Aspire Health Partners Inc

All Charges

Charge

Type

Setting

Price

Extraocular Muscle Procedures

Facility

$4.38

Service Code	EAPG 00239
Min. Negotiated Rate	$4.38
Max. Negotiated Rate	$4.38
Rate for Payer: Sunshine Health Medicaid	$4.38

Face-to-face counseling, alcohol misuse, 15 mins

Professional

Both

$80.00

Service Code	CPT G0443
Hospital Charge Code	54G0443
Min. Negotiated Rate	$23.37
Max. Negotiated Rate	$40.71
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$29.21
Rate for Payer: Behavioral Services Network Commercial	$32.13
Rate for Payer: Behavioral Services Network Medicare	$29.21
Rate for Payer: Carelon Medicare	$29.21
Rate for Payer: Lucet Commercial	$27.75
Rate for Payer: Lucet Commercial	$26.29
Rate for Payer: Lucet Commercial	$23.37
Rate for Payer: Molina Complete Care Medicaid/Medicare	$29.21
Rate for Payer: Prime Health Services Workers Comp	$40.71

False Labor

Facility

$0.51

Service Code	EAPG 00764
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$0.51
Rate for Payer: Sunshine Health Medicaid	$0.51

Family Psychotherapy

Facility

$0.33

Service Code	EAPG 00317
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Sunshine Health Medicaid	$0.33

Family Therapy

Professional

Both

$42.00

Service Code	CPT 90847
Hospital Charge Code	2690847
Min. Negotiated Rate	$55.00
Max. Negotiated Rate	$159.67
Rate for Payer: Aetna Better Health CHIP/Medicaid	$85.25
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$102.73
Rate for Payer: Behavioral Services Network Commercial	$113.00
Rate for Payer: Behavioral Services Network Medicare	$102.73
Rate for Payer: Carelon Commercial/Medicare	$60.00
Rate for Payer: Carelon Commercial/Medicare	$55.00
Rate for Payer: Carelon Medicare	$102.73
Rate for Payer: Humana Commercial	$114.18
Rate for Payer: Humana Commercial	$122.98
Rate for Payer: Humana Commercial	$105.41
Rate for Payer: Humana Medicare	$114.18
Rate for Payer: Humana Medicare	$105.41
Rate for Payer: Humana Medicare	$122.98
Rate for Payer: Lucet Commercial	$92.46
Rate for Payer: Lucet Commercial	$82.18
Rate for Payer: Lucet Commercial	$97.59
Rate for Payer: Magellan Medicaid	$81.19
Rate for Payer: Molina Complete Care Medicaid/Medicare	$102.73
Rate for Payer: Prime Health Services Workers Comp	$159.67

Female Reproductive System Infections

Facility

$0.36

Service Code	EAPG 00751
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Sunshine Health Medicaid	$0.36

Female Reproductive System Malignancy

Facility

$0.31

Service Code	EAPG 00750
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Sunshine Health Medicaid	$0.31

Fever And Other Inflammatory Conditions

Facility

$0.76

Service Code	EAPG 00807
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Sunshine Health Medicaid	$0.76

Fixation Device Insertion Or Replacement Procedures

Facility

$4.96

Service Code	EAPG 00054
Min. Negotiated Rate	$4.96
Max. Negotiated Rate	$4.96
Rate for Payer: Sunshine Health Medicaid	$4.96

Foreign body, skin, complex

Professional

Both

$807.00

Service Code	CPT 10121
Hospital Charge Code	910121
Min. Negotiated Rate	$144.58
Max. Negotiated Rate	$507.28
Rate for Payer: Aetna Better Health CHIP/Medicaid	$213.13
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$180.72
Rate for Payer: Behavioral Services Network Commercial	$198.79
Rate for Payer: Behavioral Services Network Medicare	$180.72
Rate for Payer: Carelon Medicare	$180.72
Rate for Payer: Lucet Commercial	$144.58
Rate for Payer: Lucet Commercial	$171.68
Rate for Payer: Lucet Commercial	$162.65
Rate for Payer: Magellan Medicaid	$202.98
Rate for Payer: Molina Complete Care Medicaid/Medicare	$180.72
Rate for Payer: Prime Health Services Workers Comp	$507.28

Fractures, Dislocations And Sprains Of The Skull, Cranium And Face

Facility

$0.69

Service Code	EAPG 00648
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Sunshine Health Medicaid	$0.69

Fractures, Dislocations, Other Injuries - Lower Extremity Including Femur

Facility

$0.59

Service Code	EAPG 00650
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Sunshine Health Medicaid	$0.59

Fractures, Dislocations, Other Injuries Of The Neck, Upper Back And Chest

Facility

$0.68

Service Code	EAPG 00656
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Sunshine Health Medicaid	$0.68

Fractures, Dislocations, Other Injuries - Upper Extremity Including Shoulder

Facility

$0.59

Service Code	EAPG 00647
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Sunshine Health Medicaid	$0.59

Fractures, Dislocations, Sprains And Other Injuries Of The Lower Back

Facility

$0.38

Service Code	EAPG 00657
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Sunshine Health Medicaid	$0.38

Fractures, Dislocations, Sprains And Other Injuries Of The Pelvis And Hip

Facility

$0.73

Service Code	EAPG 00651
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Sunshine Health Medicaid	$0.73

Gallbladder And Biliary Tract Diagnoses

Facility

$0.44

Service Code	EAPG 00637
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Sunshine Health Medicaid	$0.44

Gastrointestinal And Peritoneal Infection Diagnoses

Facility

$0.49

Service Code	EAPG 00619
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Sunshine Health Medicaid	$0.49

Gastrointestinal Hemorrhage And Related Postprocedural Hemorrhage Diagnoses

Facility

$0.65

Service Code	EAPG 00617
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Sunshine Health Medicaid	$0.65

Gastrointestinal Vascular Insufficiency

Facility

$0.44

Service Code	EAPG 00642
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Sunshine Health Medicaid	$0.44

Genetic Counseling

Facility

$0.32

Service Code	EAPG 00882
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Sunshine Health Medicaid	$0.32

Glaucoma

Facility

$0.28

Service Code	EAPG 00552
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Sunshine Health Medicaid	$0.28

Global Antepartum And Postpartum Visits

Facility

$0.66

Service Code	EAPG 00203
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Sunshine Health Medicaid	$0.66

Glucose interpretation and report

Professional

Both

$106.00

Service Code	CPT 95251
Hospital Charge Code	3295251
Min. Negotiated Rate	$26.69
Max. Negotiated Rate	$53.46
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility	$33.36
Rate for Payer: Behavioral Services Network Commercial	$36.70
Rate for Payer: Behavioral Services Network Medicare	$33.36
Rate for Payer: Carelon Medicare	$33.36
Rate for Payer: Lucet Commercial	$31.69
Rate for Payer: Lucet Commercial	$26.69
Rate for Payer: Lucet Commercial	$30.02
Rate for Payer: Molina Complete Care Medicaid/Medicare	$33.36
Rate for Payer: Prime Health Services Workers Comp	$53.46

Group Psychotherapy

Facility

$0.50

Service Code	EAPG 00318
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Sunshine Health Medicaid	$0.50

Know your out-of-pocket cost for care.

All Charges