Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Individual Comprehensive Psychotherapy

Facility

$0.28

Service Code	EAPG 00316
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

Individual Therapy

Professional

Both

$42.00

Service Code	CPT 90832 GT
Hospital Charge Code	2190832
Min. Negotiated Rate	$40.00
Max. Negotiated Rate	$121.42
Rate for Payer: Aetna Better Health CHIP/Medicaid	$65.42
Rate for Payer: Carelon Commercial/Medicare	$40.00
Rate for Payer: Carelon Commercial/Medicare	$45.00
Rate for Payer: Humana Commercial	$74.05
Rate for Payer: Humana Commercial	$86.38
Rate for Payer: Humana Commercial	$80.21
Rate for Payer: Humana Medicare	$86.38
Rate for Payer: Humana Medicare	$74.05
Rate for Payer: Humana Medicare	$80.21
Rate for Payer: Magellan Medicaid	$62.30
Rate for Payer: Prime Health Services Workers Comp	$121.42

Individual Therapy

Professional

Both

$42.00

Service Code	CPT 90837 GT
Hospital Charge Code	2390837
Min. Negotiated Rate	$121.79
Max. Negotiated Rate	$235.96
Rate for Payer: Aetna Better Health CHIP/Medicaid	$127.88
Rate for Payer: Humana Commercial	$164.02
Rate for Payer: Humana Commercial	$140.59
Rate for Payer: Humana Commercial	$152.31
Rate for Payer: Humana Medicare	$164.02
Rate for Payer: Humana Medicare	$152.31
Rate for Payer: Humana Medicare	$140.59
Rate for Payer: Magellan Medicaid	$121.79
Rate for Payer: Prime Health Services Workers Comp	$235.96

Individual Therapy

Professional

Both

$42.00

Service Code	CPT 90834 GT
Hospital Charge Code	2290834
Min. Negotiated Rate	$55.00
Max. Negotiated Rate	$160.02
Rate for Payer: Aetna Better Health CHIP/Medicaid	$86.32
Rate for Payer: Carelon Commercial/Medicare	$60.00
Rate for Payer: Carelon Commercial/Medicare	$55.00
Rate for Payer: Humana Commercial	$95.86
Rate for Payer: Humana Commercial	$103.84
Rate for Payer: Humana Commercial	$111.83
Rate for Payer: Humana Medicare	$103.84
Rate for Payer: Humana Medicare	$95.86
Rate for Payer: Humana Medicare	$111.83
Rate for Payer: Magellan Medicaid	$82.21
Rate for Payer: Prime Health Services Workers Comp	$160.02

Infections Of Upper Respiratory Tract And Otitis Media

Facility

$0.36

Service Code	EAPG 00562
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Sunshine Health Medicaid	$0.36

Inflammatory Bowel Disease

Facility

$0.28

Service Code	EAPG 00626
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

Inguinal, Femoral And Umbilical Hernia Repair

Facility

$8.12

Service Code	EAPG 03033
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Sunshine Health Medicaid	$8.12

Injection(S) For Radiological Imaging

Facility

$0.76

Service Code	EAPG 00278
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Sunshine Health Medicaid	$0.76

Inpatient Room & Board-Detoxification

Facility

$1,200.00

Hospital Charge Code	3126
Hospital Revenue Code	126
Min. Negotiated Rate	$359.76
Max. Negotiated Rate	$990.00
Rate for Payer: Behavioral Services Network Medicaid	$850.00
Rate for Payer: Carelon Commercial/Medicare	$700.00
Rate for Payer: Carelon Medicaid	$700.00
Rate for Payer: Cigna/Evernorth Commercial	$711.00
Rate for Payer: Lucet Commercial	$748.00
Rate for Payer: Magellan Medicaid	$700.00
Rate for Payer: Prime Health Services Workers Comp	$359.76
Rate for Payer: Sunshine Health Medicaid	$784.00
Rate for Payer: Sunshine Health Medicare	$784.00
Rate for Payer: United Behavioral Health Care/Optum Commercial	$990.00
Rate for Payer: United Behavioral Health Care/Optum Medicaid	$743.00

Inpatient Room & Board-Psychiatric

Facility

$1,200.00

Hospital Charge Code	2124
Hospital Revenue Code	124
Min. Negotiated Rate	$359.76
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$714.00
Rate for Payer: Aetna Medicare	$714.00
Rate for Payer: Behavioral Services Network Medicaid	$850.00
Rate for Payer: Carelon Commercial/Medicare	$700.00
Rate for Payer: Carelon Medicaid	$700.00
Rate for Payer: Cigna/Evernorth Commercial	$711.00
Rate for Payer: Humana Commercial	$646.00
Rate for Payer: Lucet Commercial	$748.00
Rate for Payer: Magellan Medicaid	$700.00
Rate for Payer: Molina Complete Care CHIP/Medicaid	$850.00
Rate for Payer: Molina Complete Care Marketplace	$850.00
Rate for Payer: Molina Complete Care Medicare	$850.00
Rate for Payer: Prime Health Services Workers Comp	$359.76
Rate for Payer: Sunshine Health Medicaid	$784.00
Rate for Payer: Sunshine Health Medicare	$784.00
Rate for Payer: Tricare Military (Humana Behavioral Health) Tricare	$790.30
Rate for Payer: United Behavioral Health Care/Optum Commercial	$1,100.00
Rate for Payer: United Behavioral Health Care/Optum Medicaid	$825.00

Insertion Of Penile Prosthesis

Facility

$28.12

Service Code	EAPG 00182
Min. Negotiated Rate	$28.12
Max. Negotiated Rate	$28.12
Rate for Payer: Sunshine Health Medicaid	$28.12

Intellectual Disability

Facility

$0.30

Service Code	EAPG 00828
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Sunshine Health Medicaid	$0.30

Intensive Outpatient Psychiatric Treatment

Facility

$0.68

Service Code	EAPG 00327
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Sunshine Health Medicaid	$0.68

Intensive Team Case Management

Professional

Both

$36.00

Service Code	CPT T1017 HK
Hospital Charge Code	96T1017
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.07
Rate for Payer: Carelon Medicaid	$12.00
Rate for Payer: Molina Complete Care Marketplace	$12.07

Intentional Self-Harm And Attempted Suicide

Facility

$1.06

Service Code	EAPG 00832
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Sunshine Health Medicaid	$1.06

Interactive Complexity

Professional

Both

$60.00

Service Code	CPT 90785
Hospital Charge Code	1890785
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$22.74
Rate for Payer: Aetna Better Health CHIP/Medicaid	$6.21
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$12.37
Rate for Payer: Behavioral Services Network Commercial	$13.61
Rate for Payer: Behavioral Services Network Medicare	$12.37
Rate for Payer: Carelon Medicare	$12.37
Rate for Payer: Humana Commercial	$5.80
Rate for Payer: Humana Commercial	$6.29
Rate for Payer: Humana Commercial	$6.76
Rate for Payer: Humana Medicare	$6.29
Rate for Payer: Humana Medicare	$5.80
Rate for Payer: Humana Medicare	$6.76
Rate for Payer: Lucet Commercial	$9.90
Rate for Payer: Lucet Commercial	$11.13
Rate for Payer: Lucet Commercial	$11.75
Rate for Payer: Magellan Medicaid	$5.91
Rate for Payer: Molina Complete Care Medicaid/Medicare	$12.37
Rate for Payer: Prime Health Services Workers Comp	$22.74

Intermediate Wound Repair And Treatment

Facility

$0.82

Service Code	EAPG 00017
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Sunshine Health Medicaid	$0.82

Interstitial And Alveolar Lung Diagnoses

Facility

$0.41

Service Code	EAPG 00582
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Sunshine Health Medicaid	$0.41

Intestinal Obstruction Diagnoses

Facility

$0.64

Service Code	EAPG 00618
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Sunshine Health Medicaid	$0.64

Intracranial Hemorrhage

Facility

$0.58

Service Code	EAPG 00539
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Sunshine Health Medicaid	$0.58

Intraoperative, Post-Operative Or Post-Traumatic Infections And Complications

Facility

$0.46

Service Code	EAPG 00806
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Sunshine Health Medicaid	$0.46

IOP Per Diem

Professional

Both

$390.00

Service Code	CPT S9480
Hospital Charge Code	90S9480
Min. Negotiated Rate	$40.18
Max. Negotiated Rate	$46.89
Rate for Payer: Humana Commercial	$43.53
Rate for Payer: Humana Commercial	$40.18
Rate for Payer: Humana Commercial	$46.89

Irritable Bowel Syndrome

Facility

$0.23

Service Code	EAPG 00632
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Sunshine Health Medicaid	$0.23

Kidney And Urinary Tract Malignancy

Facility

$0.27

Service Code	EAPG 00721
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.27
Rate for Payer: Sunshine Health Medicaid	$0.27

Kidney Transplant

Facility

$15.78

Service Code	EAPG 03052
Min. Negotiated Rate	$15.78
Max. Negotiated Rate	$15.78
Rate for Payer: Sunshine Health Medicaid	$15.78

Know your out-of-pocket cost for care.

All Charges