|
CV Arch Aortography
|
Professional
|
Both
|
$9,946.00
|
|
| Hospital Charge Code |
1482835
|
|
Hospital Revenue Code
|
323
|
| Min. Negotiated Rate |
$4,551.29 |
| Max. Negotiated Rate |
$9,826.65 |
| Rate for Payer: Aetna Commercial |
$9,826.65
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,895.70
|
| Rate for Payer: Cash Price |
$2,983.80
|
| Rate for Payer: Cigna Commercial |
$9,826.65
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$5,171.92
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,206.30
|
| Rate for Payer: Health EOS Commercial |
$9,412.89
|
| Rate for Payer: HFN Commercial |
$9,826.65
|
| Rate for Payer: Multiplan Commercial |
$8,275.07
|
| Rate for Payer: Preferred Network Access Commercial |
$9,826.65
|
| Rate for Payer: Quartz Beloit One Network |
$4,551.29
|
| Rate for Payer: Quartz Commercial |
$5,895.99
|
| Rate for Payer: The Alliance Commercial |
$5,171.92
|
| Rate for Payer: WEA Trust Commercial |
$5,689.11
|
| Rate for Payer: WPS Commercial |
$7,661.40
|
|
|
CV Implant Loop Recorder
|
Facility
|
IP
|
$9,741.00
|
|
|
Service Code
|
CPT 33282
|
| Hospital Charge Code |
1483024
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,964.01 |
| Max. Negotiated Rate |
$9,320.19 |
| Rate for Payer: Aetna Commercial |
$9,117.58
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,712.35
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,369.24
|
| Rate for Payer: Cash Price |
$2,922.30
|
| Rate for Payer: Cigna Commercial |
$9,320.19
|
| Rate for Payer: Health EOS Commercial |
$9,016.27
|
| Rate for Payer: HFN Commercial |
$9,320.19
|
| Rate for Payer: Multiplan Commercial |
$8,104.51
|
| Rate for Payer: Preferred Network Access Commercial |
$9,320.19
|
| Rate for Payer: Quartz Beloit One Network |
$4,964.01
|
| Rate for Payer: Quartz Commercial |
$6,078.38
|
| Rate for Payer: WEA Trust Commercial |
$5,571.85
|
| Rate for Payer: WPS Commercial |
$7,503.49
|
|
|
CV Implant Loop Recorder
|
Facility
|
OP
|
$9,741.00
|
|
|
Service Code
|
CPT 33282
|
| Hospital Charge Code |
1483024
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,836.58 |
| Max. Negotiated Rate |
$9,320.19 |
| Rate for Payer: Aetna Commercial |
$9,117.58
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,712.35
|
| Rate for Payer: Aetna Managed Medicare |
$2,836.58
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,584.92
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,065.32
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,862.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,369.24
|
| Rate for Payer: Cash Price |
$2,922.30
|
| Rate for Payer: Cash Price |
$2,922.30
|
| Rate for Payer: Cigna Commercial |
$9,320.19
|
| Rate for Payer: Health EOS Commercial |
$9,016.27
|
| Rate for Payer: HFN Commercial |
$9,320.19
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,597.98
|
| Rate for Payer: Multiplan Commercial |
$8,104.51
|
| Rate for Payer: NAPHCARE Commercial |
$6,078.38
|
| Rate for Payer: Preferred Network Access Commercial |
$9,320.19
|
| Rate for Payer: Quartz Beloit One Network |
$4,964.01
|
| Rate for Payer: Quartz Commercial |
$6,584.92
|
| Rate for Payer: Quartz Medicare Advantage |
$6,078.38
|
| Rate for Payer: The Alliance Commercial |
$5,065.32
|
| Rate for Payer: WEA Trust Commercial |
$5,571.85
|
| Rate for Payer: WPS Commercial |
$7,503.49
|
|
|
CV Implant Loop Recorder
|
Professional
|
Both
|
$9,741.00
|
|
|
Service Code
|
CPT 33282
|
| Hospital Charge Code |
1483024
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,457.48 |
| Max. Negotiated Rate |
$9,624.11 |
| Rate for Payer: Aetna Commercial |
$9,624.11
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,712.35
|
| Rate for Payer: Cash Price |
$2,922.30
|
| Rate for Payer: Cash Price |
$2,922.30
|
| Rate for Payer: Cigna Commercial |
$9,624.11
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$5,065.32
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,078.38
|
| Rate for Payer: Health EOS Commercial |
$9,218.88
|
| Rate for Payer: HFN Commercial |
$9,624.11
|
| Rate for Payer: Multiplan Commercial |
$8,104.51
|
| Rate for Payer: Preferred Network Access Commercial |
$9,624.11
|
| Rate for Payer: Quartz Beloit One Network |
$4,457.48
|
| Rate for Payer: Quartz Commercial |
$5,774.46
|
| Rate for Payer: The Alliance Commercial |
$5,065.32
|
| Rate for Payer: WEA Trust Commercial |
$5,571.85
|
| Rate for Payer: WPS Commercial |
$7,503.49
|
|
|
CV insertion Venous Catheter w port
|
Facility
|
OP
|
$1,282.00
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
1483198
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$653.31 |
| Max. Negotiated Rate |
$13,291.62 |
| Rate for Payer: Aetna Commercial |
$1,199.95
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,146.62
|
| Rate for Payer: Aetna Managed Medicare |
$3,322.90
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$10,303.28
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,364.72
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,944.56
|
| Rate for Payer: Anthem Medicare Advantage |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$706.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,322.90
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cigna Commercial |
$1,226.62
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,322.90
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$6,807.99
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,322.90
|
| Rate for Payer: Health EOS Commercial |
$1,186.62
|
| Rate for Payer: HFN Commercial |
$1,226.62
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$12,361.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,322.90
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,322.90
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,322.90
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,322.90
|
| Rate for Payer: Multiplan Commercial |
$1,066.62
|
| Rate for Payer: NAPHCARE Commercial |
$4,984.36
|
| Rate for Payer: Preferred Network Access Commercial |
$1,226.62
|
| Rate for Payer: Quartz Beloit One Network |
$653.31
|
| Rate for Payer: Quartz Commercial |
$866.63
|
| Rate for Payer: Quartz Medicare Advantage |
$3,322.90
|
| Rate for Payer: The Alliance Commercial |
$13,291.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,322.90
|
| Rate for Payer: United Healthcare PPO |
$4,267.12
|
| Rate for Payer: WEA Trust Commercial |
$733.30
|
| Rate for Payer: Wellcare Medicare |
$3,322.90
|
| Rate for Payer: WPS Commercial |
$987.52
|
|
|
CV insertion Venous Catheter w port
|
Facility
|
IP
|
$1,282.00
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
1483198
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$653.31 |
| Max. Negotiated Rate |
$1,226.62 |
| Rate for Payer: Aetna Commercial |
$1,199.95
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,146.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$706.64
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cigna Commercial |
$1,226.62
|
| Rate for Payer: Health EOS Commercial |
$1,186.62
|
| Rate for Payer: HFN Commercial |
$1,226.62
|
| Rate for Payer: Multiplan Commercial |
$1,066.62
|
| Rate for Payer: Preferred Network Access Commercial |
$1,226.62
|
| Rate for Payer: Quartz Beloit One Network |
$653.31
|
| Rate for Payer: Quartz Commercial |
$799.97
|
| Rate for Payer: WEA Trust Commercial |
$733.30
|
| Rate for Payer: WPS Commercial |
$987.52
|
|
|
CV insertion Venous Catheter w port
|
Professional
|
Both
|
$1,282.00
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
1483198
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$275.92 |
| Max. Negotiated Rate |
$1,266.62 |
| Rate for Payer: Aetna Commercial |
$1,266.62
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,146.62
|
| Rate for Payer: Aetna Managed Medicare |
$275.92
|
| Rate for Payer: Anthem Medicare Advantage |
$275.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$275.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$275.92
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cash Price |
$384.60
|
| Rate for Payer: Cigna Commercial |
$1,266.62
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$1,125.46
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$275.92
|
| Rate for Payer: Health EOS Commercial |
$1,213.28
|
| Rate for Payer: HFN Commercial |
$1,266.62
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,064.84
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,064.84
|
| Rate for Payer: Independent Care Health Plan Medicare |
$275.92
|
| Rate for Payer: Multiplan Commercial |
$1,066.62
|
| Rate for Payer: NAPHCARE Commercial |
$413.88
|
| Rate for Payer: Preferred Network Access Commercial |
$1,266.62
|
| Rate for Payer: Quartz Beloit One Network |
$586.64
|
| Rate for Payer: Quartz Commercial |
$759.97
|
| Rate for Payer: Quartz Medicare Advantage |
$275.92
|
| Rate for Payer: The Alliance Commercial |
$1,172.67
|
| Rate for Payer: United Healthcare Medicaid |
$1,125.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$275.92
|
| Rate for Payer: WEA Trust Commercial |
$733.30
|
| Rate for Payer: WPS Commercial |
$1,241.65
|
|
|
CV Insert of IABP
|
Facility
|
IP
|
$10,972.00
|
|
|
Service Code
|
CPT 33967
|
| Hospital Charge Code |
1483048
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,591.33 |
| Max. Negotiated Rate |
$10,498.01 |
| Rate for Payer: Aetna Commercial |
$10,269.79
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,813.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,047.77
|
| Rate for Payer: Cash Price |
$3,291.60
|
| Rate for Payer: Cigna Commercial |
$10,498.01
|
| Rate for Payer: Health EOS Commercial |
$10,155.68
|
| Rate for Payer: HFN Commercial |
$10,498.01
|
| Rate for Payer: Multiplan Commercial |
$9,128.70
|
| Rate for Payer: Preferred Network Access Commercial |
$10,498.01
|
| Rate for Payer: Quartz Beloit One Network |
$5,591.33
|
| Rate for Payer: Quartz Commercial |
$6,846.53
|
| Rate for Payer: WEA Trust Commercial |
$6,275.98
|
| Rate for Payer: WPS Commercial |
$8,451.73
|
|
|
CV Insert of IABP
|
Professional
|
Both
|
$10,972.00
|
|
|
Service Code
|
CPT 33967
|
| Hospital Charge Code |
1483048
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$206.23 |
| Max. Negotiated Rate |
$10,840.34 |
| Rate for Payer: Aetna Commercial |
$10,840.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,813.36
|
| Rate for Payer: Aetna Managed Medicare |
$206.23
|
| Rate for Payer: Anthem Medicare Advantage |
$206.23
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$206.23
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$206.23
|
| Rate for Payer: Cash Price |
$3,291.60
|
| Rate for Payer: Cash Price |
$3,291.60
|
| Rate for Payer: Cash Price |
$3,291.60
|
| Rate for Payer: Cigna Commercial |
$10,840.34
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$255.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$206.23
|
| Rate for Payer: Health EOS Commercial |
$10,383.90
|
| Rate for Payer: HFN Commercial |
$10,840.34
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$860.42
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$860.42
|
| Rate for Payer: Independent Care Health Plan Medicare |
$206.23
|
| Rate for Payer: Multiplan Commercial |
$9,128.70
|
| Rate for Payer: NAPHCARE Commercial |
$309.35
|
| Rate for Payer: Preferred Network Access Commercial |
$10,840.34
|
| Rate for Payer: Quartz Beloit One Network |
$5,020.79
|
| Rate for Payer: Quartz Commercial |
$6,504.20
|
| Rate for Payer: Quartz Medicare Advantage |
$206.23
|
| Rate for Payer: The Alliance Commercial |
$876.49
|
| Rate for Payer: United Healthcare Medicaid |
$255.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$206.23
|
| Rate for Payer: WEA Trust Commercial |
$6,275.98
|
| Rate for Payer: WPS Commercial |
$928.04
|
|
|
CV Insert of IABP
|
Facility
|
OP
|
$10,972.00
|
|
|
Service Code
|
CPT 33967
|
| Hospital Charge Code |
1483048
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$824.93 |
| Max. Negotiated Rate |
$12,349.86 |
| Rate for Payer: Aetna Commercial |
$10,269.79
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,813.36
|
| Rate for Payer: Aetna Managed Medicare |
$3,195.05
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$7,417.07
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,705.44
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$5,477.22
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,047.77
|
| Rate for Payer: Cash Price |
$3,291.60
|
| Rate for Payer: Cash Price |
$3,291.60
|
| Rate for Payer: Cigna Commercial |
$10,498.01
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Health EOS Commercial |
$10,155.68
|
| Rate for Payer: HFN Commercial |
$10,498.01
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$8,558.16
|
| Rate for Payer: Multiplan Commercial |
$9,128.70
|
| Rate for Payer: NAPHCARE Commercial |
$6,846.53
|
| Rate for Payer: Preferred Network Access Commercial |
$10,498.01
|
| Rate for Payer: Quartz Beloit One Network |
$5,591.33
|
| Rate for Payer: Quartz Commercial |
$7,417.07
|
| Rate for Payer: Quartz Medicare Advantage |
$6,846.53
|
| Rate for Payer: The Alliance Commercial |
$824.93
|
| Rate for Payer: WEA Trust Commercial |
$6,275.98
|
| Rate for Payer: WPS Commercial |
$8,451.73
|
|
|
CV Insert Vena Cava Filter inc Filming
|
Facility
|
OP
|
$20,105.00
|
|
|
Service Code
|
CPT 37191
|
| Hospital Charge Code |
1483045
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$313.04 |
| Max. Negotiated Rate |
$23,424.04 |
| Rate for Payer: Aetna Commercial |
$18,818.28
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$17,981.91
|
| Rate for Payer: Aetna Managed Medicare |
$5,856.01
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$13,590.98
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$10,454.60
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$10,036.42
|
| Rate for Payer: Anthem Medicare Advantage |
$5,856.01
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$11,081.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5,856.01
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5,856.01
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cigna Commercial |
$19,236.46
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5,856.01
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5,856.01
|
| Rate for Payer: Health EOS Commercial |
$18,609.19
|
| Rate for Payer: HFN Commercial |
$19,236.46
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$21,784.36
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5,856.01
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5,856.01
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5,856.01
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5,856.01
|
| Rate for Payer: Multiplan Commercial |
$16,727.36
|
| Rate for Payer: NAPHCARE Commercial |
$8,784.02
|
| Rate for Payer: Preferred Network Access Commercial |
$19,236.46
|
| Rate for Payer: Quartz Beloit One Network |
$10,245.51
|
| Rate for Payer: Quartz Commercial |
$13,590.98
|
| Rate for Payer: Quartz Medicare Advantage |
$5,856.01
|
| Rate for Payer: The Alliance Commercial |
$23,424.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5,856.01
|
| Rate for Payer: United Healthcare PPO |
$313.04
|
| Rate for Payer: WEA Trust Commercial |
$11,500.06
|
| Rate for Payer: Wellcare Medicare |
$5,856.01
|
| Rate for Payer: WPS Commercial |
$15,486.88
|
|
|
CV Insert Vena Cava Filter inc Filming
|
Facility
|
IP
|
$20,105.00
|
|
|
Service Code
|
CPT 37191
|
| Hospital Charge Code |
1483045
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$10,245.51 |
| Max. Negotiated Rate |
$19,236.46 |
| Rate for Payer: Aetna Commercial |
$18,818.28
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$17,981.91
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$11,081.88
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cigna Commercial |
$19,236.46
|
| Rate for Payer: Health EOS Commercial |
$18,609.19
|
| Rate for Payer: HFN Commercial |
$19,236.46
|
| Rate for Payer: Multiplan Commercial |
$16,727.36
|
| Rate for Payer: Preferred Network Access Commercial |
$19,236.46
|
| Rate for Payer: Quartz Beloit One Network |
$10,245.51
|
| Rate for Payer: Quartz Commercial |
$12,545.52
|
| Rate for Payer: WEA Trust Commercial |
$11,500.06
|
| Rate for Payer: WPS Commercial |
$15,486.88
|
|
|
CV Insert Vena Cava Filter inc Filming
|
Professional
|
Both
|
$20,105.00
|
|
|
Service Code
|
CPT 37191
|
| Hospital Charge Code |
1483045
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$182.25 |
| Max. Negotiated Rate |
$19,863.74 |
| Rate for Payer: Aetna Commercial |
$19,863.74
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$17,981.91
|
| Rate for Payer: Aetna Managed Medicare |
$182.25
|
| Rate for Payer: Anthem Medicare Advantage |
$182.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$182.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$182.25
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cash Price |
$6,031.50
|
| Rate for Payer: Cigna Commercial |
$19,863.74
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$2,126.11
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$182.25
|
| Rate for Payer: Health EOS Commercial |
$19,027.37
|
| Rate for Payer: HFN Commercial |
$19,863.74
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$760.97
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$760.97
|
| Rate for Payer: Independent Care Health Plan Medicare |
$182.25
|
| Rate for Payer: Multiplan Commercial |
$16,727.36
|
| Rate for Payer: NAPHCARE Commercial |
$273.37
|
| Rate for Payer: Preferred Network Access Commercial |
$19,863.74
|
| Rate for Payer: Quartz Beloit One Network |
$9,200.05
|
| Rate for Payer: Quartz Commercial |
$11,918.24
|
| Rate for Payer: Quartz Medicare Advantage |
$182.25
|
| Rate for Payer: The Alliance Commercial |
$774.56
|
| Rate for Payer: United Healthcare Medicaid |
$2,126.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$182.25
|
| Rate for Payer: WEA Trust Commercial |
$11,500.06
|
| Rate for Payer: WPS Commercial |
$820.12
|
|
|
CV NM Myo SPECT Multi R/S Acquisition
|
Facility
|
IP
|
$7,470.00
|
|
|
Service Code
|
CPT 78452
|
| Hospital Charge Code |
5383326
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$3,806.71 |
| Max. Negotiated Rate |
$7,147.30 |
| Rate for Payer: Aetna Commercial |
$6,991.92
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,681.17
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,117.46
|
| Rate for Payer: Cash Price |
$2,241.00
|
| Rate for Payer: Cigna Commercial |
$7,147.30
|
| Rate for Payer: Health EOS Commercial |
$6,914.23
|
| Rate for Payer: HFN Commercial |
$7,147.30
|
| Rate for Payer: Multiplan Commercial |
$6,215.04
|
| Rate for Payer: Preferred Network Access Commercial |
$7,147.30
|
| Rate for Payer: Quartz Beloit One Network |
$3,806.71
|
| Rate for Payer: Quartz Commercial |
$4,661.28
|
| Rate for Payer: WEA Trust Commercial |
$4,272.84
|
| Rate for Payer: WPS Commercial |
$5,754.14
|
|
|
CV NM Myo SPECT Multi R/S Acquisition
|
Facility
|
OP
|
$7,470.00
|
|
|
Service Code
|
CPT 78452
|
| Hospital Charge Code |
5383326
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$1,362.47 |
| Max. Negotiated Rate |
$7,147.30 |
| Rate for Payer: Aetna Commercial |
$6,991.92
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,681.17
|
| Rate for Payer: Aetna Managed Medicare |
$1,362.47
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$5,473.65
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$4,378.92
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,159.97
|
| Rate for Payer: Anthem Medicare Advantage |
$1,362.47
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,117.46
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$1,362.47
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$1,362.47
|
| Rate for Payer: Cash Price |
$2,241.00
|
| Rate for Payer: Cash Price |
$2,241.00
|
| Rate for Payer: Cash Price |
$2,241.00
|
| Rate for Payer: Cigna Commercial |
$7,147.30
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$1,362.47
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,347.54
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$1,362.47
|
| Rate for Payer: Health EOS Commercial |
$6,914.23
|
| Rate for Payer: HFN Commercial |
$7,147.30
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$5,068.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,362.47
|
| Rate for Payer: Independent Care Health Plan Medicare |
$1,362.47
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$1,362.47
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$1,362.47
|
| Rate for Payer: Multiplan Commercial |
$6,215.04
|
| Rate for Payer: NAPHCARE Commercial |
$2,043.71
|
| Rate for Payer: Preferred Network Access Commercial |
$7,147.30
|
| Rate for Payer: Quartz Beloit One Network |
$3,806.71
|
| Rate for Payer: Quartz Commercial |
$5,049.72
|
| Rate for Payer: Quartz Medicare Advantage |
$1,362.47
|
| Rate for Payer: The Alliance Commercial |
$5,449.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,362.47
|
| Rate for Payer: United Healthcare PPO |
$2,396.16
|
| Rate for Payer: WEA Trust Commercial |
$4,272.84
|
| Rate for Payer: Wellcare Medicare |
$1,362.47
|
| Rate for Payer: WPS Commercial |
$5,754.14
|
|
|
CV Removal Loop Recorder
|
Facility
|
OP
|
$3,829.00
|
|
|
Service Code
|
CPT 33284
|
| Hospital Charge Code |
1483246
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,115.00 |
| Max. Negotiated Rate |
$3,663.59 |
| Rate for Payer: Aetna Commercial |
$3,583.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,424.66
|
| Rate for Payer: Aetna Managed Medicare |
$1,115.00
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$2,588.40
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$1,991.08
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$1,911.44
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,110.54
|
| Rate for Payer: Cash Price |
$1,148.70
|
| Rate for Payer: Cash Price |
$1,148.70
|
| Rate for Payer: Cigna Commercial |
$3,663.59
|
| Rate for Payer: Health EOS Commercial |
$3,544.12
|
| Rate for Payer: HFN Commercial |
$3,663.59
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$2,986.62
|
| Rate for Payer: Multiplan Commercial |
$3,185.73
|
| Rate for Payer: NAPHCARE Commercial |
$2,389.30
|
| Rate for Payer: Preferred Network Access Commercial |
$3,663.59
|
| Rate for Payer: Quartz Beloit One Network |
$1,951.26
|
| Rate for Payer: Quartz Commercial |
$2,588.40
|
| Rate for Payer: Quartz Medicare Advantage |
$2,389.30
|
| Rate for Payer: The Alliance Commercial |
$1,991.08
|
| Rate for Payer: WEA Trust Commercial |
$2,190.19
|
| Rate for Payer: WPS Commercial |
$2,949.48
|
|
|
CV Removal Loop Recorder
|
Professional
|
Both
|
$3,829.00
|
|
|
Service Code
|
CPT 33284
|
| Hospital Charge Code |
1483246
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,752.15 |
| Max. Negotiated Rate |
$3,783.05 |
| Rate for Payer: Aetna Commercial |
$3,783.05
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,424.66
|
| Rate for Payer: Cash Price |
$1,148.70
|
| Rate for Payer: Cash Price |
$1,148.70
|
| Rate for Payer: Cigna Commercial |
$3,783.05
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$1,991.08
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$2,389.30
|
| Rate for Payer: Health EOS Commercial |
$3,623.77
|
| Rate for Payer: HFN Commercial |
$3,783.05
|
| Rate for Payer: Multiplan Commercial |
$3,185.73
|
| Rate for Payer: Preferred Network Access Commercial |
$3,783.05
|
| Rate for Payer: Quartz Beloit One Network |
$1,752.15
|
| Rate for Payer: Quartz Commercial |
$2,269.83
|
| Rate for Payer: The Alliance Commercial |
$1,991.08
|
| Rate for Payer: WEA Trust Commercial |
$2,190.19
|
| Rate for Payer: WPS Commercial |
$2,949.48
|
|
|
CV Removal Loop Recorder
|
Facility
|
IP
|
$3,829.00
|
|
|
Service Code
|
CPT 33284
|
| Hospital Charge Code |
1483246
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,951.26 |
| Max. Negotiated Rate |
$3,663.59 |
| Rate for Payer: Aetna Commercial |
$3,583.94
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,424.66
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,110.54
|
| Rate for Payer: Cash Price |
$1,148.70
|
| Rate for Payer: Cigna Commercial |
$3,663.59
|
| Rate for Payer: Health EOS Commercial |
$3,544.12
|
| Rate for Payer: HFN Commercial |
$3,663.59
|
| Rate for Payer: Multiplan Commercial |
$3,185.73
|
| Rate for Payer: Preferred Network Access Commercial |
$3,663.59
|
| Rate for Payer: Quartz Beloit One Network |
$1,951.26
|
| Rate for Payer: Quartz Commercial |
$2,389.30
|
| Rate for Payer: WEA Trust Commercial |
$2,190.19
|
| Rate for Payer: WPS Commercial |
$2,949.48
|
|
|
CV Removal of IABP
|
Facility
|
IP
|
$1,158.00
|
|
|
Service Code
|
CPT 33968
|
| Hospital Charge Code |
1483252
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$590.12 |
| Max. Negotiated Rate |
$1,107.97 |
| Rate for Payer: Aetna Commercial |
$1,083.89
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,035.72
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$638.29
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cigna Commercial |
$1,107.97
|
| Rate for Payer: Health EOS Commercial |
$1,071.84
|
| Rate for Payer: HFN Commercial |
$1,107.97
|
| Rate for Payer: Multiplan Commercial |
$963.46
|
| Rate for Payer: Preferred Network Access Commercial |
$1,107.97
|
| Rate for Payer: Quartz Beloit One Network |
$590.12
|
| Rate for Payer: Quartz Commercial |
$722.59
|
| Rate for Payer: WEA Trust Commercial |
$662.38
|
| Rate for Payer: WPS Commercial |
$892.01
|
|
|
CV Removal of IABP
|
Facility
|
OP
|
$1,158.00
|
|
|
Service Code
|
CPT 33968
|
| Hospital Charge Code |
1483252
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$109.45 |
| Max. Negotiated Rate |
$12,349.86 |
| Rate for Payer: Aetna Commercial |
$1,083.89
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,035.72
|
| Rate for Payer: Aetna Managed Medicare |
$337.21
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$10,303.28
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,364.72
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,944.56
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$638.29
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cigna Commercial |
$1,107.97
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Health EOS Commercial |
$1,071.84
|
| Rate for Payer: HFN Commercial |
$1,107.97
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$903.24
|
| Rate for Payer: Multiplan Commercial |
$963.46
|
| Rate for Payer: NAPHCARE Commercial |
$722.59
|
| Rate for Payer: Preferred Network Access Commercial |
$1,107.97
|
| Rate for Payer: Quartz Beloit One Network |
$590.12
|
| Rate for Payer: Quartz Commercial |
$782.81
|
| Rate for Payer: Quartz Medicare Advantage |
$722.59
|
| Rate for Payer: The Alliance Commercial |
$109.45
|
| Rate for Payer: United Healthcare PPO |
$4,267.12
|
| Rate for Payer: WEA Trust Commercial |
$662.38
|
| Rate for Payer: WPS Commercial |
$892.01
|
|
|
CV Removal of IABP
|
Professional
|
Both
|
$1,158.00
|
|
|
Service Code
|
CPT 33968
|
| Hospital Charge Code |
1483252
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$27.36 |
| Max. Negotiated Rate |
$1,144.10 |
| Rate for Payer: Aetna Commercial |
$1,144.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,035.72
|
| Rate for Payer: Aetna Managed Medicare |
$27.36
|
| Rate for Payer: Anthem Medicare Advantage |
$27.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$27.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$27.36
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cash Price |
$347.40
|
| Rate for Payer: Cigna Commercial |
$1,144.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$43.19
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$27.36
|
| Rate for Payer: Health EOS Commercial |
$1,095.93
|
| Rate for Payer: HFN Commercial |
$1,144.10
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$112.63
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$112.63
|
| Rate for Payer: Independent Care Health Plan Medicare |
$27.36
|
| Rate for Payer: Multiplan Commercial |
$963.46
|
| Rate for Payer: NAPHCARE Commercial |
$41.04
|
| Rate for Payer: Preferred Network Access Commercial |
$1,144.10
|
| Rate for Payer: Quartz Beloit One Network |
$529.90
|
| Rate for Payer: Quartz Commercial |
$686.46
|
| Rate for Payer: Quartz Medicare Advantage |
$27.36
|
| Rate for Payer: The Alliance Commercial |
$116.29
|
| Rate for Payer: United Healthcare Medicaid |
$43.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27.36
|
| Rate for Payer: WEA Trust Commercial |
$662.38
|
| Rate for Payer: WPS Commercial |
$123.13
|
|
|
CV Reposition of Pace/ICD Lead
|
Facility
|
IP
|
$8,641.00
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
1483291
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,403.45 |
| Max. Negotiated Rate |
$8,267.71 |
| Rate for Payer: Aetna Commercial |
$8,087.98
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$7,728.51
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,762.92
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cigna Commercial |
$8,267.71
|
| Rate for Payer: Health EOS Commercial |
$7,998.11
|
| Rate for Payer: HFN Commercial |
$8,267.71
|
| Rate for Payer: Multiplan Commercial |
$7,189.31
|
| Rate for Payer: Preferred Network Access Commercial |
$8,267.71
|
| Rate for Payer: Quartz Beloit One Network |
$4,403.45
|
| Rate for Payer: Quartz Commercial |
$5,391.98
|
| Rate for Payer: WEA Trust Commercial |
$4,942.65
|
| Rate for Payer: WPS Commercial |
$6,656.16
|
|
|
CV Reposition of Pace/ICD Lead
|
Professional
|
Both
|
$8,641.00
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
1483291
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$255.48 |
| Max. Negotiated Rate |
$8,537.31 |
| Rate for Payer: Aetna Commercial |
$8,537.31
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$7,728.51
|
| Rate for Payer: Aetna Managed Medicare |
$255.48
|
| Rate for Payer: Anthem Medicare Advantage |
$255.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$255.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$255.48
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cigna Commercial |
$8,537.31
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$285.93
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$255.48
|
| Rate for Payer: Health EOS Commercial |
$8,177.84
|
| Rate for Payer: HFN Commercial |
$8,537.31
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$1,044.83
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$1,044.83
|
| Rate for Payer: Independent Care Health Plan Medicare |
$255.48
|
| Rate for Payer: Multiplan Commercial |
$7,189.31
|
| Rate for Payer: NAPHCARE Commercial |
$383.21
|
| Rate for Payer: Preferred Network Access Commercial |
$8,537.31
|
| Rate for Payer: Quartz Beloit One Network |
$3,954.12
|
| Rate for Payer: Quartz Commercial |
$5,122.38
|
| Rate for Payer: Quartz Medicare Advantage |
$255.48
|
| Rate for Payer: The Alliance Commercial |
$1,085.77
|
| Rate for Payer: United Healthcare Medicaid |
$285.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$255.48
|
| Rate for Payer: WEA Trust Commercial |
$4,942.65
|
| Rate for Payer: WPS Commercial |
$1,149.64
|
|
|
CV Reposition of Pace/ICD Lead
|
Facility
|
OP
|
$8,641.00
|
|
|
Service Code
|
CPT 33215
|
| Hospital Charge Code |
1483291
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,322.90 |
| Max. Negotiated Rate |
$13,291.62 |
| Rate for Payer: Aetna Commercial |
$8,087.98
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$7,728.51
|
| Rate for Payer: Aetna Managed Medicare |
$3,322.90
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$10,303.28
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,364.72
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,944.56
|
| Rate for Payer: Anthem Medicare Advantage |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,762.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,322.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,322.90
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cash Price |
$2,592.30
|
| Rate for Payer: Cigna Commercial |
$8,267.71
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,322.90
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,349.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,322.90
|
| Rate for Payer: Health EOS Commercial |
$7,998.11
|
| Rate for Payer: HFN Commercial |
$8,267.71
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$12,361.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,322.90
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,322.90
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,322.90
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,322.90
|
| Rate for Payer: Multiplan Commercial |
$7,189.31
|
| Rate for Payer: NAPHCARE Commercial |
$4,984.36
|
| Rate for Payer: Preferred Network Access Commercial |
$8,267.71
|
| Rate for Payer: Quartz Beloit One Network |
$4,403.45
|
| Rate for Payer: Quartz Commercial |
$5,841.32
|
| Rate for Payer: Quartz Medicare Advantage |
$3,322.90
|
| Rate for Payer: The Alliance Commercial |
$13,291.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,322.90
|
| Rate for Payer: United Healthcare PPO |
$4,267.12
|
| Rate for Payer: WEA Trust Commercial |
$4,942.65
|
| Rate for Payer: Wellcare Medicare |
$3,322.90
|
| Rate for Payer: WPS Commercial |
$6,656.16
|
|
|
CV Revision Pacemaker Pocket
|
Facility
|
IP
|
$8,238.00
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
1483300
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,198.08 |
| Max. Negotiated Rate |
$7,882.12 |
| Rate for Payer: Aetna Commercial |
$7,710.77
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$7,368.07
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,540.79
|
| Rate for Payer: Cash Price |
$2,471.40
|
| Rate for Payer: Cigna Commercial |
$7,882.12
|
| Rate for Payer: Health EOS Commercial |
$7,625.09
|
| Rate for Payer: HFN Commercial |
$7,882.12
|
| Rate for Payer: Multiplan Commercial |
$6,854.02
|
| Rate for Payer: Preferred Network Access Commercial |
$7,882.12
|
| Rate for Payer: Quartz Beloit One Network |
$4,198.08
|
| Rate for Payer: Quartz Commercial |
$5,140.51
|
| Rate for Payer: WEA Trust Commercial |
$4,712.14
|
| Rate for Payer: WPS Commercial |
$6,345.73
|
|
