|
HC ABLAT BY NEUROLYTIC AGENT OTHER PERIPH NRV OR BRANCH SHOULDER SNG NRV
|
Facility
|
IP
|
$1,267.29
|
|
|
Service Code
|
CPT 64640
|
| Hospital Charge Code |
36100595
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$823.74 |
| Max. Negotiated Rate |
$1,267.29 |
| Rate for Payer: Aetna Commercial |
$1,140.56
|
| Rate for Payer: ASR ASR |
$1,229.27
|
| Rate for Payer: ASR Commercial |
$1,229.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,032.71
|
| Rate for Payer: BCN Commercial |
$982.53
|
| Rate for Payer: Cash Price |
$1,013.83
|
| Rate for Payer: Cofinity Commercial |
$1,191.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,013.83
|
| Rate for Payer: Healthscope Commercial |
$1,267.29
|
| Rate for Payer: Healthscope Whirlpool |
$1,229.27
|
| Rate for Payer: Mclaren Commercial |
$1,140.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,077.20
|
| Rate for Payer: Nomi Health Commercial |
$1,039.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$823.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,115.22
|
|
|
HC ABLATION AV NODE
|
Facility
|
IP
|
$8,558.71
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
48100044
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,563.16 |
| Max. Negotiated Rate |
$8,558.71 |
| Rate for Payer: Aetna Commercial |
$7,702.84
|
| Rate for Payer: ASR ASR |
$8,301.95
|
| Rate for Payer: ASR Commercial |
$8,301.95
|
| Rate for Payer: BCBS Trust/PPO |
$6,974.49
|
| Rate for Payer: BCN Commercial |
$6,635.57
|
| Rate for Payer: Cash Price |
$6,846.97
|
| Rate for Payer: Cofinity Commercial |
$8,045.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,846.97
|
| Rate for Payer: Healthscope Commercial |
$8,558.71
|
| Rate for Payer: Healthscope Whirlpool |
$8,301.95
|
| Rate for Payer: Mclaren Commercial |
$7,702.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,274.90
|
| Rate for Payer: Nomi Health Commercial |
$7,018.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,563.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,531.66
|
|
|
HC ABLATION AV NODE
|
Facility
|
OP
|
$8,558.71
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
48100044
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,984.98 |
| Max. Negotiated Rate |
$11,523.74 |
| Rate for Payer: Aetna Commercial |
$7,702.84
|
| Rate for Payer: Aetna Medicare |
$7,434.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,293.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,293.34
|
| Rate for Payer: ASR ASR |
$8,301.95
|
| Rate for Payer: ASR Commercial |
$8,301.95
|
| Rate for Payer: BCBS Complete |
$4,184.23
|
| Rate for Payer: BCBS MAPPO |
$7,434.67
|
| Rate for Payer: BCBS Trust/PPO |
$7,008.73
|
| Rate for Payer: BCN Commercial |
$6,635.57
|
| Rate for Payer: BCN Medicare Advantage |
$7,434.67
|
| Rate for Payer: Cash Price |
$6,846.97
|
| Rate for Payer: Cash Price |
$6,846.97
|
| Rate for Payer: Cofinity Commercial |
$8,045.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,846.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,434.67
|
| Rate for Payer: Healthscope Commercial |
$8,558.71
|
| Rate for Payer: Healthscope Whirlpool |
$8,301.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,434.67
|
| Rate for Payer: Mclaren Commercial |
$7,702.84
|
| Rate for Payer: Mclaren Medicaid |
$3,984.98
|
| Rate for Payer: Mclaren Medicare |
$7,434.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,806.40
|
| Rate for Payer: Meridian Medicaid |
$4,184.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,549.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,274.90
|
| Rate for Payer: Nomi Health Commercial |
$7,018.14
|
| Rate for Payer: PACE Medicare |
$7,062.94
|
| Rate for Payer: PACE SWMI |
$7,434.67
|
| Rate for Payer: PHP Commercial |
$8,178.14
|
| Rate for Payer: PHP Medicaid |
$3,984.98
|
| Rate for Payer: PHP Medicare Advantage |
$7,434.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,984.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,563.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,499.14
|
| Rate for Payer: Priority Health Medicare |
$7,434.67
|
| Rate for Payer: Priority Health Narrow Network |
$5,999.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,434.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,531.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,434.67
|
| Rate for Payer: UHC Exchange |
$11,523.74
|
| Rate for Payer: UHC Medicare Advantage |
$7,434.67
|
| Rate for Payer: UHCCP DNSP |
$7,434.67
|
| Rate for Payer: UHCCP Medicaid |
$3,984.98
|
| Rate for Payer: VA VA |
$7,434.67
|
|
|
HC ABLATION BONE
|
Facility
|
OP
|
$6,775.93
|
|
|
Service Code
|
CPT 20982
|
| Hospital Charge Code |
36100480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,404.35 |
| Max. Negotiated Rate |
$19,540.31 |
| Rate for Payer: Aetna Commercial |
$6,098.34
|
| Rate for Payer: Aetna Medicare |
$12,606.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,758.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,758.31
|
| Rate for Payer: ASR ASR |
$6,572.65
|
| Rate for Payer: ASR Commercial |
$6,572.65
|
| Rate for Payer: BCBS Complete |
$7,095.02
|
| Rate for Payer: BCBS MAPPO |
$12,606.65
|
| Rate for Payer: BCBS Trust/PPO |
$5,548.81
|
| Rate for Payer: BCN Commercial |
$5,253.38
|
| Rate for Payer: BCN Medicare Advantage |
$12,606.65
|
| Rate for Payer: Cash Price |
$5,420.74
|
| Rate for Payer: Cash Price |
$5,420.74
|
| Rate for Payer: Cofinity Commercial |
$6,369.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,420.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,606.65
|
| Rate for Payer: Healthscope Commercial |
$6,775.93
|
| Rate for Payer: Healthscope Whirlpool |
$6,572.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,606.65
|
| Rate for Payer: Mclaren Commercial |
$6,098.34
|
| Rate for Payer: Mclaren Medicaid |
$6,757.16
|
| Rate for Payer: Mclaren Medicare |
$12,606.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,236.98
|
| Rate for Payer: Meridian Medicaid |
$7,095.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,497.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,759.54
|
| Rate for Payer: Nomi Health Commercial |
$5,556.26
|
| Rate for Payer: PACE Medicare |
$11,976.32
|
| Rate for Payer: PACE SWMI |
$12,606.65
|
| Rate for Payer: PHP Commercial |
$13,867.32
|
| Rate for Payer: PHP Medicaid |
$6,757.16
|
| Rate for Payer: PHP Medicare Advantage |
$12,606.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,757.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,404.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,937.07
|
| Rate for Payer: Priority Health Medicare |
$12,606.65
|
| Rate for Payer: Priority Health Narrow Network |
$4,749.93
|
| Rate for Payer: Railroad Medicare Medicare |
$12,606.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,962.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,606.65
|
| Rate for Payer: UHC Exchange |
$19,540.31
|
| Rate for Payer: UHC Medicare Advantage |
$12,606.65
|
| Rate for Payer: UHCCP DNSP |
$12,606.65
|
| Rate for Payer: UHCCP Medicaid |
$6,757.16
|
| Rate for Payer: VA VA |
$12,606.65
|
|
|
HC ABLATION BONE
|
Facility
|
IP
|
$6,775.93
|
|
|
Service Code
|
CPT 20982
|
| Hospital Charge Code |
36100480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,404.35 |
| Max. Negotiated Rate |
$6,775.93 |
| Rate for Payer: Aetna Commercial |
$6,098.34
|
| Rate for Payer: ASR ASR |
$6,572.65
|
| Rate for Payer: ASR Commercial |
$6,572.65
|
| Rate for Payer: BCBS Trust/PPO |
$5,521.71
|
| Rate for Payer: BCN Commercial |
$5,253.38
|
| Rate for Payer: Cash Price |
$5,420.74
|
| Rate for Payer: Cofinity Commercial |
$6,369.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,420.74
|
| Rate for Payer: Healthscope Commercial |
$6,775.93
|
| Rate for Payer: Healthscope Whirlpool |
$6,572.65
|
| Rate for Payer: Mclaren Commercial |
$6,098.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,759.54
|
| Rate for Payer: Nomi Health Commercial |
$5,556.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,404.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,962.82
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T EA ADDL JOINT
|
Facility
|
OP
|
$1,092.42
|
|
|
Service Code
|
CPT 64634
|
| Hospital Charge Code |
36100591
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$436.97 |
| Max. Negotiated Rate |
$1,092.42 |
| Rate for Payer: Aetna Commercial |
$983.18
|
| Rate for Payer: Aetna Medicare |
$546.21
|
| Rate for Payer: ASR ASR |
$1,059.65
|
| Rate for Payer: ASR Commercial |
$1,059.65
|
| Rate for Payer: BCBS Complete |
$436.97
|
| Rate for Payer: BCBS Trust/PPO |
$894.58
|
| Rate for Payer: BCN Commercial |
$846.95
|
| Rate for Payer: Cash Price |
$873.94
|
| Rate for Payer: Cofinity Commercial |
$1,026.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$873.94
|
| Rate for Payer: Healthscope Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,059.65
|
| Rate for Payer: Mclaren Commercial |
$983.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$928.56
|
| Rate for Payer: Nomi Health Commercial |
$895.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$710.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$957.18
|
| Rate for Payer: Priority Health Narrow Network |
$765.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$961.33
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T EA ADDL JOINT
|
Facility
|
IP
|
$1,092.42
|
|
|
Service Code
|
CPT 64634
|
| Hospital Charge Code |
36100591
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$710.07 |
| Max. Negotiated Rate |
$1,092.42 |
| Rate for Payer: Aetna Commercial |
$983.18
|
| Rate for Payer: ASR ASR |
$1,059.65
|
| Rate for Payer: ASR Commercial |
$1,059.65
|
| Rate for Payer: BCBS Trust/PPO |
$890.21
|
| Rate for Payer: BCN Commercial |
$846.95
|
| Rate for Payer: Cash Price |
$873.94
|
| Rate for Payer: Cofinity Commercial |
$1,026.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$873.94
|
| Rate for Payer: Healthscope Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,059.65
|
| Rate for Payer: Mclaren Commercial |
$983.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$928.56
|
| Rate for Payer: Nomi Health Commercial |
$895.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$710.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$961.33
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T SNG LVL
|
Facility
|
OP
|
$2,683.22
|
|
|
Service Code
|
CPT 64633
|
| Hospital Charge Code |
36100590
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,025.52 |
| Max. Negotiated Rate |
$2,965.58 |
| Rate for Payer: Aetna Commercial |
$2,414.90
|
| Rate for Payer: Aetna Medicare |
$1,913.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,391.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,391.60
|
| Rate for Payer: ASR ASR |
$2,602.72
|
| Rate for Payer: ASR Commercial |
$2,602.72
|
| Rate for Payer: BCBS Complete |
$1,076.79
|
| Rate for Payer: BCBS MAPPO |
$1,913.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,197.29
|
| Rate for Payer: BCN Commercial |
$2,080.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,913.28
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,146.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,913.28
|
| Rate for Payer: Healthscope Commercial |
$2,683.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,602.72
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,913.28
|
| Rate for Payer: Mclaren Commercial |
$2,414.90
|
| Rate for Payer: Mclaren Medicaid |
$1,025.52
|
| Rate for Payer: Mclaren Medicare |
$1,913.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,008.94
|
| Rate for Payer: Meridian Medicaid |
$1,076.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,200.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.74
|
| Rate for Payer: Nomi Health Commercial |
$2,200.24
|
| Rate for Payer: PACE Medicare |
$1,817.62
|
| Rate for Payer: PACE SWMI |
$1,913.28
|
| Rate for Payer: PHP Commercial |
$2,104.61
|
| Rate for Payer: PHP Medicaid |
$1,025.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,913.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,025.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,351.04
|
| Rate for Payer: Priority Health Medicare |
$1,913.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,880.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,913.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,361.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,913.28
|
| Rate for Payer: UHC Exchange |
$2,965.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,913.28
|
| Rate for Payer: UHCCP DNSP |
$1,913.28
|
| Rate for Payer: UHCCP Medicaid |
$1,025.52
|
| Rate for Payer: VA VA |
$1,913.28
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T SNG LVL
|
Facility
|
IP
|
$2,683.22
|
|
|
Service Code
|
CPT 64633
|
| Hospital Charge Code |
36100590
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,744.09 |
| Max. Negotiated Rate |
$2,683.22 |
| Rate for Payer: Aetna Commercial |
$2,414.90
|
| Rate for Payer: ASR ASR |
$2,602.72
|
| Rate for Payer: ASR Commercial |
$2,602.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,186.56
|
| Rate for Payer: BCN Commercial |
$2,080.30
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,146.58
|
| Rate for Payer: Healthscope Commercial |
$2,683.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,602.72
|
| Rate for Payer: Mclaren Commercial |
$2,414.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.74
|
| Rate for Payer: Nomi Health Commercial |
$2,200.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,361.23
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S EA ADDL JOINT
|
Facility
|
IP
|
$1,092.42
|
|
|
Service Code
|
CPT 64636
|
| Hospital Charge Code |
36100593
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$710.07 |
| Max. Negotiated Rate |
$1,092.42 |
| Rate for Payer: Aetna Commercial |
$983.18
|
| Rate for Payer: ASR ASR |
$1,059.65
|
| Rate for Payer: ASR Commercial |
$1,059.65
|
| Rate for Payer: BCBS Trust/PPO |
$890.21
|
| Rate for Payer: BCN Commercial |
$846.95
|
| Rate for Payer: Cash Price |
$873.94
|
| Rate for Payer: Cofinity Commercial |
$1,026.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$873.94
|
| Rate for Payer: Healthscope Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,059.65
|
| Rate for Payer: Mclaren Commercial |
$983.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$928.56
|
| Rate for Payer: Nomi Health Commercial |
$895.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$710.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$961.33
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S EA ADDL JOINT
|
Facility
|
OP
|
$1,092.42
|
|
|
Service Code
|
CPT 64636
|
| Hospital Charge Code |
36100593
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$436.97 |
| Max. Negotiated Rate |
$1,092.42 |
| Rate for Payer: Aetna Commercial |
$983.18
|
| Rate for Payer: Aetna Medicare |
$546.21
|
| Rate for Payer: ASR ASR |
$1,059.65
|
| Rate for Payer: ASR Commercial |
$1,059.65
|
| Rate for Payer: BCBS Complete |
$436.97
|
| Rate for Payer: BCBS Trust/PPO |
$894.58
|
| Rate for Payer: BCN Commercial |
$846.95
|
| Rate for Payer: Cash Price |
$873.94
|
| Rate for Payer: Cofinity Commercial |
$1,026.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$873.94
|
| Rate for Payer: Healthscope Commercial |
$1,092.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,059.65
|
| Rate for Payer: Mclaren Commercial |
$983.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$928.56
|
| Rate for Payer: Nomi Health Commercial |
$895.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$710.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$957.18
|
| Rate for Payer: Priority Health Narrow Network |
$765.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$961.33
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S SNG LVL
|
Facility
|
OP
|
$2,683.22
|
|
|
Service Code
|
CPT 64635
|
| Hospital Charge Code |
36100592
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,025.52 |
| Max. Negotiated Rate |
$2,965.58 |
| Rate for Payer: Aetna Commercial |
$2,414.90
|
| Rate for Payer: Aetna Medicare |
$1,913.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,391.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,391.60
|
| Rate for Payer: ASR ASR |
$2,602.72
|
| Rate for Payer: ASR Commercial |
$2,602.72
|
| Rate for Payer: BCBS Complete |
$1,076.79
|
| Rate for Payer: BCBS MAPPO |
$1,913.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,197.29
|
| Rate for Payer: BCN Commercial |
$2,080.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,913.28
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,146.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,913.28
|
| Rate for Payer: Healthscope Commercial |
$2,683.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,602.72
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,913.28
|
| Rate for Payer: Mclaren Commercial |
$2,414.90
|
| Rate for Payer: Mclaren Medicaid |
$1,025.52
|
| Rate for Payer: Mclaren Medicare |
$1,913.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,008.94
|
| Rate for Payer: Meridian Medicaid |
$1,076.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,200.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.74
|
| Rate for Payer: Nomi Health Commercial |
$2,200.24
|
| Rate for Payer: PACE Medicare |
$1,817.62
|
| Rate for Payer: PACE SWMI |
$1,913.28
|
| Rate for Payer: PHP Commercial |
$2,104.61
|
| Rate for Payer: PHP Medicaid |
$1,025.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,913.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,025.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,351.04
|
| Rate for Payer: Priority Health Medicare |
$1,913.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,880.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,913.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,361.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,913.28
|
| Rate for Payer: UHC Exchange |
$2,965.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,913.28
|
| Rate for Payer: UHCCP DNSP |
$1,913.28
|
| Rate for Payer: UHCCP Medicaid |
$1,025.52
|
| Rate for Payer: VA VA |
$1,913.28
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S SNG LVL
|
Facility
|
IP
|
$2,683.22
|
|
|
Service Code
|
CPT 64635
|
| Hospital Charge Code |
36100592
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,744.09 |
| Max. Negotiated Rate |
$2,683.22 |
| Rate for Payer: Aetna Commercial |
$2,414.90
|
| Rate for Payer: ASR ASR |
$2,602.72
|
| Rate for Payer: ASR Commercial |
$2,602.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,186.56
|
| Rate for Payer: BCN Commercial |
$2,080.30
|
| Rate for Payer: Cash Price |
$2,146.58
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,146.58
|
| Rate for Payer: Healthscope Commercial |
$2,683.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,602.72
|
| Rate for Payer: Mclaren Commercial |
$2,414.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.74
|
| Rate for Payer: Nomi Health Commercial |
$2,200.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,361.23
|
|
|
HC ABLATION CATHETER
|
Facility
|
OP
|
$4,346.76
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200008
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,738.70 |
| Max. Negotiated Rate |
$4,346.76 |
| Rate for Payer: Aetna Commercial |
$3,912.08
|
| Rate for Payer: Aetna Medicare |
$2,173.38
|
| Rate for Payer: ASR ASR |
$4,216.36
|
| Rate for Payer: ASR Commercial |
$4,216.36
|
| Rate for Payer: BCBS Complete |
$1,738.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,559.56
|
| Rate for Payer: BCN Commercial |
$3,370.04
|
| Rate for Payer: Cash Price |
$3,477.41
|
| Rate for Payer: Cofinity Commercial |
$4,085.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,477.41
|
| Rate for Payer: Healthscope Commercial |
$4,346.76
|
| Rate for Payer: Healthscope Whirlpool |
$4,216.36
|
| Rate for Payer: Mclaren Commercial |
$3,912.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,694.75
|
| Rate for Payer: Nomi Health Commercial |
$3,564.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,825.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,808.63
|
| Rate for Payer: Priority Health Narrow Network |
$3,047.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,825.15
|
|
|
HC ABLATION CATHETER
|
Facility
|
IP
|
$4,346.76
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200008
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,825.39 |
| Max. Negotiated Rate |
$4,346.76 |
| Rate for Payer: Aetna Commercial |
$3,912.08
|
| Rate for Payer: ASR ASR |
$4,216.36
|
| Rate for Payer: ASR Commercial |
$4,216.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,542.17
|
| Rate for Payer: BCN Commercial |
$3,370.04
|
| Rate for Payer: Cash Price |
$3,477.41
|
| Rate for Payer: Cofinity Commercial |
$4,085.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,477.41
|
| Rate for Payer: Healthscope Commercial |
$4,346.76
|
| Rate for Payer: Healthscope Whirlpool |
$4,216.36
|
| Rate for Payer: Mclaren Commercial |
$3,912.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,694.75
|
| Rate for Payer: Nomi Health Commercial |
$3,564.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,825.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,825.15
|
|
|
HC ABLATION CATHETER (8/10 MM TIP
|
Facility
|
OP
|
$5,912.22
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,364.89 |
| Max. Negotiated Rate |
$5,912.22 |
| Rate for Payer: Aetna Commercial |
$5,321.00
|
| Rate for Payer: Aetna Medicare |
$2,956.11
|
| Rate for Payer: ASR ASR |
$5,734.85
|
| Rate for Payer: ASR Commercial |
$5,734.85
|
| Rate for Payer: BCBS Complete |
$2,364.89
|
| Rate for Payer: BCBS Trust/PPO |
$4,841.52
|
| Rate for Payer: BCN Commercial |
$4,583.74
|
| Rate for Payer: Cash Price |
$4,729.78
|
| Rate for Payer: Cofinity Commercial |
$5,557.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,729.78
|
| Rate for Payer: Healthscope Commercial |
$5,912.22
|
| Rate for Payer: Healthscope Whirlpool |
$5,734.85
|
| Rate for Payer: Mclaren Commercial |
$5,321.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,025.39
|
| Rate for Payer: Nomi Health Commercial |
$4,848.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,842.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,180.29
|
| Rate for Payer: Priority Health Narrow Network |
$4,144.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,202.75
|
|
|
HC ABLATION CATHETER (8/10 MM TIP
|
Facility
|
IP
|
$5,912.22
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,842.94 |
| Max. Negotiated Rate |
$5,912.22 |
| Rate for Payer: Aetna Commercial |
$5,321.00
|
| Rate for Payer: ASR ASR |
$5,734.85
|
| Rate for Payer: ASR Commercial |
$5,734.85
|
| Rate for Payer: BCBS Trust/PPO |
$4,817.87
|
| Rate for Payer: BCN Commercial |
$4,583.74
|
| Rate for Payer: Cash Price |
$4,729.78
|
| Rate for Payer: Cofinity Commercial |
$5,557.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,729.78
|
| Rate for Payer: Healthscope Commercial |
$5,912.22
|
| Rate for Payer: Healthscope Whirlpool |
$5,734.85
|
| Rate for Payer: Mclaren Commercial |
$5,321.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,025.39
|
| Rate for Payer: Nomi Health Commercial |
$4,848.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,842.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,202.75
|
|
|
HC ABLATION CATH EXTRAVASC TISSUE
|
Facility
|
OP
|
$7,222.46
|
|
|
Service Code
|
HCPCS C1886
|
| Hospital Charge Code |
27000645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,888.98 |
| Max. Negotiated Rate |
$7,222.46 |
| Rate for Payer: Aetna Commercial |
$6,500.21
|
| Rate for Payer: Aetna Medicare |
$3,611.23
|
| Rate for Payer: ASR ASR |
$7,005.79
|
| Rate for Payer: ASR Commercial |
$7,005.79
|
| Rate for Payer: BCBS Complete |
$2,888.98
|
| Rate for Payer: BCBS Trust/PPO |
$5,914.47
|
| Rate for Payer: BCN Commercial |
$5,599.57
|
| Rate for Payer: Cash Price |
$5,777.97
|
| Rate for Payer: Cofinity Commercial |
$6,789.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,777.97
|
| Rate for Payer: Healthscope Commercial |
$7,222.46
|
| Rate for Payer: Healthscope Whirlpool |
$7,005.79
|
| Rate for Payer: Mclaren Commercial |
$6,500.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.09
|
| Rate for Payer: Nomi Health Commercial |
$5,922.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,694.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,328.32
|
| Rate for Payer: Priority Health Narrow Network |
$5,062.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,355.76
|
|
|
HC ABLATION CATH EXTRAVASC TISSUE
|
Facility
|
IP
|
$7,222.46
|
|
|
Service Code
|
HCPCS C1886
|
| Hospital Charge Code |
27000645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,694.60 |
| Max. Negotiated Rate |
$7,222.46 |
| Rate for Payer: Aetna Commercial |
$6,500.21
|
| Rate for Payer: ASR ASR |
$7,005.79
|
| Rate for Payer: ASR Commercial |
$7,005.79
|
| Rate for Payer: BCBS Trust/PPO |
$5,885.58
|
| Rate for Payer: BCN Commercial |
$5,599.57
|
| Rate for Payer: Cash Price |
$5,777.97
|
| Rate for Payer: Cofinity Commercial |
$6,789.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,777.97
|
| Rate for Payer: Healthscope Commercial |
$7,222.46
|
| Rate for Payer: Healthscope Whirlpool |
$7,005.79
|
| Rate for Payer: Mclaren Commercial |
$6,500.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,139.09
|
| Rate for Payer: Nomi Health Commercial |
$5,922.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,694.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,355.76
|
|
|
HC ABLATION CATH NON-CARD ENDOVASC IMPLANT LVL 12
|
Facility
|
OP
|
$1,275.00
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200324
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$510.00 |
| Max. Negotiated Rate |
$1,275.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$637.50
|
| Rate for Payer: ASR ASR |
$1,236.75
|
| Rate for Payer: ASR Commercial |
$1,236.75
|
| Rate for Payer: BCBS Complete |
$510.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.10
|
| Rate for Payer: BCN Commercial |
$988.51
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,198.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,236.75
|
| Rate for Payer: Mclaren Commercial |
$1,147.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.75
|
| Rate for Payer: Nomi Health Commercial |
$1,045.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.16
|
| Rate for Payer: Priority Health Narrow Network |
$893.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,122.00
|
|
|
HC ABLATION CATH NON-CARD ENDOVASC IMPLANT LVL 12
|
Facility
|
IP
|
$1,275.00
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200324
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$828.75 |
| Max. Negotiated Rate |
$1,275.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: ASR ASR |
$1,236.75
|
| Rate for Payer: ASR Commercial |
$1,236.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,039.00
|
| Rate for Payer: BCN Commercial |
$988.51
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,198.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,236.75
|
| Rate for Payer: Mclaren Commercial |
$1,147.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.75
|
| Rate for Payer: Nomi Health Commercial |
$1,045.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,122.00
|
|
|
HC ABLATION CATH NON CARD ENDOVASC IMPLANT LVL 15
|
Facility
|
OP
|
$1,593.75
|
|
|
Service Code
|
CPT C1888
|
| Hospital Charge Code |
27200358
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$637.50 |
| Max. Negotiated Rate |
$1,593.75 |
| Rate for Payer: Aetna Commercial |
$1,434.38
|
| Rate for Payer: Aetna Medicare |
$796.88
|
| Rate for Payer: ASR ASR |
$1,545.94
|
| Rate for Payer: ASR Commercial |
$1,545.94
|
| Rate for Payer: BCBS Complete |
$637.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,305.12
|
| Rate for Payer: BCN Commercial |
$1,235.63
|
| Rate for Payer: Cash Price |
$1,275.00
|
| Rate for Payer: Cofinity Commercial |
$1,498.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Commercial |
$1,593.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,545.94
|
| Rate for Payer: Mclaren Commercial |
$1,434.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,354.69
|
| Rate for Payer: Nomi Health Commercial |
$1,306.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,035.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,396.44
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,402.50
|
|
|
HC ABLATION CATH NON CARD ENDOVASC IMPLANT LVL 15
|
Facility
|
IP
|
$1,593.75
|
|
|
Service Code
|
CPT C1888
|
| Hospital Charge Code |
27200358
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,035.94 |
| Max. Negotiated Rate |
$1,593.75 |
| Rate for Payer: Aetna Commercial |
$1,434.38
|
| Rate for Payer: ASR ASR |
$1,545.94
|
| Rate for Payer: ASR Commercial |
$1,545.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,298.75
|
| Rate for Payer: BCN Commercial |
$1,235.63
|
| Rate for Payer: Cash Price |
$1,275.00
|
| Rate for Payer: Cofinity Commercial |
$1,498.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Commercial |
$1,593.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,545.94
|
| Rate for Payer: Mclaren Commercial |
$1,434.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,354.69
|
| Rate for Payer: Nomi Health Commercial |
$1,306.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,035.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,402.50
|
|
|
HC ABLATION RF LUNG
|
Facility
|
OP
|
$6,017.36
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,063.99 |
| Max. Negotiated Rate |
$8,860.40 |
| Rate for Payer: Aetna Commercial |
$5,415.62
|
| Rate for Payer: Aetna Medicare |
$5,716.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: ASR ASR |
$5,836.84
|
| Rate for Payer: ASR Commercial |
$5,836.84
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$4,927.62
|
| Rate for Payer: BCN Commercial |
$4,665.26
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$4,813.89
|
| Rate for Payer: Cash Price |
$4,813.89
|
| Rate for Payer: Cofinity Commercial |
$5,656.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,813.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$6,017.36
|
| Rate for Payer: Healthscope Whirlpool |
$5,836.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,716.39
|
| Rate for Payer: Mclaren Commercial |
$5,415.62
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,114.76
|
| Rate for Payer: Nomi Health Commercial |
$4,934.24
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$6,288.03
|
| Rate for Payer: PHP Medicaid |
$3,063.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,911.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,272.41
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$4,218.17
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,295.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Exchange |
$8,860.40
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP DNSP |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,063.99
|
| Rate for Payer: VA VA |
$5,716.39
|
|
|
HC ABLATION RF LUNG
|
Facility
|
IP
|
$6,017.36
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,911.28 |
| Max. Negotiated Rate |
$6,017.36 |
| Rate for Payer: Aetna Commercial |
$5,415.62
|
| Rate for Payer: ASR ASR |
$5,836.84
|
| Rate for Payer: ASR Commercial |
$5,836.84
|
| Rate for Payer: BCBS Trust/PPO |
$4,903.55
|
| Rate for Payer: BCN Commercial |
$4,665.26
|
| Rate for Payer: Cash Price |
$4,813.89
|
| Rate for Payer: Cofinity Commercial |
$5,656.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,813.89
|
| Rate for Payer: Healthscope Commercial |
$6,017.36
|
| Rate for Payer: Healthscope Whirlpool |
$5,836.84
|
| Rate for Payer: Mclaren Commercial |
$5,415.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,114.76
|
| Rate for Payer: Nomi Health Commercial |
$4,934.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,911.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,295.28
|
|
