|
HC CYTOMEGALOVIRUS (CMV)
|
Facility
|
IP
|
$51.00
|
|
|
Service Code
|
CPT 87496
|
| Hospital Charge Code |
30600266
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$35.70 |
| Max. Negotiated Rate |
$51.00 |
| Rate for Payer: Aetna Commercial |
$45.90
|
| Rate for Payer: ASR ASR |
$49.47
|
| Rate for Payer: BCBS Trust/PPO |
$39.54
|
| Rate for Payer: BCN Commercial |
$39.54
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Healthscope Commercial |
$51.00
|
| Rate for Payer: Healthscope Whirlpool |
$49.47
|
| Rate for Payer: Mclaren Commercial |
$45.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.88
|
|
|
HC CYTOMEGALOVIRUS (CMV)
|
Facility
|
OP
|
$51.00
|
|
|
Service Code
|
CPT 87496
|
| Hospital Charge Code |
30600266
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.19 |
| Max. Negotiated Rate |
$51.00 |
| Rate for Payer: Aetna Commercial |
$45.90
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: ASR ASR |
$49.47
|
| Rate for Payer: BCBS Complete |
$20.16
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$39.54
|
| Rate for Payer: BCN Commercial |
$39.54
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$51.00
|
| Rate for Payer: Healthscope Whirlpool |
$49.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.09
|
| Rate for Payer: Mclaren Commercial |
$45.90
|
| Rate for Payer: Mclaren Medicaid |
$19.19
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Medicaid |
$20.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.35
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$38.60
|
| Rate for Payer: PHP Medicaid |
$19.19
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.41
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$36.21
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.88
|
| Rate for Payer: UHC Medicare Advantage |
$36.14
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC CYTOMEGALOVIRUS CULTURE
|
Facility
|
IP
|
$109.70
|
|
|
Service Code
|
CPT 87254
|
| Hospital Charge Code |
30600115
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$76.79 |
| Max. Negotiated Rate |
$109.70 |
| Rate for Payer: Aetna Commercial |
$98.73
|
| Rate for Payer: ASR ASR |
$106.41
|
| Rate for Payer: BCBS Trust/PPO |
$85.05
|
| Rate for Payer: BCN Commercial |
$85.05
|
| Rate for Payer: Cash Price |
$87.76
|
| Rate for Payer: Cofinity Commercial |
$103.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.76
|
| Rate for Payer: Healthscope Commercial |
$109.70
|
| Rate for Payer: Healthscope Whirlpool |
$106.41
|
| Rate for Payer: Mclaren Commercial |
$98.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$96.54
|
|
|
HC CYTOMEGALOVIRUS CULTURE
|
Facility
|
OP
|
$109.70
|
|
|
Service Code
|
CPT 87254
|
| Hospital Charge Code |
30600115
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.70 |
| Max. Negotiated Rate |
$128.27 |
| Rate for Payer: Aetna Commercial |
$98.73
|
| Rate for Payer: Aetna Medicare |
$19.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.45
|
| Rate for Payer: ASR ASR |
$106.41
|
| Rate for Payer: BCBS Complete |
$11.24
|
| Rate for Payer: BCBS MAPPO |
$19.56
|
| Rate for Payer: BCBS Trust/PPO |
$85.05
|
| Rate for Payer: BCN Commercial |
$85.05
|
| Rate for Payer: BCN Medicare Advantage |
$19.56
|
| Rate for Payer: Cash Price |
$87.76
|
| Rate for Payer: Cash Price |
$87.76
|
| Rate for Payer: Cofinity Commercial |
$103.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.56
|
| Rate for Payer: Healthscope Commercial |
$109.70
|
| Rate for Payer: Healthscope Whirlpool |
$106.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$19.56
|
| Rate for Payer: Mclaren Commercial |
$98.73
|
| Rate for Payer: Mclaren Medicaid |
$10.70
|
| Rate for Payer: Mclaren Medicare |
$19.56
|
| Rate for Payer: Meridian Medicaid |
$11.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$93.24
|
| Rate for Payer: PACE Medicare |
$18.58
|
| Rate for Payer: PACE SWMI |
$19.56
|
| Rate for Payer: PHP Commercial |
$21.52
|
| Rate for Payer: PHP Medicaid |
$10.70
|
| Rate for Payer: PHP Medicare Advantage |
$19.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128.27
|
| Rate for Payer: Priority Health Medicare |
$19.56
|
| Rate for Payer: Priority Health Narrow Network |
$102.62
|
| Rate for Payer: Railroad Medicare Medicare |
$19.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$96.54
|
| Rate for Payer: UHC Medicare Advantage |
$20.15
|
| Rate for Payer: VA VA |
$19.56
|
|
|
HC CYTOMEGALOVIRUS IGG
|
Facility
|
IP
|
$40.80
|
|
|
Service Code
|
CPT 86644
|
| Hospital Charge Code |
30200249
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$28.56 |
| Max. Negotiated Rate |
$40.80 |
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: ASR ASR |
$39.58
|
| Rate for Payer: BCBS Trust/PPO |
$31.63
|
| Rate for Payer: BCN Commercial |
$31.63
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cofinity Commercial |
$38.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.64
|
| Rate for Payer: Healthscope Commercial |
$40.80
|
| Rate for Payer: Healthscope Whirlpool |
$39.58
|
| Rate for Payer: Mclaren Commercial |
$36.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.90
|
|
|
HC CYTOMEGALOVIRUS IGG
|
Facility
|
OP
|
$40.80
|
|
|
Service Code
|
CPT 86644
|
| Hospital Charge Code |
30200249
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.87 |
| Max. Negotiated Rate |
$48.24 |
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: Aetna Medicare |
$14.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.99
|
| Rate for Payer: ASR ASR |
$39.58
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS MAPPO |
$14.39
|
| Rate for Payer: BCBS Trust/PPO |
$31.63
|
| Rate for Payer: BCN Commercial |
$31.63
|
| Rate for Payer: BCN Medicare Advantage |
$14.39
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cofinity Commercial |
$38.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.39
|
| Rate for Payer: Healthscope Commercial |
$40.80
|
| Rate for Payer: Healthscope Whirlpool |
$39.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.39
|
| Rate for Payer: Mclaren Commercial |
$36.72
|
| Rate for Payer: Mclaren Medicaid |
$7.87
|
| Rate for Payer: Mclaren Medicare |
$14.39
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.68
|
| Rate for Payer: PACE Medicare |
$13.67
|
| Rate for Payer: PACE SWMI |
$14.39
|
| Rate for Payer: PHP Commercial |
$15.83
|
| Rate for Payer: PHP Medicaid |
$7.87
|
| Rate for Payer: PHP Medicare Advantage |
$14.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.24
|
| Rate for Payer: Priority Health Medicare |
$14.39
|
| Rate for Payer: Priority Health Narrow Network |
$38.59
|
| Rate for Payer: Railroad Medicare Medicare |
$14.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.90
|
| Rate for Payer: UHC Medicare Advantage |
$14.82
|
| Rate for Payer: VA VA |
$14.39
|
|
|
HC CYTOMEGALOVIRUS IGM
|
Facility
|
OP
|
$40.80
|
|
|
Service Code
|
CPT 86645
|
| Hospital Charge Code |
30200252
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.22 |
| Max. Negotiated Rate |
$49.25 |
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: Aetna Medicare |
$16.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.06
|
| Rate for Payer: ASR ASR |
$39.58
|
| Rate for Payer: BCBS Complete |
$9.68
|
| Rate for Payer: BCBS MAPPO |
$16.85
|
| Rate for Payer: BCBS Trust/PPO |
$31.63
|
| Rate for Payer: BCN Commercial |
$31.63
|
| Rate for Payer: BCN Medicare Advantage |
$16.85
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cofinity Commercial |
$38.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.85
|
| Rate for Payer: Healthscope Commercial |
$40.80
|
| Rate for Payer: Healthscope Whirlpool |
$39.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.85
|
| Rate for Payer: Mclaren Commercial |
$36.72
|
| Rate for Payer: Mclaren Medicaid |
$9.22
|
| Rate for Payer: Mclaren Medicare |
$16.85
|
| Rate for Payer: Meridian Medicaid |
$9.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.68
|
| Rate for Payer: PACE Medicare |
$16.01
|
| Rate for Payer: PACE SWMI |
$16.85
|
| Rate for Payer: PHP Commercial |
$18.54
|
| Rate for Payer: PHP Medicaid |
$9.22
|
| Rate for Payer: PHP Medicare Advantage |
$16.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.25
|
| Rate for Payer: Priority Health Medicare |
$16.85
|
| Rate for Payer: Priority Health Narrow Network |
$39.40
|
| Rate for Payer: Railroad Medicare Medicare |
$16.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.90
|
| Rate for Payer: UHC Medicare Advantage |
$17.36
|
| Rate for Payer: VA VA |
$16.85
|
|
|
HC CYTOMEGALOVIRUS IGM
|
Facility
|
IP
|
$40.80
|
|
|
Service Code
|
CPT 86645
|
| Hospital Charge Code |
30200252
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$28.56 |
| Max. Negotiated Rate |
$40.80 |
| Rate for Payer: Aetna Commercial |
$36.72
|
| Rate for Payer: ASR ASR |
$39.58
|
| Rate for Payer: BCBS Trust/PPO |
$31.63
|
| Rate for Payer: BCN Commercial |
$31.63
|
| Rate for Payer: Cash Price |
$32.64
|
| Rate for Payer: Cofinity Commercial |
$38.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.64
|
| Rate for Payer: Healthscope Commercial |
$40.80
|
| Rate for Payer: Healthscope Whirlpool |
$39.58
|
| Rate for Payer: Mclaren Commercial |
$36.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.90
|
|
|
HC CYTOPATH CELL ENHANCE TECHNIQU
|
Facility
|
OP
|
$131.78
|
|
|
Service Code
|
CPT 88112
|
| Hospital Charge Code |
31100003
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$26.35 |
| Max. Negotiated Rate |
$174.45 |
| Rate for Payer: Aetna Commercial |
$118.60
|
| Rate for Payer: Aetna Medicare |
$48.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.21
|
| Rate for Payer: ASR ASR |
$127.83
|
| Rate for Payer: BCBS Complete |
$27.67
|
| Rate for Payer: BCBS MAPPO |
$48.17
|
| Rate for Payer: BCBS Trust/PPO |
$102.17
|
| Rate for Payer: BCN Commercial |
$102.17
|
| Rate for Payer: BCN Medicare Advantage |
$48.17
|
| Rate for Payer: Cash Price |
$105.42
|
| Rate for Payer: Cash Price |
$105.42
|
| Rate for Payer: Cofinity Commercial |
$123.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.17
|
| Rate for Payer: Healthscope Commercial |
$131.78
|
| Rate for Payer: Healthscope Whirlpool |
$127.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$48.17
|
| Rate for Payer: Mclaren Commercial |
$118.60
|
| Rate for Payer: Mclaren Medicaid |
$26.35
|
| Rate for Payer: Mclaren Medicare |
$48.17
|
| Rate for Payer: Meridian Medicaid |
$27.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.01
|
| Rate for Payer: PACE Medicare |
$45.76
|
| Rate for Payer: PACE SWMI |
$48.17
|
| Rate for Payer: PHP Commercial |
$52.99
|
| Rate for Payer: PHP Medicaid |
$26.35
|
| Rate for Payer: PHP Medicare Advantage |
$48.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$174.45
|
| Rate for Payer: Priority Health Medicare |
$48.17
|
| Rate for Payer: Priority Health Narrow Network |
$139.56
|
| Rate for Payer: Railroad Medicare Medicare |
$48.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$115.97
|
| Rate for Payer: UHC Medicare Advantage |
$49.62
|
| Rate for Payer: VA VA |
$48.17
|
|
|
HC CYTOPATH CELL ENHANCE TECHNIQU
|
Facility
|
IP
|
$131.78
|
|
|
Service Code
|
CPT 88112
|
| Hospital Charge Code |
31100003
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$131.78 |
| Rate for Payer: Aetna Commercial |
$118.60
|
| Rate for Payer: ASR ASR |
$127.83
|
| Rate for Payer: BCBS Trust/PPO |
$102.17
|
| Rate for Payer: BCN Commercial |
$102.17
|
| Rate for Payer: Cash Price |
$105.42
|
| Rate for Payer: Cofinity Commercial |
$123.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.42
|
| Rate for Payer: Healthscope Commercial |
$131.78
|
| Rate for Payer: Healthscope Whirlpool |
$127.83
|
| Rate for Payer: Mclaren Commercial |
$118.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$112.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$115.97
|
|
|
HC CYTOPATH SCREEN & INTERPRETATION
|
Facility
|
IP
|
$100.40
|
|
|
Service Code
|
CPT 88160
|
| Hospital Charge Code |
31100005
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$70.28 |
| Max. Negotiated Rate |
$100.40 |
| Rate for Payer: Aetna Commercial |
$90.36
|
| Rate for Payer: ASR ASR |
$97.39
|
| Rate for Payer: BCBS Trust/PPO |
$77.84
|
| Rate for Payer: BCN Commercial |
$77.84
|
| Rate for Payer: Cash Price |
$80.32
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.32
|
| Rate for Payer: Healthscope Commercial |
$100.40
|
| Rate for Payer: Healthscope Whirlpool |
$97.39
|
| Rate for Payer: Mclaren Commercial |
$90.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.35
|
|
|
HC CYTOPATH SCREEN & INTERPRETATION
|
Facility
|
OP
|
$100.40
|
|
|
Service Code
|
CPT 88160
|
| Hospital Charge Code |
31100005
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$100.40 |
| Rate for Payer: Aetna Commercial |
$90.36
|
| Rate for Payer: Aetna Medicare |
$26.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.09
|
| Rate for Payer: ASR ASR |
$97.39
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$26.47
|
| Rate for Payer: BCBS Trust/PPO |
$77.84
|
| Rate for Payer: BCN Commercial |
$77.84
|
| Rate for Payer: BCN Medicare Advantage |
$26.47
|
| Rate for Payer: Cash Price |
$80.32
|
| Rate for Payer: Cash Price |
$80.32
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.47
|
| Rate for Payer: Healthscope Commercial |
$100.40
|
| Rate for Payer: Healthscope Whirlpool |
$97.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$26.47
|
| Rate for Payer: Mclaren Commercial |
$90.36
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Mclaren Medicare |
$26.47
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.34
|
| Rate for Payer: PACE Medicare |
$25.15
|
| Rate for Payer: PACE SWMI |
$26.47
|
| Rate for Payer: PHP Commercial |
$29.12
|
| Rate for Payer: PHP Medicaid |
$14.48
|
| Rate for Payer: PHP Medicare Advantage |
$26.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.36
|
| Rate for Payer: Priority Health Medicare |
$26.47
|
| Rate for Payer: Priority Health Narrow Network |
$71.28
|
| Rate for Payer: Railroad Medicare Medicare |
$26.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.35
|
| Rate for Payer: UHC Medicare Advantage |
$27.26
|
| Rate for Payer: VA VA |
$26.47
|
|
|
HC CYTOPLASMIC NEUTROPHIL ANCA AB
|
Facility
|
OP
|
$73.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200173
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.59 |
| Max. Negotiated Rate |
$212.42 |
| Rate for Payer: Aetna Commercial |
$65.70
|
| Rate for Payer: Aetna Medicare |
$12.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: ASR ASR |
$70.81
|
| Rate for Payer: BCBS Complete |
$6.92
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$56.60
|
| Rate for Payer: BCN Commercial |
$56.60
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$68.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$73.00
|
| Rate for Payer: Healthscope Whirlpool |
$70.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$65.70
|
| Rate for Payer: Mclaren Medicaid |
$6.59
|
| Rate for Payer: Mclaren Medicare |
$12.05
|
| Rate for Payer: Meridian Medicaid |
$6.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$62.05
|
| Rate for Payer: PACE Medicare |
$11.45
|
| Rate for Payer: PACE SWMI |
$12.05
|
| Rate for Payer: PHP Commercial |
$13.26
|
| Rate for Payer: PHP Medicaid |
$6.59
|
| Rate for Payer: PHP Medicare Advantage |
$12.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.42
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$169.94
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.24
|
| Rate for Payer: UHC Medicare Advantage |
$12.41
|
| Rate for Payer: VA VA |
$12.05
|
|
|
HC CYTOPLASMIC NEUTROPHIL ANCA AB
|
Facility
|
IP
|
$73.00
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200173
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$51.10 |
| Max. Negotiated Rate |
$73.00 |
| Rate for Payer: Aetna Commercial |
$65.70
|
| Rate for Payer: ASR ASR |
$70.81
|
| Rate for Payer: BCBS Trust/PPO |
$56.60
|
| Rate for Payer: BCN Commercial |
$56.60
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$68.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.40
|
| Rate for Payer: Healthscope Commercial |
$73.00
|
| Rate for Payer: Healthscope Whirlpool |
$70.81
|
| Rate for Payer: Mclaren Commercial |
$65.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$62.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.24
|
|
|
HC DAVITA IP HEMODIALYSIS SGL
|
Facility
|
IP
|
$783.00
|
|
|
Service Code
|
CPT 90935
|
| Hospital Charge Code |
80100003
|
|
Hospital Revenue Code
|
801
|
| Min. Negotiated Rate |
$548.10 |
| Max. Negotiated Rate |
$783.00 |
| Rate for Payer: Aetna Commercial |
$704.70
|
| Rate for Payer: ASR ASR |
$759.51
|
| Rate for Payer: BCBS Trust/PPO |
$607.06
|
| Rate for Payer: BCN Commercial |
$607.06
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cofinity Commercial |
$736.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$626.40
|
| Rate for Payer: Healthscope Commercial |
$783.00
|
| Rate for Payer: Healthscope Whirlpool |
$759.51
|
| Rate for Payer: Mclaren Commercial |
$704.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$665.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$689.04
|
|
|
HC DAVITA IP HEMODIALYSIS SGL
|
Facility
|
OP
|
$783.00
|
|
|
Service Code
|
CPT 90935
|
| Hospital Charge Code |
80100003
|
|
Hospital Revenue Code
|
801
|
| Min. Negotiated Rate |
$339.77 |
| Max. Negotiated Rate |
$783.00 |
| Rate for Payer: Aetna Commercial |
$704.70
|
| Rate for Payer: Aetna Medicare |
$621.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$776.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$776.44
|
| Rate for Payer: ASR ASR |
$759.51
|
| Rate for Payer: BCBS Complete |
$356.79
|
| Rate for Payer: BCBS MAPPO |
$621.15
|
| Rate for Payer: BCBS Trust/PPO |
$607.06
|
| Rate for Payer: BCN Commercial |
$607.06
|
| Rate for Payer: BCN Medicare Advantage |
$621.15
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cofinity Commercial |
$736.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$626.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.15
|
| Rate for Payer: Healthscope Commercial |
$783.00
|
| Rate for Payer: Healthscope Whirlpool |
$759.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$621.15
|
| Rate for Payer: Mclaren Commercial |
$704.70
|
| Rate for Payer: Mclaren Medicaid |
$339.77
|
| Rate for Payer: Mclaren Medicare |
$621.15
|
| Rate for Payer: Meridian Medicaid |
$356.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$652.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$714.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$665.55
|
| Rate for Payer: PACE Medicare |
$590.09
|
| Rate for Payer: PACE SWMI |
$621.15
|
| Rate for Payer: PHP Commercial |
$683.26
|
| Rate for Payer: PHP Medicaid |
$339.77
|
| Rate for Payer: PHP Medicare Advantage |
$621.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$712.53
|
| Rate for Payer: Priority Health Medicare |
$621.15
|
| Rate for Payer: Priority Health Narrow Network |
$555.93
|
| Rate for Payer: Railroad Medicare Medicare |
$621.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$689.04
|
| Rate for Payer: UHC Medicare Advantage |
$639.78
|
| Rate for Payer: VA VA |
$621.15
|
|
|
HC DAVITA OP HEMODIALYSIS
|
Facility
|
IP
|
$855.04
|
|
|
Service Code
|
HCPCS G0257
|
| Hospital Charge Code |
88100002
|
|
Hospital Revenue Code
|
820
|
| Min. Negotiated Rate |
$598.53 |
| Max. Negotiated Rate |
$855.04 |
| Rate for Payer: Aetna Commercial |
$769.54
|
| Rate for Payer: ASR ASR |
$829.39
|
| Rate for Payer: BCBS Trust/PPO |
$662.91
|
| Rate for Payer: BCN Commercial |
$662.91
|
| Rate for Payer: Cash Price |
$684.03
|
| Rate for Payer: Cofinity Commercial |
$803.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$684.03
|
| Rate for Payer: Healthscope Commercial |
$855.04
|
| Rate for Payer: Healthscope Whirlpool |
$829.39
|
| Rate for Payer: Mclaren Commercial |
$769.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$726.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$752.44
|
|
|
HC DAVITA OP HEMODIALYSIS
|
Facility
|
OP
|
$855.04
|
|
|
Service Code
|
HCPCS G0257
|
| Hospital Charge Code |
88100002
|
|
Hospital Revenue Code
|
820
|
| Min. Negotiated Rate |
$339.77 |
| Max. Negotiated Rate |
$855.04 |
| Rate for Payer: Aetna Commercial |
$769.54
|
| Rate for Payer: Aetna Medicare |
$621.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$776.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$776.44
|
| Rate for Payer: ASR ASR |
$829.39
|
| Rate for Payer: BCBS Complete |
$356.79
|
| Rate for Payer: BCBS MAPPO |
$621.15
|
| Rate for Payer: BCBS Trust/PPO |
$662.91
|
| Rate for Payer: BCN Commercial |
$662.91
|
| Rate for Payer: BCN Medicare Advantage |
$621.15
|
| Rate for Payer: Cash Price |
$684.03
|
| Rate for Payer: Cash Price |
$684.03
|
| Rate for Payer: Cofinity Commercial |
$803.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$684.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.15
|
| Rate for Payer: Healthscope Commercial |
$855.04
|
| Rate for Payer: Healthscope Whirlpool |
$829.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$621.15
|
| Rate for Payer: Mclaren Commercial |
$769.54
|
| Rate for Payer: Mclaren Medicaid |
$339.77
|
| Rate for Payer: Mclaren Medicare |
$621.15
|
| Rate for Payer: Meridian Medicaid |
$356.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$652.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$714.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$726.78
|
| Rate for Payer: PACE Medicare |
$590.09
|
| Rate for Payer: PACE SWMI |
$621.15
|
| Rate for Payer: PHP Commercial |
$683.26
|
| Rate for Payer: PHP Medicaid |
$339.77
|
| Rate for Payer: PHP Medicare Advantage |
$621.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$778.09
|
| Rate for Payer: Priority Health Medicare |
$621.15
|
| Rate for Payer: Priority Health Narrow Network |
$607.08
|
| Rate for Payer: Railroad Medicare Medicare |
$621.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$752.44
|
| Rate for Payer: UHC Medicare Advantage |
$639.78
|
| Rate for Payer: VA VA |
$621.15
|
|
|
HC DBL PIGTAIL BILIARY STENT
|
Facility
|
OP
|
$768.06
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
27800064
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.22 |
| Max. Negotiated Rate |
$768.06 |
| Rate for Payer: Aetna Commercial |
$691.25
|
| Rate for Payer: ASR ASR |
$745.02
|
| Rate for Payer: BCBS Complete |
$307.22
|
| Rate for Payer: BCBS Trust/PPO |
$595.48
|
| Rate for Payer: BCN Commercial |
$595.48
|
| Rate for Payer: Cash Price |
$614.45
|
| Rate for Payer: Cofinity Commercial |
$721.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$614.45
|
| Rate for Payer: Healthscope Commercial |
$768.06
|
| Rate for Payer: Healthscope Whirlpool |
$745.02
|
| Rate for Payer: Mclaren Commercial |
$691.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$652.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$698.93
|
| Rate for Payer: Priority Health Narrow Network |
$545.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$675.89
|
|
|
HC DBL PIGTAIL BILIARY STENT
|
Facility
|
IP
|
$768.06
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
27800064
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$537.64 |
| Max. Negotiated Rate |
$768.06 |
| Rate for Payer: Aetna Commercial |
$691.25
|
| Rate for Payer: ASR ASR |
$745.02
|
| Rate for Payer: BCBS Trust/PPO |
$595.48
|
| Rate for Payer: BCN Commercial |
$595.48
|
| Rate for Payer: Cash Price |
$614.45
|
| Rate for Payer: Cofinity Commercial |
$721.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$614.45
|
| Rate for Payer: Healthscope Commercial |
$768.06
|
| Rate for Payer: Healthscope Whirlpool |
$745.02
|
| Rate for Payer: Mclaren Commercial |
$691.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$652.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$675.89
|
|
|
HC D & C
|
Facility
|
IP
|
$2,001.38
|
|
| Hospital Charge Code |
45000037
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,400.97 |
| Max. Negotiated Rate |
$2,001.38 |
| Rate for Payer: Aetna Commercial |
$1,801.24
|
| Rate for Payer: ASR ASR |
$1,941.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,551.67
|
| Rate for Payer: BCN Commercial |
$1,551.67
|
| Rate for Payer: Cash Price |
$1,601.10
|
| Rate for Payer: Cofinity Commercial |
$1,881.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,601.10
|
| Rate for Payer: Healthscope Commercial |
$2,001.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,941.34
|
| Rate for Payer: Mclaren Commercial |
$1,801.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,701.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,400.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,761.21
|
|
|
HC D & C
|
Facility
|
OP
|
$2,001.38
|
|
| Hospital Charge Code |
45000037
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$800.55 |
| Max. Negotiated Rate |
$2,001.38 |
| Rate for Payer: Aetna Commercial |
$1,801.24
|
| Rate for Payer: ASR ASR |
$1,941.34
|
| Rate for Payer: BCBS Complete |
$800.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,551.67
|
| Rate for Payer: BCN Commercial |
$1,551.67
|
| Rate for Payer: Cash Price |
$1,601.10
|
| Rate for Payer: Cofinity Commercial |
$1,881.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,601.10
|
| Rate for Payer: Healthscope Commercial |
$2,001.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,941.34
|
| Rate for Payer: Mclaren Commercial |
$1,801.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,701.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,400.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,821.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,420.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,761.21
|
|
|
HC D&C (OB SURGERY)
|
Facility
|
IP
|
$1,030.78
|
|
| Hospital Charge Code |
36000026
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$721.55 |
| Max. Negotiated Rate |
$1,030.78 |
| Rate for Payer: Aetna Commercial |
$927.70
|
| Rate for Payer: ASR ASR |
$999.86
|
| Rate for Payer: BCBS Trust/PPO |
$799.16
|
| Rate for Payer: BCN Commercial |
$799.16
|
| Rate for Payer: Cash Price |
$824.62
|
| Rate for Payer: Cofinity Commercial |
$968.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$824.62
|
| Rate for Payer: Healthscope Commercial |
$1,030.78
|
| Rate for Payer: Healthscope Whirlpool |
$999.86
|
| Rate for Payer: Mclaren Commercial |
$927.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$876.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$721.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$907.09
|
|
|
HC D&C (OB SURGERY)
|
Facility
|
OP
|
$1,030.78
|
|
| Hospital Charge Code |
36000026
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$412.31 |
| Max. Negotiated Rate |
$1,030.78 |
| Rate for Payer: Aetna Commercial |
$927.70
|
| Rate for Payer: ASR ASR |
$999.86
|
| Rate for Payer: BCBS Complete |
$412.31
|
| Rate for Payer: BCBS Trust/PPO |
$799.16
|
| Rate for Payer: BCN Commercial |
$799.16
|
| Rate for Payer: Cash Price |
$824.62
|
| Rate for Payer: Cofinity Commercial |
$968.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$824.62
|
| Rate for Payer: Healthscope Commercial |
$1,030.78
|
| Rate for Payer: Healthscope Whirlpool |
$999.86
|
| Rate for Payer: Mclaren Commercial |
$927.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$876.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$721.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$938.01
|
| Rate for Payer: Priority Health Narrow Network |
$731.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$907.09
|
|
|
HC D & C POSTPARTUM
|
Facility
|
OP
|
$7,789.74
|
|
|
Service Code
|
CPT 59160
|
| Hospital Charge Code |
76100341
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,520.09 |
| Max. Negotiated Rate |
$7,789.74 |
| Rate for Payer: Aetna Commercial |
$7,010.77
|
| Rate for Payer: Aetna Medicare |
$2,778.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,473.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,473.69
|
| Rate for Payer: ASR ASR |
$7,556.05
|
| Rate for Payer: BCBS Complete |
$1,596.23
|
| Rate for Payer: BCBS MAPPO |
$2,778.95
|
| Rate for Payer: BCBS Trust/PPO |
$6,039.39
|
| Rate for Payer: BCN Commercial |
$6,039.39
|
| Rate for Payer: BCN Medicare Advantage |
$2,778.95
|
| Rate for Payer: Cash Price |
$6,231.79
|
| Rate for Payer: Cash Price |
$6,231.79
|
| Rate for Payer: Cofinity Commercial |
$7,322.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,231.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,778.95
|
| Rate for Payer: Healthscope Commercial |
$7,789.74
|
| Rate for Payer: Healthscope Whirlpool |
$7,556.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,778.95
|
| Rate for Payer: Mclaren Commercial |
$7,010.77
|
| Rate for Payer: Mclaren Medicaid |
$1,520.09
|
| Rate for Payer: Mclaren Medicare |
$2,778.95
|
| Rate for Payer: Meridian Medicaid |
$1,596.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,917.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,195.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,621.28
|
| Rate for Payer: PACE Medicare |
$2,640.00
|
| Rate for Payer: PACE SWMI |
$2,778.95
|
| Rate for Payer: PHP Commercial |
$3,056.84
|
| Rate for Payer: PHP Medicaid |
$1,520.09
|
| Rate for Payer: PHP Medicare Advantage |
$2,778.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,520.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,452.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,088.66
|
| Rate for Payer: Priority Health Medicare |
$2,778.95
|
| Rate for Payer: Priority Health Narrow Network |
$5,530.72
|
| Rate for Payer: Railroad Medicare Medicare |
$2,778.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,854.97
|
| Rate for Payer: UHC Medicare Advantage |
$2,862.32
|
| Rate for Payer: VA VA |
$2,778.95
|
|
