|
HC ANEUPLOIDY DETECTION POC FISH
|
Facility
|
IP
|
$138.37
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000038
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$89.94 |
| Max. Negotiated Rate |
$138.37 |
| Rate for Payer: Aetna Commercial |
$124.53
|
| Rate for Payer: ASR ASR |
$134.22
|
| Rate for Payer: ASR Commercial |
$134.22
|
| Rate for Payer: BCBS Trust/PPO |
$112.76
|
| Rate for Payer: BCN Commercial |
$107.28
|
| Rate for Payer: Cash Price |
$110.70
|
| Rate for Payer: Cofinity Commercial |
$130.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.70
|
| Rate for Payer: Healthscope Commercial |
$138.37
|
| Rate for Payer: Healthscope Whirlpool |
$134.22
|
| Rate for Payer: Mclaren Commercial |
$124.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.61
|
| Rate for Payer: Nomi Health Commercial |
$113.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$121.77
|
|
|
HC ANGIOPLASTY CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$2,360.73
|
|
|
Service Code
|
CPT 36907
|
| Hospital Charge Code |
36100531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$944.29 |
| Max. Negotiated Rate |
$2,360.73 |
| Rate for Payer: Aetna Commercial |
$2,124.66
|
| Rate for Payer: Aetna Medicare |
$1,180.36
|
| Rate for Payer: ASR ASR |
$2,289.91
|
| Rate for Payer: ASR Commercial |
$2,289.91
|
| Rate for Payer: BCBS Complete |
$944.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,933.20
|
| Rate for Payer: BCN Commercial |
$1,830.27
|
| Rate for Payer: Cash Price |
$1,888.58
|
| Rate for Payer: Cofinity Commercial |
$2,219.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,888.58
|
| Rate for Payer: Healthscope Commercial |
$2,360.73
|
| Rate for Payer: Healthscope Whirlpool |
$2,289.91
|
| Rate for Payer: Mclaren Commercial |
$2,124.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,006.62
|
| Rate for Payer: Nomi Health Commercial |
$1,935.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,534.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,068.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,654.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,077.44
|
|
|
HC ANGIOPLASTY CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$2,360.73
|
|
|
Service Code
|
CPT 36907
|
| Hospital Charge Code |
36100531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,534.47 |
| Max. Negotiated Rate |
$2,360.73 |
| Rate for Payer: Aetna Commercial |
$2,124.66
|
| Rate for Payer: ASR ASR |
$2,289.91
|
| Rate for Payer: ASR Commercial |
$2,289.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,923.76
|
| Rate for Payer: BCN Commercial |
$1,830.27
|
| Rate for Payer: Cash Price |
$1,888.58
|
| Rate for Payer: Cofinity Commercial |
$2,219.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,888.58
|
| Rate for Payer: Healthscope Commercial |
$2,360.73
|
| Rate for Payer: Healthscope Whirlpool |
$2,289.91
|
| Rate for Payer: Mclaren Commercial |
$2,124.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,006.62
|
| Rate for Payer: Nomi Health Commercial |
$1,935.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,534.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,077.44
|
|
|
HC ANGIOPLASTY EACH ADDL ARTERY WITH IMAGING
|
Facility
|
IP
|
$502.41
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
36100535
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$326.57 |
| Max. Negotiated Rate |
$502.41 |
| Rate for Payer: Aetna Commercial |
$452.17
|
| Rate for Payer: ASR ASR |
$487.34
|
| Rate for Payer: ASR Commercial |
$487.34
|
| Rate for Payer: BCBS Trust/PPO |
$409.41
|
| Rate for Payer: BCN Commercial |
$389.52
|
| Rate for Payer: Cash Price |
$401.93
|
| Rate for Payer: Cofinity Commercial |
$472.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$401.93
|
| Rate for Payer: Healthscope Commercial |
$502.41
|
| Rate for Payer: Healthscope Whirlpool |
$487.34
|
| Rate for Payer: Mclaren Commercial |
$452.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$427.05
|
| Rate for Payer: Nomi Health Commercial |
$411.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$326.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$442.12
|
|
|
HC ANGIOPLASTY EACH ADDL ARTERY WITH IMAGING
|
Facility
|
OP
|
$502.41
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
36100535
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$200.96 |
| Max. Negotiated Rate |
$502.41 |
| Rate for Payer: Aetna Commercial |
$452.17
|
| Rate for Payer: Aetna Medicare |
$251.20
|
| Rate for Payer: ASR ASR |
$487.34
|
| Rate for Payer: ASR Commercial |
$487.34
|
| Rate for Payer: BCBS Complete |
$200.96
|
| Rate for Payer: BCBS Trust/PPO |
$411.42
|
| Rate for Payer: BCN Commercial |
$389.52
|
| Rate for Payer: Cash Price |
$401.93
|
| Rate for Payer: Cofinity Commercial |
$472.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$401.93
|
| Rate for Payer: Healthscope Commercial |
$502.41
|
| Rate for Payer: Healthscope Whirlpool |
$487.34
|
| Rate for Payer: Mclaren Commercial |
$452.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$427.05
|
| Rate for Payer: Nomi Health Commercial |
$411.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$326.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$440.21
|
| Rate for Payer: Priority Health Narrow Network |
$352.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$442.12
|
|
|
HC ANGIOPLASTY EACH ADDL VEIN WITH IMAGING
|
Facility
|
OP
|
$552.65
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
36100537
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$221.06 |
| Max. Negotiated Rate |
$552.65 |
| Rate for Payer: Aetna Commercial |
$497.38
|
| Rate for Payer: Aetna Medicare |
$276.32
|
| Rate for Payer: ASR ASR |
$536.07
|
| Rate for Payer: ASR Commercial |
$536.07
|
| Rate for Payer: BCBS Complete |
$221.06
|
| Rate for Payer: BCBS Trust/PPO |
$452.57
|
| Rate for Payer: BCN Commercial |
$428.47
|
| Rate for Payer: Cash Price |
$442.12
|
| Rate for Payer: Cofinity Commercial |
$519.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.12
|
| Rate for Payer: Healthscope Commercial |
$552.65
|
| Rate for Payer: Healthscope Whirlpool |
$536.07
|
| Rate for Payer: Mclaren Commercial |
$497.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$469.75
|
| Rate for Payer: Nomi Health Commercial |
$453.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.23
|
| Rate for Payer: Priority Health Narrow Network |
$387.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$486.33
|
|
|
HC ANGIOPLASTY EACH ADDL VEIN WITH IMAGING
|
Facility
|
IP
|
$552.65
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
36100537
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$359.22 |
| Max. Negotiated Rate |
$552.65 |
| Rate for Payer: Aetna Commercial |
$497.38
|
| Rate for Payer: ASR ASR |
$536.07
|
| Rate for Payer: ASR Commercial |
$536.07
|
| Rate for Payer: BCBS Trust/PPO |
$450.35
|
| Rate for Payer: BCN Commercial |
$428.47
|
| Rate for Payer: Cash Price |
$442.12
|
| Rate for Payer: Cofinity Commercial |
$519.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.12
|
| Rate for Payer: Healthscope Commercial |
$552.65
|
| Rate for Payer: Healthscope Whirlpool |
$536.07
|
| Rate for Payer: Mclaren Commercial |
$497.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$469.75
|
| Rate for Payer: Nomi Health Commercial |
$453.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$486.33
|
|
|
HC ANGIOPLASTY INITIAL ARTERY WITH IMAGING
|
Facility
|
OP
|
$6,509.34
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
36100534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,994.22 |
| Max. Negotiated Rate |
$8,658.67 |
| Rate for Payer: Aetna Commercial |
$5,858.41
|
| Rate for Payer: Aetna Medicare |
$5,586.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,982.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,982.80
|
| Rate for Payer: ASR ASR |
$6,314.06
|
| Rate for Payer: ASR Commercial |
$6,314.06
|
| Rate for Payer: BCBS Complete |
$3,143.94
|
| Rate for Payer: BCBS MAPPO |
$5,586.24
|
| Rate for Payer: BCBS Trust/PPO |
$5,330.50
|
| Rate for Payer: BCN Commercial |
$5,046.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,586.24
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cofinity Commercial |
$6,118.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,207.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,586.24
|
| Rate for Payer: Healthscope Commercial |
$6,509.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,314.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,586.24
|
| Rate for Payer: Mclaren Commercial |
$5,858.41
|
| Rate for Payer: Mclaren Medicaid |
$2,994.22
|
| Rate for Payer: Mclaren Medicare |
$5,586.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,865.55
|
| Rate for Payer: Meridian Medicaid |
$3,143.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,424.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,532.94
|
| Rate for Payer: Nomi Health Commercial |
$5,337.66
|
| Rate for Payer: PACE Medicare |
$5,306.93
|
| Rate for Payer: PACE SWMI |
$5,586.24
|
| Rate for Payer: PHP Commercial |
$6,144.86
|
| Rate for Payer: PHP Medicaid |
$2,994.22
|
| Rate for Payer: PHP Medicare Advantage |
$5,586.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,994.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,231.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,703.48
|
| Rate for Payer: Priority Health Medicare |
$5,586.24
|
| Rate for Payer: Priority Health Narrow Network |
$4,563.05
|
| Rate for Payer: Railroad Medicare Medicare |
$5,586.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,728.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,586.24
|
| Rate for Payer: UHC Exchange |
$8,658.67
|
| Rate for Payer: UHC Medicare Advantage |
$5,586.24
|
| Rate for Payer: UHCCP DNSP |
$5,586.24
|
| Rate for Payer: UHCCP Medicaid |
$2,994.22
|
| Rate for Payer: VA VA |
$5,586.24
|
|
|
HC ANGIOPLASTY INITIAL ARTERY WITH IMAGING
|
Facility
|
IP
|
$6,509.34
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
36100534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,231.07 |
| Max. Negotiated Rate |
$6,509.34 |
| Rate for Payer: Aetna Commercial |
$5,858.41
|
| Rate for Payer: ASR ASR |
$6,314.06
|
| Rate for Payer: ASR Commercial |
$6,314.06
|
| Rate for Payer: BCBS Trust/PPO |
$5,304.46
|
| Rate for Payer: BCN Commercial |
$5,046.69
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cofinity Commercial |
$6,118.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,207.47
|
| Rate for Payer: Healthscope Commercial |
$6,509.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,314.06
|
| Rate for Payer: Mclaren Commercial |
$5,858.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,532.94
|
| Rate for Payer: Nomi Health Commercial |
$5,337.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,231.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,728.22
|
|
|
HC ANGIOPLASTY INITIAL VEIN WITH IMAGING
|
Facility
|
IP
|
$6,509.34
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
36100536
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,231.07 |
| Max. Negotiated Rate |
$6,509.34 |
| Rate for Payer: Aetna Commercial |
$5,858.41
|
| Rate for Payer: ASR ASR |
$6,314.06
|
| Rate for Payer: ASR Commercial |
$6,314.06
|
| Rate for Payer: BCBS Trust/PPO |
$5,304.46
|
| Rate for Payer: BCN Commercial |
$5,046.69
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cofinity Commercial |
$6,118.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,207.47
|
| Rate for Payer: Healthscope Commercial |
$6,509.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,314.06
|
| Rate for Payer: Mclaren Commercial |
$5,858.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,532.94
|
| Rate for Payer: Nomi Health Commercial |
$5,337.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,231.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,728.22
|
|
|
HC ANGIOPLASTY INITIAL VEIN WITH IMAGING
|
Facility
|
OP
|
$6,509.34
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
36100536
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,994.22 |
| Max. Negotiated Rate |
$8,658.67 |
| Rate for Payer: Aetna Commercial |
$5,858.41
|
| Rate for Payer: Aetna Medicare |
$5,586.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,982.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,982.80
|
| Rate for Payer: ASR ASR |
$6,314.06
|
| Rate for Payer: ASR Commercial |
$6,314.06
|
| Rate for Payer: BCBS Complete |
$3,143.94
|
| Rate for Payer: BCBS MAPPO |
$5,586.24
|
| Rate for Payer: BCBS Trust/PPO |
$5,330.50
|
| Rate for Payer: BCN Commercial |
$5,046.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,586.24
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cash Price |
$5,207.47
|
| Rate for Payer: Cofinity Commercial |
$6,118.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,207.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,586.24
|
| Rate for Payer: Healthscope Commercial |
$6,509.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,314.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,586.24
|
| Rate for Payer: Mclaren Commercial |
$5,858.41
|
| Rate for Payer: Mclaren Medicaid |
$2,994.22
|
| Rate for Payer: Mclaren Medicare |
$5,586.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,865.55
|
| Rate for Payer: Meridian Medicaid |
$3,143.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,424.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,532.94
|
| Rate for Payer: Nomi Health Commercial |
$5,337.66
|
| Rate for Payer: PACE Medicare |
$5,306.93
|
| Rate for Payer: PACE SWMI |
$5,586.24
|
| Rate for Payer: PHP Commercial |
$6,144.86
|
| Rate for Payer: PHP Medicaid |
$2,994.22
|
| Rate for Payer: PHP Medicare Advantage |
$5,586.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,994.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,231.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,703.48
|
| Rate for Payer: Priority Health Medicare |
$5,586.24
|
| Rate for Payer: Priority Health Narrow Network |
$4,563.05
|
| Rate for Payer: Railroad Medicare Medicare |
$5,586.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,728.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,586.24
|
| Rate for Payer: UHC Exchange |
$8,658.67
|
| Rate for Payer: UHC Medicare Advantage |
$5,586.24
|
| Rate for Payer: UHCCP DNSP |
$5,586.24
|
| Rate for Payer: UHCCP Medicaid |
$2,994.22
|
| Rate for Payer: VA VA |
$5,586.24
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL DIFF FAM
|
Facility
|
OP
|
$1,011.36
|
|
|
Service Code
|
CPT 61642
|
| Hospital Charge Code |
36100277
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$404.54 |
| Max. Negotiated Rate |
$1,011.36 |
| Rate for Payer: Aetna Commercial |
$910.22
|
| Rate for Payer: Aetna Medicare |
$505.68
|
| Rate for Payer: ASR ASR |
$981.02
|
| Rate for Payer: ASR Commercial |
$981.02
|
| Rate for Payer: BCBS Complete |
$404.54
|
| Rate for Payer: BCBS Trust/PPO |
$828.20
|
| Rate for Payer: BCN Commercial |
$784.11
|
| Rate for Payer: Cash Price |
$809.09
|
| Rate for Payer: Cofinity Commercial |
$950.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$809.09
|
| Rate for Payer: Healthscope Commercial |
$1,011.36
|
| Rate for Payer: Healthscope Whirlpool |
$981.02
|
| Rate for Payer: Mclaren Commercial |
$910.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$859.66
|
| Rate for Payer: Nomi Health Commercial |
$829.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$657.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$886.15
|
| Rate for Payer: Priority Health Narrow Network |
$708.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$890.00
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL DIFF FAM
|
Facility
|
IP
|
$1,011.36
|
|
|
Service Code
|
CPT 61642
|
| Hospital Charge Code |
36100277
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$657.38 |
| Max. Negotiated Rate |
$1,011.36 |
| Rate for Payer: Aetna Commercial |
$910.22
|
| Rate for Payer: ASR ASR |
$981.02
|
| Rate for Payer: ASR Commercial |
$981.02
|
| Rate for Payer: BCBS Trust/PPO |
$824.16
|
| Rate for Payer: BCN Commercial |
$784.11
|
| Rate for Payer: Cash Price |
$809.09
|
| Rate for Payer: Cofinity Commercial |
$950.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$809.09
|
| Rate for Payer: Healthscope Commercial |
$1,011.36
|
| Rate for Payer: Healthscope Whirlpool |
$981.02
|
| Rate for Payer: Mclaren Commercial |
$910.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$859.66
|
| Rate for Payer: Nomi Health Commercial |
$829.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$657.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$890.00
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
IP
|
$1,011.36
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$657.38 |
| Max. Negotiated Rate |
$1,011.36 |
| Rate for Payer: Aetna Commercial |
$910.22
|
| Rate for Payer: ASR ASR |
$981.02
|
| Rate for Payer: ASR Commercial |
$981.02
|
| Rate for Payer: BCBS Trust/PPO |
$824.16
|
| Rate for Payer: BCN Commercial |
$784.11
|
| Rate for Payer: Cash Price |
$809.09
|
| Rate for Payer: Cofinity Commercial |
$950.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$809.09
|
| Rate for Payer: Healthscope Commercial |
$1,011.36
|
| Rate for Payer: Healthscope Whirlpool |
$981.02
|
| Rate for Payer: Mclaren Commercial |
$910.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$859.66
|
| Rate for Payer: Nomi Health Commercial |
$829.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$657.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$890.00
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
OP
|
$1,011.36
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$404.54 |
| Max. Negotiated Rate |
$1,011.36 |
| Rate for Payer: Aetna Commercial |
$910.22
|
| Rate for Payer: Aetna Medicare |
$505.68
|
| Rate for Payer: ASR ASR |
$981.02
|
| Rate for Payer: ASR Commercial |
$981.02
|
| Rate for Payer: BCBS Complete |
$404.54
|
| Rate for Payer: BCBS Trust/PPO |
$828.20
|
| Rate for Payer: BCN Commercial |
$784.11
|
| Rate for Payer: Cash Price |
$809.09
|
| Rate for Payer: Cofinity Commercial |
$950.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$809.09
|
| Rate for Payer: Healthscope Commercial |
$1,011.36
|
| Rate for Payer: Healthscope Whirlpool |
$981.02
|
| Rate for Payer: Mclaren Commercial |
$910.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$859.66
|
| Rate for Payer: Nomi Health Commercial |
$829.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$657.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$886.15
|
| Rate for Payer: Priority Health Narrow Network |
$708.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$890.00
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
OP
|
$1,865.63
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$126.94 |
| Max. Negotiated Rate |
$1,865.63 |
| Rate for Payer: Aetna Commercial |
$1,679.07
|
| Rate for Payer: Aetna Medicare |
$236.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.04
|
| Rate for Payer: ASR ASR |
$1,809.66
|
| Rate for Payer: ASR Commercial |
$1,809.66
|
| Rate for Payer: BCBS Complete |
$133.29
|
| Rate for Payer: BCBS MAPPO |
$236.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,527.76
|
| Rate for Payer: BCN Commercial |
$1,446.42
|
| Rate for Payer: BCN Medicare Advantage |
$236.83
|
| Rate for Payer: Cash Price |
$1,492.50
|
| Rate for Payer: Cash Price |
$1,492.50
|
| Rate for Payer: Cofinity Commercial |
$1,753.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,492.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.83
|
| Rate for Payer: Healthscope Commercial |
$1,865.63
|
| Rate for Payer: Healthscope Whirlpool |
$1,809.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.83
|
| Rate for Payer: Mclaren Commercial |
$1,679.07
|
| Rate for Payer: Mclaren Medicaid |
$126.94
|
| Rate for Payer: Mclaren Medicare |
$236.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.67
|
| Rate for Payer: Meridian Medicaid |
$133.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,585.79
|
| Rate for Payer: Nomi Health Commercial |
$1,529.82
|
| Rate for Payer: PACE Medicare |
$224.99
|
| Rate for Payer: PACE SWMI |
$236.83
|
| Rate for Payer: PHP Commercial |
$260.51
|
| Rate for Payer: PHP Medicaid |
$126.94
|
| Rate for Payer: PHP Medicare Advantage |
$236.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,212.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,634.67
|
| Rate for Payer: Priority Health Medicare |
$236.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,307.81
|
| Rate for Payer: Railroad Medicare Medicare |
$236.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,641.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.83
|
| Rate for Payer: UHC Exchange |
$367.09
|
| Rate for Payer: UHC Medicare Advantage |
$236.83
|
| Rate for Payer: UHCCP DNSP |
$236.83
|
| Rate for Payer: UHCCP Medicaid |
$126.94
|
| Rate for Payer: VA VA |
$236.83
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
IP
|
$1,865.63
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,212.66 |
| Max. Negotiated Rate |
$1,865.63 |
| Rate for Payer: Aetna Commercial |
$1,679.07
|
| Rate for Payer: ASR ASR |
$1,809.66
|
| Rate for Payer: ASR Commercial |
$1,809.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,520.30
|
| Rate for Payer: BCN Commercial |
$1,446.42
|
| Rate for Payer: Cash Price |
$1,492.50
|
| Rate for Payer: Cofinity Commercial |
$1,753.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,492.50
|
| Rate for Payer: Healthscope Commercial |
$1,865.63
|
| Rate for Payer: Healthscope Whirlpool |
$1,809.66
|
| Rate for Payer: Mclaren Commercial |
$1,679.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,585.79
|
| Rate for Payer: Nomi Health Commercial |
$1,529.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,212.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,641.75
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
IP
|
$108.12
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$70.28 |
| Max. Negotiated Rate |
$108.12 |
| Rate for Payer: Aetna Commercial |
$97.31
|
| Rate for Payer: ASR ASR |
$104.88
|
| Rate for Payer: ASR Commercial |
$104.88
|
| Rate for Payer: BCBS Trust/PPO |
$88.11
|
| Rate for Payer: BCN Commercial |
$83.83
|
| Rate for Payer: Cash Price |
$86.50
|
| Rate for Payer: Cofinity Commercial |
$101.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.50
|
| Rate for Payer: Healthscope Commercial |
$108.12
|
| Rate for Payer: Healthscope Whirlpool |
$104.88
|
| Rate for Payer: Mclaren Commercial |
$97.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.90
|
| Rate for Payer: Nomi Health Commercial |
$88.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.15
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
OP
|
$108.12
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.83 |
| Max. Negotiated Rate |
$108.12 |
| Rate for Payer: Aetna Commercial |
$97.31
|
| Rate for Payer: Aetna Medicare |
$14.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.25
|
| Rate for Payer: ASR ASR |
$104.88
|
| Rate for Payer: ASR Commercial |
$104.88
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$88.54
|
| Rate for Payer: BCN Commercial |
$83.83
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$86.50
|
| Rate for Payer: Cash Price |
$86.50
|
| Rate for Payer: Cofinity Commercial |
$101.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$108.12
|
| Rate for Payer: Healthscope Whirlpool |
$104.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.60
|
| Rate for Payer: Mclaren Commercial |
$97.31
|
| Rate for Payer: Mclaren Medicaid |
$7.83
|
| Rate for Payer: Mclaren Medicare |
$14.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: Meridian Medicaid |
$8.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.90
|
| Rate for Payer: Nomi Health Commercial |
$88.66
|
| Rate for Payer: PACE Medicare |
$13.87
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Commercial |
$16.06
|
| Rate for Payer: PHP Medicaid |
$7.83
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.01
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$36.01
|
| Rate for Payer: Railroad Medicare Medicare |
$14.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.60
|
| Rate for Payer: UHC Exchange |
$22.63
|
| Rate for Payer: UHC Medicare Advantage |
$14.60
|
| Rate for Payer: UHCCP DNSP |
$14.60
|
| Rate for Payer: UHCCP Medicaid |
$7.83
|
| Rate for Payer: VA VA |
$14.60
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
IP
|
$36.41
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.67 |
| Max. Negotiated Rate |
$36.41 |
| Rate for Payer: Aetna Commercial |
$32.77
|
| Rate for Payer: ASR ASR |
$35.32
|
| Rate for Payer: ASR Commercial |
$35.32
|
| Rate for Payer: BCBS Trust/PPO |
$29.67
|
| Rate for Payer: BCN Commercial |
$28.23
|
| Rate for Payer: Cash Price |
$29.13
|
| Rate for Payer: Cofinity Commercial |
$34.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.13
|
| Rate for Payer: Healthscope Commercial |
$36.41
|
| Rate for Payer: Healthscope Whirlpool |
$35.32
|
| Rate for Payer: Mclaren Commercial |
$32.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.95
|
| Rate for Payer: Nomi Health Commercial |
$29.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.04
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
OP
|
$36.41
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.83 |
| Max. Negotiated Rate |
$45.01 |
| Rate for Payer: Aetna Commercial |
$32.77
|
| Rate for Payer: Aetna Medicare |
$14.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.25
|
| Rate for Payer: ASR ASR |
$35.32
|
| Rate for Payer: ASR Commercial |
$35.32
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$29.82
|
| Rate for Payer: BCN Commercial |
$28.23
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$29.13
|
| Rate for Payer: Cash Price |
$29.13
|
| Rate for Payer: Cofinity Commercial |
$34.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$36.41
|
| Rate for Payer: Healthscope Whirlpool |
$35.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.60
|
| Rate for Payer: Mclaren Commercial |
$32.77
|
| Rate for Payer: Mclaren Medicaid |
$7.83
|
| Rate for Payer: Mclaren Medicare |
$14.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: Meridian Medicaid |
$8.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.95
|
| Rate for Payer: Nomi Health Commercial |
$29.86
|
| Rate for Payer: PACE Medicare |
$13.87
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Commercial |
$16.06
|
| Rate for Payer: PHP Medicaid |
$7.83
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.01
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$36.01
|
| Rate for Payer: Railroad Medicare Medicare |
$14.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.60
|
| Rate for Payer: UHC Exchange |
$22.63
|
| Rate for Payer: UHC Medicare Advantage |
$14.60
|
| Rate for Payer: UHCCP DNSP |
$14.60
|
| Rate for Payer: UHCCP Medicaid |
$7.83
|
| Rate for Payer: VA VA |
$14.60
|
|
|
HC ANGIOTENSIN II
|
Facility
|
IP
|
$331.50
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$215.48 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: ASR ASR |
$321.56
|
| Rate for Payer: ASR Commercial |
$321.56
|
| Rate for Payer: BCBS Trust/PPO |
$270.14
|
| Rate for Payer: BCN Commercial |
$257.01
|
| Rate for Payer: Cash Price |
$265.20
|
| Rate for Payer: Cofinity Commercial |
$311.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.20
|
| Rate for Payer: Healthscope Commercial |
$331.50
|
| Rate for Payer: Healthscope Whirlpool |
$321.56
|
| Rate for Payer: Mclaren Commercial |
$298.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.78
|
| Rate for Payer: Nomi Health Commercial |
$271.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.72
|
|
|
HC ANGIOTENSIN II
|
Facility
|
OP
|
$331.50
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna Medicare |
$20.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.65
|
| Rate for Payer: ASR ASR |
$321.56
|
| Rate for Payer: ASR Commercial |
$321.56
|
| Rate for Payer: BCBS Complete |
$11.55
|
| Rate for Payer: BCBS MAPPO |
$20.52
|
| Rate for Payer: BCBS Trust/PPO |
$271.47
|
| Rate for Payer: BCN Commercial |
$257.01
|
| Rate for Payer: BCN Medicare Advantage |
$20.52
|
| Rate for Payer: Cash Price |
$265.20
|
| Rate for Payer: Cash Price |
$265.20
|
| Rate for Payer: Cofinity Commercial |
$311.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$265.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.52
|
| Rate for Payer: Healthscope Commercial |
$331.50
|
| Rate for Payer: Healthscope Whirlpool |
$321.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$20.52
|
| Rate for Payer: Mclaren Commercial |
$298.35
|
| Rate for Payer: Mclaren Medicaid |
$11.00
|
| Rate for Payer: Mclaren Medicare |
$20.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.55
|
| Rate for Payer: Meridian Medicaid |
$11.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281.78
|
| Rate for Payer: Nomi Health Commercial |
$271.83
|
| Rate for Payer: PACE Medicare |
$19.49
|
| Rate for Payer: PACE SWMI |
$20.52
|
| Rate for Payer: PHP Commercial |
$22.57
|
| Rate for Payer: PHP Medicaid |
$11.00
|
| Rate for Payer: PHP Medicare Advantage |
$20.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.46
|
| Rate for Payer: Priority Health Medicare |
$20.52
|
| Rate for Payer: Priority Health Narrow Network |
$232.38
|
| Rate for Payer: Railroad Medicare Medicare |
$20.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.52
|
| Rate for Payer: UHC Exchange |
$31.81
|
| Rate for Payer: UHC Medicare Advantage |
$20.52
|
| Rate for Payer: UHCCP DNSP |
$20.52
|
| Rate for Payer: UHCCP Medicaid |
$11.00
|
| Rate for Payer: VA VA |
$20.52
|
|
|
HC ANGLE TOLERANCE TEST 60 MINUTES
|
Facility
|
IP
|
$66.79
|
|
|
Service Code
|
CPT 94780
|
| Hospital Charge Code |
51000085
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$43.41 |
| Max. Negotiated Rate |
$66.79 |
| Rate for Payer: Aetna Commercial |
$60.11
|
| Rate for Payer: ASR ASR |
$64.79
|
| Rate for Payer: ASR Commercial |
$64.79
|
| Rate for Payer: BCBS Trust/PPO |
$54.43
|
| Rate for Payer: BCN Commercial |
$51.78
|
| Rate for Payer: Cash Price |
$53.43
|
| Rate for Payer: Cofinity Commercial |
$62.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.43
|
| Rate for Payer: Healthscope Commercial |
$66.79
|
| Rate for Payer: Healthscope Whirlpool |
$64.79
|
| Rate for Payer: Mclaren Commercial |
$60.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.77
|
| Rate for Payer: Nomi Health Commercial |
$54.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.78
|
|
|
HC ANGLE TOLERANCE TEST 60 MINUTES
|
Facility
|
OP
|
$66.79
|
|
|
Service Code
|
CPT 94780
|
| Hospital Charge Code |
51000085
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$20.61 |
| Max. Negotiated Rate |
$99.92 |
| Rate for Payer: Aetna Commercial |
$60.11
|
| Rate for Payer: Aetna Medicare |
$38.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.08
|
| Rate for Payer: ASR ASR |
$64.79
|
| Rate for Payer: ASR Commercial |
$64.79
|
| Rate for Payer: BCBS Complete |
$21.65
|
| Rate for Payer: BCBS MAPPO |
$38.46
|
| Rate for Payer: BCBS Trust/PPO |
$54.69
|
| Rate for Payer: BCN Commercial |
$51.78
|
| Rate for Payer: BCN Medicare Advantage |
$38.46
|
| Rate for Payer: Cash Price |
$53.43
|
| Rate for Payer: Cash Price |
$53.43
|
| Rate for Payer: Cofinity Commercial |
$62.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.46
|
| Rate for Payer: Healthscope Commercial |
$66.79
|
| Rate for Payer: Healthscope Whirlpool |
$64.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$38.46
|
| Rate for Payer: Mclaren Commercial |
$60.11
|
| Rate for Payer: Mclaren Medicaid |
$20.61
|
| Rate for Payer: Mclaren Medicare |
$38.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.38
|
| Rate for Payer: Meridian Medicaid |
$21.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.77
|
| Rate for Payer: Nomi Health Commercial |
$54.77
|
| Rate for Payer: PACE Medicare |
$36.54
|
| Rate for Payer: PACE SWMI |
$38.46
|
| Rate for Payer: PHP Commercial |
$42.31
|
| Rate for Payer: PHP Medicaid |
$20.61
|
| Rate for Payer: PHP Medicare Advantage |
$38.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99.92
|
| Rate for Payer: Priority Health Medicare |
$38.46
|
| Rate for Payer: Priority Health Narrow Network |
$79.94
|
| Rate for Payer: Railroad Medicare Medicare |
$38.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.46
|
| Rate for Payer: UHC Exchange |
$59.61
|
| Rate for Payer: UHC Medicare Advantage |
$38.46
|
| Rate for Payer: UHCCP DNSP |
$38.46
|
| Rate for Payer: UHCCP Medicaid |
$20.61
|
| Rate for Payer: VA VA |
$38.46
|
|
