|
HC BREATH HYDROGEN/METHANE TEST
|
Facility
|
OP
|
$363.10
|
|
|
Service Code
|
CPT 91065
|
| Hospital Charge Code |
75000012
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$363.10 |
| Rate for Payer: Aetna Commercial |
$326.79
|
| Rate for Payer: Aetna Medicare |
$152.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$190.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$190.74
|
| Rate for Payer: ASR ASR |
$352.21
|
| Rate for Payer: ASR Commercial |
$352.21
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$152.59
|
| Rate for Payer: BCBS Trust/PPO |
$297.34
|
| Rate for Payer: BCN Commercial |
$281.51
|
| Rate for Payer: BCN Medicare Advantage |
$152.59
|
| 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 |
$152.59
|
| Rate for Payer: Healthscope Commercial |
$363.10
|
| Rate for Payer: Healthscope Whirlpool |
$352.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$152.59
|
| Rate for Payer: Mclaren Commercial |
$326.79
|
| Rate for Payer: Mclaren Medicaid |
$81.79
|
| Rate for Payer: Mclaren Medicare |
$152.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.22
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$175.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$308.63
|
| Rate for Payer: Nomi Health Commercial |
$297.74
|
| Rate for Payer: PACE Medicare |
$144.96
|
| Rate for Payer: PACE SWMI |
$152.59
|
| Rate for Payer: PHP Commercial |
$167.85
|
| Rate for Payer: PHP Medicaid |
$81.79
|
| Rate for Payer: PHP Medicare Advantage |
$152.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.15
|
| Rate for Payer: Priority Health Medicare |
$152.59
|
| Rate for Payer: Priority Health Narrow Network |
$254.53
|
| Rate for Payer: Railroad Medicare Medicare |
$152.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$319.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.59
|
| Rate for Payer: UHC Exchange |
$236.51
|
| Rate for Payer: UHC Medicare Advantage |
$152.59
|
| Rate for Payer: UHCCP DNSP |
$152.59
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
| Rate for Payer: VA VA |
$152.59
|
|
|
HC BREATH HYDROGEN/METHANE TEST
|
Facility
|
IP
|
$363.10
|
|
|
Service Code
|
CPT 91065
|
| Hospital Charge Code |
75000012
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$236.01 |
| 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 |
$308.63
|
| Rate for Payer: Nomi Health Commercial |
$297.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.01
|
| 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 |
$59.33 |
| Rate for Payer: Aetna Commercial |
$23.17
|
| Rate for Payer: Aetna Medicare |
$38.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47.85
|
| Rate for Payer: ASR ASR |
$24.97
|
| Rate for Payer: ASR Commercial |
$24.97
|
| Rate for Payer: BCBS Complete |
$21.54
|
| Rate for Payer: BCBS MAPPO |
$38.28
|
| Rate for Payer: BCBS Trust/PPO |
$21.08
|
| Rate for Payer: BCN Commercial |
$19.96
|
| Rate for Payer: BCN Medicare Advantage |
$38.28
|
| 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 |
$38.28
|
| Rate for Payer: Healthscope Commercial |
$25.74
|
| Rate for Payer: Healthscope Whirlpool |
$24.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$38.28
|
| Rate for Payer: Mclaren Commercial |
$23.17
|
| Rate for Payer: Mclaren Medicaid |
$20.52
|
| Rate for Payer: Mclaren Medicare |
$38.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.19
|
| Rate for Payer: Meridian Medicaid |
$21.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.88
|
| Rate for Payer: Nomi Health Commercial |
$21.11
|
| Rate for Payer: PACE Medicare |
$36.37
|
| Rate for Payer: PACE SWMI |
$38.28
|
| Rate for Payer: PHP Commercial |
$42.11
|
| Rate for Payer: PHP Medicaid |
$20.52
|
| Rate for Payer: PHP Medicare Advantage |
$38.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.55
|
| Rate for Payer: Priority Health Medicare |
$38.28
|
| Rate for Payer: Priority Health Narrow Network |
$18.04
|
| Rate for Payer: Railroad Medicare Medicare |
$38.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.28
|
| Rate for Payer: UHC Exchange |
$59.33
|
| Rate for Payer: UHC Medicare Advantage |
$38.28
|
| Rate for Payer: UHCCP DNSP |
$38.28
|
| Rate for Payer: UHCCP Medicaid |
$20.52
|
| Rate for Payer: VA VA |
$38.28
|
|
|
HC 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 |
$129.01
|
| 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
|
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 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 BRONCHO HYGIENE INITIAL
|
Facility
|
OP
|
$273.76
|
|
|
Service Code
|
CPT 94667
|
| Hospital Charge Code |
41000010
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$273.76 |
| Rate for Payer: Aetna Commercial |
$246.38
|
| Rate for Payer: Aetna Medicare |
$125.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: ASR ASR |
$265.55
|
| Rate for Payer: ASR Commercial |
$265.55
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCBS Trust/PPO |
$224.18
|
| Rate for Payer: BCN Commercial |
$212.25
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| 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 |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$273.76
|
| Rate for Payer: Healthscope Whirlpool |
$265.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$125.71
|
| Rate for Payer: Mclaren Commercial |
$246.38
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.70
|
| Rate for Payer: Nomi Health Commercial |
$224.48
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$138.28
|
| Rate for Payer: PHP Medicaid |
$67.38
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$239.87
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health Narrow Network |
$191.91
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$240.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$194.85
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP DNSP |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: VA VA |
$125.71
|
|
|
HC 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 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 BRONCHO HYGIENE SUBS
|
Facility
|
OP
|
$263.12
|
|
|
Service Code
|
CPT 94668
|
| Hospital Charge Code |
41000011
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$263.12 |
| Rate for Payer: Aetna Commercial |
$236.81
|
| Rate for Payer: Aetna Medicare |
$125.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: ASR ASR |
$255.23
|
| Rate for Payer: ASR Commercial |
$255.23
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCBS Trust/PPO |
$215.47
|
| Rate for Payer: BCN Commercial |
$204.00
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| 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 |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$263.12
|
| Rate for Payer: Healthscope Whirlpool |
$255.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$125.71
|
| Rate for Payer: Mclaren Commercial |
$236.81
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.65
|
| Rate for Payer: Nomi Health Commercial |
$215.76
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$138.28
|
| Rate for Payer: PHP Medicaid |
$67.38
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$230.55
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health Narrow Network |
$184.45
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$194.85
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP DNSP |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: VA VA |
$125.71
|
|
|
HC 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
|
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 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
|
|
|
HC BRONCHOSCOPY W EBUS EXAM
|
Facility
|
IP
|
$3,178.02
|
|
| Hospital Charge Code |
36000015
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,065.71 |
| Max. Negotiated Rate |
$3,178.02 |
| Rate for Payer: Aetna Commercial |
$2,860.22
|
| Rate for Payer: ASR ASR |
$3,082.68
|
| Rate for Payer: ASR Commercial |
$3,082.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,589.77
|
| 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: UHC All Payor (Choice/PPO) + Core |
$2,796.66
|
|
|
HC BRONCHOSPASM PROVOCATION (METHACHOLINE CHALLENGE)
|
Facility
|
OP
|
$708.68
|
|
|
Service Code
|
CPT 94070
|
| Hospital Charge Code |
46000003
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$162.78 |
| Max. Negotiated Rate |
$708.68 |
| Rate for Payer: Aetna Commercial |
$637.81
|
| Rate for Payer: Aetna Medicare |
$303.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.62
|
| Rate for Payer: ASR ASR |
$687.42
|
| Rate for Payer: ASR Commercial |
$687.42
|
| Rate for Payer: BCBS Complete |
$170.92
|
| Rate for Payer: BCBS MAPPO |
$303.70
|
| Rate for Payer: BCBS Trust/PPO |
$580.34
|
| Rate for Payer: BCN Commercial |
$549.44
|
| Rate for Payer: BCN Medicare Advantage |
$303.70
|
| Rate for Payer: Cash Price |
$566.94
|
| Rate for Payer: Cash Price |
$566.94
|
| Rate for Payer: Cofinity Commercial |
$666.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$566.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.70
|
| Rate for Payer: Healthscope Commercial |
$708.68
|
| Rate for Payer: Healthscope Whirlpool |
$687.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$303.70
|
| Rate for Payer: Mclaren Commercial |
$637.81
|
| Rate for Payer: Mclaren Medicaid |
$162.78
|
| Rate for Payer: Mclaren Medicare |
$303.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.88
|
| Rate for Payer: Meridian Medicaid |
$170.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$602.38
|
| Rate for Payer: Nomi Health Commercial |
$581.12
|
| Rate for Payer: PACE Medicare |
$288.51
|
| Rate for Payer: PACE SWMI |
$303.70
|
| Rate for Payer: PHP Commercial |
$334.07
|
| Rate for Payer: PHP Medicaid |
$162.78
|
| Rate for Payer: PHP Medicare Advantage |
$303.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$620.95
|
| Rate for Payer: Priority Health Medicare |
$303.70
|
| Rate for Payer: Priority Health Narrow Network |
$496.78
|
| Rate for Payer: Railroad Medicare Medicare |
$303.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$623.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.70
|
| Rate for Payer: UHC Exchange |
$470.74
|
| Rate for Payer: UHC Medicare Advantage |
$303.70
|
| Rate for Payer: UHCCP DNSP |
$303.70
|
| Rate for Payer: UHCCP Medicaid |
$162.78
|
| Rate for Payer: VA VA |
$303.70
|
|
|
HC BRONCHOSPASM PROVOCATION (METHACHOLINE CHALLENGE)
|
Facility
|
IP
|
$708.68
|
|
|
Service Code
|
CPT 94070
|
| Hospital Charge Code |
46000003
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$460.64 |
| Max. Negotiated Rate |
$708.68 |
| Rate for Payer: Aetna Commercial |
$637.81
|
| Rate for Payer: ASR ASR |
$687.42
|
| Rate for Payer: ASR Commercial |
$687.42
|
| Rate for Payer: BCBS Trust/PPO |
$577.50
|
| Rate for Payer: BCN Commercial |
$549.44
|
| Rate for Payer: Cash Price |
$566.94
|
| Rate for Payer: Cofinity Commercial |
$666.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$566.94
|
| Rate for Payer: Healthscope Commercial |
$708.68
|
| Rate for Payer: Healthscope Whirlpool |
$687.42
|
| Rate for Payer: Mclaren Commercial |
$637.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$602.38
|
| Rate for Payer: Nomi Health Commercial |
$581.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$623.64
|
|
|
HC BRUCELLA ANTIBODY
|
Facility
|
OP
|
$73.44
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200236
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.79 |
| Max. Negotiated Rate |
$73.44 |
| Rate for Payer: Aetna Commercial |
$66.10
|
| Rate for Payer: Aetna Medicare |
$8.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: ASR ASR |
$71.24
|
| Rate for Payer: ASR Commercial |
$71.24
|
| Rate for Payer: BCBS Complete |
$5.03
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$60.14
|
| Rate for Payer: BCN Commercial |
$56.94
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$69.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Healthscope Commercial |
$73.44
|
| Rate for Payer: Healthscope Whirlpool |
$71.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.93
|
| Rate for Payer: Mclaren Commercial |
$66.10
|
| Rate for Payer: Mclaren Medicaid |
$4.79
|
| Rate for Payer: Mclaren Medicare |
$8.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: Meridian Medicaid |
$5.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Nomi Health Commercial |
$60.22
|
| Rate for Payer: PACE Medicare |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Commercial |
$9.82
|
| Rate for Payer: PHP Medicaid |
$4.79
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64.35
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow Network |
$51.48
|
| Rate for Payer: Railroad Medicare Medicare |
$8.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.93
|
| Rate for Payer: UHC Exchange |
$13.84
|
| Rate for Payer: UHC Medicare Advantage |
$8.93
|
| Rate for Payer: UHCCP DNSP |
$8.93
|
| Rate for Payer: UHCCP Medicaid |
$4.79
|
| Rate for Payer: VA VA |
$8.93
|
|
|
HC BRUCELLA ANTIBODY
|
Facility
|
IP
|
$73.44
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200236
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.74 |
| Max. Negotiated Rate |
$73.44 |
| Rate for Payer: Aetna Commercial |
$66.10
|
| Rate for Payer: ASR ASR |
$71.24
|
| Rate for Payer: ASR Commercial |
$71.24
|
| Rate for Payer: BCBS Trust/PPO |
$59.85
|
| Rate for Payer: BCN Commercial |
$56.94
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$69.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Healthscope Commercial |
$73.44
|
| Rate for Payer: Healthscope Whirlpool |
$71.24
|
| Rate for Payer: Mclaren Commercial |
$66.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Nomi Health Commercial |
$60.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.63
|
|
|
HC BRUCELLA ANTIBODY CMPT
|
Facility
|
OP
|
$73.44
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200238
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.79 |
| Max. Negotiated Rate |
$73.44 |
| Rate for Payer: Aetna Commercial |
$66.10
|
| Rate for Payer: Aetna Medicare |
$8.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: ASR ASR |
$71.24
|
| Rate for Payer: ASR Commercial |
$71.24
|
| Rate for Payer: BCBS Complete |
$5.03
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$60.14
|
| Rate for Payer: BCN Commercial |
$56.94
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$69.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Healthscope Commercial |
$73.44
|
| Rate for Payer: Healthscope Whirlpool |
$71.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.93
|
| Rate for Payer: Mclaren Commercial |
$66.10
|
| Rate for Payer: Mclaren Medicaid |
$4.79
|
| Rate for Payer: Mclaren Medicare |
$8.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: Meridian Medicaid |
$5.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Nomi Health Commercial |
$60.22
|
| Rate for Payer: PACE Medicare |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Commercial |
$9.82
|
| Rate for Payer: PHP Medicaid |
$4.79
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64.35
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow Network |
$51.48
|
| Rate for Payer: Railroad Medicare Medicare |
$8.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.93
|
| Rate for Payer: UHC Exchange |
$13.84
|
| Rate for Payer: UHC Medicare Advantage |
$8.93
|
| Rate for Payer: UHCCP DNSP |
$8.93
|
| Rate for Payer: UHCCP Medicaid |
$4.79
|
| Rate for Payer: VA VA |
$8.93
|
|
|
HC BRUCELLA ANTIBODY CMPT
|
Facility
|
IP
|
$73.44
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200238
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.74 |
| Max. Negotiated Rate |
$73.44 |
| Rate for Payer: Aetna Commercial |
$66.10
|
| Rate for Payer: ASR ASR |
$71.24
|
| Rate for Payer: ASR Commercial |
$71.24
|
| Rate for Payer: BCBS Trust/PPO |
$59.85
|
| Rate for Payer: BCN Commercial |
$56.94
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$69.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Healthscope Commercial |
$73.44
|
| Rate for Payer: Healthscope Whirlpool |
$71.24
|
| Rate for Payer: Mclaren Commercial |
$66.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Nomi Health Commercial |
$60.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.63
|
|
|
HC BRUCELLA ANTIBODY CONFIRMATION
|
Facility
|
IP
|
$53.04
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200237
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$34.48 |
| Max. Negotiated Rate |
$53.04 |
| Rate for Payer: Aetna Commercial |
$47.74
|
| Rate for Payer: ASR ASR |
$51.45
|
| Rate for Payer: ASR Commercial |
$51.45
|
| Rate for Payer: BCBS Trust/PPO |
$43.22
|
| Rate for Payer: BCN Commercial |
$41.12
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$49.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.43
|
| Rate for Payer: Healthscope Commercial |
$53.04
|
| Rate for Payer: Healthscope Whirlpool |
$51.45
|
| Rate for Payer: Mclaren Commercial |
$47.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.08
|
| Rate for Payer: Nomi Health Commercial |
$43.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.68
|
|
|
HC BRUCELLA ANTIBODY CONFIRMATION
|
Facility
|
OP
|
$53.04
|
|
|
Service Code
|
CPT 86622
|
| Hospital Charge Code |
30200237
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.79 |
| Max. Negotiated Rate |
$53.04 |
| Rate for Payer: Aetna Commercial |
$47.74
|
| Rate for Payer: Aetna Medicare |
$8.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.16
|
| Rate for Payer: ASR ASR |
$51.45
|
| Rate for Payer: ASR Commercial |
$51.45
|
| Rate for Payer: BCBS Complete |
$5.03
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$43.43
|
| Rate for Payer: BCN Commercial |
$41.12
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$49.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Healthscope Commercial |
$53.04
|
| Rate for Payer: Healthscope Whirlpool |
$51.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.93
|
| Rate for Payer: Mclaren Commercial |
$47.74
|
| Rate for Payer: Mclaren Medicaid |
$4.79
|
| Rate for Payer: Mclaren Medicare |
$8.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: Meridian Medicaid |
$5.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.08
|
| Rate for Payer: Nomi Health Commercial |
$43.49
|
| Rate for Payer: PACE Medicare |
$8.48
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Commercial |
$9.82
|
| Rate for Payer: PHP Medicaid |
$4.79
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.47
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow Network |
$37.18
|
| Rate for Payer: Railroad Medicare Medicare |
$8.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.93
|
| Rate for Payer: UHC Exchange |
$13.84
|
| Rate for Payer: UHC Medicare Advantage |
$8.93
|
| Rate for Payer: UHCCP DNSP |
$8.93
|
| Rate for Payer: UHCCP Medicaid |
$4.79
|
| Rate for Payer: VA VA |
$8.93
|
|
|
HC BUDESONIDE INHALATION SOLUTION
|
Facility
|
IP
|
$29.35
|
|
| Hospital Charge Code |
63700005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$19.08 |
| Max. Negotiated Rate |
$29.35 |
| Rate for Payer: Aetna Commercial |
$26.41
|
| Rate for Payer: ASR ASR |
$28.47
|
| Rate for Payer: ASR Commercial |
$28.47
|
| Rate for Payer: BCBS Trust/PPO |
$23.92
|
| Rate for Payer: BCN Commercial |
$22.76
|
| Rate for Payer: Cash Price |
$23.48
|
| Rate for Payer: Cofinity Commercial |
$27.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.48
|
| Rate for Payer: Healthscope Commercial |
$29.35
|
| Rate for Payer: Healthscope Whirlpool |
$28.47
|
| Rate for Payer: Mclaren Commercial |
$26.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.95
|
| Rate for Payer: Nomi Health Commercial |
$24.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.83
|
|
