|
HC C-SECTION W/STERIL (OB SURGERY
|
Facility
|
OP
|
$3,607.43
|
|
| Hospital Charge Code |
36000025
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,442.97 |
| Max. Negotiated Rate |
$3,607.43 |
| Rate for Payer: Aetna Commercial |
$3,246.69
|
| Rate for Payer: ASR ASR |
$3,499.21
|
| Rate for Payer: BCBS Complete |
$1,442.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,796.84
|
| Rate for Payer: BCN Commercial |
$2,796.84
|
| Rate for Payer: Cash Price |
$2,885.94
|
| Rate for Payer: Cofinity Commercial |
$3,390.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,885.94
|
| Rate for Payer: Healthscope Commercial |
$3,607.43
|
| Rate for Payer: Healthscope Whirlpool |
$3,499.21
|
| Rate for Payer: Mclaren Commercial |
$3,246.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,066.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,525.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,282.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,561.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,174.54
|
|
|
HC CSF LACTATE
|
Facility
|
OP
|
$21.42
|
|
|
Service Code
|
CPT 83605
|
| Hospital Charge Code |
30100482
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.33 |
| Max. Negotiated Rate |
$64.65 |
| Rate for Payer: Aetna Commercial |
$19.28
|
| Rate for Payer: Aetna Medicare |
$11.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.46
|
| Rate for Payer: ASR ASR |
$20.78
|
| Rate for Payer: BCBS Complete |
$6.65
|
| Rate for Payer: BCBS MAPPO |
$11.57
|
| Rate for Payer: BCBS Trust/PPO |
$16.61
|
| Rate for Payer: BCN Commercial |
$16.61
|
| Rate for Payer: BCN Medicare Advantage |
$11.57
|
| Rate for Payer: Cash Price |
$17.14
|
| Rate for Payer: Cash Price |
$17.14
|
| Rate for Payer: Cofinity Commercial |
$20.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.57
|
| Rate for Payer: Healthscope Commercial |
$21.42
|
| Rate for Payer: Healthscope Whirlpool |
$20.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$11.57
|
| Rate for Payer: Mclaren Commercial |
$19.28
|
| Rate for Payer: Mclaren Medicaid |
$6.33
|
| Rate for Payer: Mclaren Medicare |
$11.57
|
| Rate for Payer: Meridian Medicaid |
$6.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18.21
|
| Rate for Payer: PACE Medicare |
$10.99
|
| Rate for Payer: PACE SWMI |
$11.57
|
| Rate for Payer: PHP Commercial |
$12.73
|
| Rate for Payer: PHP Medicaid |
$6.33
|
| Rate for Payer: PHP Medicare Advantage |
$11.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64.65
|
| Rate for Payer: Priority Health Medicare |
$11.57
|
| Rate for Payer: Priority Health Narrow Network |
$51.72
|
| Rate for Payer: Railroad Medicare Medicare |
$11.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.85
|
| Rate for Payer: UHC Medicare Advantage |
$11.92
|
| Rate for Payer: VA VA |
$11.57
|
|
|
HC CSF LACTATE
|
Facility
|
IP
|
$21.42
|
|
|
Service Code
|
CPT 83605
|
| Hospital Charge Code |
30100482
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.99 |
| Max. Negotiated Rate |
$21.42 |
| Rate for Payer: Aetna Commercial |
$19.28
|
| Rate for Payer: ASR ASR |
$20.78
|
| Rate for Payer: BCBS Trust/PPO |
$16.61
|
| Rate for Payer: BCN Commercial |
$16.61
|
| Rate for Payer: Cash Price |
$17.14
|
| Rate for Payer: Cofinity Commercial |
$20.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.14
|
| Rate for Payer: Healthscope Commercial |
$21.42
|
| Rate for Payer: Healthscope Whirlpool |
$20.78
|
| Rate for Payer: Mclaren Commercial |
$19.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.85
|
|
|
HC CSU OBSERVATION PER HOUR
|
Facility
|
IP
|
$134.33
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200016
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$94.03 |
| Max. Negotiated Rate |
$134.33 |
| Rate for Payer: Aetna Commercial |
$120.90
|
| Rate for Payer: ASR ASR |
$130.30
|
| Rate for Payer: BCBS Trust/PPO |
$104.15
|
| Rate for Payer: BCN Commercial |
$104.15
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cofinity Commercial |
$126.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.46
|
| Rate for Payer: Healthscope Commercial |
$134.33
|
| Rate for Payer: Healthscope Whirlpool |
$130.30
|
| Rate for Payer: Mclaren Commercial |
$120.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$114.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$118.21
|
|
|
HC CSU OBSERVATION PER HOUR
|
Facility
|
OP
|
$134.33
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200016
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$46.14 |
| Max. Negotiated Rate |
$134.33 |
| Rate for Payer: Aetna Commercial |
$120.90
|
| Rate for Payer: ASR ASR |
$130.30
|
| Rate for Payer: BCBS Complete |
$53.73
|
| Rate for Payer: BCBS Trust/PPO |
$104.15
|
| Rate for Payer: BCN Commercial |
$104.15
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cash Price |
$107.46
|
| Rate for Payer: Cofinity Commercial |
$126.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.46
|
| Rate for Payer: Healthscope Commercial |
$134.33
|
| Rate for Payer: Healthscope Whirlpool |
$130.30
|
| Rate for Payer: Mclaren Commercial |
$120.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$114.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.68
|
| Rate for Payer: Priority Health Narrow Network |
$46.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$118.21
|
|
|
HC CSU R&B
|
Facility
|
IP
|
$7,165.38
|
|
| Hospital Charge Code |
21000002
|
|
Hospital Revenue Code
|
210
|
| Min. Negotiated Rate |
$5,015.77 |
| Max. Negotiated Rate |
$7,165.38 |
| Rate for Payer: Aetna Commercial |
$6,448.84
|
| Rate for Payer: ASR ASR |
$6,950.42
|
| Rate for Payer: BCBS Trust/PPO |
$5,555.32
|
| Rate for Payer: BCN Commercial |
$5,555.32
|
| Rate for Payer: Cash Price |
$5,732.30
|
| Rate for Payer: Cofinity Commercial |
$6,735.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,732.30
|
| Rate for Payer: Healthscope Commercial |
$7,165.38
|
| Rate for Payer: Healthscope Whirlpool |
$6,950.42
|
| Rate for Payer: Mclaren Commercial |
$6,448.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,090.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,015.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,305.53
|
|
|
HC CT ABDOMEN AND PELVIS W CON
|
Facility
|
IP
|
$3,636.90
|
|
|
Service Code
|
CPT 74177
|
| Hospital Charge Code |
35200027
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$2,545.83 |
| Max. Negotiated Rate |
$3,636.90 |
| Rate for Payer: Aetna Commercial |
$3,273.21
|
| Rate for Payer: ASR ASR |
$3,527.79
|
| Rate for Payer: BCBS Trust/PPO |
$2,819.69
|
| Rate for Payer: BCN Commercial |
$2,819.69
|
| Rate for Payer: Cash Price |
$2,909.52
|
| Rate for Payer: Cofinity Commercial |
$3,418.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,909.52
|
| Rate for Payer: Healthscope Commercial |
$3,636.90
|
| Rate for Payer: Healthscope Whirlpool |
$3,527.79
|
| Rate for Payer: Mclaren Commercial |
$3,273.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,091.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,545.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,200.47
|
|
|
HC CT ABDOMEN AND PELVIS W CON
|
Facility
|
OP
|
$3,636.90
|
|
|
Service Code
|
CPT 74177
|
| Hospital Charge Code |
35200027
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$3,636.90 |
| Rate for Payer: Aetna Commercial |
$3,273.21
|
| Rate for Payer: Aetna Medicare |
$341.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: ASR ASR |
$3,527.79
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,819.69
|
| Rate for Payer: BCN Commercial |
$2,819.69
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,909.52
|
| Rate for Payer: Cash Price |
$2,909.52
|
| Rate for Payer: Cofinity Commercial |
$3,418.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,909.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$3,636.90
|
| Rate for Payer: Healthscope Whirlpool |
$3,527.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$341.84
|
| Rate for Payer: Mclaren Commercial |
$3,273.21
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,091.36
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$376.02
|
| Rate for Payer: PHP Medicaid |
$186.99
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,545.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,742.45
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,393.96
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,200.47
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: VA VA |
$341.84
|
|
|
HC CT ABDOMEN AND PELVIS WO CON
|
Facility
|
IP
|
$2,453.20
|
|
|
Service Code
|
CPT 74176
|
| Hospital Charge Code |
35200026
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,717.24 |
| Max. Negotiated Rate |
$2,453.20 |
| Rate for Payer: Aetna Commercial |
$2,207.88
|
| Rate for Payer: ASR ASR |
$2,379.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,901.97
|
| Rate for Payer: BCN Commercial |
$1,901.97
|
| Rate for Payer: Cash Price |
$1,962.56
|
| Rate for Payer: Cofinity Commercial |
$2,306.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,962.56
|
| Rate for Payer: Healthscope Commercial |
$2,453.20
|
| Rate for Payer: Healthscope Whirlpool |
$2,379.60
|
| Rate for Payer: Mclaren Commercial |
$2,207.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,085.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,717.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,158.82
|
|
|
HC CT ABDOMEN AND PELVIS WO CON
|
Facility
|
OP
|
$2,453.20
|
|
|
Service Code
|
CPT 74176
|
| Hospital Charge Code |
35200026
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$2,453.20 |
| Rate for Payer: Aetna Commercial |
$2,207.88
|
| Rate for Payer: Aetna Medicare |
$217.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: ASR ASR |
$2,379.60
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,901.97
|
| Rate for Payer: BCN Commercial |
$1,901.97
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,962.56
|
| Rate for Payer: Cash Price |
$1,962.56
|
| Rate for Payer: Cofinity Commercial |
$2,306.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,962.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$2,453.20
|
| Rate for Payer: Healthscope Whirlpool |
$2,379.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$217.81
|
| Rate for Payer: Mclaren Commercial |
$2,207.88
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,085.22
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$239.59
|
| Rate for Payer: PHP Medicaid |
$119.14
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,717.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,643.94
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,315.15
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,158.82
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: VA VA |
$217.81
|
|
|
HC CT ABDOMEN AND PELVIS WO W CON
|
Facility
|
IP
|
$4,346.70
|
|
|
Service Code
|
CPT 74178
|
| Hospital Charge Code |
35200028
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$3,042.69 |
| Max. Negotiated Rate |
$4,346.70 |
| Rate for Payer: Aetna Commercial |
$3,912.03
|
| Rate for Payer: ASR ASR |
$4,216.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.00
|
| Rate for Payer: BCN Commercial |
$3,370.00
|
| Rate for Payer: Cash Price |
$3,477.36
|
| Rate for Payer: Cofinity Commercial |
$4,085.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,477.36
|
| Rate for Payer: Healthscope Commercial |
$4,346.70
|
| Rate for Payer: Healthscope Whirlpool |
$4,216.30
|
| Rate for Payer: Mclaren Commercial |
$3,912.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,694.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,042.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,825.10
|
|
|
HC CT ABDOMEN AND PELVIS WO W CON
|
Facility
|
OP
|
$4,346.70
|
|
|
Service Code
|
CPT 74178
|
| Hospital Charge Code |
35200028
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$4,346.70 |
| Rate for Payer: Aetna Commercial |
$3,912.03
|
| Rate for Payer: Aetna Medicare |
$341.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: ASR ASR |
$4,216.30
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$3,370.00
|
| Rate for Payer: BCN Commercial |
$3,370.00
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$3,477.36
|
| Rate for Payer: Cash Price |
$3,477.36
|
| Rate for Payer: Cofinity Commercial |
$4,085.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,477.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$4,346.70
|
| Rate for Payer: Healthscope Whirlpool |
$4,216.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$341.84
|
| Rate for Payer: Mclaren Commercial |
$3,912.03
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,694.70
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$376.02
|
| Rate for Payer: PHP Medicaid |
$186.99
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,042.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,946.15
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,556.92
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,825.10
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: VA VA |
$341.84
|
|
|
HC CT ABDOMEN ANGIO
|
Facility
|
IP
|
$1,075.90
|
|
|
Service Code
|
CPT 74175
|
| Hospital Charge Code |
35200025
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$753.13 |
| Max. Negotiated Rate |
$1,075.90 |
| Rate for Payer: Aetna Commercial |
$968.31
|
| Rate for Payer: ASR ASR |
$1,043.62
|
| Rate for Payer: BCBS Trust/PPO |
$834.15
|
| Rate for Payer: BCN Commercial |
$834.15
|
| Rate for Payer: Cash Price |
$860.72
|
| Rate for Payer: Cofinity Commercial |
$1,011.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.72
|
| Rate for Payer: Healthscope Commercial |
$1,075.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.62
|
| Rate for Payer: Mclaren Commercial |
$968.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$946.79
|
|
|
HC CT ABDOMEN ANGIO
|
Facility
|
OP
|
$1,075.90
|
|
|
Service Code
|
CPT 74175
|
| Hospital Charge Code |
35200025
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,075.90 |
| Rate for Payer: Aetna Commercial |
$968.31
|
| Rate for Payer: Aetna Medicare |
$163.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: ASR ASR |
$1,043.62
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$834.15
|
| Rate for Payer: BCN Commercial |
$834.15
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$860.72
|
| Rate for Payer: Cash Price |
$860.72
|
| Rate for Payer: Cofinity Commercial |
$1,011.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,075.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.62
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$968.31
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.52
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$179.65
|
| Rate for Payer: PHP Medicaid |
$89.34
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$848.14
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$678.51
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$946.79
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT ABDOMEN W CON
|
Facility
|
IP
|
$1,921.32
|
|
|
Service Code
|
CPT 74160
|
| Hospital Charge Code |
35200023
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,344.92 |
| Max. Negotiated Rate |
$1,921.32 |
| Rate for Payer: Aetna Commercial |
$1,729.19
|
| Rate for Payer: ASR ASR |
$1,863.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,489.60
|
| Rate for Payer: BCN Commercial |
$1,489.60
|
| Rate for Payer: Cash Price |
$1,537.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,537.06
|
| Rate for Payer: Healthscope Commercial |
$1,921.32
|
| Rate for Payer: Healthscope Whirlpool |
$1,863.68
|
| Rate for Payer: Mclaren Commercial |
$1,729.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,633.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,344.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,690.76
|
|
|
HC CT ABDOMEN W CON
|
Facility
|
OP
|
$1,921.32
|
|
|
Service Code
|
CPT 74160
|
| Hospital Charge Code |
35200023
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,921.32 |
| Rate for Payer: Aetna Commercial |
$1,729.19
|
| Rate for Payer: Aetna Medicare |
$163.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: ASR ASR |
$1,863.68
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,489.60
|
| Rate for Payer: BCN Commercial |
$1,489.60
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,537.06
|
| Rate for Payer: Cash Price |
$1,537.06
|
| Rate for Payer: Cofinity Commercial |
$1,806.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,537.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,921.32
|
| Rate for Payer: Healthscope Whirlpool |
$1,863.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$1,729.19
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,633.12
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$179.65
|
| Rate for Payer: PHP Medicaid |
$89.34
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,344.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$972.82
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$778.26
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,690.76
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT ABDOMEN WO CON
|
Facility
|
OP
|
$1,575.39
|
|
|
Service Code
|
CPT 74150
|
| Hospital Charge Code |
35200022
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,575.39 |
| Rate for Payer: Aetna Commercial |
$1,417.85
|
| Rate for Payer: Aetna Medicare |
$97.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.15
|
| Rate for Payer: ASR ASR |
$1,528.13
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,221.40
|
| Rate for Payer: BCN Commercial |
$1,221.40
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$1,260.31
|
| Rate for Payer: Cash Price |
$1,260.31
|
| Rate for Payer: Cofinity Commercial |
$1,480.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,260.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,575.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,528.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$97.72
|
| Rate for Payer: Mclaren Commercial |
$1,417.85
|
| Rate for Payer: Mclaren Medicaid |
$53.45
|
| Rate for Payer: Mclaren Medicare |
$97.72
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,339.08
|
| Rate for Payer: PACE Medicare |
$92.83
|
| Rate for Payer: PACE SWMI |
$97.72
|
| Rate for Payer: PHP Commercial |
$107.49
|
| Rate for Payer: PHP Medicaid |
$53.45
|
| Rate for Payer: PHP Medicare Advantage |
$97.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$912.27
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$729.82
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,386.34
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: VA VA |
$97.72
|
|
|
HC CT ABDOMEN WO CON
|
Facility
|
IP
|
$1,575.39
|
|
|
Service Code
|
CPT 74150
|
| Hospital Charge Code |
35200022
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,102.77 |
| Max. Negotiated Rate |
$1,575.39 |
| Rate for Payer: Aetna Commercial |
$1,417.85
|
| Rate for Payer: ASR ASR |
$1,528.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,221.40
|
| Rate for Payer: BCN Commercial |
$1,221.40
|
| Rate for Payer: Cash Price |
$1,260.31
|
| Rate for Payer: Cofinity Commercial |
$1,480.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,260.31
|
| Rate for Payer: Healthscope Commercial |
$1,575.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,528.13
|
| Rate for Payer: Mclaren Commercial |
$1,417.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,339.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,386.34
|
|
|
HC CT ABDOMEN WO W CON
|
Facility
|
IP
|
$2,405.52
|
|
|
Service Code
|
CPT 74170
|
| Hospital Charge Code |
35200024
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,683.86 |
| Max. Negotiated Rate |
$2,405.52 |
| Rate for Payer: Aetna Commercial |
$2,164.97
|
| Rate for Payer: ASR ASR |
$2,333.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,865.00
|
| Rate for Payer: BCN Commercial |
$1,865.00
|
| Rate for Payer: Cash Price |
$1,924.42
|
| Rate for Payer: Cofinity Commercial |
$2,261.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,924.42
|
| Rate for Payer: Healthscope Commercial |
$2,405.52
|
| Rate for Payer: Healthscope Whirlpool |
$2,333.35
|
| Rate for Payer: Mclaren Commercial |
$2,164.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,044.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,683.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,116.86
|
|
|
HC CT ABDOMEN WO W CON
|
Facility
|
OP
|
$2,405.52
|
|
|
Service Code
|
CPT 74170
|
| Hospital Charge Code |
35200024
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$2,405.52 |
| Rate for Payer: Aetna Commercial |
$2,164.97
|
| Rate for Payer: Aetna Medicare |
$163.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: ASR ASR |
$2,333.35
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,865.00
|
| Rate for Payer: BCN Commercial |
$1,865.00
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,924.42
|
| Rate for Payer: Cash Price |
$1,924.42
|
| Rate for Payer: Cofinity Commercial |
$2,261.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,924.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$2,405.52
|
| Rate for Payer: Healthscope Whirlpool |
$2,333.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$2,164.97
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,044.69
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$179.65
|
| Rate for Payer: PHP Medicaid |
$89.34
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,683.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,070.81
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$856.65
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,116.86
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT ABLATION PROCEDURE
|
Facility
|
IP
|
$1,075.90
|
|
|
Service Code
|
CPT 77013
|
| Hospital Charge Code |
35000030
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$753.13 |
| Max. Negotiated Rate |
$1,075.90 |
| Rate for Payer: Aetna Commercial |
$968.31
|
| Rate for Payer: ASR ASR |
$1,043.62
|
| Rate for Payer: BCBS Trust/PPO |
$834.15
|
| Rate for Payer: BCN Commercial |
$834.15
|
| Rate for Payer: Cash Price |
$860.72
|
| Rate for Payer: Cofinity Commercial |
$1,011.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.72
|
| Rate for Payer: Healthscope Commercial |
$1,075.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.62
|
| Rate for Payer: Mclaren Commercial |
$968.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$946.79
|
|
|
HC CT ABLATION PROCEDURE
|
Facility
|
OP
|
$1,075.90
|
|
|
Service Code
|
CPT 77013
|
| Hospital Charge Code |
35000030
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$430.36 |
| Max. Negotiated Rate |
$1,075.90 |
| Rate for Payer: Aetna Commercial |
$968.31
|
| Rate for Payer: ASR ASR |
$1,043.62
|
| Rate for Payer: BCBS Complete |
$430.36
|
| Rate for Payer: BCBS Trust/PPO |
$834.15
|
| Rate for Payer: BCN Commercial |
$834.15
|
| Rate for Payer: Cash Price |
$860.72
|
| Rate for Payer: Cofinity Commercial |
$1,011.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.72
|
| Rate for Payer: Healthscope Commercial |
$1,075.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.62
|
| Rate for Payer: Mclaren Commercial |
$968.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$979.07
|
| Rate for Payer: Priority Health Narrow Network |
$763.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$946.79
|
|
|
HC CT ANGIO ABD AND PELVIS
|
Facility
|
IP
|
$3,025.12
|
|
|
Service Code
|
CPT 74174
|
| Hospital Charge Code |
35000034
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$2,117.58 |
| Max. Negotiated Rate |
$3,025.12 |
| Rate for Payer: Aetna Commercial |
$2,722.61
|
| Rate for Payer: ASR ASR |
$2,934.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,345.38
|
| Rate for Payer: BCN Commercial |
$2,345.38
|
| Rate for Payer: Cash Price |
$2,420.10
|
| Rate for Payer: Cofinity Commercial |
$2,843.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,420.10
|
| Rate for Payer: Healthscope Commercial |
$3,025.12
|
| Rate for Payer: Healthscope Whirlpool |
$2,934.37
|
| Rate for Payer: Mclaren Commercial |
$2,722.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,571.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,117.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,662.11
|
|
|
HC CT ANGIO ABD AND PELVIS
|
Facility
|
OP
|
$3,025.12
|
|
|
Service Code
|
CPT 74174
|
| Hospital Charge Code |
35000034
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$3,025.12 |
| Rate for Payer: Aetna Commercial |
$2,722.61
|
| Rate for Payer: Aetna Medicare |
$341.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: ASR ASR |
$2,934.37
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,345.38
|
| Rate for Payer: BCN Commercial |
$2,345.38
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$2,420.10
|
| Rate for Payer: Cash Price |
$2,420.10
|
| Rate for Payer: Cofinity Commercial |
$2,843.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,420.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$3,025.12
|
| Rate for Payer: Healthscope Whirlpool |
$2,934.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$341.84
|
| Rate for Payer: Mclaren Commercial |
$2,722.61
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,571.35
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$376.02
|
| Rate for Payer: PHP Medicaid |
$186.99
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,117.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,681.40
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,345.12
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,662.11
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: VA VA |
$341.84
|
|
|
HC CT ANGIO CORONARY DISCONTINUED
|
Facility
|
OP
|
$1,291.12
|
|
|
Service Code
|
CPT 75574
|
| Hospital Charge Code |
35000018
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,291.12 |
| Rate for Payer: Aetna Commercial |
$1,162.01
|
| Rate for Payer: Aetna Medicare |
$163.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$204.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$204.15
|
| Rate for Payer: ASR ASR |
$1,252.39
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,001.01
|
| Rate for Payer: BCN Commercial |
$1,001.01
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,032.90
|
| Rate for Payer: Cash Price |
$1,032.90
|
| Rate for Payer: Cofinity Commercial |
$1,213.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,032.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,291.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,252.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$1,162.01
|
| Rate for Payer: Mclaren Medicaid |
$89.34
|
| Rate for Payer: Mclaren Medicare |
$163.32
|
| Rate for Payer: Meridian Medicaid |
$93.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,097.45
|
| Rate for Payer: PACE Medicare |
$155.15
|
| Rate for Payer: PACE SWMI |
$163.32
|
| Rate for Payer: PHP Commercial |
$179.65
|
| Rate for Payer: PHP Medicaid |
$89.34
|
| Rate for Payer: PHP Medicare Advantage |
$163.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$903.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,174.92
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$916.70
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,136.19
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
