|
HC BRACE WHO W/O JOINTS CF
|
Facility
|
IP
|
$492.41
|
|
|
Service Code
|
HCPCS L3906
|
| Hospital Charge Code |
27400041
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$369.31 |
| Max. Negotiated Rate |
$492.41 |
| Rate for Payer: Aetna Commercial |
$443.17
|
| Rate for Payer: ASR ASR |
$477.64
|
| Rate for Payer: BCBS Trust/PPO |
$404.37
|
| Rate for Payer: BCN Commercial |
$404.37
|
| Rate for Payer: Cash Price |
$393.93
|
| Rate for Payer: Cofinity Commercial |
$462.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$393.93
|
| Rate for Payer: Healthscope Commercial |
$477.64
|
| Rate for Payer: Healthscope Whirlpool |
$492.41
|
| Rate for Payer: Mclaren Commercial |
$443.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$418.55
|
| Rate for Payer: Nomi Health Commercial |
$403.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$369.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.32
|
|
|
HC BRACE WHO W/O JOINTS CF
|
Facility
|
OP
|
$492.41
|
|
|
Service Code
|
HCPCS L3906
|
| Hospital Charge Code |
27400041
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$182.19 |
| Max. Negotiated Rate |
$492.41 |
| Rate for Payer: Aetna Commercial |
$443.17
|
| Rate for Payer: Aetna Medicare |
$182.19
|
| Rate for Payer: ASR ASR |
$477.64
|
| Rate for Payer: BCBS Complete |
$196.96
|
| Rate for Payer: BCBS Trust/PPO |
$405.99
|
| Rate for Payer: BCN Commercial |
$405.99
|
| Rate for Payer: Cash Price |
$393.93
|
| Rate for Payer: Cofinity Commercial |
$462.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$393.93
|
| Rate for Payer: Healthscope Commercial |
$477.64
|
| Rate for Payer: Healthscope Whirlpool |
$492.41
|
| Rate for Payer: Mclaren Commercial |
$443.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$418.55
|
| Rate for Payer: Nomi Health Commercial |
$403.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$369.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$431.45
|
| Rate for Payer: Priority Health Narrow Network |
$345.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.32
|
|
|
HC BRACE WRIST HAND OROTHISIS W/NONTORSION JNT(S) CF
|
Facility
|
IP
|
$2,361.71
|
|
|
Service Code
|
HCPCS L3905
|
| Hospital Charge Code |
27400053
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$1,771.28 |
| Max. Negotiated Rate |
$2,361.71 |
| Rate for Payer: Aetna Commercial |
$2,125.54
|
| Rate for Payer: ASR ASR |
$2,290.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,939.44
|
| Rate for Payer: BCN Commercial |
$1,939.44
|
| Rate for Payer: Cash Price |
$1,889.37
|
| Rate for Payer: Cofinity Commercial |
$2,220.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,889.37
|
| Rate for Payer: Healthscope Commercial |
$2,290.86
|
| Rate for Payer: Healthscope Whirlpool |
$2,361.71
|
| Rate for Payer: Mclaren Commercial |
$2,125.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,007.45
|
| Rate for Payer: Nomi Health Commercial |
$1,936.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,771.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,078.30
|
|
|
HC BRACE WRIST HAND OROTHISIS W/NONTORSION JNT(S) CF
|
Facility
|
OP
|
$2,361.71
|
|
|
Service Code
|
HCPCS L3905
|
| Hospital Charge Code |
27400053
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$873.83 |
| Max. Negotiated Rate |
$2,361.71 |
| Rate for Payer: Aetna Commercial |
$2,125.54
|
| Rate for Payer: Aetna Medicare |
$873.83
|
| Rate for Payer: ASR ASR |
$2,290.86
|
| Rate for Payer: BCBS Complete |
$944.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,947.23
|
| Rate for Payer: BCN Commercial |
$1,947.23
|
| Rate for Payer: Cash Price |
$1,889.37
|
| Rate for Payer: Cofinity Commercial |
$2,220.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,889.37
|
| Rate for Payer: Healthscope Commercial |
$2,290.86
|
| Rate for Payer: Healthscope Whirlpool |
$2,361.71
|
| Rate for Payer: Mclaren Commercial |
$2,125.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,889.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,007.45
|
| Rate for Payer: Nomi Health Commercial |
$1,936.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,771.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,069.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,655.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,078.30
|
|
|
HC BRACE WRIST/THUMB SPLINT
|
Facility
|
IP
|
$156.10
|
|
|
Service Code
|
HCPCS L3908
|
| Hospital Charge Code |
27400014
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$117.08 |
| Max. Negotiated Rate |
$156.10 |
| Rate for Payer: Aetna Commercial |
$140.49
|
| Rate for Payer: ASR ASR |
$151.42
|
| Rate for Payer: BCBS Trust/PPO |
$128.19
|
| Rate for Payer: BCN Commercial |
$128.19
|
| Rate for Payer: Cash Price |
$124.88
|
| Rate for Payer: Cofinity Commercial |
$146.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.88
|
| Rate for Payer: Healthscope Commercial |
$151.42
|
| Rate for Payer: Healthscope Whirlpool |
$156.10
|
| Rate for Payer: Mclaren Commercial |
$140.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.69
|
| Rate for Payer: Nomi Health Commercial |
$128.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.37
|
|
|
HC BRACE WRIST/THUMB SPLINT
|
Facility
|
OP
|
$156.10
|
|
|
Service Code
|
HCPCS L3908
|
| Hospital Charge Code |
27400014
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$57.76 |
| Max. Negotiated Rate |
$156.10 |
| Rate for Payer: Aetna Commercial |
$140.49
|
| Rate for Payer: Aetna Medicare |
$57.76
|
| Rate for Payer: ASR ASR |
$151.42
|
| Rate for Payer: BCBS Complete |
$62.44
|
| Rate for Payer: BCBS Trust/PPO |
$128.70
|
| Rate for Payer: BCN Commercial |
$128.70
|
| Rate for Payer: Cash Price |
$124.88
|
| Rate for Payer: Cofinity Commercial |
$146.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.88
|
| Rate for Payer: Healthscope Commercial |
$151.42
|
| Rate for Payer: Healthscope Whirlpool |
$156.10
|
| Rate for Payer: Mclaren Commercial |
$140.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$124.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.69
|
| Rate for Payer: Nomi Health Commercial |
$128.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$136.77
|
| Rate for Payer: Priority Health Narrow Network |
$109.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.37
|
|
|
HC BRACHY SOURCE I-125 NSTRD
|
Facility
|
OP
|
$228.69
|
|
|
Service Code
|
HCPCS C2639
|
| Hospital Charge Code |
27800089
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$18.69 |
| Max. Negotiated Rate |
$228.69 |
| Rate for Payer: Aetna Commercial |
$205.82
|
| Rate for Payer: Aetna Medicare |
$35.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.66
|
| Rate for Payer: ASR ASR |
$221.83
|
| Rate for Payer: BCBS Complete |
$19.62
|
| Rate for Payer: BCBS MAPPO |
$35.73
|
| Rate for Payer: BCBS Trust/PPO |
$188.55
|
| Rate for Payer: BCN Commercial |
$188.55
|
| Rate for Payer: BCN Medicare Advantage |
$35.73
|
| Rate for Payer: Cash Price |
$182.95
|
| Rate for Payer: Cash Price |
$182.95
|
| Rate for Payer: Cofinity Commercial |
$214.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.73
|
| Rate for Payer: Healthscope Commercial |
$221.83
|
| Rate for Payer: Healthscope Whirlpool |
$228.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.73
|
| Rate for Payer: Mclaren Commercial |
$205.82
|
| Rate for Payer: Mclaren Medicaid |
$35.73
|
| Rate for Payer: Mclaren Medicare |
$35.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.52
|
| Rate for Payer: Meridian Medicaid |
$19.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.39
|
| Rate for Payer: Nomi Health Commercial |
$187.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.52
|
| Rate for Payer: PACE Medicare |
$33.94
|
| Rate for Payer: PACE SWMI |
$35.73
|
| Rate for Payer: PHP Commercial |
$39.30
|
| Rate for Payer: PHP Medicaid |
$19.15
|
| Rate for Payer: PHP Medicare Advantage |
$35.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$200.38
|
| Rate for Payer: Priority Health Medicare |
$35.73
|
| Rate for Payer: Priority Health Narrow Network |
$160.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.73
|
| Rate for Payer: UHC Exchange |
$55.38
|
| Rate for Payer: UHC Medicaid |
$18.69
|
| Rate for Payer: UHCCP DNSP |
$35.73
|
| Rate for Payer: UHCCP Medicaid |
$18.69
|
| Rate for Payer: VA VA |
$35.73
|
|
|
HC BRACHY SOURCE I-125 NSTRD
|
Facility
|
IP
|
$228.69
|
|
|
Service Code
|
HCPCS C2639
|
| Hospital Charge Code |
27800089
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$171.52 |
| Max. Negotiated Rate |
$228.69 |
| Rate for Payer: Aetna Commercial |
$205.82
|
| Rate for Payer: ASR ASR |
$221.83
|
| Rate for Payer: BCBS Trust/PPO |
$187.80
|
| Rate for Payer: BCN Commercial |
$187.80
|
| Rate for Payer: Cash Price |
$182.95
|
| Rate for Payer: Cofinity Commercial |
$214.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.95
|
| Rate for Payer: Healthscope Commercial |
$221.83
|
| Rate for Payer: Healthscope Whirlpool |
$228.69
|
| Rate for Payer: Mclaren Commercial |
$205.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.39
|
| Rate for Payer: Nomi Health Commercial |
$187.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.25
|
|
|
HC BRAVO PROCEDURE
|
Facility
|
IP
|
$1,822.59
|
|
| Hospital Charge Code |
36000091
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,366.94 |
| Max. Negotiated Rate |
$1,822.59 |
| Rate for Payer: Aetna Commercial |
$1,640.33
|
| Rate for Payer: ASR ASR |
$1,767.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,496.71
|
| Rate for Payer: BCN Commercial |
$1,496.71
|
| Rate for Payer: Cash Price |
$1,458.07
|
| Rate for Payer: Cofinity Commercial |
$1,713.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.07
|
| Rate for Payer: Healthscope Commercial |
$1,767.91
|
| Rate for Payer: Healthscope Whirlpool |
$1,822.59
|
| Rate for Payer: Mclaren Commercial |
$1,640.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,549.20
|
| Rate for Payer: Nomi Health Commercial |
$1,494.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,366.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,603.88
|
|
|
HC BRAVO PROCEDURE
|
Facility
|
OP
|
$1,822.59
|
|
| Hospital Charge Code |
36000091
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$674.36 |
| Max. Negotiated Rate |
$1,822.59 |
| Rate for Payer: Aetna Commercial |
$1,640.33
|
| Rate for Payer: Aetna Medicare |
$674.36
|
| Rate for Payer: ASR ASR |
$1,767.91
|
| Rate for Payer: BCBS Complete |
$729.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,502.73
|
| Rate for Payer: BCN Commercial |
$1,502.73
|
| Rate for Payer: Cash Price |
$1,458.07
|
| Rate for Payer: Cofinity Commercial |
$1,713.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.07
|
| Rate for Payer: Healthscope Commercial |
$1,767.91
|
| Rate for Payer: Healthscope Whirlpool |
$1,822.59
|
| Rate for Payer: Mclaren Commercial |
$1,640.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,458.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,549.20
|
| Rate for Payer: Nomi Health Commercial |
$1,494.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,366.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,596.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,277.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,603.88
|
|
|
HC BRAZIL NUT IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200076
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.43 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Trust/PPO |
$21.27
|
| Rate for Payer: BCN Commercial |
$21.27
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
|
|
HC BRAZIL NUT IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200076
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.69
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$18.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION MR
|
Facility
|
OP
|
$5,282.80
|
|
|
Service Code
|
CPT 19086
|
| Hospital Charge Code |
36100413
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$230.61 |
| Max. Negotiated Rate |
$5,282.80 |
| Rate for Payer: Aetna Commercial |
$4,754.52
|
| Rate for Payer: Aetna Medicare |
$1,954.64
|
| Rate for Payer: ASR ASR |
$5,124.32
|
| Rate for Payer: BCBS Complete |
$2,113.12
|
| Rate for Payer: BCBS Trust/PPO |
$4,355.67
|
| Rate for Payer: BCCCP Commercial |
$524.38
|
| Rate for Payer: BCN Commercial |
$4,355.67
|
| Rate for Payer: Cash Price |
$4,226.24
|
| Rate for Payer: Cash Price |
$4,226.24
|
| Rate for Payer: Cofinity Commercial |
$4,965.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,226.24
|
| Rate for Payer: Healthscope Commercial |
$5,124.32
|
| Rate for Payer: Healthscope Whirlpool |
$5,282.80
|
| Rate for Payer: Mclaren Commercial |
$4,754.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,226.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,490.38
|
| Rate for Payer: Nomi Health Commercial |
$4,331.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,962.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$288.27
|
| Rate for Payer: Priority Health Narrow Network |
$230.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,648.86
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION MR
|
Facility
|
IP
|
$5,282.80
|
|
|
Service Code
|
CPT 19086
|
| Hospital Charge Code |
36100413
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,962.10 |
| Max. Negotiated Rate |
$5,282.80 |
| Rate for Payer: Aetna Commercial |
$4,754.52
|
| Rate for Payer: ASR ASR |
$5,124.32
|
| Rate for Payer: BCBS Trust/PPO |
$4,338.24
|
| Rate for Payer: BCN Commercial |
$4,338.24
|
| Rate for Payer: Cash Price |
$4,226.24
|
| Rate for Payer: Cofinity Commercial |
$4,965.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,226.24
|
| Rate for Payer: Healthscope Commercial |
$5,124.32
|
| Rate for Payer: Healthscope Whirlpool |
$5,282.80
|
| Rate for Payer: Mclaren Commercial |
$4,754.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,490.38
|
| Rate for Payer: Nomi Health Commercial |
$4,331.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,962.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,648.86
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION STEREO
|
Facility
|
OP
|
$3,743.75
|
|
|
Service Code
|
CPT 19082
|
| Hospital Charge Code |
36100409
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$225.19 |
| Max. Negotiated Rate |
$3,743.75 |
| Rate for Payer: Aetna Commercial |
$3,369.38
|
| Rate for Payer: Aetna Medicare |
$1,385.19
|
| Rate for Payer: ASR ASR |
$3,631.44
|
| Rate for Payer: BCBS Complete |
$1,497.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,086.72
|
| Rate for Payer: BCCCP Commercial |
$344.68
|
| Rate for Payer: BCN Commercial |
$3,086.72
|
| Rate for Payer: Cash Price |
$2,995.00
|
| Rate for Payer: Cash Price |
$2,995.00
|
| Rate for Payer: Cofinity Commercial |
$3,519.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,995.00
|
| Rate for Payer: Healthscope Commercial |
$3,631.44
|
| Rate for Payer: Healthscope Whirlpool |
$3,743.75
|
| Rate for Payer: Mclaren Commercial |
$3,369.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,995.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,182.19
|
| Rate for Payer: Nomi Health Commercial |
$3,069.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,807.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$281.48
|
| Rate for Payer: Priority Health Narrow Network |
$225.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,294.50
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION STEREO
|
Facility
|
IP
|
$3,743.75
|
|
|
Service Code
|
CPT 19082
|
| Hospital Charge Code |
36100409
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,807.81 |
| Max. Negotiated Rate |
$3,743.75 |
| Rate for Payer: Aetna Commercial |
$3,369.38
|
| Rate for Payer: ASR ASR |
$3,631.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,074.37
|
| Rate for Payer: BCN Commercial |
$3,074.37
|
| Rate for Payer: Cash Price |
$2,995.00
|
| Rate for Payer: Cofinity Commercial |
$3,519.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,995.00
|
| Rate for Payer: Healthscope Commercial |
$3,631.44
|
| Rate for Payer: Healthscope Whirlpool |
$3,743.75
|
| Rate for Payer: Mclaren Commercial |
$3,369.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,182.19
|
| Rate for Payer: Nomi Health Commercial |
$3,069.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,807.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,294.50
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION US
|
Facility
|
OP
|
$4,126.82
|
|
|
Service Code
|
CPT 19084
|
| Hospital Charge Code |
36100411
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$211.62 |
| Max. Negotiated Rate |
$4,126.82 |
| Rate for Payer: Aetna Commercial |
$3,714.14
|
| Rate for Payer: Aetna Medicare |
$1,526.92
|
| Rate for Payer: ASR ASR |
$4,003.02
|
| Rate for Payer: BCBS Complete |
$1,650.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,402.56
|
| Rate for Payer: BCCCP Commercial |
$338.10
|
| Rate for Payer: BCN Commercial |
$3,402.56
|
| Rate for Payer: Cash Price |
$3,301.46
|
| Rate for Payer: Cash Price |
$3,301.46
|
| Rate for Payer: Cofinity Commercial |
$3,879.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,301.46
|
| Rate for Payer: Healthscope Commercial |
$4,003.02
|
| Rate for Payer: Healthscope Whirlpool |
$4,126.82
|
| Rate for Payer: Mclaren Commercial |
$3,714.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,301.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,507.80
|
| Rate for Payer: Nomi Health Commercial |
$3,383.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,095.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$264.53
|
| Rate for Payer: Priority Health Narrow Network |
$211.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,631.60
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION US
|
Facility
|
IP
|
$4,126.82
|
|
|
Service Code
|
CPT 19084
|
| Hospital Charge Code |
36100411
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,095.11 |
| Max. Negotiated Rate |
$4,126.82 |
| Rate for Payer: Aetna Commercial |
$3,714.14
|
| Rate for Payer: ASR ASR |
$4,003.02
|
| Rate for Payer: BCBS Trust/PPO |
$3,388.94
|
| Rate for Payer: BCN Commercial |
$3,388.94
|
| Rate for Payer: Cash Price |
$3,301.46
|
| Rate for Payer: Cofinity Commercial |
$3,879.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,301.46
|
| Rate for Payer: Healthscope Commercial |
$4,003.02
|
| Rate for Payer: Healthscope Whirlpool |
$4,126.82
|
| Rate for Payer: Mclaren Commercial |
$3,714.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,507.80
|
| Rate for Payer: Nomi Health Commercial |
$3,383.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,095.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,631.60
|
|
|
HC BREAST BX W CLIP FIRST LESION MR
|
Facility
|
OP
|
$3,158.79
|
|
|
Service Code
|
CPT 19085
|
| Hospital Charge Code |
36100412
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$685.36 |
| Max. Negotiated Rate |
$3,158.79 |
| Rate for Payer: Aetna Commercial |
$2,842.91
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$3,064.03
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,604.42
|
| Rate for Payer: BCCCP Commercial |
$685.36
|
| Rate for Payer: BCN Commercial |
$2,604.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$2,527.03
|
| Rate for Payer: Cash Price |
$2,527.03
|
| Rate for Payer: Cofinity Commercial |
$2,969.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,527.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$3,064.03
|
| Rate for Payer: Healthscope Whirlpool |
$3,158.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$2,842.91
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,684.97
|
| Rate for Payer: Nomi Health Commercial |
$2,590.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,369.09
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$886.21
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$708.97
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,779.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BREAST BX W CLIP FIRST LESION MR
|
Facility
|
IP
|
$3,158.79
|
|
|
Service Code
|
CPT 19085
|
| Hospital Charge Code |
36100412
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,369.09 |
| Max. Negotiated Rate |
$3,158.79 |
| Rate for Payer: Aetna Commercial |
$2,842.91
|
| Rate for Payer: ASR ASR |
$3,064.03
|
| Rate for Payer: BCBS Trust/PPO |
$2,594.00
|
| Rate for Payer: BCN Commercial |
$2,594.00
|
| Rate for Payer: Cash Price |
$2,527.03
|
| Rate for Payer: Cofinity Commercial |
$2,969.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,527.03
|
| Rate for Payer: Healthscope Commercial |
$3,064.03
|
| Rate for Payer: Healthscope Whirlpool |
$3,158.79
|
| Rate for Payer: Mclaren Commercial |
$2,842.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,684.97
|
| Rate for Payer: Nomi Health Commercial |
$2,590.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,369.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,779.74
|
|
|
HC BREAST BX W CLIP FIRST LESION STEREO
|
Facility
|
IP
|
$3,815.35
|
|
|
Service Code
|
CPT 19081
|
| Hospital Charge Code |
36100408
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,861.51 |
| Max. Negotiated Rate |
$3,815.35 |
| Rate for Payer: Aetna Commercial |
$3,433.82
|
| Rate for Payer: ASR ASR |
$3,700.89
|
| Rate for Payer: BCBS Trust/PPO |
$3,133.17
|
| Rate for Payer: BCN Commercial |
$3,133.17
|
| Rate for Payer: Cash Price |
$3,052.28
|
| Rate for Payer: Cofinity Commercial |
$3,586.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,052.28
|
| Rate for Payer: Healthscope Commercial |
$3,700.89
|
| Rate for Payer: Healthscope Whirlpool |
$3,815.35
|
| Rate for Payer: Mclaren Commercial |
$3,433.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,243.05
|
| Rate for Payer: Nomi Health Commercial |
$3,128.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,861.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,357.51
|
|
|
HC BREAST BX W CLIP FIRST LESION STEREO
|
Facility
|
OP
|
$3,815.35
|
|
|
Service Code
|
CPT 19081
|
| Hospital Charge Code |
36100408
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$456.33 |
| Max. Negotiated Rate |
$3,815.35 |
| Rate for Payer: Aetna Commercial |
$3,433.82
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$3,700.89
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,145.76
|
| Rate for Payer: BCCCP Commercial |
$456.33
|
| Rate for Payer: BCN Commercial |
$3,145.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,052.28
|
| Rate for Payer: Cash Price |
$3,052.28
|
| Rate for Payer: Cofinity Commercial |
$3,586.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,052.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$3,700.89
|
| Rate for Payer: Healthscope Whirlpool |
$3,815.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,433.82
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,243.05
|
| Rate for Payer: Nomi Health Commercial |
$3,128.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,861.51
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$886.21
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$708.97
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,357.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BREAST BX W CLIP FIRST LESION US
|
Facility
|
IP
|
$4,208.80
|
|
|
Service Code
|
CPT 19083
|
| Hospital Charge Code |
36100410
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,156.60 |
| Max. Negotiated Rate |
$4,208.80 |
| Rate for Payer: Aetna Commercial |
$3,787.92
|
| Rate for Payer: ASR ASR |
$4,082.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,456.27
|
| Rate for Payer: BCN Commercial |
$3,456.27
|
| Rate for Payer: Cash Price |
$3,367.04
|
| Rate for Payer: Cofinity Commercial |
$3,956.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,367.04
|
| Rate for Payer: Healthscope Commercial |
$4,082.54
|
| Rate for Payer: Healthscope Whirlpool |
$4,208.80
|
| Rate for Payer: Mclaren Commercial |
$3,787.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,577.48
|
| Rate for Payer: Nomi Health Commercial |
$3,451.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,156.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,703.74
|
|
|
HC BREAST BX W CLIP FIRST LESION US
|
Facility
|
OP
|
$4,208.80
|
|
|
Service Code
|
CPT 19083
|
| Hospital Charge Code |
36100410
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$450.69 |
| Max. Negotiated Rate |
$4,208.80 |
| Rate for Payer: Aetna Commercial |
$3,787.92
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$4,082.54
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,470.16
|
| Rate for Payer: BCCCP Commercial |
$450.69
|
| Rate for Payer: BCN Commercial |
$3,470.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$3,367.04
|
| Rate for Payer: Cash Price |
$3,367.04
|
| Rate for Payer: Cofinity Commercial |
$3,956.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,367.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$4,082.54
|
| Rate for Payer: Healthscope Whirlpool |
$4,208.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$3,787.92
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,577.48
|
| Rate for Payer: Nomi Health Commercial |
$3,451.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,156.60
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$886.21
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$708.97
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,703.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,645.66
|
| Rate for Payer: UHC Exchange |
$2,550.77
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
HC BREATH HYDROGEN/METHANE TEST
|
Facility
|
OP
|
$370.36
|
|
|
Service Code
|
CPT 91065
|
| Hospital Charge Code |
75000012
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$370.36 |
| Rate for Payer: Aetna Commercial |
$333.32
|
| Rate for Payer: Aetna Medicare |
$215.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.94
|
| Rate for Payer: ASR ASR |
$359.25
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$305.36
|
| Rate for Payer: BCN Commercial |
$305.36
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$296.29
|
| Rate for Payer: Cash Price |
$296.29
|
| Rate for Payer: Cofinity Commercial |
$348.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$359.25
|
| Rate for Payer: Healthscope Whirlpool |
$370.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$215.15
|
| Rate for Payer: Mclaren Commercial |
$333.32
|
| Rate for Payer: Mclaren Medicaid |
$215.15
|
| Rate for Payer: Mclaren Medicare |
$215.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.91
|
| Rate for Payer: Meridian Medicaid |
$118.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$314.81
|
| Rate for Payer: Nomi Health Commercial |
$303.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$277.77
|
| Rate for Payer: PACE Medicare |
$204.39
|
| Rate for Payer: PACE SWMI |
$215.15
|
| Rate for Payer: PHP Commercial |
$236.66
|
| Rate for Payer: PHP Medicaid |
$115.32
|
| Rate for Payer: PHP Medicare Advantage |
$215.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$324.51
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health Narrow Network |
$259.62
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$325.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$215.15
|
| Rate for Payer: UHC Exchange |
$333.48
|
| Rate for Payer: UHC Medicaid |
$112.52
|
| Rate for Payer: UHCCP DNSP |
$215.15
|
| Rate for Payer: UHCCP Medicaid |
$112.52
|
| Rate for Payer: VA VA |
$215.15
|
|
