Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Pet Scans

Facility

$2.94

Service Code	EAPG 00290
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Sunshine Health Medicaid	$2.94

Pharmacotherapy By Extended Infusion

Facility

$1.05

Service Code	EAPG 00110
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Sunshine Health Medicaid	$1.05

Pharmacotherapy Except By Extended Infusion

Facility

$0.57

Service Code	EAPG 00111
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Sunshine Health Medicaid	$0.57

Phlebitis

Facility

$0.56

Service Code	EAPG 00597
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Sunshine Health Medicaid	$0.56

Physical Therapy

Facility

$0.51

Service Code	EAPG 00271
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$0.51
Rate for Payer: Sunshine Health Medicaid	$0.51

Poisoning Or Toxic Effects Of Medicinal Agents

Facility

$0.61

Service Code	EAPG 00851
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Sunshine Health Medicaid	$0.61

Postpartum And Post Abortion Diagnoses

Facility

$0.51

Service Code	EAPG 00761
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$0.51
Rate for Payer: Sunshine Health Medicaid	$0.51

Pressure Ulcers

Facility

$0.28

Service Code	EAPG 00676
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

Preterm Labor Diagnoses

Facility

$0.85

Service Code	EAPG 00762
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Sunshine Health Medicaid	$0.85

Prevention Counseling

Facility

$0.14

Service Code	EAPG 00325
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.14
Rate for Payer: Sunshine Health Medicaid	$0.14

Preventive Dental Procedures

Facility

$0.28

Service Code	EAPG 00377
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

Preventive Or Screening Encounter

Facility

$0.30

Service Code	EAPG 00879
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Sunshine Health Medicaid	$0.30

Procedures For Revision Or Removal Of Neurostimulator Devices

Facility

$6.66

Service Code	EAPG 00276
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Sunshine Health Medicaid	$6.66

Prostatitis

Facility

$0.27

Service Code	EAPG 00743
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.27
Rate for Payer: Sunshine Health Medicaid	$0.27

Psych - Diagnostic Evaluation

Professional

Both

$480.00

Service Code	CPT 90791 GT
Hospital Charge Code	1990791
Min. Negotiated Rate	$55.00
Max. Negotiated Rate	$266.62
Rate for Payer: Aetna Better Health CHIP/Medicaid	$138.34
Rate for Payer: Carelon Commercial/Medicare	$55.00
Rate for Payer: Carelon Commercial/Medicare	$60.00
Rate for Payer: Humana Commercial	$207.37
Rate for Payer: Humana Commercial	$192.56
Rate for Payer: Humana Commercial	$177.74
Rate for Payer: Humana Medicare	$192.56
Rate for Payer: Humana Medicare	$177.74
Rate for Payer: Humana Medicare	$207.37
Rate for Payer: Magellan Medicaid	$131.75
Rate for Payer: Prime Health Services Workers Comp	$266.62

Psych - Diagnostic Evaluation Non-MD

Professional

Both

$480.00

Service Code	CPT 90792 GT
Hospital Charge Code	2090792
Min. Negotiated Rate	$147.73
Max. Negotiated Rate	$301.21
Rate for Payer: Aetna Better Health CHIP/Medicaid	$155.16
Rate for Payer: Humana Commercial	$160.03
Rate for Payer: Humana Commercial	$147.73
Rate for Payer: Humana Commercial	$172.35
Rate for Payer: Humana Medicare	$160.03
Rate for Payer: Humana Medicare	$172.35
Rate for Payer: Humana Medicare	$147.73
Rate for Payer: Magellan Medicaid	$147.77
Rate for Payer: Prime Health Services Workers Comp	$301.21

Psychosocial Rehab

Professional

Both

$24.00

Service Code	CPT H2017
Hospital Charge Code	86H2017
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.08
Rate for Payer: Carelon Medicaid	$9.00
Rate for Payer: Molina Complete Care Marketplace	$9.08

Pulmonary Embolism

Facility

$0.42

Service Code	EAPG 00586
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.42
Rate for Payer: Sunshine Health Medicaid	$0.42

Pulmonary Function Tests

Facility

$0.22

Service Code	EAPG 00060
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.22
Rate for Payer: Sunshine Health Medicaid	$0.22

Pulmonary Infection Diagnoses Including Pneumonia

Facility

$0.67

Service Code	EAPG 00581
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Sunshine Health Medicaid	$0.67

Pulmonary Rehabilitative Services

Facility

$0.08

Service Code	EAPG 00066
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.08
Rate for Payer: Sunshine Health Medicaid	$0.08

Radiation Therapy Management

Facility

$0.64

Service Code	EAPG 00483
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Sunshine Health Medicaid	$0.64

Radiological Guidance For Therapeutic Or Diagnostic Procedures

Facility

$0.47

Service Code	EAPG 00474
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Sunshine Health Medicaid	$0.47

Radiosurgery

Facility

$10.47

Service Code	EAPG 00346
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$10.47
Rate for Payer: Sunshine Health Medicaid	$10.47

Radiotherapy

Facility

$0.29

Service Code	EAPG 00802
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Sunshine Health Medicaid	$0.29

Know your out-of-pocket cost for care.

All Charges