|
HC CT SPINE THORACIC WO CON
|
Facility
|
IP
|
$1,586.20
|
|
|
Service Code
|
CPT 72128
|
| Hospital Charge Code |
35200005
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,110.34 |
| Max. Negotiated Rate |
$1,586.20 |
| Rate for Payer: Aetna Commercial |
$1,427.58
|
| Rate for Payer: ASR ASR |
$1,538.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,229.78
|
| Rate for Payer: BCN Commercial |
$1,229.78
|
| Rate for Payer: Cash Price |
$1,268.96
|
| Rate for Payer: Cofinity Commercial |
$1,491.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,268.96
|
| Rate for Payer: Healthscope Commercial |
$1,586.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,538.61
|
| Rate for Payer: Mclaren Commercial |
$1,427.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,348.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,110.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,395.86
|
|
|
HC CT SPINE THORACIC WO CON
|
Facility
|
OP
|
$1,586.20
|
|
|
Service Code
|
CPT 72128
|
| Hospital Charge Code |
35200005
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,586.20 |
| Rate for Payer: Aetna Commercial |
$1,427.58
|
| 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 |
$1,538.61
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,229.78
|
| Rate for Payer: BCN Commercial |
$1,229.78
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$1,268.96
|
| Rate for Payer: Cash Price |
$1,268.96
|
| Rate for Payer: Cofinity Commercial |
$1,491.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,268.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,586.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,538.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$97.72
|
| Rate for Payer: Mclaren Commercial |
$1,427.58
|
| 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 |
$1,348.27
|
| 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 |
$1,110.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,215.51
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$972.41
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,395.86
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: VA VA |
$97.72
|
|
|
HC CT SPINE THORACIC WO W CON
|
Facility
|
IP
|
$2,159.90
|
|
|
Service Code
|
CPT 72130
|
| Hospital Charge Code |
35000008
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$1,511.93 |
| Max. Negotiated Rate |
$2,159.90 |
| Rate for Payer: Aetna Commercial |
$1,943.91
|
| Rate for Payer: ASR ASR |
$2,095.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,674.57
|
| Rate for Payer: BCN Commercial |
$1,674.57
|
| Rate for Payer: Cash Price |
$1,727.92
|
| Rate for Payer: Cofinity Commercial |
$2,030.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,727.92
|
| Rate for Payer: Healthscope Commercial |
$2,159.90
|
| Rate for Payer: Healthscope Whirlpool |
$2,095.10
|
| Rate for Payer: Mclaren Commercial |
$1,943.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,835.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,511.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,900.71
|
|
|
HC CT SPINE THORACIC WO W CON
|
Facility
|
OP
|
$2,159.90
|
|
|
Service Code
|
CPT 72130
|
| Hospital Charge Code |
35000008
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$2,159.90 |
| Rate for Payer: Aetna Commercial |
$1,943.91
|
| 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 |
$2,095.10
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,674.57
|
| Rate for Payer: BCN Commercial |
$1,674.57
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,727.92
|
| Rate for Payer: Cash Price |
$1,727.92
|
| Rate for Payer: Cofinity Commercial |
$2,030.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,727.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$2,159.90
|
| Rate for Payer: Healthscope Whirlpool |
$2,095.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$1,943.91
|
| 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 |
$1,835.92
|
| 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 |
$1,511.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,354.04
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,083.23
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,900.71
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT UPPER EXTREM ANGIO
|
Facility
|
IP
|
$1,799.28
|
|
|
Service Code
|
CPT 73206
|
| Hospital Charge Code |
35000010
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$1,259.50 |
| Max. Negotiated Rate |
$1,799.28 |
| Rate for Payer: Aetna Commercial |
$1,619.35
|
| Rate for Payer: ASR ASR |
$1,745.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.98
|
| Rate for Payer: BCN Commercial |
$1,394.98
|
| Rate for Payer: Cash Price |
$1,439.42
|
| Rate for Payer: Cofinity Commercial |
$1,691.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,439.42
|
| Rate for Payer: Healthscope Commercial |
$1,799.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,745.30
|
| Rate for Payer: Mclaren Commercial |
$1,619.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,529.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,259.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,583.37
|
|
|
HC CT UPPER EXTREM ANGIO
|
Facility
|
OP
|
$1,799.28
|
|
|
Service Code
|
CPT 73206
|
| Hospital Charge Code |
35000010
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,799.28 |
| Rate for Payer: Aetna Commercial |
$1,619.35
|
| 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 |
$1,745.30
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.98
|
| Rate for Payer: BCN Commercial |
$1,394.98
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,439.42
|
| Rate for Payer: Cash Price |
$1,439.42
|
| Rate for Payer: Cofinity Commercial |
$1,691.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,439.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,799.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,745.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$1,619.35
|
| 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 |
$1,529.39
|
| 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 |
$1,259.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$768.60
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$614.88
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,583.37
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT UPPER EXTREMITY W CON
|
Facility
|
OP
|
$1,421.88
|
|
|
Service Code
|
CPT 73201
|
| Hospital Charge Code |
35200014
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$1,421.88 |
| Rate for Payer: Aetna Commercial |
$1,279.69
|
| 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 |
$1,379.22
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,102.38
|
| Rate for Payer: BCN Commercial |
$1,102.38
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$1,137.50
|
| Rate for Payer: Cash Price |
$1,137.50
|
| Rate for Payer: Cofinity Commercial |
$1,336.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,137.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$1,421.88
|
| Rate for Payer: Healthscope Whirlpool |
$1,379.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$341.84
|
| Rate for Payer: Mclaren Commercial |
$1,279.69
|
| 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 |
$1,208.60
|
| 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 |
$995.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,155.48
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$924.38
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,251.25
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: VA VA |
$341.84
|
|
|
HC CT UPPER EXTREMITY W CON
|
Facility
|
IP
|
$1,421.88
|
|
|
Service Code
|
CPT 73201
|
| Hospital Charge Code |
35200014
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$995.32 |
| Max. Negotiated Rate |
$1,421.88 |
| Rate for Payer: Aetna Commercial |
$1,279.69
|
| Rate for Payer: ASR ASR |
$1,379.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,102.38
|
| Rate for Payer: BCN Commercial |
$1,102.38
|
| Rate for Payer: Cash Price |
$1,137.50
|
| Rate for Payer: Cofinity Commercial |
$1,336.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,137.50
|
| Rate for Payer: Healthscope Commercial |
$1,421.88
|
| Rate for Payer: Healthscope Whirlpool |
$1,379.22
|
| Rate for Payer: Mclaren Commercial |
$1,279.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,208.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,251.25
|
|
|
HC CT UPPER EXTREMITY WO CON
|
Facility
|
IP
|
$1,191.36
|
|
|
Service Code
|
CPT 73200
|
| Hospital Charge Code |
35200013
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$833.95 |
| Max. Negotiated Rate |
$1,191.36 |
| Rate for Payer: Aetna Commercial |
$1,072.22
|
| Rate for Payer: ASR ASR |
$1,155.62
|
| Rate for Payer: BCBS Trust/PPO |
$923.66
|
| Rate for Payer: BCN Commercial |
$923.66
|
| Rate for Payer: Cash Price |
$953.09
|
| Rate for Payer: Cofinity Commercial |
$1,119.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.09
|
| Rate for Payer: Healthscope Commercial |
$1,191.36
|
| Rate for Payer: Healthscope Whirlpool |
$1,155.62
|
| Rate for Payer: Mclaren Commercial |
$1,072.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,012.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$833.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,048.40
|
|
|
HC CT UPPER EXTREMITY WO CON
|
Facility
|
OP
|
$1,191.36
|
|
|
Service Code
|
CPT 73200
|
| Hospital Charge Code |
35200013
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,218.08 |
| Rate for Payer: Aetna Commercial |
$1,072.22
|
| 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 |
$1,155.62
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$923.66
|
| Rate for Payer: BCN Commercial |
$923.66
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$953.09
|
| Rate for Payer: Cash Price |
$953.09
|
| Rate for Payer: Cofinity Commercial |
$1,119.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,191.36
|
| Rate for Payer: Healthscope Whirlpool |
$1,155.62
|
| Rate for Payer: Humana Choice PPO Medicare |
$97.72
|
| Rate for Payer: Mclaren Commercial |
$1,072.22
|
| 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 |
$1,012.66
|
| 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 |
$833.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,218.08
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$974.46
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,048.40
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: VA VA |
$97.72
|
|
|
HC CT UPPER EXTREMITY WO W CON
|
Facility
|
OP
|
$1,657.70
|
|
|
Service Code
|
CPT 73202
|
| Hospital Charge Code |
35200015
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,657.70 |
| Rate for Payer: Aetna Commercial |
$1,491.93
|
| 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 |
$1,607.97
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,285.21
|
| Rate for Payer: BCN Commercial |
$1,285.21
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,326.16
|
| Rate for Payer: Cash Price |
$1,326.16
|
| Rate for Payer: Cofinity Commercial |
$1,558.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,326.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,657.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,607.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$1,491.93
|
| 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 |
$1,409.04
|
| 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 |
$1,160.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,288.88
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,031.10
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,458.78
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT UPPER EXTREMITY WO W CON
|
Facility
|
IP
|
$1,657.70
|
|
|
Service Code
|
CPT 73202
|
| Hospital Charge Code |
35200015
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,160.39 |
| Max. Negotiated Rate |
$1,657.70 |
| Rate for Payer: Aetna Commercial |
$1,491.93
|
| Rate for Payer: ASR ASR |
$1,607.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,285.21
|
| Rate for Payer: BCN Commercial |
$1,285.21
|
| Rate for Payer: Cash Price |
$1,326.16
|
| Rate for Payer: Cofinity Commercial |
$1,558.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,326.16
|
| Rate for Payer: Healthscope Commercial |
$1,657.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,607.97
|
| Rate for Payer: Mclaren Commercial |
$1,491.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,409.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,458.78
|
|
|
HC CT VIRTUAL COLONOSCOPY SCREENING
|
Facility
|
OP
|
$994.10
|
|
|
Service Code
|
CPT 74263
|
| Hospital Charge Code |
35000014
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$397.64 |
| Max. Negotiated Rate |
$994.10 |
| Rate for Payer: Aetna Commercial |
$894.69
|
| Rate for Payer: ASR ASR |
$964.28
|
| Rate for Payer: BCBS Complete |
$397.64
|
| Rate for Payer: BCBS Trust/PPO |
$770.73
|
| Rate for Payer: BCN Commercial |
$770.73
|
| Rate for Payer: Cash Price |
$795.28
|
| Rate for Payer: Cofinity Commercial |
$934.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$795.28
|
| Rate for Payer: Healthscope Commercial |
$994.10
|
| Rate for Payer: Healthscope Whirlpool |
$964.28
|
| Rate for Payer: Mclaren Commercial |
$894.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$844.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$904.63
|
| Rate for Payer: Priority Health Narrow Network |
$705.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$874.81
|
|
|
HC CT VIRTUAL COLONOSCOPY SCREENING
|
Facility
|
IP
|
$994.10
|
|
|
Service Code
|
CPT 74263
|
| Hospital Charge Code |
35000014
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$695.87 |
| Max. Negotiated Rate |
$994.10 |
| Rate for Payer: Aetna Commercial |
$894.69
|
| Rate for Payer: ASR ASR |
$964.28
|
| Rate for Payer: BCBS Trust/PPO |
$770.73
|
| Rate for Payer: BCN Commercial |
$770.73
|
| Rate for Payer: Cash Price |
$795.28
|
| Rate for Payer: Cofinity Commercial |
$934.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$795.28
|
| Rate for Payer: Healthscope Commercial |
$994.10
|
| Rate for Payer: Healthscope Whirlpool |
$964.28
|
| Rate for Payer: Mclaren Commercial |
$894.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$844.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$874.81
|
|
|
HC CT VIRTUAL COLON W CON DIAG
|
Facility
|
OP
|
$1,261.30
|
|
|
Service Code
|
CPT 74262
|
| Hospital Charge Code |
35000013
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$89.34 |
| Max. Negotiated Rate |
$1,261.30 |
| Rate for Payer: Aetna Commercial |
$1,135.17
|
| 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 |
$1,223.46
|
| Rate for Payer: BCBS Complete |
$93.81
|
| Rate for Payer: BCBS MAPPO |
$163.32
|
| Rate for Payer: BCBS Trust/PPO |
$977.89
|
| Rate for Payer: BCN Commercial |
$977.89
|
| Rate for Payer: BCN Medicare Advantage |
$163.32
|
| Rate for Payer: Cash Price |
$1,009.04
|
| Rate for Payer: Cash Price |
$1,009.04
|
| Rate for Payer: Cofinity Commercial |
$1,185.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.32
|
| Rate for Payer: Healthscope Commercial |
$1,261.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,223.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$163.32
|
| Rate for Payer: Mclaren Commercial |
$1,135.17
|
| 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 |
$1,072.10
|
| 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 |
$882.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,147.78
|
| Rate for Payer: Priority Health Medicare |
$163.32
|
| Rate for Payer: Priority Health Narrow Network |
$895.52
|
| Rate for Payer: Railroad Medicare Medicare |
$163.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,109.94
|
| Rate for Payer: UHC Medicare Advantage |
$168.22
|
| Rate for Payer: VA VA |
$163.32
|
|
|
HC CT VIRTUAL COLON W CON DIAG
|
Facility
|
IP
|
$1,261.30
|
|
|
Service Code
|
CPT 74262
|
| Hospital Charge Code |
35000013
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$882.91 |
| Max. Negotiated Rate |
$1,261.30 |
| Rate for Payer: Aetna Commercial |
$1,135.17
|
| Rate for Payer: ASR ASR |
$1,223.46
|
| Rate for Payer: BCBS Trust/PPO |
$977.89
|
| Rate for Payer: BCN Commercial |
$977.89
|
| Rate for Payer: Cash Price |
$1,009.04
|
| Rate for Payer: Cofinity Commercial |
$1,185.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
| Rate for Payer: Healthscope Commercial |
$1,261.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,223.46
|
| Rate for Payer: Mclaren Commercial |
$1,135.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,072.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$882.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,109.94
|
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
OP
|
$1,261.30
|
|
|
Service Code
|
CPT 74261
|
| Hospital Charge Code |
35000012
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$53.45 |
| Max. Negotiated Rate |
$1,261.30 |
| Rate for Payer: Aetna Commercial |
$1,135.17
|
| 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 |
$1,223.46
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$97.72
|
| Rate for Payer: BCBS Trust/PPO |
$977.89
|
| Rate for Payer: BCN Commercial |
$977.89
|
| Rate for Payer: BCN Medicare Advantage |
$97.72
|
| Rate for Payer: Cash Price |
$1,009.04
|
| Rate for Payer: Cash Price |
$1,009.04
|
| Rate for Payer: Cofinity Commercial |
$1,185.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.72
|
| Rate for Payer: Healthscope Commercial |
$1,261.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,223.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$97.72
|
| Rate for Payer: Mclaren Commercial |
$1,135.17
|
| 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 |
$1,072.10
|
| 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 |
$882.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,147.78
|
| Rate for Payer: Priority Health Medicare |
$97.72
|
| Rate for Payer: Priority Health Narrow Network |
$895.52
|
| Rate for Payer: Railroad Medicare Medicare |
$97.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,109.94
|
| Rate for Payer: UHC Medicare Advantage |
$100.65
|
| Rate for Payer: VA VA |
$97.72
|
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
IP
|
$1,261.30
|
|
|
Service Code
|
CPT 74261
|
| Hospital Charge Code |
35000012
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$882.91 |
| Max. Negotiated Rate |
$1,261.30 |
| Rate for Payer: Aetna Commercial |
$1,135.17
|
| Rate for Payer: ASR ASR |
$1,223.46
|
| Rate for Payer: BCBS Trust/PPO |
$977.89
|
| Rate for Payer: BCN Commercial |
$977.89
|
| Rate for Payer: Cash Price |
$1,009.04
|
| Rate for Payer: Cofinity Commercial |
$1,185.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
| Rate for Payer: Healthscope Commercial |
$1,261.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,223.46
|
| Rate for Payer: Mclaren Commercial |
$1,135.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,072.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$882.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,109.94
|
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
IP
|
$2,593.51
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
36100319
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,815.46 |
| Max. Negotiated Rate |
$2,593.51 |
| Rate for Payer: Aetna Commercial |
$2,334.16
|
| Rate for Payer: ASR ASR |
$2,515.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,010.75
|
| Rate for Payer: BCN Commercial |
$2,010.75
|
| Rate for Payer: Cash Price |
$2,074.81
|
| Rate for Payer: Cofinity Commercial |
$2,437.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,074.81
|
| Rate for Payer: Healthscope Commercial |
$2,593.51
|
| Rate for Payer: Healthscope Whirlpool |
$2,515.70
|
| Rate for Payer: Mclaren Commercial |
$2,334.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,204.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,815.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,282.29
|
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
OP
|
$2,593.51
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
36100319
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,381.58 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$2,334.16
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$2,515.70
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,010.75
|
| Rate for Payer: BCN Commercial |
$2,010.75
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$2,074.81
|
| Rate for Payer: Cash Price |
$2,074.81
|
| Rate for Payer: Cofinity Commercial |
$2,437.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,074.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$2,593.51
|
| Rate for Payer: Healthscope Whirlpool |
$2,515.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$2,334.16
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,204.48
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,815.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,360.09
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,841.39
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,282.29
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
OP
|
$51.31
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
30600078
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.42 |
| Max. Negotiated Rate |
$51.31 |
| Rate for Payer: Aetna Commercial |
$46.18
|
| Rate for Payer: Aetna Medicare |
$8.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.10
|
| Rate for Payer: ASR ASR |
$49.77
|
| Rate for Payer: BCBS Complete |
$4.64
|
| Rate for Payer: BCBS MAPPO |
$8.08
|
| Rate for Payer: BCBS Trust/PPO |
$39.78
|
| Rate for Payer: BCN Commercial |
$39.78
|
| Rate for Payer: BCN Medicare Advantage |
$8.08
|
| Rate for Payer: Cash Price |
$41.05
|
| Rate for Payer: Cash Price |
$41.05
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.08
|
| Rate for Payer: Healthscope Commercial |
$51.31
|
| Rate for Payer: Healthscope Whirlpool |
$49.77
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.08
|
| Rate for Payer: Mclaren Commercial |
$46.18
|
| Rate for Payer: Mclaren Medicaid |
$4.42
|
| Rate for Payer: Mclaren Medicare |
$8.08
|
| Rate for Payer: Meridian Medicaid |
$4.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.61
|
| Rate for Payer: PACE Medicare |
$7.68
|
| Rate for Payer: PACE SWMI |
$8.08
|
| Rate for Payer: PHP Commercial |
$8.89
|
| Rate for Payer: PHP Medicaid |
$4.42
|
| Rate for Payer: PHP Medicare Advantage |
$8.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23.60
|
| Rate for Payer: Priority Health Medicare |
$8.08
|
| Rate for Payer: Priority Health Narrow Network |
$18.88
|
| Rate for Payer: Railroad Medicare Medicare |
$8.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.15
|
| Rate for Payer: UHC Medicare Advantage |
$8.32
|
| Rate for Payer: VA VA |
$8.08
|
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
IP
|
$51.31
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
30600078
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$35.92 |
| Max. Negotiated Rate |
$51.31 |
| Rate for Payer: Aetna Commercial |
$46.18
|
| Rate for Payer: ASR ASR |
$49.77
|
| Rate for Payer: BCBS Trust/PPO |
$39.78
|
| Rate for Payer: BCN Commercial |
$39.78
|
| Rate for Payer: Cash Price |
$41.05
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.05
|
| Rate for Payer: Healthscope Commercial |
$51.31
|
| Rate for Payer: Healthscope Whirlpool |
$49.77
|
| Rate for Payer: Mclaren Commercial |
$46.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.15
|
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
OP
|
$40.84
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600323
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.16 |
| Max. Negotiated Rate |
$40.84 |
| Rate for Payer: Aetna Commercial |
$36.76
|
| Rate for Payer: Aetna Medicare |
$9.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: ASR ASR |
$39.61
|
| Rate for Payer: BCBS Complete |
$5.42
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$31.66
|
| Rate for Payer: BCN Commercial |
$31.66
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$32.67
|
| Rate for Payer: Cash Price |
$32.67
|
| Rate for Payer: Cofinity Commercial |
$38.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$40.84
|
| Rate for Payer: Healthscope Whirlpool |
$39.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$9.44
|
| Rate for Payer: Mclaren Commercial |
$36.76
|
| Rate for Payer: Mclaren Medicaid |
$5.16
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Medicaid |
$5.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.71
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$10.38
|
| Rate for Payer: PHP Medicaid |
$5.16
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27.70
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$22.16
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.94
|
| Rate for Payer: UHC Medicare Advantage |
$9.72
|
| Rate for Payer: VA VA |
$9.44
|
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
IP
|
$40.84
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600323
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$28.59 |
| Max. Negotiated Rate |
$40.84 |
| Rate for Payer: Aetna Commercial |
$36.76
|
| Rate for Payer: ASR ASR |
$39.61
|
| Rate for Payer: BCBS Trust/PPO |
$31.66
|
| Rate for Payer: BCN Commercial |
$31.66
|
| Rate for Payer: Cash Price |
$32.67
|
| Rate for Payer: Cofinity Commercial |
$38.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.67
|
| Rate for Payer: Healthscope Commercial |
$40.84
|
| Rate for Payer: Healthscope Whirlpool |
$39.61
|
| Rate for Payer: Mclaren Commercial |
$36.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.94
|
|
|
HC CULTURE ENTERIC PATH STOOL CMPT
|
Facility
|
IP
|
$15.34
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600324
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.74 |
| Max. Negotiated Rate |
$15.34 |
| Rate for Payer: Aetna Commercial |
$13.81
|
| Rate for Payer: ASR ASR |
$14.88
|
| Rate for Payer: BCBS Trust/PPO |
$11.89
|
| Rate for Payer: BCN Commercial |
$11.89
|
| Rate for Payer: Cash Price |
$12.27
|
| Rate for Payer: Cofinity Commercial |
$14.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.27
|
| Rate for Payer: Healthscope Commercial |
$15.34
|
| Rate for Payer: Healthscope Whirlpool |
$14.88
|
| Rate for Payer: Mclaren Commercial |
$13.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$13.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.50
|
|
