|
HC SCL70 SCLERODERMA AB
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200161
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna Medicare |
$18.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$19.12
|
| Rate for Payer: BCN Commercial |
$19.12
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Advantage |
$25.11
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Mclaren Medicaid |
$9.38
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$18.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$26.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.93
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health SBD |
$22.60
|
| Rate for Payer: Priority Health Tiered Network |
$14.34
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.90
|
| Rate for Payer: UHC Core |
$26.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$26.90
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: VA VA |
$17.93
|
|
|
HC SCL70 SCLERODERMA AB
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200161
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$22.60 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.32
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Advantage |
$25.11
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: Priority Health SBD |
$22.60
|
|
|
HC SCLEROTHERAPY OF FLUID COLLECTION
|
Facility
|
IP
|
$2,678.00
|
|
|
Service Code
|
CPT 49185
|
| Hospital Charge Code |
36100501
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,687.14 |
| Max. Negotiated Rate |
$2,410.20 |
| Rate for Payer: Aetna Commercial |
$2,276.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,740.70
|
| Rate for Payer: Cash Price |
$2,142.40
|
| Rate for Payer: Cofinity Advantage |
$1,874.60
|
| Rate for Payer: Cofinity Commercial |
$2,303.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,142.40
|
| Rate for Payer: Healthscope Commercial |
$2,410.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,276.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,008.50
|
| Rate for Payer: PHP Commercial |
$2,276.30
|
| Rate for Payer: Priority Health SBD |
$1,687.14
|
|
|
HC SCLEROTHERAPY OF FLUID COLLECTION
|
Facility
|
OP
|
$2,678.00
|
|
|
Service Code
|
CPT 49185
|
| Hospital Charge Code |
36100501
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna Commercial |
$2,276.30
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,740.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$968.94
|
| Rate for Payer: BCN Commercial |
$968.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$2,142.40
|
| Rate for Payer: Cash Price |
$2,142.40
|
| Rate for Payer: Cash Price |
$2,142.40
|
| Rate for Payer: Cofinity Advantage |
$1,874.60
|
| Rate for Payer: Cofinity Commercial |
$2,303.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,142.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$2,410.20
|
| Rate for Payer: Mclaren Medicaid |
$860.68
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,276.30
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,008.50
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$2,276.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$1,687.14
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC SCREENING PAP SMEAR, OBTAIN PREP TO LAB
|
Facility
|
IP
|
$80.16
|
|
|
Service Code
|
CPT Q0091
|
| Hospital Charge Code |
31100043
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$50.50 |
| Max. Negotiated Rate |
$72.14 |
| Rate for Payer: Aetna Commercial |
$68.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.10
|
| Rate for Payer: Cash Price |
$64.13
|
| Rate for Payer: Cofinity Advantage |
$56.11
|
| Rate for Payer: Cofinity Commercial |
$68.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.13
|
| Rate for Payer: Healthscope Commercial |
$72.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.12
|
| Rate for Payer: PHP Commercial |
$68.14
|
| Rate for Payer: Priority Health SBD |
$50.50
|
|
|
HC SCREENING PAP SMEAR, OBTAIN PREP TO LAB
|
Facility
|
OP
|
$80.16
|
|
|
Service Code
|
CPT Q0091
|
| Hospital Charge Code |
31100043
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$15.07 |
| Max. Negotiated Rate |
$93.19 |
| Rate for Payer: Aetna Commercial |
$68.14
|
| Rate for Payer: Aetna Medicare |
$29.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCBS Trust/PPO |
$60.01
|
| Rate for Payer: BCCCP Commercial |
$17.38
|
| Rate for Payer: BCN Commercial |
$60.01
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$64.13
|
| Rate for Payer: Cash Price |
$64.13
|
| Rate for Payer: Cofinity Advantage |
$56.11
|
| Rate for Payer: Cofinity Commercial |
$68.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$72.14
|
| Rate for Payer: Mclaren Medicaid |
$15.07
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$30.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.14
|
| Rate for Payer: Nomi Health Commercial |
$86.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.12
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$68.14
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.19
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health SBD |
$50.50
|
| Rate for Payer: Priority Health Tiered Network |
$74.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.74
|
| Rate for Payer: UHC Core |
$36.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$36.74
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: VA VA |
$28.82
|
|
|
HC SCREENING TOMOSYNTHESIS
|
Facility
|
IP
|
$105.27
|
|
|
Service Code
|
CPT 77063
|
| Hospital Charge Code |
32000301
|
|
Hospital Revenue Code
|
403
|
| Min. Negotiated Rate |
$66.32 |
| Max. Negotiated Rate |
$94.74 |
| Rate for Payer: Aetna Commercial |
$89.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.43
|
| Rate for Payer: Cash Price |
$84.22
|
| Rate for Payer: Cofinity Advantage |
$73.69
|
| Rate for Payer: Cofinity Commercial |
$90.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.22
|
| Rate for Payer: Healthscope Commercial |
$94.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.95
|
| Rate for Payer: PHP Commercial |
$89.48
|
| Rate for Payer: Priority Health SBD |
$66.32
|
|
|
HC SCREENING TOMOSYNTHESIS
|
Facility
|
OP
|
$105.27
|
|
|
Service Code
|
CPT 77063
|
| Hospital Charge Code |
32000301
|
|
Hospital Revenue Code
|
403
|
| Min. Negotiated Rate |
$20.38 |
| Max. Negotiated Rate |
$94.74 |
| Rate for Payer: Aetna Commercial |
$89.48
|
| Rate for Payer: Aetna Medicare |
$52.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.43
|
| Rate for Payer: BCBS Complete |
$42.11
|
| Rate for Payer: BCBS Trust/PPO |
$54.52
|
| Rate for Payer: BCCCP Commercial |
$49.44
|
| Rate for Payer: BCN Commercial |
$54.52
|
| Rate for Payer: Cash Price |
$84.22
|
| Rate for Payer: Cash Price |
$84.22
|
| Rate for Payer: Cofinity Advantage |
$73.69
|
| Rate for Payer: Cofinity Commercial |
$90.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.22
|
| Rate for Payer: Healthscope Commercial |
$94.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.95
|
| Rate for Payer: PHP Commercial |
$89.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25.48
|
| Rate for Payer: Priority Health SBD |
$66.32
|
| Rate for Payer: Priority Health Tiered Network |
$20.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.43
|
| Rate for Payer: UHC Core |
$54.85
|
| Rate for Payer: UHC Exchange |
$41.37
|
|
|
HC SDL MSLT/MWT
|
Facility
|
OP
|
$2,623.63
|
|
|
Service Code
|
CPT 95805
|
| Hospital Charge Code |
92000005
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$447.50 |
| Max. Negotiated Rate |
$2,767.09 |
| Rate for Payer: Aetna Commercial |
$2,230.09
|
| Rate for Payer: Aetna Medicare |
$889.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,705.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,069.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,069.56
|
| Rate for Payer: BCBS Complete |
$469.92
|
| Rate for Payer: BCBS MAPPO |
$855.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,699.56
|
| Rate for Payer: BCN Commercial |
$1,699.56
|
| Rate for Payer: BCN Medicare Advantage |
$855.65
|
| Rate for Payer: Cash Price |
$2,098.90
|
| Rate for Payer: Cash Price |
$2,098.90
|
| Rate for Payer: Cofinity Advantage |
$1,836.54
|
| Rate for Payer: Cofinity Commercial |
$2,256.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,098.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$855.65
|
| Rate for Payer: Healthscope Commercial |
$2,361.27
|
| Rate for Payer: Mclaren Medicaid |
$447.50
|
| Rate for Payer: Mclaren Medicare |
$855.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$898.43
|
| Rate for Payer: Meridian Medicaid |
$898.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$984.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$941.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,230.09
|
| Rate for Payer: Nomi Health Commercial |
$2,566.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,967.72
|
| Rate for Payer: PACE Medicare |
$812.87
|
| Rate for Payer: PACE SWMI |
$855.65
|
| Rate for Payer: PHP Commercial |
$2,230.09
|
| Rate for Payer: PHP Medicare Advantage |
$855.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,767.09
|
| Rate for Payer: Priority Health Medicare |
$855.65
|
| Rate for Payer: Priority Health SBD |
$1,652.89
|
| Rate for Payer: Priority Health Tiered Network |
$2,213.67
|
| Rate for Payer: Railroad Medicare Medicare |
$855.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,705.36
|
| Rate for Payer: UHC Core |
$1,366.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$855.65
|
| Rate for Payer: UHC Exchange |
$1,031.09
|
| Rate for Payer: UHC Medicaid |
$447.50
|
| Rate for Payer: UHCCP Medicaid |
$447.50
|
| Rate for Payer: VA VA |
$855.65
|
|
|
HC SDL MSLT/MWT
|
Facility
|
IP
|
$2,623.63
|
|
|
Service Code
|
CPT 95805
|
| Hospital Charge Code |
92000005
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,652.89 |
| Max. Negotiated Rate |
$2,361.27 |
| Rate for Payer: Aetna Commercial |
$2,230.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,705.36
|
| Rate for Payer: Cash Price |
$2,098.90
|
| Rate for Payer: Cofinity Advantage |
$1,836.54
|
| Rate for Payer: Cofinity Commercial |
$2,256.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,098.90
|
| Rate for Payer: Healthscope Commercial |
$2,361.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,230.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,967.72
|
| Rate for Payer: PHP Commercial |
$2,230.09
|
| Rate for Payer: Priority Health SBD |
$1,652.89
|
|
|
HC SDL POLYSOMNOGRAPHY
|
Facility
|
OP
|
$3,631.60
|
|
|
Service Code
|
CPT 95810
|
| Hospital Charge Code |
74000001
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$447.50 |
| Max. Negotiated Rate |
$3,268.44 |
| Rate for Payer: Aetna Commercial |
$3,086.86
|
| Rate for Payer: Aetna Medicare |
$889.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,360.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,069.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,069.56
|
| Rate for Payer: BCBS Complete |
$469.92
|
| Rate for Payer: BCBS MAPPO |
$855.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,790.91
|
| Rate for Payer: BCN Commercial |
$1,790.91
|
| Rate for Payer: BCN Medicare Advantage |
$855.65
|
| Rate for Payer: Cash Price |
$2,905.28
|
| Rate for Payer: Cash Price |
$2,905.28
|
| Rate for Payer: Cofinity Advantage |
$2,542.12
|
| Rate for Payer: Cofinity Commercial |
$3,123.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,905.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$855.65
|
| Rate for Payer: Healthscope Commercial |
$3,268.44
|
| Rate for Payer: Mclaren Medicaid |
$447.50
|
| Rate for Payer: Mclaren Medicare |
$855.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$898.43
|
| Rate for Payer: Meridian Medicaid |
$898.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$984.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$941.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,086.86
|
| Rate for Payer: Nomi Health Commercial |
$2,566.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,723.70
|
| Rate for Payer: PACE Medicare |
$812.87
|
| Rate for Payer: PACE SWMI |
$855.65
|
| Rate for Payer: PHP Commercial |
$3,086.86
|
| Rate for Payer: PHP Medicare Advantage |
$855.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,767.09
|
| Rate for Payer: Priority Health Medicare |
$855.65
|
| Rate for Payer: Priority Health SBD |
$2,287.91
|
| Rate for Payer: Priority Health Tiered Network |
$2,213.67
|
| Rate for Payer: Railroad Medicare Medicare |
$855.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,360.54
|
| Rate for Payer: UHC Core |
$1,892.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$855.65
|
| Rate for Payer: UHC Exchange |
$1,427.22
|
| Rate for Payer: UHC Medicaid |
$447.50
|
| Rate for Payer: UHCCP Medicaid |
$447.50
|
| Rate for Payer: VA VA |
$855.65
|
|
|
HC SDL POLYSOMNOGRAPHY
|
Facility
|
IP
|
$3,631.60
|
|
|
Service Code
|
CPT 95810
|
| Hospital Charge Code |
74000001
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$2,287.91 |
| Max. Negotiated Rate |
$3,268.44 |
| Rate for Payer: Aetna Commercial |
$3,086.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,360.54
|
| Rate for Payer: Cash Price |
$2,905.28
|
| Rate for Payer: Cofinity Advantage |
$2,542.12
|
| Rate for Payer: Cofinity Commercial |
$3,123.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,905.28
|
| Rate for Payer: Healthscope Commercial |
$3,268.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,086.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,723.70
|
| Rate for Payer: PHP Commercial |
$3,086.86
|
| Rate for Payer: Priority Health SBD |
$2,287.91
|
|
|
HC SDL PSG WITH CPAP/BIPAP
|
Facility
|
IP
|
$4,014.94
|
|
|
Service Code
|
CPT 95811
|
| Hospital Charge Code |
74000002
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$2,529.41 |
| Max. Negotiated Rate |
$3,613.45 |
| Rate for Payer: Aetna Commercial |
$3,412.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,609.71
|
| Rate for Payer: Cash Price |
$3,211.95
|
| Rate for Payer: Cofinity Advantage |
$2,810.46
|
| Rate for Payer: Cofinity Commercial |
$3,452.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,211.95
|
| Rate for Payer: Healthscope Commercial |
$3,613.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,412.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,011.20
|
| Rate for Payer: PHP Commercial |
$3,412.70
|
| Rate for Payer: Priority Health SBD |
$2,529.41
|
|
|
HC SDL PSG WITH CPAP/BIPAP
|
Facility
|
OP
|
$4,014.94
|
|
|
Service Code
|
CPT 95811
|
| Hospital Charge Code |
74000002
|
|
Hospital Revenue Code
|
740
|
| Min. Negotiated Rate |
$447.50 |
| Max. Negotiated Rate |
$3,613.45 |
| Rate for Payer: Aetna Commercial |
$3,412.70
|
| Rate for Payer: Aetna Medicare |
$889.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,609.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,069.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,069.56
|
| Rate for Payer: BCBS Complete |
$469.92
|
| Rate for Payer: BCBS MAPPO |
$855.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,877.30
|
| Rate for Payer: BCN Commercial |
$1,877.30
|
| Rate for Payer: BCN Medicare Advantage |
$855.65
|
| Rate for Payer: Cash Price |
$3,211.95
|
| Rate for Payer: Cash Price |
$3,211.95
|
| Rate for Payer: Cofinity Advantage |
$2,810.46
|
| Rate for Payer: Cofinity Commercial |
$3,452.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,211.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$855.65
|
| Rate for Payer: Healthscope Commercial |
$3,613.45
|
| Rate for Payer: Mclaren Medicaid |
$447.50
|
| Rate for Payer: Mclaren Medicare |
$855.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$898.43
|
| Rate for Payer: Meridian Medicaid |
$898.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$984.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$941.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,412.70
|
| Rate for Payer: Nomi Health Commercial |
$2,566.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,011.20
|
| Rate for Payer: PACE Medicare |
$812.87
|
| Rate for Payer: PACE SWMI |
$855.65
|
| Rate for Payer: PHP Commercial |
$3,412.70
|
| Rate for Payer: PHP Medicare Advantage |
$855.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,767.09
|
| Rate for Payer: Priority Health Medicare |
$855.65
|
| Rate for Payer: Priority Health SBD |
$2,529.41
|
| Rate for Payer: Priority Health Tiered Network |
$2,213.67
|
| Rate for Payer: Railroad Medicare Medicare |
$855.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,609.71
|
| Rate for Payer: UHC Core |
$2,091.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$855.65
|
| Rate for Payer: UHC Exchange |
$1,577.87
|
| Rate for Payer: UHC Medicaid |
$447.50
|
| Rate for Payer: UHCCP Medicaid |
$447.50
|
| Rate for Payer: VA VA |
$855.65
|
|
|
HC SEDATION IV / IM OR INHALANT
|
Facility
|
IP
|
$749.58
|
|
| Hospital Charge Code |
37000005
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$472.24 |
| Max. Negotiated Rate |
$674.62 |
| Rate for Payer: Aetna Commercial |
$637.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.23
|
| Rate for Payer: Cash Price |
$599.66
|
| Rate for Payer: Cofinity Advantage |
$524.71
|
| Rate for Payer: Cofinity Commercial |
$644.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$599.66
|
| Rate for Payer: Healthscope Commercial |
$674.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$562.18
|
| Rate for Payer: PHP Commercial |
$637.14
|
| Rate for Payer: Priority Health SBD |
$472.24
|
|
|
HC SEDATION IV / IM OR INHALANT
|
Facility
|
OP
|
$749.58
|
|
| Hospital Charge Code |
37000005
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$294.58 |
| Max. Negotiated Rate |
$674.62 |
| Rate for Payer: Aetna Commercial |
$637.14
|
| Rate for Payer: Aetna Medicare |
$374.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.23
|
| Rate for Payer: BCBS Complete |
$299.83
|
| Rate for Payer: Cash Price |
$599.66
|
| Rate for Payer: Cofinity Advantage |
$524.71
|
| Rate for Payer: Cofinity Commercial |
$644.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$599.66
|
| Rate for Payer: Healthscope Commercial |
$674.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$599.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$562.18
|
| Rate for Payer: PHP Commercial |
$637.14
|
| Rate for Payer: Priority Health SBD |
$472.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$487.23
|
| Rate for Payer: UHC Core |
$390.53
|
| Rate for Payer: UHC Exchange |
$294.58
|
|
|
HC SED RATE WESTERGREN
|
Facility
|
OP
|
$15.92
|
|
|
Service Code
|
CPT 85652
|
| Hospital Charge Code |
30500060
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$1.41 |
| Max. Negotiated Rate |
$14.33 |
| Rate for Payer: Aetna Commercial |
$13.53
|
| Rate for Payer: Aetna Medicare |
$2.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.38
|
| Rate for Payer: BCBS Complete |
$1.48
|
| Rate for Payer: BCBS MAPPO |
$2.70
|
| Rate for Payer: BCBS Trust/PPO |
$2.89
|
| Rate for Payer: BCN Commercial |
$2.89
|
| Rate for Payer: BCN Medicare Advantage |
$2.70
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cofinity Advantage |
$11.14
|
| Rate for Payer: Cofinity Commercial |
$13.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.70
|
| Rate for Payer: Healthscope Commercial |
$14.33
|
| Rate for Payer: Mclaren Medicaid |
$1.41
|
| Rate for Payer: Mclaren Medicare |
$2.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.83
|
| Rate for Payer: Meridian Medicaid |
$2.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.53
|
| Rate for Payer: Nomi Health Commercial |
$4.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.94
|
| Rate for Payer: PACE Medicare |
$2.56
|
| Rate for Payer: PACE SWMI |
$2.70
|
| Rate for Payer: PHP Commercial |
$13.53
|
| Rate for Payer: PHP Medicare Advantage |
$2.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2.70
|
| Rate for Payer: Priority Health Medicare |
$2.70
|
| Rate for Payer: Priority Health SBD |
$10.03
|
| Rate for Payer: Priority Health Tiered Network |
$2.16
|
| Rate for Payer: Railroad Medicare Medicare |
$2.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.05
|
| Rate for Payer: UHC Core |
$4.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.70
|
| Rate for Payer: UHC Exchange |
$4.05
|
| Rate for Payer: UHC Medicaid |
$1.41
|
| Rate for Payer: UHCCP Medicaid |
$1.41
|
| Rate for Payer: VA VA |
$2.70
|
|
|
HC SED RATE WESTERGREN
|
Facility
|
IP
|
$15.92
|
|
|
Service Code
|
CPT 85652
|
| Hospital Charge Code |
30500060
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$10.03 |
| Max. Negotiated Rate |
$14.33 |
| Rate for Payer: Aetna Commercial |
$13.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.35
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cofinity Advantage |
$11.14
|
| Rate for Payer: Cofinity Commercial |
$13.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.74
|
| Rate for Payer: Healthscope Commercial |
$14.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.94
|
| Rate for Payer: PHP Commercial |
$13.53
|
| Rate for Payer: Priority Health SBD |
$10.03
|
|
|
HC SELECTIVE EACH INTRACRANIAL UNI
|
Facility
|
IP
|
$5,066.39
|
|
|
Service Code
|
CPT 36228
|
| Hospital Charge Code |
36100386
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,191.83 |
| Max. Negotiated Rate |
$4,559.75 |
| Rate for Payer: Aetna Commercial |
$4,306.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,293.15
|
| Rate for Payer: Cash Price |
$4,053.11
|
| Rate for Payer: Cofinity Advantage |
$3,546.47
|
| Rate for Payer: Cofinity Commercial |
$4,357.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,053.11
|
| Rate for Payer: Healthscope Commercial |
$4,559.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,306.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,799.79
|
| Rate for Payer: PHP Commercial |
$4,306.43
|
| Rate for Payer: Priority Health SBD |
$3,191.83
|
|
|
HC SELECTIVE EACH INTRACRANIAL UNI
|
Facility
|
OP
|
$5,066.39
|
|
|
Service Code
|
CPT 36228
|
| Hospital Charge Code |
36100386
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,026.56 |
| Max. Negotiated Rate |
$4,559.75 |
| Rate for Payer: Aetna Commercial |
$4,306.43
|
| Rate for Payer: Aetna Medicare |
$2,533.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,293.15
|
| Rate for Payer: BCBS Complete |
$2,026.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,365.96
|
| Rate for Payer: BCN Commercial |
$3,365.96
|
| Rate for Payer: Cash Price |
$4,053.11
|
| Rate for Payer: Cash Price |
$4,053.11
|
| Rate for Payer: Cofinity Advantage |
$3,546.47
|
| Rate for Payer: Cofinity Commercial |
$4,357.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,053.11
|
| Rate for Payer: Healthscope Commercial |
$4,559.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,053.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,306.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,799.79
|
| Rate for Payer: PHP Commercial |
$4,306.43
|
| Rate for Payer: Priority Health SBD |
$3,191.83
|
|
|
HC SELECTIVE EXTERNAL CAROTID UNI
|
Facility
|
IP
|
$5,861.23
|
|
|
Service Code
|
CPT 36227
|
| Hospital Charge Code |
36100382
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,692.57 |
| Max. Negotiated Rate |
$5,275.11 |
| Rate for Payer: Aetna Commercial |
$4,982.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,809.80
|
| Rate for Payer: Cash Price |
$4,688.98
|
| Rate for Payer: Cofinity Advantage |
$4,102.86
|
| Rate for Payer: Cofinity Commercial |
$5,040.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,688.98
|
| Rate for Payer: Healthscope Commercial |
$5,275.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,982.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,395.92
|
| Rate for Payer: PHP Commercial |
$4,982.05
|
| Rate for Payer: Priority Health SBD |
$3,692.57
|
|
|
HC SELECTIVE EXTERNAL CAROTID UNI
|
Facility
|
OP
|
$5,861.23
|
|
|
Service Code
|
CPT 36227
|
| Hospital Charge Code |
36100382
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$668.73 |
| Max. Negotiated Rate |
$5,275.11 |
| Rate for Payer: Aetna Commercial |
$4,982.05
|
| Rate for Payer: Aetna Medicare |
$2,930.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,809.80
|
| Rate for Payer: BCBS Complete |
$2,344.49
|
| Rate for Payer: BCBS Trust/PPO |
$668.73
|
| Rate for Payer: BCN Commercial |
$668.73
|
| Rate for Payer: Cash Price |
$4,688.98
|
| Rate for Payer: Cash Price |
$4,688.98
|
| Rate for Payer: Cofinity Advantage |
$4,102.86
|
| Rate for Payer: Cofinity Commercial |
$5,040.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,688.98
|
| Rate for Payer: Healthscope Commercial |
$5,275.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,688.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,982.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,395.92
|
| Rate for Payer: PHP Commercial |
$4,982.05
|
| Rate for Payer: Priority Health SBD |
$3,692.57
|
|
|
HC SELECTIVE EXTRACRANIAL ARTERY UNI
|
Facility
|
IP
|
$9,738.02
|
|
|
Service Code
|
CPT 36222
|
| Hospital Charge Code |
36100377
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,134.95 |
| Max. Negotiated Rate |
$8,764.22 |
| Rate for Payer: Aetna Commercial |
$8,277.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,329.71
|
| Rate for Payer: Cash Price |
$7,790.42
|
| Rate for Payer: Cofinity Advantage |
$6,816.61
|
| Rate for Payer: Cofinity Commercial |
$8,374.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,790.42
|
| Rate for Payer: Healthscope Commercial |
$8,764.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,277.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,303.52
|
| Rate for Payer: PHP Commercial |
$8,277.32
|
| Rate for Payer: Priority Health SBD |
$6,134.95
|
|
|
HC SELECTIVE EXTRACRANIAL ARTERY UNI
|
Facility
|
OP
|
$9,738.02
|
|
|
Service Code
|
CPT 36222
|
| Hospital Charge Code |
36100377
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,620.74 |
| Max. Negotiated Rate |
$10,174.29 |
| Rate for Payer: Aetna Commercial |
$8,277.32
|
| Rate for Payer: Aetna Medicare |
$3,271.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,329.71
|
| 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 |
$1,620.74
|
| Rate for Payer: BCN Commercial |
$1,620.74
|
| Rate for Payer: BCN Medicare Advantage |
$3,146.13
|
| Rate for Payer: Cash Price |
$7,790.42
|
| Rate for Payer: Cash Price |
$7,790.42
|
| Rate for Payer: Cash Price |
$7,790.42
|
| Rate for Payer: Cofinity Advantage |
$6,816.61
|
| Rate for Payer: Cofinity Commercial |
$8,374.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,790.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,146.13
|
| Rate for Payer: Healthscope Commercial |
$8,764.22
|
| 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 |
$8,277.32
|
| Rate for Payer: Nomi Health Commercial |
$9,438.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,303.52
|
| Rate for Payer: PACE Medicare |
$2,988.82
|
| Rate for Payer: PACE SWMI |
$3,146.13
|
| Rate for Payer: PHP Commercial |
$8,277.32
|
| 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 |
$6,134.95
|
| 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 SELECTIVE EXTRA/INTRACRANIAL ARTERY UNI
|
Facility
|
OP
|
$11,185.55
|
|
|
Service Code
|
CPT 36223
|
| Hospital Charge Code |
36100378
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,899.76 |
| Max. Negotiated Rate |
$17,930.33 |
| Rate for Payer: Aetna Commercial |
$9,507.72
|
| Rate for Payer: Aetna Medicare |
$5,766.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,270.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,930.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,930.60
|
| Rate for Payer: BCBS Complete |
$3,045.03
|
| Rate for Payer: BCBS MAPPO |
$5,544.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,647.30
|
| Rate for Payer: BCN Commercial |
$3,647.30
|
| Rate for Payer: BCN Medicare Advantage |
$5,544.48
|
| Rate for Payer: Cash Price |
$8,948.44
|
| Rate for Payer: Cash Price |
$8,948.44
|
| Rate for Payer: Cash Price |
$8,948.44
|
| Rate for Payer: Cofinity Advantage |
$7,829.89
|
| Rate for Payer: Cofinity Commercial |
$9,619.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,948.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,544.48
|
| Rate for Payer: Healthscope Commercial |
$10,067.00
|
| Rate for Payer: Mclaren Medicaid |
$2,899.76
|
| Rate for Payer: Mclaren Medicare |
$5,544.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,821.70
|
| Rate for Payer: Meridian Medicaid |
$5,821.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,376.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,098.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,507.72
|
| Rate for Payer: Nomi Health Commercial |
$16,633.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,389.16
|
| Rate for Payer: PACE Medicare |
$5,267.26
|
| Rate for Payer: PACE SWMI |
$5,544.48
|
| Rate for Payer: PHP Commercial |
$9,507.72
|
| Rate for Payer: PHP Medicare Advantage |
$5,544.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,899.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,930.33
|
| Rate for Payer: Priority Health Medicare |
$5,544.48
|
| Rate for Payer: Priority Health SBD |
$7,046.90
|
| Rate for Payer: Priority Health Tiered Network |
$14,344.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,544.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,544.48
|
| Rate for Payer: UHC Medicaid |
$2,899.76
|
| Rate for Payer: UHCCP Medicaid |
$2,899.76
|
| Rate for Payer: VA VA |
$5,544.48
|
|
