|
HC CERCLAGE (OB SURGERY)
|
Facility
|
IP
|
$4,218.68
|
|
| Hospital Charge Code |
36000017
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,164.01 |
| Max. Negotiated Rate |
$4,218.68 |
| Rate for Payer: Aetna Commercial |
$3,796.81
|
| Rate for Payer: ASR ASR |
$4,092.12
|
| Rate for Payer: BCBS Trust/PPO |
$3,464.38
|
| Rate for Payer: BCN Commercial |
$3,464.38
|
| Rate for Payer: Cash Price |
$3,374.94
|
| Rate for Payer: Cofinity Commercial |
$3,965.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,374.94
|
| Rate for Payer: Healthscope Commercial |
$4,092.12
|
| Rate for Payer: Healthscope Whirlpool |
$4,218.68
|
| Rate for Payer: Mclaren Commercial |
$3,796.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,585.88
|
| Rate for Payer: Nomi Health Commercial |
$3,459.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,164.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,712.44
|
|
|
HC CERETEC PER DOSE
|
Facility
|
OP
|
$2,102.21
|
|
|
Service Code
|
HCPCS A9521
|
| Hospital Charge Code |
34300002
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$777.82 |
| Max. Negotiated Rate |
$2,421.12 |
| Rate for Payer: Aetna Commercial |
$1,891.99
|
| Rate for Payer: Aetna Medicare |
$777.82
|
| Rate for Payer: ASR ASR |
$2,039.14
|
| Rate for Payer: BCBS Complete |
$840.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,733.27
|
| Rate for Payer: BCN Commercial |
$1,733.27
|
| Rate for Payer: Cash Price |
$1,681.77
|
| Rate for Payer: Cash Price |
$1,681.77
|
| Rate for Payer: Cofinity Commercial |
$1,976.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,681.77
|
| Rate for Payer: Healthscope Commercial |
$2,039.14
|
| Rate for Payer: Healthscope Whirlpool |
$2,102.21
|
| Rate for Payer: Mclaren Commercial |
$1,891.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,681.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,786.88
|
| Rate for Payer: Nomi Health Commercial |
$1,723.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,576.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,421.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,936.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,849.94
|
|
|
HC CERETEC PER DOSE
|
Facility
|
IP
|
$2,102.21
|
|
|
Service Code
|
HCPCS A9521
|
| Hospital Charge Code |
34300002
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$1,576.66 |
| Max. Negotiated Rate |
$2,102.21 |
| Rate for Payer: Aetna Commercial |
$1,891.99
|
| Rate for Payer: ASR ASR |
$2,039.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,726.33
|
| Rate for Payer: BCN Commercial |
$1,726.33
|
| Rate for Payer: Cash Price |
$1,681.77
|
| Rate for Payer: Cofinity Commercial |
$1,976.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,681.77
|
| Rate for Payer: Healthscope Commercial |
$2,039.14
|
| Rate for Payer: Healthscope Whirlpool |
$2,102.21
|
| Rate for Payer: Mclaren Commercial |
$1,891.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,786.88
|
| Rate for Payer: Nomi Health Commercial |
$1,723.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,576.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,849.94
|
|
|
HC CERTOLIZUMAB
|
Facility
|
IP
|
$169.59
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100675
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$127.19 |
| Max. Negotiated Rate |
$169.59 |
| Rate for Payer: Aetna Commercial |
$152.63
|
| Rate for Payer: ASR ASR |
$164.50
|
| Rate for Payer: BCBS Trust/PPO |
$139.27
|
| Rate for Payer: BCN Commercial |
$139.27
|
| Rate for Payer: Cash Price |
$135.67
|
| Rate for Payer: Cofinity Commercial |
$159.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.67
|
| Rate for Payer: Healthscope Commercial |
$164.50
|
| Rate for Payer: Healthscope Whirlpool |
$169.59
|
| Rate for Payer: Mclaren Commercial |
$152.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.15
|
| Rate for Payer: Nomi Health Commercial |
$139.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$149.24
|
|
|
HC CERTOLIZUMAB
|
Facility
|
OP
|
$169.59
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100675
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.03 |
| Max. Negotiated Rate |
$345.01 |
| Rate for Payer: Aetna Commercial |
$152.63
|
| Rate for Payer: Aetna Medicare |
$17.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.59
|
| Rate for Payer: ASR ASR |
$164.50
|
| Rate for Payer: BCBS Complete |
$9.48
|
| Rate for Payer: BCBS MAPPO |
$17.27
|
| Rate for Payer: BCBS Trust/PPO |
$139.83
|
| Rate for Payer: BCN Commercial |
$139.83
|
| Rate for Payer: BCN Medicare Advantage |
$17.27
|
| Rate for Payer: Cash Price |
$135.67
|
| Rate for Payer: Cash Price |
$135.67
|
| Rate for Payer: Cofinity Commercial |
$159.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.27
|
| Rate for Payer: Healthscope Commercial |
$164.50
|
| Rate for Payer: Healthscope Whirlpool |
$169.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.27
|
| Rate for Payer: Mclaren Commercial |
$152.63
|
| Rate for Payer: Mclaren Medicaid |
$17.27
|
| Rate for Payer: Mclaren Medicare |
$17.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.13
|
| Rate for Payer: Meridian Medicaid |
$9.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.15
|
| Rate for Payer: Nomi Health Commercial |
$139.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.19
|
| Rate for Payer: PACE Medicare |
$16.41
|
| Rate for Payer: PACE SWMI |
$17.27
|
| Rate for Payer: PHP Commercial |
$19.00
|
| Rate for Payer: PHP Medicaid |
$9.26
|
| Rate for Payer: PHP Medicare Advantage |
$17.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$345.01
|
| Rate for Payer: Priority Health Medicare |
$17.27
|
| Rate for Payer: Priority Health Narrow Network |
$276.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$149.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.27
|
| Rate for Payer: UHC Exchange |
$26.77
|
| Rate for Payer: UHC Medicaid |
$9.03
|
| Rate for Payer: UHCCP DNSP |
$17.27
|
| Rate for Payer: UHCCP Medicaid |
$9.03
|
| Rate for Payer: VA VA |
$17.27
|
|
|
HC CERTOLIZUMAB CMPT
|
Facility
|
IP
|
$133.17
|
|
|
Service Code
|
CPT 80299
|
| Hospital Charge Code |
30100676
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$99.88 |
| Max. Negotiated Rate |
$133.17 |
| Rate for Payer: Aetna Commercial |
$119.85
|
| Rate for Payer: ASR ASR |
$129.17
|
| Rate for Payer: BCBS Trust/PPO |
$109.36
|
| Rate for Payer: BCN Commercial |
$109.36
|
| Rate for Payer: Cash Price |
$106.54
|
| Rate for Payer: Cofinity Commercial |
$125.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.54
|
| Rate for Payer: Healthscope Commercial |
$129.17
|
| Rate for Payer: Healthscope Whirlpool |
$133.17
|
| Rate for Payer: Mclaren Commercial |
$119.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.19
|
| Rate for Payer: Nomi Health Commercial |
$109.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$117.19
|
|
|
HC CERTOLIZUMAB CMPT
|
Facility
|
OP
|
$133.17
|
|
|
Service Code
|
CPT 80299
|
| Hospital Charge Code |
30100676
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.75 |
| Max. Negotiated Rate |
$271.17 |
| Rate for Payer: Aetna Commercial |
$119.85
|
| Rate for Payer: Aetna Medicare |
$18.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.30
|
| Rate for Payer: ASR ASR |
$129.17
|
| Rate for Payer: BCBS Complete |
$10.24
|
| Rate for Payer: BCBS MAPPO |
$18.64
|
| Rate for Payer: BCBS Trust/PPO |
$109.80
|
| Rate for Payer: BCN Commercial |
$109.80
|
| Rate for Payer: BCN Medicare Advantage |
$18.64
|
| Rate for Payer: Cash Price |
$106.54
|
| Rate for Payer: Cash Price |
$106.54
|
| Rate for Payer: Cofinity Commercial |
$125.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.64
|
| Rate for Payer: Healthscope Commercial |
$129.17
|
| Rate for Payer: Healthscope Whirlpool |
$133.17
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.64
|
| Rate for Payer: Mclaren Commercial |
$119.85
|
| Rate for Payer: Mclaren Medicaid |
$18.64
|
| Rate for Payer: Mclaren Medicare |
$18.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.57
|
| Rate for Payer: Meridian Medicaid |
$10.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.19
|
| Rate for Payer: Nomi Health Commercial |
$109.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.88
|
| Rate for Payer: PACE Medicare |
$17.71
|
| Rate for Payer: PACE SWMI |
$18.64
|
| Rate for Payer: PHP Commercial |
$20.50
|
| Rate for Payer: PHP Medicaid |
$9.99
|
| Rate for Payer: PHP Medicare Advantage |
$18.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$271.17
|
| Rate for Payer: Priority Health Medicare |
$18.64
|
| Rate for Payer: Priority Health Narrow Network |
$216.94
|
| Rate for Payer: Railroad Medicare Medicare |
$18.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$117.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.64
|
| Rate for Payer: UHC Exchange |
$28.89
|
| Rate for Payer: UHC Medicaid |
$9.75
|
| Rate for Payer: UHCCP DNSP |
$18.64
|
| Rate for Payer: UHCCP Medicaid |
$9.75
|
| Rate for Payer: VA VA |
$18.64
|
|
|
HC CERULOPLASMIN
|
Facility
|
OP
|
$43.51
|
|
|
Service Code
|
CPT 82390
|
| Hospital Charge Code |
30100140
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.62 |
| Max. Negotiated Rate |
$43.60 |
| Rate for Payer: Aetna Commercial |
$39.16
|
| Rate for Payer: Aetna Medicare |
$10.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.43
|
| Rate for Payer: ASR ASR |
$42.20
|
| Rate for Payer: BCBS Complete |
$5.90
|
| Rate for Payer: BCBS MAPPO |
$10.74
|
| Rate for Payer: BCBS Trust/PPO |
$35.87
|
| Rate for Payer: BCN Commercial |
$35.87
|
| Rate for Payer: BCN Medicare Advantage |
$10.74
|
| Rate for Payer: Cash Price |
$34.81
|
| Rate for Payer: Cash Price |
$34.81
|
| Rate for Payer: Cofinity Commercial |
$40.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.74
|
| Rate for Payer: Healthscope Commercial |
$42.20
|
| Rate for Payer: Healthscope Whirlpool |
$43.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$10.74
|
| Rate for Payer: Mclaren Commercial |
$39.16
|
| Rate for Payer: Mclaren Medicaid |
$10.74
|
| Rate for Payer: Mclaren Medicare |
$10.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.28
|
| Rate for Payer: Meridian Medicaid |
$5.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.98
|
| Rate for Payer: Nomi Health Commercial |
$35.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.63
|
| Rate for Payer: PACE Medicare |
$10.20
|
| Rate for Payer: PACE SWMI |
$10.74
|
| Rate for Payer: PHP Commercial |
$11.81
|
| Rate for Payer: PHP Medicaid |
$5.76
|
| Rate for Payer: PHP Medicare Advantage |
$10.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.60
|
| Rate for Payer: Priority Health Medicare |
$10.74
|
| Rate for Payer: Priority Health Narrow Network |
$34.88
|
| Rate for Payer: Railroad Medicare Medicare |
$10.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.74
|
| Rate for Payer: UHC Exchange |
$16.65
|
| Rate for Payer: UHC Medicaid |
$5.62
|
| Rate for Payer: UHCCP DNSP |
$10.74
|
| Rate for Payer: UHCCP Medicaid |
$5.62
|
| Rate for Payer: VA VA |
$10.74
|
|
|
HC CERULOPLASMIN
|
Facility
|
IP
|
$43.51
|
|
|
Service Code
|
CPT 82390
|
| Hospital Charge Code |
30100140
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$32.63 |
| Max. Negotiated Rate |
$43.51 |
| Rate for Payer: Aetna Commercial |
$39.16
|
| Rate for Payer: ASR ASR |
$42.20
|
| Rate for Payer: BCBS Trust/PPO |
$35.73
|
| Rate for Payer: BCN Commercial |
$35.73
|
| Rate for Payer: Cash Price |
$34.81
|
| Rate for Payer: Cofinity Commercial |
$40.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.81
|
| Rate for Payer: Healthscope Commercial |
$42.20
|
| Rate for Payer: Healthscope Whirlpool |
$43.51
|
| Rate for Payer: Mclaren Commercial |
$39.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.98
|
| Rate for Payer: Nomi Health Commercial |
$35.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.29
|
|
|
HC CERVILENZ
|
Facility
|
OP
|
$174.10
|
|
| Hospital Charge Code |
27200171
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.42 |
| Max. Negotiated Rate |
$174.10 |
| Rate for Payer: Aetna Commercial |
$156.69
|
| Rate for Payer: Aetna Medicare |
$64.42
|
| Rate for Payer: ASR ASR |
$168.88
|
| Rate for Payer: BCBS Complete |
$69.64
|
| Rate for Payer: BCBS Trust/PPO |
$143.55
|
| Rate for Payer: BCN Commercial |
$143.55
|
| Rate for Payer: Cash Price |
$139.28
|
| Rate for Payer: Cofinity Commercial |
$163.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.28
|
| Rate for Payer: Healthscope Commercial |
$168.88
|
| Rate for Payer: Healthscope Whirlpool |
$174.10
|
| Rate for Payer: Mclaren Commercial |
$156.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.99
|
| Rate for Payer: Nomi Health Commercial |
$142.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$152.55
|
| Rate for Payer: Priority Health Narrow Network |
$122.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.21
|
|
|
HC CERVILENZ
|
Facility
|
IP
|
$174.10
|
|
| Hospital Charge Code |
27200171
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$130.57 |
| Max. Negotiated Rate |
$174.10 |
| Rate for Payer: Aetna Commercial |
$156.69
|
| Rate for Payer: ASR ASR |
$168.88
|
| Rate for Payer: BCBS Trust/PPO |
$142.97
|
| Rate for Payer: BCN Commercial |
$142.97
|
| Rate for Payer: Cash Price |
$139.28
|
| Rate for Payer: Cofinity Commercial |
$163.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.28
|
| Rate for Payer: Healthscope Commercial |
$168.88
|
| Rate for Payer: Healthscope Whirlpool |
$174.10
|
| Rate for Payer: Mclaren Commercial |
$156.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.99
|
| Rate for Payer: Nomi Health Commercial |
$142.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.21
|
|
|
HC CERV OR VAG CA SCREEN PELVIC/BREAST EXAM
|
Facility
|
OP
|
$143.60
|
|
|
Service Code
|
CPT G0101
|
| Hospital Charge Code |
77000001
|
|
Hospital Revenue Code
|
770
|
| Min. Negotiated Rate |
$52.94 |
| Max. Negotiated Rate |
$156.89 |
| Rate for Payer: Aetna Commercial |
$129.24
|
| Rate for Payer: Aetna Medicare |
$101.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.53
|
| Rate for Payer: ASR ASR |
$139.29
|
| Rate for Payer: BCBS Complete |
$55.59
|
| Rate for Payer: BCBS MAPPO |
$101.22
|
| Rate for Payer: BCBS Trust/PPO |
$118.40
|
| Rate for Payer: BCN Commercial |
$118.40
|
| Rate for Payer: BCN Medicare Advantage |
$101.22
|
| Rate for Payer: Cash Price |
$114.88
|
| Rate for Payer: Cash Price |
$114.88
|
| Rate for Payer: Cofinity Commercial |
$134.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.22
|
| Rate for Payer: Healthscope Commercial |
$139.29
|
| Rate for Payer: Healthscope Whirlpool |
$143.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$101.22
|
| Rate for Payer: Mclaren Commercial |
$129.24
|
| Rate for Payer: Mclaren Medicaid |
$101.22
|
| Rate for Payer: Mclaren Medicare |
$101.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.28
|
| Rate for Payer: Meridian Medicaid |
$55.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$111.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.06
|
| Rate for Payer: Nomi Health Commercial |
$117.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.70
|
| Rate for Payer: PACE Medicare |
$96.16
|
| Rate for Payer: PACE SWMI |
$101.22
|
| Rate for Payer: PHP Commercial |
$111.34
|
| Rate for Payer: PHP Medicaid |
$54.25
|
| Rate for Payer: PHP Medicare Advantage |
$101.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$125.82
|
| Rate for Payer: Priority Health Medicare |
$101.22
|
| Rate for Payer: Priority Health Narrow Network |
$100.66
|
| Rate for Payer: Railroad Medicare Medicare |
$101.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$101.22
|
| Rate for Payer: UHC Exchange |
$156.89
|
| Rate for Payer: UHC Medicaid |
$52.94
|
| Rate for Payer: UHCCP DNSP |
$101.22
|
| Rate for Payer: UHCCP Medicaid |
$52.94
|
| Rate for Payer: VA VA |
$101.22
|
|
|
HC CERV OR VAG CA SCREEN PELVIC/BREAST EXAM
|
Facility
|
IP
|
$143.60
|
|
|
Service Code
|
CPT G0101
|
| Hospital Charge Code |
77000001
|
|
Hospital Revenue Code
|
770
|
| Min. Negotiated Rate |
$107.70 |
| Max. Negotiated Rate |
$143.60 |
| Rate for Payer: Aetna Commercial |
$129.24
|
| Rate for Payer: ASR ASR |
$139.29
|
| Rate for Payer: BCBS Trust/PPO |
$117.92
|
| Rate for Payer: BCN Commercial |
$117.92
|
| Rate for Payer: Cash Price |
$114.88
|
| Rate for Payer: Cofinity Commercial |
$134.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.88
|
| Rate for Payer: Healthscope Commercial |
$139.29
|
| Rate for Payer: Healthscope Whirlpool |
$143.60
|
| Rate for Payer: Mclaren Commercial |
$129.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.06
|
| Rate for Payer: Nomi Health Commercial |
$117.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.37
|
|
|
HC CESIUM 137 PER SOURCE
|
Facility
|
OP
|
$793.26
|
|
| Hospital Charge Code |
34000001
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$293.51 |
| Max. Negotiated Rate |
$793.26 |
| Rate for Payer: Aetna Commercial |
$713.93
|
| Rate for Payer: Aetna Medicare |
$293.51
|
| Rate for Payer: ASR ASR |
$769.46
|
| Rate for Payer: BCBS Complete |
$317.30
|
| Rate for Payer: BCBS Trust/PPO |
$654.04
|
| Rate for Payer: BCN Commercial |
$654.04
|
| Rate for Payer: Cash Price |
$634.61
|
| Rate for Payer: Cofinity Commercial |
$745.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$634.61
|
| Rate for Payer: Healthscope Commercial |
$769.46
|
| Rate for Payer: Healthscope Whirlpool |
$793.26
|
| Rate for Payer: Mclaren Commercial |
$713.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$634.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$674.27
|
| Rate for Payer: Nomi Health Commercial |
$650.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$594.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$695.05
|
| Rate for Payer: Priority Health Narrow Network |
$556.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$698.07
|
|
|
HC CESIUM 137 PER SOURCE
|
Facility
|
IP
|
$793.26
|
|
| Hospital Charge Code |
34000001
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$594.95 |
| Max. Negotiated Rate |
$793.26 |
| Rate for Payer: Aetna Commercial |
$713.93
|
| Rate for Payer: ASR ASR |
$769.46
|
| Rate for Payer: BCBS Trust/PPO |
$651.43
|
| Rate for Payer: BCN Commercial |
$651.43
|
| Rate for Payer: Cash Price |
$634.61
|
| Rate for Payer: Cofinity Commercial |
$745.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$634.61
|
| Rate for Payer: Healthscope Commercial |
$769.46
|
| Rate for Payer: Healthscope Whirlpool |
$793.26
|
| Rate for Payer: Mclaren Commercial |
$713.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$674.27
|
| Rate for Payer: Nomi Health Commercial |
$650.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$594.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$698.07
|
|
|
HC CHAMBER HOLDING OPTI CHAMBER
|
Facility
|
OP
|
$22.77
|
|
| Hospital Charge Code |
27000044
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.42 |
| Max. Negotiated Rate |
$22.77 |
| Rate for Payer: Aetna Commercial |
$20.49
|
| Rate for Payer: Aetna Medicare |
$8.42
|
| Rate for Payer: ASR ASR |
$22.09
|
| Rate for Payer: BCBS Complete |
$9.11
|
| Rate for Payer: BCBS Trust/PPO |
$18.77
|
| Rate for Payer: BCN Commercial |
$18.77
|
| Rate for Payer: Cash Price |
$18.22
|
| Rate for Payer: Cofinity Commercial |
$21.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.22
|
| Rate for Payer: Healthscope Commercial |
$22.09
|
| Rate for Payer: Healthscope Whirlpool |
$22.77
|
| Rate for Payer: Mclaren Commercial |
$20.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.35
|
| Rate for Payer: Nomi Health Commercial |
$18.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19.95
|
| Rate for Payer: Priority Health Narrow Network |
$15.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.04
|
|
|
HC CHAMBER HOLDING OPTI CHAMBER
|
Facility
|
IP
|
$22.77
|
|
| Hospital Charge Code |
27000044
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.08 |
| Max. Negotiated Rate |
$22.77 |
| Rate for Payer: Aetna Commercial |
$20.49
|
| Rate for Payer: ASR ASR |
$22.09
|
| Rate for Payer: BCBS Trust/PPO |
$18.70
|
| Rate for Payer: BCN Commercial |
$18.70
|
| Rate for Payer: Cash Price |
$18.22
|
| Rate for Payer: Cofinity Commercial |
$21.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.22
|
| Rate for Payer: Healthscope Commercial |
$22.09
|
| Rate for Payer: Healthscope Whirlpool |
$22.77
|
| Rate for Payer: Mclaren Commercial |
$20.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.35
|
| Rate for Payer: Nomi Health Commercial |
$18.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.04
|
|
|
HC CHANGE CYSTOSTOMY TUBE COMPLICATED
|
Facility
|
IP
|
$1,036.80
|
|
|
Service Code
|
CPT 51710
|
| Hospital Charge Code |
76100297
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$777.60 |
| Max. Negotiated Rate |
$1,036.80 |
| Rate for Payer: Aetna Commercial |
$933.12
|
| Rate for Payer: ASR ASR |
$1,005.70
|
| Rate for Payer: BCBS Trust/PPO |
$851.42
|
| Rate for Payer: BCN Commercial |
$851.42
|
| Rate for Payer: Cash Price |
$829.44
|
| Rate for Payer: Cofinity Commercial |
$974.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$829.44
|
| Rate for Payer: Healthscope Commercial |
$1,005.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,036.80
|
| Rate for Payer: Mclaren Commercial |
$933.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$881.28
|
| Rate for Payer: Nomi Health Commercial |
$850.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$777.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$912.38
|
|
|
HC CHANGE CYSTOSTOMY TUBE COMPLICATED
|
Facility
|
OP
|
$1,036.80
|
|
|
Service Code
|
CPT 51710
|
| Hospital Charge Code |
76100297
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$363.38 |
| Max. Negotiated Rate |
$1,076.92 |
| Rate for Payer: Aetna Commercial |
$933.12
|
| Rate for Payer: Aetna Medicare |
$694.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$868.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$868.49
|
| Rate for Payer: ASR ASR |
$1,005.70
|
| Rate for Payer: BCBS Complete |
$381.58
|
| Rate for Payer: BCBS MAPPO |
$694.79
|
| Rate for Payer: BCBS Trust/PPO |
$854.84
|
| Rate for Payer: BCN Commercial |
$854.84
|
| Rate for Payer: BCN Medicare Advantage |
$694.79
|
| Rate for Payer: Cash Price |
$829.44
|
| Rate for Payer: Cash Price |
$829.44
|
| Rate for Payer: Cofinity Commercial |
$974.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$829.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.79
|
| Rate for Payer: Healthscope Commercial |
$1,005.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,036.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$694.79
|
| Rate for Payer: Mclaren Commercial |
$933.12
|
| Rate for Payer: Mclaren Medicaid |
$694.79
|
| Rate for Payer: Mclaren Medicare |
$694.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$729.53
|
| Rate for Payer: Meridian Medicaid |
$381.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$799.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$764.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$881.28
|
| Rate for Payer: Nomi Health Commercial |
$850.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$777.60
|
| Rate for Payer: PACE Medicare |
$660.05
|
| Rate for Payer: PACE SWMI |
$694.79
|
| Rate for Payer: PHP Commercial |
$764.27
|
| Rate for Payer: PHP Medicaid |
$372.41
|
| Rate for Payer: PHP Medicare Advantage |
$694.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$363.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$908.44
|
| Rate for Payer: Priority Health Medicare |
$694.79
|
| Rate for Payer: Priority Health Narrow Network |
$726.80
|
| Rate for Payer: Railroad Medicare Medicare |
$694.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$912.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$694.79
|
| Rate for Payer: UHC Exchange |
$1,076.92
|
| Rate for Payer: UHC Medicaid |
$363.38
|
| Rate for Payer: UHCCP DNSP |
$694.79
|
| Rate for Payer: UHCCP Medicaid |
$363.38
|
| Rate for Payer: VA VA |
$694.79
|
|
|
HC CHANNEL RFA ENDO CATHETER
|
Facility
|
OP
|
$3,796.01
|
|
| Hospital Charge Code |
27200289
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,404.52 |
| Max. Negotiated Rate |
$3,796.01 |
| Rate for Payer: Aetna Commercial |
$3,416.41
|
| Rate for Payer: Aetna Medicare |
$1,404.52
|
| Rate for Payer: ASR ASR |
$3,682.13
|
| Rate for Payer: BCBS Complete |
$1,518.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,129.81
|
| Rate for Payer: BCN Commercial |
$3,129.81
|
| Rate for Payer: Cash Price |
$3,036.81
|
| Rate for Payer: Cofinity Commercial |
$3,568.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,036.81
|
| Rate for Payer: Healthscope Commercial |
$3,682.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,796.01
|
| Rate for Payer: Mclaren Commercial |
$3,416.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,036.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,226.61
|
| Rate for Payer: Nomi Health Commercial |
$3,112.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,847.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,326.06
|
| Rate for Payer: Priority Health Narrow Network |
$2,661.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,340.49
|
|
|
HC CHANNEL RFA ENDO CATHETER
|
Facility
|
IP
|
$3,796.01
|
|
| Hospital Charge Code |
27200289
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,847.01 |
| Max. Negotiated Rate |
$3,796.01 |
| Rate for Payer: Aetna Commercial |
$3,416.41
|
| Rate for Payer: ASR ASR |
$3,682.13
|
| Rate for Payer: BCBS Trust/PPO |
$3,117.28
|
| Rate for Payer: BCN Commercial |
$3,117.28
|
| Rate for Payer: Cash Price |
$3,036.81
|
| Rate for Payer: Cofinity Commercial |
$3,568.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,036.81
|
| Rate for Payer: Healthscope Commercial |
$3,682.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,796.01
|
| Rate for Payer: Mclaren Commercial |
$3,416.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,226.61
|
| Rate for Payer: Nomi Health Commercial |
$3,112.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,847.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,340.49
|
|
|
HC CHEM CAUTERY GRANULATION TISSUE
|
Facility
|
OP
|
$302.67
|
|
|
Service Code
|
CPT 17250
|
| Hospital Charge Code |
76100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.55 |
| Max. Negotiated Rate |
$309.86 |
| Rate for Payer: Aetna Commercial |
$272.40
|
| Rate for Payer: Aetna Medicare |
$199.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: ASR ASR |
$293.59
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$249.55
|
| Rate for Payer: BCN Commercial |
$249.55
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$242.14
|
| Rate for Payer: Cash Price |
$242.14
|
| Rate for Payer: Cofinity Commercial |
$284.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$293.59
|
| Rate for Payer: Healthscope Whirlpool |
$302.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$199.91
|
| Rate for Payer: Mclaren Commercial |
$272.40
|
| Rate for Payer: Mclaren Medicaid |
$199.91
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$109.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.27
|
| Rate for Payer: Nomi Health Commercial |
$248.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$227.00
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$219.90
|
| Rate for Payer: PHP Medicaid |
$107.15
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$249.38
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health Narrow Network |
$199.50
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$266.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.91
|
| Rate for Payer: UHC Exchange |
$309.86
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP DNSP |
$199.91
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: VA VA |
$199.91
|
|
|
HC CHEM CAUTERY GRANULATION TISSUE
|
Facility
|
IP
|
$302.67
|
|
|
Service Code
|
CPT 17250
|
| Hospital Charge Code |
76100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$227.00 |
| Max. Negotiated Rate |
$302.67 |
| Rate for Payer: Aetna Commercial |
$272.40
|
| Rate for Payer: ASR ASR |
$293.59
|
| Rate for Payer: BCBS Trust/PPO |
$248.55
|
| Rate for Payer: BCN Commercial |
$248.55
|
| Rate for Payer: Cash Price |
$242.14
|
| Rate for Payer: Cofinity Commercial |
$284.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.14
|
| Rate for Payer: Healthscope Commercial |
$293.59
|
| Rate for Payer: Healthscope Whirlpool |
$302.67
|
| Rate for Payer: Mclaren Commercial |
$272.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.27
|
| Rate for Payer: Nomi Health Commercial |
$248.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$227.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$266.35
|
|
|
HC CHEMO ADMIN INTO CNS
|
Facility
|
IP
|
$1,148.54
|
|
|
Service Code
|
CPT 96450
|
| Hospital Charge Code |
33100005
|
|
Hospital Revenue Code
|
331
|
| Min. Negotiated Rate |
$861.40 |
| Max. Negotiated Rate |
$1,148.54 |
| Rate for Payer: Aetna Commercial |
$1,033.69
|
| Rate for Payer: ASR ASR |
$1,114.08
|
| Rate for Payer: BCBS Trust/PPO |
$943.18
|
| Rate for Payer: BCN Commercial |
$943.18
|
| Rate for Payer: Cash Price |
$918.83
|
| Rate for Payer: Cofinity Commercial |
$1,079.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$918.83
|
| Rate for Payer: Healthscope Commercial |
$1,114.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,148.54
|
| Rate for Payer: Mclaren Commercial |
$1,033.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$976.26
|
| Rate for Payer: Nomi Health Commercial |
$941.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$861.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,010.72
|
|
|
HC CHEMO ADMIN INTO CNS
|
Facility
|
OP
|
$1,148.54
|
|
|
Service Code
|
CPT 96450
|
| Hospital Charge Code |
33100005
|
|
Hospital Revenue Code
|
331
|
| Min. Negotiated Rate |
$172.13 |
| Max. Negotiated Rate |
$1,148.54 |
| Rate for Payer: Aetna Commercial |
$1,033.69
|
| Rate for Payer: Aetna Medicare |
$329.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$411.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$411.40
|
| Rate for Payer: ASR ASR |
$1,114.08
|
| Rate for Payer: BCBS Complete |
$180.75
|
| Rate for Payer: BCBS MAPPO |
$329.12
|
| Rate for Payer: BCBS Trust/PPO |
$946.97
|
| Rate for Payer: BCN Commercial |
$946.97
|
| Rate for Payer: BCN Medicare Advantage |
$329.12
|
| Rate for Payer: Cash Price |
$918.83
|
| Rate for Payer: Cash Price |
$918.83
|
| Rate for Payer: Cofinity Commercial |
$1,079.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$918.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.12
|
| Rate for Payer: Healthscope Commercial |
$1,114.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,148.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$329.12
|
| Rate for Payer: Mclaren Commercial |
$1,033.69
|
| Rate for Payer: Mclaren Medicaid |
$329.12
|
| Rate for Payer: Mclaren Medicare |
$329.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.58
|
| Rate for Payer: Meridian Medicaid |
$180.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$378.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$362.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$976.26
|
| Rate for Payer: Nomi Health Commercial |
$941.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$861.40
|
| Rate for Payer: PACE Medicare |
$312.66
|
| Rate for Payer: PACE SWMI |
$329.12
|
| Rate for Payer: PHP Commercial |
$362.03
|
| Rate for Payer: PHP Medicaid |
$176.41
|
| Rate for Payer: PHP Medicare Advantage |
$329.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$172.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,006.35
|
| Rate for Payer: Priority Health Medicare |
$329.12
|
| Rate for Payer: Priority Health Narrow Network |
$805.13
|
| Rate for Payer: Railroad Medicare Medicare |
$329.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,010.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$329.12
|
| Rate for Payer: UHC Exchange |
$510.14
|
| Rate for Payer: UHC Medicaid |
$172.13
|
| Rate for Payer: UHCCP DNSP |
$329.12
|
| Rate for Payer: UHCCP Medicaid |
$172.13
|
| Rate for Payer: VA VA |
$329.12
|
|
