|
HC CORO ANGIOS W RHC
|
Facility
|
IP
|
$8,788.64
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,152.05 |
| Max. Negotiated Rate |
$8,788.64 |
| Rate for Payer: Aetna Commercial |
$7,909.78
|
| Rate for Payer: ASR ASR |
$8,524.98
|
| Rate for Payer: BCBS Trust/PPO |
$6,813.83
|
| Rate for Payer: BCN Commercial |
$6,813.83
|
| Rate for Payer: Cash Price |
$7,030.91
|
| Rate for Payer: Cofinity Commercial |
$8,261.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,030.91
|
| Rate for Payer: Healthscope Commercial |
$8,788.64
|
| Rate for Payer: Healthscope Whirlpool |
$8,524.98
|
| Rate for Payer: Mclaren Commercial |
$7,909.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,470.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,152.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,734.00
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
OP
|
$6,972.49
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,584.36 |
| Max. Negotiated Rate |
$6,972.49 |
| Rate for Payer: Aetna Commercial |
$6,275.24
|
| Rate for Payer: Aetna Medicare |
$2,896.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,620.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,620.58
|
| Rate for Payer: ASR ASR |
$6,763.32
|
| Rate for Payer: BCBS Complete |
$1,663.73
|
| Rate for Payer: BCBS MAPPO |
$2,896.46
|
| Rate for Payer: BCBS Trust/PPO |
$5,405.77
|
| Rate for Payer: BCN Commercial |
$5,405.77
|
| Rate for Payer: BCN Medicare Advantage |
$2,896.46
|
| Rate for Payer: Cash Price |
$5,577.99
|
| Rate for Payer: Cash Price |
$5,577.99
|
| Rate for Payer: Cofinity Commercial |
$6,554.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,577.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,896.46
|
| Rate for Payer: Healthscope Commercial |
$6,972.49
|
| Rate for Payer: Healthscope Whirlpool |
$6,763.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,896.46
|
| Rate for Payer: Mclaren Commercial |
$6,275.24
|
| Rate for Payer: Mclaren Medicaid |
$1,584.36
|
| Rate for Payer: Mclaren Medicare |
$2,896.46
|
| Rate for Payer: Meridian Medicaid |
$1,663.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,041.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,330.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,926.62
|
| Rate for Payer: PACE Medicare |
$2,751.64
|
| Rate for Payer: PACE SWMI |
$2,896.46
|
| Rate for Payer: PHP Commercial |
$3,186.11
|
| Rate for Payer: PHP Medicaid |
$1,584.36
|
| Rate for Payer: PHP Medicare Advantage |
$2,896.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,584.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,880.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,344.97
|
| Rate for Payer: Priority Health Medicare |
$2,896.46
|
| Rate for Payer: Priority Health Narrow Network |
$4,950.47
|
| Rate for Payer: Railroad Medicare Medicare |
$2,896.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,135.79
|
| Rate for Payer: UHC Medicare Advantage |
$2,983.35
|
| Rate for Payer: VA VA |
$2,896.46
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
IP
|
$6,972.49
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,880.74 |
| Max. Negotiated Rate |
$6,972.49 |
| Rate for Payer: Aetna Commercial |
$6,275.24
|
| Rate for Payer: ASR ASR |
$6,763.32
|
| Rate for Payer: BCBS Trust/PPO |
$5,405.77
|
| Rate for Payer: BCN Commercial |
$5,405.77
|
| Rate for Payer: Cash Price |
$5,577.99
|
| Rate for Payer: Cofinity Commercial |
$6,554.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,577.99
|
| Rate for Payer: Healthscope Commercial |
$6,972.49
|
| Rate for Payer: Healthscope Whirlpool |
$6,763.32
|
| Rate for Payer: Mclaren Commercial |
$6,275.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,926.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,880.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,135.79
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
IP
|
$7,402.32
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,181.62 |
| Max. Negotiated Rate |
$7,402.32 |
| Rate for Payer: Aetna Commercial |
$6,662.09
|
| Rate for Payer: ASR ASR |
$7,180.25
|
| Rate for Payer: BCBS Trust/PPO |
$5,739.02
|
| Rate for Payer: BCN Commercial |
$5,739.02
|
| Rate for Payer: Cash Price |
$5,921.86
|
| Rate for Payer: Cofinity Commercial |
$6,958.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,921.86
|
| Rate for Payer: Healthscope Commercial |
$7,402.32
|
| Rate for Payer: Healthscope Whirlpool |
$7,180.25
|
| Rate for Payer: Mclaren Commercial |
$6,662.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,291.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,181.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,514.04
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
OP
|
$7,402.32
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,584.36 |
| Max. Negotiated Rate |
$7,402.32 |
| Rate for Payer: Aetna Commercial |
$6,662.09
|
| Rate for Payer: Aetna Medicare |
$2,896.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,620.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,620.58
|
| Rate for Payer: ASR ASR |
$7,180.25
|
| Rate for Payer: BCBS Complete |
$1,663.73
|
| Rate for Payer: BCBS MAPPO |
$2,896.46
|
| Rate for Payer: BCBS Trust/PPO |
$5,739.02
|
| Rate for Payer: BCN Commercial |
$5,739.02
|
| Rate for Payer: BCN Medicare Advantage |
$2,896.46
|
| Rate for Payer: Cash Price |
$5,921.86
|
| Rate for Payer: Cash Price |
$5,921.86
|
| Rate for Payer: Cofinity Commercial |
$6,958.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,921.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,896.46
|
| Rate for Payer: Healthscope Commercial |
$7,402.32
|
| Rate for Payer: Healthscope Whirlpool |
$7,180.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,896.46
|
| Rate for Payer: Mclaren Commercial |
$6,662.09
|
| Rate for Payer: Mclaren Medicaid |
$1,584.36
|
| Rate for Payer: Mclaren Medicare |
$2,896.46
|
| Rate for Payer: Meridian Medicaid |
$1,663.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,041.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,330.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,291.97
|
| Rate for Payer: PACE Medicare |
$2,751.64
|
| Rate for Payer: PACE SWMI |
$2,896.46
|
| Rate for Payer: PHP Commercial |
$3,186.11
|
| Rate for Payer: PHP Medicaid |
$1,584.36
|
| Rate for Payer: PHP Medicare Advantage |
$2,896.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,584.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,181.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,736.11
|
| Rate for Payer: Priority Health Medicare |
$2,896.46
|
| Rate for Payer: Priority Health Narrow Network |
$5,255.65
|
| Rate for Payer: Railroad Medicare Medicare |
$2,896.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,514.04
|
| Rate for Payer: UHC Medicare Advantage |
$2,983.35
|
| Rate for Payer: VA VA |
$2,896.46
|
|
|
HC CORONARY CRITICAL CARE R&B
|
Facility
|
IP
|
$6,213.20
|
|
| Hospital Charge Code |
21000001
|
|
Hospital Revenue Code
|
210
|
| Min. Negotiated Rate |
$4,349.24 |
| Max. Negotiated Rate |
$6,213.20 |
| Rate for Payer: Aetna Commercial |
$5,591.88
|
| Rate for Payer: ASR ASR |
$6,026.80
|
| Rate for Payer: BCBS Trust/PPO |
$4,817.09
|
| Rate for Payer: BCN Commercial |
$4,817.09
|
| Rate for Payer: Cash Price |
$4,970.56
|
| Rate for Payer: Cofinity Commercial |
$5,840.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,970.56
|
| Rate for Payer: Healthscope Commercial |
$6,213.20
|
| Rate for Payer: Healthscope Whirlpool |
$6,026.80
|
| Rate for Payer: Mclaren Commercial |
$5,591.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,281.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,349.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,467.62
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
OP
|
$1,530.89
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$612.36 |
| Max. Negotiated Rate |
$1,530.89 |
| Rate for Payer: Aetna Commercial |
$1,377.80
|
| Rate for Payer: ASR ASR |
$1,484.96
|
| Rate for Payer: BCBS Complete |
$612.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.90
|
| Rate for Payer: BCN Commercial |
$1,186.90
|
| Rate for Payer: Cash Price |
$1,224.71
|
| Rate for Payer: Cofinity Commercial |
$1,439.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.71
|
| Rate for Payer: Healthscope Commercial |
$1,530.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.96
|
| Rate for Payer: Mclaren Commercial |
$1,377.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,301.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,393.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,086.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,347.18
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
IP
|
$1,530.89
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,071.62 |
| Max. Negotiated Rate |
$1,530.89 |
| Rate for Payer: Aetna Commercial |
$1,377.80
|
| Rate for Payer: ASR ASR |
$1,484.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.90
|
| Rate for Payer: BCN Commercial |
$1,186.90
|
| Rate for Payer: Cash Price |
$1,224.71
|
| Rate for Payer: Cofinity Commercial |
$1,439.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.71
|
| Rate for Payer: Healthscope Commercial |
$1,530.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.96
|
| Rate for Payer: Mclaren Commercial |
$1,377.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,301.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,347.18
|
|
|
HC CORONARY STENT
|
Facility
|
IP
|
$4,451.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
27800007
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,115.70 |
| Max. Negotiated Rate |
$4,451.00 |
| Rate for Payer: Aetna Commercial |
$4,005.90
|
| Rate for Payer: ASR ASR |
$4,317.47
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.86
|
| Rate for Payer: BCN Commercial |
$3,450.86
|
| Rate for Payer: Cash Price |
$3,560.80
|
| Rate for Payer: Cofinity Commercial |
$4,183.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,560.80
|
| Rate for Payer: Healthscope Commercial |
$4,451.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,317.47
|
| Rate for Payer: Mclaren Commercial |
$4,005.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,783.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,115.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,916.88
|
|
|
HC CORONARY STENT
|
Facility
|
OP
|
$4,451.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
27800007
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,780.40 |
| Max. Negotiated Rate |
$4,451.00 |
| Rate for Payer: Aetna Commercial |
$4,005.90
|
| Rate for Payer: ASR ASR |
$4,317.47
|
| Rate for Payer: BCBS Complete |
$1,780.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.86
|
| Rate for Payer: BCN Commercial |
$3,450.86
|
| Rate for Payer: Cash Price |
$3,560.80
|
| Rate for Payer: Cofinity Commercial |
$4,183.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,560.80
|
| Rate for Payer: Healthscope Commercial |
$4,451.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,317.47
|
| Rate for Payer: Mclaren Commercial |
$4,005.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,783.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,115.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,050.41
|
| Rate for Payer: Priority Health Narrow Network |
$3,160.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,916.88
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
OP
|
$10,900.35
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,360.14 |
| Max. Negotiated Rate |
$10,900.35 |
| Rate for Payer: Aetna Commercial |
$9,810.32
|
| Rate for Payer: ASR ASR |
$10,573.34
|
| Rate for Payer: BCBS Complete |
$4,360.14
|
| Rate for Payer: BCBS Trust/PPO |
$8,451.04
|
| Rate for Payer: BCN Commercial |
$8,451.04
|
| Rate for Payer: Cash Price |
$8,720.28
|
| Rate for Payer: Cofinity Commercial |
$10,246.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,720.28
|
| Rate for Payer: Healthscope Commercial |
$10,900.35
|
| Rate for Payer: Healthscope Whirlpool |
$10,573.34
|
| Rate for Payer: Mclaren Commercial |
$9,810.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,265.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,630.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,919.32
|
| Rate for Payer: Priority Health Narrow Network |
$7,739.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,592.31
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
IP
|
$10,900.35
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,630.24 |
| Max. Negotiated Rate |
$10,900.35 |
| Rate for Payer: Aetna Commercial |
$9,810.32
|
| Rate for Payer: ASR ASR |
$10,573.34
|
| Rate for Payer: BCBS Trust/PPO |
$8,451.04
|
| Rate for Payer: BCN Commercial |
$8,451.04
|
| Rate for Payer: Cash Price |
$8,720.28
|
| Rate for Payer: Cofinity Commercial |
$10,246.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,720.28
|
| Rate for Payer: Healthscope Commercial |
$10,900.35
|
| Rate for Payer: Healthscope Whirlpool |
$10,573.34
|
| Rate for Payer: Mclaren Commercial |
$9,810.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,265.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,630.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,592.31
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
OP
|
$3,984.27
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,593.71 |
| Max. Negotiated Rate |
$3,984.27 |
| Rate for Payer: Aetna Commercial |
$3,585.84
|
| Rate for Payer: ASR ASR |
$3,864.74
|
| Rate for Payer: BCBS Complete |
$1,593.71
|
| Rate for Payer: BCBS Trust/PPO |
$3,089.00
|
| Rate for Payer: BCN Commercial |
$3,089.00
|
| Rate for Payer: Cash Price |
$3,187.42
|
| Rate for Payer: Cofinity Commercial |
$3,745.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,187.42
|
| Rate for Payer: Healthscope Commercial |
$3,984.27
|
| Rate for Payer: Healthscope Whirlpool |
$3,864.74
|
| Rate for Payer: Mclaren Commercial |
$3,585.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,386.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,788.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,625.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,828.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,506.16
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
IP
|
$3,984.27
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,788.99 |
| Max. Negotiated Rate |
$3,984.27 |
| Rate for Payer: Aetna Commercial |
$3,585.84
|
| Rate for Payer: ASR ASR |
$3,864.74
|
| Rate for Payer: BCBS Trust/PPO |
$3,089.00
|
| Rate for Payer: BCN Commercial |
$3,089.00
|
| Rate for Payer: Cash Price |
$3,187.42
|
| Rate for Payer: Cofinity Commercial |
$3,745.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,187.42
|
| Rate for Payer: Healthscope Commercial |
$3,984.27
|
| Rate for Payer: Healthscope Whirlpool |
$3,864.74
|
| Rate for Payer: Mclaren Commercial |
$3,585.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,386.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,788.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,506.16
|
|
|
HC CORTICAL MAPPING
|
Facility
|
IP
|
$2,108.34
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,475.84 |
| Max. Negotiated Rate |
$2,108.34 |
| Rate for Payer: Aetna Commercial |
$1,897.51
|
| Rate for Payer: ASR ASR |
$2,045.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.60
|
| Rate for Payer: BCN Commercial |
$1,634.60
|
| Rate for Payer: Cash Price |
$1,686.67
|
| Rate for Payer: Cofinity Commercial |
$1,981.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,686.67
|
| Rate for Payer: Healthscope Commercial |
$2,108.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,045.09
|
| Rate for Payer: Mclaren Commercial |
$1,897.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,792.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,855.34
|
|
|
HC CORTICAL MAPPING
|
Facility
|
OP
|
$2,108.34
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$508.36 |
| Max. Negotiated Rate |
$2,108.34 |
| Rate for Payer: Aetna Commercial |
$1,897.51
|
| Rate for Payer: Aetna Medicare |
$929.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,161.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,161.70
|
| Rate for Payer: ASR ASR |
$2,045.09
|
| Rate for Payer: BCBS Complete |
$533.82
|
| Rate for Payer: BCBS MAPPO |
$929.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.60
|
| Rate for Payer: BCN Commercial |
$1,634.60
|
| Rate for Payer: BCN Medicare Advantage |
$929.36
|
| Rate for Payer: Cash Price |
$1,686.67
|
| Rate for Payer: Cash Price |
$1,686.67
|
| Rate for Payer: Cofinity Commercial |
$1,981.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,686.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$929.36
|
| Rate for Payer: Healthscope Commercial |
$2,108.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,045.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$929.36
|
| Rate for Payer: Mclaren Commercial |
$1,897.51
|
| Rate for Payer: Mclaren Medicaid |
$508.36
|
| Rate for Payer: Mclaren Medicare |
$929.36
|
| Rate for Payer: Meridian Medicaid |
$533.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$975.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,068.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,792.09
|
| Rate for Payer: PACE Medicare |
$882.89
|
| Rate for Payer: PACE SWMI |
$929.36
|
| Rate for Payer: PHP Commercial |
$1,022.30
|
| Rate for Payer: PHP Medicaid |
$508.36
|
| Rate for Payer: PHP Medicare Advantage |
$929.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,918.59
|
| Rate for Payer: Priority Health Medicare |
$929.36
|
| Rate for Payer: Priority Health Narrow Network |
$1,496.92
|
| Rate for Payer: Railroad Medicare Medicare |
$929.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,855.34
|
| Rate for Payer: UHC Medicare Advantage |
$957.24
|
| Rate for Payer: VA VA |
$929.36
|
|
|
HC CORTICOL SALIVA
|
Facility
|
IP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$46.41 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Commercial |
$59.67
|
| Rate for Payer: ASR ASR |
$64.31
|
| Rate for Payer: BCBS Trust/PPO |
$51.40
|
| Rate for Payer: BCN Commercial |
$51.40
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Healthscope Commercial |
$66.30
|
| Rate for Payer: Healthscope Whirlpool |
$64.31
|
| Rate for Payer: Mclaren Commercial |
$59.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.34
|
|
|
HC CORTICOL SALIVA
|
Facility
|
OP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.92 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Commercial |
$59.67
|
| Rate for Payer: Aetna Medicare |
$16.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.38
|
| Rate for Payer: ASR ASR |
$64.31
|
| Rate for Payer: BCBS Complete |
$9.36
|
| Rate for Payer: BCBS MAPPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$51.40
|
| Rate for Payer: BCN Commercial |
$51.40
|
| Rate for Payer: BCN Medicare Advantage |
$16.30
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.30
|
| Rate for Payer: Healthscope Commercial |
$66.30
|
| Rate for Payer: Healthscope Whirlpool |
$64.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.30
|
| Rate for Payer: Mclaren Commercial |
$59.67
|
| Rate for Payer: Mclaren Medicaid |
$8.92
|
| Rate for Payer: Mclaren Medicare |
$16.30
|
| Rate for Payer: Meridian Medicaid |
$9.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: PACE Medicare |
$15.48
|
| Rate for Payer: PACE SWMI |
$16.30
|
| Rate for Payer: PHP Commercial |
$17.93
|
| Rate for Payer: PHP Medicaid |
$8.92
|
| Rate for Payer: PHP Medicare Advantage |
$16.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.21
|
| Rate for Payer: Priority Health Medicare |
$16.30
|
| Rate for Payer: Priority Health Narrow Network |
$37.77
|
| Rate for Payer: Railroad Medicare Medicare |
$16.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.34
|
| Rate for Payer: UHC Medicare Advantage |
$16.79
|
| Rate for Payer: VA VA |
$16.30
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
IP
|
$65.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$45.50 |
| Max. Negotiated Rate |
$65.00 |
| Rate for Payer: Aetna Commercial |
$58.50
|
| Rate for Payer: ASR ASR |
$63.05
|
| Rate for Payer: BCBS Trust/PPO |
$50.39
|
| Rate for Payer: BCN Commercial |
$50.39
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$61.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Healthscope Commercial |
$65.00
|
| Rate for Payer: Healthscope Whirlpool |
$63.05
|
| Rate for Payer: Mclaren Commercial |
$58.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.20
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
OP
|
$65.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.92 |
| Max. Negotiated Rate |
$65.00 |
| Rate for Payer: Aetna Commercial |
$58.50
|
| Rate for Payer: Aetna Medicare |
$16.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.38
|
| Rate for Payer: ASR ASR |
$63.05
|
| Rate for Payer: BCBS Complete |
$9.36
|
| Rate for Payer: BCBS MAPPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$50.39
|
| Rate for Payer: BCN Commercial |
$50.39
|
| Rate for Payer: BCN Medicare Advantage |
$16.30
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$61.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.30
|
| Rate for Payer: Healthscope Commercial |
$65.00
|
| Rate for Payer: Healthscope Whirlpool |
$63.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.30
|
| Rate for Payer: Mclaren Commercial |
$58.50
|
| Rate for Payer: Mclaren Medicaid |
$8.92
|
| Rate for Payer: Mclaren Medicare |
$16.30
|
| Rate for Payer: Meridian Medicaid |
$9.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PACE Medicare |
$15.48
|
| Rate for Payer: PACE SWMI |
$16.30
|
| Rate for Payer: PHP Commercial |
$17.93
|
| Rate for Payer: PHP Medicaid |
$8.92
|
| Rate for Payer: PHP Medicare Advantage |
$16.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.21
|
| Rate for Payer: Priority Health Medicare |
$16.30
|
| Rate for Payer: Priority Health Narrow Network |
$37.77
|
| Rate for Payer: Railroad Medicare Medicare |
$16.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.20
|
| Rate for Payer: UHC Medicare Advantage |
$16.79
|
| Rate for Payer: VA VA |
$16.30
|
|
|
HC CORTISOL SERUM
|
Facility
|
IP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$46.41 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Commercial |
$59.67
|
| Rate for Payer: ASR ASR |
$64.31
|
| Rate for Payer: BCBS Trust/PPO |
$51.40
|
| Rate for Payer: BCN Commercial |
$51.40
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Healthscope Commercial |
$66.30
|
| Rate for Payer: Healthscope Whirlpool |
$64.31
|
| Rate for Payer: Mclaren Commercial |
$59.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.34
|
|
|
HC CORTISOL SERUM
|
Facility
|
OP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.92 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Commercial |
$59.67
|
| Rate for Payer: Aetna Medicare |
$16.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.38
|
| Rate for Payer: ASR ASR |
$64.31
|
| Rate for Payer: BCBS Complete |
$9.36
|
| Rate for Payer: BCBS MAPPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$51.40
|
| Rate for Payer: BCN Commercial |
$51.40
|
| Rate for Payer: BCN Medicare Advantage |
$16.30
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.30
|
| Rate for Payer: Healthscope Commercial |
$66.30
|
| Rate for Payer: Healthscope Whirlpool |
$64.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.30
|
| Rate for Payer: Mclaren Commercial |
$59.67
|
| Rate for Payer: Mclaren Medicaid |
$8.92
|
| Rate for Payer: Mclaren Medicare |
$16.30
|
| Rate for Payer: Meridian Medicaid |
$9.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: PACE Medicare |
$15.48
|
| Rate for Payer: PACE SWMI |
$16.30
|
| Rate for Payer: PHP Commercial |
$17.93
|
| Rate for Payer: PHP Medicaid |
$8.92
|
| Rate for Payer: PHP Medicare Advantage |
$16.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.21
|
| Rate for Payer: Priority Health Medicare |
$16.30
|
| Rate for Payer: Priority Health Narrow Network |
$37.77
|
| Rate for Payer: Railroad Medicare Medicare |
$16.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.34
|
| Rate for Payer: UHC Medicare Advantage |
$16.79
|
| Rate for Payer: VA VA |
$16.30
|
|
|
HC CORTISOL URINE
|
Facility
|
IP
|
$46.92
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$32.84 |
| Max. Negotiated Rate |
$46.92 |
| Rate for Payer: Aetna Commercial |
$42.23
|
| Rate for Payer: ASR ASR |
$45.51
|
| Rate for Payer: BCBS Trust/PPO |
$36.38
|
| Rate for Payer: BCN Commercial |
$36.38
|
| Rate for Payer: Cash Price |
$37.54
|
| Rate for Payer: Cofinity Commercial |
$44.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.54
|
| Rate for Payer: Healthscope Commercial |
$46.92
|
| Rate for Payer: Healthscope Whirlpool |
$45.51
|
| Rate for Payer: Mclaren Commercial |
$42.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.29
|
|
|
HC CORTISOL URINE
|
Facility
|
OP
|
$46.92
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.14 |
| Max. Negotiated Rate |
$46.92 |
| Rate for Payer: Aetna Commercial |
$42.23
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.89
|
| Rate for Payer: ASR ASR |
$45.51
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS MAPPO |
$16.71
|
| Rate for Payer: BCBS Trust/PPO |
$36.38
|
| Rate for Payer: BCN Commercial |
$36.38
|
| Rate for Payer: BCN Medicare Advantage |
$16.71
|
| Rate for Payer: Cash Price |
$37.54
|
| Rate for Payer: Cash Price |
$37.54
|
| Rate for Payer: Cofinity Commercial |
$44.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.71
|
| Rate for Payer: Healthscope Commercial |
$46.92
|
| Rate for Payer: Healthscope Whirlpool |
$45.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.71
|
| Rate for Payer: Mclaren Commercial |
$42.23
|
| Rate for Payer: Mclaren Medicaid |
$9.14
|
| Rate for Payer: Mclaren Medicare |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$9.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.88
|
| Rate for Payer: PACE Medicare |
$15.87
|
| Rate for Payer: PACE SWMI |
$16.71
|
| Rate for Payer: PHP Commercial |
$18.38
|
| Rate for Payer: PHP Medicaid |
$9.14
|
| Rate for Payer: PHP Medicare Advantage |
$16.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42.70
|
| Rate for Payer: Priority Health Medicare |
$16.71
|
| Rate for Payer: Priority Health Narrow Network |
$33.31
|
| Rate for Payer: Railroad Medicare Medicare |
$16.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.29
|
| Rate for Payer: UHC Medicare Advantage |
$17.21
|
| Rate for Payer: VA VA |
$16.71
|
|
|
HC CORTISOL URINE RANDOM
|
Facility
|
OP
|
$73.42
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100473
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.14 |
| Max. Negotiated Rate |
$73.42 |
| Rate for Payer: Aetna Commercial |
$66.08
|
| Rate for Payer: Aetna Medicare |
$16.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.89
|
| Rate for Payer: ASR ASR |
$71.22
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS MAPPO |
$16.71
|
| Rate for Payer: BCBS Trust/PPO |
$56.92
|
| Rate for Payer: BCN Commercial |
$56.92
|
| Rate for Payer: BCN Medicare Advantage |
$16.71
|
| Rate for Payer: Cash Price |
$58.74
|
| Rate for Payer: Cash Price |
$58.74
|
| Rate for Payer: Cofinity Commercial |
$69.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.71
|
| Rate for Payer: Healthscope Commercial |
$73.42
|
| Rate for Payer: Healthscope Whirlpool |
$71.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.71
|
| Rate for Payer: Mclaren Commercial |
$66.08
|
| Rate for Payer: Mclaren Medicaid |
$9.14
|
| Rate for Payer: Mclaren Medicare |
$16.71
|
| Rate for Payer: Meridian Medicaid |
$9.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$62.41
|
| Rate for Payer: PACE Medicare |
$15.87
|
| Rate for Payer: PACE SWMI |
$16.71
|
| Rate for Payer: PHP Commercial |
$18.38
|
| Rate for Payer: PHP Medicaid |
$9.14
|
| Rate for Payer: PHP Medicare Advantage |
$16.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66.81
|
| Rate for Payer: Priority Health Medicare |
$16.71
|
| Rate for Payer: Priority Health Narrow Network |
$52.13
|
| Rate for Payer: Railroad Medicare Medicare |
$16.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.61
|
| Rate for Payer: UHC Medicare Advantage |
$17.21
|
| Rate for Payer: VA VA |
$16.71
|
|
