|
HC IR THROMBECTOMY ARTERIAL GRAFT 2ND AND SUBSEQUENT VESSELS
|
Facility
|
OP
|
$5,832.40
|
|
|
Service Code
|
CPT 37185
|
| Hospital Charge Code |
36100150
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,857.59 |
| Max. Negotiated Rate |
$5,249.16 |
| Rate for Payer: Aetna Commercial |
$4,957.54
|
| Rate for Payer: Aetna Medicare |
$2,916.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,791.06
|
| Rate for Payer: BCBS Complete |
$2,332.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,857.59
|
| Rate for Payer: BCN Commercial |
$1,857.59
|
| Rate for Payer: Cash Price |
$4,665.92
|
| Rate for Payer: Cash Price |
$4,665.92
|
| Rate for Payer: Cofinity Advantage |
$4,082.68
|
| Rate for Payer: Cofinity Commercial |
$5,015.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,665.92
|
| Rate for Payer: Healthscope Commercial |
$5,249.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,665.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,957.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,374.30
|
| Rate for Payer: PHP Commercial |
$4,957.54
|
| Rate for Payer: Priority Health SBD |
$3,674.41
|
|
|
HC IR THROMBECTOMY ARTERIAL GRAFT 2ND AND SUBSEQUENT VESSELS
|
Facility
|
IP
|
$5,832.40
|
|
|
Service Code
|
CPT 37185
|
| Hospital Charge Code |
36100150
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,674.41 |
| Max. Negotiated Rate |
$5,249.16 |
| Rate for Payer: Aetna Commercial |
$4,957.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,791.06
|
| Rate for Payer: Cash Price |
$4,665.92
|
| Rate for Payer: Cofinity Advantage |
$4,082.68
|
| Rate for Payer: Cofinity Commercial |
$5,015.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,665.92
|
| Rate for Payer: Healthscope Commercial |
$5,249.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,957.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,374.30
|
| Rate for Payer: PHP Commercial |
$4,957.54
|
| Rate for Payer: Priority Health SBD |
$3,674.41
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY
|
Facility
|
IP
|
$7,814.36
|
|
|
Service Code
|
CPT 37187
|
| Hospital Charge Code |
36100152
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,923.05 |
| Max. Negotiated Rate |
$7,032.92 |
| Rate for Payer: Aetna Commercial |
$6,642.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,079.33
|
| Rate for Payer: Cash Price |
$6,251.49
|
| Rate for Payer: Cofinity Advantage |
$5,470.05
|
| Rate for Payer: Cofinity Commercial |
$6,720.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,251.49
|
| Rate for Payer: Healthscope Commercial |
$7,032.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,642.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,860.77
|
| Rate for Payer: PHP Commercial |
$6,642.21
|
| Rate for Payer: Priority Health SBD |
$4,923.05
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY
|
Facility
|
OP
|
$7,814.36
|
|
|
Service Code
|
CPT 37187
|
| Hospital Charge Code |
36100152
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,832.65 |
| Max. Negotiated Rate |
$37,198.61 |
| Rate for Payer: Aetna Commercial |
$6,642.21
|
| Rate for Payer: Aetna Medicare |
$11,962.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,079.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,378.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,378.35
|
| Rate for Payer: BCBS Complete |
$6,317.27
|
| Rate for Payer: BCBS MAPPO |
$11,502.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,832.65
|
| Rate for Payer: BCN Commercial |
$2,832.65
|
| Rate for Payer: BCN Medicare Advantage |
$11,502.68
|
| Rate for Payer: Cash Price |
$6,251.49
|
| Rate for Payer: Cash Price |
$6,251.49
|
| Rate for Payer: Cash Price |
$6,251.49
|
| Rate for Payer: Cofinity Advantage |
$5,470.05
|
| Rate for Payer: Cofinity Commercial |
$6,720.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,251.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,502.68
|
| Rate for Payer: Healthscope Commercial |
$7,032.92
|
| Rate for Payer: Mclaren Medicaid |
$6,015.90
|
| Rate for Payer: Mclaren Medicare |
$11,502.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,077.81
|
| Rate for Payer: Meridian Medicaid |
$12,077.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,228.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,652.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,642.21
|
| Rate for Payer: Nomi Health Commercial |
$34,508.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,860.77
|
| Rate for Payer: PACE Medicare |
$10,927.55
|
| Rate for Payer: PACE SWMI |
$11,502.68
|
| Rate for Payer: PHP Commercial |
$6,642.21
|
| Rate for Payer: PHP Medicare Advantage |
$11,502.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,015.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,198.61
|
| Rate for Payer: Priority Health Medicare |
$11,502.68
|
| Rate for Payer: Priority Health SBD |
$4,923.05
|
| Rate for Payer: Priority Health Tiered Network |
$29,758.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,502.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,502.68
|
| Rate for Payer: UHC Medicaid |
$6,015.90
|
| Rate for Payer: UHCCP Medicaid |
$6,015.90
|
| Rate for Payer: VA VA |
$11,502.68
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY SUBSEQUENT DAY
|
Facility
|
IP
|
$5,476.98
|
|
|
Service Code
|
CPT 37188
|
| Hospital Charge Code |
36100153
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,450.50 |
| Max. Negotiated Rate |
$4,929.28 |
| Rate for Payer: Aetna Commercial |
$4,655.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,560.04
|
| Rate for Payer: Cash Price |
$4,381.58
|
| Rate for Payer: Cofinity Advantage |
$3,833.89
|
| Rate for Payer: Cofinity Commercial |
$4,710.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,381.58
|
| Rate for Payer: Healthscope Commercial |
$4,929.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,655.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,107.73
|
| Rate for Payer: PHP Commercial |
$4,655.43
|
| Rate for Payer: Priority Health SBD |
$3,450.50
|
|
|
HC IR THROMBECTOMY VENOUS WITH FLUOROSCOPY SUBSEQUENT DAY
|
Facility
|
OP
|
$5,476.98
|
|
|
Service Code
|
CPT 37188
|
| Hospital Charge Code |
36100153
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,645.43 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna Commercial |
$4,655.43
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,560.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,049.18
|
| Rate for Payer: BCN Commercial |
$2,049.18
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$4,381.58
|
| Rate for Payer: Cash Price |
$4,381.58
|
| Rate for Payer: Cash Price |
$4,381.58
|
| Rate for Payer: Cofinity Advantage |
$3,833.89
|
| Rate for Payer: Cofinity Commercial |
$4,710.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,381.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$4,929.28
|
| Rate for Payer: Mclaren Medicaid |
$1,645.43
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,655.43
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,107.73
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$4,655.43
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$3,450.50
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC IR TRANSCATHETER BIOPSY
|
Facility
|
IP
|
$1,834.43
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
32000224
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,155.69 |
| Max. Negotiated Rate |
$1,650.99 |
| Rate for Payer: Aetna Commercial |
$1,559.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,192.38
|
| Rate for Payer: Cash Price |
$1,467.54
|
| Rate for Payer: Cofinity Advantage |
$1,284.10
|
| Rate for Payer: Cofinity Commercial |
$1,577.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,467.54
|
| Rate for Payer: Healthscope Commercial |
$1,650.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,559.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,375.82
|
| Rate for Payer: PHP Commercial |
$1,559.27
|
| Rate for Payer: Priority Health SBD |
$1,155.69
|
|
|
HC IR TRANSCATHETER BIOPSY
|
Facility
|
OP
|
$1,834.43
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
32000224
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$720.93 |
| Max. Negotiated Rate |
$1,650.99 |
| Rate for Payer: Aetna Commercial |
$1,559.27
|
| Rate for Payer: Aetna Medicare |
$917.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,192.38
|
| Rate for Payer: BCBS Complete |
$733.77
|
| Rate for Payer: BCBS Trust/PPO |
$888.88
|
| Rate for Payer: BCN Commercial |
$888.88
|
| Rate for Payer: Cash Price |
$1,467.54
|
| Rate for Payer: Cash Price |
$1,467.54
|
| Rate for Payer: Cofinity Advantage |
$1,284.10
|
| Rate for Payer: Cofinity Commercial |
$1,577.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,467.54
|
| Rate for Payer: Healthscope Commercial |
$1,650.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,467.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,559.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,375.82
|
| Rate for Payer: PHP Commercial |
$1,559.27
|
| Rate for Payer: Priority Health SBD |
$1,155.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,192.38
|
| Rate for Payer: UHC Core |
$955.74
|
| Rate for Payer: UHC Exchange |
$720.93
|
|
|
HC IR UNLISTED URINARY SYSTEM
|
Facility
|
OP
|
$2,215.93
|
|
|
Service Code
|
CPT 53899
|
| Hospital Charge Code |
36100254
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$130.20 |
| Max. Negotiated Rate |
$1,994.34 |
| Rate for Payer: Aetna Commercial |
$1,883.54
|
| Rate for Payer: Aetna Medicare |
$258.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,440.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$311.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$311.19
|
| Rate for Payer: BCBS Complete |
$136.72
|
| Rate for Payer: BCBS MAPPO |
$248.95
|
| Rate for Payer: BCBS Trust/PPO |
$148.34
|
| Rate for Payer: BCN Commercial |
$148.34
|
| Rate for Payer: BCN Medicare Advantage |
$248.95
|
| Rate for Payer: Cash Price |
$1,772.74
|
| Rate for Payer: Cash Price |
$1,772.74
|
| Rate for Payer: Cash Price |
$1,772.74
|
| Rate for Payer: Cofinity Advantage |
$1,551.15
|
| Rate for Payer: Cofinity Commercial |
$1,905.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,772.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.95
|
| Rate for Payer: Healthscope Commercial |
$1,994.34
|
| Rate for Payer: Mclaren Medicaid |
$130.20
|
| Rate for Payer: Mclaren Medicare |
$248.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.40
|
| Rate for Payer: Meridian Medicaid |
$261.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$286.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$273.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,883.54
|
| Rate for Payer: Nomi Health Commercial |
$746.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,661.95
|
| Rate for Payer: PACE Medicare |
$236.50
|
| Rate for Payer: PACE SWMI |
$248.95
|
| Rate for Payer: PHP Commercial |
$1,883.54
|
| Rate for Payer: PHP Medicare Advantage |
$248.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$805.08
|
| Rate for Payer: Priority Health Medicare |
$248.95
|
| Rate for Payer: Priority Health SBD |
$1,396.04
|
| Rate for Payer: Priority Health Tiered Network |
$644.06
|
| Rate for Payer: Railroad Medicare Medicare |
$248.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$248.95
|
| Rate for Payer: UHC Medicaid |
$130.20
|
| Rate for Payer: UHCCP Medicaid |
$130.20
|
| Rate for Payer: VA VA |
$248.95
|
|
|
HC IR UNLISTED URINARY SYSTEM
|
Facility
|
IP
|
$2,215.93
|
|
|
Service Code
|
CPT 53899
|
| Hospital Charge Code |
36100254
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,396.04 |
| Max. Negotiated Rate |
$1,994.34 |
| Rate for Payer: Aetna Commercial |
$1,883.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,440.35
|
| Rate for Payer: Cash Price |
$1,772.74
|
| Rate for Payer: Cofinity Advantage |
$1,551.15
|
| Rate for Payer: Cofinity Commercial |
$1,905.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,772.74
|
| Rate for Payer: Healthscope Commercial |
$1,994.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,883.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,661.95
|
| Rate for Payer: PHP Commercial |
$1,883.54
|
| Rate for Payer: Priority Health SBD |
$1,396.04
|
|
|
HC IR UROGRAPHY ANTEGRADE
|
Facility
|
OP
|
$472.70
|
|
|
Service Code
|
CPT 74425
|
| Hospital Charge Code |
32000161
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$1,124.16 |
| Rate for Payer: Aetna Commercial |
$401.80
|
| Rate for Payer: Aetna Medicare |
$361.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$248.34
|
| Rate for Payer: BCN Commercial |
$248.34
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$378.16
|
| Rate for Payer: Cash Price |
$378.16
|
| Rate for Payer: Cofinity Advantage |
$330.89
|
| Rate for Payer: Cofinity Commercial |
$406.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$425.43
|
| Rate for Payer: Mclaren Medicaid |
$181.81
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$365.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$401.80
|
| Rate for Payer: Nomi Health Commercial |
$1,042.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.52
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$401.80
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.16
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health SBD |
$297.80
|
| Rate for Payer: Priority Health Tiered Network |
$899.33
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$307.25
|
| Rate for Payer: UHC Core |
$246.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$185.77
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC IR UROGRAPHY ANTEGRADE
|
Facility
|
IP
|
$472.70
|
|
|
Service Code
|
CPT 74425
|
| Hospital Charge Code |
32000161
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$297.80 |
| Max. Negotiated Rate |
$425.43 |
| Rate for Payer: Aetna Commercial |
$401.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.25
|
| Rate for Payer: Cash Price |
$378.16
|
| Rate for Payer: Cofinity Advantage |
$330.89
|
| Rate for Payer: Cofinity Commercial |
$406.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.16
|
| Rate for Payer: Healthscope Commercial |
$425.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$401.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.52
|
| Rate for Payer: PHP Commercial |
$401.80
|
| Rate for Payer: Priority Health SBD |
$297.80
|
|
|
HC IR US GUIDED VASC ACCESS
|
Facility
|
IP
|
$364.53
|
|
|
Service Code
|
CPT 76937
|
| Hospital Charge Code |
40200043
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$229.65 |
| Max. Negotiated Rate |
$328.08 |
| Rate for Payer: Aetna Commercial |
$309.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.94
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cofinity Advantage |
$255.17
|
| Rate for Payer: Cofinity Commercial |
$313.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.62
|
| Rate for Payer: Healthscope Commercial |
$328.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.40
|
| Rate for Payer: PHP Commercial |
$309.85
|
| Rate for Payer: Priority Health SBD |
$229.65
|
|
|
HC IR US GUIDED VASC ACCESS
|
Facility
|
OP
|
$364.53
|
|
|
Service Code
|
CPT 76937
|
| Hospital Charge Code |
40200043
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$56.79 |
| Max. Negotiated Rate |
$328.08 |
| Rate for Payer: Aetna Commercial |
$309.85
|
| Rate for Payer: Aetna Medicare |
$182.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.94
|
| Rate for Payer: BCBS Complete |
$145.81
|
| Rate for Payer: BCBS Trust/PPO |
$56.79
|
| Rate for Payer: BCN Commercial |
$56.79
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cofinity Advantage |
$255.17
|
| Rate for Payer: Cofinity Commercial |
$313.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.62
|
| Rate for Payer: Healthscope Commercial |
$328.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$291.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.40
|
| Rate for Payer: PHP Commercial |
$309.85
|
| Rate for Payer: Priority Health SBD |
$229.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.94
|
| Rate for Payer: UHC Core |
$189.92
|
| Rate for Payer: UHC Exchange |
$143.26
|
|
|
HC IR VASCULAR UNLISTED PROCEDURE
|
Facility
|
OP
|
$500.21
|
|
|
Service Code
|
CPT 36299
|
| Hospital Charge Code |
36100114
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$200.08 |
| Max. Negotiated Rate |
$454.89 |
| Rate for Payer: Aetna Commercial |
$425.18
|
| Rate for Payer: Aetna Medicare |
$250.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$325.14
|
| Rate for Payer: BCBS Complete |
$200.08
|
| Rate for Payer: BCBS Trust/PPO |
$454.89
|
| Rate for Payer: BCN Commercial |
$454.89
|
| Rate for Payer: Cash Price |
$400.17
|
| Rate for Payer: Cash Price |
$400.17
|
| Rate for Payer: Cofinity Advantage |
$350.15
|
| Rate for Payer: Cofinity Commercial |
$430.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.17
|
| Rate for Payer: Healthscope Commercial |
$450.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$425.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$375.16
|
| Rate for Payer: PHP Commercial |
$425.18
|
| Rate for Payer: Priority Health SBD |
$315.13
|
|
|
HC IR VASCULAR UNLISTED PROCEDURE
|
Facility
|
IP
|
$500.21
|
|
|
Service Code
|
CPT 36299
|
| Hospital Charge Code |
36100114
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$315.13 |
| Max. Negotiated Rate |
$450.19 |
| Rate for Payer: Aetna Commercial |
$425.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$325.14
|
| Rate for Payer: Cash Price |
$400.17
|
| Rate for Payer: Cofinity Advantage |
$350.15
|
| Rate for Payer: Cofinity Commercial |
$430.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.17
|
| Rate for Payer: Healthscope Commercial |
$450.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$425.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$375.16
|
| Rate for Payer: PHP Commercial |
$425.18
|
| Rate for Payer: Priority Health SBD |
$315.13
|
|
|
HC IR VENOGRAM
|
Facility
|
IP
|
$1,145.14
|
|
|
Service Code
|
CPT 75820
|
| Hospital Charge Code |
32000203
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$721.44 |
| Max. Negotiated Rate |
$1,030.63 |
| Rate for Payer: Aetna Commercial |
$973.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$744.34
|
| Rate for Payer: Cash Price |
$916.11
|
| Rate for Payer: Cofinity Advantage |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$984.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$916.11
|
| Rate for Payer: Healthscope Commercial |
$1,030.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$973.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.86
|
| Rate for Payer: PHP Commercial |
$973.37
|
| Rate for Payer: Priority Health SBD |
$721.44
|
|
|
HC IR VENOGRAM
|
Facility
|
OP
|
$1,145.14
|
|
|
Service Code
|
CPT 75820
|
| Hospital Charge Code |
32000203
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$131.74 |
| Max. Negotiated Rate |
$5,072.36 |
| Rate for Payer: Aetna Commercial |
$973.37
|
| Rate for Payer: Aetna Medicare |
$1,631.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$744.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$131.74
|
| Rate for Payer: BCN Commercial |
$131.74
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$916.11
|
| Rate for Payer: Cash Price |
$916.11
|
| Rate for Payer: Cofinity Advantage |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$984.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$916.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,030.63
|
| Rate for Payer: Mclaren Medicaid |
$820.32
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$1,646.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$973.37
|
| Rate for Payer: Nomi Health Commercial |
$4,705.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.86
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$973.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,072.36
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health SBD |
$721.44
|
| Rate for Payer: Priority Health Tiered Network |
$4,057.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$744.34
|
| Rate for Payer: UHC Core |
$596.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$450.04
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC IR VENOGRAM BIL
|
Facility
|
OP
|
$1,457.43
|
|
|
Service Code
|
CPT 75822
|
| Hospital Charge Code |
32000204
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$146.88 |
| Max. Negotiated Rate |
$5,072.36 |
| Rate for Payer: Aetna Commercial |
$1,238.82
|
| Rate for Payer: Aetna Medicare |
$1,631.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$947.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.61
|
| Rate for Payer: BCBS Complete |
$861.41
|
| Rate for Payer: BCBS MAPPO |
$1,568.49
|
| Rate for Payer: BCBS Trust/PPO |
$146.88
|
| Rate for Payer: BCN Commercial |
$146.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.49
|
| Rate for Payer: Cash Price |
$1,165.94
|
| Rate for Payer: Cash Price |
$1,165.94
|
| Rate for Payer: Cofinity Advantage |
$1,020.20
|
| Rate for Payer: Cofinity Commercial |
$1,253.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,165.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.49
|
| Rate for Payer: Healthscope Commercial |
$1,311.69
|
| Rate for Payer: Mclaren Medicaid |
$820.32
|
| Rate for Payer: Mclaren Medicare |
$1,568.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.91
|
| Rate for Payer: Meridian Medicaid |
$1,646.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,725.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,238.82
|
| Rate for Payer: Nomi Health Commercial |
$4,705.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,093.07
|
| Rate for Payer: PACE Medicare |
$1,490.07
|
| Rate for Payer: PACE SWMI |
$1,568.49
|
| Rate for Payer: PHP Commercial |
$1,238.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,072.36
|
| Rate for Payer: Priority Health Medicare |
$1,568.49
|
| Rate for Payer: Priority Health SBD |
$918.18
|
| Rate for Payer: Priority Health Tiered Network |
$4,057.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$947.33
|
| Rate for Payer: UHC Core |
$759.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,568.49
|
| Rate for Payer: UHC Exchange |
$572.77
|
| Rate for Payer: UHC Medicaid |
$820.32
|
| Rate for Payer: UHCCP Medicaid |
$820.32
|
| Rate for Payer: VA VA |
$1,568.49
|
|
|
HC IR VENOGRAM BIL
|
Facility
|
IP
|
$1,457.43
|
|
|
Service Code
|
CPT 75822
|
| Hospital Charge Code |
32000204
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$918.18 |
| Max. Negotiated Rate |
$1,311.69 |
| Rate for Payer: Aetna Commercial |
$1,238.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$947.33
|
| Rate for Payer: Cash Price |
$1,165.94
|
| Rate for Payer: Cofinity Advantage |
$1,020.20
|
| Rate for Payer: Cofinity Commercial |
$1,253.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,165.94
|
| Rate for Payer: Healthscope Commercial |
$1,311.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,238.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,093.07
|
| Rate for Payer: PHP Commercial |
$1,238.82
|
| Rate for Payer: Priority Health SBD |
$918.18
|
|
|
HC IR VENOGRAM RENAL BILAT SELECT
|
Facility
|
IP
|
$3,877.70
|
|
|
Service Code
|
CPT 75833
|
| Hospital Charge Code |
32000207
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,442.95 |
| Max. Negotiated Rate |
$3,489.93 |
| Rate for Payer: Aetna Commercial |
$3,296.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,520.51
|
| Rate for Payer: Cash Price |
$3,102.16
|
| Rate for Payer: Cofinity Advantage |
$2,714.39
|
| Rate for Payer: Cofinity Commercial |
$3,334.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,102.16
|
| Rate for Payer: Healthscope Commercial |
$3,489.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,296.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,908.28
|
| Rate for Payer: PHP Commercial |
$3,296.05
|
| Rate for Payer: Priority Health SBD |
$2,442.95
|
|
|
HC IR VENOGRAM RENAL BILAT SELECT
|
Facility
|
OP
|
$3,877.70
|
|
|
Service Code
|
CPT 75833
|
| Hospital Charge Code |
32000207
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$178.68 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna Commercial |
$3,296.05
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,520.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$178.68
|
| Rate for Payer: BCN Commercial |
$178.68
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$3,102.16
|
| Rate for Payer: Cash Price |
$3,102.16
|
| Rate for Payer: Cofinity Advantage |
$2,714.39
|
| Rate for Payer: Cofinity Commercial |
$3,334.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,102.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,489.93
|
| Rate for Payer: Mclaren Medicaid |
$1,645.43
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,296.05
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,908.28
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,296.05
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,442.95
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,520.51
|
| Rate for Payer: UHC Core |
$2,020.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,523.94
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC IR VENOGRAM RENAL UNI SELECT
|
Facility
|
OP
|
$3,641.57
|
|
|
Service Code
|
CPT 75831
|
| Hospital Charge Code |
32000322
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$156.73 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna Commercial |
$3,095.33
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,367.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,932.66
|
| Rate for Payer: BCBS Complete |
$1,727.85
|
| Rate for Payer: BCBS MAPPO |
$3,146.13
|
| Rate for Payer: BCBS Trust/PPO |
$156.73
|
| Rate for Payer: BCN Commercial |
$156.73
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$2,913.26
|
| Rate for Payer: Cash Price |
$2,913.26
|
| Rate for Payer: Cofinity Advantage |
$2,549.10
|
| Rate for Payer: Cofinity Commercial |
$3,131.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,913.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$3,277.41
|
| Rate for Payer: Mclaren Medicaid |
$1,645.43
|
| Rate for Payer: Mclaren Medicare |
$3,146.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.44
|
| Rate for Payer: Meridian Medicaid |
$3,303.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,618.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,095.33
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,731.18
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$3,095.33
|
| Rate for Payer: PHP Medicare Advantage |
$3,146.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,174.29
|
| Rate for Payer: Priority Health Medicare |
$3,146.13
|
| Rate for Payer: Priority Health SBD |
$2,294.19
|
| Rate for Payer: Priority Health Tiered Network |
$8,139.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,146.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,367.02
|
| Rate for Payer: UHC Core |
$1,897.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,146.13
|
| Rate for Payer: UHC Exchange |
$1,431.14
|
| Rate for Payer: UHC Medicaid |
$1,645.43
|
| Rate for Payer: UHCCP Medicaid |
$1,645.43
|
| Rate for Payer: VA VA |
$3,146.13
|
|
|
HC IR VENOGRAM RENAL UNI SELECT
|
Facility
|
IP
|
$3,641.57
|
|
|
Service Code
|
CPT 75831
|
| Hospital Charge Code |
32000322
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,294.19 |
| Max. Negotiated Rate |
$3,277.41 |
| Rate for Payer: Aetna Commercial |
$3,095.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,367.02
|
| Rate for Payer: Cash Price |
$2,913.26
|
| Rate for Payer: Cofinity Advantage |
$2,549.10
|
| Rate for Payer: Cofinity Commercial |
$3,131.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,913.26
|
| Rate for Payer: Healthscope Commercial |
$3,277.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,095.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,731.18
|
| Rate for Payer: PHP Commercial |
$3,095.33
|
| Rate for Payer: Priority Health SBD |
$2,294.19
|
|
|
HC IR Z ABSCESS PERIANAL
|
Facility
|
OP
|
$1,232.52
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
36100369
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$484.38 |
| Max. Negotiated Rate |
$2,996.60 |
| Rate for Payer: Aetna Commercial |
$1,047.64
|
| Rate for Payer: Aetna Medicare |
$963.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,158.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,158.26
|
| Rate for Payer: BCBS Complete |
$508.89
|
| Rate for Payer: BCBS MAPPO |
$926.61
|
| Rate for Payer: BCBS Trust/PPO |
$733.96
|
| Rate for Payer: BCN Commercial |
$733.96
|
| Rate for Payer: BCN Medicare Advantage |
$926.61
|
| Rate for Payer: Cash Price |
$986.02
|
| Rate for Payer: Cash Price |
$986.02
|
| Rate for Payer: Cash Price |
$986.02
|
| Rate for Payer: Cofinity Advantage |
$862.76
|
| Rate for Payer: Cofinity Commercial |
$1,059.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$986.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$926.61
|
| Rate for Payer: Healthscope Commercial |
$1,109.27
|
| Rate for Payer: Mclaren Medicaid |
$484.62
|
| Rate for Payer: Mclaren Medicare |
$926.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.94
|
| Rate for Payer: Meridian Medicaid |
$972.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,065.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,019.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,047.64
|
| Rate for Payer: Nomi Health Commercial |
$2,779.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$924.39
|
| Rate for Payer: PACE Medicare |
$880.28
|
| Rate for Payer: PACE SWMI |
$926.61
|
| Rate for Payer: PHP Commercial |
$1,047.64
|
| Rate for Payer: PHP Medicare Advantage |
$926.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,996.60
|
| Rate for Payer: Priority Health Medicare |
$926.61
|
| Rate for Payer: Priority Health SBD |
$776.49
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.28
|
| Rate for Payer: Railroad Medicare Medicare |
$926.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$801.14
|
| Rate for Payer: UHC Core |
$642.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$926.61
|
| Rate for Payer: UHC Exchange |
$484.38
|
| Rate for Payer: UHC Medicaid |
$484.62
|
| Rate for Payer: UHCCP Medicaid |
$484.62
|
| Rate for Payer: VA VA |
$926.61
|
|
