|
| Rate for Payer: UHC Exchange |
$1,068.51
|
| Rate for Payer: UHC Medicare Advantage |
$689.36
|
| Rate for Payer: UHCCP DNSP |
$689.36
|
| Rate for Payer: UHCCP Medicaid |
$369.50
|
| Rate for Payer: VA VA |
$689.36
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
IP
|
$421.54
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$274.00 |
| Max. Negotiated Rate |
$421.54 |
| Rate for Payer: Aetna Commercial |
$379.39
|
| Rate for Payer: ASR ASR |
$408.89
|
| Rate for Payer: ASR Commercial |
$408.89
|
| Rate for Payer: BCBS Trust/PPO |
$343.51
|
| Rate for Payer: BCN Commercial |
$326.82
|
| Rate for Payer: Cash Price |
$337.23
|
| Rate for Payer: Cofinity Commercial |
$396.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.23
|
| Rate for Payer: Healthscope Commercial |
$421.54
|
| Rate for Payer: Healthscope Whirlpool |
$408.89
|
| Rate for Payer: Mclaren Commercial |
$379.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.31
|
| Rate for Payer: Nomi Health Commercial |
$345.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$370.96
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$421.54
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$168.62 |
| Max. Negotiated Rate |
$421.54 |
| Rate for Payer: Aetna Commercial |
$379.39
|
| Rate for Payer: Aetna Medicare |
$210.77
|
| Rate for Payer: ASR ASR |
$408.89
|
| Rate for Payer: ASR Commercial |
$408.89
|
| Rate for Payer: BCBS Complete |
$168.62
|
| Rate for Payer: BCBS Trust/PPO |
$345.20
|
| Rate for Payer: BCN Commercial |
$326.82
|
| Rate for Payer: Cash Price |
$337.23
|
| Rate for Payer: Cofinity Commercial |
$396.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.23
|
| Rate for Payer: Healthscope Commercial |
$421.54
|
| Rate for Payer: Healthscope Whirlpool |
$408.89
|
| Rate for Payer: Mclaren Commercial |
$379.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.31
|
| Rate for Payer: Nomi Health Commercial |
$345.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.35
|
| Rate for Payer: Priority Health Narrow Network |
$295.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$370.96
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,305.71 |
| Max. Negotiated Rate |
$6,624.17 |
| Rate for Payer: Aetna Commercial |
$5,961.75
|
| Rate for Payer: ASR ASR |
$6,425.44
|
| Rate for Payer: ASR Commercial |
$6,425.44
|
| Rate for Payer: BCBS Trust/PPO |
$5,398.04
|
| Rate for Payer: BCN Commercial |
$5,135.72
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$6,226.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$6,624.17
|
| Rate for Payer: Healthscope Whirlpool |
$6,425.44
|
| Rate for Payer: Mclaren Commercial |
$5,961.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,829.27
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,063.99 |
| Max. Negotiated Rate |
$8,860.40 |
| Rate for Payer: Aetna Commercial |
$5,961.75
|
| Rate for Payer: Aetna Medicare |
$5,716.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: ASR ASR |
$6,425.44
|
| Rate for Payer: ASR Commercial |
$6,425.44
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$5,424.53
|
| Rate for Payer: BCN Commercial |
$5,135.72
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$6,226.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$6,624.17
|
| Rate for Payer: Healthscope Whirlpool |
$6,425.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,716.39
|
| Rate for Payer: Mclaren Commercial |
$5,961.75
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$6,288.03
|
| Rate for Payer: PHP Medicaid |
$3,063.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,804.10
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$4,643.54
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,829.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Exchange |
$8,860.40
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP DNSP |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,063.99
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,063.99 |
| Max. Negotiated Rate |
$8,860.40 |
| Rate for Payer: Aetna Commercial |
$5,961.75
|
| Rate for Payer: Aetna Medicare |
$5,716.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: ASR ASR |
$6,425.44
|
| Rate for Payer: ASR Commercial |
$6,425.44
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$5,424.53
|
| Rate for Payer: BCN Commercial |
$5,135.72
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$6,226.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$6,624.17
|
| Rate for Payer: Healthscope Whirlpool |
$6,425.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,716.39
|
| Rate for Payer: Mclaren Commercial |
$5,961.75
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$6,288.03
|
| Rate for Payer: PHP Medicaid |
$3,063.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,804.10
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$4,643.54
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,829.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Exchange |
$8,860.40
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP DNSP |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,063.99
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,305.71 |
| Max. Negotiated Rate |
$6,624.17 |
| Rate for Payer: Aetna Commercial |
$5,961.75
|
| Rate for Payer: ASR ASR |
$6,425.44
|
| Rate for Payer: ASR Commercial |
$6,425.44
|
| Rate for Payer: BCBS Trust/PPO |
$5,398.04
|
| Rate for Payer: BCN Commercial |
$5,135.72
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$6,226.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$6,624.17
|
| Rate for Payer: Healthscope Whirlpool |
$6,425.44
|
| Rate for Payer: Mclaren Commercial |
$5,961.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,829.27
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,624.17
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,063.99 |
| Max. Negotiated Rate |
$8,860.40 |
| Rate for Payer: Aetna Commercial |
$5,961.75
|
| Rate for Payer: Aetna Medicare |
$5,716.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: ASR ASR |
$6,425.44
|
| Rate for Payer: ASR Commercial |
$6,425.44
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$5,424.53
|
| Rate for Payer: BCN Commercial |
$5,135.72
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$6,226.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$6,624.17
|
| Rate for Payer: Healthscope Whirlpool |
$6,425.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,716.39
|
| Rate for Payer: Mclaren Commercial |
$5,961.75
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$6,288.03
|
| Rate for Payer: PHP Medicaid |
$3,063.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,804.10
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$4,643.54
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,829.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Exchange |
$8,860.40
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP DNSP |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,063.99
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
IP
|
$6,624.17
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,305.71 |
| Max. Negotiated Rate |
$6,624.17 |
| Rate for Payer: Aetna Commercial |
$5,961.75
|
| Rate for Payer: ASR ASR |
$6,425.44
|
| Rate for Payer: ASR Commercial |
$6,425.44
|
| Rate for Payer: BCBS Trust/PPO |
$5,398.04
|
| Rate for Payer: BCN Commercial |
$5,135.72
|
| Rate for Payer: Cash Price |
$5,299.34
|
| Rate for Payer: Cofinity Commercial |
$6,226.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,299.34
|
| Rate for Payer: Healthscope Commercial |
$6,624.17
|
| Rate for Payer: Healthscope Whirlpool |
$6,425.44
|
| Rate for Payer: Mclaren Commercial |
$5,961.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,630.54
|
| Rate for Payer: Nomi Health Commercial |
$5,431.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,305.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,829.27
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$204.41
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$132.87 |
| Max. Negotiated Rate |
$204.41 |
| Rate for Payer: Aetna Commercial |
$183.97
|
| Rate for Payer: ASR ASR |
$198.28
|
| Rate for Payer: ASR Commercial |
$198.28
|
| Rate for Payer: BCBS Trust/PPO |
$166.57
|
| Rate for Payer: BCN Commercial |
$158.48
|
| Rate for Payer: Cash Price |
$163.53
|
| Rate for Payer: Cofinity Commercial |
$192.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.53
|
| Rate for Payer: Healthscope Commercial |
$204.41
|
| Rate for Payer: Healthscope Whirlpool |
$198.28
|
| Rate for Payer: Mclaren Commercial |
$183.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.75
|
| Rate for Payer: Nomi Health Commercial |
$167.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$179.88
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$204.41
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$81.76 |
| Max. Negotiated Rate |
$204.41 |
| Rate for Payer: Aetna Commercial |
$183.97
|
| Rate for Payer: Aetna Medicare |
$102.20
|
| Rate for Payer: ASR ASR |
$198.28
|
| Rate for Payer: ASR Commercial |
$198.28
|
| Rate for Payer: BCBS Complete |
$81.76
|
| Rate for Payer: BCBS Trust/PPO |
$167.39
|
| Rate for Payer: BCN Commercial |
$158.48
|
| Rate for Payer: Cash Price |
$163.53
|
| Rate for Payer: Cofinity Commercial |
$192.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.53
|
| Rate for Payer: Healthscope Commercial |
$204.41
|
| Rate for Payer: Healthscope Whirlpool |
$198.28
|
| Rate for Payer: Mclaren Commercial |
$183.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.75
|
| Rate for Payer: Nomi Health Commercial |
$167.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179.10
|
| Rate for Payer: Priority Health Narrow Network |
$143.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$179.88
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
IP
|
$9,078.00
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,900.70 |
| Max. Negotiated Rate |
$9,078.00 |
| Rate for Payer: Aetna Commercial |
$8,170.20
|
| Rate for Payer: ASR ASR |
$8,805.66
|
| Rate for Payer: ASR Commercial |
$8,805.66
|
| Rate for Payer: BCBS Trust/PPO |
$7,397.66
|
| Rate for Payer: BCN Commercial |
$7,038.17
|
| Rate for Payer: Cash Price |
$7,262.40
|
| Rate for Payer: Cofinity Commercial |
$8,533.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,262.40
|
| Rate for Payer: Healthscope Commercial |
$9,078.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,805.66
|
| Rate for Payer: Mclaren Commercial |
$8,170.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,716.30
|
| Rate for Payer: Nomi Health Commercial |
$7,443.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,900.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,988.64
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
OP
|
$9,078.00
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,631.20 |
| Max. Negotiated Rate |
$9,078.00 |
| Rate for Payer: Aetna Commercial |
$8,170.20
|
| Rate for Payer: Aetna Medicare |
$4,539.00
|
| Rate for Payer: ASR ASR |
$8,805.66
|
| Rate for Payer: ASR Commercial |
$8,805.66
|
| Rate for Payer: BCBS Complete |
$3,631.20
|
| Rate for Payer: BCBS Trust/PPO |
$7,433.97
|
| Rate for Payer: BCN Commercial |
$7,038.17
|
| Rate for Payer: Cash Price |
$7,262.40
|
| Rate for Payer: Cofinity Commercial |
$8,533.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,262.40
|
| Rate for Payer: Healthscope Commercial |
$9,078.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,805.66
|
| Rate for Payer: Mclaren Commercial |
$8,170.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,716.30
|
| Rate for Payer: Nomi Health Commercial |
$7,443.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,900.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,954.14
|
| Rate for Payer: Priority Health Narrow Network |
$6,363.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,988.64
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
IP
|
$331.21
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$215.29 |
| Max. Negotiated Rate |
$331.21 |
| Rate for Payer: Aetna Commercial |
$298.09
|
| Rate for Payer: ASR ASR |
$321.27
|
| Rate for Payer: ASR Commercial |
$321.27
|
| Rate for Payer: BCBS Trust/PPO |
$269.90
|
| Rate for Payer: BCN Commercial |
$256.79
|
| Rate for Payer: Cash Price |
$264.97
|
| Rate for Payer: Cofinity Commercial |
$311.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.97
|
| Rate for Payer: Healthscope Commercial |
$331.21
|
| Rate for Payer: Healthscope Whirlpool |
$321.27
|
| Rate for Payer: Mclaren Commercial |
$298.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.53
|
| Rate for Payer: Nomi Health Commercial |
$271.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.46
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
OP
|
$331.21
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$215.29 |
| Max. Negotiated Rate |
$5,237.81 |
| Rate for Payer: Aetna Commercial |
$298.09
|
| Rate for Payer: Aetna Medicare |
$3,379.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,224.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,224.04
|
| Rate for Payer: ASR ASR |
$321.27
|
| Rate for Payer: ASR Commercial |
$321.27
|
| Rate for Payer: BCBS Complete |
$1,901.83
|
| Rate for Payer: BCBS MAPPO |
$3,379.23
|
| Rate for Payer: BCBS Trust/PPO |
$271.23
|
| Rate for Payer: BCN Commercial |
$256.79
|
| Rate for Payer: BCN Medicare Advantage |
$3,379.23
|
| Rate for Payer: Cash Price |
$264.97
|
| Rate for Payer: Cash Price |
$264.97
|
| Rate for Payer: Cofinity Commercial |
$311.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,379.23
|
| Rate for Payer: Healthscope Commercial |
$331.21
|
| Rate for Payer: Healthscope Whirlpool |
$321.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,379.23
|
| Rate for Payer: Mclaren Commercial |
$298.09
|
| Rate for Payer: Mclaren Medicaid |
$1,811.27
|
| Rate for Payer: Mclaren Medicare |
$3,379.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,548.19
|
| Rate for Payer: Meridian Medicaid |
$1,901.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.53
|
| Rate for Payer: Nomi Health Commercial |
$271.59
|
| Rate for Payer: PACE Medicare |
$3,210.27
|
| Rate for Payer: PACE SWMI |
$3,379.23
|
| Rate for Payer: PHP Commercial |
$3,717.15
|
| Rate for Payer: PHP Medicaid |
$1,811.27
|
| Rate for Payer: PHP Medicare Advantage |
$3,379.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.21
|
| Rate for Payer: Priority Health Medicare |
$3,379.23
|
| Rate for Payer: Priority Health Narrow Network |
$232.18
|
| Rate for Payer: Railroad Medicare Medicare |
$3,379.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,379.23
|
| Rate for Payer: UHC Exchange |
$5,237.81
|
| Rate for Payer: UHC Medicare Advantage |
$3,379.23
|
| Rate for Payer: UHCCP DNSP |
$3,379.23
|
| Rate for Payer: UHCCP Medicaid |
$1,811.27
|
| Rate for Payer: VA VA |
$3,379.23
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
IP
|
$3,643.30
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,368.14 |
| Max. Negotiated Rate |
$3,643.30 |
| Rate for Payer: Aetna Commercial |
$3,278.97
|
| Rate for Payer: ASR ASR |
$3,534.00
|
| Rate for Payer: ASR Commercial |
$3,534.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,968.93
|
| Rate for Payer: BCN Commercial |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$3,424.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Healthscope Commercial |
$3,643.30
|
| Rate for Payer: Healthscope Whirlpool |
$3,534.00
|
| Rate for Payer: Mclaren Commercial |
$3,278.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: Nomi Health Commercial |
$2,987.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,206.10
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
OP
|
$3,643.30
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,811.27 |
| Max. Negotiated Rate |
$5,237.81 |
| Rate for Payer: Aetna Commercial |
$3,278.97
|
| Rate for Payer: Aetna Medicare |
$3,379.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,224.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,224.04
|
| Rate for Payer: ASR ASR |
$3,534.00
|
| Rate for Payer: ASR Commercial |
$3,534.00
|
| Rate for Payer: BCBS Complete |
$1,901.83
|
| Rate for Payer: BCBS MAPPO |
$3,379.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,983.50
|
| Rate for Payer: BCN Commercial |
$2,824.65
|
| Rate for Payer: BCN Medicare Advantage |
$3,379.23
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$3,424.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,379.23
|
| Rate for Payer: Healthscope Commercial |
$3,643.30
|
| Rate for Payer: Healthscope Whirlpool |
$3,534.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,379.23
|
| Rate for Payer: Mclaren Commercial |
$3,278.97
|
| Rate for Payer: Mclaren Medicaid |
$1,811.27
|
| Rate for Payer: Mclaren Medicare |
$3,379.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,548.19
|
| Rate for Payer: Meridian Medicaid |
$1,901.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: Nomi Health Commercial |
$2,987.51
|
| Rate for Payer: PACE Medicare |
$3,210.27
|
| Rate for Payer: PACE SWMI |
$3,379.23
|
| Rate for Payer: PHP Commercial |
$3,717.15
|
| Rate for Payer: PHP Medicaid |
$1,811.27
|
| Rate for Payer: PHP Medicare Advantage |
$3,379.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,192.26
|
| Rate for Payer: Priority Health Medicare |
$3,379.23
|
| Rate for Payer: Priority Health Narrow Network |
$2,553.95
|
| Rate for Payer: Railroad Medicare Medicare |
$3,379.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,206.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,379.23
|
| Rate for Payer: UHC Exchange |
$5,237.81
|
| Rate for Payer: UHC Medicare Advantage |
$3,379.23
|
| Rate for Payer: UHCCP DNSP |
$3,379.23
|
| Rate for Payer: UHCCP Medicaid |
$1,811.27
|
| Rate for Payer: VA VA |
$3,379.23
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
OP
|
$3,643.30
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,811.27 |
| Max. Negotiated Rate |
$5,237.81 |
| Rate for Payer: Aetna Commercial |
$3,278.97
|
| Rate for Payer: Aetna Medicare |
$3,379.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,224.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,224.04
|
| Rate for Payer: ASR ASR |
$3,534.00
|
| Rate for Payer: ASR Commercial |
$3,534.00
|
| Rate for Payer: BCBS Complete |
$1,901.83
|
| Rate for Payer: BCBS MAPPO |
$3,379.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,983.50
|
| Rate for Payer: BCN Commercial |
$2,824.65
|
| Rate for Payer: BCN Medicare Advantage |
$3,379.23
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cash Price |
$2,914.64
|
| Rate for Payer: Cofinity Commercial |
$3,424.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,914.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,379.23
|
| Rate for Payer: Healthscope Commercial |
$3,643.30
|
| Rate for Payer: Healthscope Whirlpool |
$3,534.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,379.23
|
| Rate for Payer: Mclaren Commercial |
$3,278.97
|
| Rate for Payer: Mclaren Medicaid |
$1,811.27
|
| Rate for Payer: Mclaren Medicare |
$3,379.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,548.19
|
| Rate for Payer: Meridian Medicaid |
$1,901.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,096.80
|
| Rate for Payer: Nomi Health Commercial |
$2,987.51
|
| Rate for Payer: PACE Medicare |
$3,210.27
|
| Rate for Payer: PACE SWMI |
$3,379.23
|
| Rate for Payer: PHP Commercial |
$3,717.15
|
| Rate for Payer: PHP Medicaid |
$1,811.27
|
| Rate for Payer: PHP Medicare Advantage |
$3,379.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,368.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,192.26
|
| Rate for Payer: Priority Health Medicare |
$3,379.23
|
| Rate for Payer: Priority Health Narrow Network |
$2,553.95
|
| Rate for Payer: Railroad Medicare Medicare |
$3,379.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,206.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,379.23
|
| Rate for Payer: UHC Exchange |
$5,237.81
|
| Rate for Payer: UHC Medicare Advantage |
$3,379.23
|
| Rate for Payer: UHCCP DNSP |
$3,379.23
|
| Rate for Payer: UHCCP Medicaid |
$1,811.27
|
| Rate for Payer: VA VA |
$3,379.23
|
|
