|
HC CAROTENE
|
Facility
|
IP
|
$148.00
|
|
|
Service Code
|
CPT 82380
|
| Hospital Charge Code |
30100137
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$103.60 |
| Max. Negotiated Rate |
$148.00 |
| Rate for Payer: Aetna Commercial |
$133.20
|
| Rate for Payer: ASR ASR |
$143.56
|
| Rate for Payer: BCBS Trust/PPO |
$114.74
|
| Rate for Payer: BCN Commercial |
$114.74
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.40
|
| Rate for Payer: Healthscope Commercial |
$148.00
|
| Rate for Payer: Healthscope Whirlpool |
$143.56
|
| Rate for Payer: Mclaren Commercial |
$133.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$125.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$103.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.24
|
|
|
HC CAROTENE
|
Facility
|
OP
|
$148.00
|
|
|
Service Code
|
CPT 82380
|
| Hospital Charge Code |
30100137
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.04 |
| Max. Negotiated Rate |
$148.00 |
| Rate for Payer: Aetna Commercial |
$133.20
|
| Rate for Payer: Aetna Medicare |
$9.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.52
|
| Rate for Payer: ASR ASR |
$143.56
|
| Rate for Payer: BCBS Complete |
$5.30
|
| Rate for Payer: BCBS MAPPO |
$9.22
|
| Rate for Payer: BCBS Trust/PPO |
$114.74
|
| Rate for Payer: BCN Commercial |
$114.74
|
| Rate for Payer: BCN Medicare Advantage |
$9.22
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$148.00
|
| Rate for Payer: Healthscope Whirlpool |
$143.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$9.22
|
| Rate for Payer: Mclaren Commercial |
$133.20
|
| Rate for Payer: Mclaren Medicaid |
$5.04
|
| Rate for Payer: Mclaren Medicare |
$9.22
|
| Rate for Payer: Meridian Medicaid |
$5.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$125.80
|
| Rate for Payer: PACE Medicare |
$8.76
|
| Rate for Payer: PACE SWMI |
$9.22
|
| Rate for Payer: PHP Commercial |
$10.14
|
| Rate for Payer: PHP Medicaid |
$5.04
|
| Rate for Payer: PHP Medicare Advantage |
$9.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$103.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.39
|
| Rate for Payer: Priority Health Medicare |
$9.22
|
| Rate for Payer: Priority Health Narrow Network |
$43.51
|
| Rate for Payer: Railroad Medicare Medicare |
$9.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.24
|
| Rate for Payer: UHC Medicare Advantage |
$9.50
|
| Rate for Payer: VA VA |
$9.22
|
|
|
HC CAROTID/VERTEBRAL LIMITED
|
Facility
|
OP
|
$712.28
|
|
|
Service Code
|
CPT 93882
|
| Hospital Charge Code |
40200054
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$712.28 |
| Rate for Payer: Aetna Commercial |
$641.05
|
| Rate for Payer: Aetna Medicare |
$97.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: ASR ASR |
$690.91
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$552.23
|
| Rate for Payer: BCN Commercial |
$552.23
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$569.82
|
| Rate for Payer: Cash Price |
$569.82
|
| Rate for Payer: Cofinity Commercial |
$669.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$569.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$712.28
|
| Rate for Payer: Healthscope Whirlpool |
$690.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$97.72
|
| Rate for Payer: Mclaren Commercial |
$641.05
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$605.44
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$107.49
|
| Rate for Payer: PHP Medicaid |
$53.45
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$498.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.11
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$254.49
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$626.81
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: VA VA |
$97.72
|
|
|
HC CAROTID/VERTEBRAL LIMITED
|
Facility
|
IP
|
$712.28
|
|
|
Service Code
|
CPT 93882
|
| Hospital Charge Code |
40200054
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$498.60 |
| Max. Negotiated Rate |
$712.28 |
| Rate for Payer: Aetna Commercial |
$641.05
|
| Rate for Payer: ASR ASR |
$690.91
|
| Rate for Payer: BCBS Trust/PPO |
$552.23
|
| Rate for Payer: BCN Commercial |
$552.23
|
| Rate for Payer: Cash Price |
$569.82
|
| Rate for Payer: Cofinity Commercial |
$669.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$569.82
|
| Rate for Payer: Healthscope Commercial |
$712.28
|
| Rate for Payer: Healthscope Whirlpool |
$690.91
|
| Rate for Payer: Mclaren Commercial |
$641.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$605.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$498.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$626.81
|
|
|
HC CAROTID/VERTEBRAL ULTRASOUND
|
Facility
|
OP
|
$1,354.99
|
|
|
Service Code
|
CPT 93880
|
| Hospital Charge Code |
92100001
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,354.99 |
| Rate for Payer: Aetna Commercial |
$1,219.49
|
| Rate for Payer: Aetna Medicare |
$217.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: ASR ASR |
$1,314.34
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,050.52
|
| Rate for Payer: BCN Commercial |
$1,050.52
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,083.99
|
| Rate for Payer: Cash Price |
$1,083.99
|
| Rate for Payer: Cofinity Commercial |
$1,273.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,083.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,354.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,314.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$217.81
|
| Rate for Payer: Mclaren Commercial |
$1,219.49
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,151.74
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$239.59
|
| Rate for Payer: PHP Medicaid |
$119.14
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$948.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$577.22
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$461.78
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,192.39
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: VA VA |
$217.81
|
|
|
HC CAROTID/VERTEBRAL ULTRASOUND
|
Facility
|
IP
|
$1,354.99
|
|
|
Service Code
|
CPT 93880
|
| Hospital Charge Code |
92100001
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$948.49 |
| Max. Negotiated Rate |
$1,354.99 |
| Rate for Payer: Aetna Commercial |
$1,219.49
|
| Rate for Payer: ASR ASR |
$1,314.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,050.52
|
| Rate for Payer: BCN Commercial |
$1,050.52
|
| Rate for Payer: Cash Price |
$1,083.99
|
| Rate for Payer: Cofinity Commercial |
$1,273.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,083.99
|
| Rate for Payer: Healthscope Commercial |
$1,354.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,314.34
|
| Rate for Payer: Mclaren Commercial |
$1,219.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,151.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$948.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,192.39
|
|
|
HC CASHEW IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200030
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$24.89 |
| Rate for Payer: Aetna Commercial |
$22.40
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: ASR ASR |
$24.14
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.30
|
| Rate for Payer: BCN Commercial |
$19.30
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$23.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$24.89
|
| Rate for Payer: Healthscope Whirlpool |
$24.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$22.40
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.86
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.65
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$17.67
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.90
|
| Rate for Payer: UHC Medicare Advantage |
$5.38
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC CASHEW IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200030
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$17.42 |
| Max. Negotiated Rate |
$24.89 |
| Rate for Payer: Aetna Commercial |
$22.40
|
| Rate for Payer: ASR ASR |
$24.14
|
| Rate for Payer: BCBS Trust/PPO |
$19.30
|
| Rate for Payer: BCN Commercial |
$19.30
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$23.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$24.89
|
| Rate for Payer: Healthscope Whirlpool |
$24.14
|
| Rate for Payer: Mclaren Commercial |
$22.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.90
|
|
|
HC CASSETTES QUEST
|
Facility
|
IP
|
$75.00
|
|
| Hospital Charge Code |
27000458
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$52.50 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Aetna Commercial |
$67.50
|
| Rate for Payer: ASR ASR |
$72.75
|
| Rate for Payer: BCBS Trust/PPO |
$58.15
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$70.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$75.00
|
| Rate for Payer: Healthscope Whirlpool |
$72.75
|
| Rate for Payer: Mclaren Commercial |
$67.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$66.00
|
|
|
HC CASSETTES QUEST
|
Facility
|
OP
|
$75.00
|
|
| Hospital Charge Code |
27000458
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Aetna Commercial |
$67.50
|
| Rate for Payer: ASR ASR |
$72.75
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS Trust/PPO |
$58.15
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$70.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.00
|
| Rate for Payer: Healthscope Commercial |
$75.00
|
| Rate for Payer: Healthscope Whirlpool |
$72.75
|
| Rate for Payer: Mclaren Commercial |
$67.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$63.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.25
|
| Rate for Payer: Priority Health Narrow Network |
$53.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$66.00
|
|
|
HC CAST CLUB FOOT
|
Facility
|
OP
|
$414.24
|
|
|
Service Code
|
CPT 29450
|
| Hospital Charge Code |
70000011
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$76.61 |
| Max. Negotiated Rate |
$414.24 |
| Rate for Payer: Aetna Commercial |
$372.82
|
| Rate for Payer: Aetna Medicare |
$140.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$175.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$175.08
|
| Rate for Payer: ASR ASR |
$401.81
|
| Rate for Payer: BCBS Complete |
$80.45
|
| Rate for Payer: BCBS MAPPO |
$140.06
|
| Rate for Payer: BCBS Trust/PPO |
$321.16
|
| Rate for Payer: BCN Commercial |
$321.16
|
| Rate for Payer: BCN Medicare Advantage |
$140.06
|
| Rate for Payer: Cash Price |
$331.39
|
| Rate for Payer: Cash Price |
$331.39
|
| Rate for Payer: Cofinity Commercial |
$389.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.06
|
| Rate for Payer: Healthscope Commercial |
$414.24
|
| Rate for Payer: Healthscope Whirlpool |
$401.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$140.06
|
| Rate for Payer: Mclaren Commercial |
$372.82
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Mclaren Medicare |
$140.06
|
| Rate for Payer: Meridian Medicaid |
$80.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$352.10
|
| Rate for Payer: PACE Medicare |
$133.06
|
| Rate for Payer: PACE SWMI |
$140.06
|
| Rate for Payer: PHP Commercial |
$154.07
|
| Rate for Payer: PHP Medicaid |
$76.61
|
| Rate for Payer: PHP Medicare Advantage |
$140.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$376.96
|
| Rate for Payer: Priority Health Medicare |
$140.06
|
| Rate for Payer: Priority Health Narrow Network |
$294.11
|
| Rate for Payer: Railroad Medicare Medicare |
$140.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$364.53
|
| Rate for Payer: UHC Medicare Advantage |
$144.26
|
| Rate for Payer: VA VA |
$140.06
|
|
|
HC CAST CLUB FOOT
|
Facility
|
IP
|
$414.24
|
|
|
Service Code
|
CPT 29450
|
| Hospital Charge Code |
70000011
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$289.97 |
| Max. Negotiated Rate |
$414.24 |
| Rate for Payer: Aetna Commercial |
$372.82
|
| Rate for Payer: ASR ASR |
$401.81
|
| Rate for Payer: BCBS Trust/PPO |
$321.16
|
| Rate for Payer: BCN Commercial |
$321.16
|
| Rate for Payer: Cash Price |
$331.39
|
| Rate for Payer: Cofinity Commercial |
$389.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.39
|
| Rate for Payer: Healthscope Commercial |
$414.24
|
| Rate for Payer: Healthscope Whirlpool |
$401.81
|
| Rate for Payer: Mclaren Commercial |
$372.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$352.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$364.53
|
|
|
HC CAST COLOR ROLL
|
Facility
|
IP
|
$60.34
|
|
| Hospital Charge Code |
27000040
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.24 |
| Max. Negotiated Rate |
$60.34 |
| Rate for Payer: Aetna Commercial |
$54.31
|
| Rate for Payer: ASR ASR |
$58.53
|
| Rate for Payer: BCBS Trust/PPO |
$46.78
|
| Rate for Payer: BCN Commercial |
$46.78
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Healthscope Commercial |
$60.34
|
| Rate for Payer: Healthscope Whirlpool |
$58.53
|
| Rate for Payer: Mclaren Commercial |
$54.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$51.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.10
|
|
|
HC CAST COLOR ROLL
|
Facility
|
OP
|
$60.34
|
|
| Hospital Charge Code |
27000040
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$24.14 |
| Max. Negotiated Rate |
$60.34 |
| Rate for Payer: Aetna Commercial |
$54.31
|
| Rate for Payer: ASR ASR |
$58.53
|
| Rate for Payer: BCBS Complete |
$24.14
|
| Rate for Payer: BCBS Trust/PPO |
$46.78
|
| Rate for Payer: BCN Commercial |
$46.78
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Healthscope Commercial |
$60.34
|
| Rate for Payer: Healthscope Whirlpool |
$58.53
|
| Rate for Payer: Mclaren Commercial |
$54.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$51.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.91
|
| Rate for Payer: Priority Health Narrow Network |
$42.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.10
|
|
|
HC CAST CYLINDER
|
Facility
|
OP
|
$400.07
|
|
|
Service Code
|
CPT 29365
|
| Hospital Charge Code |
70000006
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$130.58 |
| Max. Negotiated Rate |
$400.07 |
| Rate for Payer: Aetna Commercial |
$360.06
|
| Rate for Payer: Aetna Medicare |
$238.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$298.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$298.40
|
| Rate for Payer: ASR ASR |
$388.07
|
| Rate for Payer: BCBS Complete |
$137.12
|
| Rate for Payer: BCBS MAPPO |
$238.72
|
| Rate for Payer: BCBS Trust/PPO |
$310.17
|
| Rate for Payer: BCN Commercial |
$310.17
|
| Rate for Payer: BCN Medicare Advantage |
$238.72
|
| Rate for Payer: Cash Price |
$320.06
|
| Rate for Payer: Cash Price |
$320.06
|
| Rate for Payer: Cofinity Commercial |
$376.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$320.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.72
|
| Rate for Payer: Healthscope Commercial |
$400.07
|
| Rate for Payer: Healthscope Whirlpool |
$388.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$238.72
|
| Rate for Payer: Mclaren Commercial |
$360.06
|
| Rate for Payer: Mclaren Medicaid |
$130.58
|
| Rate for Payer: Mclaren Medicare |
$238.72
|
| Rate for Payer: Meridian Medicaid |
$137.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$250.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$274.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$340.06
|
| Rate for Payer: PACE Medicare |
$226.78
|
| Rate for Payer: PACE SWMI |
$238.72
|
| Rate for Payer: PHP Commercial |
$262.59
|
| Rate for Payer: PHP Medicaid |
$130.58
|
| Rate for Payer: PHP Medicare Advantage |
$238.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$280.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$364.06
|
| Rate for Payer: Priority Health Medicare |
$238.72
|
| Rate for Payer: Priority Health Narrow Network |
$284.05
|
| Rate for Payer: Railroad Medicare Medicare |
$238.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$352.06
|
| Rate for Payer: UHC Medicare Advantage |
$245.88
|
| Rate for Payer: VA VA |
$238.72
|
|
|
HC CAST CYLINDER
|
Facility
|
IP
|
$400.07
|
|
|
Service Code
|
CPT 29365
|
| Hospital Charge Code |
70000006
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$280.05 |
| Max. Negotiated Rate |
$400.07 |
| Rate for Payer: Aetna Commercial |
$360.06
|
| Rate for Payer: ASR ASR |
$388.07
|
| Rate for Payer: BCBS Trust/PPO |
$310.17
|
| Rate for Payer: BCN Commercial |
$310.17
|
| Rate for Payer: Cash Price |
$320.06
|
| Rate for Payer: Cofinity Commercial |
$376.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$320.06
|
| Rate for Payer: Healthscope Commercial |
$400.07
|
| Rate for Payer: Healthscope Whirlpool |
$388.07
|
| Rate for Payer: Mclaren Commercial |
$360.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$340.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$280.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$352.06
|
|
|
HC CAST FINGER (CONTRACTURE)
|
Facility
|
OP
|
$205.97
|
|
|
Service Code
|
CPT 29086
|
| Hospital Charge Code |
43000021
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$76.61 |
| Max. Negotiated Rate |
$205.97 |
| Rate for Payer: Aetna Commercial |
$185.37
|
| Rate for Payer: Aetna Medicare |
$140.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$175.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$175.08
|
| Rate for Payer: ASR ASR |
$199.79
|
| Rate for Payer: BCBS Complete |
$80.45
|
| Rate for Payer: BCBS MAPPO |
$140.06
|
| Rate for Payer: BCBS Trust/PPO |
$159.69
|
| Rate for Payer: BCN Commercial |
$159.69
|
| Rate for Payer: BCN Medicare Advantage |
$140.06
|
| Rate for Payer: Cash Price |
$164.78
|
| Rate for Payer: Cash Price |
$164.78
|
| Rate for Payer: Cofinity Commercial |
$193.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.06
|
| Rate for Payer: Healthscope Commercial |
$205.97
|
| Rate for Payer: Healthscope Whirlpool |
$199.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$140.06
|
| Rate for Payer: Mclaren Commercial |
$185.37
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Mclaren Medicare |
$140.06
|
| Rate for Payer: Meridian Medicaid |
$80.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$175.07
|
| Rate for Payer: PACE Medicare |
$133.06
|
| Rate for Payer: PACE SWMI |
$140.06
|
| Rate for Payer: PHP Commercial |
$154.07
|
| Rate for Payer: PHP Medicaid |
$76.61
|
| Rate for Payer: PHP Medicare Advantage |
$140.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$144.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$187.43
|
| Rate for Payer: Priority Health Medicare |
$140.06
|
| Rate for Payer: Priority Health Narrow Network |
$146.24
|
| Rate for Payer: Railroad Medicare Medicare |
$140.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.25
|
| Rate for Payer: UHC Medicare Advantage |
$144.26
|
| Rate for Payer: VA VA |
$140.06
|
|
|
HC CAST FINGER (CONTRACTURE)
|
Facility
|
IP
|
$205.97
|
|
|
Service Code
|
CPT 29086
|
| Hospital Charge Code |
43000021
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$144.18 |
| Max. Negotiated Rate |
$205.97 |
| Rate for Payer: Aetna Commercial |
$185.37
|
| Rate for Payer: ASR ASR |
$199.79
|
| Rate for Payer: BCBS Trust/PPO |
$159.69
|
| Rate for Payer: BCN Commercial |
$159.69
|
| Rate for Payer: Cash Price |
$164.78
|
| Rate for Payer: Cofinity Commercial |
$193.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.78
|
| Rate for Payer: Healthscope Commercial |
$205.97
|
| Rate for Payer: Healthscope Whirlpool |
$199.79
|
| Rate for Payer: Mclaren Commercial |
$185.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$175.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$144.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.25
|
|
|
HC CAST GAUNTLET
|
Facility
|
IP
|
$233.47
|
|
|
Service Code
|
CPT 29085
|
| Hospital Charge Code |
42100002
|
|
Hospital Revenue Code
|
421
|
| Min. Negotiated Rate |
$163.43 |
| Max. Negotiated Rate |
$233.47 |
| Rate for Payer: Aetna Commercial |
$210.12
|
| Rate for Payer: ASR ASR |
$226.47
|
| Rate for Payer: BCBS Trust/PPO |
$181.01
|
| Rate for Payer: BCN Commercial |
$181.01
|
| Rate for Payer: Cash Price |
$186.78
|
| Rate for Payer: Cofinity Commercial |
$219.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$186.78
|
| Rate for Payer: Healthscope Commercial |
$233.47
|
| Rate for Payer: Healthscope Whirlpool |
$226.47
|
| Rate for Payer: Mclaren Commercial |
$210.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$198.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$163.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$205.45
|
|
|
HC CAST GAUNTLET
|
Facility
|
OP
|
$233.47
|
|
|
Service Code
|
CPT 29085
|
| Hospital Charge Code |
42100002
|
|
Hospital Revenue Code
|
421
|
| Min. Negotiated Rate |
$76.61 |
| Max. Negotiated Rate |
$233.47 |
| Rate for Payer: Aetna Commercial |
$210.12
|
| Rate for Payer: Aetna Medicare |
$140.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$175.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$175.08
|
| Rate for Payer: ASR ASR |
$226.47
|
| Rate for Payer: BCBS Complete |
$80.45
|
| Rate for Payer: BCBS MAPPO |
$140.06
|
| Rate for Payer: BCBS Trust/PPO |
$181.01
|
| Rate for Payer: BCN Commercial |
$181.01
|
| Rate for Payer: BCN Medicare Advantage |
$140.06
|
| Rate for Payer: Cash Price |
$186.78
|
| Rate for Payer: Cash Price |
$186.78
|
| Rate for Payer: Cofinity Commercial |
$219.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$186.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.06
|
| Rate for Payer: Healthscope Commercial |
$233.47
|
| Rate for Payer: Healthscope Whirlpool |
$226.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$140.06
|
| Rate for Payer: Mclaren Commercial |
$210.12
|
| Rate for Payer: Mclaren Medicaid |
$76.61
|
| Rate for Payer: Mclaren Medicare |
$140.06
|
| Rate for Payer: Meridian Medicaid |
$80.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$198.45
|
| Rate for Payer: PACE Medicare |
$133.06
|
| Rate for Payer: PACE SWMI |
$140.06
|
| Rate for Payer: PHP Commercial |
$154.07
|
| Rate for Payer: PHP Medicaid |
$76.61
|
| Rate for Payer: PHP Medicare Advantage |
$140.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$163.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.57
|
| Rate for Payer: Priority Health Medicare |
$140.06
|
| Rate for Payer: Priority Health Narrow Network |
$128.46
|
| Rate for Payer: Railroad Medicare Medicare |
$140.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$205.45
|
| Rate for Payer: UHC Medicare Advantage |
$144.26
|
| Rate for Payer: VA VA |
$140.06
|
|
|
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
|
Facility
|
OP
|
$950.54
|
|
|
Service Code
|
CPT 29325
|
| Hospital Charge Code |
70000004
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$130.58 |
| Max. Negotiated Rate |
$950.54 |
| Rate for Payer: Aetna Commercial |
$855.49
|
| Rate for Payer: Aetna Medicare |
$238.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$298.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$298.40
|
| Rate for Payer: ASR ASR |
$922.02
|
| Rate for Payer: BCBS Complete |
$137.12
|
| Rate for Payer: BCBS MAPPO |
$238.72
|
| Rate for Payer: BCBS Trust/PPO |
$736.95
|
| Rate for Payer: BCN Commercial |
$736.95
|
| Rate for Payer: BCN Medicare Advantage |
$238.72
|
| Rate for Payer: Cash Price |
$760.43
|
| Rate for Payer: Cash Price |
$760.43
|
| Rate for Payer: Cofinity Commercial |
$893.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.72
|
| Rate for Payer: Healthscope Commercial |
$950.54
|
| Rate for Payer: Healthscope Whirlpool |
$922.02
|
| Rate for Payer: Humana Choice PPO Medicare |
$238.72
|
| Rate for Payer: Mclaren Commercial |
$855.49
|
| Rate for Payer: Mclaren Medicaid |
$130.58
|
| Rate for Payer: Mclaren Medicare |
$238.72
|
| Rate for Payer: Meridian Medicaid |
$137.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$250.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$274.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$807.96
|
| Rate for Payer: PACE Medicare |
$226.78
|
| Rate for Payer: PACE SWMI |
$238.72
|
| Rate for Payer: PHP Commercial |
$262.59
|
| Rate for Payer: PHP Medicaid |
$130.58
|
| Rate for Payer: PHP Medicare Advantage |
$238.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$864.99
|
| Rate for Payer: Priority Health Medicare |
$238.72
|
| Rate for Payer: Priority Health Narrow Network |
$674.88
|
| Rate for Payer: Railroad Medicare Medicare |
$238.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$836.48
|
| Rate for Payer: UHC Medicare Advantage |
$245.88
|
| Rate for Payer: VA VA |
$238.72
|
|
|
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
|
Facility
|
IP
|
$950.54
|
|
|
Service Code
|
CPT 29325
|
| Hospital Charge Code |
70000004
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$665.38 |
| Max. Negotiated Rate |
$950.54 |
| Rate for Payer: Aetna Commercial |
$855.49
|
| Rate for Payer: ASR ASR |
$922.02
|
| Rate for Payer: BCBS Trust/PPO |
$736.95
|
| Rate for Payer: BCN Commercial |
$736.95
|
| Rate for Payer: Cash Price |
$760.43
|
| Rate for Payer: Cofinity Commercial |
$893.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.43
|
| Rate for Payer: Healthscope Commercial |
$950.54
|
| Rate for Payer: Healthscope Whirlpool |
$922.02
|
| Rate for Payer: Mclaren Commercial |
$855.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$807.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$836.48
|
|
|
HC CAST LONG ARM
|
Facility
|
IP
|
$302.65
|
|
|
Service Code
|
CPT 29065
|
| Hospital Charge Code |
42100001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$211.86 |
| Max. Negotiated Rate |
$302.65 |
| Rate for Payer: Aetna Commercial |
$272.38
|
| Rate for Payer: ASR ASR |
$293.57
|
| Rate for Payer: BCBS Trust/PPO |
$234.64
|
| Rate for Payer: BCN Commercial |
$234.64
|
| Rate for Payer: Cash Price |
$242.12
|
| Rate for Payer: Cofinity Commercial |
$284.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.12
|
| Rate for Payer: Healthscope Commercial |
$302.65
|
| Rate for Payer: Healthscope Whirlpool |
$293.57
|
| Rate for Payer: Mclaren Commercial |
$272.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$257.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$211.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$266.33
|
|
|
HC CAST LONG ARM
|
Facility
|
OP
|
$302.65
|
|
|
Service Code
|
CPT 29065
|
| Hospital Charge Code |
42100001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$130.58 |
| Max. Negotiated Rate |
$302.65 |
| Rate for Payer: Aetna Commercial |
$272.38
|
| Rate for Payer: Aetna Medicare |
$238.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$298.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$298.40
|
| Rate for Payer: ASR ASR |
$293.57
|
| Rate for Payer: BCBS Complete |
$137.12
|
| Rate for Payer: BCBS MAPPO |
$238.72
|
| Rate for Payer: BCBS Trust/PPO |
$234.64
|
| Rate for Payer: BCN Commercial |
$234.64
|
| Rate for Payer: BCN Medicare Advantage |
$238.72
|
| Rate for Payer: Cash Price |
$242.12
|
| Rate for Payer: Cash Price |
$242.12
|
| Rate for Payer: Cofinity Commercial |
$284.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.72
|
| Rate for Payer: Healthscope Commercial |
$302.65
|
| Rate for Payer: Healthscope Whirlpool |
$293.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$238.72
|
| Rate for Payer: Mclaren Commercial |
$272.38
|
| Rate for Payer: Mclaren Medicaid |
$130.58
|
| Rate for Payer: Mclaren Medicare |
$238.72
|
| Rate for Payer: Meridian Medicaid |
$137.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$250.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$274.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$257.25
|
| Rate for Payer: PACE Medicare |
$226.78
|
| Rate for Payer: PACE SWMI |
$238.72
|
| Rate for Payer: PHP Commercial |
$262.59
|
| Rate for Payer: PHP Medicaid |
$130.58
|
| Rate for Payer: PHP Medicare Advantage |
$238.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$211.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.41
|
| Rate for Payer: Priority Health Medicare |
$238.72
|
| Rate for Payer: Priority Health Narrow Network |
$214.88
|
| Rate for Payer: Railroad Medicare Medicare |
$238.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$266.33
|
| Rate for Payer: UHC Medicare Advantage |
$245.88
|
| Rate for Payer: VA VA |
$238.72
|
|
|
HC CAST LONG LEG
|
Facility
|
OP
|
$403.61
|
|
|
Service Code
|
CPT 29345
|
| Hospital Charge Code |
70000005
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$130.58 |
| Max. Negotiated Rate |
$403.61 |
| Rate for Payer: Aetna Commercial |
$363.25
|
| Rate for Payer: Aetna Medicare |
$238.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$298.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$298.40
|
| Rate for Payer: ASR ASR |
$391.50
|
| Rate for Payer: BCBS Complete |
$137.12
|
| Rate for Payer: BCBS MAPPO |
$238.72
|
| Rate for Payer: BCBS Trust/PPO |
$312.92
|
| Rate for Payer: BCN Commercial |
$312.92
|
| Rate for Payer: BCN Medicare Advantage |
$238.72
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cofinity Commercial |
$379.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.72
|
| Rate for Payer: Healthscope Commercial |
$403.61
|
| Rate for Payer: Healthscope Whirlpool |
$391.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$238.72
|
| Rate for Payer: Mclaren Commercial |
$363.25
|
| Rate for Payer: Mclaren Medicaid |
$130.58
|
| Rate for Payer: Mclaren Medicare |
$238.72
|
| Rate for Payer: Meridian Medicaid |
$137.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$250.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$274.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.07
|
| Rate for Payer: PACE Medicare |
$226.78
|
| Rate for Payer: PACE SWMI |
$238.72
|
| Rate for Payer: PHP Commercial |
$262.59
|
| Rate for Payer: PHP Medicaid |
$130.58
|
| Rate for Payer: PHP Medicare Advantage |
$238.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$367.29
|
| Rate for Payer: Priority Health Medicare |
$238.72
|
| Rate for Payer: Priority Health Narrow Network |
$286.56
|
| Rate for Payer: Railroad Medicare Medicare |
$238.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$355.18
|
| Rate for Payer: UHC Medicare Advantage |
$245.88
|
| Rate for Payer: VA VA |
$238.72
|
|
