|
HC BRUCELLA ANTIBODY
|
Facility
|
IP
|
$72.00
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200236
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$72.00 |
| Rate for Payer: Aetna Commercial |
$64.80
|
| Rate for Payer: ASR ASR |
$69.84
|
| Rate for Payer: BCBS Trust/PPO |
$55.82
|
| Rate for Payer: BCN Commercial |
$55.82
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$72.00
|
| Rate for Payer: Healthscope Whirlpool |
$69.84
|
| Rate for Payer: Mclaren Commercial |
$64.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.36
|
|
|
HC BRUCELLA ANTIBODY
|
Facility
|
OP
|
$72.00
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200236
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.88 |
| Max. Negotiated Rate |
$155.97 |
| Rate for Payer: Aetna Commercial |
$64.80
|
| Rate for Payer: Aetna Medicare |
$8.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: ASR ASR |
$69.84
|
| Rate for Payer: BCBS Complete |
$5.13
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$55.82
|
| Rate for Payer: BCN Commercial |
$55.82
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Healthscope Commercial |
$72.00
|
| Rate for Payer: Healthscope Whirlpool |
$69.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.93
|
| Rate for Payer: Mclaren Commercial |
$64.80
|
| Rate for Payer: Mclaren Medicaid |
$4.88
|
| Rate for Payer: Mclaren Medicare |
$8.93
|
| Rate for Payer: Meridian Medicaid |
$5.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.20
|
| Rate for Payer: PACE Medicare |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Commercial |
$9.82
|
| Rate for Payer: PHP Medicaid |
$4.88
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$155.97
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow Network |
$124.78
|
| Rate for Payer: Railroad Medicare Medicare |
$8.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.36
|
| Rate for Payer: UHC Medicare Advantage |
$9.20
|
| Rate for Payer: VA VA |
$8.93
|
|
|
HC BRUCELLA ANTIBODY CMPT
|
Facility
|
OP
|
$72.00
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200238
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.88 |
| Max. Negotiated Rate |
$155.97 |
| Rate for Payer: Aetna Commercial |
$64.80
|
| Rate for Payer: Aetna Medicare |
$8.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: ASR ASR |
$69.84
|
| Rate for Payer: BCBS Complete |
$5.13
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$55.82
|
| Rate for Payer: BCN Commercial |
$55.82
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Healthscope Commercial |
$72.00
|
| Rate for Payer: Healthscope Whirlpool |
$69.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.93
|
| Rate for Payer: Mclaren Commercial |
$64.80
|
| Rate for Payer: Mclaren Medicaid |
$4.88
|
| Rate for Payer: Mclaren Medicare |
$8.93
|
| Rate for Payer: Meridian Medicaid |
$5.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.20
|
| Rate for Payer: PACE Medicare |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Commercial |
$9.82
|
| Rate for Payer: PHP Medicaid |
$4.88
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$155.97
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow Network |
$124.78
|
| Rate for Payer: Railroad Medicare Medicare |
$8.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.36
|
| Rate for Payer: UHC Medicare Advantage |
$9.20
|
| Rate for Payer: VA VA |
$8.93
|
|
|
HC BRUCELLA ANTIBODY CMPT
|
Facility
|
IP
|
$72.00
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200238
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$72.00 |
| Rate for Payer: Aetna Commercial |
$64.80
|
| Rate for Payer: ASR ASR |
$69.84
|
| Rate for Payer: BCBS Trust/PPO |
$55.82
|
| Rate for Payer: BCN Commercial |
$55.82
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.60
|
| Rate for Payer: Healthscope Commercial |
$72.00
|
| Rate for Payer: Healthscope Whirlpool |
$69.84
|
| Rate for Payer: Mclaren Commercial |
$64.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$61.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.36
|
|
|
HC BRUCELLA ANTIBODY CONFIRMATION
|
Facility
|
IP
|
$52.00
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200237
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$36.40 |
| Max. Negotiated Rate |
$52.00 |
| Rate for Payer: Aetna Commercial |
$46.80
|
| Rate for Payer: ASR ASR |
$50.44
|
| Rate for Payer: BCBS Trust/PPO |
$40.32
|
| Rate for Payer: BCN Commercial |
$40.32
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$48.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Healthscope Commercial |
$52.00
|
| Rate for Payer: Healthscope Whirlpool |
$50.44
|
| Rate for Payer: Mclaren Commercial |
$46.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.76
|
|
|
HC BRUCELLA ANTIBODY CONFIRMATION
|
Facility
|
OP
|
$52.00
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200237
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.88 |
| Max. Negotiated Rate |
$155.97 |
| Rate for Payer: Aetna Commercial |
$46.80
|
| Rate for Payer: Aetna Medicare |
$8.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: ASR ASR |
$50.44
|
| Rate for Payer: BCBS Complete |
$5.13
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$40.32
|
| Rate for Payer: BCN Commercial |
$40.32
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$48.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Healthscope Commercial |
$52.00
|
| Rate for Payer: Healthscope Whirlpool |
$50.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.93
|
| Rate for Payer: Mclaren Commercial |
$46.80
|
| Rate for Payer: Mclaren Medicaid |
$4.88
|
| Rate for Payer: Mclaren Medicare |
$8.93
|
| Rate for Payer: Meridian Medicaid |
$5.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.20
|
| Rate for Payer: PACE Medicare |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Commercial |
$9.82
|
| Rate for Payer: PHP Medicaid |
$4.88
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$155.97
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow Network |
$124.78
|
| Rate for Payer: Railroad Medicare Medicare |
$8.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.76
|
| Rate for Payer: UHC Medicare Advantage |
$9.20
|
| Rate for Payer: VA VA |
$8.93
|
|
|
HC BUNDLE OF HIS RECORDING
|
Facility
|
OP
|
$3,942.53
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
48100029
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,759.77 |
| Max. Negotiated Rate |
$8,297.88 |
| Rate for Payer: Aetna Commercial |
$3,548.28
|
| Rate for Payer: Aetna Medicare |
$6,638.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,297.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,297.88
|
| Rate for Payer: ASR ASR |
$3,824.25
|
| Rate for Payer: BCBS Complete |
$3,813.04
|
| Rate for Payer: BCBS MAPPO |
$6,638.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,056.64
|
| Rate for Payer: BCN Commercial |
$3,056.64
|
| Rate for Payer: BCN Medicare Advantage |
$6,638.30
|
| Rate for Payer: Cash Price |
$3,154.02
|
| Rate for Payer: Cash Price |
$3,154.02
|
| Rate for Payer: Cofinity Commercial |
$3,705.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,154.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,638.30
|
| Rate for Payer: Healthscope Commercial |
$3,942.53
|
| Rate for Payer: Healthscope Whirlpool |
$3,824.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,638.30
|
| Rate for Payer: Mclaren Commercial |
$3,548.28
|
| Rate for Payer: Mclaren Medicaid |
$3,631.15
|
| Rate for Payer: Mclaren Medicare |
$6,638.30
|
| Rate for Payer: Meridian Medicaid |
$3,813.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,970.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,634.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,351.15
|
| Rate for Payer: PACE Medicare |
$6,306.38
|
| Rate for Payer: PACE SWMI |
$6,638.30
|
| Rate for Payer: PHP Commercial |
$7,302.13
|
| Rate for Payer: PHP Medicaid |
$3,631.15
|
| Rate for Payer: PHP Medicare Advantage |
$6,638.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,631.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,759.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,587.70
|
| Rate for Payer: Priority Health Medicare |
$6,638.30
|
| Rate for Payer: Priority Health Narrow Network |
$2,799.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6,638.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,469.43
|
| Rate for Payer: UHC Medicare Advantage |
$6,837.45
|
| Rate for Payer: VA VA |
$6,638.30
|
|
|
HC BUNDLE OF HIS RECORDING
|
Facility
|
IP
|
$3,942.53
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
48100029
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,759.77 |
| Max. Negotiated Rate |
$3,942.53 |
| Rate for Payer: Aetna Commercial |
$3,548.28
|
| Rate for Payer: ASR ASR |
$3,824.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,056.64
|
| Rate for Payer: BCN Commercial |
$3,056.64
|
| Rate for Payer: Cash Price |
$3,154.02
|
| Rate for Payer: Cofinity Commercial |
$3,705.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,154.02
|
| Rate for Payer: Healthscope Commercial |
$3,942.53
|
| Rate for Payer: Healthscope Whirlpool |
$3,824.25
|
| Rate for Payer: Mclaren Commercial |
$3,548.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,351.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,759.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,469.43
|
|
|
HC BUPIVACAINE 0.5 MG
|
Facility
|
IP
|
$1.48
|
|
|
Service Code
|
HCPCS J0665
|
| Hospital Charge Code |
25000016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.04 |
| Max. Negotiated Rate |
$1.48 |
| Rate for Payer: Aetna Commercial |
$1.33
|
| Rate for Payer: ASR ASR |
$1.44
|
| Rate for Payer: BCBS Trust/PPO |
$1.15
|
| Rate for Payer: BCN Commercial |
$1.15
|
| Rate for Payer: Cash Price |
$1.18
|
| Rate for Payer: Cofinity Commercial |
$1.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.18
|
| Rate for Payer: Healthscope Commercial |
$1.48
|
| Rate for Payer: Healthscope Whirlpool |
$1.44
|
| Rate for Payer: Mclaren Commercial |
$1.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.30
|
|
|
HC BUPIVACAINE 0.5 MG
|
Facility
|
OP
|
$1.48
|
|
|
Service Code
|
HCPCS J0665
|
| Hospital Charge Code |
25000016
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$1.48 |
| Rate for Payer: Aetna Commercial |
$1.33
|
| Rate for Payer: Aetna Medicare |
$0.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.02
|
| Rate for Payer: ASR ASR |
$1.44
|
| Rate for Payer: BCBS Complete |
$0.01
|
| Rate for Payer: BCBS MAPPO |
$0.01
|
| Rate for Payer: BCBS Trust/PPO |
$1.15
|
| Rate for Payer: BCN Commercial |
$1.15
|
| Rate for Payer: BCN Medicare Advantage |
$0.01
|
| Rate for Payer: Cash Price |
$1.18
|
| Rate for Payer: Cash Price |
$1.18
|
| Rate for Payer: Cofinity Commercial |
$1.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.01
|
| Rate for Payer: Healthscope Commercial |
$1.48
|
| Rate for Payer: Healthscope Whirlpool |
$1.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.01
|
| Rate for Payer: Mclaren Commercial |
$1.33
|
| Rate for Payer: Mclaren Medicaid |
$0.01
|
| Rate for Payer: Mclaren Medicare |
$0.01
|
| Rate for Payer: Meridian Medicaid |
$0.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$0.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1.26
|
| Rate for Payer: PACE Medicare |
$0.01
|
| Rate for Payer: PACE SWMI |
$0.01
|
| Rate for Payer: PHP Commercial |
$0.02
|
| Rate for Payer: PHP Medicaid |
$0.01
|
| Rate for Payer: PHP Medicare Advantage |
$0.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.35
|
| Rate for Payer: Priority Health Medicare |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$1.05
|
| Rate for Payer: Railroad Medicare Medicare |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.30
|
| Rate for Payer: UHC Medicare Advantage |
$0.01
|
| Rate for Payer: VA VA |
$0.01
|
|
|
HC BUPRENORPHINE & MET QUANT, UR
|
Facility
|
IP
|
$174.00
|
|
|
Service Code
|
CPT 80348
|
| Hospital Charge Code |
30100598
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$121.80 |
| Max. Negotiated Rate |
$174.00 |
| Rate for Payer: Aetna Commercial |
$156.60
|
| Rate for Payer: ASR ASR |
$168.78
|
| Rate for Payer: BCBS Trust/PPO |
$134.90
|
| Rate for Payer: BCN Commercial |
$134.90
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cofinity Commercial |
$163.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.20
|
| Rate for Payer: Healthscope Commercial |
$174.00
|
| Rate for Payer: Healthscope Whirlpool |
$168.78
|
| Rate for Payer: Mclaren Commercial |
$156.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$147.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.12
|
|
|
HC BUPRENORPHINE & MET QUANT, UR
|
Facility
|
OP
|
$174.00
|
|
|
Service Code
|
CPT 80348
|
| Hospital Charge Code |
30100598
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$69.60 |
| Max. Negotiated Rate |
$174.00 |
| Rate for Payer: Aetna Commercial |
$156.60
|
| Rate for Payer: ASR ASR |
$168.78
|
| Rate for Payer: BCBS Complete |
$69.60
|
| Rate for Payer: BCBS Trust/PPO |
$134.90
|
| Rate for Payer: BCN Commercial |
$134.90
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cofinity Commercial |
$163.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.20
|
| Rate for Payer: Healthscope Commercial |
$174.00
|
| Rate for Payer: Healthscope Whirlpool |
$168.78
|
| Rate for Payer: Mclaren Commercial |
$156.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$147.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$158.34
|
| Rate for Payer: Priority Health Narrow Network |
$123.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.12
|
|
|
HC BUPRENORPHINE SCRN URN
|
Facility
|
IP
|
$40.80
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30000116
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$28.56 |
| Max. Negotiated Rate |
$40.80 |
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: ASR ASR |
$39.58
|
| Rate for Payer: BCBS Trust/PPO |
$31.63
|
| Rate for Payer: BCN Commercial |
$31.63
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cofinity Commercial |
$38.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.64
|
| Rate for Payer: Healthscope Commercial |
$40.80
|
| Rate for Payer: Healthscope Whirlpool |
$39.58
|
| Rate for Payer: Mclaren Commercial |
$36.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.90
|
|
|
HC BUPRENORPHINE SCRN URN
|
Facility
|
OP
|
$40.80
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30000116
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.89 |
| Max. Negotiated Rate |
$40.80 |
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: Aetna Medicare |
$12.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.75
|
| Rate for Payer: ASR ASR |
$39.58
|
| Rate for Payer: BCBS Complete |
$7.24
|
| Rate for Payer: BCBS MAPPO |
$12.60
|
| Rate for Payer: BCBS Trust/PPO |
$31.63
|
| Rate for Payer: BCN Commercial |
$31.63
|
| Rate for Payer: BCN Medicare Advantage |
$12.60
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cofinity Commercial |
$38.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.60
|
| Rate for Payer: Healthscope Commercial |
$40.80
|
| Rate for Payer: Healthscope Whirlpool |
$39.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.60
|
| Rate for Payer: Mclaren Commercial |
$36.72
|
| Rate for Payer: Mclaren Medicaid |
$6.89
|
| Rate for Payer: Mclaren Medicare |
$12.60
|
| Rate for Payer: Meridian Medicaid |
$7.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.68
|
| Rate for Payer: PACE Medicare |
$11.97
|
| Rate for Payer: PACE SWMI |
$12.60
|
| Rate for Payer: PHP Commercial |
$13.86
|
| Rate for Payer: PHP Medicaid |
$6.89
|
| Rate for Payer: PHP Medicare Advantage |
$12.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.13
|
| Rate for Payer: Priority Health Medicare |
$12.60
|
| Rate for Payer: Priority Health Narrow Network |
$28.97
|
| Rate for Payer: Railroad Medicare Medicare |
$12.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.90
|
| Rate for Payer: UHC Medicare Advantage |
$12.98
|
| Rate for Payer: VA VA |
$12.60
|
|
|
HC BURN CARE LARGE
|
Facility
|
OP
|
$678.09
|
|
|
Service Code
|
CPT 16030
|
| Hospital Charge Code |
36100007
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$169.11 |
| Max. Negotiated Rate |
$678.09 |
| Rate for Payer: Aetna Commercial |
$610.28
|
| Rate for Payer: Aetna Medicare |
$354.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$443.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$443.04
|
| Rate for Payer: ASR ASR |
$657.75
|
| Rate for Payer: BCBS Complete |
$203.58
|
| Rate for Payer: BCBS MAPPO |
$354.43
|
| Rate for Payer: BCBS Trust/PPO |
$525.72
|
| Rate for Payer: BCN Commercial |
$525.72
|
| Rate for Payer: BCN Medicare Advantage |
$354.43
|
| Rate for Payer: Cash Price |
$542.47
|
| Rate for Payer: Cash Price |
$542.47
|
| Rate for Payer: Cofinity Commercial |
$637.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$542.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$354.43
|
| Rate for Payer: Healthscope Commercial |
$678.09
|
| Rate for Payer: Healthscope Whirlpool |
$657.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$354.43
|
| Rate for Payer: Mclaren Commercial |
$610.28
|
| Rate for Payer: Mclaren Medicaid |
$193.87
|
| Rate for Payer: Mclaren Medicare |
$354.43
|
| Rate for Payer: Meridian Medicaid |
$203.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$372.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$407.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$576.38
|
| Rate for Payer: PACE Medicare |
$336.71
|
| Rate for Payer: PACE SWMI |
$354.43
|
| Rate for Payer: PHP Commercial |
$389.87
|
| Rate for Payer: PHP Medicaid |
$193.87
|
| Rate for Payer: PHP Medicare Advantage |
$354.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$474.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.39
|
| Rate for Payer: Priority Health Medicare |
$354.43
|
| Rate for Payer: Priority Health Narrow Network |
$169.11
|
| Rate for Payer: Railroad Medicare Medicare |
$354.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$596.72
|
| Rate for Payer: UHC Medicare Advantage |
$365.06
|
| Rate for Payer: VA VA |
$354.43
|
|
|
HC BURN CARE LARGE
|
Facility
|
IP
|
$678.09
|
|
|
Service Code
|
CPT 16030
|
| Hospital Charge Code |
36100007
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$474.66 |
| Max. Negotiated Rate |
$678.09 |
| Rate for Payer: Aetna Commercial |
$610.28
|
| Rate for Payer: ASR ASR |
$657.75
|
| Rate for Payer: BCBS Trust/PPO |
$525.72
|
| Rate for Payer: BCN Commercial |
$525.72
|
| Rate for Payer: Cash Price |
$542.47
|
| Rate for Payer: Cofinity Commercial |
$637.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$542.47
|
| Rate for Payer: Healthscope Commercial |
$678.09
|
| Rate for Payer: Healthscope Whirlpool |
$657.75
|
| Rate for Payer: Mclaren Commercial |
$610.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$576.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$474.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$596.72
|
|
|
HC BURN CARE MEDIUM
|
Facility
|
OP
|
$521.51
|
|
|
Service Code
|
CPT 16025
|
| Hospital Charge Code |
36100006
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$521.51 |
| Rate for Payer: Aetna Commercial |
$469.36
|
| Rate for Payer: Aetna Medicare |
$177.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$222.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$222.44
|
| Rate for Payer: ASR ASR |
$505.86
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$177.95
|
| Rate for Payer: BCBS Trust/PPO |
$404.33
|
| Rate for Payer: BCN Commercial |
$404.33
|
| Rate for Payer: BCN Medicare Advantage |
$177.95
|
| Rate for Payer: Cash Price |
$417.21
|
| Rate for Payer: Cash Price |
$417.21
|
| Rate for Payer: Cofinity Commercial |
$490.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$417.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.95
|
| Rate for Payer: Healthscope Commercial |
$521.51
|
| Rate for Payer: Healthscope Whirlpool |
$505.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$177.95
|
| Rate for Payer: Mclaren Commercial |
$469.36
|
| Rate for Payer: Mclaren Medicaid |
$97.34
|
| Rate for Payer: Mclaren Medicare |
$177.95
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$186.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$204.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$443.28
|
| Rate for Payer: PACE Medicare |
$169.05
|
| Rate for Payer: PACE SWMI |
$177.95
|
| Rate for Payer: PHP Commercial |
$195.74
|
| Rate for Payer: PHP Medicaid |
$97.34
|
| Rate for Payer: PHP Medicare Advantage |
$177.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.39
|
| Rate for Payer: Priority Health Medicare |
$177.95
|
| Rate for Payer: Priority Health Narrow Network |
$169.11
|
| Rate for Payer: Railroad Medicare Medicare |
$177.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$458.93
|
| Rate for Payer: UHC Medicare Advantage |
$183.29
|
| Rate for Payer: VA VA |
$177.95
|
|
|
HC BURN CARE MEDIUM
|
Facility
|
IP
|
$521.51
|
|
|
Service Code
|
CPT 16025
|
| Hospital Charge Code |
36100006
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$365.06 |
| Max. Negotiated Rate |
$521.51 |
| Rate for Payer: Aetna Commercial |
$469.36
|
| Rate for Payer: ASR ASR |
$505.86
|
| Rate for Payer: BCBS Trust/PPO |
$404.33
|
| Rate for Payer: BCN Commercial |
$404.33
|
| Rate for Payer: Cash Price |
$417.21
|
| Rate for Payer: Cofinity Commercial |
$490.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$417.21
|
| Rate for Payer: Healthscope Commercial |
$521.51
|
| Rate for Payer: Healthscope Whirlpool |
$505.86
|
| Rate for Payer: Mclaren Commercial |
$469.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$443.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$458.93
|
|
|
HC BURN CARE SMALL
|
Facility
|
IP
|
$304.33
|
|
|
Service Code
|
CPT 16020
|
| Hospital Charge Code |
36100005
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$213.03 |
| Max. Negotiated Rate |
$304.33 |
| Rate for Payer: Aetna Commercial |
$273.90
|
| Rate for Payer: ASR ASR |
$295.20
|
| Rate for Payer: BCBS Trust/PPO |
$235.95
|
| Rate for Payer: BCN Commercial |
$235.95
|
| Rate for Payer: Cash Price |
$243.46
|
| Rate for Payer: Cofinity Commercial |
$286.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$243.46
|
| Rate for Payer: Healthscope Commercial |
$304.33
|
| Rate for Payer: Healthscope Whirlpool |
$295.20
|
| Rate for Payer: Mclaren Commercial |
$273.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$258.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$267.81
|
|
|
HC BURN CARE SMALL
|
Facility
|
OP
|
$304.33
|
|
|
Service Code
|
CPT 16020
|
| Hospital Charge Code |
36100005
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$304.33 |
| Rate for Payer: Aetna Commercial |
$273.90
|
| Rate for Payer: Aetna Medicare |
$177.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$222.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$222.44
|
| Rate for Payer: ASR ASR |
$295.20
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$177.95
|
| Rate for Payer: BCBS Trust/PPO |
$235.95
|
| Rate for Payer: BCN Commercial |
$235.95
|
| Rate for Payer: BCN Medicare Advantage |
$177.95
|
| Rate for Payer: Cash Price |
$243.46
|
| Rate for Payer: Cash Price |
$243.46
|
| Rate for Payer: Cofinity Commercial |
$286.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$243.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.95
|
| Rate for Payer: Healthscope Commercial |
$304.33
|
| Rate for Payer: Healthscope Whirlpool |
$295.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$177.95
|
| Rate for Payer: Mclaren Commercial |
$273.90
|
| Rate for Payer: Mclaren Medicaid |
$97.34
|
| Rate for Payer: Mclaren Medicare |
$177.95
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$186.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$204.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$258.68
|
| Rate for Payer: PACE Medicare |
$169.05
|
| Rate for Payer: PACE SWMI |
$177.95
|
| Rate for Payer: PHP Commercial |
$195.74
|
| Rate for Payer: PHP Medicaid |
$97.34
|
| Rate for Payer: PHP Medicare Advantage |
$177.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.39
|
| Rate for Payer: Priority Health Medicare |
$177.95
|
| Rate for Payer: Priority Health Narrow Network |
$169.11
|
| Rate for Payer: Railroad Medicare Medicare |
$177.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$267.81
|
| Rate for Payer: UHC Medicare Advantage |
$183.29
|
| Rate for Payer: VA VA |
$177.95
|
|
|
HC BURN R&B
|
Facility
|
IP
|
$7,293.00
|
|
| Hospital Charge Code |
20700001
|
|
Hospital Revenue Code
|
207
|
| Min. Negotiated Rate |
$5,105.10 |
| Max. Negotiated Rate |
$7,293.00 |
| Rate for Payer: Aetna Commercial |
$6,563.70
|
| Rate for Payer: ASR ASR |
$7,074.21
|
| Rate for Payer: BCBS Trust/PPO |
$5,654.26
|
| Rate for Payer: BCN Commercial |
$5,654.26
|
| Rate for Payer: Cash Price |
$5,834.40
|
| Rate for Payer: Cofinity Commercial |
$6,855.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,834.40
|
| Rate for Payer: Healthscope Commercial |
$7,293.00
|
| Rate for Payer: Healthscope Whirlpool |
$7,074.21
|
| Rate for Payer: Mclaren Commercial |
$6,563.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,199.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,105.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,417.84
|
|
|
HC BX VULVA PERINEUM ADDL LESION
|
Facility
|
IP
|
$219.48
|
|
|
Service Code
|
CPT 56606
|
| Hospital Charge Code |
76100202
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$153.64 |
| Max. Negotiated Rate |
$219.48 |
| Rate for Payer: Aetna Commercial |
$197.53
|
| Rate for Payer: ASR ASR |
$212.90
|
| Rate for Payer: BCBS Trust/PPO |
$170.16
|
| Rate for Payer: BCN Commercial |
$170.16
|
| Rate for Payer: Cash Price |
$175.58
|
| Rate for Payer: Cofinity Commercial |
$206.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.58
|
| Rate for Payer: Healthscope Commercial |
$219.48
|
| Rate for Payer: Healthscope Whirlpool |
$212.90
|
| Rate for Payer: Mclaren Commercial |
$197.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$186.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$153.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$193.14
|
|
|
HC BX VULVA PERINEUM ADDL LESION
|
Facility
|
OP
|
$219.48
|
|
|
Service Code
|
CPT 56606
|
| Hospital Charge Code |
76100202
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$87.79 |
| Max. Negotiated Rate |
$219.48 |
| Rate for Payer: Aetna Commercial |
$197.53
|
| Rate for Payer: ASR ASR |
$212.90
|
| Rate for Payer: BCBS Complete |
$87.79
|
| Rate for Payer: BCBS Trust/PPO |
$170.16
|
| Rate for Payer: BCN Commercial |
$170.16
|
| Rate for Payer: Cash Price |
$175.58
|
| Rate for Payer: Cofinity Commercial |
$206.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.58
|
| Rate for Payer: Healthscope Commercial |
$219.48
|
| Rate for Payer: Healthscope Whirlpool |
$212.90
|
| Rate for Payer: Mclaren Commercial |
$197.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$186.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$153.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.73
|
| Rate for Payer: Priority Health Narrow Network |
$155.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$193.14
|
|
|
HC C1 ESTERASE INHIBITOR FUNCTION
|
Facility
|
IP
|
$74.46
|
|
|
Service Code
|
CPT 86161
|
| Hospital Charge Code |
30200153
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$52.12 |
| Max. Negotiated Rate |
$74.46 |
| Rate for Payer: Aetna Commercial |
$67.01
|
| Rate for Payer: ASR ASR |
$72.23
|
| Rate for Payer: BCBS Trust/PPO |
$57.73
|
| Rate for Payer: BCN Commercial |
$57.73
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cofinity Commercial |
$69.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.57
|
| Rate for Payer: Healthscope Commercial |
$74.46
|
| Rate for Payer: Healthscope Whirlpool |
$72.23
|
| Rate for Payer: Mclaren Commercial |
$67.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.52
|
|
|
HC C1 ESTERASE INHIBITOR FUNCTION
|
Facility
|
OP
|
$74.46
|
|
|
Service Code
|
CPT 86161
|
| Hospital Charge Code |
30200153
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.56 |
| Max. Negotiated Rate |
$92.35 |
| Rate for Payer: Aetna Commercial |
$67.01
|
| Rate for Payer: Aetna Medicare |
$12.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.00
|
| Rate for Payer: ASR ASR |
$72.23
|
| Rate for Payer: BCBS Complete |
$6.89
|
| Rate for Payer: BCBS MAPPO |
$12.00
|
| Rate for Payer: BCBS Trust/PPO |
$57.73
|
| Rate for Payer: BCN Commercial |
$57.73
|
| Rate for Payer: BCN Medicare Advantage |
$12.00
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cash Price |
$59.57
|
| Rate for Payer: Cofinity Commercial |
$69.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.00
|
| Rate for Payer: Healthscope Commercial |
$74.46
|
| Rate for Payer: Healthscope Whirlpool |
$72.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.00
|
| Rate for Payer: Mclaren Commercial |
$67.01
|
| Rate for Payer: Mclaren Medicaid |
$6.56
|
| Rate for Payer: Mclaren Medicare |
$12.00
|
| Rate for Payer: Meridian Medicaid |
$6.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.29
|
| Rate for Payer: PACE Medicare |
$11.40
|
| Rate for Payer: PACE SWMI |
$12.00
|
| Rate for Payer: PHP Commercial |
$13.20
|
| Rate for Payer: PHP Medicaid |
$6.56
|
| Rate for Payer: PHP Medicare Advantage |
$12.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$92.35
|
| Rate for Payer: Priority Health Medicare |
$12.00
|
| Rate for Payer: Priority Health Narrow Network |
$73.88
|
| Rate for Payer: Railroad Medicare Medicare |
$12.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.52
|
| Rate for Payer: UHC Medicare Advantage |
$12.36
|
| Rate for Payer: VA VA |
$12.00
|
|
