HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$307.50
|
|
Hospital Charge Code |
27006708
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$193.72 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
IP
|
$75.00
|
|
Hospital Charge Code |
27000265
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$47.25 |
Max. Negotiated Rate |
$67.50 |
Rate for Payer: Aetna Commercial |
$63.75
|
Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
Rate for Payer: Cash Price |
$60.00
|
Rate for Payer: Cofinity Commercial |
$64.50
|
Rate for Payer: Cofinity Commercial |
$52.50
|
Rate for Payer: Healthscope Commercial |
$67.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
Rate for Payer: PHP Commercial |
$63.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
Rate for Payer: Priority Health SBD |
$47.25
|
|
HC CANNULA COR OSTIA CONCAVE
|
Facility
|
OP
|
$75.00
|
|
Hospital Charge Code |
27000265
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$30.00 |
Max. Negotiated Rate |
$67.50 |
Rate for Payer: Aetna Commercial |
$63.75
|
Rate for Payer: Aetna New Business (MI Preferred) |
$48.75
|
Rate for Payer: BCBS Complete |
$30.00
|
Rate for Payer: Cash Price |
$60.00
|
Rate for Payer: Cofinity Commercial |
$52.50
|
Rate for Payer: Cofinity Commercial |
$64.50
|
Rate for Payer: Healthscope Commercial |
$67.50
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
Rate for Payer: PHP Commercial |
$63.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
Rate for Payer: Priority Health SBD |
$47.25
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
OP
|
$334.50
|
|
Hospital Charge Code |
27006704
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$133.80 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: BCBS Complete |
$133.80
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA LPG 4MM
|
Facility
|
IP
|
$334.50
|
|
Hospital Charge Code |
27006704
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$210.74 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
IP
|
$334.50
|
|
Hospital Charge Code |
27006705
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$210.74 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA LPG 5MM
|
Facility
|
OP
|
$334.50
|
|
Hospital Charge Code |
27006705
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$133.80 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: BCBS Complete |
$133.80
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
OP
|
$307.50
|
|
Hospital Charge Code |
27006706
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$123.00 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: BCBS Complete |
$123.00
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA LPG 6MM
|
Facility
|
IP
|
$307.50
|
|
Hospital Charge Code |
27006706
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$193.72 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
IP
|
$307.50
|
|
Hospital Charge Code |
27006709
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$193.72 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA RT ANG 4MM
|
Facility
|
OP
|
$307.50
|
|
Hospital Charge Code |
27006709
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$123.00 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: BCBS Complete |
$123.00
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
IP
|
$334.50
|
|
Hospital Charge Code |
27006710
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$210.74 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA RT ANG 5MM
|
Facility
|
OP
|
$334.50
|
|
Hospital Charge Code |
27006710
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$133.80 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: BCBS Complete |
$133.80
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
OP
|
$334.50
|
|
Hospital Charge Code |
27006711
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$133.80 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: BCBS Complete |
$133.80
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA RT ANG 6MM
|
Facility
|
IP
|
$334.50
|
|
Hospital Charge Code |
27006711
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$210.74 |
Max. Negotiated Rate |
$301.05 |
Rate for Payer: Aetna Commercial |
$284.32
|
Rate for Payer: Aetna New Business (MI Preferred) |
$217.42
|
Rate for Payer: Cash Price |
$267.60
|
Rate for Payer: Cofinity Commercial |
$234.15
|
Rate for Payer: Cofinity Commercial |
$287.67
|
Rate for Payer: Healthscope Commercial |
$301.05
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$284.32
|
Rate for Payer: PHP Commercial |
$284.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$234.15
|
Rate for Payer: Priority Health SBD |
$210.74
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
IP
|
$307.50
|
|
Hospital Charge Code |
27006712
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$193.72 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA RT ANG 7MM
|
Facility
|
OP
|
$307.50
|
|
Hospital Charge Code |
27006712
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$123.00 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: BCBS Complete |
$123.00
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
OP
|
$307.50
|
|
Hospital Charge Code |
27006713
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$123.00 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: BCBS Complete |
$123.00
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA COR OSTIA RT ANG 8MM
|
Facility
|
IP
|
$307.50
|
|
Hospital Charge Code |
27006713
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$193.72 |
Max. Negotiated Rate |
$276.75 |
Rate for Payer: Aetna Commercial |
$261.38
|
Rate for Payer: Aetna New Business (MI Preferred) |
$199.88
|
Rate for Payer: Cash Price |
$246.00
|
Rate for Payer: Cofinity Commercial |
$215.25
|
Rate for Payer: Cofinity Commercial |
$264.45
|
Rate for Payer: Healthscope Commercial |
$276.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$261.38
|
Rate for Payer: PHP Commercial |
$261.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$215.25
|
Rate for Payer: Priority Health SBD |
$193.72
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
IP
|
$17.25
|
|
Hospital Charge Code |
27000059
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$10.87 |
Max. Negotiated Rate |
$15.52 |
Rate for Payer: Aetna Commercial |
$14.66
|
Rate for Payer: Aetna New Business (MI Preferred) |
$11.21
|
Rate for Payer: Cash Price |
$13.80
|
Rate for Payer: Cofinity Commercial |
$12.08
|
Rate for Payer: Cofinity Commercial |
$14.84
|
Rate for Payer: Healthscope Commercial |
$15.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.66
|
Rate for Payer: PHP Commercial |
$14.66
|
Rate for Payer: Priority Health Cigna Priority Health |
$12.08
|
Rate for Payer: Priority Health SBD |
$10.87
|
|
HC CANNULA (DUCKBILL)
|
Facility
|
OP
|
$17.25
|
|
Hospital Charge Code |
27000059
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$6.90 |
Max. Negotiated Rate |
$15.52 |
Rate for Payer: Aetna Commercial |
$14.66
|
Rate for Payer: Aetna New Business (MI Preferred) |
$11.21
|
Rate for Payer: BCBS Complete |
$6.90
|
Rate for Payer: Cash Price |
$13.80
|
Rate for Payer: Cofinity Commercial |
$12.08
|
Rate for Payer: Cofinity Commercial |
$14.84
|
Rate for Payer: Healthscope Commercial |
$15.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$14.66
|
Rate for Payer: PHP Commercial |
$14.66
|
Rate for Payer: Priority Health Cigna Priority Health |
$12.08
|
Rate for Payer: Priority Health SBD |
$10.87
|
|
HC CANNULA FEM ART
|
Facility
|
IP
|
$727.28
|
|
Hospital Charge Code |
27000392
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$458.19 |
Max. Negotiated Rate |
$654.55 |
Rate for Payer: Aetna Commercial |
$618.19
|
Rate for Payer: Aetna New Business (MI Preferred) |
$472.73
|
Rate for Payer: Cash Price |
$581.82
|
Rate for Payer: Cofinity Commercial |
$509.10
|
Rate for Payer: Cofinity Commercial |
$625.46
|
Rate for Payer: Healthscope Commercial |
$654.55
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$618.19
|
Rate for Payer: PHP Commercial |
$618.19
|
Rate for Payer: Priority Health Cigna Priority Health |
$509.10
|
Rate for Payer: Priority Health SBD |
$458.19
|
|
HC CANNULA FEM ART
|
Facility
|
OP
|
$727.28
|
|
Hospital Charge Code |
27000392
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$290.91 |
Max. Negotiated Rate |
$654.55 |
Rate for Payer: Aetna Commercial |
$618.19
|
Rate for Payer: Aetna New Business (MI Preferred) |
$472.73
|
Rate for Payer: BCBS Complete |
$290.91
|
Rate for Payer: Cash Price |
$581.82
|
Rate for Payer: Cofinity Commercial |
$509.10
|
Rate for Payer: Cofinity Commercial |
$625.46
|
Rate for Payer: Healthscope Commercial |
$654.55
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$618.19
|
Rate for Payer: PHP Commercial |
$618.19
|
Rate for Payer: Priority Health Cigna Priority Health |
$509.10
|
Rate for Payer: Priority Health SBD |
$458.19
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
IP
|
$1,312.50
|
|
Hospital Charge Code |
27000671
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$826.88 |
Max. Negotiated Rate |
$1,181.25 |
Rate for Payer: Aetna Commercial |
$1,115.62
|
Rate for Payer: Aetna New Business (MI Preferred) |
$853.12
|
Rate for Payer: Cash Price |
$1,050.00
|
Rate for Payer: Cofinity Commercial |
$1,128.75
|
Rate for Payer: Cofinity Commercial |
$918.75
|
Rate for Payer: Healthscope Commercial |
$1,181.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,115.62
|
Rate for Payer: PHP Commercial |
$1,115.62
|
Rate for Payer: Priority Health Cigna Priority Health |
$918.75
|
Rate for Payer: Priority Health SBD |
$826.88
|
|
HC CANNULA FEM VEN 19 FR
|
Facility
|
OP
|
$1,312.50
|
|
Hospital Charge Code |
27000671
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$525.00 |
Max. Negotiated Rate |
$1,181.25 |
Rate for Payer: Aetna Commercial |
$1,115.62
|
Rate for Payer: Aetna New Business (MI Preferred) |
$853.12
|
Rate for Payer: BCBS Complete |
$525.00
|
Rate for Payer: Cash Price |
$1,050.00
|
Rate for Payer: Cofinity Commercial |
$1,128.75
|
Rate for Payer: Cofinity Commercial |
$918.75
|
Rate for Payer: Healthscope Commercial |
$1,181.25
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,115.62
|
Rate for Payer: PHP Commercial |
$1,115.62
|
Rate for Payer: Priority Health Cigna Priority Health |
$918.75
|
Rate for Payer: Priority Health SBD |
$826.88
|
|