Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Spinal Diagnoses And Injuries

Facility

$0.33

Service Code	EAPG 00520
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Sunshine Health Medicaid	$0.33

Spinal Implantation Of Drug Infusion Device

Facility

$25.43

Service Code	EAPG 03030
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$25.43
Rate for Payer: Sunshine Health Medicaid	$25.43

Spine Injections And Other Related Procedures

Facility

$1.57

Service Code	EAPG 00053
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Sunshine Health Medicaid	$1.57

Status Asthmaticus

Facility

$0.64

Service Code	EAPG 00579
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Sunshine Health Medicaid	$0.64

STI counseling prevention/change

Professional

Both

$83.00

Service Code	CPT G0445
Hospital Charge Code	56G0445
Min. Negotiated Rate	$23.13
Max. Negotiated Rate	$42.76
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$28.91
Rate for Payer: Behavioral Services Network Commercial	$31.80
Rate for Payer: Behavioral Services Network Medicare	$28.91
Rate for Payer: Carelon Medicare	$28.91
Rate for Payer: Lucet Commercial	$23.13
Rate for Payer: Lucet Commercial	$27.46
Rate for Payer: Lucet Commercial	$26.02
Rate for Payer: Molina Complete Care Medicaid/Medicare	$28.91
Rate for Payer: Prime Health Services Workers Comp	$42.76

Superficial Injury To Skin And Subcutaneous Tissue

Facility

$0.44

Service Code	EAPG 00777
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Sunshine Health Medicaid	$0.44

Superficial Needle Biopsy And Aspiration

Facility

$1.40

Service Code	EAPG 00002
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$1.40
Rate for Payer: Sunshine Health Medicaid	$1.40

Syncope And Collapse

Facility

$0.67

Service Code	EAPG 00605
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Sunshine Health Medicaid	$0.67

Targeted Case Management - Adult

Professional

Both

$36.00

Service Code	CPT T1017
Hospital Charge Code	97T1017
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Carelon Medicaid	$12.00

Targeted Case Management - Child

Professional

Both

$36.00

Service Code	CPT T1017 HA
Hospital Charge Code	98T1017
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Carelon Medicaid	$12.00

TBOS - Therapeutic Behavioral On-Site

Professional

Both

$48.00

Service Code	CPT H2019 HO
Hospital Charge Code	87H2019
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$16.00
Rate for Payer: Carelon Medicaid	$16.00

Telehealth Facilitation

Facility

$0.01

Service Code	EAPG 00497
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Sunshine Health Medicaid	$0.01

Tenancy Sustaining Services

Professional

Both

$15.00

Service Code	CPT H2015 HK
Hospital Charge Code	85H2015
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Carelon Medicaid	$15.00
Rate for Payer: Molina Complete Care Marketplace	$15.00

Testicular And Epididymal Procedures

Facility

$4.81

Service Code	EAPG 00180
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$4.81
Rate for Payer: Sunshine Health Medicaid	$4.81

Therapeutic Drug Monitoring

Facility

$0.02

Service Code	EAPG 00405
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Sunshine Health Medicaid	$0.02

Therapeutic Nuclear Medicine

Facility

$0.43

Service Code	EAPG 00340
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Sunshine Health Medicaid	$0.43

Therapy for Crisis-add'l 30 mins

Professional

Both

$90.00

Service Code	CPT 90840
Hospital Charge Code	2590840
Min. Negotiated Rate	$52.02
Max. Negotiated Rate	$126.22
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$65.02
Rate for Payer: Behavioral Services Network Commercial	$71.52
Rate for Payer: Behavioral Services Network Medicare	$65.02
Rate for Payer: Carelon Medicare	$65.02
Rate for Payer: Humana Commercial	$117.21
Rate for Payer: Humana Commercial	$108.19
Rate for Payer: Humana Commercial	$126.22
Rate for Payer: Lucet Commercial	$52.02
Rate for Payer: Lucet Commercial	$58.52
Rate for Payer: Lucet Commercial	$61.77
Rate for Payer: Molina Complete Care Medicaid/Medicare	$65.02
Rate for Payer: Prime Health Services Workers Comp	$113.31

Therapy for Crisis-first 60 mins

Professional

Both

$180.00

Service Code	CPT 90839
Hospital Charge Code	2490839
Min. Negotiated Rate	$104.72
Max. Negotiated Rate	$252.46
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$130.90
Rate for Payer: Behavioral Services Network Commercial	$143.99
Rate for Payer: Behavioral Services Network Medicare	$130.90
Rate for Payer: Carelon Medicare	$130.90
Rate for Payer: Humana Commercial	$216.40
Rate for Payer: Humana Commercial	$252.46
Rate for Payer: Humana Commercial	$234.43
Rate for Payer: Lucet Commercial	$117.81
Rate for Payer: Lucet Commercial	$104.72
Rate for Payer: Lucet Commercial	$124.36
Rate for Payer: Molina Complete Care Medicaid/Medicare	$130.90
Rate for Payer: Prime Health Services Workers Comp	$227.36

Thoracentesis, Related Biopsy And Pleural Drainage Procedures

Facility

$2.05

Service Code	EAPG 00068
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Sunshine Health Medicaid	$2.05

Thyroid And Parathyroid Diagnoses

Facility

$0.27

Service Code	EAPG 00696
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.27
Rate for Payer: Sunshine Health Medicaid	$0.27

Thyroid And Parathyroid Procedures

Facility

$9.29

Service Code	EAPG 00263
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$9.29
Rate for Payer: Sunshine Health Medicaid	$9.29

Tobacco counseling/>10 min

Professional

Both

$87.00

Service Code	CPT 99407
Hospital Charge Code	4499407
Min. Negotiated Rate	$19.32
Max. Negotiated Rate	$42.61
Rate for Payer: Aetna Better Health CHIP/Medicaid	$21.99
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$24.15
Rate for Payer: Behavioral Services Network Commercial	$26.57
Rate for Payer: Behavioral Services Network Medicare	$24.15
Rate for Payer: Carelon Medicare	$24.15
Rate for Payer: Lucet Commercial	$19.32
Rate for Payer: Lucet Commercial	$21.73
Rate for Payer: Lucet Commercial	$22.94
Rate for Payer: Magellan Medicaid	$20.94
Rate for Payer: Molina Complete Care Medicaid/Medicare	$24.15
Rate for Payer: Prime Health Services Workers Comp	$42.61

Tobacco counseling/3-10 min

Professional

Both

$47.00

Service Code	CPT 99406
Hospital Charge Code	4399406
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$22.74
Rate for Payer: Aetna Better Health CHIP/Medicaid	$11.53
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$11.45
Rate for Payer: Behavioral Services Network Commercial	$12.60
Rate for Payer: Behavioral Services Network Medicare	$11.45
Rate for Payer: Carelon Medicare	$11.45
Rate for Payer: Lucet Commercial	$10.30
Rate for Payer: Lucet Commercial	$10.88
Rate for Payer: Lucet Commercial	$9.16
Rate for Payer: Magellan Medicaid	$10.98
Rate for Payer: Molina Complete Care Medicaid/Medicare	$11.45
Rate for Payer: Prime Health Services Workers Comp	$22.74

Tonsil And Adenoid Procedures

Facility

$4.41

Service Code	EAPG 00256
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$4.41
Rate for Payer: Sunshine Health Medicaid	$4.41

Toxic Effects Of Non-Medicinal Substances

Facility

$0.44

Service Code	EAPG 00854
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Sunshine Health Medicaid	$0.44

Know your out-of-pocket cost for care.

All Charges