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Service Code HCPCS C1713
Hospital Charge Code 27800001
Hospital Revenue Code 278
Min. Negotiated Rate $12.92
Max. Negotiated Rate $17.23
Rate for Payer: Aetna Commercial $15.51
Rate for Payer: ASR ASR $16.71
Rate for Payer: BCBS Trust/PPO $14.15
Rate for Payer: BCN Commercial $14.15
Rate for Payer: Cash Price $13.78
Rate for Payer: Cofinity Commercial $16.20
Rate for Payer: Encore Health Key Benefits Commercial $13.78
Rate for Payer: Healthscope Commercial $16.71
Rate for Payer: Healthscope Whirlpool $17.23
Rate for Payer: Mclaren Commercial $15.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial $14.65
Rate for Payer: Nomi Health Commercial $14.13
Rate for Payer: Opus (Opus Packaging Group) HMA $12.92
Rate for Payer: UHC All Payor (Choice/PPO) + Core $15.16
Service Code HCPCS C1713
Hospital Charge Code 27800001
Hospital Revenue Code 278
Min. Negotiated Rate $6.38
Max. Negotiated Rate $17.23
Rate for Payer: Aetna Commercial $15.51
Rate for Payer: Aetna Medicare $6.38
Rate for Payer: ASR ASR $16.71
Rate for Payer: BCBS Complete $6.89
Rate for Payer: BCBS Trust/PPO $14.21
Rate for Payer: BCN Commercial $14.21
Rate for Payer: Cash Price $13.78
Rate for Payer: Cofinity Commercial $16.20
Rate for Payer: Encore Health Key Benefits Commercial $13.78
Rate for Payer: Healthscope Commercial $16.71
Rate for Payer: Healthscope Whirlpool $17.23
Rate for Payer: Mclaren Commercial $15.51
Rate for Payer: MI Amish Medical Board Commercial $13.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial $14.65
Rate for Payer: Nomi Health Commercial $14.13
Rate for Payer: Opus (Opus Packaging Group) HMA $12.92
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $15.10
Rate for Payer: Priority Health Narrow Network $12.08
Rate for Payer: UHC All Payor (Choice/PPO) + Core $15.16
Service Code CPT 82157
Hospital Charge Code 30100102
Hospital Revenue Code 301
Min. Negotiated Rate $15.31
Max. Negotiated Rate $118.64
Rate for Payer: Aetna Commercial $49.66
Rate for Payer: Aetna Medicare $29.28
Rate for Payer: Allen County Amish Medical Aid Commercial $36.60
Rate for Payer: Amish Plain Church Group Commercial $36.60
Rate for Payer: ASR ASR $53.52
Rate for Payer: BCBS Complete $16.08
Rate for Payer: BCBS MAPPO $29.28
Rate for Payer: BCBS Trust/PPO $45.50
Rate for Payer: BCN Commercial $45.50
Rate for Payer: BCN Medicare Advantage $29.28
Rate for Payer: Cash Price $44.14
Rate for Payer: Cash Price $44.14
Rate for Payer: Cofinity Commercial $51.87
Rate for Payer: Encore Health Key Benefits Commercial $44.14
Rate for Payer: Health Alliance Plan Medicare Advantage $29.28
Rate for Payer: Healthscope Commercial $53.52
Rate for Payer: Healthscope Whirlpool $55.18
Rate for Payer: Humana Choice PPO Medicare $29.28
Rate for Payer: Mclaren Commercial $49.66
Rate for Payer: Mclaren Medicaid $29.28
Rate for Payer: Mclaren Medicare $29.28
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $30.74
Rate for Payer: Meridian Medicaid $16.08
Rate for Payer: MI Amish Medical Board Commercial $33.67
Rate for Payer: Molina Medicare/Medicaid $32.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial $46.90
Rate for Payer: Nomi Health Commercial $45.25
Rate for Payer: Opus (Opus Packaging Group) HMA $41.38
Rate for Payer: PACE Medicare $27.82
Rate for Payer: PACE SWMI $29.28
Rate for Payer: PHP Commercial $32.21
Rate for Payer: PHP Medicaid $15.69
Rate for Payer: PHP Medicare Advantage $29.28
Rate for Payer: Priority Health Choice Medicaid $15.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $118.64
Rate for Payer: Priority Health Medicare $29.28
Rate for Payer: Priority Health Narrow Network $94.91
Rate for Payer: Railroad Medicare Medicare $29.28
Rate for Payer: UHC All Payor (Choice/PPO) + Core $48.56
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $29.28
Rate for Payer: UHC Exchange $45.38
Rate for Payer: UHC Medicaid $15.31
Rate for Payer: UHCCP DNSP $29.28
Rate for Payer: UHCCP Medicaid $15.31
Rate for Payer: VA VA $29.28
Service Code CPT 82157
Hospital Charge Code 30100102
Hospital Revenue Code 301
Min. Negotiated Rate $41.38
Max. Negotiated Rate $55.18
Rate for Payer: Aetna Commercial $49.66
Rate for Payer: ASR ASR $53.52
Rate for Payer: BCBS Trust/PPO $45.31
Rate for Payer: BCN Commercial $45.31
Rate for Payer: Cash Price $44.14
Rate for Payer: Cofinity Commercial $51.87
Rate for Payer: Encore Health Key Benefits Commercial $44.14
Rate for Payer: Healthscope Commercial $53.52
Rate for Payer: Healthscope Whirlpool $55.18
Rate for Payer: Mclaren Commercial $49.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial $46.90
Rate for Payer: Nomi Health Commercial $45.25
Rate for Payer: Opus (Opus Packaging Group) HMA $41.38
Rate for Payer: UHC All Payor (Choice/PPO) + Core $48.56
Service Code CPT 82157
Hospital Charge Code 30100748
Hospital Revenue Code 301
Min. Negotiated Rate $77.25
Max. Negotiated Rate $103.00
Rate for Payer: Aetna Commercial $92.70
Rate for Payer: ASR ASR $99.91
Rate for Payer: BCBS Trust/PPO $84.58
Rate for Payer: BCN Commercial $84.58
Rate for Payer: Cash Price $82.40
Rate for Payer: Cofinity Commercial $96.82
Rate for Payer: Encore Health Key Benefits Commercial $82.40
Rate for Payer: Healthscope Commercial $99.91
Rate for Payer: Healthscope Whirlpool $103.00
Rate for Payer: Mclaren Commercial $92.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial $87.55
Rate for Payer: Nomi Health Commercial $84.46
Rate for Payer: Opus (Opus Packaging Group) HMA $77.25
Rate for Payer: UHC All Payor (Choice/PPO) + Core $90.64
Service Code CPT 82157
Hospital Charge Code 30100748
Hospital Revenue Code 301
Min. Negotiated Rate $15.31
Max. Negotiated Rate $118.64
Rate for Payer: Aetna Commercial $92.70
Rate for Payer: Aetna Medicare $29.28
Rate for Payer: Allen County Amish Medical Aid Commercial $36.60
Rate for Payer: Amish Plain Church Group Commercial $36.60
Rate for Payer: ASR ASR $99.91
Rate for Payer: BCBS Complete $16.08
Rate for Payer: BCBS MAPPO $29.28
Rate for Payer: BCBS Trust/PPO $84.92
Rate for Payer: BCN Commercial $84.92
Rate for Payer: BCN Medicare Advantage $29.28
Rate for Payer: Cash Price $82.40
Rate for Payer: Cash Price $82.40
Rate for Payer: Cofinity Commercial $96.82
Rate for Payer: Encore Health Key Benefits Commercial $82.40
Rate for Payer: Health Alliance Plan Medicare Advantage $29.28
Rate for Payer: Healthscope Commercial $99.91
Rate for Payer: Healthscope Whirlpool $103.00
Rate for Payer: Humana Choice PPO Medicare $29.28
Rate for Payer: Mclaren Commercial $92.70
Rate for Payer: Mclaren Medicaid $29.28
Rate for Payer: Mclaren Medicare $29.28
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $30.74
Rate for Payer: Meridian Medicaid $16.08
Rate for Payer: MI Amish Medical Board Commercial $33.67
Rate for Payer: Molina Medicare/Medicaid $32.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial $87.55
Rate for Payer: Nomi Health Commercial $84.46
Rate for Payer: Opus (Opus Packaging Group) HMA $77.25
Rate for Payer: PACE Medicare $27.82
Rate for Payer: PACE SWMI $29.28
Rate for Payer: PHP Commercial $32.21
Rate for Payer: PHP Medicaid $15.69
Rate for Payer: PHP Medicare Advantage $29.28
Rate for Payer: Priority Health Choice Medicaid $15.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $118.64
Rate for Payer: Priority Health Medicare $29.28
Rate for Payer: Priority Health Narrow Network $94.91
Rate for Payer: Railroad Medicare Medicare $29.28
Rate for Payer: UHC All Payor (Choice/PPO) + Core $90.64
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $29.28
Rate for Payer: UHC Exchange $45.38
Rate for Payer: UHC Medicaid $15.31
Rate for Payer: UHCCP DNSP $29.28
Rate for Payer: UHCCP Medicaid $15.31
Rate for Payer: VA VA $29.28
Hospital Charge Code 37100001
Hospital Revenue Code 371
Min. Negotiated Rate $164.32
Max. Negotiated Rate $444.11
Rate for Payer: Aetna Commercial $399.70
Rate for Payer: Aetna Medicare $164.32
Rate for Payer: ASR ASR $430.79
Rate for Payer: BCBS Complete $177.64
Rate for Payer: BCBS Trust/PPO $366.17
Rate for Payer: BCN Commercial $366.17
Rate for Payer: Cash Price $355.29
Rate for Payer: Cofinity Commercial $417.46
Rate for Payer: Encore Health Key Benefits Commercial $355.29
Rate for Payer: Healthscope Commercial $430.79
Rate for Payer: Healthscope Whirlpool $444.11
Rate for Payer: Mclaren Commercial $399.70
Rate for Payer: MI Amish Medical Board Commercial $355.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial $377.49
Rate for Payer: Nomi Health Commercial $364.17
Rate for Payer: Opus (Opus Packaging Group) HMA $333.08
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $389.13
Rate for Payer: Priority Health Narrow Network $311.32
Rate for Payer: UHC All Payor (Choice/PPO) + Core $390.82
Hospital Charge Code 37100001
Hospital Revenue Code 371
Min. Negotiated Rate $333.08
Max. Negotiated Rate $444.11
Rate for Payer: Aetna Commercial $399.70
Rate for Payer: ASR ASR $430.79
Rate for Payer: BCBS Trust/PPO $364.70
Rate for Payer: BCN Commercial $364.70
Rate for Payer: Cash Price $355.29
Rate for Payer: Cofinity Commercial $417.46
Rate for Payer: Encore Health Key Benefits Commercial $355.29
Rate for Payer: Healthscope Commercial $430.79
Rate for Payer: Healthscope Whirlpool $444.11
Rate for Payer: Mclaren Commercial $399.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial $377.49
Rate for Payer: Nomi Health Commercial $364.17
Rate for Payer: Opus (Opus Packaging Group) HMA $333.08
Rate for Payer: UHC All Payor (Choice/PPO) + Core $390.82
Service Code CPT 88271
Hospital Charge Code 31000028
Hospital Revenue Code 310
Min. Negotiated Rate $11.20
Max. Negotiated Rate $52.00
Rate for Payer: Aetna Commercial $46.80
Rate for Payer: Aetna Medicare $21.42
Rate for Payer: Allen County Amish Medical Aid Commercial $26.77
Rate for Payer: Amish Plain Church Group Commercial $26.77
Rate for Payer: ASR ASR $50.44
Rate for Payer: BCBS Complete $11.76
Rate for Payer: BCBS MAPPO $21.42
Rate for Payer: BCBS Trust/PPO $42.87
Rate for Payer: BCN Commercial $42.87
Rate for Payer: BCN Medicare Advantage $21.42
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 $21.42
Rate for Payer: Healthscope Commercial $50.44
Rate for Payer: Healthscope Whirlpool $52.00
Rate for Payer: Humana Choice PPO Medicare $21.42
Rate for Payer: Mclaren Commercial $46.80
Rate for Payer: Mclaren Medicaid $21.42
Rate for Payer: Mclaren Medicare $21.42
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $22.49
Rate for Payer: Meridian Medicaid $11.76
Rate for Payer: MI Amish Medical Board Commercial $24.63
Rate for Payer: Molina Medicare/Medicaid $23.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial $44.20
Rate for Payer: Nomi Health Commercial $42.64
Rate for Payer: Opus (Opus Packaging Group) HMA $39.00
Rate for Payer: PACE Medicare $20.35
Rate for Payer: PACE SWMI $21.42
Rate for Payer: PHP Commercial $23.56
Rate for Payer: PHP Medicaid $11.48
Rate for Payer: PHP Medicare Advantage $21.42
Rate for Payer: Priority Health Choice Medicaid $11.20
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $45.56
Rate for Payer: Priority Health Medicare $21.42
Rate for Payer: Priority Health Narrow Network $36.45
Rate for Payer: Railroad Medicare Medicare $21.42
Rate for Payer: UHC All Payor (Choice/PPO) + Core $45.76
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $21.42
Rate for Payer: UHC Exchange $33.20
Rate for Payer: UHC Medicaid $11.20
Rate for Payer: UHCCP DNSP $21.42
Rate for Payer: UHCCP Medicaid $11.20
Rate for Payer: VA VA $21.42
Service Code CPT 88271
Hospital Charge Code 31000028
Hospital Revenue Code 310
Min. Negotiated Rate $39.00
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 $42.70
Rate for Payer: BCN Commercial $42.70
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 $50.44
Rate for Payer: Healthscope Whirlpool $52.00
Rate for Payer: Mclaren Commercial $46.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $44.20
Rate for Payer: Nomi Health Commercial $42.64
Rate for Payer: Opus (Opus Packaging Group) HMA $39.00
Rate for Payer: UHC All Payor (Choice/PPO) + Core $45.76
Service Code CPT 88275
Hospital Charge Code 31000038
Hospital Revenue Code 310
Min. Negotiated Rate $105.86
Max. Negotiated Rate $141.14
Rate for Payer: Aetna Commercial $127.03
Rate for Payer: ASR ASR $136.91
Rate for Payer: BCBS Trust/PPO $115.90
Rate for Payer: BCN Commercial $115.90
Rate for Payer: Cash Price $112.91
Rate for Payer: Cofinity Commercial $132.67
Rate for Payer: Encore Health Key Benefits Commercial $112.91
Rate for Payer: Healthscope Commercial $136.91
Rate for Payer: Healthscope Whirlpool $141.14
Rate for Payer: Mclaren Commercial $127.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial $119.97
Rate for Payer: Nomi Health Commercial $115.73
Rate for Payer: Opus (Opus Packaging Group) HMA $105.86
Rate for Payer: UHC All Payor (Choice/PPO) + Core $124.20
Service Code CPT 88275
Hospital Charge Code 31000038
Hospital Revenue Code 310
Min. Negotiated Rate $26.77
Max. Negotiated Rate $141.14
Rate for Payer: Aetna Commercial $127.03
Rate for Payer: Aetna Medicare $51.19
Rate for Payer: Allen County Amish Medical Aid Commercial $63.99
Rate for Payer: Amish Plain Church Group Commercial $63.99
Rate for Payer: ASR ASR $136.91
Rate for Payer: BCBS Complete $28.11
Rate for Payer: BCBS MAPPO $51.19
Rate for Payer: BCBS Trust/PPO $116.37
Rate for Payer: BCN Commercial $116.37
Rate for Payer: BCN Medicare Advantage $51.19
Rate for Payer: Cash Price $112.91
Rate for Payer: Cash Price $112.91
Rate for Payer: Cofinity Commercial $132.67
Rate for Payer: Encore Health Key Benefits Commercial $112.91
Rate for Payer: Health Alliance Plan Medicare Advantage $51.19
Rate for Payer: Healthscope Commercial $136.91
Rate for Payer: Healthscope Whirlpool $141.14
Rate for Payer: Humana Choice PPO Medicare $51.19
Rate for Payer: Mclaren Commercial $127.03
Rate for Payer: Mclaren Medicaid $51.19
Rate for Payer: Mclaren Medicare $51.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $53.75
Rate for Payer: Meridian Medicaid $28.11
Rate for Payer: MI Amish Medical Board Commercial $58.87
Rate for Payer: Molina Medicare/Medicaid $56.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial $119.97
Rate for Payer: Nomi Health Commercial $115.73
Rate for Payer: Opus (Opus Packaging Group) HMA $105.86
Rate for Payer: PACE Medicare $48.63
Rate for Payer: PACE SWMI $51.19
Rate for Payer: PHP Commercial $56.31
Rate for Payer: PHP Medicaid $27.44
Rate for Payer: PHP Medicare Advantage $51.19
Rate for Payer: Priority Health Choice Medicaid $26.77
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $123.67
Rate for Payer: Priority Health Medicare $51.19
Rate for Payer: Priority Health Narrow Network $98.94
Rate for Payer: Railroad Medicare Medicare $51.19
Rate for Payer: UHC All Payor (Choice/PPO) + Core $124.20
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $51.19
Rate for Payer: UHC Exchange $79.34
Rate for Payer: UHC Medicaid $26.77
Rate for Payer: UHCCP DNSP $51.19
Rate for Payer: UHCCP Medicaid $26.77
Rate for Payer: VA VA $51.19
Service Code CPT 36907
Hospital Charge Code 36100531
Hospital Revenue Code 361
Min. Negotiated Rate $1,805.95
Max. Negotiated Rate $2,407.94
Rate for Payer: Aetna Commercial $2,167.15
Rate for Payer: ASR ASR $2,335.70
Rate for Payer: BCBS Trust/PPO $1,977.40
Rate for Payer: BCN Commercial $1,977.40
Rate for Payer: Cash Price $1,926.35
Rate for Payer: Cofinity Commercial $2,263.46
Rate for Payer: Encore Health Key Benefits Commercial $1,926.35
Rate for Payer: Healthscope Commercial $2,335.70
Rate for Payer: Healthscope Whirlpool $2,407.94
Rate for Payer: Mclaren Commercial $2,167.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial $2,046.75
Rate for Payer: Nomi Health Commercial $1,974.51
Rate for Payer: Opus (Opus Packaging Group) HMA $1,805.95
Rate for Payer: UHC All Payor (Choice/PPO) + Core $2,118.99
Service Code CPT 36907
Hospital Charge Code 36100531
Hospital Revenue Code 361
Min. Negotiated Rate $890.94
Max. Negotiated Rate $2,407.94
Rate for Payer: Aetna Commercial $2,167.15
Rate for Payer: Aetna Medicare $890.94
Rate for Payer: ASR ASR $2,335.70
Rate for Payer: BCBS Complete $963.18
Rate for Payer: BCBS Trust/PPO $1,985.35
Rate for Payer: BCN Commercial $1,985.35
Rate for Payer: Cash Price $1,926.35
Rate for Payer: Cofinity Commercial $2,263.46
Rate for Payer: Encore Health Key Benefits Commercial $1,926.35
Rate for Payer: Healthscope Commercial $2,335.70
Rate for Payer: Healthscope Whirlpool $2,407.94
Rate for Payer: Mclaren Commercial $2,167.15
Rate for Payer: MI Amish Medical Board Commercial $1,926.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial $2,046.75
Rate for Payer: Nomi Health Commercial $1,974.51
Rate for Payer: Opus (Opus Packaging Group) HMA $1,805.95
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $2,109.84
Rate for Payer: Priority Health Narrow Network $1,687.97
Rate for Payer: UHC All Payor (Choice/PPO) + Core $2,118.99
Service Code CPT 37247
Hospital Charge Code 36100535
Hospital Revenue Code 361
Min. Negotiated Rate $384.35
Max. Negotiated Rate $512.46
Rate for Payer: Aetna Commercial $461.21
Rate for Payer: ASR ASR $497.09
Rate for Payer: BCBS Trust/PPO $420.83
Rate for Payer: BCN Commercial $420.83
Rate for Payer: Cash Price $409.97
Rate for Payer: Cofinity Commercial $481.71
Rate for Payer: Encore Health Key Benefits Commercial $409.97
Rate for Payer: Healthscope Commercial $497.09
Rate for Payer: Healthscope Whirlpool $512.46
Rate for Payer: Mclaren Commercial $461.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial $435.59
Rate for Payer: Nomi Health Commercial $420.22
Rate for Payer: Opus (Opus Packaging Group) HMA $384.35
Rate for Payer: UHC All Payor (Choice/PPO) + Core $450.96
Service Code CPT 37247
Hospital Charge Code 36100535
Hospital Revenue Code 361
Min. Negotiated Rate $189.61
Max. Negotiated Rate $512.46
Rate for Payer: Aetna Commercial $461.21
Rate for Payer: Aetna Medicare $189.61
Rate for Payer: ASR ASR $497.09
Rate for Payer: BCBS Complete $204.98
Rate for Payer: BCBS Trust/PPO $422.52
Rate for Payer: BCN Commercial $422.52
Rate for Payer: Cash Price $409.97
Rate for Payer: Cofinity Commercial $481.71
Rate for Payer: Encore Health Key Benefits Commercial $409.97
Rate for Payer: Healthscope Commercial $497.09
Rate for Payer: Healthscope Whirlpool $512.46
Rate for Payer: Mclaren Commercial $461.21
Rate for Payer: MI Amish Medical Board Commercial $409.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial $435.59
Rate for Payer: Nomi Health Commercial $420.22
Rate for Payer: Opus (Opus Packaging Group) HMA $384.35
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $449.02
Rate for Payer: Priority Health Narrow Network $359.23
Rate for Payer: UHC All Payor (Choice/PPO) + Core $450.96
Service Code CPT 37249
Hospital Charge Code 36100537
Hospital Revenue Code 361
Min. Negotiated Rate $435.21
Max. Negotiated Rate $580.28
Rate for Payer: Aetna Commercial $522.25
Rate for Payer: ASR ASR $562.87
Rate for Payer: BCBS Trust/PPO $476.53
Rate for Payer: BCN Commercial $476.53
Rate for Payer: Cash Price $464.22
Rate for Payer: Cofinity Commercial $545.46
Rate for Payer: Encore Health Key Benefits Commercial $464.22
Rate for Payer: Healthscope Commercial $562.87
Rate for Payer: Healthscope Whirlpool $580.28
Rate for Payer: Mclaren Commercial $522.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial $493.24
Rate for Payer: Nomi Health Commercial $475.83
Rate for Payer: Opus (Opus Packaging Group) HMA $435.21
Rate for Payer: UHC All Payor (Choice/PPO) + Core $510.65
Service Code CPT 37249
Hospital Charge Code 36100537
Hospital Revenue Code 361
Min. Negotiated Rate $214.70
Max. Negotiated Rate $580.28
Rate for Payer: Aetna Commercial $522.25
Rate for Payer: Aetna Medicare $214.70
Rate for Payer: ASR ASR $562.87
Rate for Payer: BCBS Complete $232.11
Rate for Payer: BCBS Trust/PPO $478.44
Rate for Payer: BCN Commercial $478.44
Rate for Payer: Cash Price $464.22
Rate for Payer: Cofinity Commercial $545.46
Rate for Payer: Encore Health Key Benefits Commercial $464.22
Rate for Payer: Healthscope Commercial $562.87
Rate for Payer: Healthscope Whirlpool $580.28
Rate for Payer: Mclaren Commercial $522.25
Rate for Payer: MI Amish Medical Board Commercial $464.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial $493.24
Rate for Payer: Nomi Health Commercial $475.83
Rate for Payer: Opus (Opus Packaging Group) HMA $435.21
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $508.44
Rate for Payer: Priority Health Narrow Network $406.78
Rate for Payer: UHC All Payor (Choice/PPO) + Core $510.65
Service Code CPT 37246
Hospital Charge Code 36100534
Hospital Revenue Code 361
Min. Negotiated Rate $4,979.65
Max. Negotiated Rate $6,639.53
Rate for Payer: Aetna Commercial $5,975.58
Rate for Payer: ASR ASR $6,440.34
Rate for Payer: BCBS Trust/PPO $5,452.38
Rate for Payer: BCN Commercial $5,452.38
Rate for Payer: Cash Price $5,311.62
Rate for Payer: Cofinity Commercial $6,241.16
Rate for Payer: Encore Health Key Benefits Commercial $5,311.62
Rate for Payer: Healthscope Commercial $6,440.34
Rate for Payer: Healthscope Whirlpool $6,639.53
Rate for Payer: Mclaren Commercial $5,975.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial $5,643.60
Rate for Payer: Nomi Health Commercial $5,444.41
Rate for Payer: Opus (Opus Packaging Group) HMA $4,979.65
Rate for Payer: UHC All Payor (Choice/PPO) + Core $5,842.79
Service Code CPT 37246
Hospital Charge Code 36100534
Hospital Revenue Code 361
Min. Negotiated Rate $2,965.99
Max. Negotiated Rate $8,790.20
Rate for Payer: Aetna Commercial $5,975.58
Rate for Payer: Aetna Medicare $5,671.10
Rate for Payer: Allen County Amish Medical Aid Commercial $7,088.88
Rate for Payer: Amish Plain Church Group Commercial $7,088.88
Rate for Payer: ASR ASR $6,440.34
Rate for Payer: BCBS Complete $3,114.57
Rate for Payer: BCBS MAPPO $5,671.10
Rate for Payer: BCBS Trust/PPO $5,474.29
Rate for Payer: BCN Commercial $5,474.29
Rate for Payer: BCN Medicare Advantage $5,671.10
Rate for Payer: Cash Price $5,311.62
Rate for Payer: Cash Price $5,311.62
Rate for Payer: Cofinity Commercial $6,241.16
Rate for Payer: Encore Health Key Benefits Commercial $5,311.62
Rate for Payer: Health Alliance Plan Medicare Advantage $5,671.10
Rate for Payer: Healthscope Commercial $6,440.34
Rate for Payer: Healthscope Whirlpool $6,639.53
Rate for Payer: Humana Choice PPO Medicare $5,671.10
Rate for Payer: Mclaren Commercial $5,975.58
Rate for Payer: Mclaren Medicaid $5,671.10
Rate for Payer: Mclaren Medicare $5,671.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $5,954.65
Rate for Payer: Meridian Medicaid $3,114.57
Rate for Payer: MI Amish Medical Board Commercial $6,521.77
Rate for Payer: Molina Medicare/Medicaid $6,238.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial $5,643.60
Rate for Payer: Nomi Health Commercial $5,444.41
Rate for Payer: Opus (Opus Packaging Group) HMA $4,979.65
Rate for Payer: PACE Medicare $5,387.55
Rate for Payer: PACE SWMI $5,671.10
Rate for Payer: PHP Commercial $6,238.21
Rate for Payer: PHP Medicaid $3,039.71
Rate for Payer: PHP Medicare Advantage $5,671.10
Rate for Payer: Priority Health Choice Medicaid $2,965.99
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $5,817.56
Rate for Payer: Priority Health Medicare $5,671.10
Rate for Payer: Priority Health Narrow Network $4,654.31
Rate for Payer: Railroad Medicare Medicare $5,671.10
Rate for Payer: UHC All Payor (Choice/PPO) + Core $5,842.79
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $5,671.10
Rate for Payer: UHC Exchange $8,790.20
Rate for Payer: UHC Medicaid $2,965.99
Rate for Payer: UHCCP DNSP $5,671.10
Rate for Payer: UHCCP Medicaid $2,965.99
Rate for Payer: VA VA $5,671.10
Service Code CPT 37248
Hospital Charge Code 36100536
Hospital Revenue Code 361
Min. Negotiated Rate $5,126.11
Max. Negotiated Rate $6,834.81
Rate for Payer: Aetna Commercial $6,151.33
Rate for Payer: ASR ASR $6,629.77
Rate for Payer: BCBS Trust/PPO $5,612.75
Rate for Payer: BCN Commercial $5,612.75
Rate for Payer: Cash Price $5,467.85
Rate for Payer: Cofinity Commercial $6,424.72
Rate for Payer: Encore Health Key Benefits Commercial $5,467.85
Rate for Payer: Healthscope Commercial $6,629.77
Rate for Payer: Healthscope Whirlpool $6,834.81
Rate for Payer: Mclaren Commercial $6,151.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial $5,809.59
Rate for Payer: Nomi Health Commercial $5,604.54
Rate for Payer: Opus (Opus Packaging Group) HMA $5,126.11
Rate for Payer: UHC All Payor (Choice/PPO) + Core $6,014.63
Service Code CPT 37248
Hospital Charge Code 36100536
Hospital Revenue Code 361
Min. Negotiated Rate $2,965.99
Max. Negotiated Rate $8,790.20
Rate for Payer: Aetna Commercial $6,151.33
Rate for Payer: Aetna Medicare $5,671.10
Rate for Payer: Allen County Amish Medical Aid Commercial $7,088.88
Rate for Payer: Amish Plain Church Group Commercial $7,088.88
Rate for Payer: ASR ASR $6,629.77
Rate for Payer: BCBS Complete $3,114.57
Rate for Payer: BCBS MAPPO $5,671.10
Rate for Payer: BCBS Trust/PPO $5,635.30
Rate for Payer: BCN Commercial $5,635.30
Rate for Payer: BCN Medicare Advantage $5,671.10
Rate for Payer: Cash Price $5,467.85
Rate for Payer: Cash Price $5,467.85
Rate for Payer: Cofinity Commercial $6,424.72
Rate for Payer: Encore Health Key Benefits Commercial $5,467.85
Rate for Payer: Health Alliance Plan Medicare Advantage $5,671.10
Rate for Payer: Healthscope Commercial $6,629.77
Rate for Payer: Healthscope Whirlpool $6,834.81
Rate for Payer: Humana Choice PPO Medicare $5,671.10
Rate for Payer: Mclaren Commercial $6,151.33
Rate for Payer: Mclaren Medicaid $5,671.10
Rate for Payer: Mclaren Medicare $5,671.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $5,954.65
Rate for Payer: Meridian Medicaid $3,114.57
Rate for Payer: MI Amish Medical Board Commercial $6,521.77
Rate for Payer: Molina Medicare/Medicaid $6,238.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial $5,809.59
Rate for Payer: Nomi Health Commercial $5,604.54
Rate for Payer: Opus (Opus Packaging Group) HMA $5,126.11
Rate for Payer: PACE Medicare $5,387.55
Rate for Payer: PACE SWMI $5,671.10
Rate for Payer: PHP Commercial $6,238.21
Rate for Payer: PHP Medicaid $3,039.71
Rate for Payer: PHP Medicare Advantage $5,671.10
Rate for Payer: Priority Health Choice Medicaid $2,965.99
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $5,988.66
Rate for Payer: Priority Health Medicare $5,671.10
Rate for Payer: Priority Health Narrow Network $4,791.20
Rate for Payer: Railroad Medicare Medicare $5,671.10
Rate for Payer: UHC All Payor (Choice/PPO) + Core $6,014.63
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $5,671.10
Rate for Payer: UHC Exchange $8,790.20
Rate for Payer: UHC Medicaid $2,965.99
Rate for Payer: UHCCP DNSP $5,671.10
Rate for Payer: UHCCP Medicaid $2,965.99
Rate for Payer: VA VA $5,671.10
Service Code CPT 61642
Hospital Charge Code 36100277
Hospital Revenue Code 361
Min. Negotiated Rate $773.69
Max. Negotiated Rate $1,031.59
Rate for Payer: Aetna Commercial $928.43
Rate for Payer: ASR ASR $1,000.64
Rate for Payer: BCBS Trust/PPO $847.14
Rate for Payer: BCN Commercial $847.14
Rate for Payer: Cash Price $825.27
Rate for Payer: Cofinity Commercial $969.69
Rate for Payer: Encore Health Key Benefits Commercial $825.27
Rate for Payer: Healthscope Commercial $1,000.64
Rate for Payer: Healthscope Whirlpool $1,031.59
Rate for Payer: Mclaren Commercial $928.43
Rate for Payer: Multiplan/Beech St/PHCS Commercial $876.85
Rate for Payer: Nomi Health Commercial $845.90
Rate for Payer: Opus (Opus Packaging Group) HMA $773.69
Rate for Payer: UHC All Payor (Choice/PPO) + Core $907.80
Service Code CPT 61642
Hospital Charge Code 36100277
Hospital Revenue Code 361
Min. Negotiated Rate $381.69
Max. Negotiated Rate $1,031.59
Rate for Payer: Aetna Commercial $928.43
Rate for Payer: Aetna Medicare $381.69
Rate for Payer: ASR ASR $1,000.64
Rate for Payer: BCBS Complete $412.64
Rate for Payer: BCBS Trust/PPO $850.55
Rate for Payer: BCN Commercial $850.55
Rate for Payer: Cash Price $825.27
Rate for Payer: Cofinity Commercial $969.69
Rate for Payer: Encore Health Key Benefits Commercial $825.27
Rate for Payer: Healthscope Commercial $1,000.64
Rate for Payer: Healthscope Whirlpool $1,031.59
Rate for Payer: Mclaren Commercial $928.43
Rate for Payer: MI Amish Medical Board Commercial $825.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial $876.85
Rate for Payer: Nomi Health Commercial $845.90
Rate for Payer: Opus (Opus Packaging Group) HMA $773.69
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network $903.88
Rate for Payer: Priority Health Narrow Network $723.14
Rate for Payer: UHC All Payor (Choice/PPO) + Core $907.80
Service Code CPT 61641
Hospital Charge Code 36100276
Hospital Revenue Code 361
Min. Negotiated Rate $773.69
Max. Negotiated Rate $1,031.59
Rate for Payer: Aetna Commercial $928.43
Rate for Payer: ASR ASR $1,000.64
Rate for Payer: BCBS Trust/PPO $847.14
Rate for Payer: BCN Commercial $847.14
Rate for Payer: Cash Price $825.27
Rate for Payer: Cofinity Commercial $969.69
Rate for Payer: Encore Health Key Benefits Commercial $825.27
Rate for Payer: Healthscope Commercial $1,000.64
Rate for Payer: Healthscope Whirlpool $1,031.59
Rate for Payer: Mclaren Commercial $928.43
Rate for Payer: Multiplan/Beech St/PHCS Commercial $876.85
Rate for Payer: Nomi Health Commercial $845.90
Rate for Payer: Opus (Opus Packaging Group) HMA $773.69
Rate for Payer: UHC All Payor (Choice/PPO) + Core $907.80