Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Group Therapy

Professional

Both

$30.00

Service Code	CPT 90853
Hospital Charge Code	2790853
Min. Negotiated Rate	$19.53
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Better Health CHIP/Medicaid	$23.32
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$24.41
Rate for Payer: Behavioral Services Network Commercial	$26.85
Rate for Payer: Behavioral Services Network Medicare	$24.41
Rate for Payer: Carelon Commercial/Medicare	$55.00
Rate for Payer: Carelon Commercial/Medicare	$35.00
Rate for Payer: Carelon Medicare	$24.41
Rate for Payer: Humana Commercial	$31.78
Rate for Payer: Humana Commercial	$34.23
Rate for Payer: Humana Commercial	$29.34
Rate for Payer: Humana Medicare	$34.23
Rate for Payer: Humana Medicare	$31.78
Rate for Payer: Humana Medicare	$29.34
Rate for Payer: Lucet Commercial	$19.53
Rate for Payer: Lucet Commercial	$23.19
Rate for Payer: Lucet Commercial	$21.97
Rate for Payer: Magellan Medicaid	$22.21
Rate for Payer: Molina Complete Care Medicaid/Medicare	$24.41
Rate for Payer: Prime Health Services Workers Comp	$42.92

Gynecologic Preventive Medicine

Facility

$0.22

Service Code	EAPG 00878
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.22
Rate for Payer: Sunshine Health Medicaid	$0.22

Headaches Other Than Migraine

Facility

$0.37

Service Code	EAPG 00530
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Sunshine Health Medicaid	$0.37

Head Trauma With Loc/Coma More Then 1 Hr

Facility

$1.10

Service Code	EAPG 00538
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Sunshine Health Medicaid	$1.10

Head Trauma With Or Without Loc/Coma Less Than 1 Hr

Facility

$0.49

Service Code	EAPG 00532
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Sunshine Health Medicaid	$0.49

Heart And/Or Lung Transplant

Facility

$26.54

Service Code	EAPG 03051
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$26.54
Rate for Payer: Sunshine Health Medicaid	$26.54

Heart Failure

Facility

$0.41

Service Code	EAPG 00594
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Sunshine Health Medicaid	$0.41

Hepatic Coma And Major Acute Liver Diagnoses

Facility

$0.33

Service Code	EAPG 00641
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Sunshine Health Medicaid	$0.33

Hepatitis Without Coma

Facility

$0.34

Service Code	EAPG 00636
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Sunshine Health Medicaid	$0.34

Hernia

Facility

$0.32

Service Code	EAPG 00631
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Sunshine Health Medicaid	$0.32

Hiv Infection

Facility

$0.48

Service Code	EAPG 00880
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Sunshine Health Medicaid	$0.48

H. Pylori Infection

Facility

$0.26

Service Code	EAPG 00810
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Sunshine Health Medicaid	$0.26

Hypertension

Facility

$0.29

Service Code	EAPG 00599
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Sunshine Health Medicaid	$0.29

Inborn Errors Of Metabolism

Facility

$0.24

Service Code	EAPG 00691
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Sunshine Health Medicaid	$0.24

Incision and drainage abscess (complicated or multiple)

Professional

Both

$649.00

Service Code	CPT 10061
Hospital Charge Code	610061
Min. Negotiated Rate	$143.14
Max. Negotiated Rate	$412.52
Rate for Payer: Aetna Better Health CHIP/Medicaid	$172.65
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$178.92
Rate for Payer: Behavioral Services Network Commercial	$196.81
Rate for Payer: Behavioral Services Network Medicare	$178.92
Rate for Payer: Carelon Medicare	$178.92
Rate for Payer: Lucet Commercial	$169.97
Rate for Payer: Lucet Commercial	$161.03
Rate for Payer: Lucet Commercial	$143.14
Rate for Payer: Magellan Medicaid	$164.43
Rate for Payer: Molina Complete Care Medicaid/Medicare	$178.92
Rate for Payer: Prime Health Services Workers Comp	$412.52

Incision and drainage abscess (cutaneous or subcutaneous)

Professional

Both

$374.00

Service Code	CPT 10060
Hospital Charge Code	510060
Min. Negotiated Rate	$82.48
Max. Negotiated Rate	$241.28
Rate for Payer: Aetna Better Health CHIP/Medicaid	$102.94
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$103.10
Rate for Payer: Behavioral Services Network Commercial	$113.41
Rate for Payer: Behavioral Services Network Medicare	$103.10
Rate for Payer: Carelon Medicare	$103.10
Rate for Payer: Lucet Commercial	$92.79
Rate for Payer: Lucet Commercial	$82.48
Rate for Payer: Lucet Commercial	$97.94
Rate for Payer: Magellan Medicaid	$98.04
Rate for Payer: Molina Complete Care Medicaid/Medicare	$103.10
Rate for Payer: Prime Health Services Workers Comp	$241.28

Incision and drainage pilonidal cyst (simple)

Professional

Both

$770.00

Service Code	CPT 10080
Hospital Charge Code	710080
Min. Negotiated Rate	$82.22
Max. Negotiated Rate	$468.54
Rate for Payer: Aetna Better Health CHIP/Medicaid	$197.58
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$102.77
Rate for Payer: Behavioral Services Network Commercial	$113.05
Rate for Payer: Behavioral Services Network Medicare	$102.77
Rate for Payer: Carelon Medicare	$102.77
Rate for Payer: Lucet Commercial	$92.49
Rate for Payer: Lucet Commercial	$97.63
Rate for Payer: Lucet Commercial	$82.22
Rate for Payer: Magellan Medicaid	$188.17
Rate for Payer: Molina Complete Care Medicaid/Medicare	$102.77
Rate for Payer: Prime Health Services Workers Comp	$468.54

In-Depth Assessment - Established Client

Professional

Both

$240.00

Service Code	CPT H0001 TS
Hospital Charge Code	62H0001
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Carelon Medicaid	$100.00

In-Depth Assessment - Established Client

Professional

Both

$210.00

Service Code	CPT H0031 GT
Hospital Charge Code	71H0031
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Carelon Medicaid	$15.00

In-Depth Assessment - Established Client

Professional

Both

$240.00

Service Code	CPT H0001 GT
Hospital Charge Code	61H0001
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Carelon Medicaid	$15.00

In-Depth Assessment - Established Client

Professional

Both

$210.00

Service Code	CPT H0031 TS
Hospital Charge Code	72H0031
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Carelon Medicaid	$100.00

In-Depth Assessment - New Client

Professional

Both

$240.00

Service Code	CPT H0031 HO
Hospital Charge Code	74H0031
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$126.11
Rate for Payer: Carelon Medicaid	$125.00
Rate for Payer: Molina Complete Care Marketplace	$126.11

In-Depth Assessment - New Client

Professional

Both

$240.00

Service Code	CPT H0031 GT
Hospital Charge Code	73H0031
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Carelon Medicaid	$15.00

In-Depth Assessment - New Client

Professional

Both

$240.00

Service Code	CPT H0001 HO
Hospital Charge Code	64H0001
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$126.11
Rate for Payer: Carelon Medicaid	$125.00
Rate for Payer: Molina Complete Care Marketplace	$126.11

In-Depth Assessment - New Client

Professional

Both

$240.00

Service Code	CPT H0001 GT
Hospital Charge Code	63H0001
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Carelon Medicaid	$15.00

Know your out-of-pocket cost for care.

All Charges