Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Rehabilitation

Facility

$0.22

Service Code	EAPG 00870
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.22
Rate for Payer: Sunshine Health Medicaid	$0.22

Removal Or Revision Of Pacemakers And Other Cardiovascular Devices

Facility

$13.80

Service Code	EAPG 00087
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Sunshine Health Medicaid	$13.80

Repair of superficial wound

Professional

Both

$288.00

Service Code	CPT 12001
Hospital Charge Code	1312001
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$180.83
Rate for Payer: Aetna Better Health CHIP/Medicaid	$75.60
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$45.10
Rate for Payer: Behavioral Services Network Commercial	$49.61
Rate for Payer: Behavioral Services Network Medicare	$45.10
Rate for Payer: Carelon Medicare	$45.10
Rate for Payer: Lucet Commercial	$36.08
Rate for Payer: Lucet Commercial	$42.84
Rate for Payer: Lucet Commercial	$40.59
Rate for Payer: Magellan Medicaid	$72.00
Rate for Payer: Molina Complete Care Medicaid/Medicare	$45.10
Rate for Payer: Prime Health Services Workers Comp	$180.83

Reproductive Pathology Tests

Facility

$0.20

Service Code	EAPG 00157
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Sunshine Health Medicaid	$0.20

Respiratory Failure

Facility

$0.99

Service Code	EAPG 00587
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Sunshine Health Medicaid	$0.99

Respiratory Malignancy

Facility

$0.30

Service Code	EAPG 00571
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Sunshine Health Medicaid	$0.30

Resuscitation

Facility

$1.54

Service Code	EAPG 00092
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Sunshine Health Medicaid	$1.54

Revision, Repair Or Removal Of Central Venous Access Device

Facility

$1.54

Service Code	EAPG 00076
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Sunshine Health Medicaid	$1.54

Revision, Replacement Or Removal Of Cardiac Device Component

Facility

$3.13

Service Code	EAPG 00074
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Sunshine Health Medicaid	$3.13

Routine foot care (DM sensory neuropathy)

Professional

Both

$598.00

Service Code	CPT G0427
Hospital Charge Code	50G0427
Min. Negotiated Rate	$144.33
Max. Negotiated Rate	$301.52
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$180.41
Rate for Payer: Behavioral Services Network Commercial	$198.45
Rate for Payer: Behavioral Services Network Medicare	$180.41
Rate for Payer: Carelon Medicare	$180.41
Rate for Payer: Lucet Commercial	$144.33
Rate for Payer: Lucet Commercial	$171.39
Rate for Payer: Lucet Commercial	$162.37
Rate for Payer: Molina Complete Care Medicaid/Medicare	$180.41
Rate for Payer: Prime Health Services Workers Comp	$301.52

Routine Prenatal Care

Facility

$0.37

Service Code	EAPG 00766
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Sunshine Health Medicaid	$0.37

Schizophrenia

Facility

$0.47

Service Code	EAPG 00820
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Sunshine Health Medicaid	$0.47

Sciatica And Low Back Pain

Facility

$0.35

Service Code	EAPG 00658
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Sunshine Health Medicaid	$0.35

Screening For Behavioral Change Or Risk Assessment

Facility

$0.04

Service Code	EAPG 00324
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.04
Rate for Payer: Sunshine Health Medicaid	$0.04

Sealant

Facility

$0.10

Service Code	EAPG 00372
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Sunshine Health Medicaid	$0.10

Seizure

Facility

$0.41

Service Code	EAPG 00529
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Sunshine Health Medicaid	$0.41

Septicemia And Disseminated Infections

Facility

$1.44

Service Code	EAPG 00805
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Sunshine Health Medicaid	$1.44

Sickle Cell Anemia Crisis

Facility

$0.67

Service Code	EAPG 00783
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Sunshine Health Medicaid	$0.67

Signs, Symptoms And Other Factors Influencing Health Status

Facility

$0.37

Service Code	EAPG 00871
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Sunshine Health Medicaid	$0.37

Simple Wound Repair And Treatment

Facility

$0.40

Service Code	EAPG 00016
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.40
Rate for Payer: Sunshine Health Medicaid	$0.40

Skin And Connective Tissue Grafting And Flap Procedures

Facility

$4.04

Service Code	EAPG 00056
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$4.04
Rate for Payer: Sunshine Health Medicaid	$4.04

Skin tag, 1-15

Professional

Both

$271.00

Service Code	CPT 11200
Hospital Charge Code	1111200
Min. Negotiated Rate	$59.04
Max. Negotiated Rate	$175.34
Rate for Payer: Aetna Better Health CHIP/Medicaid	$74.80
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$73.80
Rate for Payer: Behavioral Services Network Commercial	$81.18
Rate for Payer: Behavioral Services Network Medicare	$73.80
Rate for Payer: Carelon Medicare	$73.80
Rate for Payer: Lucet Commercial	$66.42
Rate for Payer: Lucet Commercial	$70.11
Rate for Payer: Lucet Commercial	$59.04
Rate for Payer: Magellan Medicaid	$71.24
Rate for Payer: Molina Complete Care Medicaid/Medicare	$73.80
Rate for Payer: Prime Health Services Workers Comp	$175.34

Sleep Studies Attended

Facility

$1.55

Service Code	EAPG 00222
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Sunshine Health Medicaid	$1.55

Sleep Studies Unattended

Facility

$0.31

Service Code	EAPG 00226
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Sunshine Health Medicaid	$0.31

Speech Therapy And Evaluation

Facility

$0.61

Service Code	EAPG 00272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Sunshine Health Medicaid	$0.61

Know your out-of-pocket cost for care.

All Charges