|
HC CAST SUP SHT LEG SPLINT PED FBRGLS
|
Facility
|
OP
|
$26.01
|
|
| Hospital Charge Code |
27200342
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$26.01 |
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: Aetna Medicare |
$13.01
|
| Rate for Payer: ASR ASR |
$25.23
|
| Rate for Payer: ASR Commercial |
$25.23
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Trust/PPO |
$21.30
|
| Rate for Payer: BCN Commercial |
$20.17
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$24.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$26.01
|
| Rate for Payer: Healthscope Whirlpool |
$25.23
|
| Rate for Payer: Mclaren Commercial |
$23.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.79
|
| Rate for Payer: Priority Health Narrow Network |
$18.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.89
|
|
|
HC CAST SUP SHT LEG SPLINT PED FBRGLS
|
Facility
|
IP
|
$26.01
|
|
| Hospital Charge Code |
27200342
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$26.01 |
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: ASR ASR |
$25.23
|
| Rate for Payer: ASR Commercial |
$25.23
|
| Rate for Payer: BCBS Trust/PPO |
$21.20
|
| Rate for Payer: BCN Commercial |
$20.17
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$24.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$26.01
|
| Rate for Payer: Healthscope Whirlpool |
$25.23
|
| Rate for Payer: Mclaren Commercial |
$23.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.89
|
|
|
HC CAST TOTAL CONTACT
|
Facility
|
OP
|
$497.87
|
|
|
Service Code
|
CPT 29445
|
| Hospital Charge Code |
70000021
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$138.83 |
| Max. Negotiated Rate |
$497.87 |
| Rate for Payer: Aetna Commercial |
$448.08
|
| Rate for Payer: Aetna Medicare |
$259.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$323.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$323.76
|
| Rate for Payer: ASR ASR |
$482.93
|
| Rate for Payer: ASR Commercial |
$482.93
|
| Rate for Payer: BCBS Complete |
$145.77
|
| Rate for Payer: BCBS MAPPO |
$259.01
|
| Rate for Payer: BCBS Trust/PPO |
$407.71
|
| Rate for Payer: BCN Commercial |
$386.00
|
| Rate for Payer: BCN Medicare Advantage |
$259.01
|
| Rate for Payer: Cash Price |
$398.30
|
| Rate for Payer: Cash Price |
$398.30
|
| Rate for Payer: Cofinity Commercial |
$468.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$259.01
|
| Rate for Payer: Healthscope Commercial |
$497.87
|
| Rate for Payer: Healthscope Whirlpool |
$482.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$259.01
|
| Rate for Payer: Mclaren Commercial |
$448.08
|
| Rate for Payer: Mclaren Medicaid |
$138.83
|
| Rate for Payer: Mclaren Medicare |
$259.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.96
|
| Rate for Payer: Meridian Medicaid |
$145.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$297.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.19
|
| Rate for Payer: Nomi Health Commercial |
$408.25
|
| Rate for Payer: PACE Medicare |
$246.06
|
| Rate for Payer: PACE SWMI |
$259.01
|
| Rate for Payer: PHP Commercial |
$284.91
|
| Rate for Payer: PHP Medicaid |
$138.83
|
| Rate for Payer: PHP Medicare Advantage |
$259.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$323.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$436.23
|
| Rate for Payer: Priority Health Medicare |
$259.01
|
| Rate for Payer: Priority Health Narrow Network |
$349.01
|
| Rate for Payer: Railroad Medicare Medicare |
$259.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$438.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$259.01
|
| Rate for Payer: UHC Exchange |
$401.47
|
| Rate for Payer: UHC Medicare Advantage |
$259.01
|
| Rate for Payer: UHCCP DNSP |
$259.01
|
| Rate for Payer: UHCCP Medicaid |
$138.83
|
| Rate for Payer: VA VA |
$259.01
|
|
|
HC CAST TOTAL CONTACT
|
Facility
|
IP
|
$497.87
|
|
|
Service Code
|
CPT 29445
|
| Hospital Charge Code |
70000021
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$323.62 |
| Max. Negotiated Rate |
$497.87 |
| Rate for Payer: Aetna Commercial |
$448.08
|
| Rate for Payer: ASR ASR |
$482.93
|
| Rate for Payer: ASR Commercial |
$482.93
|
| Rate for Payer: BCBS Trust/PPO |
$405.71
|
| Rate for Payer: BCN Commercial |
$386.00
|
| Rate for Payer: Cash Price |
$398.30
|
| Rate for Payer: Cofinity Commercial |
$468.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$398.30
|
| Rate for Payer: Healthscope Commercial |
$497.87
|
| Rate for Payer: Healthscope Whirlpool |
$482.93
|
| Rate for Payer: Mclaren Commercial |
$448.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.19
|
| Rate for Payer: Nomi Health Commercial |
$408.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$323.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$438.13
|
|
|
HC CAST WEDGE
|
Facility
|
OP
|
$358.65
|
|
|
Service Code
|
CPT 29740
|
| Hospital Charge Code |
70000019
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$138.83 |
| Max. Negotiated Rate |
$401.47 |
| Rate for Payer: Aetna Commercial |
$322.79
|
| Rate for Payer: Aetna Medicare |
$259.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$323.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$323.76
|
| Rate for Payer: ASR ASR |
$347.89
|
| Rate for Payer: ASR Commercial |
$347.89
|
| Rate for Payer: BCBS Complete |
$145.77
|
| Rate for Payer: BCBS MAPPO |
$259.01
|
| Rate for Payer: BCBS Trust/PPO |
$293.70
|
| Rate for Payer: BCN Commercial |
$278.06
|
| Rate for Payer: BCN Medicare Advantage |
$259.01
|
| Rate for Payer: Cash Price |
$286.92
|
| Rate for Payer: Cash Price |
$286.92
|
| Rate for Payer: Cofinity Commercial |
$337.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$286.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$259.01
|
| Rate for Payer: Healthscope Commercial |
$358.65
|
| Rate for Payer: Healthscope Whirlpool |
$347.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$259.01
|
| Rate for Payer: Mclaren Commercial |
$322.79
|
| Rate for Payer: Mclaren Medicaid |
$138.83
|
| Rate for Payer: Mclaren Medicare |
$259.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.96
|
| Rate for Payer: Meridian Medicaid |
$145.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$297.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.85
|
| Rate for Payer: Nomi Health Commercial |
$294.09
|
| Rate for Payer: PACE Medicare |
$246.06
|
| Rate for Payer: PACE SWMI |
$259.01
|
| Rate for Payer: PHP Commercial |
$284.91
|
| Rate for Payer: PHP Medicaid |
$138.83
|
| Rate for Payer: PHP Medicare Advantage |
$259.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.25
|
| Rate for Payer: Priority Health Medicare |
$259.01
|
| Rate for Payer: Priority Health Narrow Network |
$251.41
|
| Rate for Payer: Railroad Medicare Medicare |
$259.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$259.01
|
| Rate for Payer: UHC Exchange |
$401.47
|
| Rate for Payer: UHC Medicare Advantage |
$259.01
|
| Rate for Payer: UHCCP DNSP |
$259.01
|
| Rate for Payer: UHCCP Medicaid |
$138.83
|
| Rate for Payer: VA VA |
$259.01
|
|
|
HC CAST WEDGE
|
Facility
|
IP
|
$358.65
|
|
|
Service Code
|
CPT 29740
|
| Hospital Charge Code |
70000019
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$233.12 |
| Max. Negotiated Rate |
$358.65 |
| Rate for Payer: Aetna Commercial |
$322.79
|
| Rate for Payer: ASR ASR |
$347.89
|
| Rate for Payer: ASR Commercial |
$347.89
|
| Rate for Payer: BCBS Trust/PPO |
$292.26
|
| Rate for Payer: BCN Commercial |
$278.06
|
| Rate for Payer: Cash Price |
$286.92
|
| Rate for Payer: Cofinity Commercial |
$337.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$286.92
|
| Rate for Payer: Healthscope Commercial |
$358.65
|
| Rate for Payer: Healthscope Whirlpool |
$347.89
|
| Rate for Payer: Mclaren Commercial |
$322.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.85
|
| Rate for Payer: Nomi Health Commercial |
$294.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.61
|
|
|
HC CAST WINDOW
|
Facility
|
OP
|
$193.91
|
|
|
Service Code
|
CPT 29730
|
| Hospital Charge Code |
70000018
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$82.49 |
| Max. Negotiated Rate |
$238.53 |
| Rate for Payer: Aetna Commercial |
$174.52
|
| Rate for Payer: Aetna Medicare |
$153.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$192.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$192.36
|
| Rate for Payer: ASR ASR |
$188.09
|
| Rate for Payer: ASR Commercial |
$188.09
|
| Rate for Payer: BCBS Complete |
$86.61
|
| Rate for Payer: BCBS MAPPO |
$153.89
|
| Rate for Payer: BCBS Trust/PPO |
$158.79
|
| Rate for Payer: BCN Commercial |
$150.34
|
| Rate for Payer: BCN Medicare Advantage |
$153.89
|
| Rate for Payer: Cash Price |
$155.13
|
| Rate for Payer: Cash Price |
$155.13
|
| Rate for Payer: Cofinity Commercial |
$182.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.89
|
| Rate for Payer: Healthscope Commercial |
$193.91
|
| Rate for Payer: Healthscope Whirlpool |
$188.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$153.89
|
| Rate for Payer: Mclaren Commercial |
$174.52
|
| Rate for Payer: Mclaren Medicaid |
$82.49
|
| Rate for Payer: Mclaren Medicare |
$153.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.58
|
| Rate for Payer: Meridian Medicaid |
$86.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164.82
|
| Rate for Payer: Nomi Health Commercial |
$159.01
|
| Rate for Payer: PACE Medicare |
$146.20
|
| Rate for Payer: PACE SWMI |
$153.89
|
| Rate for Payer: PHP Commercial |
$169.28
|
| Rate for Payer: PHP Medicaid |
$82.49
|
| Rate for Payer: PHP Medicare Advantage |
$153.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$169.90
|
| Rate for Payer: Priority Health Medicare |
$153.89
|
| Rate for Payer: Priority Health Narrow Network |
$135.93
|
| Rate for Payer: Railroad Medicare Medicare |
$153.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$170.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.89
|
| Rate for Payer: UHC Exchange |
$238.53
|
| Rate for Payer: UHC Medicare Advantage |
$153.89
|
| Rate for Payer: UHCCP DNSP |
$153.89
|
| Rate for Payer: UHCCP Medicaid |
$82.49
|
| Rate for Payer: VA VA |
$153.89
|
|
|
HC CAST WINDOW
|
Facility
|
IP
|
$193.91
|
|
|
Service Code
|
CPT 29730
|
| Hospital Charge Code |
70000018
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$126.04 |
| Max. Negotiated Rate |
$193.91 |
| Rate for Payer: Aetna Commercial |
$174.52
|
| Rate for Payer: ASR ASR |
$188.09
|
| Rate for Payer: ASR Commercial |
$188.09
|
| Rate for Payer: BCBS Trust/PPO |
$158.02
|
| Rate for Payer: BCN Commercial |
$150.34
|
| Rate for Payer: Cash Price |
$155.13
|
| Rate for Payer: Cofinity Commercial |
$182.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.13
|
| Rate for Payer: Healthscope Commercial |
$193.91
|
| Rate for Payer: Healthscope Whirlpool |
$188.09
|
| Rate for Payer: Mclaren Commercial |
$174.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$164.82
|
| Rate for Payer: Nomi Health Commercial |
$159.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$170.64
|
|
|
HC CATECHOLAMINE FRACTION URINE
|
Facility
|
IP
|
$60.34
|
|
|
Service Code
|
CPT 82384
|
| Hospital Charge Code |
30100139
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$39.22 |
| Max. Negotiated Rate |
$60.34 |
| Rate for Payer: Aetna Commercial |
$54.31
|
| Rate for Payer: ASR ASR |
$58.53
|
| Rate for Payer: ASR Commercial |
$58.53
|
| Rate for Payer: BCBS Trust/PPO |
$49.17
|
| Rate for Payer: BCN Commercial |
$46.78
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Healthscope Commercial |
$60.34
|
| Rate for Payer: Healthscope Whirlpool |
$58.53
|
| Rate for Payer: Mclaren Commercial |
$54.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.29
|
| Rate for Payer: Nomi Health Commercial |
$49.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.10
|
|
|
HC CATECHOLAMINE FRACTION URINE
|
Facility
|
OP
|
$60.34
|
|
|
Service Code
|
CPT 82384
|
| Hospital Charge Code |
30100139
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.53 |
| Max. Negotiated Rate |
$60.34 |
| Rate for Payer: Aetna Commercial |
$54.31
|
| Rate for Payer: Aetna Medicare |
$25.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.56
|
| Rate for Payer: ASR ASR |
$58.53
|
| Rate for Payer: ASR Commercial |
$58.53
|
| Rate for Payer: BCBS Complete |
$14.21
|
| Rate for Payer: BCBS MAPPO |
$25.25
|
| Rate for Payer: BCBS Trust/PPO |
$49.41
|
| Rate for Payer: BCN Commercial |
$46.78
|
| Rate for Payer: BCN Medicare Advantage |
$25.25
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cash Price |
$48.27
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.25
|
| Rate for Payer: Healthscope Commercial |
$60.34
|
| Rate for Payer: Healthscope Whirlpool |
$58.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$25.25
|
| Rate for Payer: Mclaren Commercial |
$54.31
|
| Rate for Payer: Mclaren Medicaid |
$13.53
|
| Rate for Payer: Mclaren Medicare |
$25.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.51
|
| Rate for Payer: Meridian Medicaid |
$14.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.29
|
| Rate for Payer: Nomi Health Commercial |
$49.48
|
| Rate for Payer: PACE Medicare |
$23.99
|
| Rate for Payer: PACE SWMI |
$25.25
|
| Rate for Payer: PHP Commercial |
$27.77
|
| Rate for Payer: PHP Medicaid |
$13.53
|
| Rate for Payer: PHP Medicare Advantage |
$25.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health Medicare |
$25.25
|
| Rate for Payer: Priority Health Narrow Network |
$42.30
|
| Rate for Payer: Railroad Medicare Medicare |
$25.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.25
|
| Rate for Payer: UHC Exchange |
$39.14
|
| Rate for Payer: UHC Medicare Advantage |
$25.25
|
| Rate for Payer: UHCCP DNSP |
$25.25
|
| Rate for Payer: UHCCP Medicaid |
$13.53
|
| Rate for Payer: VA VA |
$25.25
|
|
|
HC CATECHOLAMINES RANDOM URINE
|
Facility
|
IP
|
$57.84
|
|
|
Service Code
|
CPT 82382
|
| Hospital Charge Code |
30100138
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.60 |
| Max. Negotiated Rate |
$57.84 |
| Rate for Payer: Aetna Commercial |
$52.06
|
| Rate for Payer: ASR ASR |
$56.10
|
| Rate for Payer: ASR Commercial |
$56.10
|
| Rate for Payer: BCBS Trust/PPO |
$47.13
|
| Rate for Payer: BCN Commercial |
$44.84
|
| Rate for Payer: Cash Price |
$46.27
|
| Rate for Payer: Cofinity Commercial |
$54.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.27
|
| Rate for Payer: Healthscope Commercial |
$57.84
|
| Rate for Payer: Healthscope Whirlpool |
$56.10
|
| Rate for Payer: Mclaren Commercial |
$52.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.16
|
| Rate for Payer: Nomi Health Commercial |
$47.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.90
|
|
|
HC CATECHOLAMINES RANDOM URINE
|
Facility
|
OP
|
$57.84
|
|
|
Service Code
|
CPT 82382
|
| Hospital Charge Code |
30100138
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.63 |
| Max. Negotiated Rate |
$57.84 |
| Rate for Payer: Aetna Commercial |
$52.06
|
| Rate for Payer: Aetna Medicare |
$27.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.12
|
| Rate for Payer: ASR ASR |
$56.10
|
| Rate for Payer: ASR Commercial |
$56.10
|
| Rate for Payer: BCBS Complete |
$15.36
|
| Rate for Payer: BCBS MAPPO |
$27.30
|
| Rate for Payer: BCBS Trust/PPO |
$47.37
|
| Rate for Payer: BCN Commercial |
$44.84
|
| Rate for Payer: BCN Medicare Advantage |
$27.30
|
| Rate for Payer: Cash Price |
$46.27
|
| Rate for Payer: Cash Price |
$46.27
|
| Rate for Payer: Cofinity Commercial |
$54.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.30
|
| Rate for Payer: Healthscope Commercial |
$57.84
|
| Rate for Payer: Healthscope Whirlpool |
$56.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$27.30
|
| Rate for Payer: Mclaren Commercial |
$52.06
|
| Rate for Payer: Mclaren Medicaid |
$14.63
|
| Rate for Payer: Mclaren Medicare |
$27.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.66
|
| Rate for Payer: Meridian Medicaid |
$15.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.16
|
| Rate for Payer: Nomi Health Commercial |
$47.43
|
| Rate for Payer: PACE Medicare |
$25.93
|
| Rate for Payer: PACE SWMI |
$27.30
|
| Rate for Payer: PHP Commercial |
$30.03
|
| Rate for Payer: PHP Medicaid |
$14.63
|
| Rate for Payer: PHP Medicare Advantage |
$27.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.68
|
| Rate for Payer: Priority Health Medicare |
$27.30
|
| Rate for Payer: Priority Health Narrow Network |
$40.55
|
| Rate for Payer: Railroad Medicare Medicare |
$27.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.30
|
| Rate for Payer: UHC Exchange |
$42.31
|
| Rate for Payer: UHC Medicare Advantage |
$27.30
|
| Rate for Payer: UHCCP DNSP |
$27.30
|
| Rate for Payer: UHCCP Medicaid |
$14.63
|
| Rate for Payer: VA VA |
$27.30
|
|
|
HC CATFISH IGE
|
Facility
|
OP
|
$72.83
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200480
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$72.83 |
| Rate for Payer: Aetna Commercial |
$65.55
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$70.65
|
| Rate for Payer: ASR Commercial |
$70.65
|
| Rate for Payer: BCBS Complete |
$2.94
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$59.64
|
| Rate for Payer: BCN Commercial |
$56.47
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$58.26
|
| Rate for Payer: Cash Price |
$58.26
|
| Rate for Payer: Cofinity Commercial |
$68.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$72.83
|
| Rate for Payer: Healthscope Whirlpool |
$70.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$65.55
|
| Rate for Payer: Mclaren Medicaid |
$2.80
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.91
|
| Rate for Payer: Nomi Health Commercial |
$59.72
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.81
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$51.05
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicare Advantage |
$5.22
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.80
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC CATFISH IGE
|
Facility
|
IP
|
$72.83
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200480
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.34 |
| Max. Negotiated Rate |
$72.83 |
| Rate for Payer: Aetna Commercial |
$65.55
|
| Rate for Payer: ASR ASR |
$70.65
|
| Rate for Payer: ASR Commercial |
$70.65
|
| Rate for Payer: BCBS Trust/PPO |
$59.35
|
| Rate for Payer: BCN Commercial |
$56.47
|
| Rate for Payer: Cash Price |
$58.26
|
| Rate for Payer: Cofinity Commercial |
$68.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.26
|
| Rate for Payer: Healthscope Commercial |
$72.83
|
| Rate for Payer: Healthscope Whirlpool |
$70.65
|
| Rate for Payer: Mclaren Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.91
|
| Rate for Payer: Nomi Health Commercial |
$59.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.09
|
|
|
HC CATH ATHRECT ROTATIONAL LVL 5
|
Facility
|
IP
|
$5,705.55
|
|
|
Service Code
|
HCPCS C1724
|
| Hospital Charge Code |
27200025
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,708.61 |
| Max. Negotiated Rate |
$5,705.55 |
| Rate for Payer: Aetna Commercial |
$5,134.99
|
| Rate for Payer: ASR ASR |
$5,534.38
|
| Rate for Payer: ASR Commercial |
$5,534.38
|
| Rate for Payer: BCBS Trust/PPO |
$4,649.45
|
| Rate for Payer: BCN Commercial |
$4,423.51
|
| Rate for Payer: Cash Price |
$4,564.44
|
| Rate for Payer: Cofinity Commercial |
$5,363.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,564.44
|
| Rate for Payer: Healthscope Commercial |
$5,705.55
|
| Rate for Payer: Healthscope Whirlpool |
$5,534.38
|
| Rate for Payer: Mclaren Commercial |
$5,134.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,849.72
|
| Rate for Payer: Nomi Health Commercial |
$4,678.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,708.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,020.88
|
|
|
HC CATH ATHRECT ROTATIONAL LVL 5
|
Facility
|
OP
|
$5,705.55
|
|
|
Service Code
|
HCPCS C1724
|
| Hospital Charge Code |
27200025
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,282.22 |
| Max. Negotiated Rate |
$5,705.55 |
| Rate for Payer: Aetna Commercial |
$5,134.99
|
| Rate for Payer: Aetna Medicare |
$2,852.78
|
| Rate for Payer: ASR ASR |
$5,534.38
|
| Rate for Payer: ASR Commercial |
$5,534.38
|
| Rate for Payer: BCBS Complete |
$2,282.22
|
| Rate for Payer: BCBS Trust/PPO |
$4,672.27
|
| Rate for Payer: BCN Commercial |
$4,423.51
|
| Rate for Payer: Cash Price |
$4,564.44
|
| Rate for Payer: Cofinity Commercial |
$5,363.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,564.44
|
| Rate for Payer: Healthscope Commercial |
$5,705.55
|
| Rate for Payer: Healthscope Whirlpool |
$5,534.38
|
| Rate for Payer: Mclaren Commercial |
$5,134.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,849.72
|
| Rate for Payer: Nomi Health Commercial |
$4,678.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,708.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,999.20
|
| Rate for Payer: Priority Health Narrow Network |
$3,999.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,020.88
|
|
|
HC CATHETER BALLOON DILATATION NON VASCULAR
|
Facility
|
IP
|
$3,501.78
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,276.16 |
| Max. Negotiated Rate |
$3,501.78 |
| Rate for Payer: Aetna Commercial |
$3,151.60
|
| Rate for Payer: ASR ASR |
$3,396.73
|
| Rate for Payer: ASR Commercial |
$3,396.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.60
|
| Rate for Payer: BCN Commercial |
$2,714.93
|
| Rate for Payer: Cash Price |
$2,801.42
|
| Rate for Payer: Cofinity Commercial |
$3,291.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,801.42
|
| Rate for Payer: Healthscope Commercial |
$3,501.78
|
| Rate for Payer: Healthscope Whirlpool |
$3,396.73
|
| Rate for Payer: Mclaren Commercial |
$3,151.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,976.51
|
| Rate for Payer: Nomi Health Commercial |
$2,871.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,276.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,081.57
|
|
|
HC CATHETER BALLOON DILATATION NON VASCULAR
|
Facility
|
OP
|
$3,501.78
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,400.71 |
| Max. Negotiated Rate |
$3,501.78 |
| Rate for Payer: Aetna Commercial |
$3,151.60
|
| Rate for Payer: Aetna Medicare |
$1,750.89
|
| Rate for Payer: ASR ASR |
$3,396.73
|
| Rate for Payer: ASR Commercial |
$3,396.73
|
| Rate for Payer: BCBS Complete |
$1,400.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,867.61
|
| Rate for Payer: BCN Commercial |
$2,714.93
|
| Rate for Payer: Cash Price |
$2,801.42
|
| Rate for Payer: Cofinity Commercial |
$3,291.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,801.42
|
| Rate for Payer: Healthscope Commercial |
$3,501.78
|
| Rate for Payer: Healthscope Whirlpool |
$3,396.73
|
| Rate for Payer: Mclaren Commercial |
$3,151.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,976.51
|
| Rate for Payer: Nomi Health Commercial |
$2,871.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,276.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,068.26
|
| Rate for Payer: Priority Health Narrow Network |
$2,454.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,081.57
|
|
|
HC CATHETER BALLOON DILAT NON VASC LVL 1
|
Facility
|
IP
|
$148.17
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200353
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$96.31 |
| Max. Negotiated Rate |
$148.17 |
| Rate for Payer: Aetna Commercial |
$133.35
|
| Rate for Payer: ASR ASR |
$143.72
|
| Rate for Payer: ASR Commercial |
$143.72
|
| Rate for Payer: BCBS Trust/PPO |
$120.74
|
| Rate for Payer: BCN Commercial |
$114.88
|
| Rate for Payer: Cash Price |
$118.54
|
| Rate for Payer: Cofinity Commercial |
$139.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.54
|
| Rate for Payer: Healthscope Commercial |
$148.17
|
| Rate for Payer: Healthscope Whirlpool |
$143.72
|
| Rate for Payer: Mclaren Commercial |
$133.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.94
|
| Rate for Payer: Nomi Health Commercial |
$121.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.39
|
|
|
HC CATHETER BALLOON DILAT NON VASC LVL 1
|
Facility
|
OP
|
$148.17
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200353
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$59.27 |
| Max. Negotiated Rate |
$148.17 |
| Rate for Payer: Aetna Commercial |
$133.35
|
| Rate for Payer: Aetna Medicare |
$74.08
|
| Rate for Payer: ASR ASR |
$143.72
|
| Rate for Payer: ASR Commercial |
$143.72
|
| Rate for Payer: BCBS Complete |
$59.27
|
| Rate for Payer: BCBS Trust/PPO |
$121.34
|
| Rate for Payer: BCN Commercial |
$114.88
|
| Rate for Payer: Cash Price |
$118.54
|
| Rate for Payer: Cofinity Commercial |
$139.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.54
|
| Rate for Payer: Healthscope Commercial |
$148.17
|
| Rate for Payer: Healthscope Whirlpool |
$143.72
|
| Rate for Payer: Mclaren Commercial |
$133.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.94
|
| Rate for Payer: Nomi Health Commercial |
$121.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$129.83
|
| Rate for Payer: Priority Health Narrow Network |
$103.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.39
|
|
|
HC CATHETER BALLOON DILAT NON VASC LVL 7
|
Facility
|
IP
|
$792.81
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200295
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$515.33 |
| Max. Negotiated Rate |
$792.81 |
| Rate for Payer: Aetna Commercial |
$713.53
|
| Rate for Payer: ASR ASR |
$769.03
|
| Rate for Payer: ASR Commercial |
$769.03
|
| Rate for Payer: BCBS Trust/PPO |
$646.06
|
| Rate for Payer: BCN Commercial |
$614.67
|
| Rate for Payer: Cash Price |
$634.25
|
| Rate for Payer: Cofinity Commercial |
$745.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$634.25
|
| Rate for Payer: Healthscope Commercial |
$792.81
|
| Rate for Payer: Healthscope Whirlpool |
$769.03
|
| Rate for Payer: Mclaren Commercial |
$713.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$673.89
|
| Rate for Payer: Nomi Health Commercial |
$650.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$697.67
|
|
|
HC CATHETER BALLOON DILAT NON VASC LVL 7
|
Facility
|
OP
|
$792.81
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200295
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$317.12 |
| Max. Negotiated Rate |
$792.81 |
| Rate for Payer: Aetna Commercial |
$713.53
|
| Rate for Payer: Aetna Medicare |
$396.40
|
| Rate for Payer: ASR ASR |
$769.03
|
| Rate for Payer: ASR Commercial |
$769.03
|
| Rate for Payer: BCBS Complete |
$317.12
|
| Rate for Payer: BCBS Trust/PPO |
$649.23
|
| Rate for Payer: BCN Commercial |
$614.67
|
| Rate for Payer: Cash Price |
$634.25
|
| Rate for Payer: Cofinity Commercial |
$745.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$634.25
|
| Rate for Payer: Healthscope Commercial |
$792.81
|
| Rate for Payer: Healthscope Whirlpool |
$769.03
|
| Rate for Payer: Mclaren Commercial |
$713.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$673.89
|
| Rate for Payer: Nomi Health Commercial |
$650.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$694.66
|
| Rate for Payer: Priority Health Narrow Network |
$555.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$697.67
|
|
|
HC CATHETER INTRADISCAL
|
Facility
|
IP
|
$1,532.09
|
|
|
Service Code
|
CPT C1754
|
| Hospital Charge Code |
27200357
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$995.86 |
| Max. Negotiated Rate |
$1,532.09 |
| Rate for Payer: Aetna Commercial |
$1,378.88
|
| Rate for Payer: ASR ASR |
$1,486.13
|
| Rate for Payer: ASR Commercial |
$1,486.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,248.50
|
| Rate for Payer: BCN Commercial |
$1,187.83
|
| Rate for Payer: Cash Price |
$1,225.67
|
| Rate for Payer: Cofinity Commercial |
$1,440.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,225.67
|
| Rate for Payer: Healthscope Commercial |
$1,532.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,486.13
|
| Rate for Payer: Mclaren Commercial |
$1,378.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,302.28
|
| Rate for Payer: Nomi Health Commercial |
$1,256.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,348.24
|
|
|
HC CATHETER INTRADISCAL
|
Facility
|
OP
|
$1,532.09
|
|
|
Service Code
|
CPT C1754
|
| Hospital Charge Code |
27200357
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$612.84 |
| Max. Negotiated Rate |
$1,532.09 |
| Rate for Payer: Aetna Commercial |
$1,378.88
|
| Rate for Payer: Aetna Medicare |
$766.04
|
| Rate for Payer: ASR ASR |
$1,486.13
|
| Rate for Payer: ASR Commercial |
$1,486.13
|
| Rate for Payer: BCBS Complete |
$612.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.63
|
| Rate for Payer: BCN Commercial |
$1,187.83
|
| Rate for Payer: Cash Price |
$1,225.67
|
| Rate for Payer: Cofinity Commercial |
$1,440.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,225.67
|
| Rate for Payer: Healthscope Commercial |
$1,532.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,486.13
|
| Rate for Payer: Mclaren Commercial |
$1,378.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,302.28
|
| Rate for Payer: Nomi Health Commercial |
$1,256.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,342.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,074.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,348.24
|
|
|
HC CATHETERIZATION FOR COLLECTION OF SPECIMEN
|
Facility
|
IP
|
$30.17
|
|
|
Service Code
|
CPT P9612
|
| Hospital Charge Code |
30000114
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$19.61 |
| Max. Negotiated Rate |
$30.17 |
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: ASR ASR |
$29.26
|
| Rate for Payer: ASR Commercial |
$29.26
|
| Rate for Payer: BCBS Trust/PPO |
$24.59
|
| Rate for Payer: BCN Commercial |
$23.39
|
| Rate for Payer: Cash Price |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$28.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.14
|
| Rate for Payer: Healthscope Commercial |
$30.17
|
| Rate for Payer: Healthscope Whirlpool |
$29.26
|
| Rate for Payer: Mclaren Commercial |
$27.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.64
|
| Rate for Payer: Nomi Health Commercial |
$24.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.55
|
|
