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Service Code CPT 82530
Hospital Charge Code 30100473
Hospital Revenue Code 301
Min. Negotiated Rate $51.39
Max. Negotiated Rate $73.42
Rate for Payer: Aetna Commercial $66.08
Rate for Payer: ASR ASR $71.22
Rate for Payer: BCBS Trust/PPO $56.92
Rate for Payer: BCN Commercial $56.92
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: Healthscope Commercial $73.42
Rate for Payer: Healthscope Whirlpool $71.22
Rate for Payer: Mclaren Commercial $66.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.41
Rate for Payer: Priority Health Cigna Priority Health $51.39
Rate for Payer: UHC All Payor (Choice/PPO) + Core $64.61
Service Code CPT 82542
Hospital Charge Code 30100289
Hospital Revenue Code 301
Min. Negotiated Rate $18.85
Max. Negotiated Rate $26.93
Rate for Payer: Aetna Commercial $24.24
Rate for Payer: ASR ASR $26.12
Rate for Payer: BCBS Trust/PPO $20.88
Rate for Payer: BCN Commercial $20.88
Rate for Payer: Cash Price $21.54
Rate for Payer: Cofinity Commercial $25.31
Rate for Payer: Encore Health Key Benefits Commercial $21.54
Rate for Payer: Healthscope Commercial $26.93
Rate for Payer: Healthscope Whirlpool $26.12
Rate for Payer: Mclaren Commercial $24.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.89
Rate for Payer: Priority Health Cigna Priority Health $18.85
Rate for Payer: UHC All Payor (Choice/PPO) + Core $23.70
Service Code CPT 82542
Hospital Charge Code 30100289
Hospital Revenue Code 301
Min. Negotiated Rate $13.18
Max. Negotiated Rate $30.11
Rate for Payer: Aetna Commercial $24.24
Rate for Payer: Aetna Medicare $24.09
Rate for Payer: Allen County Amish Medical Aid Commercial $30.11
Rate for Payer: Amish Plain Church Group Commercial $30.11
Rate for Payer: ASR ASR $26.12
Rate for Payer: BCBS Complete $13.84
Rate for Payer: BCBS MAPPO $24.09
Rate for Payer: BCBS Trust/PPO $20.88
Rate for Payer: BCN Commercial $20.88
Rate for Payer: BCN Medicare Advantage $24.09
Rate for Payer: Cash Price $21.54
Rate for Payer: Cash Price $21.54
Rate for Payer: Cofinity Commercial $25.31
Rate for Payer: Encore Health Key Benefits Commercial $21.54
Rate for Payer: Health Alliance Plan Medicare Advantage $24.09
Rate for Payer: Healthscope Commercial $26.93
Rate for Payer: Healthscope Whirlpool $26.12
Rate for Payer: Humana Choice PPO Medicare $24.09
Rate for Payer: Mclaren Commercial $24.24
Rate for Payer: Mclaren Medicaid $13.18
Rate for Payer: Mclaren Medicare $24.09
Rate for Payer: Meridian Medicaid $13.84
Rate for Payer: Meridian Wellcare - Medicare Advantage $25.29
Rate for Payer: MI Amish Medical Board Commercial $27.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.89
Rate for Payer: PACE Medicare $22.89
Rate for Payer: PACE SWMI $24.09
Rate for Payer: PHP Commercial $26.50
Rate for Payer: PHP Medicaid $13.18
Rate for Payer: PHP Medicare Advantage $24.09
Rate for Payer: Priority Health Choice Medicaid $13.18
Rate for Payer: Priority Health Cigna Priority Health $18.85
Rate for Payer: Priority Health HMO/PPO/Tiered Network $24.51
Rate for Payer: Priority Health Medicare $24.09
Rate for Payer: Priority Health Narrow Network $19.12
Rate for Payer: Railroad Medicare Medicare $24.09
Rate for Payer: UHC All Payor (Choice/PPO) + Core $23.70
Rate for Payer: UHC Medicare Advantage $24.81
Rate for Payer: VA VA $24.09
Service Code CPT 86003
Hospital Charge Code 30200082
Hospital Revenue Code 302
Min. Negotiated Rate $2.86
Max. Negotiated Rate $24.89
Rate for Payer: Aetna Commercial $22.40
Rate for Payer: Aetna Medicare $5.22
Rate for Payer: Allen County Amish Medical Aid Commercial $6.52
Rate for Payer: Amish Plain Church Group Commercial $6.52
Rate for Payer: ASR ASR $24.14
Rate for Payer: BCBS Complete $3.00
Rate for Payer: BCBS MAPPO $5.22
Rate for Payer: BCBS Trust/PPO $19.30
Rate for Payer: BCN Commercial $19.30
Rate for Payer: BCN Medicare Advantage $5.22
Rate for Payer: Cash Price $19.91
Rate for Payer: Cash Price $19.91
Rate for Payer: Cofinity Commercial $23.40
Rate for Payer: Encore Health Key Benefits Commercial $19.91
Rate for Payer: Health Alliance Plan Medicare Advantage $5.22
Rate for Payer: Healthscope Commercial $24.89
Rate for Payer: Healthscope Whirlpool $24.14
Rate for Payer: Humana Choice PPO Medicare $5.22
Rate for Payer: Mclaren Commercial $22.40
Rate for Payer: Mclaren Medicaid $2.86
Rate for Payer: Mclaren Medicare $5.22
Rate for Payer: Meridian Medicaid $3.00
Rate for Payer: Meridian Wellcare - Medicare Advantage $5.48
Rate for Payer: MI Amish Medical Board Commercial $6.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.16
Rate for Payer: PACE Medicare $4.96
Rate for Payer: PACE SWMI $5.22
Rate for Payer: PHP Commercial $5.74
Rate for Payer: PHP Medicaid $2.86
Rate for Payer: PHP Medicare Advantage $5.22
Rate for Payer: Priority Health Choice Medicaid $2.86
Rate for Payer: Priority Health Cigna Priority Health $17.42
Rate for Payer: Priority Health HMO/PPO/Tiered Network $22.65
Rate for Payer: Priority Health Medicare $5.22
Rate for Payer: Priority Health Narrow Network $17.67
Rate for Payer: Railroad Medicare Medicare $5.22
Rate for Payer: UHC All Payor (Choice/PPO) + Core $21.90
Rate for Payer: UHC Medicare Advantage $5.38
Rate for Payer: VA VA $5.22
Service Code CPT 86003
Hospital Charge Code 30200082
Hospital Revenue Code 302
Min. Negotiated Rate $17.42
Max. Negotiated Rate $24.89
Rate for Payer: Aetna Commercial $22.40
Rate for Payer: ASR ASR $24.14
Rate for Payer: BCBS Trust/PPO $19.30
Rate for Payer: BCN Commercial $19.30
Rate for Payer: Cash Price $19.91
Rate for Payer: Cofinity Commercial $23.40
Rate for Payer: Encore Health Key Benefits Commercial $19.91
Rate for Payer: Healthscope Commercial $24.89
Rate for Payer: Healthscope Whirlpool $24.14
Rate for Payer: Mclaren Commercial $22.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $21.16
Rate for Payer: Priority Health Cigna Priority Health $17.42
Rate for Payer: UHC All Payor (Choice/PPO) + Core $21.90
Service Code HCPCS G0296
Hospital Charge Code 77000011
Hospital Revenue Code 770
Min. Negotiated Rate $43.34
Max. Negotiated Rate $215.00
Rate for Payer: Aetna Commercial $193.50
Rate for Payer: Aetna Medicare $79.23
Rate for Payer: Allen County Amish Medical Aid Commercial $99.04
Rate for Payer: Amish Plain Church Group Commercial $99.04
Rate for Payer: ASR ASR $208.55
Rate for Payer: BCBS Complete $45.51
Rate for Payer: BCBS MAPPO $79.23
Rate for Payer: BCBS Trust/PPO $166.69
Rate for Payer: BCN Commercial $166.69
Rate for Payer: BCN Medicare Advantage $79.23
Rate for Payer: Cash Price $172.00
Rate for Payer: Cash Price $172.00
Rate for Payer: Cofinity Commercial $202.10
Rate for Payer: Encore Health Key Benefits Commercial $172.00
Rate for Payer: Health Alliance Plan Medicare Advantage $79.23
Rate for Payer: Healthscope Commercial $215.00
Rate for Payer: Healthscope Whirlpool $208.55
Rate for Payer: Humana Choice PPO Medicare $79.23
Rate for Payer: Mclaren Commercial $193.50
Rate for Payer: Mclaren Medicaid $43.34
Rate for Payer: Mclaren Medicare $79.23
Rate for Payer: Meridian Medicaid $45.51
Rate for Payer: Meridian Wellcare - Medicare Advantage $83.19
Rate for Payer: MI Amish Medical Board Commercial $91.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $182.75
Rate for Payer: PACE Medicare $75.27
Rate for Payer: PACE SWMI $79.23
Rate for Payer: PHP Commercial $87.15
Rate for Payer: PHP Medicaid $43.34
Rate for Payer: PHP Medicare Advantage $79.23
Rate for Payer: Priority Health Choice Medicaid $43.34
Rate for Payer: Priority Health Cigna Priority Health $150.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $195.65
Rate for Payer: Priority Health Medicare $79.23
Rate for Payer: Priority Health Narrow Network $152.65
Rate for Payer: Railroad Medicare Medicare $79.23
Rate for Payer: UHC All Payor (Choice/PPO) + Core $189.20
Rate for Payer: UHC Medicare Advantage $81.61
Rate for Payer: VA VA $79.23
Service Code HCPCS G0296
Hospital Charge Code 77000011
Hospital Revenue Code 770
Min. Negotiated Rate $150.50
Max. Negotiated Rate $215.00
Rate for Payer: Aetna Commercial $193.50
Rate for Payer: ASR ASR $208.55
Rate for Payer: BCBS Trust/PPO $166.69
Rate for Payer: BCN Commercial $166.69
Rate for Payer: Cash Price $172.00
Rate for Payer: Cofinity Commercial $202.10
Rate for Payer: Encore Health Key Benefits Commercial $172.00
Rate for Payer: Healthscope Commercial $215.00
Rate for Payer: Healthscope Whirlpool $208.55
Rate for Payer: Mclaren Commercial $193.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $182.75
Rate for Payer: Priority Health Cigna Priority Health $150.50
Rate for Payer: UHC All Payor (Choice/PPO) + Core $189.20
Service Code CPT 80320
Hospital Charge Code 30100733
Hospital Revenue Code 301
Min. Negotiated Rate $52.50
Max. Negotiated Rate $75.00
Rate for Payer: Aetna Commercial $67.50
Rate for Payer: ASR ASR $72.75
Rate for Payer: BCBS Trust/PPO $58.15
Rate for Payer: BCN Commercial $58.15
Rate for Payer: Cash Price $60.00
Rate for Payer: Cofinity Commercial $70.50
Rate for Payer: Encore Health Key Benefits Commercial $60.00
Rate for Payer: Healthscope Commercial $75.00
Rate for Payer: Healthscope Whirlpool $72.75
Rate for Payer: Mclaren Commercial $67.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $63.75
Rate for Payer: Priority Health Cigna Priority Health $52.50
Rate for Payer: UHC All Payor (Choice/PPO) + Core $66.00
Service Code CPT 80320
Hospital Charge Code 30100733
Hospital Revenue Code 301
Min. Negotiated Rate $30.00
Max. Negotiated Rate $75.00
Rate for Payer: Aetna Commercial $67.50
Rate for Payer: ASR ASR $72.75
Rate for Payer: BCBS Complete $30.00
Rate for Payer: BCBS Trust/PPO $58.15
Rate for Payer: BCN Commercial $58.15
Rate for Payer: Cash Price $60.00
Rate for Payer: Cofinity Commercial $70.50
Rate for Payer: Encore Health Key Benefits Commercial $60.00
Rate for Payer: Healthscope Commercial $75.00
Rate for Payer: Healthscope Whirlpool $72.75
Rate for Payer: Mclaren Commercial $67.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $63.75
Rate for Payer: Priority Health Cigna Priority Health $52.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $68.25
Rate for Payer: Priority Health Narrow Network $53.25
Rate for Payer: UHC All Payor (Choice/PPO) + Core $66.00
Service Code HCPCS C1874
Hospital Charge Code 27800009
Hospital Revenue Code 278
Min. Negotiated Rate $2,558.80
Max. Negotiated Rate $6,397.00
Rate for Payer: Aetna Commercial $5,757.30
Rate for Payer: ASR ASR $6,205.09
Rate for Payer: BCBS Complete $2,558.80
Rate for Payer: BCBS Trust/PPO $4,959.59
Rate for Payer: BCN Commercial $4,959.59
Rate for Payer: Cash Price $5,117.60
Rate for Payer: Cofinity Commercial $6,013.18
Rate for Payer: Encore Health Key Benefits Commercial $5,117.60
Rate for Payer: Healthscope Commercial $6,397.00
Rate for Payer: Healthscope Whirlpool $6,205.09
Rate for Payer: Mclaren Commercial $5,757.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $5,437.45
Rate for Payer: Priority Health Cigna Priority Health $4,477.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $5,821.27
Rate for Payer: Priority Health Narrow Network $4,541.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core $5,629.36
Service Code HCPCS C1874
Hospital Charge Code 27800009
Hospital Revenue Code 278
Min. Negotiated Rate $4,477.90
Max. Negotiated Rate $6,397.00
Rate for Payer: Aetna Commercial $5,757.30
Rate for Payer: ASR ASR $6,205.09
Rate for Payer: BCBS Trust/PPO $4,959.59
Rate for Payer: BCN Commercial $4,959.59
Rate for Payer: Cash Price $5,117.60
Rate for Payer: Cofinity Commercial $6,013.18
Rate for Payer: Encore Health Key Benefits Commercial $5,117.60
Rate for Payer: Healthscope Commercial $6,397.00
Rate for Payer: Healthscope Whirlpool $6,205.09
Rate for Payer: Mclaren Commercial $5,757.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $5,437.45
Rate for Payer: Priority Health Cigna Priority Health $4,477.90
Rate for Payer: UHC All Payor (Choice/PPO) + Core $5,629.36
Service Code CPT 86769
Hospital Charge Code 30200478
Hospital Revenue Code 302
Min. Negotiated Rate $23.05
Max. Negotiated Rate $69.36
Rate for Payer: Aetna Commercial $62.42
Rate for Payer: Aetna Medicare $42.13
Rate for Payer: Allen County Amish Medical Aid Commercial $52.66
Rate for Payer: Amish Plain Church Group Commercial $52.66
Rate for Payer: ASR ASR $67.28
Rate for Payer: BCBS Complete $24.20
Rate for Payer: BCBS MAPPO $42.13
Rate for Payer: BCBS Trust/PPO $53.77
Rate for Payer: BCN Commercial $53.77
Rate for Payer: BCN Medicare Advantage $42.13
Rate for Payer: Cash Price $55.49
Rate for Payer: Cash Price $55.49
Rate for Payer: Cofinity Commercial $65.20
Rate for Payer: Encore Health Key Benefits Commercial $55.49
Rate for Payer: Health Alliance Plan Medicare Advantage $42.13
Rate for Payer: Healthscope Commercial $69.36
Rate for Payer: Healthscope Whirlpool $67.28
Rate for Payer: Humana Choice PPO Medicare $42.13
Rate for Payer: Mclaren Commercial $62.42
Rate for Payer: Mclaren Medicaid $23.05
Rate for Payer: Mclaren Medicare $42.13
Rate for Payer: Meridian Medicaid $24.20
Rate for Payer: Meridian Wellcare - Medicare Advantage $44.24
Rate for Payer: MI Amish Medical Board Commercial $48.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $58.96
Rate for Payer: PACE Medicare $40.02
Rate for Payer: PACE SWMI $42.13
Rate for Payer: PHP Commercial $46.34
Rate for Payer: PHP Medicaid $23.05
Rate for Payer: PHP Medicare Advantage $42.13
Rate for Payer: Priority Health Choice Medicaid $23.05
Rate for Payer: Priority Health Cigna Priority Health $48.55
Rate for Payer: Priority Health HMO/PPO/Tiered Network $45.08
Rate for Payer: Priority Health Medicare $42.13
Rate for Payer: Priority Health Narrow Network $36.06
Rate for Payer: Railroad Medicare Medicare $42.13
Rate for Payer: UHC All Payor (Choice/PPO) + Core $61.04
Rate for Payer: UHC Medicare Advantage $43.39
Rate for Payer: VA VA $42.13
Service Code CPT 86769
Hospital Charge Code 30200478
Hospital Revenue Code 302
Min. Negotiated Rate $48.55
Max. Negotiated Rate $69.36
Rate for Payer: Aetna Commercial $62.42
Rate for Payer: ASR ASR $67.28
Rate for Payer: BCBS Trust/PPO $53.77
Rate for Payer: BCN Commercial $53.77
Rate for Payer: Cash Price $55.49
Rate for Payer: Cofinity Commercial $65.20
Rate for Payer: Encore Health Key Benefits Commercial $55.49
Rate for Payer: Healthscope Commercial $69.36
Rate for Payer: Healthscope Whirlpool $67.28
Rate for Payer: Mclaren Commercial $62.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $58.96
Rate for Payer: Priority Health Cigna Priority Health $48.55
Rate for Payer: UHC All Payor (Choice/PPO) + Core $61.04
Service Code HCPCS U0002
Hospital Charge Code 30600307
Hospital Revenue Code 306
Min. Negotiated Rate $85.68
Max. Negotiated Rate $122.40
Rate for Payer: Aetna Commercial $110.16
Rate for Payer: ASR ASR $118.73
Rate for Payer: BCBS Trust/PPO $94.90
Rate for Payer: BCN Commercial $94.90
Rate for Payer: Cash Price $97.92
Rate for Payer: Cofinity Commercial $115.06
Rate for Payer: Encore Health Key Benefits Commercial $97.92
Rate for Payer: Healthscope Commercial $122.40
Rate for Payer: Healthscope Whirlpool $118.73
Rate for Payer: Mclaren Commercial $110.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $104.04
Rate for Payer: Priority Health Cigna Priority Health $85.68
Rate for Payer: UHC All Payor (Choice/PPO) + Core $107.71
Service Code HCPCS U0002
Hospital Charge Code 30600307
Hospital Revenue Code 306
Min. Negotiated Rate $28.07
Max. Negotiated Rate $122.40
Rate for Payer: Aetna Commercial $110.16
Rate for Payer: Aetna Medicare $51.31
Rate for Payer: Allen County Amish Medical Aid Commercial $64.14
Rate for Payer: Amish Plain Church Group Commercial $64.14
Rate for Payer: ASR ASR $118.73
Rate for Payer: BCBS Complete $29.47
Rate for Payer: BCBS MAPPO $51.31
Rate for Payer: BCBS Trust/PPO $94.90
Rate for Payer: BCN Commercial $94.90
Rate for Payer: BCN Medicare Advantage $51.31
Rate for Payer: Cash Price $97.92
Rate for Payer: Cash Price $97.92
Rate for Payer: Cofinity Commercial $115.06
Rate for Payer: Encore Health Key Benefits Commercial $97.92
Rate for Payer: Health Alliance Plan Medicare Advantage $51.31
Rate for Payer: Healthscope Commercial $122.40
Rate for Payer: Healthscope Whirlpool $118.73
Rate for Payer: Humana Choice PPO Medicare $51.31
Rate for Payer: Mclaren Commercial $110.16
Rate for Payer: Mclaren Medicaid $28.07
Rate for Payer: Mclaren Medicare $51.31
Rate for Payer: Meridian Medicaid $29.47
Rate for Payer: Meridian Wellcare - Medicare Advantage $53.88
Rate for Payer: MI Amish Medical Board Commercial $59.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $104.04
Rate for Payer: PACE Medicare $48.74
Rate for Payer: PACE SWMI $51.31
Rate for Payer: PHP Commercial $56.44
Rate for Payer: PHP Medicaid $28.07
Rate for Payer: PHP Medicare Advantage $51.31
Rate for Payer: Priority Health Choice Medicaid $28.07
Rate for Payer: Priority Health Cigna Priority Health $85.68
Rate for Payer: Priority Health HMO/PPO/Tiered Network $54.90
Rate for Payer: Priority Health Medicare $51.31
Rate for Payer: Priority Health Narrow Network $43.92
Rate for Payer: Railroad Medicare Medicare $51.31
Rate for Payer: UHC All Payor (Choice/PPO) + Core $107.71
Rate for Payer: UHC Medicare Advantage $52.85
Rate for Payer: VA VA $51.31
Service Code CPT 87635
Hospital Charge Code 30600310
Hospital Revenue Code 306
Min. Negotiated Rate $25.00
Max. Negotiated Rate $147.90
Rate for Payer: Aetna Commercial $133.11
Rate for Payer: Aetna Medicare $51.31
Rate for Payer: Allen County Amish Medical Aid Commercial $64.14
Rate for Payer: Amish Plain Church Group Commercial $64.14
Rate for Payer: ASR ASR $143.46
Rate for Payer: BCBS Complete $29.47
Rate for Payer: BCBS MAPPO $51.31
Rate for Payer: BCBS Trust/PPO $114.67
Rate for Payer: BCCCP Commercial $25.00
Rate for Payer: BCN Commercial $114.67
Rate for Payer: BCN Medicare Advantage $51.31
Rate for Payer: Cash Price $118.32
Rate for Payer: Cash Price $118.32
Rate for Payer: Cofinity Commercial $139.03
Rate for Payer: Encore Health Key Benefits Commercial $118.32
Rate for Payer: Health Alliance Plan Medicare Advantage $51.31
Rate for Payer: Healthscope Commercial $147.90
Rate for Payer: Healthscope Whirlpool $143.46
Rate for Payer: Humana Choice PPO Medicare $51.31
Rate for Payer: Mclaren Commercial $133.11
Rate for Payer: Mclaren Medicaid $28.07
Rate for Payer: Mclaren Medicare $51.31
Rate for Payer: Meridian Medicaid $29.47
Rate for Payer: Meridian Wellcare - Medicare Advantage $53.88
Rate for Payer: MI Amish Medical Board Commercial $59.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $125.72
Rate for Payer: PACE Medicare $48.74
Rate for Payer: PACE SWMI $51.31
Rate for Payer: PHP Commercial $56.44
Rate for Payer: PHP Medicaid $28.07
Rate for Payer: PHP Medicare Advantage $51.31
Rate for Payer: Priority Health Choice Medicaid $28.07
Rate for Payer: Priority Health Cigna Priority Health $103.53
Rate for Payer: Priority Health HMO/PPO/Tiered Network $54.90
Rate for Payer: Priority Health Medicare $51.31
Rate for Payer: Priority Health Narrow Network $43.92
Rate for Payer: Railroad Medicare Medicare $51.31
Rate for Payer: UHC All Payor (Choice/PPO) + Core $130.15
Rate for Payer: UHC Medicare Advantage $52.85
Rate for Payer: VA VA $51.31
Service Code CPT 87635
Hospital Charge Code 30600310
Hospital Revenue Code 306
Min. Negotiated Rate $103.53
Max. Negotiated Rate $147.90
Rate for Payer: Aetna Commercial $133.11
Rate for Payer: ASR ASR $143.46
Rate for Payer: BCBS Trust/PPO $114.67
Rate for Payer: BCN Commercial $114.67
Rate for Payer: Cash Price $118.32
Rate for Payer: Cofinity Commercial $139.03
Rate for Payer: Encore Health Key Benefits Commercial $118.32
Rate for Payer: Healthscope Commercial $147.90
Rate for Payer: Healthscope Whirlpool $143.46
Rate for Payer: Mclaren Commercial $133.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $125.72
Rate for Payer: Priority Health Cigna Priority Health $103.53
Rate for Payer: UHC All Payor (Choice/PPO) + Core $130.15
Service Code CPT 87637
Hospital Charge Code 30600316
Hospital Revenue Code 306
Min. Negotiated Rate $78.02
Max. Negotiated Rate $249.90
Rate for Payer: Aetna Commercial $224.91
Rate for Payer: Aetna Medicare $142.63
Rate for Payer: Allen County Amish Medical Aid Commercial $178.29
Rate for Payer: Amish Plain Church Group Commercial $178.29
Rate for Payer: ASR ASR $242.40
Rate for Payer: BCBS Complete $81.93
Rate for Payer: BCBS MAPPO $142.63
Rate for Payer: BCBS Trust/PPO $193.75
Rate for Payer: BCN Commercial $193.75
Rate for Payer: BCN Medicare Advantage $142.63
Rate for Payer: Cash Price $199.92
Rate for Payer: Cash Price $199.92
Rate for Payer: Cofinity Commercial $234.91
Rate for Payer: Encore Health Key Benefits Commercial $199.92
Rate for Payer: Health Alliance Plan Medicare Advantage $142.63
Rate for Payer: Healthscope Commercial $249.90
Rate for Payer: Healthscope Whirlpool $242.40
Rate for Payer: Humana Choice PPO Medicare $142.63
Rate for Payer: Mclaren Commercial $224.91
Rate for Payer: Mclaren Medicaid $78.02
Rate for Payer: Mclaren Medicare $142.63
Rate for Payer: Meridian Medicaid $81.93
Rate for Payer: Meridian Wellcare - Medicare Advantage $149.76
Rate for Payer: MI Amish Medical Board Commercial $164.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $212.42
Rate for Payer: PACE Medicare $135.50
Rate for Payer: PACE SWMI $142.63
Rate for Payer: PHP Commercial $156.89
Rate for Payer: PHP Medicaid $78.02
Rate for Payer: PHP Medicare Advantage $142.63
Rate for Payer: Priority Health Choice Medicaid $78.02
Rate for Payer: Priority Health Cigna Priority Health $174.93
Rate for Payer: Priority Health HMO/PPO/Tiered Network $227.41
Rate for Payer: Priority Health Medicare $142.63
Rate for Payer: Priority Health Narrow Network $177.43
Rate for Payer: Railroad Medicare Medicare $142.63
Rate for Payer: UHC All Payor (Choice/PPO) + Core $219.91
Rate for Payer: UHC Medicare Advantage $146.91
Rate for Payer: VA VA $142.63
Service Code CPT 87637
Hospital Charge Code 30600316
Hospital Revenue Code 306
Min. Negotiated Rate $174.93
Max. Negotiated Rate $249.90
Rate for Payer: Aetna Commercial $224.91
Rate for Payer: ASR ASR $242.40
Rate for Payer: BCBS Trust/PPO $193.75
Rate for Payer: BCN Commercial $193.75
Rate for Payer: Cash Price $199.92
Rate for Payer: Cofinity Commercial $234.91
Rate for Payer: Encore Health Key Benefits Commercial $199.92
Rate for Payer: Healthscope Commercial $249.90
Rate for Payer: Healthscope Whirlpool $242.40
Rate for Payer: Mclaren Commercial $224.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $212.42
Rate for Payer: Priority Health Cigna Priority Health $174.93
Rate for Payer: UHC All Payor (Choice/PPO) + Core $219.91
Service Code CPT 86638
Hospital Charge Code 30200247
Hospital Revenue Code 302
Min. Negotiated Rate $29.99
Max. Negotiated Rate $42.84
Rate for Payer: Aetna Commercial $38.56
Rate for Payer: ASR ASR $41.55
Rate for Payer: BCBS Trust/PPO $33.21
Rate for Payer: BCN Commercial $33.21
Rate for Payer: Cash Price $34.27
Rate for Payer: Cofinity Commercial $40.27
Rate for Payer: Encore Health Key Benefits Commercial $34.27
Rate for Payer: Healthscope Commercial $42.84
Rate for Payer: Healthscope Whirlpool $41.55
Rate for Payer: Mclaren Commercial $38.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $36.41
Rate for Payer: Priority Health Cigna Priority Health $29.99
Rate for Payer: UHC All Payor (Choice/PPO) + Core $37.70
Service Code CPT 86638
Hospital Charge Code 30200247
Hospital Revenue Code 302
Min. Negotiated Rate $6.63
Max. Negotiated Rate $42.84
Rate for Payer: Aetna Commercial $38.56
Rate for Payer: Aetna Medicare $12.12
Rate for Payer: Allen County Amish Medical Aid Commercial $15.15
Rate for Payer: Amish Plain Church Group Commercial $15.15
Rate for Payer: ASR ASR $41.55
Rate for Payer: BCBS Complete $6.96
Rate for Payer: BCBS MAPPO $12.12
Rate for Payer: BCBS Trust/PPO $33.21
Rate for Payer: BCN Commercial $33.21
Rate for Payer: BCN Medicare Advantage $12.12
Rate for Payer: Cash Price $34.27
Rate for Payer: Cash Price $34.27
Rate for Payer: Cofinity Commercial $40.27
Rate for Payer: Encore Health Key Benefits Commercial $34.27
Rate for Payer: Health Alliance Plan Medicare Advantage $12.12
Rate for Payer: Healthscope Commercial $42.84
Rate for Payer: Healthscope Whirlpool $41.55
Rate for Payer: Humana Choice PPO Medicare $12.12
Rate for Payer: Mclaren Commercial $38.56
Rate for Payer: Mclaren Medicaid $6.63
Rate for Payer: Mclaren Medicare $12.12
Rate for Payer: Meridian Medicaid $6.96
Rate for Payer: Meridian Wellcare - Medicare Advantage $12.73
Rate for Payer: MI Amish Medical Board Commercial $13.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $36.41
Rate for Payer: PACE Medicare $11.51
Rate for Payer: PACE SWMI $12.12
Rate for Payer: PHP Commercial $13.33
Rate for Payer: PHP Medicaid $6.63
Rate for Payer: PHP Medicare Advantage $12.12
Rate for Payer: Priority Health Choice Medicaid $6.63
Rate for Payer: Priority Health Cigna Priority Health $29.99
Rate for Payer: Priority Health HMO/PPO/Tiered Network $38.98
Rate for Payer: Priority Health Medicare $12.12
Rate for Payer: Priority Health Narrow Network $30.42
Rate for Payer: Railroad Medicare Medicare $12.12
Rate for Payer: UHC All Payor (Choice/PPO) + Core $37.70
Rate for Payer: UHC Medicare Advantage $12.48
Rate for Payer: VA VA $12.12
Service Code CPT 86638
Hospital Charge Code 30200248
Hospital Revenue Code 302
Min. Negotiated Rate $29.99
Max. Negotiated Rate $42.84
Rate for Payer: Aetna Commercial $38.56
Rate for Payer: ASR ASR $41.55
Rate for Payer: BCBS Trust/PPO $33.21
Rate for Payer: BCN Commercial $33.21
Rate for Payer: Cash Price $34.27
Rate for Payer: Cofinity Commercial $40.27
Rate for Payer: Encore Health Key Benefits Commercial $34.27
Rate for Payer: Healthscope Commercial $42.84
Rate for Payer: Healthscope Whirlpool $41.55
Rate for Payer: Mclaren Commercial $38.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $36.41
Rate for Payer: Priority Health Cigna Priority Health $29.99
Rate for Payer: UHC All Payor (Choice/PPO) + Core $37.70
Service Code CPT 86638
Hospital Charge Code 30200248
Hospital Revenue Code 302
Min. Negotiated Rate $6.63
Max. Negotiated Rate $42.84
Rate for Payer: Aetna Commercial $38.56
Rate for Payer: Aetna Medicare $12.12
Rate for Payer: Allen County Amish Medical Aid Commercial $15.15
Rate for Payer: Amish Plain Church Group Commercial $15.15
Rate for Payer: ASR ASR $41.55
Rate for Payer: BCBS Complete $6.96
Rate for Payer: BCBS MAPPO $12.12
Rate for Payer: BCBS Trust/PPO $33.21
Rate for Payer: BCN Commercial $33.21
Rate for Payer: BCN Medicare Advantage $12.12
Rate for Payer: Cash Price $34.27
Rate for Payer: Cash Price $34.27
Rate for Payer: Cofinity Commercial $40.27
Rate for Payer: Encore Health Key Benefits Commercial $34.27
Rate for Payer: Health Alliance Plan Medicare Advantage $12.12
Rate for Payer: Healthscope Commercial $42.84
Rate for Payer: Healthscope Whirlpool $41.55
Rate for Payer: Humana Choice PPO Medicare $12.12
Rate for Payer: Mclaren Commercial $38.56
Rate for Payer: Mclaren Medicaid $6.63
Rate for Payer: Mclaren Medicare $12.12
Rate for Payer: Meridian Medicaid $6.96
Rate for Payer: Meridian Wellcare - Medicare Advantage $12.73
Rate for Payer: MI Amish Medical Board Commercial $13.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $36.41
Rate for Payer: PACE Medicare $11.51
Rate for Payer: PACE SWMI $12.12
Rate for Payer: PHP Commercial $13.33
Rate for Payer: PHP Medicaid $6.63
Rate for Payer: PHP Medicare Advantage $12.12
Rate for Payer: Priority Health Choice Medicaid $6.63
Rate for Payer: Priority Health Cigna Priority Health $29.99
Rate for Payer: Priority Health HMO/PPO/Tiered Network $38.98
Rate for Payer: Priority Health Medicare $12.12
Rate for Payer: Priority Health Narrow Network $30.42
Rate for Payer: Railroad Medicare Medicare $12.12
Rate for Payer: UHC All Payor (Choice/PPO) + Core $37.70
Rate for Payer: UHC Medicare Advantage $12.48
Rate for Payer: VA VA $12.12
Service Code CPT 86658
Hospital Charge Code 30200266
Hospital Revenue Code 302
Min. Negotiated Rate $14.28
Max. Negotiated Rate $20.40
Rate for Payer: Aetna Commercial $18.36
Rate for Payer: ASR ASR $19.79
Rate for Payer: BCBS Trust/PPO $15.82
Rate for Payer: BCN Commercial $15.82
Rate for Payer: Cash Price $16.32
Rate for Payer: Cofinity Commercial $19.18
Rate for Payer: Encore Health Key Benefits Commercial $16.32
Rate for Payer: Healthscope Commercial $20.40
Rate for Payer: Healthscope Whirlpool $19.79
Rate for Payer: Mclaren Commercial $18.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.34
Rate for Payer: Priority Health Cigna Priority Health $14.28
Rate for Payer: UHC All Payor (Choice/PPO) + Core $17.95
Service Code CPT 86658
Hospital Charge Code 30200266
Hospital Revenue Code 302
Min. Negotiated Rate $7.13
Max. Negotiated Rate $20.40
Rate for Payer: Aetna Commercial $18.36
Rate for Payer: Aetna Medicare $13.03
Rate for Payer: Allen County Amish Medical Aid Commercial $16.29
Rate for Payer: Amish Plain Church Group Commercial $16.29
Rate for Payer: ASR ASR $19.79
Rate for Payer: BCBS Complete $7.48
Rate for Payer: BCBS MAPPO $13.03
Rate for Payer: BCBS Trust/PPO $15.82
Rate for Payer: BCN Commercial $15.82
Rate for Payer: BCN Medicare Advantage $13.03
Rate for Payer: Cash Price $16.32
Rate for Payer: Cash Price $16.32
Rate for Payer: Cofinity Commercial $19.18
Rate for Payer: Encore Health Key Benefits Commercial $16.32
Rate for Payer: Health Alliance Plan Medicare Advantage $13.03
Rate for Payer: Healthscope Commercial $20.40
Rate for Payer: Healthscope Whirlpool $19.79
Rate for Payer: Humana Choice PPO Medicare $13.03
Rate for Payer: Mclaren Commercial $18.36
Rate for Payer: Mclaren Medicaid $7.13
Rate for Payer: Mclaren Medicare $13.03
Rate for Payer: Meridian Medicaid $7.48
Rate for Payer: Meridian Wellcare - Medicare Advantage $13.68
Rate for Payer: MI Amish Medical Board Commercial $14.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.34
Rate for Payer: PACE Medicare $12.38
Rate for Payer: PACE SWMI $13.03
Rate for Payer: PHP Commercial $14.33
Rate for Payer: PHP Medicaid $7.13
Rate for Payer: PHP Medicare Advantage $13.03
Rate for Payer: Priority Health Choice Medicaid $7.13
Rate for Payer: Priority Health Cigna Priority Health $14.28
Rate for Payer: Priority Health HMO/PPO/Tiered Network $18.56
Rate for Payer: Priority Health Medicare $13.03
Rate for Payer: Priority Health Narrow Network $14.48
Rate for Payer: Railroad Medicare Medicare $13.03
Rate for Payer: UHC All Payor (Choice/PPO) + Core $17.95
Rate for Payer: UHC Medicare Advantage $13.42
Rate for Payer: VA VA $13.03