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Service Code CPT 75741
Hospital Charge Code 32000195
Hospital Revenue Code 320
Min. Negotiated Rate $117.49
Max. Negotiated Rate $8,913.25
Rate for Payer: Aetna Commercial $1,675.37
Rate for Payer: Aetna Medicare $2,949.65
Rate for Payer: Aetna New Business (MI Preferred) $1,281.16
Rate for Payer: Allen County Amish Medical Aid Commercial $3,545.25
Rate for Payer: Amish Plain Church Group Commercial $3,545.25
Rate for Payer: BCBS Complete $1,629.11
Rate for Payer: BCBS MAPPO $2,836.20
Rate for Payer: BCBS Trust/PPO $117.49
Rate for Payer: BCN Medicare Advantage $2,836.20
Rate for Payer: Cash Price $1,576.82
Rate for Payer: Cash Price $1,576.82
Rate for Payer: Cofinity Commercial $1,379.71
Rate for Payer: Cofinity Commercial $1,695.08
Rate for Payer: Health Alliance Plan Medicare Advantage $2,836.20
Rate for Payer: Healthscope Commercial $1,773.92
Rate for Payer: Mclaren Medicaid $1,551.40
Rate for Payer: Mclaren Medicare $2,836.20
Rate for Payer: Meridian Medicaid $1,629.11
Rate for Payer: Meridian Wellcare - Medicare Advantage $2,978.01
Rate for Payer: MI Amish Medical Board Commercial $3,261.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,675.37
Rate for Payer: PACE Medicare $2,694.39
Rate for Payer: PACE SWMI $2,836.20
Rate for Payer: PHP Commercial $1,675.37
Rate for Payer: PHP Medicare Advantage $2,836.20
Rate for Payer: Priority Health Choice Medicaid $1,551.40
Rate for Payer: Priority Health Cigna Priority Health $1,379.71
Rate for Payer: Priority Health HMO/PPO/Tiered Network $8,913.25
Rate for Payer: Priority Health Medicare $2,836.20
Rate for Payer: Priority Health Narrow Network $7,130.60
Rate for Payer: Priority Health SBD $1,241.74
Rate for Payer: Railroad Medicare Medicare $2,836.20
Rate for Payer: UHC All Payor (Choice/PPO) $140.11
Rate for Payer: UHC Dual Complete DSNP $2,836.20
Rate for Payer: UHC Exchange $127.37
Rate for Payer: UHC Medicare Advantage $2,921.29
Rate for Payer: VA VA $2,836.20
Service Code CPT 75741
Hospital Charge Code 32000195
Hospital Revenue Code 320
Min. Negotiated Rate $1,241.74
Max. Negotiated Rate $1,773.92
Rate for Payer: Aetna Commercial $1,675.37
Rate for Payer: Aetna New Business (MI Preferred) $1,281.16
Rate for Payer: Cash Price $1,576.82
Rate for Payer: Cofinity Commercial $1,379.71
Rate for Payer: Cofinity Commercial $1,695.08
Rate for Payer: Healthscope Commercial $1,773.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,675.37
Rate for Payer: PHP Commercial $1,675.37
Rate for Payer: Priority Health Cigna Priority Health $1,379.71
Rate for Payer: Priority Health SBD $1,241.74
Service Code CPT 75743
Hospital Charge Code 32000196
Hospital Revenue Code 320
Min. Negotiated Rate $119.70
Max. Negotiated Rate $8,913.25
Rate for Payer: Aetna Commercial $2,916.27
Rate for Payer: Aetna Medicare $2,949.65
Rate for Payer: Aetna New Business (MI Preferred) $2,230.09
Rate for Payer: Allen County Amish Medical Aid Commercial $3,545.25
Rate for Payer: Amish Plain Church Group Commercial $3,545.25
Rate for Payer: BCBS Complete $1,629.11
Rate for Payer: BCBS MAPPO $2,836.20
Rate for Payer: BCBS Trust/PPO $119.70
Rate for Payer: BCN Medicare Advantage $2,836.20
Rate for Payer: Cash Price $2,744.73
Rate for Payer: Cash Price $2,744.73
Rate for Payer: Cofinity Commercial $2,950.58
Rate for Payer: Cofinity Commercial $2,401.64
Rate for Payer: Health Alliance Plan Medicare Advantage $2,836.20
Rate for Payer: Healthscope Commercial $3,087.82
Rate for Payer: Mclaren Medicaid $1,551.40
Rate for Payer: Mclaren Medicare $2,836.20
Rate for Payer: Meridian Medicaid $1,629.11
Rate for Payer: Meridian Wellcare - Medicare Advantage $2,978.01
Rate for Payer: MI Amish Medical Board Commercial $3,261.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,916.27
Rate for Payer: PACE Medicare $2,694.39
Rate for Payer: PACE SWMI $2,836.20
Rate for Payer: PHP Commercial $2,916.27
Rate for Payer: PHP Medicare Advantage $2,836.20
Rate for Payer: Priority Health Choice Medicaid $1,551.40
Rate for Payer: Priority Health Cigna Priority Health $2,401.64
Rate for Payer: Priority Health HMO/PPO/Tiered Network $8,913.25
Rate for Payer: Priority Health Medicare $2,836.20
Rate for Payer: Priority Health Narrow Network $7,130.60
Rate for Payer: Priority Health SBD $2,161.47
Rate for Payer: Railroad Medicare Medicare $2,836.20
Rate for Payer: UHC All Payor (Choice/PPO) $159.20
Rate for Payer: UHC Dual Complete DSNP $2,836.20
Rate for Payer: UHC Exchange $144.73
Rate for Payer: UHC Medicare Advantage $2,921.29
Rate for Payer: VA VA $2,836.20
Service Code CPT 75743
Hospital Charge Code 32000196
Hospital Revenue Code 320
Min. Negotiated Rate $2,161.47
Max. Negotiated Rate $3,087.82
Rate for Payer: Aetna Commercial $2,916.27
Rate for Payer: Aetna New Business (MI Preferred) $2,230.09
Rate for Payer: Cash Price $2,744.73
Rate for Payer: Cofinity Commercial $2,401.64
Rate for Payer: Cofinity Commercial $2,950.58
Rate for Payer: Healthscope Commercial $3,087.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,916.27
Rate for Payer: PHP Commercial $2,916.27
Rate for Payer: Priority Health Cigna Priority Health $2,401.64
Rate for Payer: Priority Health SBD $2,161.47
Service Code CPT 86945
Hospital Charge Code 39000026
Hospital Revenue Code 300
Min. Negotiated Rate $76.42
Max. Negotiated Rate $109.17
Rate for Payer: Aetna Commercial $103.10
Rate for Payer: Aetna New Business (MI Preferred) $78.84
Rate for Payer: Cash Price $97.04
Rate for Payer: Cofinity Commercial $104.32
Rate for Payer: Cofinity Commercial $84.91
Rate for Payer: Healthscope Commercial $109.17
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $103.10
Rate for Payer: PHP Commercial $103.10
Rate for Payer: Priority Health Cigna Priority Health $84.91
Rate for Payer: Priority Health SBD $76.42
Service Code CPT 86945
Hospital Charge Code 39000026
Hospital Revenue Code 300
Min. Negotiated Rate $7.27
Max. Negotiated Rate $109.17
Rate for Payer: Aetna Commercial $103.10
Rate for Payer: Aetna Medicare $37.11
Rate for Payer: Aetna New Business (MI Preferred) $78.84
Rate for Payer: Allen County Amish Medical Aid Commercial $44.60
Rate for Payer: Amish Plain Church Group Commercial $44.60
Rate for Payer: BCBS Complete $20.49
Rate for Payer: BCBS MAPPO $35.68
Rate for Payer: BCBS Trust/PPO $7.27
Rate for Payer: BCN Medicare Advantage $35.68
Rate for Payer: Cash Price $97.04
Rate for Payer: Cash Price $97.04
Rate for Payer: Cofinity Commercial $84.91
Rate for Payer: Cofinity Commercial $104.32
Rate for Payer: Health Alliance Plan Medicare Advantage $35.68
Rate for Payer: Healthscope Commercial $109.17
Rate for Payer: Mclaren Medicaid $19.52
Rate for Payer: Mclaren Medicare $35.68
Rate for Payer: Meridian Medicaid $20.49
Rate for Payer: Meridian Wellcare - Medicare Advantage $37.46
Rate for Payer: MI Amish Medical Board Commercial $41.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $103.10
Rate for Payer: PACE Medicare $33.90
Rate for Payer: PACE SWMI $35.68
Rate for Payer: PHP Commercial $103.10
Rate for Payer: PHP Medicare Advantage $35.68
Rate for Payer: Priority Health Choice Medicaid $19.52
Rate for Payer: Priority Health Cigna Priority Health $84.91
Rate for Payer: Priority Health Medicare $35.68
Rate for Payer: Priority Health SBD $76.42
Rate for Payer: Railroad Medicare Medicare $35.68
Rate for Payer: UHC Core $17.92
Rate for Payer: UHC Dual Complete DSNP $35.68
Rate for Payer: UHC Medicare Advantage $36.75
Rate for Payer: VA VA $35.68
Service Code CPT 75893
Hospital Charge Code 32000209
Hospital Revenue Code 320
Min. Negotiated Rate $103.14
Max. Negotiated Rate $14,847.89
Rate for Payer: Aetna Commercial $2,904.55
Rate for Payer: Aetna Medicare $5,085.31
Rate for Payer: Aetna New Business (MI Preferred) $2,221.13
Rate for Payer: Allen County Amish Medical Aid Commercial $6,112.15
Rate for Payer: Amish Plain Church Group Commercial $6,112.15
Rate for Payer: BCBS Complete $2,808.66
Rate for Payer: BCBS MAPPO $4,889.72
Rate for Payer: BCBS Trust/PPO $130.73
Rate for Payer: BCN Medicare Advantage $4,889.72
Rate for Payer: Cash Price $2,733.70
Rate for Payer: Cash Price $2,733.70
Rate for Payer: Cofinity Commercial $2,938.72
Rate for Payer: Cofinity Commercial $2,391.98
Rate for Payer: Health Alliance Plan Medicare Advantage $4,889.72
Rate for Payer: Healthscope Commercial $3,075.41
Rate for Payer: Mclaren Medicaid $2,674.68
Rate for Payer: Mclaren Medicare $4,889.72
Rate for Payer: Meridian Medicaid $2,808.66
Rate for Payer: Meridian Wellcare - Medicare Advantage $5,134.21
Rate for Payer: MI Amish Medical Board Commercial $5,623.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,904.55
Rate for Payer: PACE Medicare $4,645.23
Rate for Payer: PACE SWMI $4,889.72
Rate for Payer: PHP Commercial $2,904.55
Rate for Payer: PHP Medicare Advantage $4,889.72
Rate for Payer: Priority Health Choice Medicaid $2,674.68
Rate for Payer: Priority Health Cigna Priority Health $2,391.98
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14,847.89
Rate for Payer: Priority Health Medicare $4,889.72
Rate for Payer: Priority Health Narrow Network $11,878.31
Rate for Payer: Priority Health SBD $2,152.79
Rate for Payer: Railroad Medicare Medicare $4,889.72
Rate for Payer: UHC All Payor (Choice/PPO) $113.45
Rate for Payer: UHC Dual Complete DSNP $4,889.72
Rate for Payer: UHC Exchange $103.14
Rate for Payer: UHC Medicare Advantage $5,036.41
Rate for Payer: VA VA $4,889.72
Service Code CPT 75893
Hospital Charge Code 32000209
Hospital Revenue Code 320
Min. Negotiated Rate $2,152.79
Max. Negotiated Rate $3,075.41
Rate for Payer: Aetna Commercial $2,904.55
Rate for Payer: Aetna New Business (MI Preferred) $2,221.13
Rate for Payer: Cash Price $2,733.70
Rate for Payer: Cofinity Commercial $2,391.98
Rate for Payer: Cofinity Commercial $2,938.72
Rate for Payer: Healthscope Commercial $3,075.41
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,904.55
Rate for Payer: PHP Commercial $2,904.55
Rate for Payer: Priority Health Cigna Priority Health $2,391.98
Rate for Payer: Priority Health SBD $2,152.79
Service Code CPT 37224
Hospital Charge Code 36100168
Hospital Revenue Code 361
Min. Negotiated Rate $423.71
Max. Negotiated Rate $15,432.16
Rate for Payer: Aetna Commercial $9,186.27
Rate for Payer: Aetna Medicare $5,289.19
Rate for Payer: Aetna New Business (MI Preferred) $7,024.80
Rate for Payer: Allen County Amish Medical Aid Commercial $6,357.20
Rate for Payer: Amish Plain Church Group Commercial $6,357.20
Rate for Payer: BCBS Complete $2,921.26
Rate for Payer: BCBS MAPPO $5,085.76
Rate for Payer: BCBS Trust/PPO $3,701.02
Rate for Payer: BCN Medicare Advantage $5,085.76
Rate for Payer: Cash Price $8,645.90
Rate for Payer: Cash Price $8,645.90
Rate for Payer: Cofinity Commercial $9,294.35
Rate for Payer: Cofinity Commercial $7,565.17
Rate for Payer: Health Alliance Plan Medicare Advantage $5,085.76
Rate for Payer: Healthscope Commercial $9,726.64
Rate for Payer: Mclaren Medicaid $2,781.91
Rate for Payer: Mclaren Medicare $5,085.76
Rate for Payer: Meridian Medicaid $2,921.26
Rate for Payer: Meridian Wellcare - Medicare Advantage $5,340.05
Rate for Payer: MI Amish Medical Board Commercial $5,848.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $9,186.27
Rate for Payer: PACE Medicare $4,831.47
Rate for Payer: PACE SWMI $5,085.76
Rate for Payer: PHP Commercial $9,186.27
Rate for Payer: PHP Medicare Advantage $5,085.76
Rate for Payer: Priority Health Choice Medicaid $2,781.91
Rate for Payer: Priority Health Cigna Priority Health $7,565.17
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15,432.16
Rate for Payer: Priority Health Medicare $5,085.76
Rate for Payer: Priority Health Narrow Network $12,345.73
Rate for Payer: Priority Health SBD $6,808.65
Rate for Payer: Railroad Medicare Medicare $5,085.76
Rate for Payer: UHC All Payor (Choice/PPO) $466.08
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Dual Complete DSNP $5,085.76
Rate for Payer: UHC Exchange $423.71
Rate for Payer: UHC Medicare Advantage $5,238.33
Rate for Payer: VA VA $5,085.76
Service Code CPT 37224
Hospital Charge Code 36100168
Hospital Revenue Code 361
Min. Negotiated Rate $6,808.65
Max. Negotiated Rate $9,726.64
Rate for Payer: Aetna Commercial $9,186.27
Rate for Payer: Aetna New Business (MI Preferred) $7,024.80
Rate for Payer: Cash Price $8,645.90
Rate for Payer: Cofinity Commercial $7,565.17
Rate for Payer: Cofinity Commercial $9,294.35
Rate for Payer: Healthscope Commercial $9,726.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $9,186.27
Rate for Payer: PHP Commercial $9,186.27
Rate for Payer: Priority Health Cigna Priority Health $7,565.17
Rate for Payer: Priority Health SBD $6,808.65
Service Code CPT 37220
Hospital Charge Code 36100164
Hospital Revenue Code 361
Min. Negotiated Rate $6,864.91
Max. Negotiated Rate $9,807.01
Rate for Payer: Aetna Commercial $9,262.18
Rate for Payer: Aetna New Business (MI Preferred) $7,082.84
Rate for Payer: Cash Price $8,717.34
Rate for Payer: Cofinity Commercial $7,627.68
Rate for Payer: Cofinity Commercial $9,371.14
Rate for Payer: Healthscope Commercial $9,807.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $9,262.18
Rate for Payer: PHP Commercial $9,262.18
Rate for Payer: Priority Health Cigna Priority Health $7,627.68
Rate for Payer: Priority Health SBD $6,864.91
Service Code CPT 37220
Hospital Charge Code 36100164
Hospital Revenue Code 361
Min. Negotiated Rate $381.14
Max. Negotiated Rate $15,432.16
Rate for Payer: Aetna Commercial $9,262.18
Rate for Payer: Aetna Medicare $5,289.19
Rate for Payer: Aetna New Business (MI Preferred) $7,082.84
Rate for Payer: Allen County Amish Medical Aid Commercial $6,357.20
Rate for Payer: Amish Plain Church Group Commercial $6,357.20
Rate for Payer: BCBS Complete $2,921.26
Rate for Payer: BCBS MAPPO $5,085.76
Rate for Payer: BCBS Trust/PPO $1,984.61
Rate for Payer: BCN Medicare Advantage $5,085.76
Rate for Payer: Cash Price $8,717.34
Rate for Payer: Cash Price $8,717.34
Rate for Payer: Cofinity Commercial $9,371.14
Rate for Payer: Cofinity Commercial $7,627.68
Rate for Payer: Health Alliance Plan Medicare Advantage $5,085.76
Rate for Payer: Healthscope Commercial $9,807.01
Rate for Payer: Mclaren Medicaid $2,781.91
Rate for Payer: Mclaren Medicare $5,085.76
Rate for Payer: Meridian Medicaid $2,921.26
Rate for Payer: Meridian Wellcare - Medicare Advantage $5,340.05
Rate for Payer: MI Amish Medical Board Commercial $5,848.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $9,262.18
Rate for Payer: PACE Medicare $4,831.47
Rate for Payer: PACE SWMI $5,085.76
Rate for Payer: PHP Commercial $9,262.18
Rate for Payer: PHP Medicare Advantage $5,085.76
Rate for Payer: Priority Health Choice Medicaid $2,781.91
Rate for Payer: Priority Health Cigna Priority Health $7,627.68
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15,432.16
Rate for Payer: Priority Health Medicare $5,085.76
Rate for Payer: Priority Health Narrow Network $12,345.73
Rate for Payer: Priority Health SBD $6,864.91
Rate for Payer: Railroad Medicare Medicare $5,085.76
Rate for Payer: UHC All Payor (Choice/PPO) $419.25
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Dual Complete DSNP $5,085.76
Rate for Payer: UHC Exchange $381.14
Rate for Payer: UHC Medicare Advantage $5,238.33
Rate for Payer: VA VA $5,085.76
Service Code CPT 37222
Hospital Charge Code 36100166
Hospital Revenue Code 361
Min. Negotiated Rate $176.16
Max. Negotiated Rate $7,632.00
Rate for Payer: Aetna Commercial $6,019.08
Rate for Payer: Aetna New Business (MI Preferred) $4,602.83
Rate for Payer: BCBS Complete $2,832.51
Rate for Payer: BCBS Trust/PPO $1,714.66
Rate for Payer: Cash Price $5,665.02
Rate for Payer: Cash Price $5,665.02
Rate for Payer: Cofinity Commercial $4,956.89
Rate for Payer: Cofinity Commercial $6,089.89
Rate for Payer: Healthscope Commercial $6,373.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6,019.08
Rate for Payer: PHP Commercial $6,019.08
Rate for Payer: Priority Health Cigna Priority Health $4,956.89
Rate for Payer: Priority Health SBD $4,461.20
Rate for Payer: UHC All Payor (Choice/PPO) $193.78
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Exchange $176.16
Service Code CPT 37222
Hospital Charge Code 36100166
Hospital Revenue Code 361
Min. Negotiated Rate $4,461.20
Max. Negotiated Rate $6,373.14
Rate for Payer: Aetna Commercial $6,019.08
Rate for Payer: Aetna New Business (MI Preferred) $4,602.83
Rate for Payer: Cash Price $5,665.02
Rate for Payer: Cofinity Commercial $4,956.89
Rate for Payer: Cofinity Commercial $6,089.89
Rate for Payer: Healthscope Commercial $6,373.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6,019.08
Rate for Payer: PHP Commercial $6,019.08
Rate for Payer: Priority Health Cigna Priority Health $4,956.89
Rate for Payer: Priority Health SBD $4,461.20
Service Code CPT 37221
Hospital Charge Code 36100165
Hospital Revenue Code 361
Min. Negotiated Rate $7,669.94
Max. Negotiated Rate $10,957.05
Rate for Payer: Aetna Commercial $10,348.32
Rate for Payer: Aetna New Business (MI Preferred) $7,913.42
Rate for Payer: Cash Price $9,739.60
Rate for Payer: Cofinity Commercial $10,470.07
Rate for Payer: Cofinity Commercial $8,522.15
Rate for Payer: Healthscope Commercial $10,957.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10,348.32
Rate for Payer: PHP Commercial $10,348.32
Rate for Payer: Priority Health Cigna Priority Health $8,522.15
Rate for Payer: Priority Health SBD $7,669.94
Service Code CPT 37221
Hospital Charge Code 36100165
Hospital Revenue Code 361
Min. Negotiated Rate $469.55
Max. Negotiated Rate $31,275.01
Rate for Payer: Aetna Commercial $10,348.32
Rate for Payer: Aetna Medicare $10,180.30
Rate for Payer: Aetna New Business (MI Preferred) $7,913.42
Rate for Payer: Allen County Amish Medical Aid Commercial $12,235.94
Rate for Payer: Amish Plain Church Group Commercial $12,235.94
Rate for Payer: BCBS Complete $5,622.66
Rate for Payer: BCBS MAPPO $9,788.75
Rate for Payer: BCBS Trust/PPO $4,767.59
Rate for Payer: BCN Medicare Advantage $9,788.75
Rate for Payer: Cash Price $9,739.60
Rate for Payer: Cash Price $9,739.60
Rate for Payer: Cofinity Commercial $8,522.15
Rate for Payer: Cofinity Commercial $10,470.07
Rate for Payer: Health Alliance Plan Medicare Advantage $9,788.75
Rate for Payer: Healthscope Commercial $10,957.05
Rate for Payer: Mclaren Medicaid $5,354.45
Rate for Payer: Mclaren Medicare $9,788.75
Rate for Payer: Meridian Medicaid $5,622.66
Rate for Payer: Meridian Wellcare - Medicare Advantage $10,278.19
Rate for Payer: MI Amish Medical Board Commercial $11,257.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10,348.32
Rate for Payer: PACE Medicare $9,299.31
Rate for Payer: PACE SWMI $9,788.75
Rate for Payer: PHP Commercial $10,348.32
Rate for Payer: PHP Medicare Advantage $9,788.75
Rate for Payer: Priority Health Choice Medicaid $5,354.45
Rate for Payer: Priority Health Cigna Priority Health $8,522.15
Rate for Payer: Priority Health HMO/PPO/Tiered Network $31,275.01
Rate for Payer: Priority Health Medicare $9,788.75
Rate for Payer: Priority Health Narrow Network $25,020.01
Rate for Payer: Priority Health SBD $7,669.94
Rate for Payer: Railroad Medicare Medicare $9,788.75
Rate for Payer: UHC All Payor (Choice/PPO) $516.50
Rate for Payer: UHC Core $8,819.00
Rate for Payer: UHC Dual Complete DSNP $9,788.75
Rate for Payer: UHC Exchange $469.55
Rate for Payer: UHC Medicare Advantage $10,082.41
Rate for Payer: VA VA $9,788.75
Service Code CPT 37228
Hospital Charge Code 36100172
Hospital Revenue Code 361
Min. Negotiated Rate $8,465.76
Max. Negotiated Rate $12,093.94
Rate for Payer: Aetna Commercial $11,422.05
Rate for Payer: Aetna New Business (MI Preferred) $8,734.51
Rate for Payer: Cash Price $10,750.17
Rate for Payer: Cofinity Commercial $11,556.43
Rate for Payer: Cofinity Commercial $9,406.40
Rate for Payer: Healthscope Commercial $12,093.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $11,422.05
Rate for Payer: PHP Commercial $11,422.05
Rate for Payer: Priority Health Cigna Priority Health $9,406.40
Rate for Payer: Priority Health SBD $8,465.76
Service Code CPT 37228
Hospital Charge Code 36100172
Hospital Revenue Code 361
Min. Negotiated Rate $515.07
Max. Negotiated Rate $31,275.01
Rate for Payer: Aetna Commercial $11,422.05
Rate for Payer: Aetna Medicare $10,180.30
Rate for Payer: Aetna New Business (MI Preferred) $8,734.51
Rate for Payer: Allen County Amish Medical Aid Commercial $12,235.94
Rate for Payer: Amish Plain Church Group Commercial $12,235.94
Rate for Payer: BCBS Complete $5,622.66
Rate for Payer: BCBS MAPPO $9,788.75
Rate for Payer: BCBS Trust/PPO $3,845.00
Rate for Payer: BCN Medicare Advantage $9,788.75
Rate for Payer: Cash Price $10,750.17
Rate for Payer: Cash Price $10,750.17
Rate for Payer: Cofinity Commercial $11,556.43
Rate for Payer: Cofinity Commercial $9,406.40
Rate for Payer: Health Alliance Plan Medicare Advantage $9,788.75
Rate for Payer: Healthscope Commercial $12,093.94
Rate for Payer: Mclaren Medicaid $5,354.45
Rate for Payer: Mclaren Medicare $9,788.75
Rate for Payer: Meridian Medicaid $5,622.66
Rate for Payer: Meridian Wellcare - Medicare Advantage $10,278.19
Rate for Payer: MI Amish Medical Board Commercial $11,257.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $11,422.05
Rate for Payer: PACE Medicare $9,299.31
Rate for Payer: PACE SWMI $9,788.75
Rate for Payer: PHP Commercial $11,422.05
Rate for Payer: PHP Medicare Advantage $9,788.75
Rate for Payer: Priority Health Choice Medicaid $5,354.45
Rate for Payer: Priority Health Cigna Priority Health $9,406.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $31,275.01
Rate for Payer: Priority Health Medicare $9,788.75
Rate for Payer: Priority Health Narrow Network $25,020.01
Rate for Payer: Priority Health SBD $8,465.76
Rate for Payer: Railroad Medicare Medicare $9,788.75
Rate for Payer: UHC All Payor (Choice/PPO) $566.58
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Dual Complete DSNP $9,788.75
Rate for Payer: UHC Exchange $515.07
Rate for Payer: UHC Medicare Advantage $10,082.41
Rate for Payer: VA VA $9,788.75
Service Code CPT 37232
Hospital Charge Code 36100176
Hospital Revenue Code 361
Min. Negotiated Rate $4,684.26
Max. Negotiated Rate $6,691.80
Rate for Payer: Aetna Commercial $6,320.03
Rate for Payer: Aetna New Business (MI Preferred) $4,832.96
Rate for Payer: Cash Price $5,948.26
Rate for Payer: Cofinity Commercial $5,204.73
Rate for Payer: Cofinity Commercial $6,394.38
Rate for Payer: Healthscope Commercial $6,691.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6,320.03
Rate for Payer: PHP Commercial $6,320.03
Rate for Payer: Priority Health Cigna Priority Health $5,204.73
Rate for Payer: Priority Health SBD $4,684.26
Service Code CPT 37232
Hospital Charge Code 36100176
Hospital Revenue Code 361
Min. Negotiated Rate $189.59
Max. Negotiated Rate $7,632.00
Rate for Payer: Aetna Commercial $6,320.03
Rate for Payer: Aetna New Business (MI Preferred) $4,832.96
Rate for Payer: BCBS Complete $2,974.13
Rate for Payer: BCBS Trust/PPO $2,368.12
Rate for Payer: Cash Price $5,948.26
Rate for Payer: Cash Price $5,948.26
Rate for Payer: Cofinity Commercial $6,394.38
Rate for Payer: Cofinity Commercial $5,204.73
Rate for Payer: Healthscope Commercial $6,691.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6,320.03
Rate for Payer: PHP Commercial $6,320.03
Rate for Payer: Priority Health Cigna Priority Health $5,204.73
Rate for Payer: Priority Health SBD $4,684.26
Rate for Payer: UHC All Payor (Choice/PPO) $208.55
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Exchange $189.59
Service Code CPT 37223
Hospital Charge Code 36100167
Hospital Revenue Code 361
Min. Negotiated Rate $7,644.13
Max. Negotiated Rate $10,920.19
Rate for Payer: Aetna Commercial $10,313.51
Rate for Payer: Aetna New Business (MI Preferred) $7,886.80
Rate for Payer: Cash Price $9,706.83
Rate for Payer: Cofinity Commercial $8,493.48
Rate for Payer: Cofinity Commercial $10,434.84
Rate for Payer: Healthscope Commercial $10,920.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10,313.51
Rate for Payer: PHP Commercial $10,313.51
Rate for Payer: Priority Health Cigna Priority Health $8,493.48
Rate for Payer: Priority Health SBD $7,644.13
Service Code CPT 37223
Hospital Charge Code 36100167
Hospital Revenue Code 361
Min. Negotiated Rate $201.70
Max. Negotiated Rate $10,920.19
Rate for Payer: Aetna Commercial $10,313.51
Rate for Payer: Aetna New Business (MI Preferred) $7,886.80
Rate for Payer: BCBS Complete $4,853.42
Rate for Payer: BCBS Trust/PPO $5,082.71
Rate for Payer: Cash Price $9,706.83
Rate for Payer: Cash Price $9,706.83
Rate for Payer: Cofinity Commercial $8,493.48
Rate for Payer: Cofinity Commercial $10,434.84
Rate for Payer: Healthscope Commercial $10,920.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10,313.51
Rate for Payer: PHP Commercial $10,313.51
Rate for Payer: Priority Health Cigna Priority Health $8,493.48
Rate for Payer: Priority Health SBD $7,644.13
Rate for Payer: UHC All Payor (Choice/PPO) $221.87
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Exchange $201.70
Service Code CPT 37234
Hospital Charge Code 36100178
Hospital Revenue Code 361
Min. Negotiated Rate $6,497.00
Max. Negotiated Rate $9,281.43
Rate for Payer: Aetna Commercial $8,765.80
Rate for Payer: Aetna New Business (MI Preferred) $6,703.26
Rate for Payer: Cash Price $8,250.16
Rate for Payer: Cofinity Commercial $8,868.92
Rate for Payer: Cofinity Commercial $7,218.89
Rate for Payer: Healthscope Commercial $9,281.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $8,765.80
Rate for Payer: PHP Commercial $8,765.80
Rate for Payer: Priority Health Cigna Priority Health $7,218.89
Rate for Payer: Priority Health SBD $6,497.00
Service Code CPT 37234
Hospital Charge Code 36100178
Hospital Revenue Code 361
Min. Negotiated Rate $267.85
Max. Negotiated Rate $9,281.43
Rate for Payer: Aetna Commercial $8,765.80
Rate for Payer: Aetna New Business (MI Preferred) $6,703.26
Rate for Payer: BCBS Complete $4,125.08
Rate for Payer: BCBS Trust/PPO $7,747.28
Rate for Payer: Cash Price $8,250.16
Rate for Payer: Cash Price $8,250.16
Rate for Payer: Cofinity Commercial $8,868.92
Rate for Payer: Cofinity Commercial $7,218.89
Rate for Payer: Healthscope Commercial $9,281.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $8,765.80
Rate for Payer: PHP Commercial $8,765.80
Rate for Payer: Priority Health Cigna Priority Health $7,218.89
Rate for Payer: Priority Health SBD $6,497.00
Rate for Payer: UHC All Payor (Choice/PPO) $294.64
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Exchange $267.85
Service Code CPT 37183
Hospital Charge Code 36100148
Hospital Revenue Code 361
Min. Negotiated Rate $355.27
Max. Negotiated Rate $15,432.16
Rate for Payer: Aetna Commercial $9,486.65
Rate for Payer: Aetna Medicare $5,289.19
Rate for Payer: Aetna New Business (MI Preferred) $7,254.49
Rate for Payer: Allen County Amish Medical Aid Commercial $6,357.20
Rate for Payer: Amish Plain Church Group Commercial $6,357.20
Rate for Payer: BCBS Complete $2,921.26
Rate for Payer: BCBS MAPPO $5,085.76
Rate for Payer: BCBS Trust/PPO $2,511.70
Rate for Payer: BCN Medicare Advantage $5,085.76
Rate for Payer: Cash Price $8,928.61
Rate for Payer: Cash Price $8,928.61
Rate for Payer: Cofinity Commercial $7,812.53
Rate for Payer: Cofinity Commercial $9,598.25
Rate for Payer: Health Alliance Plan Medicare Advantage $5,085.76
Rate for Payer: Healthscope Commercial $10,044.68
Rate for Payer: Mclaren Medicaid $2,781.91
Rate for Payer: Mclaren Medicare $5,085.76
Rate for Payer: Meridian Medicaid $2,921.26
Rate for Payer: Meridian Wellcare - Medicare Advantage $5,340.05
Rate for Payer: MI Amish Medical Board Commercial $5,848.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $9,486.65
Rate for Payer: PACE Medicare $4,831.47
Rate for Payer: PACE SWMI $5,085.76
Rate for Payer: PHP Commercial $9,486.65
Rate for Payer: PHP Medicare Advantage $5,085.76
Rate for Payer: Priority Health Choice Medicaid $2,781.91
Rate for Payer: Priority Health Cigna Priority Health $7,812.53
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15,432.16
Rate for Payer: Priority Health Medicare $5,085.76
Rate for Payer: Priority Health Narrow Network $12,345.73
Rate for Payer: Priority Health SBD $7,031.28
Rate for Payer: Railroad Medicare Medicare $5,085.76
Rate for Payer: UHC All Payor (Choice/PPO) $390.80
Rate for Payer: UHC Core $8,819.00
Rate for Payer: UHC Dual Complete DSNP $5,085.76
Rate for Payer: UHC Exchange $355.27
Rate for Payer: UHC Medicare Advantage $5,238.33
Rate for Payer: VA VA $5,085.76