Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Aftercare For Joint Replacement

Facility

$0.25

Service Code	EAPG 00874
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Sunshine Health Medicaid	$0.25

Aftercare, Musculoskeletal System And Connective Tissue Injuries

Facility

$0.26

Service Code	EAPG 00869
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Sunshine Health Medicaid	$0.26

Aftercare, Open Wounds And Other Traumatic Injuries

Facility

$0.24

Service Code	EAPG 00585
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Sunshine Health Medicaid	$0.24

Aftereffects Of Cerebrovascular Accident

Facility

$0.33

Service Code	EAPG 00533
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Sunshine Health Medicaid	$0.33

Aicd And Related Cardiac Device Insertion Or Replacement

Facility

$45.25

Service Code	EAPG 00097
Min. Negotiated Rate	$45.25
Max. Negotiated Rate	$45.25
Rate for Payer: Sunshine Health Medicaid	$45.25

Aids

Facility

$0.49

Service Code	EAPG 00881
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Sunshine Health Medicaid	$0.49

Alcohol Abuse And Dependence

Facility

$0.60

Service Code	EAPG 00842
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Sunshine Health Medicaid	$0.60

Alcohol and/or Drug Screening Brief Intrvnt

Professional

Both

$25.00

Service Code	CPT H0049
Hospital Charge Code	81H0049
Min. Negotiated Rate	$17.08
Max. Negotiated Rate	$19.58
Rate for Payer: Aetna Better Health CHIP/Medicaid	$19.58
Rate for Payer: Carelon Medicaid	$17.08
Rate for Payer: Magellan Medicaid	$18.65
Rate for Payer: Molina Complete Care Marketplace	$17.08

Alcohol/Drug Scrn Brief Intrvnt

Professional

Both

$35.00

Service Code	CPT H0050
Hospital Charge Code	82H0050
Min. Negotiated Rate	$28.73
Max. Negotiated Rate	$32.94
Rate for Payer: Aetna Better Health CHIP/Medicaid	$32.94
Rate for Payer: Carelon Medicaid	$28.73
Rate for Payer: Magellan Medicaid	$31.37
Rate for Payer: Molina Complete Care Marketplace	$28.73

Alcoholic Liver Disease

Facility

$0.37

Service Code	EAPG 00633
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Sunshine Health Medicaid	$0.37

Allergic Reactions

Facility

$0.57

Service Code	EAPG 00850
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Sunshine Health Medicaid	$0.57

Allergy Therapy

Facility

$0.05

Service Code	EAPG 00458
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Sunshine Health Medicaid	$0.05

Alteration In Consciousness

Facility

$0.85

Service Code	EAPG 00883
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Sunshine Health Medicaid	$0.85

Ambulatory Patient Monitoring And Related Assessments

Facility

$0.12

Service Code	EAPG 00418
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.12
Rate for Payer: Sunshine Health Medicaid	$0.12

Ancillary Drug Administration

Facility

$0.10

Service Code	EAPG 00109
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Sunshine Health Medicaid	$0.10

Ancillary Ophthalmology Or Optometry Services

Facility

$0.15

Service Code	EAPG 00419
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Sunshine Health Medicaid	$0.15

Ancillary Respiratory Therapy And Other Pulmonary Tests And Services

Facility

$0.13

Service Code	EAPG 00412
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Sunshine Health Medicaid	$0.13

Anemia, Blood And Blood-Forming Organ Disorders

Facility

$0.36

Service Code	EAPG 00785
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Sunshine Health Medicaid	$0.36

Anesthesia

Facility

$0.05

Service Code	EAPG 00380
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Sunshine Health Medicaid	$0.05

Angina Pectoris And Coronary Atherosclerosis

Facility

$0.26

Service Code	EAPG 00598
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Sunshine Health Medicaid	$0.26

Annual Alcohol misuse, 15 mins

Professional

Both

$56.00

Service Code	CPT G0442
Hospital Charge Code	53G0442
Min. Negotiated Rate	$6.98
Max. Negotiated Rate	$30.04
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$8.73
Rate for Payer: Behavioral Services Network Commercial	$9.60
Rate for Payer: Behavioral Services Network Medicare	$8.73
Rate for Payer: Carelon Medicare	$8.73
Rate for Payer: Lucet Commercial	$7.86
Rate for Payer: Lucet Commercial	$6.98
Rate for Payer: Lucet Commercial	$8.29
Rate for Payer: Molina Complete Care Medicaid/Medicare	$8.73
Rate for Payer: Prime Health Services Workers Comp	$30.04

Anoxic And Other Severe Brain Damage Or Coma

Facility

$0.39

Service Code	EAPG 00528
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.39
Rate for Payer: Sunshine Health Medicaid	$0.39

Antepartum Encounters For Non-Routine And Abnormal Findings

Facility

$0.52

Service Code	EAPG 00768
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Sunshine Health Medicaid	$0.52

Antepartum Procedures

Facility

$0.87

Service Code	EAPG 00178
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Sunshine Health Medicaid	$0.87

Arteriovenous Fistula Creation Or Revision For Hemodialysis

Facility

$7.51

Service Code	EAPG 00059
Min. Negotiated Rate	$7.51
Max. Negotiated Rate	$7.51
Rate for Payer: Sunshine Health Medicaid	$7.51

Know your out-of-pocket cost for care.

All Charges