|
HC BARBITURATE URINE CONFIRM
|
Facility
|
OP
|
$64.50
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
30100571
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$64.50 |
| Rate for Payer: Aetna Commercial |
$58.05
|
| Rate for Payer: Aetna Medicare |
$23.86
|
| Rate for Payer: ASR ASR |
$62.56
|
| Rate for Payer: BCBS Complete |
$25.80
|
| Rate for Payer: BCBS Trust/PPO |
$53.18
|
| Rate for Payer: BCN Commercial |
$53.18
|
| Rate for Payer: Cash Price |
$51.60
|
| Rate for Payer: Cofinity Commercial |
$60.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.60
|
| Rate for Payer: Healthscope Commercial |
$62.56
|
| Rate for Payer: Healthscope Whirlpool |
$64.50
|
| Rate for Payer: Mclaren Commercial |
$58.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.83
|
| Rate for Payer: Nomi Health Commercial |
$52.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$56.51
|
| Rate for Payer: Priority Health Narrow Network |
$45.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.76
|
|
|
HC BARRIER ADHESION
|
Facility
|
IP
|
$601.76
|
|
|
Service Code
|
HCPCS C1765
|
| Hospital Charge Code |
27000463
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$451.32 |
| Max. Negotiated Rate |
$601.76 |
| Rate for Payer: Aetna Commercial |
$541.58
|
| Rate for Payer: ASR ASR |
$583.71
|
| Rate for Payer: BCBS Trust/PPO |
$494.17
|
| Rate for Payer: BCN Commercial |
$494.17
|
| Rate for Payer: Cash Price |
$481.41
|
| Rate for Payer: Cofinity Commercial |
$565.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$481.41
|
| Rate for Payer: Healthscope Commercial |
$583.71
|
| Rate for Payer: Healthscope Whirlpool |
$601.76
|
| Rate for Payer: Mclaren Commercial |
$541.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$511.50
|
| Rate for Payer: Nomi Health Commercial |
$493.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$451.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$529.55
|
|
|
HC BARRIER ADHESION
|
Facility
|
OP
|
$601.76
|
|
|
Service Code
|
HCPCS C1765
|
| Hospital Charge Code |
27000463
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$222.65 |
| Max. Negotiated Rate |
$601.76 |
| Rate for Payer: Aetna Commercial |
$541.58
|
| Rate for Payer: Aetna Medicare |
$222.65
|
| Rate for Payer: ASR ASR |
$583.71
|
| Rate for Payer: BCBS Complete |
$240.70
|
| Rate for Payer: BCBS Trust/PPO |
$496.15
|
| Rate for Payer: BCN Commercial |
$496.15
|
| Rate for Payer: Cash Price |
$481.41
|
| Rate for Payer: Cofinity Commercial |
$565.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$481.41
|
| Rate for Payer: Healthscope Commercial |
$583.71
|
| Rate for Payer: Healthscope Whirlpool |
$601.76
|
| Rate for Payer: Mclaren Commercial |
$541.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$481.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$511.50
|
| Rate for Payer: Nomi Health Commercial |
$493.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$451.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$527.26
|
| Rate for Payer: Priority Health Narrow Network |
$421.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$529.55
|
|
|
HC BARRX 360 EXPRESS CATH BALLOON
|
Facility
|
OP
|
$5,835.28
|
|
| Hospital Charge Code |
27200286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,159.05 |
| Max. Negotiated Rate |
$5,835.28 |
| Rate for Payer: Aetna Commercial |
$5,251.75
|
| Rate for Payer: Aetna Medicare |
$2,159.05
|
| Rate for Payer: ASR ASR |
$5,660.22
|
| Rate for Payer: BCBS Complete |
$2,334.11
|
| Rate for Payer: BCBS Trust/PPO |
$4,811.19
|
| Rate for Payer: BCN Commercial |
$4,811.19
|
| Rate for Payer: Cash Price |
$4,668.22
|
| Rate for Payer: Cofinity Commercial |
$5,485.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,668.22
|
| Rate for Payer: Healthscope Commercial |
$5,660.22
|
| Rate for Payer: Healthscope Whirlpool |
$5,835.28
|
| Rate for Payer: Mclaren Commercial |
$5,251.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,668.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,959.99
|
| Rate for Payer: Nomi Health Commercial |
$4,784.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,376.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,112.87
|
| Rate for Payer: Priority Health Narrow Network |
$4,090.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,135.05
|
|
|
HC BARRX 360 EXPRESS CATH BALLOON
|
Facility
|
IP
|
$5,835.28
|
|
| Hospital Charge Code |
27200286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,376.46 |
| Max. Negotiated Rate |
$5,835.28 |
| Rate for Payer: Aetna Commercial |
$5,251.75
|
| Rate for Payer: ASR ASR |
$5,660.22
|
| Rate for Payer: BCBS Trust/PPO |
$4,791.93
|
| Rate for Payer: BCN Commercial |
$4,791.93
|
| Rate for Payer: Cash Price |
$4,668.22
|
| Rate for Payer: Cofinity Commercial |
$5,485.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,668.22
|
| Rate for Payer: Healthscope Commercial |
$5,660.22
|
| Rate for Payer: Healthscope Whirlpool |
$5,835.28
|
| Rate for Payer: Mclaren Commercial |
$5,251.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,959.99
|
| Rate for Payer: Nomi Health Commercial |
$4,784.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,376.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,135.05
|
|
|
HC BARRX 90 RFA FOCAL CATHETER
|
Facility
|
IP
|
$4,437.90
|
|
| Hospital Charge Code |
27200287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,328.43 |
| Max. Negotiated Rate |
$4,437.90 |
| Rate for Payer: Aetna Commercial |
$3,994.11
|
| Rate for Payer: ASR ASR |
$4,304.76
|
| Rate for Payer: BCBS Trust/PPO |
$3,644.40
|
| Rate for Payer: BCN Commercial |
$3,644.40
|
| Rate for Payer: Cash Price |
$3,550.32
|
| Rate for Payer: Cofinity Commercial |
$4,171.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,550.32
|
| Rate for Payer: Healthscope Commercial |
$4,304.76
|
| Rate for Payer: Healthscope Whirlpool |
$4,437.90
|
| Rate for Payer: Mclaren Commercial |
$3,994.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,772.22
|
| Rate for Payer: Nomi Health Commercial |
$3,639.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,328.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,905.35
|
|
|
HC BARRX 90 RFA FOCAL CATHETER
|
Facility
|
OP
|
$4,437.90
|
|
| Hospital Charge Code |
27200287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,642.02 |
| Max. Negotiated Rate |
$4,437.90 |
| Rate for Payer: Aetna Commercial |
$3,994.11
|
| Rate for Payer: Aetna Medicare |
$1,642.02
|
| Rate for Payer: ASR ASR |
$4,304.76
|
| Rate for Payer: BCBS Complete |
$1,775.16
|
| Rate for Payer: BCBS Trust/PPO |
$3,659.05
|
| Rate for Payer: BCN Commercial |
$3,659.05
|
| Rate for Payer: Cash Price |
$3,550.32
|
| Rate for Payer: Cofinity Commercial |
$4,171.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,550.32
|
| Rate for Payer: Healthscope Commercial |
$4,304.76
|
| Rate for Payer: Healthscope Whirlpool |
$4,437.90
|
| Rate for Payer: Mclaren Commercial |
$3,994.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,550.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,772.22
|
| Rate for Payer: Nomi Health Commercial |
$3,639.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,328.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,888.49
|
| Rate for Payer: Priority Health Narrow Network |
$3,110.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,905.35
|
|
|
HC BARRX RFA
|
Facility
|
OP
|
$2,085.28
|
|
| Hospital Charge Code |
36000101
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$771.55 |
| Max. Negotiated Rate |
$2,085.28 |
| Rate for Payer: Aetna Commercial |
$1,876.75
|
| Rate for Payer: Aetna Medicare |
$771.55
|
| Rate for Payer: ASR ASR |
$2,022.72
|
| Rate for Payer: BCBS Complete |
$834.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,719.31
|
| Rate for Payer: BCN Commercial |
$1,719.31
|
| Rate for Payer: Cash Price |
$1,668.22
|
| Rate for Payer: Cofinity Commercial |
$1,960.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,668.22
|
| Rate for Payer: Healthscope Commercial |
$2,022.72
|
| Rate for Payer: Healthscope Whirlpool |
$2,085.28
|
| Rate for Payer: Mclaren Commercial |
$1,876.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,668.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,772.49
|
| Rate for Payer: Nomi Health Commercial |
$1,709.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,563.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,827.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,461.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,835.05
|
|
|
HC BARRX RFA
|
Facility
|
IP
|
$2,085.28
|
|
| Hospital Charge Code |
36000101
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,563.96 |
| Max. Negotiated Rate |
$2,085.28 |
| Rate for Payer: Aetna Commercial |
$1,876.75
|
| Rate for Payer: ASR ASR |
$2,022.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,712.43
|
| Rate for Payer: BCN Commercial |
$1,712.43
|
| Rate for Payer: Cash Price |
$1,668.22
|
| Rate for Payer: Cofinity Commercial |
$1,960.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,668.22
|
| Rate for Payer: Healthscope Commercial |
$2,022.72
|
| Rate for Payer: Healthscope Whirlpool |
$2,085.28
|
| Rate for Payer: Mclaren Commercial |
$1,876.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,772.49
|
| Rate for Payer: Nomi Health Commercial |
$1,709.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,563.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,835.05
|
|
|
HC BARRX ULTRA LONG RFA FOCAL CATHETER
|
Facility
|
OP
|
$4,508.53
|
|
| Hospital Charge Code |
27200288
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,668.16 |
| Max. Negotiated Rate |
$4,508.53 |
| Rate for Payer: Aetna Commercial |
$4,057.68
|
| Rate for Payer: Aetna Medicare |
$1,668.16
|
| Rate for Payer: ASR ASR |
$4,373.27
|
| Rate for Payer: BCBS Complete |
$1,803.41
|
| Rate for Payer: BCBS Trust/PPO |
$3,717.28
|
| Rate for Payer: BCN Commercial |
$3,717.28
|
| Rate for Payer: Cash Price |
$3,606.82
|
| Rate for Payer: Cofinity Commercial |
$4,238.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,606.82
|
| Rate for Payer: Healthscope Commercial |
$4,373.27
|
| Rate for Payer: Healthscope Whirlpool |
$4,508.53
|
| Rate for Payer: Mclaren Commercial |
$4,057.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,606.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,832.25
|
| Rate for Payer: Nomi Health Commercial |
$3,696.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,381.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,950.37
|
| Rate for Payer: Priority Health Narrow Network |
$3,160.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,967.51
|
|
|
HC BARRX ULTRA LONG RFA FOCAL CATHETER
|
Facility
|
IP
|
$4,508.53
|
|
| Hospital Charge Code |
27200288
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,381.40 |
| Max. Negotiated Rate |
$4,508.53 |
| Rate for Payer: Aetna Commercial |
$4,057.68
|
| Rate for Payer: ASR ASR |
$4,373.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,702.40
|
| Rate for Payer: BCN Commercial |
$3,702.40
|
| Rate for Payer: Cash Price |
$3,606.82
|
| Rate for Payer: Cofinity Commercial |
$4,238.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,606.82
|
| Rate for Payer: Healthscope Commercial |
$4,373.27
|
| Rate for Payer: Healthscope Whirlpool |
$4,508.53
|
| Rate for Payer: Mclaren Commercial |
$4,057.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,832.25
|
| Rate for Payer: Nomi Health Commercial |
$3,696.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,381.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,967.51
|
|
|
HC BARTONELLA HENSELAE CMPT
|
Facility
|
IP
|
$18.24
|
|
|
Service Code
|
CPT 86611
|
| Hospital Charge Code |
30200227
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.68 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$14.98
|
| Rate for Payer: BCN Commercial |
$14.98
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Mclaren Commercial |
$16.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
|
|
HC BARTONELLA HENSELAE CMPT
|
Facility
|
OP
|
$18.24
|
|
|
Service Code
|
CPT 86611
|
| Hospital Charge Code |
30200227
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.32 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: Aetna Medicare |
$10.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.72
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Complete |
$5.59
|
| Rate for Payer: BCBS MAPPO |
$10.18
|
| Rate for Payer: BCBS Trust/PPO |
$15.04
|
| Rate for Payer: BCN Commercial |
$15.04
|
| Rate for Payer: BCN Medicare Advantage |
$10.18
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.18
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$10.18
|
| Rate for Payer: Mclaren Commercial |
$16.42
|
| Rate for Payer: Mclaren Medicaid |
$10.18
|
| Rate for Payer: Mclaren Medicare |
$10.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.69
|
| Rate for Payer: Meridian Medicaid |
$5.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: PACE Medicare |
$9.67
|
| Rate for Payer: PACE SWMI |
$10.18
|
| Rate for Payer: PHP Commercial |
$11.20
|
| Rate for Payer: PHP Medicaid |
$5.46
|
| Rate for Payer: PHP Medicare Advantage |
$10.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15.98
|
| Rate for Payer: Priority Health Medicare |
$10.18
|
| Rate for Payer: Priority Health Narrow Network |
$12.79
|
| Rate for Payer: Railroad Medicare Medicare |
$10.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.18
|
| Rate for Payer: UHC Exchange |
$15.78
|
| Rate for Payer: UHC Medicaid |
$5.32
|
| Rate for Payer: UHCCP DNSP |
$10.18
|
| Rate for Payer: UHCCP Medicaid |
$5.32
|
| Rate for Payer: VA VA |
$10.18
|
|
|
HC BARTONELLA HENSELAE IGG IGM
|
Facility
|
OP
|
$18.24
|
|
|
Service Code
|
CPT 86611
|
| Hospital Charge Code |
30200228
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.32 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: Aetna Medicare |
$10.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.72
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Complete |
$5.59
|
| Rate for Payer: BCBS MAPPO |
$10.18
|
| Rate for Payer: BCBS Trust/PPO |
$15.04
|
| Rate for Payer: BCN Commercial |
$15.04
|
| Rate for Payer: BCN Medicare Advantage |
$10.18
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.18
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$10.18
|
| Rate for Payer: Mclaren Commercial |
$16.42
|
| Rate for Payer: Mclaren Medicaid |
$10.18
|
| Rate for Payer: Mclaren Medicare |
$10.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.69
|
| Rate for Payer: Meridian Medicaid |
$5.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: PACE Medicare |
$9.67
|
| Rate for Payer: PACE SWMI |
$10.18
|
| Rate for Payer: PHP Commercial |
$11.20
|
| Rate for Payer: PHP Medicaid |
$5.46
|
| Rate for Payer: PHP Medicare Advantage |
$10.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15.98
|
| Rate for Payer: Priority Health Medicare |
$10.18
|
| Rate for Payer: Priority Health Narrow Network |
$12.79
|
| Rate for Payer: Railroad Medicare Medicare |
$10.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.18
|
| Rate for Payer: UHC Exchange |
$15.78
|
| Rate for Payer: UHC Medicaid |
$5.32
|
| Rate for Payer: UHCCP DNSP |
$10.18
|
| Rate for Payer: UHCCP Medicaid |
$5.32
|
| Rate for Payer: VA VA |
$10.18
|
|
|
HC BARTONELLA HENSELAE IGG IGM
|
Facility
|
IP
|
$18.24
|
|
|
Service Code
|
CPT 86611
|
| Hospital Charge Code |
30200228
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.68 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$14.98
|
| Rate for Payer: BCN Commercial |
$14.98
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Mclaren Commercial |
$16.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
|
|
HC BASIC METABOLIC PANEL
|
Facility
|
OP
|
$32.48
|
|
|
Service Code
|
CPT 80048
|
| Hospital Charge Code |
30100010
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.42 |
| Max. Negotiated Rate |
$68.40 |
| Rate for Payer: Aetna Commercial |
$29.23
|
| Rate for Payer: Aetna Medicare |
$8.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.57
|
| Rate for Payer: ASR ASR |
$31.51
|
| Rate for Payer: BCBS Complete |
$4.65
|
| Rate for Payer: BCBS MAPPO |
$8.46
|
| Rate for Payer: BCBS Trust/PPO |
$26.78
|
| Rate for Payer: BCN Commercial |
$26.78
|
| Rate for Payer: BCN Medicare Advantage |
$8.46
|
| Rate for Payer: Cash Price |
$25.98
|
| Rate for Payer: Cash Price |
$25.98
|
| Rate for Payer: Cofinity Commercial |
$30.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.46
|
| Rate for Payer: Healthscope Commercial |
$31.51
|
| Rate for Payer: Healthscope Whirlpool |
$32.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.46
|
| Rate for Payer: Mclaren Commercial |
$29.23
|
| Rate for Payer: Mclaren Medicaid |
$8.46
|
| Rate for Payer: Mclaren Medicare |
$8.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.88
|
| Rate for Payer: Meridian Medicaid |
$4.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.61
|
| Rate for Payer: Nomi Health Commercial |
$26.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.36
|
| Rate for Payer: PACE Medicare |
$8.04
|
| Rate for Payer: PACE SWMI |
$8.46
|
| Rate for Payer: PHP Commercial |
$9.31
|
| Rate for Payer: PHP Medicaid |
$4.53
|
| Rate for Payer: PHP Medicare Advantage |
$8.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$68.40
|
| Rate for Payer: Priority Health Medicare |
$8.46
|
| Rate for Payer: Priority Health Narrow Network |
$54.72
|
| Rate for Payer: Railroad Medicare Medicare |
$8.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.46
|
| Rate for Payer: UHC Exchange |
$13.11
|
| Rate for Payer: UHC Medicaid |
$4.42
|
| Rate for Payer: UHCCP DNSP |
$8.46
|
| Rate for Payer: UHCCP Medicaid |
$4.42
|
| Rate for Payer: VA VA |
$8.46
|
|
|
HC BASIC METABOLIC PANEL
|
Facility
|
IP
|
$32.48
|
|
|
Service Code
|
CPT 80048
|
| Hospital Charge Code |
30100010
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$24.36 |
| Max. Negotiated Rate |
$32.48 |
| Rate for Payer: Aetna Commercial |
$29.23
|
| Rate for Payer: ASR ASR |
$31.51
|
| Rate for Payer: BCBS Trust/PPO |
$26.67
|
| Rate for Payer: BCN Commercial |
$26.67
|
| Rate for Payer: Cash Price |
$25.98
|
| Rate for Payer: Cofinity Commercial |
$30.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.98
|
| Rate for Payer: Healthscope Commercial |
$31.51
|
| Rate for Payer: Healthscope Whirlpool |
$32.48
|
| Rate for Payer: Mclaren Commercial |
$29.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.61
|
| Rate for Payer: Nomi Health Commercial |
$26.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.58
|
|
|
HC BASIC METABOLIC W ION CALCIUM
|
Facility
|
IP
|
$96.68
|
|
|
Service Code
|
CPT 80047
|
| Hospital Charge Code |
30100009
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$72.51 |
| Max. Negotiated Rate |
$96.68 |
| Rate for Payer: Aetna Commercial |
$87.01
|
| Rate for Payer: ASR ASR |
$93.78
|
| Rate for Payer: BCBS Trust/PPO |
$79.39
|
| Rate for Payer: BCN Commercial |
$79.39
|
| Rate for Payer: Cash Price |
$77.34
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.34
|
| Rate for Payer: Healthscope Commercial |
$93.78
|
| Rate for Payer: Healthscope Whirlpool |
$96.68
|
| Rate for Payer: Mclaren Commercial |
$87.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.18
|
| Rate for Payer: Nomi Health Commercial |
$79.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$85.08
|
|
|
HC BASIC METABOLIC W ION CALCIUM
|
Facility
|
OP
|
$96.68
|
|
|
Service Code
|
CPT 80047
|
| Hospital Charge Code |
30100009
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.18 |
| Max. Negotiated Rate |
$96.68 |
| Rate for Payer: Aetna Commercial |
$87.01
|
| Rate for Payer: Aetna Medicare |
$13.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.16
|
| Rate for Payer: ASR ASR |
$93.78
|
| Rate for Payer: BCBS Complete |
$7.54
|
| Rate for Payer: BCBS MAPPO |
$13.73
|
| Rate for Payer: BCBS Trust/PPO |
$79.71
|
| Rate for Payer: BCN Commercial |
$79.71
|
| Rate for Payer: BCN Medicare Advantage |
$13.73
|
| Rate for Payer: Cash Price |
$77.34
|
| Rate for Payer: Cash Price |
$77.34
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.73
|
| Rate for Payer: Healthscope Commercial |
$93.78
|
| Rate for Payer: Healthscope Whirlpool |
$96.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.73
|
| Rate for Payer: Mclaren Commercial |
$87.01
|
| Rate for Payer: Mclaren Medicaid |
$13.73
|
| Rate for Payer: Mclaren Medicare |
$13.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.42
|
| Rate for Payer: Meridian Medicaid |
$7.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.18
|
| Rate for Payer: Nomi Health Commercial |
$79.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.51
|
| Rate for Payer: PACE Medicare |
$13.04
|
| Rate for Payer: PACE SWMI |
$13.73
|
| Rate for Payer: PHP Commercial |
$15.10
|
| Rate for Payer: PHP Medicaid |
$7.36
|
| Rate for Payer: PHP Medicare Advantage |
$13.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$84.71
|
| Rate for Payer: Priority Health Medicare |
$13.73
|
| Rate for Payer: Priority Health Narrow Network |
$67.77
|
| Rate for Payer: Railroad Medicare Medicare |
$13.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$85.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.73
|
| Rate for Payer: UHC Exchange |
$21.28
|
| Rate for Payer: UHC Medicaid |
$7.18
|
| Rate for Payer: UHCCP DNSP |
$13.73
|
| Rate for Payer: UHCCP Medicaid |
$7.18
|
| Rate for Payer: VA VA |
$13.73
|
|
|
HC BASIC RAD DOSIMETRY
|
Facility
|
IP
|
$440.41
|
|
|
Service Code
|
CPT 77300
|
| Hospital Charge Code |
33300005
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$330.31 |
| Max. Negotiated Rate |
$440.41 |
| Rate for Payer: Aetna Commercial |
$396.37
|
| Rate for Payer: ASR ASR |
$427.20
|
| Rate for Payer: BCBS Trust/PPO |
$361.66
|
| Rate for Payer: BCN Commercial |
$361.66
|
| Rate for Payer: Cash Price |
$352.33
|
| Rate for Payer: Cofinity Commercial |
$413.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.33
|
| Rate for Payer: Healthscope Commercial |
$427.20
|
| Rate for Payer: Healthscope Whirlpool |
$440.41
|
| Rate for Payer: Mclaren Commercial |
$396.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.35
|
| Rate for Payer: Nomi Health Commercial |
$361.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$330.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.56
|
|
|
HC BASIC RAD DOSIMETRY
|
Facility
|
OP
|
$440.41
|
|
|
Service Code
|
CPT 77300
|
| Hospital Charge Code |
33300005
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$70.05 |
| Max. Negotiated Rate |
$440.41 |
| Rate for Payer: Aetna Commercial |
$396.37
|
| Rate for Payer: Aetna Medicare |
$133.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$167.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$167.41
|
| Rate for Payer: ASR ASR |
$427.20
|
| Rate for Payer: BCBS Complete |
$73.55
|
| Rate for Payer: BCBS MAPPO |
$133.93
|
| Rate for Payer: BCBS Trust/PPO |
$363.12
|
| Rate for Payer: BCN Commercial |
$363.12
|
| Rate for Payer: BCN Medicare Advantage |
$133.93
|
| Rate for Payer: Cash Price |
$352.33
|
| Rate for Payer: Cash Price |
$352.33
|
| Rate for Payer: Cofinity Commercial |
$413.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.93
|
| Rate for Payer: Healthscope Commercial |
$427.20
|
| Rate for Payer: Healthscope Whirlpool |
$440.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$133.93
|
| Rate for Payer: Mclaren Commercial |
$396.37
|
| Rate for Payer: Mclaren Medicaid |
$133.93
|
| Rate for Payer: Mclaren Medicare |
$133.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.63
|
| Rate for Payer: Meridian Medicaid |
$73.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$154.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.35
|
| Rate for Payer: Nomi Health Commercial |
$361.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$330.31
|
| Rate for Payer: PACE Medicare |
$127.23
|
| Rate for Payer: PACE SWMI |
$133.93
|
| Rate for Payer: PHP Commercial |
$147.32
|
| Rate for Payer: PHP Medicaid |
$71.79
|
| Rate for Payer: PHP Medicare Advantage |
$133.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$385.89
|
| Rate for Payer: Priority Health Medicare |
$133.93
|
| Rate for Payer: Priority Health Narrow Network |
$308.73
|
| Rate for Payer: Railroad Medicare Medicare |
$133.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.93
|
| Rate for Payer: UHC Exchange |
$207.59
|
| Rate for Payer: UHC Medicaid |
$70.05
|
| Rate for Payer: UHCCP DNSP |
$133.93
|
| Rate for Payer: UHCCP Medicaid |
$70.05
|
| Rate for Payer: VA VA |
$133.93
|
|
|
HC BB-COMP-FRESH-FROZEN PLASMA EA
|
Facility
|
OP
|
$228.69
|
|
|
Service Code
|
HCPCS P9059
|
| Hospital Charge Code |
39000041
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$37.63 |
| Max. Negotiated Rate |
$228.69 |
| Rate for Payer: Aetna Commercial |
$205.82
|
| Rate for Payer: Aetna Medicare |
$71.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.94
|
| Rate for Payer: ASR ASR |
$221.83
|
| Rate for Payer: BCBS Complete |
$39.51
|
| Rate for Payer: BCBS MAPPO |
$71.95
|
| Rate for Payer: BCBS Trust/PPO |
$188.55
|
| Rate for Payer: BCN Commercial |
$188.55
|
| Rate for Payer: BCN Medicare Advantage |
$71.95
|
| Rate for Payer: Cash Price |
$182.95
|
| Rate for Payer: Cash Price |
$182.95
|
| Rate for Payer: Cofinity Commercial |
$214.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.95
|
| Rate for Payer: Healthscope Commercial |
$221.83
|
| Rate for Payer: Healthscope Whirlpool |
$228.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$71.95
|
| Rate for Payer: Mclaren Commercial |
$205.82
|
| Rate for Payer: Mclaren Medicaid |
$71.95
|
| Rate for Payer: Mclaren Medicare |
$71.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.55
|
| Rate for Payer: Meridian Medicaid |
$39.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$79.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.39
|
| Rate for Payer: Nomi Health Commercial |
$187.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.52
|
| Rate for Payer: PACE Medicare |
$68.35
|
| Rate for Payer: PACE SWMI |
$71.95
|
| Rate for Payer: PHP Commercial |
$79.14
|
| Rate for Payer: PHP Medicaid |
$38.57
|
| Rate for Payer: PHP Medicare Advantage |
$71.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$183.08
|
| Rate for Payer: Priority Health Medicare |
$71.95
|
| Rate for Payer: Priority Health Narrow Network |
$146.46
|
| Rate for Payer: Railroad Medicare Medicare |
$71.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$71.95
|
| Rate for Payer: UHC Exchange |
$111.52
|
| Rate for Payer: UHC Medicaid |
$37.63
|
| Rate for Payer: UHCCP DNSP |
$71.95
|
| Rate for Payer: UHCCP Medicaid |
$37.63
|
| Rate for Payer: VA VA |
$71.95
|
|
|
HC BB-COMP-FRESH-FROZEN PLASMA EA
|
Facility
|
IP
|
$228.69
|
|
|
Service Code
|
HCPCS P9059
|
| Hospital Charge Code |
39000041
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$171.52 |
| Max. Negotiated Rate |
$228.69 |
| Rate for Payer: Aetna Commercial |
$205.82
|
| Rate for Payer: ASR ASR |
$221.83
|
| Rate for Payer: BCBS Trust/PPO |
$187.80
|
| Rate for Payer: BCN Commercial |
$187.80
|
| Rate for Payer: Cash Price |
$182.95
|
| Rate for Payer: Cofinity Commercial |
$214.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.95
|
| Rate for Payer: Healthscope Commercial |
$221.83
|
| Rate for Payer: Healthscope Whirlpool |
$228.69
|
| Rate for Payer: Mclaren Commercial |
$205.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.39
|
| Rate for Payer: Nomi Health Commercial |
$187.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.25
|
|
|
HC B CELL ACUTE LYMPH LEUK CMPT1
|
Facility
|
IP
|
$96.57
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000042
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$72.43 |
| Max. Negotiated Rate |
$96.57 |
| Rate for Payer: Aetna Commercial |
$86.91
|
| Rate for Payer: ASR ASR |
$93.67
|
| Rate for Payer: BCBS Trust/PPO |
$79.30
|
| Rate for Payer: BCN Commercial |
$79.30
|
| Rate for Payer: Cash Price |
$77.26
|
| Rate for Payer: Cofinity Commercial |
$90.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.26
|
| Rate for Payer: Healthscope Commercial |
$93.67
|
| Rate for Payer: Healthscope Whirlpool |
$96.57
|
| Rate for Payer: Mclaren Commercial |
$86.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.08
|
| Rate for Payer: Nomi Health Commercial |
$79.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$84.98
|
|
|
HC B CELL ACUTE LYMPH LEUK CMPT1
|
Facility
|
OP
|
$96.57
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000042
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.77 |
| Max. Negotiated Rate |
$96.57 |
| Rate for Payer: Aetna Commercial |
$86.91
|
| Rate for Payer: Aetna Medicare |
$51.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.99
|
| Rate for Payer: ASR ASR |
$93.67
|
| Rate for Payer: BCBS Complete |
$28.11
|
| Rate for Payer: BCBS MAPPO |
$51.19
|
| Rate for Payer: BCBS Trust/PPO |
$79.62
|
| Rate for Payer: BCN Commercial |
$79.62
|
| Rate for Payer: BCN Medicare Advantage |
$51.19
|
| Rate for Payer: Cash Price |
$77.26
|
| Rate for Payer: Cash Price |
$77.26
|
| Rate for Payer: Cofinity Commercial |
$90.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.19
|
| Rate for Payer: Healthscope Commercial |
$93.67
|
| Rate for Payer: Healthscope Whirlpool |
$96.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.19
|
| Rate for Payer: Mclaren Commercial |
$86.91
|
| Rate for Payer: Mclaren Medicaid |
$51.19
|
| Rate for Payer: Mclaren Medicare |
$51.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.75
|
| Rate for Payer: Meridian Medicaid |
$28.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.08
|
| Rate for Payer: Nomi Health Commercial |
$79.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.43
|
| Rate for Payer: PACE Medicare |
$48.63
|
| Rate for Payer: PACE SWMI |
$51.19
|
| Rate for Payer: PHP Commercial |
$56.31
|
| Rate for Payer: PHP Medicaid |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$51.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$84.61
|
| Rate for Payer: Priority Health Medicare |
$51.19
|
| Rate for Payer: Priority Health Narrow Network |
$67.70
|
| Rate for Payer: Railroad Medicare Medicare |
$51.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$84.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.19
|
| Rate for Payer: UHC Exchange |
$79.34
|
| Rate for Payer: UHC Medicaid |
$26.77
|
| Rate for Payer: UHCCP DNSP |
$51.19
|
| Rate for Payer: UHCCP Medicaid |
$26.77
|
| Rate for Payer: VA VA |
$51.19
|
|
