Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Burn Care Initial

Professional

Both

$232.00

Service Code	CPT 16000
Hospital Charge Code	1416000
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$153.67
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$45.94
Rate for Payer: Behavioral Services Network Commercial	$50.53
Rate for Payer: Behavioral Services Network Medicare	$45.94
Rate for Payer: Carelon Medicare	$45.94
Rate for Payer: Lucet Commercial	$43.64
Rate for Payer: Lucet Commercial	$36.75
Rate for Payer: Lucet Commercial	$41.35
Rate for Payer: Molina Complete Care Medicaid/Medicare	$45.94
Rate for Payer: Prime Health Services Workers Comp	$153.67

Cardiac Arrest Or Other Causes Of Mortality

Facility

$0.37

Service Code	EAPG 00595
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Sunshine Health Medicaid	$0.37

Cardiac Arrhythmia And Conduction Diagnoses

Facility

$0.40

Service Code	EAPG 00601
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.40
Rate for Payer: Sunshine Health Medicaid	$0.40

Cardiac Catheterization Procedures

Facility

$5.17

Service Code	EAPG 00084
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Sunshine Health Medicaid	$5.17

Cardiac Electrophysiologic Procedures Including Pacing And Recording

Facility

$13.80

Service Code	EAPG 00096
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Sunshine Health Medicaid	$13.80

Cardiac Rehabilitation

Facility

$0.32

Service Code	EAPG 00094
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Sunshine Health Medicaid	$0.32

Cardiac Structural And Valvular Diagnoses

Facility

$0.25

Service Code	EAPG 00600
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Sunshine Health Medicaid	$0.25

Cardiogram

Facility

$0.05

Service Code	EAPG 00413
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Sunshine Health Medicaid	$0.05

Cardiomyopathy Diagnoses

Facility

$0.25

Service Code	EAPG 00607
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Sunshine Health Medicaid	$0.25

Cardioversion

Facility

$1.38

Service Code	EAPG 00093
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$1.38
Rate for Payer: Sunshine Health Medicaid	$1.38

Car T-Cell Immunotherapy

Facility

$82.41

Service Code	EAPG 00120
Min. Negotiated Rate	$82.41
Max. Negotiated Rate	$82.41
Rate for Payer: Sunshine Health Medicaid	$82.41

Car T-Cell Immunotherapy Preparation Services

Facility

$1.82

Service Code	EAPG 00119
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$1.82
Rate for Payer: Sunshine Health Medicaid	$1.82

Case Management And Care Planning Services

Facility

$0.26

Service Code	EAPG 00260
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Sunshine Health Medicaid	$0.26

Cast Application Or Replacement

Facility

$0.39

Service Code	EAPG 00039
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.39
Rate for Payer: Sunshine Health Medicaid	$0.39

Cataract And Other Intraocular Lens Procedures

Facility

$3.61

Service Code	EAPG 00233
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$3.61
Rate for Payer: Sunshine Health Medicaid	$3.61

Cataracts

Facility

$0.22

Service Code	EAPG 00551
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$0.22
Rate for Payer: Sunshine Health Medicaid	$0.22

CBHA - Comp. Behavioral Health Assessmnt

Professional

Both

$72.00

Service Code	CPT H0031 HA
Hospital Charge Code	70H0031
Min. Negotiated Rate	$12.12
Max. Negotiated Rate	$12.12
Rate for Payer: Carelon Medicaid	$12.12

Cellulitis And Other Bacterial Skin Infections

Facility

$0.44

Service Code	EAPG 00673
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Sunshine Health Medicaid	$0.44

Cerebral Palsy

Facility

$0.34

Service Code	EAPG 00536
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Sunshine Health Medicaid	$0.34

Cerumen removal

Professional

Both

$145.00

Service Code	CPT 69210
Hospital Charge Code	1669210
Min. Negotiated Rate	$25.26
Max. Negotiated Rate	$92.36
Rate for Payer: Aetna Better Health CHIP/Medicaid	$38.61
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$31.57
Rate for Payer: Behavioral Services Network Commercial	$34.73
Rate for Payer: Behavioral Services Network Medicare	$31.57
Rate for Payer: Carelon Medicare	$31.57
Rate for Payer: Lucet Commercial	$25.26
Rate for Payer: Lucet Commercial	$29.99
Rate for Payer: Lucet Commercial	$28.41
Rate for Payer: Magellan Medicaid	$36.77
Rate for Payer: Molina Complete Care Medicaid/Medicare	$31.57
Rate for Payer: Prime Health Services Workers Comp	$92.36

Cesarean Delivery Procedures

Facility

$5.45

Service Code	EAPG 00202
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$5.45
Rate for Payer: Sunshine Health Medicaid	$5.45

Chemotherapy

Facility

$0.43

Service Code	EAPG 00803
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Sunshine Health Medicaid	$0.43

Chest Pain

Facility

$0.87

Service Code	EAPG 00604
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Sunshine Health Medicaid	$0.87

Childhood Behavioral Diagnoses

Facility

$0.30

Service Code	EAPG 00829
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Sunshine Health Medicaid	$0.30

Child Preventive Medicine

Facility

$0.28

Service Code	EAPG 00877
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

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All Charges