|
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 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
|
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 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 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 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 |
$126.36 |
| Max. Negotiated Rate |
$1,865.63 |
| Rate for Payer: Aetna Commercial |
$1,679.07
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: ASR ASR |
$1,809.66
|
| Rate for Payer: ASR Commercial |
$1,809.66
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,527.76
|
| Rate for Payer: BCN Commercial |
$1,446.42
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| 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 |
$235.74
|
| Rate for Payer: Healthscope Commercial |
$1,865.63
|
| Rate for Payer: Healthscope Whirlpool |
$1,809.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Mclaren Commercial |
$1,679.07
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| 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 |
$223.95
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| 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 |
$235.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,307.81
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,641.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: VA VA |
$235.74
|
|
|
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 |
$94.73
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$75.79
|
| 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
|
OP
|
$36.41
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.83 |
| Max. Negotiated Rate |
$36.41 |
| 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 |
$31.90
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$25.52
|
| 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 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 II
|
Facility
|
IP
|
$331.50
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$215.47 |
| 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 |
$281.77
|
| Rate for Payer: Nomi Health Commercial |
$271.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.47
|
| 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 |
$281.77
|
| 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 |
$215.47
|
| 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 |
$20.52 |
| Max. Negotiated Rate |
$66.79 |
| Rate for Payer: Aetna Commercial |
$60.11
|
| Rate for Payer: Aetna Medicare |
$38.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.85
|
| Rate for Payer: ASR ASR |
$64.79
|
| Rate for Payer: ASR Commercial |
$64.79
|
| Rate for Payer: BCBS Complete |
$21.54
|
| Rate for Payer: BCBS MAPPO |
$38.28
|
| Rate for Payer: BCBS Trust/PPO |
$54.69
|
| Rate for Payer: BCN Commercial |
$51.78
|
| Rate for Payer: BCN Medicare Advantage |
$38.28
|
| 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 |
$38.28
|
| Rate for Payer: Healthscope Commercial |
$66.79
|
| Rate for Payer: Healthscope Whirlpool |
$64.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$38.28
|
| Rate for Payer: Mclaren Commercial |
$60.11
|
| Rate for Payer: Mclaren Medicaid |
$20.52
|
| Rate for Payer: Mclaren Medicare |
$38.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.19
|
| Rate for Payer: Meridian Medicaid |
$21.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.77
|
| Rate for Payer: Nomi Health Commercial |
$54.77
|
| Rate for Payer: PACE Medicare |
$36.37
|
| Rate for Payer: PACE SWMI |
$38.28
|
| Rate for Payer: PHP Commercial |
$42.11
|
| Rate for Payer: PHP Medicaid |
$20.52
|
| Rate for Payer: PHP Medicare Advantage |
$38.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.52
|
| Rate for Payer: Priority Health Medicare |
$38.28
|
| Rate for Payer: Priority Health Narrow Network |
$46.82
|
| Rate for Payer: Railroad Medicare Medicare |
$38.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.28
|
| Rate for Payer: UHC Exchange |
$59.33
|
| Rate for Payer: UHC Medicare Advantage |
$38.28
|
| Rate for Payer: UHCCP DNSP |
$38.28
|
| Rate for Payer: UHCCP Medicaid |
$20.52
|
| Rate for Payer: VA VA |
$38.28
|
|
|
HC ANGLE TOLERANCE TEST EACH ADDL 30 MIN
|
Facility
|
IP
|
$33.41
|
|
|
Service Code
|
CPT 94781
|
| Hospital Charge Code |
51000088
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$21.72 |
| Max. Negotiated Rate |
$33.41 |
| Rate for Payer: Aetna Commercial |
$30.07
|
| Rate for Payer: ASR ASR |
$32.41
|
| Rate for Payer: ASR Commercial |
$32.41
|
| Rate for Payer: BCBS Trust/PPO |
$27.23
|
| Rate for Payer: BCN Commercial |
$25.90
|
| Rate for Payer: Cash Price |
$26.73
|
| Rate for Payer: Cofinity Commercial |
$31.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.73
|
| Rate for Payer: Healthscope Commercial |
$33.41
|
| Rate for Payer: Healthscope Whirlpool |
$32.41
|
| Rate for Payer: Mclaren Commercial |
$30.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.40
|
| Rate for Payer: Nomi Health Commercial |
$27.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.40
|
|
|
HC ANGLE TOLERANCE TEST EACH ADDL 30 MIN
|
Facility
|
OP
|
$33.41
|
|
|
Service Code
|
CPT 94781
|
| Hospital Charge Code |
51000088
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$13.36 |
| Max. Negotiated Rate |
$33.41 |
| Rate for Payer: Aetna Commercial |
$30.07
|
| Rate for Payer: Aetna Medicare |
$16.70
|
| Rate for Payer: ASR ASR |
$32.41
|
| Rate for Payer: ASR Commercial |
$32.41
|
| Rate for Payer: BCBS Complete |
$13.36
|
| Rate for Payer: BCBS Trust/PPO |
$27.36
|
| Rate for Payer: BCN Commercial |
$25.90
|
| Rate for Payer: Cash Price |
$26.73
|
| Rate for Payer: Cofinity Commercial |
$31.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.73
|
| Rate for Payer: Healthscope Commercial |
$33.41
|
| Rate for Payer: Healthscope Whirlpool |
$32.41
|
| Rate for Payer: Mclaren Commercial |
$30.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.40
|
| Rate for Payer: Nomi Health Commercial |
$27.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.27
|
| Rate for Payer: Priority Health Narrow Network |
$23.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.40
|
|
|
HC ANOGENITAL EXAM CHILD/SUSPECT TRAUMA W IMAG
|
Facility
|
OP
|
$510.00
|
|
|
Service Code
|
CPT 99170
|
| Hospital Charge Code |
76100440
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$105.16 |
| Max. Negotiated Rate |
$510.00 |
| Rate for Payer: Aetna Commercial |
$459.00
|
| Rate for Payer: Aetna Medicare |
$196.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$245.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$245.25
|
| Rate for Payer: ASR ASR |
$494.70
|
| Rate for Payer: ASR Commercial |
$494.70
|
| Rate for Payer: BCBS Complete |
$110.42
|
| Rate for Payer: BCBS MAPPO |
$196.20
|
| Rate for Payer: BCBS Trust/PPO |
$417.64
|
| Rate for Payer: BCN Commercial |
$395.40
|
| Rate for Payer: BCN Medicare Advantage |
$196.20
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$479.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.20
|
| Rate for Payer: Healthscope Commercial |
$510.00
|
| Rate for Payer: Healthscope Whirlpool |
$494.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$196.20
|
| Rate for Payer: Mclaren Commercial |
$459.00
|
| Rate for Payer: Mclaren Medicaid |
$105.16
|
| Rate for Payer: Mclaren Medicare |
$196.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.01
|
| Rate for Payer: Meridian Medicaid |
$110.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$225.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.50
|
| Rate for Payer: Nomi Health Commercial |
$418.20
|
| Rate for Payer: PACE Medicare |
$186.39
|
| Rate for Payer: PACE SWMI |
$196.20
|
| Rate for Payer: PHP Commercial |
$215.82
|
| Rate for Payer: PHP Medicaid |
$105.16
|
| Rate for Payer: PHP Medicare Advantage |
$196.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$446.86
|
| Rate for Payer: Priority Health Medicare |
$196.20
|
| Rate for Payer: Priority Health Narrow Network |
$357.51
|
| Rate for Payer: Railroad Medicare Medicare |
$196.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$448.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$196.20
|
| Rate for Payer: UHC Exchange |
$304.11
|
| Rate for Payer: UHC Medicare Advantage |
$196.20
|
| Rate for Payer: UHCCP DNSP |
$196.20
|
| Rate for Payer: UHCCP Medicaid |
$105.16
|
| Rate for Payer: VA VA |
$196.20
|
|
|
HC ANOGENITAL EXAM CHILD/SUSPECT TRAUMA W IMAG
|
Facility
|
IP
|
$510.00
|
|
|
Service Code
|
CPT 99170
|
| Hospital Charge Code |
76100440
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$331.50 |
| Max. Negotiated Rate |
$510.00 |
| Rate for Payer: Aetna Commercial |
$459.00
|
| Rate for Payer: ASR ASR |
$494.70
|
| Rate for Payer: ASR Commercial |
$494.70
|
| Rate for Payer: BCBS Trust/PPO |
$415.60
|
| Rate for Payer: BCN Commercial |
$395.40
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$479.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.00
|
| Rate for Payer: Healthscope Commercial |
$510.00
|
| Rate for Payer: Healthscope Whirlpool |
$494.70
|
| Rate for Payer: Mclaren Commercial |
$459.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.50
|
| Rate for Payer: Nomi Health Commercial |
$418.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$448.80
|
|
|
HC ANORECTAL MANOMETRY
|
Facility
|
IP
|
$1,040.62
|
|
| Hospital Charge Code |
75000002
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$676.40 |
| Max. Negotiated Rate |
$1,040.62 |
| Rate for Payer: Aetna Commercial |
$936.56
|
| Rate for Payer: ASR ASR |
$1,009.40
|
| Rate for Payer: ASR Commercial |
$1,009.40
|
| Rate for Payer: BCBS Trust/PPO |
$848.00
|
| Rate for Payer: BCN Commercial |
$806.79
|
| Rate for Payer: Cash Price |
$832.50
|
| Rate for Payer: Cofinity Commercial |
$978.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$832.50
|
| Rate for Payer: Healthscope Commercial |
$1,040.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,009.40
|
| Rate for Payer: Mclaren Commercial |
$936.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$884.53
|
| Rate for Payer: Nomi Health Commercial |
$853.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$915.75
|
|
|
HC ANORECTAL MANOMETRY
|
Facility
|
OP
|
$1,040.62
|
|
| Hospital Charge Code |
75000002
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$416.25 |
| Max. Negotiated Rate |
$1,040.62 |
| Rate for Payer: Aetna Commercial |
$936.56
|
| Rate for Payer: Aetna Medicare |
$520.31
|
| Rate for Payer: ASR ASR |
$1,009.40
|
| Rate for Payer: ASR Commercial |
$1,009.40
|
| Rate for Payer: BCBS Complete |
$416.25
|
| Rate for Payer: BCBS Trust/PPO |
$852.16
|
| Rate for Payer: BCN Commercial |
$806.79
|
| Rate for Payer: Cash Price |
$832.50
|
| Rate for Payer: Cofinity Commercial |
$978.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$832.50
|
| Rate for Payer: Healthscope Commercial |
$1,040.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,009.40
|
| Rate for Payer: Mclaren Commercial |
$936.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$884.53
|
| Rate for Payer: Nomi Health Commercial |
$853.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$911.79
|
| Rate for Payer: Priority Health Narrow Network |
$729.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$915.75
|
|
|
HC ANOSCOPY
|
Facility
|
OP
|
$162.92
|
|
| Hospital Charge Code |
36000005
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$65.17 |
| Max. Negotiated Rate |
$162.92 |
| Rate for Payer: Aetna Commercial |
$146.63
|
| Rate for Payer: Aetna Medicare |
$81.46
|
| Rate for Payer: ASR ASR |
$158.03
|
| Rate for Payer: ASR Commercial |
$158.03
|
| Rate for Payer: BCBS Complete |
$65.17
|
| Rate for Payer: BCBS Trust/PPO |
$133.42
|
| Rate for Payer: BCN Commercial |
$126.31
|
| Rate for Payer: Cash Price |
$130.34
|
| Rate for Payer: Cofinity Commercial |
$153.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.34
|
| Rate for Payer: Healthscope Commercial |
$162.92
|
| Rate for Payer: Healthscope Whirlpool |
$158.03
|
| Rate for Payer: Mclaren Commercial |
$146.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.48
|
| Rate for Payer: Nomi Health Commercial |
$133.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$142.75
|
| Rate for Payer: Priority Health Narrow Network |
$114.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$143.37
|
|
|
HC ANOSCOPY
|
Facility
|
IP
|
$162.92
|
|
| Hospital Charge Code |
36000005
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$105.90 |
| Max. Negotiated Rate |
$162.92 |
| Rate for Payer: Aetna Commercial |
$146.63
|
| Rate for Payer: ASR ASR |
$158.03
|
| Rate for Payer: ASR Commercial |
$158.03
|
| Rate for Payer: BCBS Trust/PPO |
$132.76
|
| Rate for Payer: BCN Commercial |
$126.31
|
| Rate for Payer: Cash Price |
$130.34
|
| Rate for Payer: Cofinity Commercial |
$153.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.34
|
| Rate for Payer: Healthscope Commercial |
$162.92
|
| Rate for Payer: Healthscope Whirlpool |
$158.03
|
| Rate for Payer: Mclaren Commercial |
$146.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.48
|
| Rate for Payer: Nomi Health Commercial |
$133.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$143.37
|
|
|
HC ANOSCOPY DIAGNOSTIC
|
Facility
|
OP
|
$358.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
76100138
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$358.00 |
| Rate for Payer: Aetna Commercial |
$322.20
|
| Rate for Payer: Aetna Medicare |
$125.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: ASR ASR |
$347.26
|
| Rate for Payer: ASR Commercial |
$347.26
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCBS Trust/PPO |
$293.17
|
| Rate for Payer: BCN Commercial |
$277.56
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cofinity Commercial |
$336.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$286.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$358.00
|
| Rate for Payer: Healthscope Whirlpool |
$347.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$125.71
|
| Rate for Payer: Mclaren Commercial |
$322.20
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.30
|
| Rate for Payer: Nomi Health Commercial |
$293.56
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$138.28
|
| Rate for Payer: PHP Medicaid |
$67.38
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$313.68
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health Narrow Network |
$250.96
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$194.85
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP DNSP |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: VA VA |
$125.71
|
|
|
HC ANOSCOPY DIAGNOSTIC
|
Facility
|
IP
|
$358.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
76100138
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$232.70 |
| Max. Negotiated Rate |
$358.00 |
| Rate for Payer: Aetna Commercial |
$322.20
|
| Rate for Payer: ASR ASR |
$347.26
|
| Rate for Payer: ASR Commercial |
$347.26
|
| Rate for Payer: BCBS Trust/PPO |
$291.73
|
| Rate for Payer: BCN Commercial |
$277.56
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cofinity Commercial |
$336.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$286.40
|
| Rate for Payer: Healthscope Commercial |
$358.00
|
| Rate for Payer: Healthscope Whirlpool |
$347.26
|
| Rate for Payer: Mclaren Commercial |
$322.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.30
|
| Rate for Payer: Nomi Health Commercial |
$293.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.04
|
|
