|
HC BREAST BX W CLIP EACH ADDL LESION STEREO
|
Facility
|
OP
|
$3,670.34
|
|
|
Service Code
|
CPT 19082
|
| Hospital Charge Code |
36100409
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$204.25 |
| Max. Negotiated Rate |
$3,670.34 |
| Rate for Payer: Aetna Commercial |
$3,303.31
|
| Rate for Payer: Aetna Medicare |
$1,835.17
|
| Rate for Payer: ASR ASR |
$3,560.23
|
| Rate for Payer: ASR Commercial |
$3,560.23
|
| Rate for Payer: BCBS Complete |
$1,468.14
|
| Rate for Payer: BCBS Trust/PPO |
$3,005.64
|
| Rate for Payer: BCCCP Commercial |
$344.68
|
| Rate for Payer: BCN Commercial |
$2,845.61
|
| Rate for Payer: Cash Price |
$2,936.27
|
| Rate for Payer: Cash Price |
$2,936.27
|
| Rate for Payer: Cofinity Commercial |
$3,450.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,936.27
|
| Rate for Payer: Healthscope Commercial |
$3,670.34
|
| Rate for Payer: Healthscope Whirlpool |
$3,560.23
|
| Rate for Payer: Mclaren Commercial |
$3,303.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,119.79
|
| Rate for Payer: Nomi Health Commercial |
$3,009.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,385.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.31
|
| Rate for Payer: Priority Health Narrow Network |
$204.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,229.90
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION STEREO
|
Facility
|
IP
|
$3,670.34
|
|
|
Service Code
|
CPT 19082
|
| Hospital Charge Code |
36100409
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,385.72 |
| Max. Negotiated Rate |
$3,670.34 |
| Rate for Payer: Aetna Commercial |
$3,303.31
|
| Rate for Payer: ASR ASR |
$3,560.23
|
| Rate for Payer: ASR Commercial |
$3,560.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,990.96
|
| Rate for Payer: BCN Commercial |
$2,845.61
|
| Rate for Payer: Cash Price |
$2,936.27
|
| Rate for Payer: Cofinity Commercial |
$3,450.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,936.27
|
| Rate for Payer: Healthscope Commercial |
$3,670.34
|
| Rate for Payer: Healthscope Whirlpool |
$3,560.23
|
| Rate for Payer: Mclaren Commercial |
$3,303.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,119.79
|
| Rate for Payer: Nomi Health Commercial |
$3,009.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,385.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,229.90
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION US
|
Facility
|
OP
|
$4,045.90
|
|
|
Service Code
|
CPT 19084
|
| Hospital Charge Code |
36100411
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$191.94 |
| Max. Negotiated Rate |
$4,045.90 |
| Rate for Payer: Aetna Commercial |
$3,641.31
|
| Rate for Payer: Aetna Medicare |
$2,022.95
|
| Rate for Payer: ASR ASR |
$3,924.52
|
| Rate for Payer: ASR Commercial |
$3,924.52
|
| Rate for Payer: BCBS Complete |
$1,618.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,313.19
|
| Rate for Payer: BCCCP Commercial |
$338.10
|
| Rate for Payer: BCN Commercial |
$3,136.79
|
| Rate for Payer: Cash Price |
$3,236.72
|
| Rate for Payer: Cash Price |
$3,236.72
|
| Rate for Payer: Cofinity Commercial |
$3,803.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,236.72
|
| Rate for Payer: Healthscope Commercial |
$4,045.90
|
| Rate for Payer: Healthscope Whirlpool |
$3,924.52
|
| Rate for Payer: Mclaren Commercial |
$3,641.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,439.02
|
| Rate for Payer: Nomi Health Commercial |
$3,317.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,629.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$239.93
|
| Rate for Payer: Priority Health Narrow Network |
$191.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,560.39
|
|
|
HC BREAST BX W CLIP EACH ADDL LESION US
|
Facility
|
IP
|
$4,045.90
|
|
|
Service Code
|
CPT 19084
|
| Hospital Charge Code |
36100411
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,629.84 |
| Max. Negotiated Rate |
$4,045.90 |
| Rate for Payer: Aetna Commercial |
$3,641.31
|
| Rate for Payer: ASR ASR |
$3,924.52
|
| Rate for Payer: ASR Commercial |
$3,924.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,297.00
|
| Rate for Payer: BCN Commercial |
$3,136.79
|
| Rate for Payer: Cash Price |
$3,236.72
|
| Rate for Payer: Cofinity Commercial |
$3,803.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,236.72
|
| Rate for Payer: Healthscope Commercial |
$4,045.90
|
| Rate for Payer: Healthscope Whirlpool |
$3,924.52
|
| Rate for Payer: Mclaren Commercial |
$3,641.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,439.02
|
| Rate for Payer: Nomi Health Commercial |
$3,317.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,629.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,560.39
|
|
|
HC BREAST BX W CLIP FIRST LESION MR
|
Facility
|
IP
|
$3,096.85
|
|
|
Service Code
|
CPT 19085
|
| Hospital Charge Code |
36100412
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,012.95 |
| Max. Negotiated Rate |
$3,096.85 |
| Rate for Payer: Aetna Commercial |
$2,787.16
|
| Rate for Payer: ASR ASR |
$3,003.94
|
| Rate for Payer: ASR Commercial |
$3,003.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,523.62
|
| Rate for Payer: BCN Commercial |
$2,400.99
|
| Rate for Payer: Cash Price |
$2,477.48
|
| Rate for Payer: Cofinity Commercial |
$2,911.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,477.48
|
| Rate for Payer: Healthscope Commercial |
$3,096.85
|
| Rate for Payer: Healthscope Whirlpool |
$3,003.94
|
| Rate for Payer: Mclaren Commercial |
$2,787.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,632.32
|
| Rate for Payer: Nomi Health Commercial |
$2,539.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,012.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,725.23
|
|
|
HC BREAST BX W CLIP FIRST LESION MR
|
Facility
|
OP
|
$3,096.85
|
|
|
Service Code
|
CPT 19085
|
| Hospital Charge Code |
36100412
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$643.06 |
| Max. Negotiated Rate |
$3,096.85 |
| Rate for Payer: Aetna Commercial |
$2,787.16
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$3,003.94
|
| Rate for Payer: ASR Commercial |
$3,003.94
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,536.01
|
| Rate for Payer: BCCCP Commercial |
$685.36
|
| Rate for Payer: BCN Commercial |
$2,400.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$2,477.48
|
| Rate for Payer: Cash Price |
$2,477.48
|
| Rate for Payer: Cofinity Commercial |
$2,911.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,477.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$3,096.85
|
| Rate for Payer: Healthscope Whirlpool |
$3,003.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$2,787.16
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,632.32
|
| Rate for Payer: Nomi Health Commercial |
$2,539.42
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,012.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$803.82
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$643.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,725.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BREAST BX W CLIP FIRST LESION STEREO
|
Facility
|
OP
|
$3,740.54
|
|
|
Service Code
|
CPT 19081
|
| Hospital Charge Code |
36100408
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$456.33 |
| Max. Negotiated Rate |
$3,740.54 |
| Rate for Payer: Aetna Commercial |
$3,366.49
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$3,628.32
|
| Rate for Payer: ASR Commercial |
$3,628.32
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,063.13
|
| Rate for Payer: BCCCP Commercial |
$456.33
|
| Rate for Payer: BCN Commercial |
$2,900.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$2,992.43
|
| Rate for Payer: Cash Price |
$2,992.43
|
| Rate for Payer: Cofinity Commercial |
$3,516.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,992.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$3,740.54
|
| Rate for Payer: Healthscope Whirlpool |
$3,628.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$3,366.49
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,179.46
|
| Rate for Payer: Nomi Health Commercial |
$3,067.24
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,431.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$803.82
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$643.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,291.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BREAST BX W CLIP FIRST LESION STEREO
|
Facility
|
IP
|
$3,740.54
|
|
|
Service Code
|
CPT 19081
|
| Hospital Charge Code |
36100408
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,431.35 |
| Max. Negotiated Rate |
$3,740.54 |
| Rate for Payer: Aetna Commercial |
$3,366.49
|
| Rate for Payer: ASR ASR |
$3,628.32
|
| Rate for Payer: ASR Commercial |
$3,628.32
|
| Rate for Payer: BCBS Trust/PPO |
$3,048.17
|
| Rate for Payer: BCN Commercial |
$2,900.04
|
| Rate for Payer: Cash Price |
$2,992.43
|
| Rate for Payer: Cofinity Commercial |
$3,516.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,992.43
|
| Rate for Payer: Healthscope Commercial |
$3,740.54
|
| Rate for Payer: Healthscope Whirlpool |
$3,628.32
|
| Rate for Payer: Mclaren Commercial |
$3,366.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,179.46
|
| Rate for Payer: Nomi Health Commercial |
$3,067.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,431.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,291.68
|
|
|
HC BREAST BX W CLIP FIRST LESION US
|
Facility
|
IP
|
$4,126.27
|
|
|
Service Code
|
CPT 19083
|
| Hospital Charge Code |
36100410
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,682.08 |
| Max. Negotiated Rate |
$4,126.27 |
| Rate for Payer: Aetna Commercial |
$3,713.64
|
| Rate for Payer: ASR ASR |
$4,002.48
|
| Rate for Payer: ASR Commercial |
$4,002.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,362.50
|
| Rate for Payer: BCN Commercial |
$3,199.10
|
| Rate for Payer: Cash Price |
$3,301.02
|
| Rate for Payer: Cofinity Commercial |
$3,878.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,301.02
|
| Rate for Payer: Healthscope Commercial |
$4,126.27
|
| Rate for Payer: Healthscope Whirlpool |
$4,002.48
|
| Rate for Payer: Mclaren Commercial |
$3,713.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,507.33
|
| Rate for Payer: Nomi Health Commercial |
$3,383.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,682.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,631.12
|
|
|
HC BREAST BX W CLIP FIRST LESION US
|
Facility
|
OP
|
$4,126.27
|
|
|
Service Code
|
CPT 19083
|
| Hospital Charge Code |
36100410
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$450.69 |
| Max. Negotiated Rate |
$4,126.27 |
| Rate for Payer: Aetna Commercial |
$3,713.64
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$4,002.48
|
| Rate for Payer: ASR Commercial |
$4,002.48
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,379.00
|
| Rate for Payer: BCCCP Commercial |
$450.69
|
| Rate for Payer: BCN Commercial |
$3,199.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$3,301.02
|
| Rate for Payer: Cash Price |
$3,301.02
|
| Rate for Payer: Cofinity Commercial |
$3,878.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,301.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$4,126.27
|
| Rate for Payer: Healthscope Whirlpool |
$4,002.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$3,713.64
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,507.33
|
| Rate for Payer: Nomi Health Commercial |
$3,383.54
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,682.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$803.82
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$643.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,631.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
HC BREATH HYDROGEN/METHANE TEST
|
Facility
|
OP
|
$363.10
|
|
|
Service Code
|
CPT 91065
|
| Hospital Charge Code |
75000012
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$82.17 |
| Max. Negotiated Rate |
$363.10 |
| Rate for Payer: Aetna Commercial |
$326.79
|
| Rate for Payer: Aetna Medicare |
$153.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$191.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$191.62
|
| Rate for Payer: ASR ASR |
$352.21
|
| Rate for Payer: ASR Commercial |
$352.21
|
| Rate for Payer: BCBS Complete |
$86.28
|
| Rate for Payer: BCBS MAPPO |
$153.30
|
| Rate for Payer: BCBS Trust/PPO |
$297.34
|
| Rate for Payer: BCN Commercial |
$281.51
|
| Rate for Payer: BCN Medicare Advantage |
$153.30
|
| Rate for Payer: Cash Price |
$290.48
|
| Rate for Payer: Cash Price |
$290.48
|
| Rate for Payer: Cofinity Commercial |
$341.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$290.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.30
|
| Rate for Payer: Healthscope Commercial |
$363.10
|
| Rate for Payer: Healthscope Whirlpool |
$352.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$153.30
|
| Rate for Payer: Mclaren Commercial |
$326.79
|
| Rate for Payer: Mclaren Medicaid |
$82.17
|
| Rate for Payer: Mclaren Medicare |
$153.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.96
|
| Rate for Payer: Meridian Medicaid |
$86.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$308.64
|
| Rate for Payer: Nomi Health Commercial |
$297.74
|
| Rate for Payer: PACE Medicare |
$145.64
|
| Rate for Payer: PACE SWMI |
$153.30
|
| Rate for Payer: PHP Commercial |
$168.63
|
| Rate for Payer: PHP Medicaid |
$82.17
|
| Rate for Payer: PHP Medicare Advantage |
$153.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.15
|
| Rate for Payer: Priority Health Medicare |
$153.30
|
| Rate for Payer: Priority Health Narrow Network |
$254.53
|
| Rate for Payer: Railroad Medicare Medicare |
$153.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$319.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.30
|
| Rate for Payer: UHC Exchange |
$237.62
|
| Rate for Payer: UHC Medicare Advantage |
$153.30
|
| Rate for Payer: UHCCP DNSP |
$153.30
|
| Rate for Payer: UHCCP Medicaid |
$82.17
|
| Rate for Payer: VA VA |
$153.30
|
|
|
HC BREATH HYDROGEN/METHANE TEST
|
Facility
|
IP
|
$363.10
|
|
|
Service Code
|
CPT 91065
|
| Hospital Charge Code |
75000012
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$236.02 |
| Max. Negotiated Rate |
$363.10 |
| Rate for Payer: Aetna Commercial |
$326.79
|
| Rate for Payer: ASR ASR |
$352.21
|
| Rate for Payer: ASR Commercial |
$352.21
|
| Rate for Payer: BCBS Trust/PPO |
$295.89
|
| Rate for Payer: BCN Commercial |
$281.51
|
| Rate for Payer: Cash Price |
$290.48
|
| Rate for Payer: Cofinity Commercial |
$341.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$290.48
|
| Rate for Payer: Healthscope Commercial |
$363.10
|
| Rate for Payer: Healthscope Whirlpool |
$352.21
|
| Rate for Payer: Mclaren Commercial |
$326.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$308.64
|
| Rate for Payer: Nomi Health Commercial |
$297.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$319.53
|
|
|
HC BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT
|
Facility
|
IP
|
$25.74
|
|
|
Service Code
|
CPT 96127
|
| Hospital Charge Code |
91800002
|
|
Hospital Revenue Code
|
918
|
| Min. Negotiated Rate |
$16.73 |
| Max. Negotiated Rate |
$25.74 |
| Rate for Payer: Aetna Commercial |
$23.17
|
| Rate for Payer: ASR ASR |
$24.97
|
| Rate for Payer: ASR Commercial |
$24.97
|
| Rate for Payer: BCBS Trust/PPO |
$20.98
|
| Rate for Payer: BCN Commercial |
$19.96
|
| Rate for Payer: Cash Price |
$20.59
|
| Rate for Payer: Cofinity Commercial |
$24.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.59
|
| Rate for Payer: Healthscope Commercial |
$25.74
|
| Rate for Payer: Healthscope Whirlpool |
$24.97
|
| Rate for Payer: Mclaren Commercial |
$23.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.88
|
| Rate for Payer: Nomi Health Commercial |
$21.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.65
|
|
|
HC BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT
|
Facility
|
OP
|
$25.74
|
|
|
Service Code
|
CPT 96127
|
| Hospital Charge Code |
91800002
|
|
Hospital Revenue Code
|
918
|
| Min. Negotiated Rate |
$16.73 |
| Max. Negotiated Rate |
$59.61 |
| Rate for Payer: Aetna Commercial |
$23.17
|
| Rate for Payer: Aetna Medicare |
$38.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.08
|
| Rate for Payer: ASR ASR |
$24.97
|
| Rate for Payer: ASR Commercial |
$24.97
|
| Rate for Payer: BCBS Complete |
$21.65
|
| Rate for Payer: BCBS MAPPO |
$38.46
|
| Rate for Payer: BCBS Trust/PPO |
$21.08
|
| Rate for Payer: BCN Commercial |
$19.96
|
| Rate for Payer: BCN Medicare Advantage |
$38.46
|
| Rate for Payer: Cash Price |
$20.59
|
| Rate for Payer: Cash Price |
$20.59
|
| Rate for Payer: Cofinity Commercial |
$24.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.46
|
| Rate for Payer: Healthscope Commercial |
$25.74
|
| Rate for Payer: Healthscope Whirlpool |
$24.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$38.46
|
| Rate for Payer: Mclaren Commercial |
$23.17
|
| Rate for Payer: Mclaren Medicaid |
$20.61
|
| Rate for Payer: Mclaren Medicare |
$38.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.38
|
| Rate for Payer: Meridian Medicaid |
$21.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.88
|
| Rate for Payer: Nomi Health Commercial |
$21.11
|
| Rate for Payer: PACE Medicare |
$36.54
|
| Rate for Payer: PACE SWMI |
$38.46
|
| Rate for Payer: PHP Commercial |
$42.31
|
| Rate for Payer: PHP Medicaid |
$20.61
|
| Rate for Payer: PHP Medicare Advantage |
$38.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.55
|
| Rate for Payer: Priority Health Medicare |
$38.46
|
| Rate for Payer: Priority Health Narrow Network |
$18.04
|
| Rate for Payer: Railroad Medicare Medicare |
$38.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.46
|
| Rate for Payer: UHC Exchange |
$59.61
|
| Rate for Payer: UHC Medicare Advantage |
$38.46
|
| Rate for Payer: UHCCP DNSP |
$38.46
|
| Rate for Payer: UHCCP Medicaid |
$20.61
|
| Rate for Payer: VA VA |
$38.46
|
|
|
HC BRONCH CMPTR ASST IMAGE ADD ON
|
Facility
|
OP
|
$258.03
|
|
| Hospital Charge Code |
75000007
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$103.21 |
| Max. Negotiated Rate |
$258.03 |
| Rate for Payer: Aetna Commercial |
$232.23
|
| Rate for Payer: Aetna Medicare |
$129.02
|
| Rate for Payer: ASR ASR |
$250.29
|
| Rate for Payer: ASR Commercial |
$250.29
|
| Rate for Payer: BCBS Complete |
$103.21
|
| Rate for Payer: BCBS Trust/PPO |
$211.30
|
| Rate for Payer: BCN Commercial |
$200.05
|
| Rate for Payer: Cash Price |
$206.42
|
| Rate for Payer: Cofinity Commercial |
$242.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.42
|
| Rate for Payer: Healthscope Commercial |
$258.03
|
| Rate for Payer: Healthscope Whirlpool |
$250.29
|
| Rate for Payer: Mclaren Commercial |
$232.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.33
|
| Rate for Payer: Nomi Health Commercial |
$211.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$226.09
|
| Rate for Payer: Priority Health Narrow Network |
$180.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$227.07
|
|
|
HC BRONCH CMPTR ASST IMAGE ADD ON
|
Facility
|
IP
|
$258.03
|
|
| Hospital Charge Code |
75000007
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$167.72 |
| Max. Negotiated Rate |
$258.03 |
| Rate for Payer: Aetna Commercial |
$232.23
|
| Rate for Payer: ASR ASR |
$250.29
|
| Rate for Payer: ASR Commercial |
$250.29
|
| Rate for Payer: BCBS Trust/PPO |
$210.27
|
| Rate for Payer: BCN Commercial |
$200.05
|
| Rate for Payer: Cash Price |
$206.42
|
| Rate for Payer: Cofinity Commercial |
$242.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.42
|
| Rate for Payer: Healthscope Commercial |
$258.03
|
| Rate for Payer: Healthscope Whirlpool |
$250.29
|
| Rate for Payer: Mclaren Commercial |
$232.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.33
|
| Rate for Payer: Nomi Health Commercial |
$211.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$227.07
|
|
|
HC BRONCHIAL NAVIGATION
|
Facility
|
OP
|
$3,103.68
|
|
| Hospital Charge Code |
36000102
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,241.47 |
| Max. Negotiated Rate |
$3,103.68 |
| Rate for Payer: Aetna Commercial |
$2,793.31
|
| Rate for Payer: Aetna Medicare |
$1,551.84
|
| Rate for Payer: ASR ASR |
$3,010.57
|
| Rate for Payer: ASR Commercial |
$3,010.57
|
| Rate for Payer: BCBS Complete |
$1,241.47
|
| Rate for Payer: BCBS Trust/PPO |
$2,541.60
|
| Rate for Payer: BCN Commercial |
$2,406.28
|
| Rate for Payer: Cash Price |
$2,482.94
|
| Rate for Payer: Cofinity Commercial |
$2,917.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,482.94
|
| Rate for Payer: Healthscope Commercial |
$3,103.68
|
| Rate for Payer: Healthscope Whirlpool |
$3,010.57
|
| Rate for Payer: Mclaren Commercial |
$2,793.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,638.13
|
| Rate for Payer: Nomi Health Commercial |
$2,545.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,017.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,719.44
|
| Rate for Payer: Priority Health Narrow Network |
$2,175.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,731.24
|
|
|
HC BRONCHIAL NAVIGATION
|
Facility
|
IP
|
$3,103.68
|
|
| Hospital Charge Code |
36000102
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,017.39 |
| Max. Negotiated Rate |
$3,103.68 |
| Rate for Payer: Aetna Commercial |
$2,793.31
|
| Rate for Payer: ASR ASR |
$3,010.57
|
| Rate for Payer: ASR Commercial |
$3,010.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,529.19
|
| Rate for Payer: BCN Commercial |
$2,406.28
|
| Rate for Payer: Cash Price |
$2,482.94
|
| Rate for Payer: Cofinity Commercial |
$2,917.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,482.94
|
| Rate for Payer: Healthscope Commercial |
$3,103.68
|
| Rate for Payer: Healthscope Whirlpool |
$3,010.57
|
| Rate for Payer: Mclaren Commercial |
$2,793.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,638.13
|
| Rate for Payer: Nomi Health Commercial |
$2,545.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,017.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,731.24
|
|
|
HC BRONCHO HYGIENE INITIAL
|
Facility
|
IP
|
$273.76
|
|
|
Service Code
|
CPT 94667
|
| Hospital Charge Code |
41000010
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$177.94 |
| Max. Negotiated Rate |
$273.76 |
| Rate for Payer: Aetna Commercial |
$246.38
|
| Rate for Payer: ASR ASR |
$265.55
|
| Rate for Payer: ASR Commercial |
$265.55
|
| Rate for Payer: BCBS Trust/PPO |
$223.09
|
| Rate for Payer: BCN Commercial |
$212.25
|
| Rate for Payer: Cash Price |
$219.01
|
| Rate for Payer: Cofinity Commercial |
$257.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.01
|
| Rate for Payer: Healthscope Commercial |
$273.76
|
| Rate for Payer: Healthscope Whirlpool |
$265.55
|
| Rate for Payer: Mclaren Commercial |
$246.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.70
|
| Rate for Payer: Nomi Health Commercial |
$224.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$240.91
|
|
|
HC BRONCHO HYGIENE INITIAL
|
Facility
|
OP
|
$273.76
|
|
|
Service Code
|
CPT 94667
|
| Hospital Charge Code |
41000010
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$57.98 |
| Max. Negotiated Rate |
$273.76 |
| Rate for Payer: Aetna Commercial |
$246.38
|
| Rate for Payer: Aetna Medicare |
$126.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.86
|
| Rate for Payer: ASR ASR |
$265.55
|
| Rate for Payer: ASR Commercial |
$265.55
|
| Rate for Payer: BCBS Complete |
$71.08
|
| Rate for Payer: BCBS MAPPO |
$126.29
|
| Rate for Payer: BCBS Trust/PPO |
$224.18
|
| Rate for Payer: BCN Commercial |
$212.25
|
| Rate for Payer: BCN Medicare Advantage |
$126.29
|
| Rate for Payer: Cash Price |
$219.01
|
| Rate for Payer: Cash Price |
$219.01
|
| Rate for Payer: Cofinity Commercial |
$257.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.29
|
| Rate for Payer: Healthscope Commercial |
$273.76
|
| Rate for Payer: Healthscope Whirlpool |
$265.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$126.29
|
| Rate for Payer: Mclaren Commercial |
$246.38
|
| Rate for Payer: Mclaren Medicaid |
$67.69
|
| Rate for Payer: Mclaren Medicare |
$126.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.60
|
| Rate for Payer: Meridian Medicaid |
$71.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$145.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.70
|
| Rate for Payer: Nomi Health Commercial |
$224.48
|
| Rate for Payer: PACE Medicare |
$119.98
|
| Rate for Payer: PACE SWMI |
$126.29
|
| Rate for Payer: PHP Commercial |
$138.92
|
| Rate for Payer: PHP Medicaid |
$67.69
|
| Rate for Payer: PHP Medicare Advantage |
$126.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.47
|
| Rate for Payer: Priority Health Medicare |
$126.29
|
| Rate for Payer: Priority Health Narrow Network |
$57.98
|
| Rate for Payer: Railroad Medicare Medicare |
$126.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$240.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.29
|
| Rate for Payer: UHC Exchange |
$195.75
|
| Rate for Payer: UHC Medicare Advantage |
$126.29
|
| Rate for Payer: UHCCP DNSP |
$126.29
|
| Rate for Payer: UHCCP Medicaid |
$67.69
|
| Rate for Payer: VA VA |
$126.29
|
|
|
HC BRONCHO HYGIENE SUBS
|
Facility
|
OP
|
$263.12
|
|
|
Service Code
|
CPT 94668
|
| Hospital Charge Code |
41000011
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$50.08 |
| Max. Negotiated Rate |
$263.12 |
| Rate for Payer: Aetna Commercial |
$236.81
|
| Rate for Payer: Aetna Medicare |
$126.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.86
|
| Rate for Payer: ASR ASR |
$255.23
|
| Rate for Payer: ASR Commercial |
$255.23
|
| Rate for Payer: BCBS Complete |
$71.08
|
| Rate for Payer: BCBS MAPPO |
$126.29
|
| Rate for Payer: BCBS Trust/PPO |
$215.47
|
| Rate for Payer: BCN Commercial |
$204.00
|
| Rate for Payer: BCN Medicare Advantage |
$126.29
|
| Rate for Payer: Cash Price |
$210.50
|
| Rate for Payer: Cash Price |
$210.50
|
| Rate for Payer: Cofinity Commercial |
$247.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$210.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.29
|
| Rate for Payer: Healthscope Commercial |
$263.12
|
| Rate for Payer: Healthscope Whirlpool |
$255.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$126.29
|
| Rate for Payer: Mclaren Commercial |
$236.81
|
| Rate for Payer: Mclaren Medicaid |
$67.69
|
| Rate for Payer: Mclaren Medicare |
$126.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.60
|
| Rate for Payer: Meridian Medicaid |
$71.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$145.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.65
|
| Rate for Payer: Nomi Health Commercial |
$215.76
|
| Rate for Payer: PACE Medicare |
$119.98
|
| Rate for Payer: PACE SWMI |
$126.29
|
| Rate for Payer: PHP Commercial |
$138.92
|
| Rate for Payer: PHP Medicaid |
$67.69
|
| Rate for Payer: PHP Medicare Advantage |
$126.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.60
|
| Rate for Payer: Priority Health Medicare |
$126.29
|
| Rate for Payer: Priority Health Narrow Network |
$50.08
|
| Rate for Payer: Railroad Medicare Medicare |
$126.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.29
|
| Rate for Payer: UHC Exchange |
$195.75
|
| Rate for Payer: UHC Medicare Advantage |
$126.29
|
| Rate for Payer: UHCCP DNSP |
$126.29
|
| Rate for Payer: UHCCP Medicaid |
$67.69
|
| Rate for Payer: VA VA |
$126.29
|
|
|
HC BRONCHO HYGIENE SUBS
|
Facility
|
IP
|
$263.12
|
|
|
Service Code
|
CPT 94668
|
| Hospital Charge Code |
41000011
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$171.03 |
| Max. Negotiated Rate |
$263.12 |
| Rate for Payer: Aetna Commercial |
$236.81
|
| Rate for Payer: ASR ASR |
$255.23
|
| Rate for Payer: ASR Commercial |
$255.23
|
| Rate for Payer: BCBS Trust/PPO |
$214.42
|
| Rate for Payer: BCN Commercial |
$204.00
|
| Rate for Payer: Cash Price |
$210.50
|
| Rate for Payer: Cofinity Commercial |
$247.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$210.50
|
| Rate for Payer: Healthscope Commercial |
$263.12
|
| Rate for Payer: Healthscope Whirlpool |
$255.23
|
| Rate for Payer: Mclaren Commercial |
$236.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.65
|
| Rate for Payer: Nomi Health Commercial |
$215.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.55
|
|
|
HC BRONCHOSCOPY
|
Facility
|
OP
|
$2,564.80
|
|
| Hospital Charge Code |
36000014
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,025.92 |
| Max. Negotiated Rate |
$2,564.80 |
| Rate for Payer: Aetna Commercial |
$2,308.32
|
| Rate for Payer: Aetna Medicare |
$1,282.40
|
| Rate for Payer: ASR ASR |
$2,487.86
|
| Rate for Payer: ASR Commercial |
$2,487.86
|
| Rate for Payer: BCBS Complete |
$1,025.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,100.31
|
| Rate for Payer: BCN Commercial |
$1,988.49
|
| Rate for Payer: Cash Price |
$2,051.84
|
| Rate for Payer: Cofinity Commercial |
$2,410.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,051.84
|
| Rate for Payer: Healthscope Commercial |
$2,564.80
|
| Rate for Payer: Healthscope Whirlpool |
$2,487.86
|
| Rate for Payer: Mclaren Commercial |
$2,308.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,180.08
|
| Rate for Payer: Nomi Health Commercial |
$2,103.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,667.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,247.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,797.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,257.02
|
|
|
HC BRONCHOSCOPY
|
Facility
|
IP
|
$2,564.80
|
|
| Hospital Charge Code |
36000014
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,667.12 |
| Max. Negotiated Rate |
$2,564.80 |
| Rate for Payer: Aetna Commercial |
$2,308.32
|
| Rate for Payer: ASR ASR |
$2,487.86
|
| Rate for Payer: ASR Commercial |
$2,487.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,090.06
|
| Rate for Payer: BCN Commercial |
$1,988.49
|
| Rate for Payer: Cash Price |
$2,051.84
|
| Rate for Payer: Cofinity Commercial |
$2,410.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,051.84
|
| Rate for Payer: Healthscope Commercial |
$2,564.80
|
| Rate for Payer: Healthscope Whirlpool |
$2,487.86
|
| Rate for Payer: Mclaren Commercial |
$2,308.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,180.08
|
| Rate for Payer: Nomi Health Commercial |
$2,103.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,667.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,257.02
|
|
|
HC BRONCHOSCOPY W EBUS EXAM
|
Facility
|
OP
|
$3,178.02
|
|
| Hospital Charge Code |
36000015
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,271.21 |
| Max. Negotiated Rate |
$3,178.02 |
| Rate for Payer: Aetna Commercial |
$2,860.22
|
| Rate for Payer: Aetna Medicare |
$1,589.01
|
| Rate for Payer: ASR ASR |
$3,082.68
|
| Rate for Payer: ASR Commercial |
$3,082.68
|
| Rate for Payer: BCBS Complete |
$1,271.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,602.48
|
| Rate for Payer: BCN Commercial |
$2,463.92
|
| Rate for Payer: Cash Price |
$2,542.42
|
| Rate for Payer: Cofinity Commercial |
$2,987.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,542.42
|
| Rate for Payer: Healthscope Commercial |
$3,178.02
|
| Rate for Payer: Healthscope Whirlpool |
$3,082.68
|
| Rate for Payer: Mclaren Commercial |
$2,860.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,701.32
|
| Rate for Payer: Nomi Health Commercial |
$2,605.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,065.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,784.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,227.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,796.66
|
|
