|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
OP
|
$1,642.24
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$815.81 |
| Max. Negotiated Rate |
$2,359.15 |
| Rate for Payer: Aetna Commercial |
$1,478.02
|
| Rate for Payer: Aetna Medicare |
$1,522.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,902.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,902.54
|
| Rate for Payer: ASR ASR |
$1,592.97
|
| Rate for Payer: ASR Commercial |
$1,592.97
|
| Rate for Payer: BCBS Complete |
$856.60
|
| Rate for Payer: BCBS MAPPO |
$1,522.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,344.83
|
| Rate for Payer: BCN Commercial |
$1,273.23
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.03
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cofinity Commercial |
$1,543.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.03
|
| Rate for Payer: Healthscope Commercial |
$1,642.24
|
| Rate for Payer: Healthscope Whirlpool |
$1,592.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,522.03
|
| Rate for Payer: Mclaren Commercial |
$1,478.02
|
| Rate for Payer: Mclaren Medicaid |
$815.81
|
| Rate for Payer: Mclaren Medicare |
$1,522.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.13
|
| Rate for Payer: Meridian Medicaid |
$856.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,750.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.90
|
| Rate for Payer: Nomi Health Commercial |
$1,346.64
|
| Rate for Payer: PACE Medicare |
$1,445.93
|
| Rate for Payer: PACE SWMI |
$1,522.03
|
| Rate for Payer: PHP Commercial |
$1,674.23
|
| Rate for Payer: PHP Medicaid |
$815.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$815.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,067.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,438.93
|
| Rate for Payer: Priority Health Medicare |
$1,522.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,151.21
|
| Rate for Payer: Railroad Medicare Medicare |
$1,522.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,445.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.03
|
| Rate for Payer: UHC Exchange |
$2,359.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.03
|
| Rate for Payer: UHCCP DNSP |
$1,522.03
|
| Rate for Payer: UHCCP Medicaid |
$815.81
|
| Rate for Payer: VA VA |
$1,522.03
|
|
|
HC REPAZ CVAD WITH PORT OR PUMP
|
Facility
|
IP
|
$1,642.24
|
|
|
Service Code
|
CPT 36576
|
| Hospital Charge Code |
36100132
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,067.46 |
| Max. Negotiated Rate |
$1,642.24 |
| Rate for Payer: Aetna Commercial |
$1,478.02
|
| Rate for Payer: ASR ASR |
$1,592.97
|
| Rate for Payer: ASR Commercial |
$1,592.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,338.26
|
| Rate for Payer: BCN Commercial |
$1,273.23
|
| Rate for Payer: Cash Price |
$1,313.79
|
| Rate for Payer: Cofinity Commercial |
$1,543.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,313.79
|
| Rate for Payer: Healthscope Commercial |
$1,642.24
|
| Rate for Payer: Healthscope Whirlpool |
$1,592.97
|
| Rate for Payer: Mclaren Commercial |
$1,478.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.90
|
| Rate for Payer: Nomi Health Commercial |
$1,346.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,067.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,445.17
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
OP
|
$66,762.47
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$66,762.47 |
| Rate for Payer: Aetna Commercial |
$60,086.22
|
| Rate for Payer: Aetna Medicare |
$33,381.24
|
| Rate for Payer: ASR ASR |
$64,759.60
|
| Rate for Payer: ASR Commercial |
$64,759.60
|
| Rate for Payer: BCBS Complete |
$26,704.99
|
| Rate for Payer: BCBS Trust/PPO |
$54,671.79
|
| Rate for Payer: BCN Commercial |
$51,760.94
|
| Rate for Payer: Cash Price |
$53,409.98
|
| Rate for Payer: Cash Price |
$53,409.98
|
| Rate for Payer: Cofinity Commercial |
$62,756.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53,409.98
|
| Rate for Payer: Healthscope Commercial |
$66,762.47
|
| Rate for Payer: Healthscope Whirlpool |
$64,759.60
|
| Rate for Payer: Mclaren Commercial |
$60,086.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,748.10
|
| Rate for Payer: Nomi Health Commercial |
$54,745.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,395.61
|
| Rate for Payer: 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 |
$58,750.97
|
|
|
HC REPLACE AORTIC VALVE OPEN AXILLRY ARTERY APPR
|
Facility
|
IP
|
$66,762.47
|
|
|
Service Code
|
CPT 33363
|
| Hospital Charge Code |
48100119
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$43,395.61 |
| Max. Negotiated Rate |
$66,762.47 |
| Rate for Payer: Aetna Commercial |
$60,086.22
|
| Rate for Payer: ASR ASR |
$64,759.60
|
| Rate for Payer: ASR Commercial |
$64,759.60
|
| Rate for Payer: BCBS Trust/PPO |
$54,404.74
|
| Rate for Payer: BCN Commercial |
$51,760.94
|
| Rate for Payer: Cash Price |
$53,409.98
|
| Rate for Payer: Cofinity Commercial |
$62,756.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53,409.98
|
| Rate for Payer: Healthscope Commercial |
$66,762.47
|
| Rate for Payer: Healthscope Whirlpool |
$64,759.60
|
| Rate for Payer: Mclaren Commercial |
$60,086.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,748.10
|
| Rate for Payer: Nomi Health Commercial |
$54,745.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43,395.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58,750.97
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
IP
|
$63,641.27
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$41,366.83 |
| Max. Negotiated Rate |
$63,641.27 |
| Rate for Payer: Aetna Commercial |
$57,277.14
|
| Rate for Payer: ASR ASR |
$61,732.03
|
| Rate for Payer: ASR Commercial |
$61,732.03
|
| Rate for Payer: BCBS Trust/PPO |
$51,861.27
|
| Rate for Payer: BCN Commercial |
$49,341.08
|
| Rate for Payer: Cash Price |
$50,913.02
|
| Rate for Payer: Cofinity Commercial |
$59,822.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50,913.02
|
| Rate for Payer: Healthscope Commercial |
$63,641.27
|
| Rate for Payer: Healthscope Whirlpool |
$61,732.03
|
| Rate for Payer: Mclaren Commercial |
$57,277.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,095.08
|
| Rate for Payer: Nomi Health Commercial |
$52,185.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,366.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56,004.32
|
|
|
HC REPLACE AORTIC VALVE OPEN FEMORAL ARTERY APPR
|
Facility
|
OP
|
$63,641.27
|
|
|
Service Code
|
CPT 33362
|
| Hospital Charge Code |
48100118
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$63,641.27 |
| Rate for Payer: Aetna Commercial |
$57,277.14
|
| Rate for Payer: Aetna Medicare |
$31,820.64
|
| Rate for Payer: ASR ASR |
$61,732.03
|
| Rate for Payer: ASR Commercial |
$61,732.03
|
| Rate for Payer: BCBS Complete |
$25,456.51
|
| Rate for Payer: BCBS Trust/PPO |
$52,115.84
|
| Rate for Payer: BCN Commercial |
$49,341.08
|
| Rate for Payer: Cash Price |
$50,913.02
|
| Rate for Payer: Cash Price |
$50,913.02
|
| Rate for Payer: Cofinity Commercial |
$59,822.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50,913.02
|
| Rate for Payer: Healthscope Commercial |
$63,641.27
|
| Rate for Payer: Healthscope Whirlpool |
$61,732.03
|
| Rate for Payer: Mclaren Commercial |
$57,277.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,095.08
|
| Rate for Payer: Nomi Health Commercial |
$52,185.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41,366.83
|
| Rate for Payer: 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 |
$56,004.32
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
OP
|
$69,883.67
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$69,883.67 |
| Rate for Payer: Aetna Commercial |
$62,895.30
|
| Rate for Payer: Aetna Medicare |
$34,941.84
|
| Rate for Payer: ASR ASR |
$67,787.16
|
| Rate for Payer: ASR Commercial |
$67,787.16
|
| Rate for Payer: BCBS Complete |
$27,953.47
|
| Rate for Payer: BCBS Trust/PPO |
$57,227.74
|
| Rate for Payer: BCN Commercial |
$54,180.81
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$65,690.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55,906.94
|
| Rate for Payer: Healthscope Commercial |
$69,883.67
|
| Rate for Payer: Healthscope Whirlpool |
$67,787.16
|
| Rate for Payer: Mclaren Commercial |
$62,895.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,401.12
|
| Rate for Payer: Nomi Health Commercial |
$57,304.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,424.39
|
| Rate for Payer: 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 |
$61,497.63
|
|
|
HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPR
|
Facility
|
IP
|
$69,883.67
|
|
|
Service Code
|
CPT 33364
|
| Hospital Charge Code |
48100120
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$45,424.39 |
| Max. Negotiated Rate |
$69,883.67 |
| Rate for Payer: Aetna Commercial |
$62,895.30
|
| Rate for Payer: ASR ASR |
$67,787.16
|
| Rate for Payer: ASR Commercial |
$67,787.16
|
| Rate for Payer: BCBS Trust/PPO |
$56,948.20
|
| Rate for Payer: BCN Commercial |
$54,180.81
|
| Rate for Payer: Cash Price |
$55,906.94
|
| Rate for Payer: Cofinity Commercial |
$65,690.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55,906.94
|
| Rate for Payer: Healthscope Commercial |
$69,883.67
|
| Rate for Payer: Healthscope Whirlpool |
$67,787.16
|
| Rate for Payer: Mclaren Commercial |
$62,895.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,401.12
|
| Rate for Payer: Nomi Health Commercial |
$57,304.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45,424.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$61,497.63
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
IP
|
$60,520.07
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$39,338.05 |
| Max. Negotiated Rate |
$60,520.07 |
| Rate for Payer: Aetna Commercial |
$54,468.06
|
| Rate for Payer: ASR ASR |
$58,704.47
|
| Rate for Payer: ASR Commercial |
$58,704.47
|
| Rate for Payer: BCBS Trust/PPO |
$49,317.81
|
| Rate for Payer: BCN Commercial |
$46,921.21
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$56,888.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48,416.06
|
| Rate for Payer: Healthscope Commercial |
$60,520.07
|
| Rate for Payer: Healthscope Whirlpool |
$58,704.47
|
| Rate for Payer: Mclaren Commercial |
$54,468.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,442.06
|
| Rate for Payer: Nomi Health Commercial |
$49,626.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39,338.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53,257.66
|
|
|
HC REPLACE AORTIC VALVE PERC FEMORAL ARTERY APPR
|
Facility
|
OP
|
$60,520.07
|
|
|
Service Code
|
CPT 33361
|
| Hospital Charge Code |
48100117
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$60,520.07 |
| Rate for Payer: Aetna Commercial |
$54,468.06
|
| Rate for Payer: Aetna Medicare |
$30,260.04
|
| Rate for Payer: ASR ASR |
$58,704.47
|
| Rate for Payer: ASR Commercial |
$58,704.47
|
| Rate for Payer: BCBS Complete |
$24,208.03
|
| Rate for Payer: BCBS Trust/PPO |
$49,559.89
|
| Rate for Payer: BCN Commercial |
$46,921.21
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cash Price |
$48,416.06
|
| Rate for Payer: Cofinity Commercial |
$56,888.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48,416.06
|
| Rate for Payer: Healthscope Commercial |
$60,520.07
|
| Rate for Payer: Healthscope Whirlpool |
$58,704.47
|
| Rate for Payer: Mclaren Commercial |
$54,468.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,442.06
|
| Rate for Payer: Nomi Health Commercial |
$49,626.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39,338.05
|
| Rate for Payer: 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 |
$53,257.66
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
IP
|
$21,694.37
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$14,101.34 |
| Max. Negotiated Rate |
$21,694.37 |
| Rate for Payer: Aetna Commercial |
$19,524.93
|
| Rate for Payer: ASR ASR |
$21,043.54
|
| Rate for Payer: ASR Commercial |
$21,043.54
|
| Rate for Payer: BCBS Trust/PPO |
$17,678.74
|
| Rate for Payer: BCN Commercial |
$16,819.65
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cofinity Commercial |
$20,392.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,355.50
|
| Rate for Payer: Healthscope Commercial |
$21,694.37
|
| Rate for Payer: Healthscope Whirlpool |
$21,043.54
|
| Rate for Payer: Mclaren Commercial |
$19,524.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,440.21
|
| Rate for Payer: Nomi Health Commercial |
$17,789.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,101.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,091.05
|
|
|
HC REPLACE DUAL CHAMBER ICD
|
Facility
|
OP
|
$21,694.37
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
36100358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,787.89 |
| Max. Negotiated Rate |
$34,088.11 |
| Rate for Payer: Aetna Commercial |
$19,524.93
|
| Rate for Payer: Aetna Medicare |
$21,992.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,490.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,490.41
|
| Rate for Payer: ASR ASR |
$21,043.54
|
| Rate for Payer: ASR Commercial |
$21,043.54
|
| Rate for Payer: BCBS Complete |
$12,377.28
|
| Rate for Payer: BCBS MAPPO |
$21,992.33
|
| Rate for Payer: BCBS Trust/PPO |
$17,765.52
|
| Rate for Payer: BCN Commercial |
$16,819.65
|
| Rate for Payer: BCN Medicare Advantage |
$21,992.33
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cash Price |
$17,355.50
|
| Rate for Payer: Cofinity Commercial |
$20,392.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,355.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,992.33
|
| Rate for Payer: Healthscope Commercial |
$21,694.37
|
| Rate for Payer: Healthscope Whirlpool |
$21,043.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,992.33
|
| Rate for Payer: Mclaren Commercial |
$19,524.93
|
| Rate for Payer: Mclaren Medicaid |
$11,787.89
|
| Rate for Payer: Mclaren Medicare |
$21,992.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,091.95
|
| Rate for Payer: Meridian Medicaid |
$12,377.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,291.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,440.21
|
| Rate for Payer: Nomi Health Commercial |
$17,789.38
|
| Rate for Payer: PACE Medicare |
$20,892.71
|
| Rate for Payer: PACE SWMI |
$21,992.33
|
| Rate for Payer: PHP Commercial |
$24,191.56
|
| Rate for Payer: PHP Medicaid |
$11,787.89
|
| Rate for Payer: PHP Medicare Advantage |
$21,992.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,787.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14,101.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,008.61
|
| Rate for Payer: Priority Health Medicare |
$21,992.33
|
| Rate for Payer: Priority Health Narrow Network |
$15,207.75
|
| Rate for Payer: Railroad Medicare Medicare |
$21,992.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,091.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,992.33
|
| Rate for Payer: UHC Exchange |
$34,088.11
|
| Rate for Payer: UHC Medicare Advantage |
$21,992.33
|
| Rate for Payer: UHCCP DNSP |
$21,992.33
|
| Rate for Payer: UHCCP Medicaid |
$11,787.89
|
| Rate for Payer: VA VA |
$21,992.33
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
IP
|
$16,428.77
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,678.70 |
| Max. Negotiated Rate |
$16,428.77 |
| Rate for Payer: Aetna Commercial |
$14,785.89
|
| Rate for Payer: ASR ASR |
$15,935.91
|
| Rate for Payer: ASR Commercial |
$15,935.91
|
| Rate for Payer: BCBS Trust/PPO |
$13,387.80
|
| Rate for Payer: BCN Commercial |
$12,737.23
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cofinity Commercial |
$15,443.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,143.02
|
| Rate for Payer: Healthscope Commercial |
$16,428.77
|
| Rate for Payer: Healthscope Whirlpool |
$15,935.91
|
| Rate for Payer: Mclaren Commercial |
$14,785.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,964.45
|
| Rate for Payer: Nomi Health Commercial |
$13,471.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,678.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14,457.32
|
|
|
HC REPLACE DUAL CHAMBER PPM
|
Facility
|
OP
|
$16,428.77
|
|
|
Service Code
|
CPT 33228
|
| Hospital Charge Code |
36100355
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,495.99 |
| Max. Negotiated Rate |
$16,428.77 |
| Rate for Payer: Aetna Commercial |
$14,785.89
|
| Rate for Payer: Aetna Medicare |
$10,253.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,817.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,817.15
|
| Rate for Payer: ASR ASR |
$15,935.91
|
| Rate for Payer: ASR Commercial |
$15,935.91
|
| Rate for Payer: BCBS Complete |
$5,770.79
|
| Rate for Payer: BCBS MAPPO |
$10,253.72
|
| Rate for Payer: BCBS Trust/PPO |
$13,453.52
|
| Rate for Payer: BCN Commercial |
$12,737.23
|
| Rate for Payer: BCN Medicare Advantage |
$10,253.72
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cash Price |
$13,143.02
|
| Rate for Payer: Cofinity Commercial |
$15,443.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,143.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,253.72
|
| Rate for Payer: Healthscope Commercial |
$16,428.77
|
| Rate for Payer: Healthscope Whirlpool |
$15,935.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,253.72
|
| Rate for Payer: Mclaren Commercial |
$14,785.89
|
| Rate for Payer: Mclaren Medicaid |
$5,495.99
|
| Rate for Payer: Mclaren Medicare |
$10,253.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,766.41
|
| Rate for Payer: Meridian Medicaid |
$5,770.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,791.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,964.45
|
| Rate for Payer: Nomi Health Commercial |
$13,471.59
|
| Rate for Payer: PACE Medicare |
$9,741.03
|
| Rate for Payer: PACE SWMI |
$10,253.72
|
| Rate for Payer: PHP Commercial |
$11,279.09
|
| Rate for Payer: PHP Medicaid |
$5,495.99
|
| Rate for Payer: PHP Medicare Advantage |
$10,253.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,495.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,678.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,394.89
|
| Rate for Payer: Priority Health Medicare |
$10,253.72
|
| Rate for Payer: Priority Health Narrow Network |
$11,516.57
|
| Rate for Payer: Railroad Medicare Medicare |
$10,253.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14,457.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,253.72
|
| Rate for Payer: UHC Exchange |
$15,893.27
|
| Rate for Payer: UHC Medicare Advantage |
$10,253.72
|
| Rate for Payer: UHCCP DNSP |
$10,253.72
|
| Rate for Payer: UHCCP Medicaid |
$5,495.99
|
| Rate for Payer: VA VA |
$10,253.72
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
IP
|
$3,052.33
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,984.01 |
| Max. Negotiated Rate |
$3,052.33 |
| Rate for Payer: Aetna Commercial |
$2,747.10
|
| Rate for Payer: ASR ASR |
$2,960.76
|
| Rate for Payer: ASR Commercial |
$2,960.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,487.34
|
| Rate for Payer: BCN Commercial |
$2,366.47
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cofinity Commercial |
$2,869.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,441.86
|
| Rate for Payer: Healthscope Commercial |
$3,052.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,960.76
|
| Rate for Payer: Mclaren Commercial |
$2,747.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.48
|
| Rate for Payer: Nomi Health Commercial |
$2,502.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,984.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,686.05
|
|
|
HC REPLACEMENT CATH CVAD
|
Facility
|
OP
|
$3,052.33
|
|
|
Service Code
|
CPT 36578
|
| Hospital Charge Code |
36100133
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$2,747.10
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$2,960.76
|
| Rate for Payer: ASR Commercial |
$2,960.76
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,499.55
|
| Rate for Payer: BCN Commercial |
$2,366.47
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cash Price |
$2,441.86
|
| Rate for Payer: Cofinity Commercial |
$2,869.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,441.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$3,052.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,960.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$2,747.10
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,594.48
|
| Rate for Payer: Nomi Health Commercial |
$2,502.91
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,984.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,882.56
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$3,106.05
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,686.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
OP
|
$2,665.71
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$2,399.14
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$2,585.74
|
| Rate for Payer: ASR Commercial |
$2,585.74
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,182.95
|
| Rate for Payer: BCN Commercial |
$2,066.72
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cofinity Commercial |
$2,505.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,132.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$2,665.71
|
| Rate for Payer: Healthscope Whirlpool |
$2,585.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$2,399.14
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,265.85
|
| Rate for Payer: Nomi Health Commercial |
$2,185.88
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,335.70
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,868.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,345.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC REPLACEMENT COMPLETE CVAD WITH PORT
|
Facility
|
IP
|
$2,665.71
|
|
|
Service Code
|
CPT 36585
|
| Hospital Charge Code |
36100139
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,732.71 |
| Max. Negotiated Rate |
$2,665.71 |
| Rate for Payer: Aetna Commercial |
$2,399.14
|
| Rate for Payer: ASR ASR |
$2,585.74
|
| Rate for Payer: ASR Commercial |
$2,585.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,172.29
|
| Rate for Payer: BCN Commercial |
$2,066.72
|
| Rate for Payer: Cash Price |
$2,132.57
|
| Rate for Payer: Cofinity Commercial |
$2,505.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,132.57
|
| Rate for Payer: Healthscope Commercial |
$2,665.71
|
| Rate for Payer: Healthscope Whirlpool |
$2,585.74
|
| Rate for Payer: Mclaren Commercial |
$2,399.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,265.85
|
| Rate for Payer: Nomi Health Commercial |
$2,185.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,345.82
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
IP
|
$1,470.89
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$956.08 |
| Max. Negotiated Rate |
$1,470.89 |
| Rate for Payer: Aetna Commercial |
$1,323.80
|
| Rate for Payer: ASR ASR |
$1,426.76
|
| Rate for Payer: ASR Commercial |
$1,426.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,198.63
|
| Rate for Payer: BCN Commercial |
$1,140.38
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cofinity Commercial |
$1,382.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,176.71
|
| Rate for Payer: Healthscope Commercial |
$1,470.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,426.76
|
| Rate for Payer: Mclaren Commercial |
$1,323.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,250.26
|
| Rate for Payer: Nomi Health Commercial |
$1,206.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,294.38
|
|
|
HC REPLACEMENT COMPLETE NON TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$1,470.89
|
|
|
Service Code
|
CPT 36580
|
| Hospital Charge Code |
36100134
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$815.81 |
| Max. Negotiated Rate |
$2,359.15 |
| Rate for Payer: Aetna Commercial |
$1,323.80
|
| Rate for Payer: Aetna Medicare |
$1,522.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,902.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,902.54
|
| Rate for Payer: ASR ASR |
$1,426.76
|
| Rate for Payer: ASR Commercial |
$1,426.76
|
| Rate for Payer: BCBS Complete |
$856.60
|
| Rate for Payer: BCBS MAPPO |
$1,522.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,204.51
|
| Rate for Payer: BCN Commercial |
$1,140.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.03
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cash Price |
$1,176.71
|
| Rate for Payer: Cofinity Commercial |
$1,382.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,176.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.03
|
| Rate for Payer: Healthscope Commercial |
$1,470.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,426.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,522.03
|
| Rate for Payer: Mclaren Commercial |
$1,323.80
|
| Rate for Payer: Mclaren Medicaid |
$815.81
|
| Rate for Payer: Mclaren Medicare |
$1,522.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.13
|
| Rate for Payer: Meridian Medicaid |
$856.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,750.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,250.26
|
| Rate for Payer: Nomi Health Commercial |
$1,206.13
|
| Rate for Payer: PACE Medicare |
$1,445.93
|
| Rate for Payer: PACE SWMI |
$1,522.03
|
| Rate for Payer: PHP Commercial |
$1,674.23
|
| Rate for Payer: PHP Medicaid |
$815.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$815.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,288.79
|
| Rate for Payer: Priority Health Medicare |
$1,522.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,031.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,522.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,294.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.03
|
| Rate for Payer: UHC Exchange |
$2,359.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.03
|
| Rate for Payer: UHCCP DNSP |
$1,522.03
|
| Rate for Payer: UHCCP Medicaid |
$815.81
|
| Rate for Payer: VA VA |
$1,522.03
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
OP
|
$4,573.82
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$4,116.44
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$4,436.61
|
| Rate for Payer: ASR Commercial |
$4,436.61
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,745.50
|
| Rate for Payer: BCN Commercial |
$3,546.08
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$4,299.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$4,573.82
|
| Rate for Payer: Healthscope Whirlpool |
$4,436.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$4,116.44
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,007.58
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$3,206.25
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,024.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PORT
|
Facility
|
IP
|
$4,573.82
|
|
|
Service Code
|
CPT 36582
|
| Hospital Charge Code |
36100136
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,972.98 |
| Max. Negotiated Rate |
$4,573.82 |
| Rate for Payer: Aetna Commercial |
$4,116.44
|
| Rate for Payer: ASR ASR |
$4,436.61
|
| Rate for Payer: ASR Commercial |
$4,436.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,727.21
|
| Rate for Payer: BCN Commercial |
$3,546.08
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$4,299.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Healthscope Commercial |
$4,573.82
|
| Rate for Payer: Healthscope Whirlpool |
$4,436.61
|
| Rate for Payer: Mclaren Commercial |
$4,116.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,024.96
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
OP
|
$4,573.82
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,838.87 |
| Max. Negotiated Rate |
$8,209.42 |
| Rate for Payer: Aetna Commercial |
$4,116.44
|
| Rate for Payer: Aetna Medicare |
$5,296.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.50
|
| Rate for Payer: ASR ASR |
$4,436.61
|
| Rate for Payer: ASR Commercial |
$4,436.61
|
| Rate for Payer: BCBS Complete |
$2,980.81
|
| Rate for Payer: BCBS MAPPO |
$5,296.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,745.50
|
| Rate for Payer: BCN Commercial |
$3,546.08
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.40
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$4,299.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.40
|
| Rate for Payer: Healthscope Commercial |
$4,573.82
|
| Rate for Payer: Healthscope Whirlpool |
$4,436.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,296.40
|
| Rate for Payer: Mclaren Commercial |
$4,116.44
|
| Rate for Payer: Mclaren Medicaid |
$2,838.87
|
| Rate for Payer: Mclaren Medicare |
$5,296.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,561.22
|
| Rate for Payer: Meridian Medicaid |
$2,980.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: PACE Medicare |
$5,031.58
|
| Rate for Payer: PACE SWMI |
$5,296.40
|
| Rate for Payer: PHP Commercial |
$5,826.04
|
| Rate for Payer: PHP Medicaid |
$2,838.87
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,838.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,007.58
|
| Rate for Payer: Priority Health Medicare |
$5,296.40
|
| Rate for Payer: Priority Health Narrow Network |
$3,206.25
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,024.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.40
|
| Rate for Payer: UHC Exchange |
$8,209.42
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.40
|
| Rate for Payer: UHCCP DNSP |
$5,296.40
|
| Rate for Payer: UHCCP Medicaid |
$2,838.87
|
| Rate for Payer: VA VA |
$5,296.40
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVAD WITH PUMP
|
Facility
|
IP
|
$4,573.82
|
|
|
Service Code
|
CPT 36583
|
| Hospital Charge Code |
36100137
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,972.98 |
| Max. Negotiated Rate |
$4,573.82 |
| Rate for Payer: Aetna Commercial |
$4,116.44
|
| Rate for Payer: ASR ASR |
$4,436.61
|
| Rate for Payer: ASR Commercial |
$4,436.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,727.21
|
| Rate for Payer: BCN Commercial |
$3,546.08
|
| Rate for Payer: Cash Price |
$3,659.06
|
| Rate for Payer: Cofinity Commercial |
$4,299.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,659.06
|
| Rate for Payer: Healthscope Commercial |
$4,573.82
|
| Rate for Payer: Healthscope Whirlpool |
$4,436.61
|
| Rate for Payer: Mclaren Commercial |
$4,116.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,887.75
|
| Rate for Payer: Nomi Health Commercial |
$3,750.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,972.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,024.96
|
|
|
HC REPLACEMENT COMPLETE TUNNELED CVC WO PORT OR PUMP
|
Facility
|
OP
|
$3,292.89
|
|
|
Service Code
|
CPT 36581
|
| Hospital Charge Code |
36100135
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$2,963.60
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$3,194.10
|
| Rate for Payer: ASR Commercial |
$3,194.10
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,696.55
|
| Rate for Payer: BCN Commercial |
$2,552.98
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cash Price |
$2,634.31
|
| Rate for Payer: Cofinity Commercial |
$3,095.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,634.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$3,292.89
|
| Rate for Payer: Healthscope Whirlpool |
$3,194.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$2,963.60
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,798.96
|
| Rate for Payer: Nomi Health Commercial |
$2,700.17
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,140.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,885.23
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,308.32
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,897.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
