Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Dialysis Procedures

Facility

$1.93

Service Code	EAPG 00168
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Sunshine Health Medicaid	$1.93

Diaphragmatic Procedures And Related Hernia Repair

Facility

$14.03

Service Code	EAPG 00073
Min. Negotiated Rate	$14.03
Max. Negotiated Rate	$14.03
Rate for Payer: Sunshine Health Medicaid	$14.03

Digestive Malignancy

Facility

$0.35

Service Code	EAPG 00620
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Sunshine Health Medicaid	$0.35

Diverticulitis And Diverticulosis

Facility

$0.45

Service Code	EAPG 00616
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Sunshine Health Medicaid	$0.45

Ear lavage irrigation x1 or x2

Professional

Both

$45.00

Service Code	CPT 69209
Hospital Charge Code	1569209
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$29.43
Rate for Payer: Aetna Better Health CHIP/Medicaid	$12.60
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$14.46
Rate for Payer: Behavioral Services Network Commercial	$15.91
Rate for Payer: Behavioral Services Network Medicare	$14.46
Rate for Payer: Carelon Medicare	$14.46
Rate for Payer: Lucet Commercial	$13.74
Rate for Payer: Lucet Commercial	$11.57
Rate for Payer: Lucet Commercial	$13.01
Rate for Payer: Magellan Medicaid	$12.00
Rate for Payer: Molina Complete Care Medicaid/Medicare	$14.46
Rate for Payer: Prime Health Services Workers Comp	$29.43

Ear, Nose, Mouth, Throat, Cranial And Facial Malignancies

Facility

$0.33

Service Code	EAPG 00560
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Sunshine Health Medicaid	$0.33

Eating Disorders

Facility

$0.29

Service Code	EAPG 00830
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Sunshine Health Medicaid	$0.29

Ecg, w/interpretation

Professional

Both

$44.00

Service Code	CPT 93000
Hospital Charge Code	2993000
Min. Negotiated Rate	$10.98
Max. Negotiated Rate	$22.03
Rate for Payer: Aetna Better Health CHIP/Medicaid	$11.53
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$13.75
Rate for Payer: Behavioral Services Network Commercial	$15.12
Rate for Payer: Behavioral Services Network Medicare	$13.75
Rate for Payer: Carelon Medicare	$13.75
Rate for Payer: Lucet Commercial	$12.38
Rate for Payer: Lucet Commercial	$11.00
Rate for Payer: Lucet Commercial	$13.06
Rate for Payer: Magellan Medicaid	$10.98
Rate for Payer: Molina Complete Care Medicaid/Medicare	$13.75
Rate for Payer: Prime Health Services Workers Comp	$22.03

Echocardiography

Facility

$0.97

Service Code	EAPG 00081
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Sunshine Health Medicaid	$0.97

Ectopic Pregnancy Procedures

Facility

$8.02

Service Code	EAPG 00179
Min. Negotiated Rate	$8.02
Max. Negotiated Rate	$8.02
Rate for Payer: Sunshine Health Medicaid	$8.02

Electrocardiogram tracing-ekg

Professional

Both

$19.00

Service Code	CPT 93005
Hospital Charge Code	3093005
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$9.53
Rate for Payer: Aetna Better Health CHIP/Medicaid	$5.09
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$5.95
Rate for Payer: Behavioral Services Network Commercial	$6.54
Rate for Payer: Behavioral Services Network Medicare	$5.95
Rate for Payer: Carelon Medicare	$5.95
Rate for Payer: Lucet Commercial	$4.76
Rate for Payer: Lucet Commercial	$5.65
Rate for Payer: Lucet Commercial	$5.36
Rate for Payer: Magellan Medicaid	$4.85
Rate for Payer: Molina Complete Care Medicaid/Medicare	$5.95
Rate for Payer: Prime Health Services Workers Comp	$9.53

Electroconvulsive Therapy

Facility

$1.00

Service Code	EAPG 00212
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Sunshine Health Medicaid	$1.00

Electroencephalogram

Facility

$0.76

Service Code	EAPG 00211
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Sunshine Health Medicaid	$0.76

Electrolyte Disorders

Facility

$0.52

Service Code	EAPG 00694
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Sunshine Health Medicaid	$0.52

Electronic Analysis For Cardiac, Neurological And Other Devices

Facility

$0.28

Service Code	EAPG 00420
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

Encounters For Contact With Health Services

Facility

$0.26

Service Code	EAPG 00867
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Sunshine Health Medicaid	$0.26

Esophagitis And Other Esophageal Diagnoses

Facility

$0.34

Service Code	EAPG 00623
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Sunshine Health Medicaid	$0.34

Esophagogastric Restrictive Procedures And Gastric Fundoplication

Facility

$10.74

Service Code	EAPG 00129
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$10.74
Rate for Payer: Sunshine Health Medicaid	$10.74

Esrd Monthly Case Management

Facility

$1.21

Service Code	EAPG 00261
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Sunshine Health Medicaid	$1.21

ETG

Professional

Both

$48.00

Service Code	CPT T1015 HF
Hospital Charge Code	93T1015
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$75.19
Rate for Payer: Carelon Medicaid	$10.00
Rate for Payer: Molina Complete Care Marketplace	$75.19

Exercise Tolerance Tests

Facility

$0.35

Service Code	EAPG 00080
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Sunshine Health Medicaid	$0.35

Expanded Hours Access

Facility

$0.09

Service Code	EAPG 00448
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.09
Rate for Payer: Sunshine Health Medicaid	$0.09

Extended Eeg Studies

Facility

$1.05

Service Code	EAPG 00210
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Sunshine Health Medicaid	$1.05

Extensive 3Rd Degree Or Full Thickness Burns

Facility

$0.42

Service Code	EAPG 00860
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.42
Rate for Payer: Sunshine Health Medicaid	$0.42

Extracorporeal Membrane Oxygenation (Ecmo) Procedures

Facility

$16.37

Service Code	EAPG 03070
Min. Negotiated Rate	$16.37
Max. Negotiated Rate	$16.37
Rate for Payer: Sunshine Health Medicaid	$16.37

Know your out-of-pocket cost for care.

All Charges