|
HC CHAMBER HOLDING OPTI CHAMBER
|
Facility
|
OP
|
$21.88
|
|
| Hospital Charge Code |
27000044
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.75 |
| Max. Negotiated Rate |
$21.88 |
| Rate for Payer: Aetna Commercial |
$19.69
|
| Rate for Payer: ASR ASR |
$21.22
|
| Rate for Payer: BCBS Complete |
$8.75
|
| Rate for Payer: BCBS Trust/PPO |
$16.96
|
| Rate for Payer: BCN Commercial |
$16.96
|
| Rate for Payer: Cash Price |
$17.50
|
| Rate for Payer: Cofinity Commercial |
$20.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$21.88
|
| Rate for Payer: Healthscope Whirlpool |
$21.22
|
| Rate for Payer: Mclaren Commercial |
$19.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.91
|
| Rate for Payer: Priority Health Narrow Network |
$15.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.25
|
|
|
HC CHANGE CYSTOSTOMY TUBE COMPLICATED
|
Facility
|
OP
|
$996.54
|
|
|
Service Code
|
CPT 51710
|
| Hospital Charge Code |
76100297
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$332.14 |
| Max. Negotiated Rate |
$996.54 |
| Rate for Payer: Aetna Commercial |
$896.89
|
| Rate for Payer: Aetna Medicare |
$607.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$759.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$759.00
|
| Rate for Payer: ASR ASR |
$966.64
|
| Rate for Payer: BCBS Complete |
$348.78
|
| Rate for Payer: BCBS MAPPO |
$607.20
|
| Rate for Payer: BCBS Trust/PPO |
$772.62
|
| Rate for Payer: BCN Commercial |
$772.62
|
| Rate for Payer: BCN Medicare Advantage |
$607.20
|
| Rate for Payer: Cash Price |
$797.23
|
| Rate for Payer: Cash Price |
$797.23
|
| Rate for Payer: Cofinity Commercial |
$936.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$797.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$607.20
|
| Rate for Payer: Healthscope Commercial |
$996.54
|
| Rate for Payer: Healthscope Whirlpool |
$966.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$607.20
|
| Rate for Payer: Mclaren Commercial |
$896.89
|
| Rate for Payer: Mclaren Medicaid |
$332.14
|
| Rate for Payer: Mclaren Medicare |
$607.20
|
| Rate for Payer: Meridian Medicaid |
$348.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$637.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$698.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$847.06
|
| Rate for Payer: PACE Medicare |
$576.84
|
| Rate for Payer: PACE SWMI |
$607.20
|
| Rate for Payer: PHP Commercial |
$667.92
|
| Rate for Payer: PHP Medicaid |
$332.14
|
| Rate for Payer: PHP Medicare Advantage |
$607.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$906.85
|
| Rate for Payer: Priority Health Medicare |
$607.20
|
| Rate for Payer: Priority Health Narrow Network |
$707.54
|
| Rate for Payer: Railroad Medicare Medicare |
$607.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$876.96
|
| Rate for Payer: UHC Medicare Advantage |
$625.42
|
| Rate for Payer: VA VA |
$607.20
|
|
|
HC CHANGE CYSTOSTOMY TUBE COMPLICATED
|
Facility
|
IP
|
$996.54
|
|
|
Service Code
|
CPT 51710
|
| Hospital Charge Code |
76100297
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$697.58 |
| Max. Negotiated Rate |
$996.54 |
| Rate for Payer: Aetna Commercial |
$896.89
|
| Rate for Payer: ASR ASR |
$966.64
|
| Rate for Payer: BCBS Trust/PPO |
$772.62
|
| Rate for Payer: BCN Commercial |
$772.62
|
| Rate for Payer: Cash Price |
$797.23
|
| Rate for Payer: Cofinity Commercial |
$936.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$797.23
|
| Rate for Payer: Healthscope Commercial |
$996.54
|
| Rate for Payer: Healthscope Whirlpool |
$966.64
|
| Rate for Payer: Mclaren Commercial |
$896.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$847.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$876.96
|
|
|
HC CHANNEL RFA ENDO CATHETER
|
Facility
|
IP
|
$3,648.61
|
|
| Hospital Charge Code |
27200289
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,554.03 |
| Max. Negotiated Rate |
$3,648.61 |
| Rate for Payer: Aetna Commercial |
$3,283.75
|
| Rate for Payer: ASR ASR |
$3,539.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,828.77
|
| Rate for Payer: BCN Commercial |
$2,828.77
|
| Rate for Payer: Cash Price |
$2,918.89
|
| Rate for Payer: Cofinity Commercial |
$3,429.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,918.89
|
| Rate for Payer: Healthscope Commercial |
$3,648.61
|
| Rate for Payer: Healthscope Whirlpool |
$3,539.15
|
| Rate for Payer: Mclaren Commercial |
$3,283.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,101.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,554.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,210.78
|
|
|
HC CHANNEL RFA ENDO CATHETER
|
Facility
|
OP
|
$3,648.61
|
|
| Hospital Charge Code |
27200289
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,459.44 |
| Max. Negotiated Rate |
$3,648.61 |
| Rate for Payer: Aetna Commercial |
$3,283.75
|
| Rate for Payer: ASR ASR |
$3,539.15
|
| Rate for Payer: BCBS Complete |
$1,459.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,828.77
|
| Rate for Payer: BCN Commercial |
$2,828.77
|
| Rate for Payer: Cash Price |
$2,918.89
|
| Rate for Payer: Cofinity Commercial |
$3,429.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,918.89
|
| Rate for Payer: Healthscope Commercial |
$3,648.61
|
| Rate for Payer: Healthscope Whirlpool |
$3,539.15
|
| Rate for Payer: Mclaren Commercial |
$3,283.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,101.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,554.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,320.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,590.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,210.78
|
|
|
HC CHEM CAUTERY GRANULATION TISSUE
|
Facility
|
OP
|
$290.92
|
|
|
Service Code
|
CPT 17250
|
| Hospital Charge Code |
76100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$290.92 |
| Rate for Payer: Aetna Commercial |
$261.83
|
| 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 |
$282.19
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$177.95
|
| Rate for Payer: BCBS Trust/PPO |
$225.55
|
| Rate for Payer: BCN Commercial |
$225.55
|
| Rate for Payer: BCN Medicare Advantage |
$177.95
|
| Rate for Payer: Cash Price |
$232.74
|
| Rate for Payer: Cash Price |
$232.74
|
| Rate for Payer: Cofinity Commercial |
$273.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.95
|
| Rate for Payer: Healthscope Commercial |
$290.92
|
| Rate for Payer: Healthscope Whirlpool |
$282.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$177.95
|
| Rate for Payer: Mclaren Commercial |
$261.83
|
| 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 |
$247.28
|
| 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 |
$203.64
|
| 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 |
$256.01
|
| Rate for Payer: UHC Medicare Advantage |
$183.29
|
| Rate for Payer: VA VA |
$177.95
|
|
|
HC CHEM CAUTERY GRANULATION TISSUE
|
Facility
|
IP
|
$290.92
|
|
|
Service Code
|
CPT 17250
|
| Hospital Charge Code |
76100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$203.64 |
| Max. Negotiated Rate |
$290.92 |
| Rate for Payer: Aetna Commercial |
$261.83
|
| Rate for Payer: ASR ASR |
$282.19
|
| Rate for Payer: BCBS Trust/PPO |
$225.55
|
| Rate for Payer: BCN Commercial |
$225.55
|
| Rate for Payer: Cash Price |
$232.74
|
| Rate for Payer: Cofinity Commercial |
$273.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.74
|
| Rate for Payer: Healthscope Commercial |
$290.92
|
| Rate for Payer: Healthscope Whirlpool |
$282.19
|
| Rate for Payer: Mclaren Commercial |
$261.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$247.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$256.01
|
|
|
HC CHEMO ADMIN INTO CNS
|
Facility
|
OP
|
$1,076.22
|
|
|
Service Code
|
CPT 96450
|
| Hospital Charge Code |
33100005
|
|
Hospital Revenue Code
|
331
|
| Min. Negotiated Rate |
$164.66 |
| Max. Negotiated Rate |
$1,076.22 |
| Rate for Payer: Aetna Commercial |
$968.60
|
| Rate for Payer: Aetna Medicare |
$301.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$376.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$376.29
|
| Rate for Payer: ASR ASR |
$1,043.93
|
| Rate for Payer: BCBS Complete |
$172.91
|
| Rate for Payer: BCBS MAPPO |
$301.03
|
| Rate for Payer: BCBS Trust/PPO |
$834.39
|
| Rate for Payer: BCN Commercial |
$834.39
|
| Rate for Payer: BCN Medicare Advantage |
$301.03
|
| Rate for Payer: Cash Price |
$860.98
|
| Rate for Payer: Cash Price |
$860.98
|
| Rate for Payer: Cofinity Commercial |
$1,011.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.03
|
| Rate for Payer: Healthscope Commercial |
$1,076.22
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$301.03
|
| Rate for Payer: Mclaren Commercial |
$968.60
|
| Rate for Payer: Mclaren Medicaid |
$164.66
|
| Rate for Payer: Mclaren Medicare |
$301.03
|
| Rate for Payer: Meridian Medicaid |
$172.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$316.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$346.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.79
|
| Rate for Payer: PACE Medicare |
$285.98
|
| Rate for Payer: PACE SWMI |
$301.03
|
| Rate for Payer: PHP Commercial |
$331.13
|
| Rate for Payer: PHP Medicaid |
$164.66
|
| Rate for Payer: PHP Medicare Advantage |
$301.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$979.36
|
| Rate for Payer: Priority Health Medicare |
$301.03
|
| Rate for Payer: Priority Health Narrow Network |
$764.12
|
| Rate for Payer: Railroad Medicare Medicare |
$301.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$947.07
|
| Rate for Payer: UHC Medicare Advantage |
$310.06
|
| Rate for Payer: VA VA |
$301.03
|
|
|
HC CHEMO ADMIN INTO CNS
|
Facility
|
IP
|
$1,076.22
|
|
|
Service Code
|
CPT 96450
|
| Hospital Charge Code |
33100005
|
|
Hospital Revenue Code
|
331
|
| Min. Negotiated Rate |
$753.35 |
| Max. Negotiated Rate |
$1,076.22 |
| Rate for Payer: Aetna Commercial |
$968.60
|
| Rate for Payer: ASR ASR |
$1,043.93
|
| Rate for Payer: BCBS Trust/PPO |
$834.39
|
| Rate for Payer: BCN Commercial |
$834.39
|
| Rate for Payer: Cash Price |
$860.98
|
| Rate for Payer: Cofinity Commercial |
$1,011.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.98
|
| Rate for Payer: Healthscope Commercial |
$1,076.22
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.93
|
| Rate for Payer: Mclaren Commercial |
$968.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$947.07
|
|
|
HC CHEMODENERVATION INTERNAL ANAL SPHINCTER
|
Facility
|
IP
|
$3,140.44
|
|
|
Service Code
|
CPT 46505
|
| Hospital Charge Code |
76100384
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,198.31 |
| Max. Negotiated Rate |
$3,140.44 |
| Rate for Payer: Aetna Commercial |
$2,826.40
|
| Rate for Payer: ASR ASR |
$3,046.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,434.78
|
| Rate for Payer: BCN Commercial |
$2,434.78
|
| Rate for Payer: Cash Price |
$2,512.35
|
| Rate for Payer: Cofinity Commercial |
$2,952.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,512.35
|
| Rate for Payer: Healthscope Commercial |
$3,140.44
|
| Rate for Payer: Healthscope Whirlpool |
$3,046.23
|
| Rate for Payer: Mclaren Commercial |
$2,826.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,669.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,198.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,763.59
|
|
|
HC CHEMODENERVATION INTERNAL ANAL SPHINCTER
|
Facility
|
OP
|
$3,140.44
|
|
|
Service Code
|
CPT 46505
|
| Hospital Charge Code |
76100384
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$573.77 |
| Max. Negotiated Rate |
$3,140.44 |
| Rate for Payer: Aetna Commercial |
$2,826.40
|
| Rate for Payer: Aetna Medicare |
$1,048.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: ASR ASR |
$3,046.23
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,434.78
|
| Rate for Payer: BCN Commercial |
$2,434.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Cash Price |
$2,512.35
|
| Rate for Payer: Cash Price |
$2,512.35
|
| Rate for Payer: Cofinity Commercial |
$2,952.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,512.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Healthscope Commercial |
$3,140.44
|
| Rate for Payer: Healthscope Whirlpool |
$3,046.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,048.94
|
| Rate for Payer: Mclaren Commercial |
$2,826.40
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,669.37
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Commercial |
$1,153.83
|
| Rate for Payer: PHP Medicaid |
$573.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,198.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,857.80
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,229.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,763.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
HC CHEMODENERVATION TRUNK 6 OR > MUSCLES
|
Facility
|
IP
|
$1,917.60
|
|
|
Service Code
|
CPT 64647
|
| Hospital Charge Code |
36000374
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,342.32 |
| Max. Negotiated Rate |
$1,917.60 |
| Rate for Payer: Aetna Commercial |
$1,725.84
|
| Rate for Payer: ASR ASR |
$1,860.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,486.72
|
| Rate for Payer: BCN Commercial |
$1,486.72
|
| Rate for Payer: Cash Price |
$1,534.08
|
| Rate for Payer: Cofinity Commercial |
$1,802.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,534.08
|
| Rate for Payer: Healthscope Commercial |
$1,917.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,860.07
|
| Rate for Payer: Mclaren Commercial |
$1,725.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,629.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,342.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,687.49
|
|
|
HC CHEMODENERVATION TRUNK 6 OR > MUSCLES
|
Facility
|
OP
|
$1,917.60
|
|
|
Service Code
|
CPT 64647
|
| Hospital Charge Code |
36000374
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$303.02 |
| Max. Negotiated Rate |
$1,917.60 |
| Rate for Payer: Aetna Commercial |
$1,725.84
|
| Rate for Payer: Aetna Medicare |
$614.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$768.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$768.38
|
| Rate for Payer: ASR ASR |
$1,860.07
|
| Rate for Payer: BCBS Complete |
$353.08
|
| Rate for Payer: BCBS MAPPO |
$614.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,486.72
|
| Rate for Payer: BCN Commercial |
$1,486.72
|
| Rate for Payer: BCN Medicare Advantage |
$614.70
|
| Rate for Payer: Cash Price |
$1,534.08
|
| Rate for Payer: Cash Price |
$1,534.08
|
| Rate for Payer: Cofinity Commercial |
$1,802.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,534.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.70
|
| Rate for Payer: Healthscope Commercial |
$1,917.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,860.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$614.70
|
| Rate for Payer: Mclaren Commercial |
$1,725.84
|
| Rate for Payer: Mclaren Medicaid |
$336.24
|
| Rate for Payer: Mclaren Medicare |
$614.70
|
| Rate for Payer: Meridian Medicaid |
$353.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$645.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$706.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,629.96
|
| Rate for Payer: PACE Medicare |
$583.96
|
| Rate for Payer: PACE SWMI |
$614.70
|
| Rate for Payer: PHP Commercial |
$676.17
|
| Rate for Payer: PHP Medicaid |
$336.24
|
| Rate for Payer: PHP Medicare Advantage |
$614.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,342.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$378.77
|
| Rate for Payer: Priority Health Medicare |
$614.70
|
| Rate for Payer: Priority Health Narrow Network |
$303.02
|
| Rate for Payer: Railroad Medicare Medicare |
$614.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,687.49
|
| Rate for Payer: UHC Medicare Advantage |
$633.14
|
| Rate for Payer: VA VA |
$614.70
|
|
|
HC CHEMODENERV SALIV GLANDS
|
Facility
|
OP
|
$378.64
|
|
|
Service Code
|
CPT 64611
|
| Hospital Charge Code |
76100210
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$144.01 |
| Max. Negotiated Rate |
$378.64 |
| Rate for Payer: Aetna Commercial |
$340.78
|
| Rate for Payer: Aetna Medicare |
$263.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: ASR ASR |
$367.28
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$293.56
|
| Rate for Payer: BCN Commercial |
$293.56
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$302.91
|
| Rate for Payer: Cash Price |
$302.91
|
| Rate for Payer: Cofinity Commercial |
$355.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$378.64
|
| Rate for Payer: Healthscope Whirlpool |
$367.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$263.27
|
| Rate for Payer: Mclaren Commercial |
$340.78
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$321.84
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$289.60
|
| Rate for Payer: PHP Medicaid |
$144.01
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$265.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$344.56
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$268.83
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$333.20
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: VA VA |
$263.27
|
|
|
HC CHEMODENERV SALIV GLANDS
|
Facility
|
IP
|
$378.64
|
|
|
Service Code
|
CPT 64611
|
| Hospital Charge Code |
76100210
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$265.05 |
| Max. Negotiated Rate |
$378.64 |
| Rate for Payer: Aetna Commercial |
$340.78
|
| Rate for Payer: ASR ASR |
$367.28
|
| Rate for Payer: BCBS Trust/PPO |
$293.56
|
| Rate for Payer: BCN Commercial |
$293.56
|
| Rate for Payer: Cash Price |
$302.91
|
| Rate for Payer: Cofinity Commercial |
$355.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.91
|
| Rate for Payer: Healthscope Commercial |
$378.64
|
| Rate for Payer: Healthscope Whirlpool |
$367.28
|
| Rate for Payer: Mclaren Commercial |
$340.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$321.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$265.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$333.20
|
|
|
HC CHEMODNRV EA ADD EXT 1-4 MUSC
|
Facility
|
IP
|
$682.78
|
|
|
Service Code
|
CPT 64643
|
| Hospital Charge Code |
36100452
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$477.95 |
| Max. Negotiated Rate |
$682.78 |
| Rate for Payer: Aetna Commercial |
$614.50
|
| Rate for Payer: ASR ASR |
$662.30
|
| Rate for Payer: BCBS Trust/PPO |
$529.36
|
| Rate for Payer: BCN Commercial |
$529.36
|
| Rate for Payer: Cash Price |
$546.22
|
| Rate for Payer: Cofinity Commercial |
$641.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$546.22
|
| Rate for Payer: Healthscope Commercial |
$682.78
|
| Rate for Payer: Healthscope Whirlpool |
$662.30
|
| Rate for Payer: Mclaren Commercial |
$614.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$580.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$477.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$600.85
|
|
|
HC CHEMODNRV EA ADD EXT 1-4 MUSC
|
Facility
|
OP
|
$682.78
|
|
|
Service Code
|
CPT 64643
|
| Hospital Charge Code |
36100452
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$273.11 |
| Max. Negotiated Rate |
$682.78 |
| Rate for Payer: Aetna Commercial |
$614.50
|
| Rate for Payer: ASR ASR |
$662.30
|
| Rate for Payer: BCBS Complete |
$273.11
|
| Rate for Payer: BCBS Trust/PPO |
$529.36
|
| Rate for Payer: BCN Commercial |
$529.36
|
| Rate for Payer: Cash Price |
$546.22
|
| Rate for Payer: Cash Price |
$546.22
|
| Rate for Payer: Cofinity Commercial |
$641.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$546.22
|
| Rate for Payer: Healthscope Commercial |
$682.78
|
| Rate for Payer: Healthscope Whirlpool |
$662.30
|
| Rate for Payer: Mclaren Commercial |
$614.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$580.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$477.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.60
|
| Rate for Payer: Priority Health Narrow Network |
$282.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$600.85
|
|
|
HC CHEMODNRV EXT1-4 MUSC
|
Facility
|
OP
|
$658.22
|
|
|
Service Code
|
CPT 64642
|
| Hospital Charge Code |
36100451
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$303.02 |
| Max. Negotiated Rate |
$768.38 |
| Rate for Payer: Aetna Commercial |
$592.40
|
| Rate for Payer: Aetna Medicare |
$614.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$768.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$768.38
|
| Rate for Payer: ASR ASR |
$638.47
|
| Rate for Payer: BCBS Complete |
$353.08
|
| Rate for Payer: BCBS MAPPO |
$614.70
|
| Rate for Payer: BCBS Trust/PPO |
$510.32
|
| Rate for Payer: BCN Commercial |
$510.32
|
| Rate for Payer: BCN Medicare Advantage |
$614.70
|
| Rate for Payer: Cash Price |
$526.58
|
| Rate for Payer: Cash Price |
$526.58
|
| Rate for Payer: Cofinity Commercial |
$618.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$526.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.70
|
| Rate for Payer: Healthscope Commercial |
$658.22
|
| Rate for Payer: Healthscope Whirlpool |
$638.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$614.70
|
| Rate for Payer: Mclaren Commercial |
$592.40
|
| Rate for Payer: Mclaren Medicaid |
$336.24
|
| Rate for Payer: Mclaren Medicare |
$614.70
|
| Rate for Payer: Meridian Medicaid |
$353.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$645.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$706.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$559.49
|
| Rate for Payer: PACE Medicare |
$583.96
|
| Rate for Payer: PACE SWMI |
$614.70
|
| Rate for Payer: PHP Commercial |
$676.17
|
| Rate for Payer: PHP Medicaid |
$336.24
|
| Rate for Payer: PHP Medicare Advantage |
$614.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$378.77
|
| Rate for Payer: Priority Health Medicare |
$614.70
|
| Rate for Payer: Priority Health Narrow Network |
$303.02
|
| Rate for Payer: Railroad Medicare Medicare |
$614.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$579.23
|
| Rate for Payer: UHC Medicare Advantage |
$633.14
|
| Rate for Payer: VA VA |
$614.70
|
|
|
HC CHEMODNRV EXT1-4 MUSC
|
Facility
|
IP
|
$658.22
|
|
|
Service Code
|
CPT 64642
|
| Hospital Charge Code |
36100451
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$460.75 |
| Max. Negotiated Rate |
$658.22 |
| Rate for Payer: Aetna Commercial |
$592.40
|
| Rate for Payer: ASR ASR |
$638.47
|
| Rate for Payer: BCBS Trust/PPO |
$510.32
|
| Rate for Payer: BCN Commercial |
$510.32
|
| Rate for Payer: Cash Price |
$526.58
|
| Rate for Payer: Cofinity Commercial |
$618.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$526.58
|
| Rate for Payer: Healthscope Commercial |
$658.22
|
| Rate for Payer: Healthscope Whirlpool |
$638.47
|
| Rate for Payer: Mclaren Commercial |
$592.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$559.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$579.23
|
|
|
HC CHEMODNRV EXTREMITY 5/< MUSCLES
|
Facility
|
IP
|
$113.32
|
|
|
Service Code
|
CPT 64645
|
| Hospital Charge Code |
36100550
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$79.32 |
| Max. Negotiated Rate |
$113.32 |
| Rate for Payer: Aetna Commercial |
$101.99
|
| Rate for Payer: ASR ASR |
$109.92
|
| Rate for Payer: BCBS Trust/PPO |
$87.86
|
| Rate for Payer: BCN Commercial |
$87.86
|
| Rate for Payer: Cash Price |
$90.66
|
| Rate for Payer: Cofinity Commercial |
$106.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.66
|
| Rate for Payer: Healthscope Commercial |
$113.32
|
| Rate for Payer: Healthscope Whirlpool |
$109.92
|
| Rate for Payer: Mclaren Commercial |
$101.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$99.72
|
|
|
HC CHEMODNRV EXTREMITY 5/< MUSCLES
|
Facility
|
OP
|
$113.32
|
|
|
Service Code
|
CPT 64645
|
| Hospital Charge Code |
36100550
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$45.33 |
| Max. Negotiated Rate |
$405.35 |
| Rate for Payer: Aetna Commercial |
$101.99
|
| Rate for Payer: ASR ASR |
$109.92
|
| Rate for Payer: BCBS Complete |
$45.33
|
| Rate for Payer: BCBS Trust/PPO |
$87.86
|
| Rate for Payer: BCN Commercial |
$87.86
|
| Rate for Payer: Cash Price |
$90.66
|
| Rate for Payer: Cash Price |
$90.66
|
| Rate for Payer: Cofinity Commercial |
$106.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.66
|
| Rate for Payer: Healthscope Commercial |
$113.32
|
| Rate for Payer: Healthscope Whirlpool |
$109.92
|
| Rate for Payer: Mclaren Commercial |
$101.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$405.35
|
| Rate for Payer: Priority Health Narrow Network |
$324.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$99.72
|
|
|
HC CHEMODNRV EXTREMITY 5 OR MORE MUSCLES
|
Facility
|
IP
|
$517.14
|
|
|
Service Code
|
CPT 64644
|
| Hospital Charge Code |
36100547
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$362.00 |
| Max. Negotiated Rate |
$517.14 |
| Rate for Payer: Aetna Commercial |
$465.43
|
| Rate for Payer: ASR ASR |
$501.63
|
| Rate for Payer: BCBS Trust/PPO |
$400.94
|
| Rate for Payer: BCN Commercial |
$400.94
|
| Rate for Payer: Cash Price |
$413.71
|
| Rate for Payer: Cofinity Commercial |
$486.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.71
|
| Rate for Payer: Healthscope Commercial |
$517.14
|
| Rate for Payer: Healthscope Whirlpool |
$501.63
|
| Rate for Payer: Mclaren Commercial |
$465.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$439.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$362.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$455.08
|
|
|
HC CHEMODNRV EXTREMITY 5 OR MORE MUSCLES
|
Facility
|
OP
|
$517.14
|
|
|
Service Code
|
CPT 64644
|
| Hospital Charge Code |
36100547
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$303.02 |
| Max. Negotiated Rate |
$768.38 |
| Rate for Payer: Aetna Commercial |
$465.43
|
| Rate for Payer: Aetna Medicare |
$614.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$768.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$768.38
|
| Rate for Payer: ASR ASR |
$501.63
|
| Rate for Payer: BCBS Complete |
$353.08
|
| Rate for Payer: BCBS MAPPO |
$614.70
|
| Rate for Payer: BCBS Trust/PPO |
$400.94
|
| Rate for Payer: BCN Commercial |
$400.94
|
| Rate for Payer: BCN Medicare Advantage |
$614.70
|
| Rate for Payer: Cash Price |
$413.71
|
| Rate for Payer: Cash Price |
$413.71
|
| Rate for Payer: Cofinity Commercial |
$486.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.70
|
| Rate for Payer: Healthscope Commercial |
$517.14
|
| Rate for Payer: Healthscope Whirlpool |
$501.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$614.70
|
| Rate for Payer: Mclaren Commercial |
$465.43
|
| Rate for Payer: Mclaren Medicaid |
$336.24
|
| Rate for Payer: Mclaren Medicare |
$614.70
|
| Rate for Payer: Meridian Medicaid |
$353.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$645.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$706.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$439.57
|
| Rate for Payer: PACE Medicare |
$583.96
|
| Rate for Payer: PACE SWMI |
$614.70
|
| Rate for Payer: PHP Commercial |
$676.17
|
| Rate for Payer: PHP Medicaid |
$336.24
|
| Rate for Payer: PHP Medicare Advantage |
$614.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$362.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$378.77
|
| Rate for Payer: Priority Health Medicare |
$614.70
|
| Rate for Payer: Priority Health Narrow Network |
$303.02
|
| Rate for Payer: Railroad Medicare Medicare |
$614.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$455.08
|
| Rate for Payer: UHC Medicare Advantage |
$633.14
|
| Rate for Payer: VA VA |
$614.70
|
|
|
HC CHEMODNRV MUSC FACIAL
|
Facility
|
OP
|
$531.36
|
|
|
Service Code
|
CPT 64612
|
| Hospital Charge Code |
36100472
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$144.01 |
| Max. Negotiated Rate |
$531.36 |
| Rate for Payer: Aetna Commercial |
$478.22
|
| Rate for Payer: Aetna Medicare |
$263.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.09
|
| Rate for Payer: ASR ASR |
$515.42
|
| Rate for Payer: BCBS Complete |
$151.22
|
| Rate for Payer: BCBS MAPPO |
$263.27
|
| Rate for Payer: BCBS Trust/PPO |
$411.96
|
| Rate for Payer: BCN Commercial |
$411.96
|
| Rate for Payer: BCN Medicare Advantage |
$263.27
|
| Rate for Payer: Cash Price |
$425.09
|
| Rate for Payer: Cash Price |
$425.09
|
| Rate for Payer: Cofinity Commercial |
$499.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$425.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.27
|
| Rate for Payer: Healthscope Commercial |
$531.36
|
| Rate for Payer: Healthscope Whirlpool |
$515.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$263.27
|
| Rate for Payer: Mclaren Commercial |
$478.22
|
| Rate for Payer: Mclaren Medicaid |
$144.01
|
| Rate for Payer: Mclaren Medicare |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$151.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$276.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$451.66
|
| Rate for Payer: PACE Medicare |
$250.11
|
| Rate for Payer: PACE SWMI |
$263.27
|
| Rate for Payer: PHP Commercial |
$289.60
|
| Rate for Payer: PHP Medicaid |
$144.01
|
| Rate for Payer: PHP Medicare Advantage |
$263.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$371.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$483.54
|
| Rate for Payer: Priority Health Medicare |
$263.27
|
| Rate for Payer: Priority Health Narrow Network |
$377.27
|
| Rate for Payer: Railroad Medicare Medicare |
$263.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$467.60
|
| Rate for Payer: UHC Medicare Advantage |
$271.17
|
| Rate for Payer: VA VA |
$263.27
|
|
|
HC CHEMODNRV MUSC FACIAL
|
Facility
|
IP
|
$531.36
|
|
|
Service Code
|
CPT 64612
|
| Hospital Charge Code |
36100472
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$371.95 |
| Max. Negotiated Rate |
$531.36 |
| Rate for Payer: Aetna Commercial |
$478.22
|
| Rate for Payer: ASR ASR |
$515.42
|
| Rate for Payer: BCBS Trust/PPO |
$411.96
|
| Rate for Payer: BCN Commercial |
$411.96
|
| Rate for Payer: Cash Price |
$425.09
|
| Rate for Payer: Cofinity Commercial |
$499.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$425.09
|
| Rate for Payer: Healthscope Commercial |
$531.36
|
| Rate for Payer: Healthscope Whirlpool |
$515.42
|
| Rate for Payer: Mclaren Commercial |
$478.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$451.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$371.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$467.60
|
|
