|
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20CM
|
Facility
|
OP
|
$1,054.00
|
|
|
Service Code
|
CPT 12045
|
| Hospital Charge Code |
76100567
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$385.14 |
| Max. Negotiated Rate |
$1,141.44 |
| Rate for Payer: Aetna Commercial |
$948.60
|
| Rate for Payer: Aetna Medicare |
$736.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$920.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$920.51
|
| Rate for Payer: ASR ASR |
$1,022.38
|
| Rate for Payer: BCBS Complete |
$404.44
|
| Rate for Payer: BCBS MAPPO |
$736.41
|
| Rate for Payer: BCBS Trust/PPO |
$869.02
|
| Rate for Payer: BCN Commercial |
$869.02
|
| Rate for Payer: BCN Medicare Advantage |
$736.41
|
| Rate for Payer: Cash Price |
$843.20
|
| Rate for Payer: Cash Price |
$843.20
|
| Rate for Payer: Cofinity Commercial |
$990.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$843.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$736.41
|
| Rate for Payer: Healthscope Commercial |
$1,022.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,054.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$736.41
|
| Rate for Payer: Mclaren Commercial |
$948.60
|
| Rate for Payer: Mclaren Medicaid |
$736.41
|
| Rate for Payer: Mclaren Medicare |
$736.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$773.23
|
| Rate for Payer: Meridian Medicaid |
$404.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$846.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$810.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.90
|
| Rate for Payer: Nomi Health Commercial |
$864.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$790.50
|
| Rate for Payer: PACE Medicare |
$699.59
|
| Rate for Payer: PACE SWMI |
$736.41
|
| Rate for Payer: PHP Commercial |
$810.05
|
| Rate for Payer: PHP Medicaid |
$394.72
|
| Rate for Payer: PHP Medicare Advantage |
$736.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$923.51
|
| Rate for Payer: Priority Health Medicare |
$736.41
|
| Rate for Payer: Priority Health Narrow Network |
$738.85
|
| Rate for Payer: Railroad Medicare Medicare |
$736.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$927.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$736.41
|
| Rate for Payer: UHC Exchange |
$1,141.44
|
| Rate for Payer: UHC Medicaid |
$385.14
|
| Rate for Payer: UHCCP DNSP |
$736.41
|
| Rate for Payer: UHCCP Medicaid |
$385.14
|
| Rate for Payer: VA VA |
$736.41
|
|
|
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20CM
|
Facility
|
IP
|
$1,054.00
|
|
|
Service Code
|
CPT 12045
|
| Hospital Charge Code |
76100567
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$790.50 |
| Max. Negotiated Rate |
$1,054.00 |
| Rate for Payer: Aetna Commercial |
$948.60
|
| Rate for Payer: ASR ASR |
$1,022.38
|
| Rate for Payer: BCBS Trust/PPO |
$865.54
|
| Rate for Payer: BCN Commercial |
$865.54
|
| Rate for Payer: Cash Price |
$843.20
|
| Rate for Payer: Cofinity Commercial |
$990.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$843.20
|
| Rate for Payer: Healthscope Commercial |
$1,022.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,054.00
|
| Rate for Payer: Mclaren Commercial |
$948.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.90
|
| Rate for Payer: Nomi Health Commercial |
$864.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$790.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$927.52
|
|
|
HC REPAIR LIP AND BORDER
|
Facility
|
OP
|
$1,569.00
|
|
|
Service Code
|
CPT 40650
|
| Hospital Charge Code |
76100539
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$281.05 |
| Max. Negotiated Rate |
$1,569.00 |
| Rate for Payer: Aetna Commercial |
$1,412.10
|
| Rate for Payer: Aetna Medicare |
$537.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: ASR ASR |
$1,521.93
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,293.64
|
| Rate for Payer: BCN Commercial |
$1,293.64
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$1,255.20
|
| Rate for Payer: Cash Price |
$1,255.20
|
| Rate for Payer: Cofinity Commercial |
$1,474.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,255.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$1,521.93
|
| Rate for Payer: Healthscope Whirlpool |
$1,569.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$537.39
|
| Rate for Payer: Mclaren Commercial |
$1,412.10
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$295.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,333.65
|
| Rate for Payer: Nomi Health Commercial |
$1,286.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,176.75
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$591.13
|
| Rate for Payer: PHP Medicaid |
$288.04
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,320.72
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,056.58
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,380.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$832.95
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP DNSP |
$537.39
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: VA VA |
$537.39
|
|
|
HC REPAIR LIP AND BORDER
|
Facility
|
IP
|
$1,569.00
|
|
|
Service Code
|
CPT 40650
|
| Hospital Charge Code |
76100539
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,176.75 |
| Max. Negotiated Rate |
$1,569.00 |
| Rate for Payer: Aetna Commercial |
$1,412.10
|
| Rate for Payer: ASR ASR |
$1,521.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,288.46
|
| Rate for Payer: BCN Commercial |
$1,288.46
|
| Rate for Payer: Cash Price |
$1,255.20
|
| Rate for Payer: Cofinity Commercial |
$1,474.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,255.20
|
| Rate for Payer: Healthscope Commercial |
$1,521.93
|
| Rate for Payer: Healthscope Whirlpool |
$1,569.00
|
| Rate for Payer: Mclaren Commercial |
$1,412.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,333.65
|
| Rate for Payer: Nomi Health Commercial |
$1,286.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,176.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,380.72
|
|
|
HC REPAIR OF CIRCUMCISION
|
Facility
|
IP
|
$5,930.28
|
|
|
Service Code
|
CPT 54163
|
| Hospital Charge Code |
76100416
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,447.71 |
| Max. Negotiated Rate |
$5,930.28 |
| Rate for Payer: Aetna Commercial |
$5,337.25
|
| Rate for Payer: ASR ASR |
$5,752.37
|
| Rate for Payer: BCBS Trust/PPO |
$4,869.95
|
| Rate for Payer: BCN Commercial |
$4,869.95
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cofinity Commercial |
$5,574.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,744.22
|
| Rate for Payer: Healthscope Commercial |
$5,752.37
|
| Rate for Payer: Healthscope Whirlpool |
$5,930.28
|
| Rate for Payer: Mclaren Commercial |
$5,337.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,040.74
|
| Rate for Payer: Nomi Health Commercial |
$4,862.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,447.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,218.65
|
|
|
HC REPAIR OF CIRCUMCISION
|
Facility
|
OP
|
$5,930.28
|
|
|
Service Code
|
CPT 54163
|
| Hospital Charge Code |
76100416
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,089.34 |
| Max. Negotiated Rate |
$5,930.28 |
| Rate for Payer: Aetna Commercial |
$5,337.25
|
| Rate for Payer: Aetna Medicare |
$2,082.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,603.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,603.59
|
| Rate for Payer: ASR ASR |
$5,752.37
|
| Rate for Payer: BCBS Complete |
$1,143.91
|
| Rate for Payer: BCBS MAPPO |
$2,082.87
|
| Rate for Payer: BCBS Trust/PPO |
$4,889.52
|
| Rate for Payer: BCN Commercial |
$4,889.52
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.87
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cash Price |
$4,744.22
|
| Rate for Payer: Cofinity Commercial |
$5,574.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,744.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.87
|
| Rate for Payer: Healthscope Commercial |
$5,752.37
|
| Rate for Payer: Healthscope Whirlpool |
$5,930.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,082.87
|
| Rate for Payer: Mclaren Commercial |
$5,337.25
|
| Rate for Payer: Mclaren Medicaid |
$2,082.87
|
| Rate for Payer: Mclaren Medicare |
$2,082.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,187.01
|
| Rate for Payer: Meridian Medicaid |
$1,143.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,395.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,291.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,040.74
|
| Rate for Payer: Nomi Health Commercial |
$4,862.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,447.71
|
| Rate for Payer: PACE Medicare |
$1,978.73
|
| Rate for Payer: PACE SWMI |
$2,082.87
|
| Rate for Payer: PHP Commercial |
$2,291.16
|
| Rate for Payer: PHP Medicaid |
$1,116.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,196.11
|
| Rate for Payer: Priority Health Medicare |
$2,082.87
|
| Rate for Payer: Priority Health Narrow Network |
$4,157.13
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,218.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.87
|
| Rate for Payer: UHC Exchange |
$3,228.45
|
| Rate for Payer: UHC Medicaid |
$1,089.34
|
| Rate for Payer: UHCCP DNSP |
$2,082.87
|
| Rate for Payer: UHCCP Medicaid |
$1,089.34
|
| Rate for Payer: VA VA |
$2,082.87
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
IP
|
$4,983.22
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,737.41 |
| Max. Negotiated Rate |
$4,983.22 |
| Rate for Payer: Aetna Commercial |
$4,484.90
|
| Rate for Payer: ASR ASR |
$4,833.72
|
| Rate for Payer: BCBS Trust/PPO |
$4,092.22
|
| Rate for Payer: BCN Commercial |
$4,092.22
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cofinity Commercial |
$4,684.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,986.58
|
| Rate for Payer: Healthscope Commercial |
$4,833.72
|
| Rate for Payer: Healthscope Whirlpool |
$4,983.22
|
| Rate for Payer: Mclaren Commercial |
$4,484.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,235.74
|
| Rate for Payer: Nomi Health Commercial |
$4,086.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,737.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,385.23
|
|
|
HC REPAIR SINGLE ELECTRODE PACEMAKER OR ICD
|
Facility
|
OP
|
$4,983.22
|
|
|
Service Code
|
CPT 33218
|
| Hospital Charge Code |
36100569
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,947.40 |
| Max. Negotiated Rate |
$5,771.46 |
| Rate for Payer: Aetna Commercial |
$4,484.90
|
| Rate for Payer: Aetna Medicare |
$3,723.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,654.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,654.40
|
| Rate for Payer: ASR ASR |
$4,833.72
|
| Rate for Payer: BCBS Complete |
$2,044.96
|
| Rate for Payer: BCBS MAPPO |
$3,723.52
|
| Rate for Payer: BCBS Trust/PPO |
$4,108.66
|
| Rate for Payer: BCN Commercial |
$4,108.66
|
| Rate for Payer: BCN Medicare Advantage |
$3,723.52
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cash Price |
$3,986.58
|
| Rate for Payer: Cofinity Commercial |
$4,684.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,986.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,723.52
|
| Rate for Payer: Healthscope Commercial |
$4,833.72
|
| Rate for Payer: Healthscope Whirlpool |
$4,983.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,723.52
|
| Rate for Payer: Mclaren Commercial |
$4,484.90
|
| Rate for Payer: Mclaren Medicaid |
$3,723.52
|
| Rate for Payer: Mclaren Medicare |
$3,723.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,909.70
|
| Rate for Payer: Meridian Medicaid |
$2,044.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,282.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,095.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,235.74
|
| Rate for Payer: Nomi Health Commercial |
$4,086.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,737.41
|
| Rate for Payer: PACE Medicare |
$3,537.34
|
| Rate for Payer: PACE SWMI |
$3,723.52
|
| Rate for Payer: PHP Commercial |
$4,095.87
|
| Rate for Payer: PHP Medicaid |
$1,995.81
|
| Rate for Payer: PHP Medicare Advantage |
$3,723.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,947.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,366.30
|
| Rate for Payer: Priority Health Medicare |
$3,723.52
|
| Rate for Payer: Priority Health Narrow Network |
$3,493.24
|
| Rate for Payer: Railroad Medicare Medicare |
$3,723.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,385.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,723.52
|
| Rate for Payer: UHC Exchange |
$5,771.46
|
| Rate for Payer: UHC Medicaid |
$1,947.40
|
| Rate for Payer: UHCCP DNSP |
$3,723.52
|
| Rate for Payer: UHCCP Medicaid |
$1,947.40
|
| Rate for Payer: VA VA |
$3,723.52
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
IP
|
$197.79
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$148.34 |
| Max. Negotiated Rate |
$197.79 |
| Rate for Payer: Aetna Commercial |
$178.01
|
| Rate for Payer: ASR ASR |
$191.86
|
| Rate for Payer: BCBS Trust/PPO |
$162.43
|
| Rate for Payer: BCN Commercial |
$162.43
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cofinity Commercial |
$185.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$158.23
|
| Rate for Payer: Healthscope Commercial |
$191.86
|
| Rate for Payer: Healthscope Whirlpool |
$197.79
|
| Rate for Payer: Mclaren Commercial |
$178.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.12
|
| Rate for Payer: Nomi Health Commercial |
$162.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$148.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$174.06
|
|
|
HC REPAIR SPICA/BODY CAST
|
Facility
|
OP
|
$197.79
|
|
|
Service Code
|
CPT 29720
|
| Hospital Charge Code |
70000017
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$250.98 |
| Rate for Payer: Aetna Commercial |
$178.01
|
| Rate for Payer: Aetna Medicare |
$161.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: ASR ASR |
$191.86
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$163.08
|
| Rate for Payer: BCN Commercial |
$163.08
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cash Price |
$158.23
|
| Rate for Payer: Cofinity Commercial |
$185.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$158.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$191.86
|
| Rate for Payer: Healthscope Whirlpool |
$197.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$161.92
|
| Rate for Payer: Mclaren Commercial |
$178.01
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$88.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.12
|
| Rate for Payer: Nomi Health Commercial |
$162.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$148.34
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$178.11
|
| Rate for Payer: PHP Medicaid |
$86.79
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$173.30
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health Narrow Network |
$138.65
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$174.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP DNSP |
$161.92
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: VA VA |
$161.92
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
IP
|
$4,299.26
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$3,224.45 |
| Max. Negotiated Rate |
$4,299.26 |
| Rate for Payer: Aetna Commercial |
$3,869.33
|
| Rate for Payer: ASR ASR |
$4,170.28
|
| Rate for Payer: BCBS Trust/PPO |
$3,530.55
|
| Rate for Payer: BCN Commercial |
$3,530.55
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cofinity Commercial |
$4,041.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,439.41
|
| Rate for Payer: Healthscope Commercial |
$4,170.28
|
| Rate for Payer: Healthscope Whirlpool |
$4,299.26
|
| Rate for Payer: Mclaren Commercial |
$3,869.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,654.37
|
| Rate for Payer: Nomi Health Commercial |
$3,525.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,224.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,783.35
|
|
|
HC REPAIR TENDON HAND/FINGER
|
Facility
|
OP
|
$4,299.26
|
|
| Hospital Charge Code |
45000096
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,590.73 |
| Max. Negotiated Rate |
$4,299.26 |
| Rate for Payer: Aetna Commercial |
$3,869.33
|
| Rate for Payer: Aetna Medicare |
$1,590.73
|
| Rate for Payer: ASR ASR |
$4,170.28
|
| Rate for Payer: BCBS Complete |
$1,719.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,544.74
|
| Rate for Payer: BCN Commercial |
$3,544.74
|
| Rate for Payer: Cash Price |
$3,439.41
|
| Rate for Payer: Cofinity Commercial |
$4,041.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,439.41
|
| Rate for Payer: Healthscope Commercial |
$4,170.28
|
| Rate for Payer: Healthscope Whirlpool |
$4,299.26
|
| Rate for Payer: Mclaren Commercial |
$3,869.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,439.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,654.37
|
| Rate for Payer: Nomi Health Commercial |
$3,525.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,224.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,767.01
|
| Rate for Payer: Priority Health Narrow Network |
$3,013.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,783.35
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,675.08
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,256.31 |
| Max. Negotiated Rate |
$1,675.08 |
| Rate for Payer: Aetna Commercial |
$1,507.57
|
| Rate for Payer: ASR ASR |
$1,624.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,375.58
|
| Rate for Payer: BCN Commercial |
$1,375.58
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,574.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Healthscope Commercial |
$1,624.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,675.08
|
| Rate for Payer: Mclaren Commercial |
$1,507.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,474.07
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,675.08
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$820.32 |
| Max. Negotiated Rate |
$2,431.16 |
| Rate for Payer: Aetna Commercial |
$1,507.57
|
| Rate for Payer: Aetna Medicare |
$1,568.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: ASR ASR |
$1,624.83
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,381.10
|
| Rate for Payer: BCN Commercial |
$1,381.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cash Price |
$1,340.06
|
| Rate for Payer: Cofinity Commercial |
$1,574.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,340.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,624.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,675.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,568.49
|
| Rate for Payer: Mclaren Commercial |
$1,507.57
|
| Rate for Payer: Mclaren Medicaid |
$1,568.49
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$861.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,423.82
|
| Rate for Payer: Nomi Health Commercial |
$1,373.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,256.31
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,725.34
|
| Rate for Payer: PHP Medicaid |
$840.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,467.71
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,174.23
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,474.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$2,431.16
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP DNSP |
$1,568.49
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$68,097.72
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$51,073.29 |
| Max. Negotiated Rate |
$68,097.72 |
| Rate for Payer: Aetna Commercial |
$61,287.95
|
| Rate for Payer: ASR ASR |
$66,054.79
|
| Rate for Payer: BCBS Trust/PPO |
$55,921.85
|
| Rate for Payer: BCN Commercial |
$55,921.85
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cofinity Commercial |
$64,011.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,478.18
|
| Rate for Payer: Healthscope Commercial |
$66,054.79
|
| Rate for Payer: Healthscope Whirlpool |
$68,097.72
|
| Rate for Payer: Mclaren Commercial |
$61,287.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,883.06
|
| Rate for Payer: Nomi Health Commercial |
$55,840.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51,073.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59,925.99
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$68,097.72
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$68,097.72 |
| Rate for Payer: Aetna Commercial |
$61,287.95
|
| Rate for Payer: Aetna Medicare |
$25,196.16
|
| Rate for Payer: ASR ASR |
$66,054.79
|
| Rate for Payer: BCBS Complete |
$27,239.09
|
| Rate for Payer: BCBS Trust/PPO |
$56,146.57
|
| Rate for Payer: BCN Commercial |
$56,146.57
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cash Price |
$54,478.18
|
| Rate for Payer: Cofinity Commercial |
$64,011.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54,478.18
|
| Rate for Payer: Healthscope Commercial |
$66,054.79
|
| Rate for Payer: Healthscope Whirlpool |
$68,097.72
|
| Rate for Payer: Mclaren Commercial |
$61,287.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,478.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,883.06
|
| Rate for Payer: Nomi Health Commercial |
$55,840.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51,073.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59,925.99
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$64,914.10
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$64,914.10 |
| Rate for Payer: Aetna Commercial |
$58,422.69
|
| Rate for Payer: Aetna Medicare |
$24,018.22
|
| Rate for Payer: ASR ASR |
$62,966.68
|
| Rate for Payer: BCBS Complete |
$25,965.64
|
| Rate for Payer: BCBS Trust/PPO |
$53,521.68
|
| Rate for Payer: BCN Commercial |
$53,521.68
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cofinity Commercial |
$61,019.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51,931.28
|
| Rate for Payer: Healthscope Commercial |
$62,966.68
|
| Rate for Payer: Healthscope Whirlpool |
$64,914.10
|
| Rate for Payer: Mclaren Commercial |
$58,422.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,931.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,176.99
|
| Rate for Payer: Nomi Health Commercial |
$53,229.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48,685.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57,124.41
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$64,914.10
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$48,685.57 |
| Max. Negotiated Rate |
$64,914.10 |
| Rate for Payer: Aetna Commercial |
$58,422.69
|
| Rate for Payer: ASR ASR |
$62,966.68
|
| Rate for Payer: BCBS Trust/PPO |
$53,307.46
|
| Rate for Payer: BCN Commercial |
$53,307.46
|
| Rate for Payer: Cash Price |
$51,931.28
|
| Rate for Payer: Cofinity Commercial |
$61,019.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51,931.28
|
| Rate for Payer: Healthscope Commercial |
$62,966.68
|
| Rate for Payer: Healthscope Whirlpool |
$64,914.10
|
| Rate for Payer: Mclaren Commercial |
$58,422.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,176.99
|
| Rate for Payer: Nomi Health Commercial |
$53,229.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48,685.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57,124.41
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$71,281.34
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$71,281.34 |
| Rate for Payer: Aetna Commercial |
$64,153.21
|
| Rate for Payer: Aetna Medicare |
$26,374.10
|
| Rate for Payer: ASR ASR |
$69,142.90
|
| Rate for Payer: BCBS Complete |
$28,512.54
|
| Rate for Payer: BCBS Trust/PPO |
$58,771.46
|
| Rate for Payer: BCN Commercial |
$58,771.46
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cofinity Commercial |
$67,004.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,025.07
|
| Rate for Payer: Healthscope Commercial |
$69,142.90
|
| Rate for Payer: Healthscope Whirlpool |
$71,281.34
|
| Rate for Payer: Mclaren Commercial |
$64,153.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,025.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,589.14
|
| Rate for Payer: Nomi Health Commercial |
$58,450.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53,461.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$62,727.58
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$71,281.34
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$53,461.00 |
| Max. Negotiated Rate |
$71,281.34 |
| Rate for Payer: Aetna Commercial |
$64,153.21
|
| Rate for Payer: ASR ASR |
$69,142.90
|
| Rate for Payer: BCBS Trust/PPO |
$58,536.24
|
| Rate for Payer: BCN Commercial |
$58,536.24
|
| Rate for Payer: Cash Price |
$57,025.07
|
| Rate for Payer: Cofinity Commercial |
$67,004.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57,025.07
|
| Rate for Payer: Healthscope Commercial |
$69,142.90
|
| Rate for Payer: Healthscope Whirlpool |
$71,281.34
|
| Rate for Payer: Mclaren Commercial |
$64,153.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,589.14
|
| Rate for Payer: Nomi Health Commercial |
$58,450.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53,461.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$62,727.58
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$61,730.47
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$46,297.85 |
| Max. Negotiated Rate |
$61,730.47 |
| Rate for Payer: Aetna Commercial |
$55,557.42
|
| Rate for Payer: ASR ASR |
$59,878.56
|
| Rate for Payer: BCBS Trust/PPO |
$50,693.06
|
| Rate for Payer: BCN Commercial |
$50,693.06
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cofinity Commercial |
$58,026.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,384.38
|
| Rate for Payer: Healthscope Commercial |
$59,878.56
|
| Rate for Payer: Healthscope Whirlpool |
$61,730.47
|
| Rate for Payer: Mclaren Commercial |
$55,557.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,470.90
|
| Rate for Payer: Nomi Health Commercial |
$50,618.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46,297.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54,322.81
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$61,730.47
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$61,730.47 |
| Rate for Payer: Aetna Commercial |
$55,557.42
|
| Rate for Payer: Aetna Medicare |
$22,840.27
|
| Rate for Payer: ASR ASR |
$59,878.56
|
| Rate for Payer: BCBS Complete |
$24,692.19
|
| Rate for Payer: BCBS Trust/PPO |
$50,896.77
|
| Rate for Payer: BCN Commercial |
$50,896.77
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cash Price |
$49,384.38
|
| Rate for Payer: Cofinity Commercial |
$58,026.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49,384.38
|
| Rate for Payer: Healthscope Commercial |
$59,878.56
|
| Rate for Payer: Healthscope Whirlpool |
$61,730.47
|
| Rate for Payer: Mclaren Commercial |
$55,557.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,384.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,470.90
|
| Rate for Payer: Nomi Health Commercial |
$50,618.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46,297.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54,322.81
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$22,779.09
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,591.56 |
| Max. Negotiated Rate |
$34,353.56 |
| Rate for Payer: Aetna Commercial |
$20,501.18
|
| Rate for Payer: Aetna Medicare |
$22,163.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,704.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,704.49
|
| Rate for Payer: ASR ASR |
$22,095.72
|
| Rate for Payer: BCBS Complete |
$12,172.24
|
| Rate for Payer: BCBS MAPPO |
$22,163.59
|
| Rate for Payer: BCBS Trust/PPO |
$18,781.36
|
| Rate for Payer: BCN Commercial |
$18,781.36
|
| Rate for Payer: BCN Medicare Advantage |
$22,163.59
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cofinity Commercial |
$21,412.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,223.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,163.59
|
| Rate for Payer: Healthscope Commercial |
$22,095.72
|
| Rate for Payer: Healthscope Whirlpool |
$22,779.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,163.59
|
| Rate for Payer: Mclaren Commercial |
$20,501.18
|
| Rate for Payer: Mclaren Medicaid |
$22,163.59
|
| Rate for Payer: Mclaren Medicare |
$22,163.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,271.77
|
| Rate for Payer: Meridian Medicaid |
$12,172.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,488.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,379.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,362.23
|
| Rate for Payer: Nomi Health Commercial |
$18,678.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,084.32
|
| Rate for Payer: PACE Medicare |
$21,055.41
|
| Rate for Payer: PACE SWMI |
$22,163.59
|
| Rate for Payer: PHP Commercial |
$24,379.95
|
| Rate for Payer: PHP Medicaid |
$11,879.68
|
| Rate for Payer: PHP Medicare Advantage |
$22,163.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,591.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19,959.04
|
| Rate for Payer: Priority Health Medicare |
$22,163.59
|
| Rate for Payer: Priority Health Narrow Network |
$15,968.14
|
| Rate for Payer: Railroad Medicare Medicare |
$22,163.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20,045.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22,163.59
|
| Rate for Payer: UHC Exchange |
$34,353.56
|
| Rate for Payer: UHC Medicaid |
$11,591.56
|
| Rate for Payer: UHCCP DNSP |
$22,163.59
|
| Rate for Payer: UHCCP Medicaid |
$11,591.56
|
| Rate for Payer: VA VA |
$22,163.59
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$22,779.09
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$17,084.32 |
| Max. Negotiated Rate |
$22,779.09 |
| Rate for Payer: Aetna Commercial |
$20,501.18
|
| Rate for Payer: ASR ASR |
$22,095.72
|
| Rate for Payer: BCBS Trust/PPO |
$18,706.19
|
| Rate for Payer: BCN Commercial |
$18,706.19
|
| Rate for Payer: Cash Price |
$18,223.27
|
| Rate for Payer: Cofinity Commercial |
$21,412.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18,223.27
|
| Rate for Payer: Healthscope Commercial |
$22,095.72
|
| Rate for Payer: Healthscope Whirlpool |
$22,779.09
|
| Rate for Payer: Mclaren Commercial |
$20,501.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,362.23
|
| Rate for Payer: Nomi Health Commercial |
$18,678.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17,084.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20,045.60
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$17,250.21
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,937.66 |
| Max. Negotiated Rate |
$17,250.21 |
| Rate for Payer: Aetna Commercial |
$15,525.19
|
| Rate for Payer: ASR ASR |
$16,732.70
|
| Rate for Payer: BCBS Trust/PPO |
$14,165.87
|
| Rate for Payer: BCN Commercial |
$14,165.87
|
| Rate for Payer: Cash Price |
$13,800.17
|
| Rate for Payer: Cofinity Commercial |
$16,215.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,800.17
|
| Rate for Payer: Healthscope Commercial |
$16,732.70
|
| Rate for Payer: Healthscope Whirlpool |
$17,250.21
|
| Rate for Payer: Mclaren Commercial |
$15,525.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,662.68
|
| Rate for Payer: Nomi Health Commercial |
$14,145.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12,937.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,180.18
|
|
