|
HC ASPIRATION SIMPLE
|
Facility
|
OP
|
$406.40
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$162.56 |
| Max. Negotiated Rate |
$406.40 |
| Rate for Payer: Aetna Commercial |
$365.76
|
| Rate for Payer: ASR ASR |
$394.21
|
| Rate for Payer: BCBS Complete |
$162.56
|
| Rate for Payer: BCBS Trust/PPO |
$315.08
|
| Rate for Payer: BCN Commercial |
$315.08
|
| Rate for Payer: Cash Price |
$325.12
|
| Rate for Payer: Cofinity Commercial |
$382.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.12
|
| Rate for Payer: Healthscope Commercial |
$406.40
|
| Rate for Payer: Healthscope Whirlpool |
$394.21
|
| Rate for Payer: Mclaren Commercial |
$365.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$345.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.82
|
| Rate for Payer: Priority Health Narrow Network |
$288.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$357.63
|
|
|
HC ASPIRATION SIMPLE
|
Facility
|
IP
|
$406.40
|
|
| Hospital Charge Code |
45000031
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$284.48 |
| Max. Negotiated Rate |
$406.40 |
| Rate for Payer: Aetna Commercial |
$365.76
|
| Rate for Payer: ASR ASR |
$394.21
|
| Rate for Payer: BCBS Trust/PPO |
$315.08
|
| Rate for Payer: BCN Commercial |
$315.08
|
| Rate for Payer: Cash Price |
$325.12
|
| Rate for Payer: Cofinity Commercial |
$382.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.12
|
| Rate for Payer: Healthscope Commercial |
$406.40
|
| Rate for Payer: Healthscope Whirlpool |
$394.21
|
| Rate for Payer: Mclaren Commercial |
$365.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$345.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$357.63
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
IP
|
$484.17
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$338.92 |
| Max. Negotiated Rate |
$484.17 |
| Rate for Payer: Aetna Commercial |
$435.75
|
| Rate for Payer: ASR ASR |
$469.64
|
| Rate for Payer: BCBS Trust/PPO |
$375.38
|
| Rate for Payer: BCN Commercial |
$375.38
|
| Rate for Payer: Cash Price |
$387.34
|
| Rate for Payer: Cofinity Commercial |
$455.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.34
|
| Rate for Payer: Healthscope Commercial |
$484.17
|
| Rate for Payer: Healthscope Whirlpool |
$469.64
|
| Rate for Payer: Mclaren Commercial |
$435.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$411.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$426.07
|
|
|
HC ASPIRATION THYROID CYST
|
Facility
|
OP
|
$484.17
|
|
|
Service Code
|
CPT 60300
|
| Hospital Charge Code |
36100266
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$338.92 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$435.75
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$469.64
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$375.38
|
| Rate for Payer: BCN Commercial |
$375.38
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$387.34
|
| Rate for Payer: Cash Price |
$387.34
|
| Rate for Payer: Cofinity Commercial |
$455.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$387.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$484.17
|
| Rate for Payer: Healthscope Whirlpool |
$469.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$435.75
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$411.54
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.55
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$518.84
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$426.07
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
IP
|
$229.10
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$160.37 |
| Max. Negotiated Rate |
$229.10 |
| Rate for Payer: Aetna Commercial |
$206.19
|
| Rate for Payer: ASR ASR |
$222.23
|
| Rate for Payer: BCBS Trust/PPO |
$177.62
|
| Rate for Payer: BCN Commercial |
$177.62
|
| Rate for Payer: Cash Price |
$183.28
|
| Rate for Payer: Cofinity Commercial |
$215.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.28
|
| Rate for Payer: Healthscope Commercial |
$229.10
|
| Rate for Payer: Healthscope Whirlpool |
$222.23
|
| Rate for Payer: Mclaren Commercial |
$206.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$194.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.61
|
|
|
HC ASSMT & CARE PLN PT COG IMP
|
Facility
|
OP
|
$229.10
|
|
|
Service Code
|
CPT 99483
|
| Hospital Charge Code |
51000106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$43.34 |
| Max. Negotiated Rate |
$229.10 |
| Rate for Payer: Aetna Commercial |
$206.19
|
| Rate for Payer: Aetna Medicare |
$79.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.04
|
| Rate for Payer: ASR ASR |
$222.23
|
| Rate for Payer: BCBS Complete |
$45.51
|
| Rate for Payer: BCBS MAPPO |
$79.23
|
| Rate for Payer: BCBS Trust/PPO |
$177.62
|
| Rate for Payer: BCN Commercial |
$177.62
|
| Rate for Payer: BCN Medicare Advantage |
$79.23
|
| Rate for Payer: Cash Price |
$183.28
|
| Rate for Payer: Cash Price |
$183.28
|
| Rate for Payer: Cofinity Commercial |
$215.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.23
|
| Rate for Payer: Healthscope Commercial |
$229.10
|
| Rate for Payer: Healthscope Whirlpool |
$222.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$79.23
|
| Rate for Payer: Mclaren Commercial |
$206.19
|
| Rate for Payer: Mclaren Medicaid |
$43.34
|
| Rate for Payer: Mclaren Medicare |
$79.23
|
| Rate for Payer: Meridian Medicaid |
$45.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$194.74
|
| Rate for Payer: PACE Medicare |
$75.27
|
| Rate for Payer: PACE SWMI |
$79.23
|
| Rate for Payer: PHP Commercial |
$87.15
|
| Rate for Payer: PHP Medicaid |
$43.34
|
| Rate for Payer: PHP Medicare Advantage |
$79.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.98
|
| Rate for Payer: Priority Health Medicare |
$79.23
|
| Rate for Payer: Priority Health Narrow Network |
$61.58
|
| Rate for Payer: Railroad Medicare Medicare |
$79.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.61
|
| Rate for Payer: UHC Medicare Advantage |
$81.61
|
| Rate for Payer: VA VA |
$79.23
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
IP
|
$1,573.87
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$1,101.71 |
| Max. Negotiated Rate |
$1,573.87 |
| Rate for Payer: Aetna Commercial |
$1,416.48
|
| Rate for Payer: ASR ASR |
$1,526.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,220.22
|
| Rate for Payer: BCN Commercial |
$1,220.22
|
| Rate for Payer: Cash Price |
$1,259.10
|
| Rate for Payer: Cofinity Commercial |
$1,479.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,259.10
|
| Rate for Payer: Healthscope Commercial |
$1,573.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,526.65
|
| Rate for Payer: Mclaren Commercial |
$1,416.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,337.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,101.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,385.01
|
|
|
HC ASTIGMATISM CORRECT FXN IOL
|
Facility
|
OP
|
$1,573.87
|
|
|
Service Code
|
HCPCS V2787
|
| Hospital Charge Code |
27600002
|
|
Hospital Revenue Code
|
276
|
| Min. Negotiated Rate |
$629.55 |
| Max. Negotiated Rate |
$1,573.87 |
| Rate for Payer: Aetna Commercial |
$1,416.48
|
| Rate for Payer: ASR ASR |
$1,526.65
|
| Rate for Payer: BCBS Complete |
$629.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,220.22
|
| Rate for Payer: BCN Commercial |
$1,220.22
|
| Rate for Payer: Cash Price |
$1,259.10
|
| Rate for Payer: Cofinity Commercial |
$1,479.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,259.10
|
| Rate for Payer: Healthscope Commercial |
$1,573.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,526.65
|
| Rate for Payer: Mclaren Commercial |
$1,416.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,337.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,101.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,432.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,385.01
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
IP
|
$14,597.63
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,218.34 |
| Max. Negotiated Rate |
$14,597.63 |
| Rate for Payer: Aetna Commercial |
$13,137.87
|
| Rate for Payer: ASR ASR |
$14,159.70
|
| Rate for Payer: BCBS Trust/PPO |
$11,317.54
|
| Rate for Payer: BCN Commercial |
$11,317.54
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$13,721.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Healthscope Commercial |
$14,597.63
|
| Rate for Payer: Healthscope Whirlpool |
$14,159.70
|
| Rate for Payer: Mclaren Commercial |
$13,137.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,845.91
|
|
|
HC ATHERECT ABDOMINAL AORTA
|
Facility
|
OP
|
$14,597.63
|
|
|
Service Code
|
CPT 0236T
|
| Hospital Charge Code |
36100300
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,348.94 |
| Max. Negotiated Rate |
$14,597.63 |
| Rate for Payer: Aetna Commercial |
$13,137.87
|
| Rate for Payer: Aetna Medicare |
$9,778.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: ASR ASR |
$14,159.70
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$11,317.54
|
| Rate for Payer: BCN Commercial |
$11,317.54
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$13,721.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$14,597.63
|
| Rate for Payer: Healthscope Whirlpool |
$14,159.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,778.69
|
| Rate for Payer: Mclaren Commercial |
$13,137.87
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$10,756.56
|
| Rate for Payer: PHP Medicaid |
$5,348.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,283.84
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$10,364.32
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,845.91
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: VA VA |
$9,778.69
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
IP
|
$14,597.63
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,218.34 |
| Max. Negotiated Rate |
$14,597.63 |
| Rate for Payer: Aetna Commercial |
$13,137.87
|
| Rate for Payer: ASR ASR |
$14,159.70
|
| Rate for Payer: BCBS Trust/PPO |
$11,317.54
|
| Rate for Payer: BCN Commercial |
$11,317.54
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$13,721.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Healthscope Commercial |
$14,597.63
|
| Rate for Payer: Healthscope Whirlpool |
$14,159.70
|
| Rate for Payer: Mclaren Commercial |
$13,137.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,845.91
|
|
|
HC ATHERECT BRACHIOCEPHAL EA V
|
Facility
|
OP
|
$14,597.63
|
|
|
Service Code
|
CPT 0237T
|
| Hospital Charge Code |
36100301
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,348.94 |
| Max. Negotiated Rate |
$14,597.63 |
| Rate for Payer: Aetna Commercial |
$13,137.87
|
| Rate for Payer: Aetna Medicare |
$9,778.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: ASR ASR |
$14,159.70
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$11,317.54
|
| Rate for Payer: BCN Commercial |
$11,317.54
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cash Price |
$11,678.10
|
| Rate for Payer: Cofinity Commercial |
$13,721.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,678.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$14,597.63
|
| Rate for Payer: Healthscope Whirlpool |
$14,159.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,778.69
|
| Rate for Payer: Mclaren Commercial |
$13,137.87
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$12,407.99
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$10,756.56
|
| Rate for Payer: PHP Medicaid |
$5,348.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10,218.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,283.84
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$10,364.32
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,845.91
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: VA VA |
$9,778.69
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
OP
|
$11,848.47
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,293.93 |
| Max. Negotiated Rate |
$19,483.22 |
| Rate for Payer: Aetna Commercial |
$10,663.62
|
| Rate for Payer: Aetna Medicare |
$15,586.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,483.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,483.22
|
| Rate for Payer: ASR ASR |
$11,493.02
|
| Rate for Payer: BCBS Complete |
$8,952.93
|
| Rate for Payer: BCBS MAPPO |
$15,586.58
|
| Rate for Payer: BCBS Trust/PPO |
$9,186.12
|
| Rate for Payer: BCN Commercial |
$9,186.12
|
| Rate for Payer: BCN Medicare Advantage |
$15,586.58
|
| Rate for Payer: Cash Price |
$9,478.78
|
| Rate for Payer: Cash Price |
$9,478.78
|
| Rate for Payer: Cofinity Commercial |
$11,137.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,478.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,586.58
|
| Rate for Payer: Healthscope Commercial |
$11,848.47
|
| Rate for Payer: Healthscope Whirlpool |
$11,493.02
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,586.58
|
| Rate for Payer: Mclaren Commercial |
$10,663.62
|
| Rate for Payer: Mclaren Medicaid |
$8,525.86
|
| Rate for Payer: Mclaren Medicare |
$15,586.58
|
| Rate for Payer: Meridian Medicaid |
$8,952.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,365.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,924.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,071.20
|
| Rate for Payer: PACE Medicare |
$14,807.25
|
| Rate for Payer: PACE SWMI |
$15,586.58
|
| Rate for Payer: PHP Commercial |
$17,145.24
|
| Rate for Payer: PHP Medicaid |
$8,525.86
|
| Rate for Payer: PHP Medicare Advantage |
$15,586.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,525.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,293.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,782.11
|
| Rate for Payer: Priority Health Medicare |
$15,586.58
|
| Rate for Payer: Priority Health Narrow Network |
$8,412.41
|
| Rate for Payer: Railroad Medicare Medicare |
$15,586.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,426.65
|
| Rate for Payer: UHC Medicare Advantage |
$16,054.18
|
| Rate for Payer: VA VA |
$15,586.58
|
|
|
HC ATHERECT ILIAC ARTERY EA VE
|
Facility
|
IP
|
$11,848.47
|
|
|
Service Code
|
CPT 0238T
|
| Hospital Charge Code |
36100302
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,293.93 |
| Max. Negotiated Rate |
$11,848.47 |
| Rate for Payer: Aetna Commercial |
$10,663.62
|
| Rate for Payer: ASR ASR |
$11,493.02
|
| Rate for Payer: BCBS Trust/PPO |
$9,186.12
|
| Rate for Payer: BCN Commercial |
$9,186.12
|
| Rate for Payer: Cash Price |
$9,478.78
|
| Rate for Payer: Cofinity Commercial |
$11,137.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,478.78
|
| Rate for Payer: Healthscope Commercial |
$11,848.47
|
| Rate for Payer: Healthscope Whirlpool |
$11,493.02
|
| Rate for Payer: Mclaren Commercial |
$10,663.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,071.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,293.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,426.65
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
OP
|
$12,716.17
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,348.94 |
| Max. Negotiated Rate |
$12,716.17 |
| Rate for Payer: Aetna Commercial |
$11,444.55
|
| Rate for Payer: Aetna Medicare |
$9,778.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,223.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,223.36
|
| Rate for Payer: ASR ASR |
$12,334.68
|
| Rate for Payer: BCBS Complete |
$5,616.88
|
| Rate for Payer: BCBS MAPPO |
$9,778.69
|
| Rate for Payer: BCBS Trust/PPO |
$9,858.85
|
| Rate for Payer: BCN Commercial |
$9,858.85
|
| Rate for Payer: BCN Medicare Advantage |
$9,778.69
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$11,953.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,778.69
|
| Rate for Payer: Healthscope Commercial |
$12,716.17
|
| Rate for Payer: Healthscope Whirlpool |
$12,334.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,778.69
|
| Rate for Payer: Mclaren Commercial |
$11,444.55
|
| Rate for Payer: Mclaren Medicaid |
$5,348.94
|
| Rate for Payer: Mclaren Medicare |
$9,778.69
|
| Rate for Payer: Meridian Medicaid |
$5,616.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,267.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,245.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: PACE Medicare |
$9,289.76
|
| Rate for Payer: PACE SWMI |
$9,778.69
|
| Rate for Payer: PHP Commercial |
$10,756.56
|
| Rate for Payer: PHP Medicaid |
$5,348.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,778.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,348.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,571.71
|
| Rate for Payer: Priority Health Medicare |
$9,778.69
|
| Rate for Payer: Priority Health Narrow Network |
$9,028.48
|
| Rate for Payer: Railroad Medicare Medicare |
$9,778.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,190.23
|
| Rate for Payer: UHC Medicare Advantage |
$10,072.05
|
| Rate for Payer: VA VA |
$9,778.69
|
|
|
HC ATHERECTOMY RENAL ARTERY
|
Facility
|
IP
|
$12,716.17
|
|
|
Service Code
|
CPT 0234T
|
| Hospital Charge Code |
36100304
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,901.32 |
| Max. Negotiated Rate |
$12,716.17 |
| Rate for Payer: Aetna Commercial |
$11,444.55
|
| Rate for Payer: ASR ASR |
$12,334.68
|
| Rate for Payer: BCBS Trust/PPO |
$9,858.85
|
| Rate for Payer: BCN Commercial |
$9,858.85
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$11,953.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Healthscope Commercial |
$12,716.17
|
| Rate for Payer: Healthscope Whirlpool |
$12,334.68
|
| Rate for Payer: Mclaren Commercial |
$11,444.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,190.23
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
OP
|
$12,716.17
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,086.47 |
| Max. Negotiated Rate |
$12,716.17 |
| Rate for Payer: Aetna Commercial |
$11,444.55
|
| Rate for Payer: ASR ASR |
$12,334.68
|
| Rate for Payer: BCBS Complete |
$5,086.47
|
| Rate for Payer: BCBS Trust/PPO |
$9,858.85
|
| Rate for Payer: BCN Commercial |
$9,858.85
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$11,953.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Healthscope Commercial |
$12,716.17
|
| Rate for Payer: Healthscope Whirlpool |
$12,334.68
|
| Rate for Payer: Mclaren Commercial |
$11,444.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,571.71
|
| Rate for Payer: Priority Health Narrow Network |
$9,028.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,190.23
|
|
|
HC ATHERECT VISCERAL EACH VESS
|
Facility
|
IP
|
$12,716.17
|
|
|
Service Code
|
CPT 0235T
|
| Hospital Charge Code |
36100303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,901.32 |
| Max. Negotiated Rate |
$12,716.17 |
| Rate for Payer: Aetna Commercial |
$11,444.55
|
| Rate for Payer: ASR ASR |
$12,334.68
|
| Rate for Payer: BCBS Trust/PPO |
$9,858.85
|
| Rate for Payer: BCN Commercial |
$9,858.85
|
| Rate for Payer: Cash Price |
$10,172.94
|
| Rate for Payer: Cofinity Commercial |
$11,953.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,172.94
|
| Rate for Payer: Healthscope Commercial |
$12,716.17
|
| Rate for Payer: Healthscope Whirlpool |
$12,334.68
|
| Rate for Payer: Mclaren Commercial |
$11,444.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$10,808.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,901.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,190.23
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
OP
|
$2,206.32
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$882.53 |
| Max. Negotiated Rate |
$2,206.32 |
| Rate for Payer: Aetna Commercial |
$1,985.69
|
| Rate for Payer: ASR ASR |
$2,140.13
|
| Rate for Payer: BCBS Complete |
$882.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,710.56
|
| Rate for Payer: BCN Commercial |
$1,710.56
|
| Rate for Payer: Cash Price |
$1,765.06
|
| Rate for Payer: Cofinity Commercial |
$2,073.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,765.06
|
| Rate for Payer: Healthscope Commercial |
$2,206.32
|
| Rate for Payer: Healthscope Whirlpool |
$2,140.13
|
| Rate for Payer: Mclaren Commercial |
$1,985.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,875.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,544.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,007.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,566.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,941.56
|
|
|
HC ATS NON OPEN HEART
|
Facility
|
IP
|
$2,206.32
|
|
| Hospital Charge Code |
27000088
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,544.42 |
| Max. Negotiated Rate |
$2,206.32 |
| Rate for Payer: Aetna Commercial |
$1,985.69
|
| Rate for Payer: ASR ASR |
$2,140.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,710.56
|
| Rate for Payer: BCN Commercial |
$1,710.56
|
| Rate for Payer: Cash Price |
$1,765.06
|
| Rate for Payer: Cofinity Commercial |
$2,073.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,765.06
|
| Rate for Payer: Healthscope Commercial |
$2,206.32
|
| Rate for Payer: Healthscope Whirlpool |
$2,140.13
|
| Rate for Payer: Mclaren Commercial |
$1,985.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,875.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,544.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,941.56
|
|
|
HC ATS STAND BY HR
|
Facility
|
OP
|
$1,506.99
|
|
| Hospital Charge Code |
27000089
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$602.80 |
| Max. Negotiated Rate |
$1,506.99 |
| Rate for Payer: Aetna Commercial |
$1,356.29
|
| Rate for Payer: ASR ASR |
$1,461.78
|
| Rate for Payer: BCBS Complete |
$602.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.37
|
| Rate for Payer: BCN Commercial |
$1,168.37
|
| Rate for Payer: Cash Price |
$1,205.59
|
| Rate for Payer: Cofinity Commercial |
$1,416.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,205.59
|
| Rate for Payer: Healthscope Commercial |
$1,506.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,461.78
|
| Rate for Payer: Mclaren Commercial |
$1,356.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,280.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,054.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,371.36
|
| Rate for Payer: Priority Health Narrow Network |
$1,069.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,326.15
|
|
|
HC ATS STAND BY HR
|
Facility
|
IP
|
$1,506.99
|
|
| Hospital Charge Code |
27000089
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,054.89 |
| Max. Negotiated Rate |
$1,506.99 |
| Rate for Payer: Aetna Commercial |
$1,356.29
|
| Rate for Payer: ASR ASR |
$1,461.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.37
|
| Rate for Payer: BCN Commercial |
$1,168.37
|
| Rate for Payer: Cash Price |
$1,205.59
|
| Rate for Payer: Cofinity Commercial |
$1,416.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,205.59
|
| Rate for Payer: Healthscope Commercial |
$1,506.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,461.78
|
| Rate for Payer: Mclaren Commercial |
$1,356.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,280.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,054.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,326.15
|
|
|
HC ATYPICAL PNEUMO EVAL C PNEUM
|
Facility
|
OP
|
$15.30
|
|
|
Service Code
|
CPT 86631
|
| Hospital Charge Code |
30200240
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.47 |
| Max. Negotiated Rate |
$15.30 |
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Medicare |
$11.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.78
|
| Rate for Payer: ASR ASR |
$14.84
|
| Rate for Payer: BCBS Complete |
$6.79
|
| Rate for Payer: BCBS MAPPO |
$11.82
|
| Rate for Payer: BCBS Trust/PPO |
$11.86
|
| Rate for Payer: BCN Commercial |
$11.86
|
| Rate for Payer: BCN Medicare Advantage |
$11.82
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$14.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.82
|
| Rate for Payer: Healthscope Commercial |
$15.30
|
| Rate for Payer: Healthscope Whirlpool |
$14.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$11.82
|
| Rate for Payer: Mclaren Commercial |
$13.77
|
| Rate for Payer: Mclaren Medicaid |
$6.47
|
| Rate for Payer: Mclaren Medicare |
$11.82
|
| Rate for Payer: Meridian Medicaid |
$6.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.00
|
| Rate for Payer: PACE Medicare |
$11.23
|
| Rate for Payer: PACE SWMI |
$11.82
|
| Rate for Payer: PHP Commercial |
$13.00
|
| Rate for Payer: PHP Medicaid |
$6.47
|
| Rate for Payer: PHP Medicare Advantage |
$11.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.92
|
| Rate for Payer: Priority Health Medicare |
$11.82
|
| Rate for Payer: Priority Health Narrow Network |
$10.86
|
| Rate for Payer: Railroad Medicare Medicare |
$11.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.46
|
| Rate for Payer: UHC Medicare Advantage |
$12.17
|
| Rate for Payer: VA VA |
$11.82
|
|
|
HC ATYPICAL PNEUMO EVAL C PNEUM
|
Facility
|
IP
|
$15.30
|
|
|
Service Code
|
CPT 86631
|
| Hospital Charge Code |
30200240
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.71 |
| Max. Negotiated Rate |
$15.30 |
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: ASR ASR |
$14.84
|
| Rate for Payer: BCBS Trust/PPO |
$11.86
|
| Rate for Payer: BCN Commercial |
$11.86
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$14.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Healthscope Commercial |
$15.30
|
| Rate for Payer: Healthscope Whirlpool |
$14.84
|
| Rate for Payer: Mclaren Commercial |
$13.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.46
|
|
|
HC ATYPICAL PNEUMO EVAL C PNEUM IGM
|
Facility
|
OP
|
$15.30
|
|
|
Service Code
|
CPT 86632
|
| Hospital Charge Code |
30200243
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.94 |
| Max. Negotiated Rate |
$15.85 |
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Medicare |
$12.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.85
|
| Rate for Payer: ASR ASR |
$14.84
|
| Rate for Payer: BCBS Complete |
$7.28
|
| Rate for Payer: BCBS MAPPO |
$12.68
|
| Rate for Payer: BCBS Trust/PPO |
$11.86
|
| Rate for Payer: BCN Commercial |
$11.86
|
| Rate for Payer: BCN Medicare Advantage |
$12.68
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cash Price |
$12.24
|
| Rate for Payer: Cofinity Commercial |
$14.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.68
|
| Rate for Payer: Healthscope Commercial |
$15.30
|
| Rate for Payer: Healthscope Whirlpool |
$14.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.68
|
| Rate for Payer: Mclaren Commercial |
$13.77
|
| Rate for Payer: Mclaren Medicaid |
$6.94
|
| Rate for Payer: Mclaren Medicare |
$12.68
|
| Rate for Payer: Meridian Medicaid |
$7.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.00
|
| Rate for Payer: PACE Medicare |
$12.05
|
| Rate for Payer: PACE SWMI |
$12.68
|
| Rate for Payer: PHP Commercial |
$13.95
|
| Rate for Payer: PHP Medicaid |
$6.94
|
| Rate for Payer: PHP Medicare Advantage |
$12.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.92
|
| Rate for Payer: Priority Health Medicare |
$12.68
|
| Rate for Payer: Priority Health Narrow Network |
$10.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.46
|
| Rate for Payer: UHC Medicare Advantage |
$13.06
|
| Rate for Payer: VA VA |
$12.68
|
|
