|
Correction of Bunion 28299
|
Professional
|
$4,378.00
|
|
|
Service Code
|
CPT 28299
|
| Hospital Charge Code |
3215479
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$561.32 |
| Max. Negotiated Rate |
$4,159.10 |
| Rate for Payer: Aetna Commercial |
$4,159.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,765.08
|
| Rate for Payer: Aetna Managed Medicare |
$561.32
|
| Rate for Payer: Anthem Medicare Advantage |
$561.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$561.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$561.32
|
| Rate for Payer: Cash Price |
$1,313.40
|
| Rate for Payer: Cash Price |
$1,313.40
|
| Rate for Payer: Cigna Commercial |
$4,159.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,189.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$561.32
|
| Rate for Payer: Health EOS Commercial |
$3,983.98
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,971.68
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,971.68
|
| Rate for Payer: Independent Care Health Plan Medicare |
$561.32
|
| Rate for Payer: Multiplan Commercial |
$3,502.40
|
| Rate for Payer: Preferred Network Access Commercial |
$4,159.10
|
| Rate for Payer: Quartz Beloit One Network |
$1,926.32
|
| Rate for Payer: Quartz Commercial |
$2,495.46
|
| Rate for Payer: Quartz Medicare Advantage |
$561.32
|
| Rate for Payer: The Alliance Commercial |
$2,385.61
|
| Rate for Payer: United Healthcare Medicaid |
$680.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$561.32
|
| Rate for Payer: WEA Trust Commercial |
$2,407.90
|
| Rate for Payer: WPS Commercial |
$2,525.94
|
|
|
COR STEMI/AMI URGENT
|
Facility
OP
|
$28,855.00
|
|
|
Service Code
|
CPT 92941
|
| Hospital Charge Code |
3052468
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,079.40 |
| Max. Negotiated Rate |
$115,420.00 |
| Rate for Payer: Aetna Commercial |
$25,969.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$24,815.30
|
| Rate for Payer: Aetna Managed Medicare |
$8,079.40
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$23,311.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$20,676.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$19,643.00
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$15,293.15
|
| Rate for Payer: Cash Price |
$8,656.50
|
| Rate for Payer: Cash Price |
$8,656.50
|
| Rate for Payer: Cash Price |
$8,656.50
|
| Rate for Payer: Cigna Commercial |
$26,546.60
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Health EOS Commercial |
$25,680.95
|
| Rate for Payer: HFN Commercial |
$26,546.60
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$21,641.25
|
| Rate for Payer: Multiplan Commercial |
$23,084.00
|
| Rate for Payer: NAPHCARE Commercial |
$17,313.00
|
| Rate for Payer: Preferred Network Access Commercial |
$26,546.60
|
| Rate for Payer: Quartz Beloit One Network |
$14,138.95
|
| Rate for Payer: Quartz Commercial |
$18,755.75
|
| Rate for Payer: Quartz Medicare Advantage |
$17,313.00
|
| Rate for Payer: The Alliance Commercial |
$115,420.00
|
| Rate for Payer: United Healthcare PPO |
$9,596.00
|
| Rate for Payer: WEA Trust Commercial |
$15,870.25
|
| Rate for Payer: WPS Commercial |
$21,372.90
|
|
|
COR STEMI/AMI URGENT
|
Facility
IP
|
$28,855.00
|
|
|
Service Code
|
CPT 92941
|
| Hospital Charge Code |
3052468
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$14,138.95 |
| Max. Negotiated Rate |
$26,546.60 |
| Rate for Payer: Aetna Commercial |
$25,969.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$15,293.15
|
| Rate for Payer: Cash Price |
$8,656.50
|
| Rate for Payer: Cigna Commercial |
$26,546.60
|
| Rate for Payer: Health EOS Commercial |
$25,680.95
|
| Rate for Payer: HFN Commercial |
$26,546.60
|
| Rate for Payer: Multiplan Commercial |
$23,084.00
|
| Rate for Payer: NAPHCARE Commercial |
$17,313.00
|
| Rate for Payer: Preferred Network Access Commercial |
$26,546.60
|
| Rate for Payer: Quartz Beloit One Network |
$14,138.95
|
| Rate for Payer: Quartz Commercial |
$17,313.00
|
| Rate for Payer: WEA Trust Commercial |
$15,870.25
|
| Rate for Payer: WPS Commercial |
$21,372.90
|
|
|
COR Stent W/PTCA Primary
|
Facility
OP
|
$25,059.00
|
|
|
Service Code
|
CPT 92928
|
| Hospital Charge Code |
3052464
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,596.00 |
| Max. Negotiated Rate |
$40,449.87 |
| Rate for Payer: Aetna Commercial |
$22,553.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$21,550.74
|
| Rate for Payer: Aetna Managed Medicare |
$10,873.62
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$23,311.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$20,676.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$19,643.00
|
| Rate for Payer: Anthem Medicare Advantage |
$10,873.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$13,281.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,873.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,873.62
|
| Rate for Payer: Cash Price |
$7,517.70
|
| Rate for Payer: Cash Price |
$7,517.70
|
| Rate for Payer: Cash Price |
$7,517.70
|
| Rate for Payer: Cigna Commercial |
$23,054.28
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,873.62
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,873.62
|
| Rate for Payer: Health EOS Commercial |
$22,302.51
|
| Rate for Payer: HFN Commercial |
$23,054.28
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,449.87
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,873.62
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,873.62
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,873.62
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,873.62
|
| Rate for Payer: Multiplan Commercial |
$20,047.20
|
| Rate for Payer: NAPHCARE Commercial |
$16,310.43
|
| Rate for Payer: Preferred Network Access Commercial |
$23,054.28
|
| Rate for Payer: Quartz Beloit One Network |
$12,278.91
|
| Rate for Payer: Quartz Commercial |
$16,288.35
|
| Rate for Payer: Quartz Medicare Advantage |
$10,873.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,873.62
|
| Rate for Payer: United Healthcare PPO |
$9,596.00
|
| Rate for Payer: WEA Trust Commercial |
$13,782.45
|
| Rate for Payer: Wellcare Medicare |
$10,873.62
|
| Rate for Payer: WPS Commercial |
$18,561.20
|
|
|
COR Stent W/PTCA Primary
|
Facility
IP
|
$25,059.00
|
|
|
Service Code
|
CPT 92928
|
| Hospital Charge Code |
3052464
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,278.91 |
| Max. Negotiated Rate |
$23,054.28 |
| Rate for Payer: Aetna Commercial |
$22,553.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$13,281.27
|
| Rate for Payer: Cash Price |
$7,517.70
|
| Rate for Payer: Cigna Commercial |
$23,054.28
|
| Rate for Payer: Health EOS Commercial |
$22,302.51
|
| Rate for Payer: HFN Commercial |
$23,054.28
|
| Rate for Payer: Multiplan Commercial |
$20,047.20
|
| Rate for Payer: NAPHCARE Commercial |
$15,035.40
|
| Rate for Payer: Preferred Network Access Commercial |
$23,054.28
|
| Rate for Payer: Quartz Beloit One Network |
$12,278.91
|
| Rate for Payer: Quartz Commercial |
$15,035.40
|
| Rate for Payer: WEA Trust Commercial |
$13,782.45
|
| Rate for Payer: WPS Commercial |
$18,561.20
|
|
|
Cor Thrombectomy Mechanical +
|
Facility
IP
|
$10,014.00
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
3052470
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,906.86 |
| Max. Negotiated Rate |
$9,212.88 |
| Rate for Payer: Aetna Commercial |
$9,012.60
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,307.42
|
| Rate for Payer: Cash Price |
$3,004.20
|
| Rate for Payer: Cigna Commercial |
$9,212.88
|
| Rate for Payer: Health EOS Commercial |
$8,912.46
|
| Rate for Payer: HFN Commercial |
$9,212.88
|
| Rate for Payer: Multiplan Commercial |
$8,011.20
|
| Rate for Payer: NAPHCARE Commercial |
$6,008.40
|
| Rate for Payer: Preferred Network Access Commercial |
$9,212.88
|
| Rate for Payer: Quartz Beloit One Network |
$4,906.86
|
| Rate for Payer: Quartz Commercial |
$6,008.40
|
| Rate for Payer: WEA Trust Commercial |
$5,507.70
|
| Rate for Payer: WPS Commercial |
$7,417.37
|
|
|
Cor Thrombectomy Mechanical +
|
Facility
OP
|
$10,014.00
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
3052470
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,803.92 |
| Max. Negotiated Rate |
$9,212.88 |
| Rate for Payer: Aetna Commercial |
$9,012.60
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,612.04
|
| Rate for Payer: Aetna Managed Medicare |
$2,803.92
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,509.10
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,007.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,806.72
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,307.42
|
| Rate for Payer: Cash Price |
$3,004.20
|
| Rate for Payer: Cash Price |
$3,004.20
|
| Rate for Payer: Cigna Commercial |
$9,212.88
|
| Rate for Payer: Health EOS Commercial |
$8,912.46
|
| Rate for Payer: HFN Commercial |
$9,212.88
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,510.50
|
| Rate for Payer: Multiplan Commercial |
$8,011.20
|
| Rate for Payer: NAPHCARE Commercial |
$6,008.40
|
| Rate for Payer: Preferred Network Access Commercial |
$9,212.88
|
| Rate for Payer: Quartz Beloit One Network |
$4,906.86
|
| Rate for Payer: Quartz Commercial |
$6,509.10
|
| Rate for Payer: Quartz Medicare Advantage |
$6,008.40
|
| Rate for Payer: WEA Trust Commercial |
$5,507.70
|
| Rate for Payer: WPS Commercial |
$7,417.37
|
|
|
CORTICAL/CANCELLOUS STRUT 10CM X 12MM 400607
|
Facility
OP
|
$3,463.00
|
|
| Hospital Charge Code |
4494290
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$969.64 |
| Max. Negotiated Rate |
$13,852.00 |
| Rate for Payer: Aetna Commercial |
$3,116.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,978.18
|
| Rate for Payer: Aetna Managed Medicare |
$969.64
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,250.95
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,731.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,662.24
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,835.39
|
| Rate for Payer: Cash Price |
$1,038.90
|
| Rate for Payer: Cigna Commercial |
$3,185.96
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$1,937.89
|
| Rate for Payer: Health EOS Commercial |
$3,082.07
|
| Rate for Payer: HFN Commercial |
$3,185.96
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,597.25
|
| Rate for Payer: Multiplan Commercial |
$2,770.40
|
| Rate for Payer: NAPHCARE Commercial |
$2,077.80
|
| Rate for Payer: Preferred Network Access Commercial |
$3,185.96
|
| Rate for Payer: Quartz Beloit One Network |
$1,696.87
|
| Rate for Payer: Quartz Commercial |
$2,250.95
|
| Rate for Payer: Quartz Medicare Advantage |
$2,077.80
|
| Rate for Payer: The Alliance Commercial |
$13,852.00
|
| Rate for Payer: WEA Trust Commercial |
$1,904.65
|
| Rate for Payer: WPS Commercial |
$2,565.04
|
|
|
CORTICAL/CANCELLOUS STRUT 10CM X 12MM 400607
|
Facility
IP
|
$3,463.00
|
|
| Hospital Charge Code |
4494290
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,696.87 |
| Max. Negotiated Rate |
$3,185.96 |
| Rate for Payer: Aetna Commercial |
$3,116.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,835.39
|
| Rate for Payer: Cash Price |
$1,038.90
|
| Rate for Payer: Cigna Commercial |
$3,185.96
|
| Rate for Payer: Health EOS Commercial |
$3,082.07
|
| Rate for Payer: HFN Commercial |
$3,185.96
|
| Rate for Payer: Multiplan Commercial |
$2,770.40
|
| Rate for Payer: NAPHCARE Commercial |
$2,077.80
|
| Rate for Payer: Preferred Network Access Commercial |
$3,185.96
|
| Rate for Payer: Quartz Beloit One Network |
$1,696.87
|
| Rate for Payer: Quartz Commercial |
$2,077.80
|
| Rate for Payer: WEA Trust Commercial |
$1,904.65
|
| Rate for Payer: WPS Commercial |
$2,565.04
|
|
|
CORTICAL OPENER 4.5MM 700354
|
Facility
OP
|
$1,526.00
|
|
| Hospital Charge Code |
6175233
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$427.28 |
| Max. Negotiated Rate |
$6,104.00 |
| Rate for Payer: Aetna Commercial |
$1,373.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,312.36
|
| Rate for Payer: Aetna Managed Medicare |
$427.28
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$991.90
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$763.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$732.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$808.78
|
| Rate for Payer: Cash Price |
$457.80
|
| Rate for Payer: Cigna Commercial |
$1,403.92
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$853.95
|
| Rate for Payer: Health EOS Commercial |
$1,358.14
|
| Rate for Payer: HFN Commercial |
$1,403.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,144.50
|
| Rate for Payer: Multiplan Commercial |
$1,220.80
|
| Rate for Payer: NAPHCARE Commercial |
$915.60
|
| Rate for Payer: Preferred Network Access Commercial |
$1,403.92
|
| Rate for Payer: Quartz Beloit One Network |
$747.74
|
| Rate for Payer: Quartz Commercial |
$991.90
|
| Rate for Payer: Quartz Medicare Advantage |
$915.60
|
| Rate for Payer: The Alliance Commercial |
$6,104.00
|
| Rate for Payer: WEA Trust Commercial |
$839.30
|
| Rate for Payer: WPS Commercial |
$1,130.31
|
|
|
CORTICAL OPENER 4.5MM 700354
|
Facility
IP
|
$1,526.00
|
|
| Hospital Charge Code |
6175233
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$747.74 |
| Max. Negotiated Rate |
$1,403.92 |
| Rate for Payer: Aetna Commercial |
$1,373.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$808.78
|
| Rate for Payer: Cash Price |
$457.80
|
| Rate for Payer: Cigna Commercial |
$1,403.92
|
| Rate for Payer: Health EOS Commercial |
$1,358.14
|
| Rate for Payer: HFN Commercial |
$1,403.92
|
| Rate for Payer: Multiplan Commercial |
$1,220.80
|
| Rate for Payer: NAPHCARE Commercial |
$915.60
|
| Rate for Payer: Preferred Network Access Commercial |
$1,403.92
|
| Rate for Payer: Quartz Beloit One Network |
$747.74
|
| Rate for Payer: Quartz Commercial |
$915.60
|
| Rate for Payer: WEA Trust Commercial |
$839.30
|
| Rate for Payer: WPS Commercial |
$1,130.31
|
|
|
Corticorelin 1 mcg Charge
|
Facility
OP
|
$49.00
|
|
|
Service Code
|
HCPCS J0795
|
| Hospital Charge Code |
2958970
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.72 |
| Max. Negotiated Rate |
$196.00 |
| Rate for Payer: Aetna Commercial |
$44.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$42.14
|
| Rate for Payer: Aetna Managed Medicare |
$13.72
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$31.85
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$24.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$23.52
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$25.97
|
| Rate for Payer: Cash Price |
$14.70
|
| Rate for Payer: Cigna Commercial |
$45.08
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$27.42
|
| Rate for Payer: Health EOS Commercial |
$43.61
|
| Rate for Payer: HFN Commercial |
$45.08
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$36.75
|
| Rate for Payer: Multiplan Commercial |
$39.20
|
| Rate for Payer: NAPHCARE Commercial |
$29.40
|
| Rate for Payer: Preferred Network Access Commercial |
$45.08
|
| Rate for Payer: Quartz Beloit One Network |
$24.01
|
| Rate for Payer: Quartz Commercial |
$31.85
|
| Rate for Payer: Quartz Medicare Advantage |
$29.40
|
| Rate for Payer: The Alliance Commercial |
$196.00
|
| Rate for Payer: WEA Trust Commercial |
$26.95
|
| Rate for Payer: WPS Commercial |
$36.29
|
|
|
Corticorelin 1 mcg Charge
|
Professional
|
$49.00
|
|
|
Service Code
|
HCPCS J0795
|
| Hospital Charge Code |
2958970
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.67 |
| Max. Negotiated Rate |
$46.55 |
| Rate for Payer: Aetna Commercial |
$46.55
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$42.14
|
| Rate for Payer: Cash Price |
$14.70
|
| Rate for Payer: Cash Price |
$14.70
|
| Rate for Payer: Cigna Commercial |
$46.55
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$24.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$29.40
|
| Rate for Payer: Health EOS Commercial |
$44.59
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$14.12
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$14.12
|
| Rate for Payer: Multiplan Commercial |
$39.20
|
| Rate for Payer: Preferred Network Access Commercial |
$46.55
|
| Rate for Payer: Quartz Beloit One Network |
$21.56
|
| Rate for Payer: Quartz Commercial |
$27.93
|
| Rate for Payer: The Alliance Commercial |
$24.50
|
| Rate for Payer: United Healthcare Medicaid |
$9.67
|
| Rate for Payer: WEA Trust Commercial |
$26.95
|
| Rate for Payer: WPS Commercial |
$36.29
|
|
|
Corticorelin 1 mcg Charge
|
Facility
IP
|
$49.00
|
|
|
Service Code
|
HCPCS J0795
|
| Hospital Charge Code |
2958970
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.01 |
| Max. Negotiated Rate |
$45.08 |
| Rate for Payer: Aetna Commercial |
$44.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$25.97
|
| Rate for Payer: Cash Price |
$14.70
|
| Rate for Payer: Cigna Commercial |
$45.08
|
| Rate for Payer: Health EOS Commercial |
$43.61
|
| Rate for Payer: HFN Commercial |
$45.08
|
| Rate for Payer: Multiplan Commercial |
$39.20
|
| Rate for Payer: NAPHCARE Commercial |
$29.40
|
| Rate for Payer: Preferred Network Access Commercial |
$45.08
|
| Rate for Payer: Quartz Beloit One Network |
$24.01
|
| Rate for Payer: Quartz Commercial |
$29.40
|
| Rate for Payer: WEA Trust Commercial |
$26.95
|
| Rate for Payer: WPS Commercial |
$36.29
|
|
|
Cortisol Evening
|
Professional
|
$339.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
977913
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.30 |
| Max. Negotiated Rate |
$322.05 |
| Rate for Payer: Aetna Commercial |
$322.05
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$291.54
|
| Rate for Payer: Aetna Managed Medicare |
$16.30
|
| Rate for Payer: Anthem Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.30
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cigna Commercial |
$322.05
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$169.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$16.30
|
| Rate for Payer: Health EOS Commercial |
$308.49
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$57.54
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$57.54
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.30
|
| Rate for Payer: Multiplan Commercial |
$271.20
|
| Rate for Payer: Preferred Network Access Commercial |
$322.05
|
| Rate for Payer: Quartz Beloit One Network |
$149.16
|
| Rate for Payer: Quartz Commercial |
$193.23
|
| Rate for Payer: Quartz Medicare Advantage |
$16.30
|
| Rate for Payer: The Alliance Commercial |
$64.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.30
|
| Rate for Payer: WEA Trust Commercial |
$186.45
|
| Rate for Payer: WPS Commercial |
$71.72
|
|
|
Cortisol Evening
|
Facility
OP
|
$339.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
977913
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.30 |
| Max. Negotiated Rate |
$1,356.00 |
| Rate for Payer: Aetna Commercial |
$305.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$291.54
|
| Rate for Payer: Aetna Managed Medicare |
$16.30
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$61.12
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$28.52
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$27.06
|
| Rate for Payer: Anthem Medicaid |
$16.84
|
| Rate for Payer: Anthem Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$179.67
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.30
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cigna Commercial |
$311.88
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16.30
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$16.84
|
| Rate for Payer: Dean Health Medicaid |
$16.84
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16.30
|
| Rate for Payer: Health EOS Commercial |
$301.71
|
| Rate for Payer: HFN Commercial |
$311.88
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$60.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16.30
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$16.84
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.30
|
| Rate for Payer: Managed Health Services Medicaid |
$17.51
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16.30
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16.30
|
| Rate for Payer: Multiplan Commercial |
$271.20
|
| Rate for Payer: NAPHCARE Commercial |
$24.45
|
| Rate for Payer: Preferred Network Access Commercial |
$311.88
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$16.84
|
| Rate for Payer: Quartz Beloit One Network |
$166.11
|
| Rate for Payer: Quartz Commercial |
$220.35
|
| Rate for Payer: Quartz Medicare Advantage |
$16.30
|
| Rate for Payer: The Alliance Commercial |
$1,356.00
|
| Rate for Payer: United Healthcare Medicaid |
$16.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.30
|
| Rate for Payer: United Healthcare PPO |
$254.25
|
| Rate for Payer: WEA Trust Commercial |
$186.45
|
| Rate for Payer: Wellcare Medicare |
$16.30
|
| Rate for Payer: WMAP Medicaid |
$16.84
|
| Rate for Payer: WPS Commercial |
$251.10
|
|
|
Cortisol Evening
|
Facility
IP
|
$339.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
977913
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$166.11 |
| Max. Negotiated Rate |
$311.88 |
| Rate for Payer: Aetna Commercial |
$305.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$179.67
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cigna Commercial |
$311.88
|
| Rate for Payer: Health EOS Commercial |
$301.71
|
| Rate for Payer: HFN Commercial |
$311.88
|
| Rate for Payer: Multiplan Commercial |
$271.20
|
| Rate for Payer: NAPHCARE Commercial |
$203.40
|
| Rate for Payer: Preferred Network Access Commercial |
$311.88
|
| Rate for Payer: Quartz Beloit One Network |
$166.11
|
| Rate for Payer: Quartz Commercial |
$203.40
|
| Rate for Payer: WEA Trust Commercial |
$186.45
|
| Rate for Payer: WPS Commercial |
$251.10
|
|
|
Cortisol Free 24 Hour Urine
|
Facility
OP
|
$726.00
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
977912
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.71 |
| Max. Negotiated Rate |
$2,904.00 |
| Rate for Payer: Aetna Commercial |
$653.40
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$624.36
|
| Rate for Payer: Aetna Managed Medicare |
$16.71
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$62.66
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$29.24
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$27.74
|
| Rate for Payer: Anthem Medicaid |
$17.27
|
| Rate for Payer: Anthem Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$384.78
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.71
|
| Rate for Payer: Cash Price |
$217.80
|
| Rate for Payer: Cash Price |
$217.80
|
| Rate for Payer: Cigna Commercial |
$667.92
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16.71
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$17.27
|
| Rate for Payer: Dean Health Medicaid |
$17.27
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16.71
|
| Rate for Payer: Health EOS Commercial |
$646.14
|
| Rate for Payer: HFN Commercial |
$667.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$62.16
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16.71
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$17.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.71
|
| Rate for Payer: Managed Health Services Medicaid |
$17.96
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16.71
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16.71
|
| Rate for Payer: Multiplan Commercial |
$580.80
|
| Rate for Payer: NAPHCARE Commercial |
$25.06
|
| Rate for Payer: Preferred Network Access Commercial |
$667.92
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$17.27
|
| Rate for Payer: Quartz Beloit One Network |
$355.74
|
| Rate for Payer: Quartz Commercial |
$471.90
|
| Rate for Payer: Quartz Medicare Advantage |
$16.71
|
| Rate for Payer: The Alliance Commercial |
$2,904.00
|
| Rate for Payer: United Healthcare Medicaid |
$17.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.71
|
| Rate for Payer: United Healthcare PPO |
$544.50
|
| Rate for Payer: WEA Trust Commercial |
$399.30
|
| Rate for Payer: Wellcare Medicare |
$16.71
|
| Rate for Payer: WMAP Medicaid |
$17.27
|
| Rate for Payer: WPS Commercial |
$537.75
|
|
|
Cortisol Free 24 Hour Urine
|
Professional
|
$726.00
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
977912
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.71 |
| Max. Negotiated Rate |
$689.70 |
| Rate for Payer: Aetna Commercial |
$689.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$624.36
|
| Rate for Payer: Aetna Managed Medicare |
$16.71
|
| Rate for Payer: Anthem Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.71
|
| Rate for Payer: Cash Price |
$217.80
|
| Rate for Payer: Cash Price |
$217.80
|
| Rate for Payer: Cigna Commercial |
$689.70
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$363.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$16.71
|
| Rate for Payer: Health EOS Commercial |
$660.66
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$58.99
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$58.99
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.71
|
| Rate for Payer: Multiplan Commercial |
$580.80
|
| Rate for Payer: Preferred Network Access Commercial |
$689.70
|
| Rate for Payer: Quartz Beloit One Network |
$319.44
|
| Rate for Payer: Quartz Commercial |
$413.82
|
| Rate for Payer: Quartz Medicare Advantage |
$16.71
|
| Rate for Payer: The Alliance Commercial |
$66.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.71
|
| Rate for Payer: WEA Trust Commercial |
$399.30
|
| Rate for Payer: WPS Commercial |
$73.52
|
|
|
Cortisol Free 24 Hour Urine
|
Facility
IP
|
$726.00
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
977912
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$355.74 |
| Max. Negotiated Rate |
$667.92 |
| Rate for Payer: Aetna Commercial |
$653.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$384.78
|
| Rate for Payer: Cash Price |
$217.80
|
| Rate for Payer: Cigna Commercial |
$667.92
|
| Rate for Payer: Health EOS Commercial |
$646.14
|
| Rate for Payer: HFN Commercial |
$667.92
|
| Rate for Payer: Multiplan Commercial |
$580.80
|
| Rate for Payer: NAPHCARE Commercial |
$435.60
|
| Rate for Payer: Preferred Network Access Commercial |
$667.92
|
| Rate for Payer: Quartz Beloit One Network |
$355.74
|
| Rate for Payer: Quartz Commercial |
$435.60
|
| Rate for Payer: WEA Trust Commercial |
$399.30
|
| Rate for Payer: WPS Commercial |
$537.75
|
|
|
Cortisol Free & Total Level
|
Facility
OP
|
$125.00
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
1038906
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.71 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$112.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$107.50
|
| Rate for Payer: Aetna Managed Medicare |
$16.71
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$62.66
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$29.24
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$27.74
|
| Rate for Payer: Anthem Medicaid |
$17.27
|
| Rate for Payer: Anthem Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$66.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.71
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cigna Commercial |
$115.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16.71
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$17.27
|
| Rate for Payer: Dean Health Medicaid |
$17.27
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16.71
|
| Rate for Payer: Health EOS Commercial |
$111.25
|
| Rate for Payer: HFN Commercial |
$115.00
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$62.16
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16.71
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$17.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.71
|
| Rate for Payer: Managed Health Services Medicaid |
$17.96
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16.71
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16.71
|
| Rate for Payer: Multiplan Commercial |
$100.00
|
| Rate for Payer: NAPHCARE Commercial |
$25.06
|
| Rate for Payer: Preferred Network Access Commercial |
$115.00
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$17.27
|
| Rate for Payer: Quartz Beloit One Network |
$61.25
|
| Rate for Payer: Quartz Commercial |
$81.25
|
| Rate for Payer: Quartz Medicare Advantage |
$16.71
|
| Rate for Payer: The Alliance Commercial |
$500.00
|
| Rate for Payer: United Healthcare Medicaid |
$17.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.71
|
| Rate for Payer: United Healthcare PPO |
$93.75
|
| Rate for Payer: WEA Trust Commercial |
$68.75
|
| Rate for Payer: Wellcare Medicare |
$16.71
|
| Rate for Payer: WMAP Medicaid |
$17.27
|
| Rate for Payer: WPS Commercial |
$92.59
|
|
|
Cortisol Free & Total Level
|
Facility
IP
|
$125.00
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
1038906
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$61.25 |
| Max. Negotiated Rate |
$115.00 |
| Rate for Payer: Aetna Commercial |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$66.25
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cigna Commercial |
$115.00
|
| Rate for Payer: Health EOS Commercial |
$111.25
|
| Rate for Payer: HFN Commercial |
$115.00
|
| Rate for Payer: Multiplan Commercial |
$100.00
|
| Rate for Payer: NAPHCARE Commercial |
$75.00
|
| Rate for Payer: Preferred Network Access Commercial |
$115.00
|
| Rate for Payer: Quartz Beloit One Network |
$61.25
|
| Rate for Payer: Quartz Commercial |
$75.00
|
| Rate for Payer: WEA Trust Commercial |
$68.75
|
| Rate for Payer: WPS Commercial |
$92.59
|
|
|
Cortisol Free & Total Level
|
Professional
|
$125.00
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
1038906
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.71 |
| Max. Negotiated Rate |
$118.75 |
| Rate for Payer: Aetna Commercial |
$118.75
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$107.50
|
| Rate for Payer: Aetna Managed Medicare |
$16.71
|
| Rate for Payer: Anthem Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.71
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cigna Commercial |
$118.75
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$62.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$16.71
|
| Rate for Payer: Health EOS Commercial |
$113.75
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$58.99
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$58.99
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.71
|
| Rate for Payer: Multiplan Commercial |
$100.00
|
| Rate for Payer: Preferred Network Access Commercial |
$118.75
|
| Rate for Payer: Quartz Beloit One Network |
$55.00
|
| Rate for Payer: Quartz Commercial |
$71.25
|
| Rate for Payer: Quartz Medicare Advantage |
$16.71
|
| Rate for Payer: The Alliance Commercial |
$66.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.71
|
| Rate for Payer: WEA Trust Commercial |
$68.75
|
| Rate for Payer: WPS Commercial |
$73.52
|
|
|
Cortisol Level
|
Facility
OP
|
$182.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
633710
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$16.30 |
| Max. Negotiated Rate |
$728.00 |
| Rate for Payer: Aetna Commercial |
$163.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$156.52
|
| Rate for Payer: Aetna Managed Medicare |
$16.30
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$61.12
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$28.52
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$27.06
|
| Rate for Payer: Anthem Medicaid |
$16.84
|
| Rate for Payer: Anthem Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$96.46
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16.30
|
| Rate for Payer: Cash Price |
$54.60
|
| Rate for Payer: Cash Price |
$54.60
|
| Rate for Payer: Cigna Commercial |
$167.44
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16.30
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$16.84
|
| Rate for Payer: Dean Health Medicaid |
$16.84
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16.30
|
| Rate for Payer: Health EOS Commercial |
$161.98
|
| Rate for Payer: HFN Commercial |
$167.44
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$60.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16.30
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$16.84
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16.30
|
| Rate for Payer: Managed Health Services Medicaid |
$17.51
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16.30
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16.30
|
| Rate for Payer: Multiplan Commercial |
$145.60
|
| Rate for Payer: NAPHCARE Commercial |
$24.45
|
| Rate for Payer: Preferred Network Access Commercial |
$167.44
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$16.84
|
| Rate for Payer: Quartz Beloit One Network |
$89.18
|
| Rate for Payer: Quartz Commercial |
$118.30
|
| Rate for Payer: Quartz Medicare Advantage |
$16.30
|
| Rate for Payer: The Alliance Commercial |
$728.00
|
| Rate for Payer: United Healthcare Medicaid |
$16.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16.30
|
| Rate for Payer: United Healthcare PPO |
$136.50
|
| Rate for Payer: WEA Trust Commercial |
$100.10
|
| Rate for Payer: Wellcare Medicare |
$16.30
|
| Rate for Payer: WMAP Medicaid |
$16.84
|
| Rate for Payer: WPS Commercial |
$134.81
|
|
|
Cortisol Level
|
Facility
IP
|
$182.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
633710
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$89.18 |
| Max. Negotiated Rate |
$167.44 |
| Rate for Payer: Aetna Commercial |
$163.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$96.46
|
| Rate for Payer: Cash Price |
$54.60
|
| Rate for Payer: Cigna Commercial |
$167.44
|
| Rate for Payer: Health EOS Commercial |
$161.98
|
| Rate for Payer: HFN Commercial |
$167.44
|
| Rate for Payer: Multiplan Commercial |
$145.60
|
| Rate for Payer: NAPHCARE Commercial |
$109.20
|
| Rate for Payer: Preferred Network Access Commercial |
$167.44
|
| Rate for Payer: Quartz Beloit One Network |
$89.18
|
| Rate for Payer: Quartz Commercial |
$109.20
|
| Rate for Payer: WEA Trust Commercial |
$100.10
|
| Rate for Payer: WPS Commercial |
$134.81
|
|
