|
HC CRYOPRECIPITATE DIRECT
|
Facility
|
OP
|
$347.60
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000043
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$312.84 |
| Rate for Payer: Aetna Commercial |
$295.46
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$278.08
|
| Rate for Payer: Cash Price |
$278.08
|
| Rate for Payer: Cofinity Advantage |
$243.32
|
| Rate for Payer: Cofinity Commercial |
$298.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$312.84
|
| Rate for Payer: Mclaren Medicaid |
$36.70
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.46
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.70
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$295.46
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$218.99
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.94
|
| Rate for Payer: UHC Core |
$181.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$136.61
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: VA VA |
$70.17
|
|
|
HC CRYOPRECIPITATE DIRECT
|
Facility
|
IP
|
$347.60
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000043
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$218.99 |
| Max. Negotiated Rate |
$312.84 |
| Rate for Payer: Aetna Commercial |
$295.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.94
|
| Rate for Payer: Cash Price |
$278.08
|
| Rate for Payer: Cofinity Advantage |
$243.32
|
| Rate for Payer: Cofinity Commercial |
$298.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.08
|
| Rate for Payer: Healthscope Commercial |
$312.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.70
|
| Rate for Payer: PHP Commercial |
$295.46
|
| Rate for Payer: Priority Health SBD |
$218.99
|
|
|
HC CRYOPRECIPITATE POOL
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000044
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$159.88 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
|
|
HC CRYOPRECIPITATE POOL
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000044
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Mclaren Medicaid |
$36.70
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: VA VA |
$70.17
|
|
|
HC CRYOPRECIPITATE POOL CMPT1
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000045
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Mclaren Medicaid |
$36.70
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: VA VA |
$70.17
|
|
|
HC CRYOPRECIPITATE POOL CMPT1
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000045
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$159.88 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
|
|
HC CRYOPRECIPITATE POOL CMPT2
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000046
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$159.88 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
|
|
HC CRYOPRECIPITATE POOL CMPT2
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000046
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Mclaren Medicaid |
$36.70
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: VA VA |
$70.17
|
|
|
HC CRYOPRECIPITATE POOL CMPT3
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000047
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Mclaren Medicaid |
$36.70
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: VA VA |
$70.17
|
|
|
HC CRYOPRECIPITATE POOL CMPT3
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000047
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$159.88 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
|
|
HC CRYOPRECIPITATE POOL CMPT4
|
Facility
|
OP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000048
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$36.70 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna Medicare |
$72.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.71
|
| Rate for Payer: BCBS Complete |
$38.54
|
| Rate for Payer: BCBS MAPPO |
$70.17
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$70.17
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.17
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Mclaren Medicaid |
$36.70
|
| Rate for Payer: Mclaren Medicare |
$70.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.68
|
| Rate for Payer: Meridian Medicaid |
$73.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Nomi Health Commercial |
$210.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PACE Medicare |
$66.66
|
| Rate for Payer: PACE SWMI |
$70.17
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: PHP Medicare Advantage |
$70.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$226.94
|
| Rate for Payer: Priority Health Medicare |
$70.17
|
| Rate for Payer: Priority Health SBD |
$159.88
|
| Rate for Payer: Priority Health Tiered Network |
$181.55
|
| Rate for Payer: Railroad Medicare Medicare |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.96
|
| Rate for Payer: UHC Core |
$132.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.17
|
| Rate for Payer: UHC Exchange |
$99.74
|
| Rate for Payer: UHC Medicaid |
$36.70
|
| Rate for Payer: UHCCP Medicaid |
$36.70
|
| Rate for Payer: VA VA |
$70.17
|
|
|
HC CRYOPRECIPITATE POOL CMPT4
|
Facility
|
IP
|
$253.78
|
|
|
Service Code
|
HCPCS P9012
|
| Hospital Charge Code |
39000048
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$159.88 |
| Max. Negotiated Rate |
$228.40 |
| Rate for Payer: Aetna Commercial |
$215.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.96
|
| Rate for Payer: Cash Price |
$203.02
|
| Rate for Payer: Cofinity Advantage |
$177.65
|
| Rate for Payer: Cofinity Commercial |
$218.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.02
|
| Rate for Payer: Healthscope Commercial |
$228.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.34
|
| Rate for Payer: PHP Commercial |
$215.71
|
| Rate for Payer: Priority Health SBD |
$159.88
|
|
|
HC CRYOSURGERY ANAL LESION(S)
|
Facility
|
OP
|
$564.42
|
|
|
Service Code
|
CPT 46916
|
| Hospital Charge Code |
76100353
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$80.52 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna Commercial |
$479.76
|
| Rate for Payer: Aetna Medicare |
$207.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$80.52
|
| Rate for Payer: BCN Commercial |
$80.52
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cofinity Advantage |
$395.09
|
| Rate for Payer: Cofinity Commercial |
$485.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$451.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$507.98
|
| Rate for Payer: Mclaren Medicaid |
$104.55
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$209.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$479.76
|
| Rate for Payer: Nomi Health Commercial |
$599.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$423.31
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$479.76
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$646.50
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health SBD |
$355.58
|
| Rate for Payer: Priority Health Tiered Network |
$517.20
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.87
|
| Rate for Payer: UHC Core |
$294.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.91
|
| Rate for Payer: UHC Exchange |
$221.82
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: VA VA |
$199.91
|
|
|
HC CRYOSURGERY ANAL LESION(S)
|
Facility
|
IP
|
$564.42
|
|
|
Service Code
|
CPT 46916
|
| Hospital Charge Code |
76100353
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$355.58 |
| Max. Negotiated Rate |
$507.98 |
| Rate for Payer: Aetna Commercial |
$479.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.87
|
| Rate for Payer: Cash Price |
$451.54
|
| Rate for Payer: Cofinity Advantage |
$395.09
|
| Rate for Payer: Cofinity Commercial |
$485.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$451.54
|
| Rate for Payer: Healthscope Commercial |
$507.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$479.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$423.31
|
| Rate for Payer: PHP Commercial |
$479.76
|
| Rate for Payer: Priority Health SBD |
$355.58
|
|
|
HC CRYPTOCOCCAL ANTIGEN FLUID
|
Facility
|
IP
|
$47.76
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30200210
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$30.09 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.04
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Advantage |
$33.43
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: Priority Health SBD |
$30.09
|
|
|
HC CRYPTOCOCCAL ANTIGEN FLUID
|
Facility
|
OP
|
$47.76
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30200210
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$42.98 |
| Rate for Payer: Aetna Commercial |
$40.60
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.09
|
| Rate for Payer: BCBS Complete |
$8.83
|
| Rate for Payer: BCBS MAPPO |
$16.07
|
| Rate for Payer: BCBS Trust/PPO |
$17.13
|
| Rate for Payer: BCN Commercial |
$17.13
|
| Rate for Payer: BCN Medicare Advantage |
$16.07
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Advantage |
$33.43
|
| Rate for Payer: Cofinity Commercial |
$41.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.07
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Mclaren Medicaid |
$8.40
|
| Rate for Payer: Mclaren Medicare |
$16.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.87
|
| Rate for Payer: Meridian Medicaid |
$16.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$24.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PACE Medicare |
$15.27
|
| Rate for Payer: PACE SWMI |
$16.07
|
| Rate for Payer: PHP Commercial |
$40.60
|
| Rate for Payer: PHP Medicare Advantage |
$16.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.40
|
| Rate for Payer: Priority Health Medicare |
$16.07
|
| Rate for Payer: Priority Health SBD |
$30.09
|
| Rate for Payer: Railroad Medicare Medicare |
$16.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.11
|
| Rate for Payer: UHC Core |
$24.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.07
|
| Rate for Payer: UHC Exchange |
$24.11
|
| Rate for Payer: UHC Medicaid |
$8.40
|
| Rate for Payer: UHCCP Medicaid |
$8.40
|
| Rate for Payer: VA VA |
$16.07
|
|
|
HC CRYPTOCOCCUS NEOFORMANS GATTII
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600265
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$33.43 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health SBD |
$33.43
|
|
|
HC CRYPTOCOCCUS NEOFORMANS GATTII
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600265
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$52.64 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$37.42
|
| Rate for Payer: BCN Commercial |
$37.42
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Mclaren Medicaid |
$18.35
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$52.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.64
|
| Rate for Payer: UHC Core |
$52.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$52.64
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC CRYPTOSPORIDIUM SCREEN
|
Facility
|
OP
|
$46.70
|
|
|
Service Code
|
CPT 87328
|
| Hospital Charge Code |
30600120
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.23 |
| Max. Negotiated Rate |
$42.03 |
| Rate for Payer: Aetna Commercial |
$39.70
|
| Rate for Payer: Aetna Medicare |
$14.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.27
|
| Rate for Payer: BCBS Complete |
$7.59
|
| Rate for Payer: BCBS MAPPO |
$13.82
|
| Rate for Payer: BCBS Trust/PPO |
$14.74
|
| Rate for Payer: BCN Commercial |
$14.74
|
| Rate for Payer: BCN Medicare Advantage |
$13.82
|
| Rate for Payer: Cash Price |
$37.36
|
| Rate for Payer: Cash Price |
$37.36
|
| Rate for Payer: Cofinity Advantage |
$32.69
|
| Rate for Payer: Cofinity Commercial |
$40.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.82
|
| Rate for Payer: Healthscope Commercial |
$42.03
|
| Rate for Payer: Mclaren Medicaid |
$7.23
|
| Rate for Payer: Mclaren Medicare |
$13.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.51
|
| Rate for Payer: Meridian Medicaid |
$14.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.70
|
| Rate for Payer: Nomi Health Commercial |
$20.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.02
|
| Rate for Payer: PACE Medicare |
$13.13
|
| Rate for Payer: PACE SWMI |
$13.82
|
| Rate for Payer: PHP Commercial |
$39.70
|
| Rate for Payer: PHP Medicare Advantage |
$13.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.82
|
| Rate for Payer: Priority Health Medicare |
$13.82
|
| Rate for Payer: Priority Health SBD |
$29.42
|
| Rate for Payer: Priority Health Tiered Network |
$11.06
|
| Rate for Payer: Railroad Medicare Medicare |
$13.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.73
|
| Rate for Payer: UHC Core |
$20.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.82
|
| Rate for Payer: UHC Exchange |
$20.73
|
| Rate for Payer: UHC Medicaid |
$7.23
|
| Rate for Payer: UHCCP Medicaid |
$7.23
|
| Rate for Payer: VA VA |
$13.82
|
|
|
HC CRYPTOSPORIDIUM SCREEN
|
Facility
|
IP
|
$46.70
|
|
|
Service Code
|
CPT 87328
|
| Hospital Charge Code |
30600120
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$29.42 |
| Max. Negotiated Rate |
$42.03 |
| Rate for Payer: Aetna Commercial |
$39.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.36
|
| Rate for Payer: Cash Price |
$37.36
|
| Rate for Payer: Cofinity Advantage |
$32.69
|
| Rate for Payer: Cofinity Commercial |
$40.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.36
|
| Rate for Payer: Healthscope Commercial |
$42.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.02
|
| Rate for Payer: PHP Commercial |
$39.70
|
| Rate for Payer: Priority Health SBD |
$29.42
|
|
|
HC CRYSTALS BODY FLUID
|
Facility
|
OP
|
$48.18
|
|
|
Service Code
|
CPT 89060
|
| Hospital Charge Code |
30000002
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$3.83 |
| Max. Negotiated Rate |
$43.36 |
| Rate for Payer: Aetna Commercial |
$40.95
|
| Rate for Payer: Aetna Medicare |
$7.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.16
|
| Rate for Payer: BCBS Complete |
$4.03
|
| Rate for Payer: BCBS MAPPO |
$7.33
|
| Rate for Payer: BCBS Trust/PPO |
$5.87
|
| Rate for Payer: BCN Commercial |
$5.87
|
| Rate for Payer: BCN Medicare Advantage |
$7.33
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cofinity Advantage |
$33.73
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$43.36
|
| Rate for Payer: Mclaren Medicaid |
$3.83
|
| Rate for Payer: Mclaren Medicare |
$7.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.70
|
| Rate for Payer: Meridian Medicaid |
$7.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.95
|
| Rate for Payer: Nomi Health Commercial |
$10.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.13
|
| Rate for Payer: PACE Medicare |
$6.96
|
| Rate for Payer: PACE SWMI |
$7.33
|
| Rate for Payer: PHP Commercial |
$40.95
|
| Rate for Payer: PHP Medicare Advantage |
$7.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7.33
|
| Rate for Payer: Priority Health Medicare |
$7.33
|
| Rate for Payer: Priority Health SBD |
$30.35
|
| Rate for Payer: Priority Health Tiered Network |
$5.86
|
| Rate for Payer: Railroad Medicare Medicare |
$7.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.00
|
| Rate for Payer: UHC Core |
$11.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.33
|
| Rate for Payer: UHC Exchange |
$11.00
|
| Rate for Payer: UHC Medicaid |
$3.83
|
| Rate for Payer: UHCCP Medicaid |
$3.83
|
| Rate for Payer: VA VA |
$7.33
|
|
|
HC CRYSTALS BODY FLUID
|
Facility
|
IP
|
$48.18
|
|
|
Service Code
|
CPT 89060
|
| Hospital Charge Code |
30000002
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$30.35 |
| Max. Negotiated Rate |
$43.36 |
| Rate for Payer: Aetna Commercial |
$40.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.32
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cofinity Advantage |
$33.73
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Healthscope Commercial |
$43.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.13
|
| Rate for Payer: PHP Commercial |
$40.95
|
| Rate for Payer: Priority Health SBD |
$30.35
|
|
|
HC C-SECTION (OB SURGERY)
|
Facility
|
IP
|
$3,056.08
|
|
| Hospital Charge Code |
36000024
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,925.33 |
| Max. Negotiated Rate |
$2,750.47 |
| Rate for Payer: Aetna Commercial |
$2,597.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,986.45
|
| Rate for Payer: Cash Price |
$2,444.86
|
| Rate for Payer: Cofinity Advantage |
$2,139.26
|
| Rate for Payer: Cofinity Commercial |
$2,628.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,444.86
|
| Rate for Payer: Healthscope Commercial |
$2,750.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,597.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,292.06
|
| Rate for Payer: PHP Commercial |
$2,597.67
|
| Rate for Payer: Priority Health SBD |
$1,925.33
|
|
|
HC C-SECTION (OB SURGERY)
|
Facility
|
OP
|
$3,056.08
|
|
| Hospital Charge Code |
36000024
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,222.43 |
| Max. Negotiated Rate |
$2,750.47 |
| Rate for Payer: Aetna Commercial |
$2,597.67
|
| Rate for Payer: Aetna Medicare |
$1,528.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,986.45
|
| Rate for Payer: BCBS Complete |
$1,222.43
|
| Rate for Payer: Cash Price |
$2,444.86
|
| Rate for Payer: Cofinity Advantage |
$2,139.26
|
| Rate for Payer: Cofinity Commercial |
$2,628.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,444.86
|
| Rate for Payer: Healthscope Commercial |
$2,750.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,444.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,597.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,292.06
|
| Rate for Payer: PHP Commercial |
$2,597.67
|
| Rate for Payer: Priority Health SBD |
$1,925.33
|
|
|
HC C-SECTION W/STERIL (OB SURGERY
|
Facility
|
OP
|
$3,753.17
|
|
| Hospital Charge Code |
36000025
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,501.27 |
| Max. Negotiated Rate |
$3,377.85 |
| Rate for Payer: Aetna Commercial |
$3,190.19
|
| Rate for Payer: Aetna Medicare |
$1,876.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,439.56
|
| Rate for Payer: BCBS Complete |
$1,501.27
|
| Rate for Payer: Cash Price |
$3,002.54
|
| Rate for Payer: Cofinity Advantage |
$2,627.22
|
| Rate for Payer: Cofinity Commercial |
$3,227.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,002.54
|
| Rate for Payer: Healthscope Commercial |
$3,377.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,002.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,190.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,814.88
|
| Rate for Payer: PHP Commercial |
$3,190.19
|
| Rate for Payer: Priority Health SBD |
$2,364.50
|
|
