|
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 |
$1,020.81 |
| Max. Negotiated Rate |
$2,951.97 |
| Rate for Payer: Aetna Commercial |
$2,414.90
|
| Rate for Payer: Aetna Medicare |
$1,904.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,380.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,380.62
|
| Rate for Payer: ASR ASR |
$2,602.72
|
| Rate for Payer: ASR Commercial |
$2,602.72
|
| Rate for Payer: BCBS Complete |
$1,071.85
|
| Rate for Payer: BCBS MAPPO |
$1,904.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,197.29
|
| Rate for Payer: BCN Commercial |
$2,080.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,904.50
|
| 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 |
$1,904.50
|
| Rate for Payer: Healthscope Commercial |
$2,683.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,602.72
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,904.50
|
| Rate for Payer: Mclaren Commercial |
$2,414.90
|
| Rate for Payer: Mclaren Medicaid |
$1,020.81
|
| Rate for Payer: Mclaren Medicare |
$1,904.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,999.72
|
| Rate for Payer: Meridian Medicaid |
$1,071.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,190.18
|
| 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 |
$1,809.28
|
| Rate for Payer: PACE SWMI |
$1,904.50
|
| Rate for Payer: PHP Commercial |
$2,094.95
|
| Rate for Payer: PHP Medicaid |
$1,020.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,904.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.81
|
| 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 |
$1,904.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,880.94
|
| Rate for Payer: Railroad Medicare Medicare |
$1,904.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,361.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,904.50
|
| Rate for Payer: UHC Exchange |
$2,951.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,904.50
|
| Rate for Payer: UHCCP DNSP |
$1,904.50
|
| Rate for Payer: UHCCP Medicaid |
$1,020.81
|
| Rate for Payer: VA VA |
$1,904.50
|
|
|
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
|
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
|
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 (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
|
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 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 |
$1,117.15
|
| Rate for Payer: Priority Health Narrow Network |
$893.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,122.00
|
|
|
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 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 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
|
|
|
HC ABLATION RF LUNG
|
Facility
|
OP
|
$6,017.36
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,049.91 |
| Max. Negotiated Rate |
$8,819.70 |
| Rate for Payer: Aetna Commercial |
$5,415.62
|
| Rate for Payer: Aetna Medicare |
$5,690.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: ASR ASR |
$5,836.84
|
| Rate for Payer: ASR Commercial |
$5,836.84
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCBS Trust/PPO |
$4,927.62
|
| Rate for Payer: BCN Commercial |
$4,665.26
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| 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 |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$6,017.36
|
| Rate for Payer: Healthscope Whirlpool |
$5,836.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,690.13
|
| Rate for Payer: Mclaren Commercial |
$5,415.62
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| 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 |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$6,259.14
|
| Rate for Payer: PHP Medicaid |
$3,049.91
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| 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 |
$5,690.13
|
| Rate for Payer: Priority Health Narrow Network |
$4,218.17
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,295.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$8,819.70
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP DNSP |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: VA VA |
$5,690.13
|
|
|
HC ABLATION VEIN OF MARSHALL
|
Facility
|
OP
|
$8,899.96
|
|
|
Service Code
|
CPT 93799
|
| Hospital Charge Code |
48100122
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$8,899.96 |
| Rate for Payer: Aetna Commercial |
$8,009.96
|
| Rate for Payer: Aetna Medicare |
$152.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$190.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$190.74
|
| Rate for Payer: ASR ASR |
$8,632.96
|
| Rate for Payer: ASR Commercial |
$8,632.96
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$152.59
|
| Rate for Payer: BCBS Trust/PPO |
$7,288.18
|
| Rate for Payer: BCN Commercial |
$6,900.14
|
| Rate for Payer: BCN Medicare Advantage |
$152.59
|
| Rate for Payer: Cash Price |
$7,119.97
|
| Rate for Payer: Cash Price |
$7,119.97
|
| Rate for Payer: Cofinity Commercial |
$8,365.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,119.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.59
|
| Rate for Payer: Healthscope Commercial |
$8,899.96
|
| Rate for Payer: Healthscope Whirlpool |
$8,632.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$152.59
|
| Rate for Payer: Mclaren Commercial |
$8,009.96
|
| Rate for Payer: Mclaren Medicaid |
$81.79
|
| Rate for Payer: Mclaren Medicare |
$152.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.22
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,564.97
|
| Rate for Payer: Nomi Health Commercial |
$7,297.97
|
| Rate for Payer: PACE Medicare |
$144.96
|
| Rate for Payer: PACE SWMI |
$152.59
|
| Rate for Payer: PHP Commercial |
$167.85
|
| Rate for Payer: PHP Medicaid |
$81.79
|
| Rate for Payer: PHP Medicare Advantage |
$152.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,784.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,798.14
|
| Rate for Payer: Priority Health Medicare |
$152.59
|
| Rate for Payer: Priority Health Narrow Network |
$6,238.87
|
| Rate for Payer: Railroad Medicare Medicare |
$152.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,831.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.59
|
| Rate for Payer: UHC Exchange |
$236.51
|
| Rate for Payer: UHC Medicare Advantage |
$152.59
|
| Rate for Payer: UHCCP DNSP |
$152.59
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
| Rate for Payer: VA VA |
$152.59
|
|
|
HC ABLATION VEIN OF MARSHALL
|
Facility
|
IP
|
$8,899.96
|
|
|
Service Code
|
CPT 93799
|
| Hospital Charge Code |
48100122
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,784.97 |
| Max. Negotiated Rate |
$8,899.96 |
| Rate for Payer: Aetna Commercial |
$8,009.96
|
| Rate for Payer: ASR ASR |
$8,632.96
|
| Rate for Payer: ASR Commercial |
$8,632.96
|
| Rate for Payer: BCBS Trust/PPO |
$7,252.58
|
| Rate for Payer: BCN Commercial |
$6,900.14
|
| Rate for Payer: Cash Price |
$7,119.97
|
| Rate for Payer: Cofinity Commercial |
$8,365.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,119.97
|
| Rate for Payer: Healthscope Commercial |
$8,899.96
|
| Rate for Payer: Healthscope Whirlpool |
$8,632.96
|
| Rate for Payer: Mclaren Commercial |
$8,009.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,564.97
|
| Rate for Payer: Nomi Health Commercial |
$7,297.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,784.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,831.96
|
|
|
HC ABLAVAR
|
Facility
|
OP
|
$26.52
|
|
|
Service Code
|
HCPCS A9583
|
| Hospital Charge Code |
63600007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$26.52 |
| Rate for Payer: Aetna Commercial |
$23.87
|
| Rate for Payer: Aetna Medicare |
$13.26
|
| Rate for Payer: ASR ASR |
$25.72
|
| Rate for Payer: ASR Commercial |
$25.72
|
| Rate for Payer: BCBS Complete |
$10.61
|
| Rate for Payer: BCBS Trust/PPO |
$21.72
|
| Rate for Payer: BCN Commercial |
$20.56
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$24.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$26.52
|
| Rate for Payer: Healthscope Whirlpool |
$25.72
|
| Rate for Payer: Mclaren Commercial |
$23.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.54
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23.24
|
| Rate for Payer: Priority Health Narrow Network |
$18.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.34
|
|
|
HC ABLAVAR
|
Facility
|
IP
|
$26.52
|
|
|
Service Code
|
HCPCS A9583
|
| Hospital Charge Code |
63600007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.24 |
| Max. Negotiated Rate |
$26.52 |
| Rate for Payer: Aetna Commercial |
$23.87
|
| Rate for Payer: ASR ASR |
$25.72
|
| Rate for Payer: ASR Commercial |
$25.72
|
| Rate for Payer: BCBS Trust/PPO |
$21.61
|
| Rate for Payer: BCN Commercial |
$20.56
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$24.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$26.52
|
| Rate for Payer: Healthscope Whirlpool |
$25.72
|
| Rate for Payer: Mclaren Commercial |
$23.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.54
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.34
|
|
|
HC ABSCESS DRAINAGE COMPLICATED
|
Facility
|
IP
|
$498.64
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
76100037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$324.12 |
| Max. Negotiated Rate |
$498.64 |
| Rate for Payer: Aetna Commercial |
$448.78
|
| Rate for Payer: ASR ASR |
$483.68
|
| Rate for Payer: ASR Commercial |
$483.68
|
| Rate for Payer: BCBS Trust/PPO |
$406.34
|
| Rate for Payer: BCN Commercial |
$386.60
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cofinity Commercial |
$468.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.91
|
| Rate for Payer: Healthscope Commercial |
$498.64
|
| Rate for Payer: Healthscope Whirlpool |
$483.68
|
| Rate for Payer: Mclaren Commercial |
$448.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.84
|
| Rate for Payer: Nomi Health Commercial |
$408.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$438.80
|
|
|
HC ABSCESS DRAINAGE COMPLICATED
|
Facility
|
OP
|
$498.64
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
76100037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$208.85 |
| Max. Negotiated Rate |
$603.96 |
| Rate for Payer: Aetna Commercial |
$448.78
|
| Rate for Payer: Aetna Medicare |
$389.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$487.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$487.06
|
| Rate for Payer: ASR ASR |
$483.68
|
| Rate for Payer: ASR Commercial |
$483.68
|
| Rate for Payer: BCBS Complete |
$219.30
|
| Rate for Payer: BCBS MAPPO |
$389.65
|
| Rate for Payer: BCBS Trust/PPO |
$408.34
|
| Rate for Payer: BCN Commercial |
$386.60
|
| Rate for Payer: BCN Medicare Advantage |
$389.65
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cash Price |
$398.91
|
| Rate for Payer: Cofinity Commercial |
$468.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.65
|
| Rate for Payer: Healthscope Commercial |
$498.64
|
| Rate for Payer: Healthscope Whirlpool |
$483.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$389.65
|
| Rate for Payer: Mclaren Commercial |
$448.78
|
| Rate for Payer: Mclaren Medicaid |
$208.85
|
| Rate for Payer: Mclaren Medicare |
$389.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.13
|
| Rate for Payer: Meridian Medicaid |
$219.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$448.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.84
|
| Rate for Payer: Nomi Health Commercial |
$408.88
|
| Rate for Payer: PACE Medicare |
$370.17
|
| Rate for Payer: PACE SWMI |
$389.65
|
| Rate for Payer: PHP Commercial |
$428.62
|
| Rate for Payer: PHP Medicaid |
$208.85
|
| Rate for Payer: PHP Medicare Advantage |
$389.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$436.91
|
| Rate for Payer: Priority Health Medicare |
$389.65
|
| Rate for Payer: Priority Health Narrow Network |
$349.55
|
| Rate for Payer: Railroad Medicare Medicare |
$389.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$438.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.65
|
| Rate for Payer: UHC Exchange |
$603.96
|
| Rate for Payer: UHC Medicare Advantage |
$389.65
|
| Rate for Payer: UHCCP DNSP |
$389.65
|
| Rate for Payer: UHCCP Medicaid |
$208.85
|
| Rate for Payer: VA VA |
$389.65
|
|
|
HC ABSCESS DRAINAGE SIMPLE
|
Facility
|
IP
|
$399.83
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
36100002
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$259.89 |
| Max. Negotiated Rate |
$399.83 |
| Rate for Payer: Aetna Commercial |
$359.85
|
| Rate for Payer: ASR ASR |
$387.84
|
| Rate for Payer: ASR Commercial |
$387.84
|
| Rate for Payer: BCBS Trust/PPO |
$325.82
|
| Rate for Payer: BCN Commercial |
$309.99
|
| Rate for Payer: Cash Price |
$319.86
|
| Rate for Payer: Cofinity Commercial |
$375.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$319.86
|
| Rate for Payer: Healthscope Commercial |
$399.83
|
| Rate for Payer: Healthscope Whirlpool |
$387.84
|
| Rate for Payer: Mclaren Commercial |
$359.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$339.86
|
| Rate for Payer: Nomi Health Commercial |
$327.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$351.85
|
|
|
HC ABSCESS DRAINAGE SIMPLE
|
Facility
|
OP
|
$399.83
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
36100002
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.87 |
| Max. Negotiated Rate |
$399.83 |
| Rate for Payer: Aetna Commercial |
$359.85
|
| Rate for Payer: Aetna Medicare |
$193.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: ASR ASR |
$387.84
|
| Rate for Payer: ASR Commercial |
$387.84
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCBS Trust/PPO |
$327.42
|
| Rate for Payer: BCN Commercial |
$309.99
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$319.86
|
| Rate for Payer: Cash Price |
$319.86
|
| Rate for Payer: Cofinity Commercial |
$375.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$319.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$399.83
|
| Rate for Payer: Healthscope Whirlpool |
$387.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$193.79
|
| Rate for Payer: Mclaren Commercial |
$359.85
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$339.86
|
| Rate for Payer: Nomi Health Commercial |
$327.86
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$213.17
|
| Rate for Payer: PHP Medicaid |
$103.87
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$350.33
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health Narrow Network |
$280.28
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$351.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$300.37
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP DNSP |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: VA VA |
$193.79
|
|
|
HC ABSCESS ISHIO/PERIRECTAL
|
Facility
|
OP
|
$1,789.39
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
36100196
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$1,789.39 |
| Rate for Payer: Aetna Commercial |
$1,610.45
|
| Rate for Payer: Aetna Medicare |
$1,149.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: ASR ASR |
$1,735.71
|
| Rate for Payer: ASR Commercial |
$1,735.71
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,465.33
|
| Rate for Payer: BCN Commercial |
$1,387.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,431.51
|
| Rate for Payer: Cash Price |
$1,431.51
|
| Rate for Payer: Cofinity Commercial |
$1,682.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,431.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,789.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,735.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,149.93
|
| Rate for Payer: Mclaren Commercial |
$1,610.45
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,520.98
|
| Rate for Payer: Nomi Health Commercial |
$1,467.30
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,264.92
|
| Rate for Payer: PHP Medicaid |
$616.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,163.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,567.86
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,254.36
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,574.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$1,782.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP DNSP |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
HC ABSCESS ISHIO/PERIRECTAL
|
Facility
|
IP
|
$1,789.39
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
36100196
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,163.10 |
| Max. Negotiated Rate |
$1,789.39 |
| Rate for Payer: Aetna Commercial |
$1,610.45
|
| Rate for Payer: ASR ASR |
$1,735.71
|
| Rate for Payer: ASR Commercial |
$1,735.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,458.17
|
| Rate for Payer: BCN Commercial |
$1,387.31
|
| Rate for Payer: Cash Price |
$1,431.51
|
| Rate for Payer: Cofinity Commercial |
$1,682.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,431.51
|
| Rate for Payer: Healthscope Commercial |
$1,789.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,735.71
|
| Rate for Payer: Mclaren Commercial |
$1,610.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,520.98
|
| Rate for Payer: Nomi Health Commercial |
$1,467.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,163.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,574.66
|
|
