|
HC CRP HIGH SENSITIVITY CARDIAC RISK
|
Facility
|
OP
|
$94.05
|
|
|
Service Code
|
CPT 86141
|
| Hospital Charge Code |
30200138
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.77 |
| Max. Negotiated Rate |
$94.05 |
| Rate for Payer: Aetna Commercial |
$84.64
|
| Rate for Payer: Aetna Medicare |
$12.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.19
|
| Rate for Payer: ASR ASR |
$91.23
|
| Rate for Payer: BCBS Complete |
$7.11
|
| Rate for Payer: BCBS MAPPO |
$12.95
|
| Rate for Payer: BCBS Trust/PPO |
$77.54
|
| Rate for Payer: BCN Commercial |
$77.54
|
| Rate for Payer: BCN Medicare Advantage |
$12.95
|
| Rate for Payer: Cash Price |
$75.24
|
| Rate for Payer: Cash Price |
$75.24
|
| Rate for Payer: Cofinity Commercial |
$88.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$75.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.95
|
| Rate for Payer: Healthscope Commercial |
$91.23
|
| Rate for Payer: Healthscope Whirlpool |
$94.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.95
|
| Rate for Payer: Mclaren Commercial |
$84.64
|
| Rate for Payer: Mclaren Medicaid |
$12.95
|
| Rate for Payer: Mclaren Medicare |
$12.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.60
|
| Rate for Payer: Meridian Medicaid |
$7.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.94
|
| Rate for Payer: Nomi Health Commercial |
$77.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.54
|
| Rate for Payer: PACE Medicare |
$12.30
|
| Rate for Payer: PACE SWMI |
$12.95
|
| Rate for Payer: PHP Commercial |
$14.24
|
| Rate for Payer: PHP Medicaid |
$6.94
|
| Rate for Payer: PHP Medicare Advantage |
$12.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$64.76
|
| Rate for Payer: Priority Health Medicare |
$12.95
|
| Rate for Payer: Priority Health Narrow Network |
$51.81
|
| Rate for Payer: Railroad Medicare Medicare |
$12.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.95
|
| Rate for Payer: UHC Exchange |
$20.07
|
| Rate for Payer: UHC Medicaid |
$6.77
|
| Rate for Payer: UHCCP DNSP |
$12.95
|
| Rate for Payer: UHCCP Medicaid |
$6.77
|
| Rate for Payer: VA VA |
$12.95
|
|
|
HC CRP HIGH SENSITIVITY CARDIAC RISK
|
Facility
|
IP
|
$94.05
|
|
|
Service Code
|
CPT 86141
|
| Hospital Charge Code |
30200138
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$70.54 |
| Max. Negotiated Rate |
$94.05 |
| Rate for Payer: Aetna Commercial |
$84.64
|
| Rate for Payer: ASR ASR |
$91.23
|
| Rate for Payer: BCBS Trust/PPO |
$77.23
|
| Rate for Payer: BCN Commercial |
$77.23
|
| Rate for Payer: Cash Price |
$75.24
|
| Rate for Payer: Cofinity Commercial |
$88.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$75.24
|
| Rate for Payer: Healthscope Commercial |
$91.23
|
| Rate for Payer: Healthscope Whirlpool |
$94.05
|
| Rate for Payer: Mclaren Commercial |
$84.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.94
|
| Rate for Payer: Nomi Health Commercial |
$77.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.76
|
|
|
HC CRP-SF
|
Facility
|
IP
|
$30.57
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200407
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$22.93 |
| Max. Negotiated Rate |
$30.57 |
| Rate for Payer: Aetna Commercial |
$27.51
|
| Rate for Payer: ASR ASR |
$29.65
|
| Rate for Payer: BCBS Trust/PPO |
$25.10
|
| Rate for Payer: BCN Commercial |
$25.10
|
| Rate for Payer: Cash Price |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$28.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.46
|
| Rate for Payer: Healthscope Commercial |
$29.65
|
| Rate for Payer: Healthscope Whirlpool |
$30.57
|
| Rate for Payer: Mclaren Commercial |
$27.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.98
|
| Rate for Payer: Nomi Health Commercial |
$25.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.90
|
|
|
HC CRP-SF
|
Facility
|
OP
|
$30.57
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200407
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.71 |
| Max. Negotiated Rate |
$57.50 |
| Rate for Payer: Aetna Commercial |
$27.51
|
| Rate for Payer: Aetna Medicare |
$5.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.47
|
| Rate for Payer: ASR ASR |
$29.65
|
| Rate for Payer: BCBS Complete |
$2.84
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$25.20
|
| Rate for Payer: BCN Commercial |
$25.20
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$24.46
|
| Rate for Payer: Cash Price |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$28.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$29.65
|
| Rate for Payer: Healthscope Whirlpool |
$30.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.18
|
| Rate for Payer: Mclaren Commercial |
$27.51
|
| Rate for Payer: Mclaren Medicaid |
$5.18
|
| Rate for Payer: Mclaren Medicare |
$5.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Meridian Medicaid |
$2.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.98
|
| Rate for Payer: Nomi Health Commercial |
$25.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.93
|
| Rate for Payer: PACE Medicare |
$4.92
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Commercial |
$5.70
|
| Rate for Payer: PHP Medicaid |
$2.78
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.50
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health Narrow Network |
$46.00
|
| Rate for Payer: Railroad Medicare Medicare |
$5.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.18
|
| Rate for Payer: UHC Exchange |
$8.03
|
| Rate for Payer: UHC Medicaid |
$2.71
|
| Rate for Payer: UHCCP DNSP |
$5.18
|
| Rate for Payer: UHCCP Medicaid |
$2.71
|
| Rate for Payer: VA VA |
$5.18
|
|
|
HC CRRT INITIAL
|
Facility
|
IP
|
$728.28
|
|
| Hospital Charge Code |
27000607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$546.21 |
| Max. Negotiated Rate |
$728.28 |
| Rate for Payer: Aetna Commercial |
$655.45
|
| Rate for Payer: ASR ASR |
$706.43
|
| Rate for Payer: BCBS Trust/PPO |
$598.06
|
| Rate for Payer: BCN Commercial |
$598.06
|
| Rate for Payer: Cash Price |
$582.62
|
| Rate for Payer: Cofinity Commercial |
$684.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$582.62
|
| Rate for Payer: Healthscope Commercial |
$706.43
|
| Rate for Payer: Healthscope Whirlpool |
$728.28
|
| Rate for Payer: Mclaren Commercial |
$655.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$619.04
|
| Rate for Payer: Nomi Health Commercial |
$597.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$546.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$640.89
|
|
|
HC CRRT INITIAL
|
Facility
|
OP
|
$728.28
|
|
| Hospital Charge Code |
27000607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$269.46 |
| Max. Negotiated Rate |
$728.28 |
| Rate for Payer: Aetna Commercial |
$655.45
|
| Rate for Payer: Aetna Medicare |
$269.46
|
| Rate for Payer: ASR ASR |
$706.43
|
| Rate for Payer: BCBS Complete |
$291.31
|
| Rate for Payer: BCBS Trust/PPO |
$600.47
|
| Rate for Payer: BCN Commercial |
$600.47
|
| Rate for Payer: Cash Price |
$582.62
|
| Rate for Payer: Cofinity Commercial |
$684.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$582.62
|
| Rate for Payer: Healthscope Commercial |
$706.43
|
| Rate for Payer: Healthscope Whirlpool |
$728.28
|
| Rate for Payer: Mclaren Commercial |
$655.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$582.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$619.04
|
| Rate for Payer: Nomi Health Commercial |
$597.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$546.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$638.12
|
| Rate for Payer: Priority Health Narrow Network |
$510.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$640.89
|
|
|
HC CRRT INITIATION/REINITIATION
|
Facility
|
IP
|
$1,157.78
|
|
|
Service Code
|
CPT 90945
|
| Hospital Charge Code |
88000001
|
|
Hospital Revenue Code
|
809
|
| Min. Negotiated Rate |
$868.34 |
| Max. Negotiated Rate |
$1,157.78 |
| Rate for Payer: Aetna Commercial |
$1,042.00
|
| Rate for Payer: ASR ASR |
$1,123.05
|
| Rate for Payer: BCBS Trust/PPO |
$950.77
|
| Rate for Payer: BCN Commercial |
$950.77
|
| Rate for Payer: Cash Price |
$926.22
|
| Rate for Payer: Cofinity Commercial |
$1,088.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$926.22
|
| Rate for Payer: Healthscope Commercial |
$1,123.05
|
| Rate for Payer: Healthscope Whirlpool |
$1,157.78
|
| Rate for Payer: Mclaren Commercial |
$1,042.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$984.11
|
| Rate for Payer: Nomi Health Commercial |
$949.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$868.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,018.85
|
|
|
HC CRRT INITIATION/REINITIATION
|
Facility
|
OP
|
$1,157.78
|
|
|
Service Code
|
CPT 90945
|
| Hospital Charge Code |
88000001
|
|
Hospital Revenue Code
|
809
|
| Min. Negotiated Rate |
$217.44 |
| Max. Negotiated Rate |
$1,157.78 |
| Rate for Payer: Aetna Commercial |
$1,042.00
|
| Rate for Payer: Aetna Medicare |
$415.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$519.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$519.70
|
| Rate for Payer: ASR ASR |
$1,123.05
|
| Rate for Payer: BCBS Complete |
$228.34
|
| Rate for Payer: BCBS MAPPO |
$415.76
|
| Rate for Payer: BCBS Trust/PPO |
$954.59
|
| Rate for Payer: BCN Commercial |
$954.59
|
| Rate for Payer: BCN Medicare Advantage |
$415.76
|
| Rate for Payer: Cash Price |
$926.22
|
| Rate for Payer: Cash Price |
$926.22
|
| Rate for Payer: Cofinity Commercial |
$1,088.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$926.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.76
|
| Rate for Payer: Healthscope Commercial |
$1,123.05
|
| Rate for Payer: Healthscope Whirlpool |
$1,157.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$415.76
|
| Rate for Payer: Mclaren Commercial |
$1,042.00
|
| Rate for Payer: Mclaren Medicaid |
$415.76
|
| Rate for Payer: Mclaren Medicare |
$415.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$436.55
|
| Rate for Payer: Meridian Medicaid |
$228.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$478.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$457.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$984.11
|
| Rate for Payer: Nomi Health Commercial |
$949.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$868.34
|
| Rate for Payer: PACE Medicare |
$394.97
|
| Rate for Payer: PACE SWMI |
$415.76
|
| Rate for Payer: PHP Commercial |
$457.34
|
| Rate for Payer: PHP Medicaid |
$222.85
|
| Rate for Payer: PHP Medicare Advantage |
$415.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,014.45
|
| Rate for Payer: Priority Health Medicare |
$415.76
|
| Rate for Payer: Priority Health Narrow Network |
$811.60
|
| Rate for Payer: Railroad Medicare Medicare |
$415.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,018.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$415.76
|
| Rate for Payer: UHC Exchange |
$644.43
|
| Rate for Payer: UHC Medicaid |
$217.44
|
| Rate for Payer: UHCCP DNSP |
$415.76
|
| Rate for Payer: UHCCP Medicaid |
$217.44
|
| Rate for Payer: VA VA |
$415.76
|
|
|
HC CRRT MONITOR FEE
|
Facility
|
IP
|
$130.05
|
|
| Hospital Charge Code |
27000609
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$97.54 |
| Max. Negotiated Rate |
$130.05 |
| Rate for Payer: Aetna Commercial |
$117.05
|
| Rate for Payer: ASR ASR |
$126.15
|
| Rate for Payer: BCBS Trust/PPO |
$106.80
|
| Rate for Payer: BCN Commercial |
$106.80
|
| Rate for Payer: Cash Price |
$104.04
|
| Rate for Payer: Cofinity Commercial |
$122.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.04
|
| Rate for Payer: Healthscope Commercial |
$126.15
|
| Rate for Payer: Healthscope Whirlpool |
$130.05
|
| Rate for Payer: Mclaren Commercial |
$117.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.54
|
| Rate for Payer: Nomi Health Commercial |
$106.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$114.44
|
|
|
HC CRRT MONITOR FEE
|
Facility
|
OP
|
$130.05
|
|
| Hospital Charge Code |
27000609
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.12 |
| Max. Negotiated Rate |
$130.05 |
| Rate for Payer: Aetna Commercial |
$117.05
|
| Rate for Payer: Aetna Medicare |
$48.12
|
| Rate for Payer: ASR ASR |
$126.15
|
| Rate for Payer: BCBS Complete |
$52.02
|
| Rate for Payer: BCBS Trust/PPO |
$107.23
|
| Rate for Payer: BCN Commercial |
$107.23
|
| Rate for Payer: Cash Price |
$104.04
|
| Rate for Payer: Cofinity Commercial |
$122.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.04
|
| Rate for Payer: Healthscope Commercial |
$126.15
|
| Rate for Payer: Healthscope Whirlpool |
$130.05
|
| Rate for Payer: Mclaren Commercial |
$117.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.54
|
| Rate for Payer: Nomi Health Commercial |
$106.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$113.95
|
| Rate for Payer: Priority Health Narrow Network |
$91.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$114.44
|
|
|
HC CRRT MONITORING PER HOUR
|
Facility
|
IP
|
$425.18
|
|
| Hospital Charge Code |
88000002
|
|
Hospital Revenue Code
|
809
|
| Min. Negotiated Rate |
$318.88 |
| Max. Negotiated Rate |
$425.18 |
| Rate for Payer: Aetna Commercial |
$382.66
|
| Rate for Payer: ASR ASR |
$412.42
|
| Rate for Payer: BCBS Trust/PPO |
$349.16
|
| Rate for Payer: BCN Commercial |
$349.16
|
| Rate for Payer: Cash Price |
$340.14
|
| Rate for Payer: Cofinity Commercial |
$399.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.14
|
| Rate for Payer: Healthscope Commercial |
$412.42
|
| Rate for Payer: Healthscope Whirlpool |
$425.18
|
| Rate for Payer: Mclaren Commercial |
$382.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.40
|
| Rate for Payer: Nomi Health Commercial |
$348.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.16
|
|
|
HC CRRT MONITORING PER HOUR
|
Facility
|
OP
|
$425.18
|
|
| Hospital Charge Code |
88000002
|
|
Hospital Revenue Code
|
809
|
| Min. Negotiated Rate |
$157.32 |
| Max. Negotiated Rate |
$425.18 |
| Rate for Payer: Aetna Commercial |
$382.66
|
| Rate for Payer: Aetna Medicare |
$157.32
|
| Rate for Payer: ASR ASR |
$412.42
|
| Rate for Payer: BCBS Complete |
$170.07
|
| Rate for Payer: BCBS Trust/PPO |
$350.56
|
| Rate for Payer: BCN Commercial |
$350.56
|
| Rate for Payer: Cash Price |
$340.14
|
| Rate for Payer: Cofinity Commercial |
$399.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.14
|
| Rate for Payer: Healthscope Commercial |
$412.42
|
| Rate for Payer: Healthscope Whirlpool |
$425.18
|
| Rate for Payer: Mclaren Commercial |
$382.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$340.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.40
|
| Rate for Payer: Nomi Health Commercial |
$348.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$372.54
|
| Rate for Payer: Priority Health Narrow Network |
$298.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.16
|
|
|
HC CRRT SUBSEQUENT CARTRIDGE
|
Facility
|
OP
|
$286.11
|
|
| Hospital Charge Code |
27000608
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$105.86 |
| Max. Negotiated Rate |
$286.11 |
| Rate for Payer: Aetna Commercial |
$257.50
|
| Rate for Payer: Aetna Medicare |
$105.86
|
| Rate for Payer: ASR ASR |
$277.53
|
| Rate for Payer: BCBS Complete |
$114.44
|
| Rate for Payer: BCBS Trust/PPO |
$235.90
|
| Rate for Payer: BCN Commercial |
$235.90
|
| Rate for Payer: Cash Price |
$228.89
|
| Rate for Payer: Cofinity Commercial |
$268.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.89
|
| Rate for Payer: Healthscope Commercial |
$277.53
|
| Rate for Payer: Healthscope Whirlpool |
$286.11
|
| Rate for Payer: Mclaren Commercial |
$257.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$228.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243.19
|
| Rate for Payer: Nomi Health Commercial |
$234.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$214.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$250.69
|
| Rate for Payer: Priority Health Narrow Network |
$200.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$251.78
|
|
|
HC CRRT SUBSEQUENT CARTRIDGE
|
Facility
|
IP
|
$286.11
|
|
| Hospital Charge Code |
27000608
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$214.58 |
| Max. Negotiated Rate |
$286.11 |
| Rate for Payer: Aetna Commercial |
$257.50
|
| Rate for Payer: ASR ASR |
$277.53
|
| Rate for Payer: BCBS Trust/PPO |
$234.95
|
| Rate for Payer: BCN Commercial |
$234.95
|
| Rate for Payer: Cash Price |
$228.89
|
| Rate for Payer: Cofinity Commercial |
$268.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.89
|
| Rate for Payer: Healthscope Commercial |
$277.53
|
| Rate for Payer: Healthscope Whirlpool |
$286.11
|
| Rate for Payer: Mclaren Commercial |
$257.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243.19
|
| Rate for Payer: Nomi Health Commercial |
$234.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$214.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$251.78
|
|
|
HC CRUTCHES
|
Facility
|
IP
|
$129.23
|
|
| Hospital Charge Code |
96000002
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$96.92 |
| Max. Negotiated Rate |
$129.23 |
| Rate for Payer: Aetna Commercial |
$116.31
|
| Rate for Payer: ASR ASR |
$125.35
|
| Rate for Payer: BCBS Trust/PPO |
$106.12
|
| Rate for Payer: BCN Commercial |
$106.12
|
| Rate for Payer: Cash Price |
$103.38
|
| Rate for Payer: Cofinity Commercial |
$121.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.38
|
| Rate for Payer: Healthscope Commercial |
$125.35
|
| Rate for Payer: Healthscope Whirlpool |
$129.23
|
| Rate for Payer: Mclaren Commercial |
$116.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.85
|
| Rate for Payer: Nomi Health Commercial |
$105.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$113.72
|
|
|
HC CRUTCHES
|
Facility
|
OP
|
$129.23
|
|
| Hospital Charge Code |
96000002
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$47.82 |
| Max. Negotiated Rate |
$129.23 |
| Rate for Payer: Aetna Commercial |
$116.31
|
| Rate for Payer: Aetna Medicare |
$47.82
|
| Rate for Payer: ASR ASR |
$125.35
|
| Rate for Payer: BCBS Complete |
$51.69
|
| Rate for Payer: BCBS Trust/PPO |
$106.55
|
| Rate for Payer: BCN Commercial |
$106.55
|
| Rate for Payer: Cash Price |
$103.38
|
| Rate for Payer: Cofinity Commercial |
$121.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.38
|
| Rate for Payer: Healthscope Commercial |
$125.35
|
| Rate for Payer: Healthscope Whirlpool |
$129.23
|
| Rate for Payer: Mclaren Commercial |
$116.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.85
|
| Rate for Payer: Nomi Health Commercial |
$105.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$113.23
|
| Rate for Payer: Priority Health Narrow Network |
$90.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$113.72
|
|
|
HC CRYOABLATION KIDNEY UNILATERAL
|
Facility
|
IP
|
$12,685.18
|
|
|
Service Code
|
CPT 50593
|
| Hospital Charge Code |
36100572
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,513.89 |
| Max. Negotiated Rate |
$12,685.18 |
| Rate for Payer: Aetna Commercial |
$11,416.66
|
| Rate for Payer: ASR ASR |
$12,304.62
|
| Rate for Payer: BCBS Trust/PPO |
$10,417.07
|
| Rate for Payer: BCN Commercial |
$10,417.07
|
| Rate for Payer: Cash Price |
$10,148.14
|
| Rate for Payer: Cofinity Commercial |
$11,924.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,148.14
|
| Rate for Payer: Healthscope Commercial |
$12,304.62
|
| Rate for Payer: Healthscope Whirlpool |
$12,685.18
|
| Rate for Payer: Mclaren Commercial |
$11,416.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,782.40
|
| Rate for Payer: Nomi Health Commercial |
$10,401.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,513.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,162.96
|
|
|
HC CRYOABLATION KIDNEY UNILATERAL
|
Facility
|
OP
|
$12,685.18
|
|
|
Service Code
|
CPT 50593
|
| Hospital Charge Code |
36100572
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,539.41 |
| Max. Negotiated Rate |
$16,417.00 |
| Rate for Payer: Aetna Commercial |
$11,416.66
|
| Rate for Payer: Aetna Medicare |
$10,591.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,239.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,239.51
|
| Rate for Payer: ASR ASR |
$12,304.62
|
| Rate for Payer: BCBS Complete |
$5,816.91
|
| Rate for Payer: BCBS MAPPO |
$10,591.61
|
| Rate for Payer: BCBS Trust/PPO |
$10,458.93
|
| Rate for Payer: BCN Commercial |
$10,458.93
|
| Rate for Payer: BCN Medicare Advantage |
$10,591.61
|
| Rate for Payer: Cash Price |
$10,148.14
|
| Rate for Payer: Cash Price |
$10,148.14
|
| Rate for Payer: Cofinity Commercial |
$11,924.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,148.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,591.61
|
| Rate for Payer: Healthscope Commercial |
$12,304.62
|
| Rate for Payer: Healthscope Whirlpool |
$12,685.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,591.61
|
| Rate for Payer: Mclaren Commercial |
$11,416.66
|
| Rate for Payer: Mclaren Medicaid |
$10,591.61
|
| Rate for Payer: Mclaren Medicare |
$10,591.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,121.19
|
| Rate for Payer: Meridian Medicaid |
$5,816.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,180.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,650.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,782.40
|
| Rate for Payer: Nomi Health Commercial |
$10,401.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,513.89
|
| Rate for Payer: PACE Medicare |
$10,062.03
|
| Rate for Payer: PACE SWMI |
$10,591.61
|
| Rate for Payer: PHP Commercial |
$11,650.77
|
| Rate for Payer: PHP Medicaid |
$5,677.10
|
| Rate for Payer: PHP Medicare Advantage |
$10,591.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,539.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,114.75
|
| Rate for Payer: Priority Health Medicare |
$10,591.61
|
| Rate for Payer: Priority Health Narrow Network |
$8,892.31
|
| Rate for Payer: Railroad Medicare Medicare |
$10,591.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,162.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,591.61
|
| Rate for Payer: UHC Exchange |
$16,417.00
|
| Rate for Payer: UHC Medicaid |
$5,539.41
|
| Rate for Payer: UHCCP DNSP |
$10,591.61
|
| Rate for Payer: UHCCP Medicaid |
$5,539.41
|
| Rate for Payer: VA VA |
$10,591.61
|
|
|
HC CRYOABLATION LIVER TUMOR
|
Facility
|
OP
|
$10,740.37
|
|
|
Service Code
|
CPT 47383
|
| Hospital Charge Code |
36100613
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,539.41 |
| Max. Negotiated Rate |
$16,417.00 |
| Rate for Payer: Aetna Commercial |
$9,666.33
|
| Rate for Payer: Aetna Medicare |
$10,591.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,239.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,239.51
|
| Rate for Payer: ASR ASR |
$10,418.16
|
| Rate for Payer: BCBS Complete |
$5,816.91
|
| Rate for Payer: BCBS MAPPO |
$10,591.61
|
| Rate for Payer: BCBS Trust/PPO |
$8,855.44
|
| Rate for Payer: BCN Commercial |
$8,855.44
|
| Rate for Payer: BCN Medicare Advantage |
$10,591.61
|
| Rate for Payer: Cash Price |
$8,592.30
|
| Rate for Payer: Cash Price |
$8,592.30
|
| Rate for Payer: Cofinity Commercial |
$10,095.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,592.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,591.61
|
| Rate for Payer: Healthscope Commercial |
$10,418.16
|
| Rate for Payer: Healthscope Whirlpool |
$10,740.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,591.61
|
| Rate for Payer: Mclaren Commercial |
$9,666.33
|
| Rate for Payer: Mclaren Medicaid |
$10,591.61
|
| Rate for Payer: Mclaren Medicare |
$10,591.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,121.19
|
| Rate for Payer: Meridian Medicaid |
$5,816.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,180.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,650.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,129.31
|
| Rate for Payer: Nomi Health Commercial |
$8,807.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,055.28
|
| Rate for Payer: PACE Medicare |
$10,062.03
|
| Rate for Payer: PACE SWMI |
$10,591.61
|
| Rate for Payer: PHP Commercial |
$11,650.77
|
| Rate for Payer: PHP Medicaid |
$5,677.10
|
| Rate for Payer: PHP Medicare Advantage |
$10,591.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,539.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$9,410.71
|
| Rate for Payer: Priority Health Medicare |
$10,591.61
|
| Rate for Payer: Priority Health Narrow Network |
$7,529.00
|
| Rate for Payer: Railroad Medicare Medicare |
$10,591.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,451.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,591.61
|
| Rate for Payer: UHC Exchange |
$16,417.00
|
| Rate for Payer: UHC Medicaid |
$5,539.41
|
| Rate for Payer: UHCCP DNSP |
$10,591.61
|
| Rate for Payer: UHCCP Medicaid |
$5,539.41
|
| Rate for Payer: VA VA |
$10,591.61
|
|
|
HC CRYOABLATION LIVER TUMOR
|
Facility
|
IP
|
$10,740.37
|
|
|
Service Code
|
CPT 47383
|
| Hospital Charge Code |
36100613
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,055.28 |
| Max. Negotiated Rate |
$10,740.37 |
| Rate for Payer: Aetna Commercial |
$9,666.33
|
| Rate for Payer: ASR ASR |
$10,418.16
|
| Rate for Payer: BCBS Trust/PPO |
$8,819.99
|
| Rate for Payer: BCN Commercial |
$8,819.99
|
| Rate for Payer: Cash Price |
$8,592.30
|
| Rate for Payer: Cofinity Commercial |
$10,095.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,592.30
|
| Rate for Payer: Healthscope Commercial |
$10,418.16
|
| Rate for Payer: Healthscope Whirlpool |
$10,740.37
|
| Rate for Payer: Mclaren Commercial |
$9,666.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,129.31
|
| Rate for Payer: Nomi Health Commercial |
$8,807.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,055.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,451.53
|
|
|
HC CRYOABLATION NASAL TISSUE OR NERVES UNI OR BIL
|
Facility
|
OP
|
$11,109.39
|
|
|
Service Code
|
CPT 31243
|
| Hospital Charge Code |
76100399
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,084.94 |
| Max. Negotiated Rate |
$11,109.39 |
| Rate for Payer: Aetna Commercial |
$9,998.45
|
| Rate for Payer: Aetna Medicare |
$5,898.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,373.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,373.18
|
| Rate for Payer: ASR ASR |
$10,776.11
|
| Rate for Payer: BCBS Complete |
$3,239.48
|
| Rate for Payer: BCBS MAPPO |
$5,898.54
|
| Rate for Payer: BCBS Trust/PPO |
$9,159.69
|
| Rate for Payer: BCN Commercial |
$9,159.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,898.54
|
| Rate for Payer: Cash Price |
$8,887.51
|
| Rate for Payer: Cash Price |
$8,887.51
|
| Rate for Payer: Cofinity Commercial |
$10,442.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,887.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,898.54
|
| Rate for Payer: Healthscope Commercial |
$10,776.11
|
| Rate for Payer: Healthscope Whirlpool |
$11,109.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,898.54
|
| Rate for Payer: Mclaren Commercial |
$9,998.45
|
| Rate for Payer: Mclaren Medicaid |
$5,898.54
|
| Rate for Payer: Mclaren Medicare |
$5,898.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,193.47
|
| Rate for Payer: Meridian Medicaid |
$3,239.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,783.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,488.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,442.98
|
| Rate for Payer: Nomi Health Commercial |
$9,109.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,332.04
|
| Rate for Payer: PACE Medicare |
$5,603.61
|
| Rate for Payer: PACE SWMI |
$5,898.54
|
| Rate for Payer: PHP Commercial |
$6,488.39
|
| Rate for Payer: PHP Medicaid |
$3,161.62
|
| Rate for Payer: PHP Medicare Advantage |
$5,898.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,084.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$9,734.05
|
| Rate for Payer: Priority Health Medicare |
$5,898.54
|
| Rate for Payer: Priority Health Narrow Network |
$7,787.68
|
| Rate for Payer: Railroad Medicare Medicare |
$5,898.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,776.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,898.54
|
| Rate for Payer: UHC Exchange |
$9,142.74
|
| Rate for Payer: UHC Medicaid |
$3,084.94
|
| Rate for Payer: UHCCP DNSP |
$5,898.54
|
| Rate for Payer: UHCCP Medicaid |
$3,084.94
|
| Rate for Payer: VA VA |
$5,898.54
|
|
|
HC CRYOABLATION NASAL TISSUE OR NERVES UNI OR BIL
|
Facility
|
IP
|
$11,109.39
|
|
|
Service Code
|
CPT 31243
|
| Hospital Charge Code |
76100399
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$8,332.04 |
| Max. Negotiated Rate |
$11,109.39 |
| Rate for Payer: Aetna Commercial |
$9,998.45
|
| Rate for Payer: ASR ASR |
$10,776.11
|
| Rate for Payer: BCBS Trust/PPO |
$9,123.03
|
| Rate for Payer: BCN Commercial |
$9,123.03
|
| Rate for Payer: Cash Price |
$8,887.51
|
| Rate for Payer: Cofinity Commercial |
$10,442.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,887.51
|
| Rate for Payer: Healthscope Commercial |
$10,776.11
|
| Rate for Payer: Healthscope Whirlpool |
$11,109.39
|
| Rate for Payer: Mclaren Commercial |
$9,998.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,442.98
|
| Rate for Payer: Nomi Health Commercial |
$9,109.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,332.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,776.26
|
|
|
HC CRYOABLATION NEEDLE/PROBE
|
Facility
|
OP
|
$3,597.50
|
|
|
Service Code
|
HCPCS C2618
|
| Hospital Charge Code |
27200244
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,331.08 |
| Max. Negotiated Rate |
$3,597.50 |
| Rate for Payer: Aetna Commercial |
$3,237.75
|
| Rate for Payer: Aetna Medicare |
$1,331.08
|
| Rate for Payer: ASR ASR |
$3,489.57
|
| Rate for Payer: BCBS Complete |
$1,439.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,966.14
|
| Rate for Payer: BCN Commercial |
$2,966.14
|
| Rate for Payer: Cash Price |
$2,878.00
|
| Rate for Payer: Cofinity Commercial |
$3,381.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,878.00
|
| Rate for Payer: Healthscope Commercial |
$3,489.57
|
| Rate for Payer: Healthscope Whirlpool |
$3,597.50
|
| Rate for Payer: Mclaren Commercial |
$3,237.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,878.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,057.88
|
| Rate for Payer: Nomi Health Commercial |
$2,949.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,698.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,152.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,521.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,165.80
|
|
|
HC CRYOABLATION NEEDLE/PROBE
|
Facility
|
IP
|
$3,597.50
|
|
|
Service Code
|
HCPCS C2618
|
| Hospital Charge Code |
27200244
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,698.12 |
| Max. Negotiated Rate |
$3,597.50 |
| Rate for Payer: Aetna Commercial |
$3,237.75
|
| Rate for Payer: ASR ASR |
$3,489.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,954.27
|
| Rate for Payer: BCN Commercial |
$2,954.27
|
| Rate for Payer: Cash Price |
$2,878.00
|
| Rate for Payer: Cofinity Commercial |
$3,381.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,878.00
|
| Rate for Payer: Healthscope Commercial |
$3,489.57
|
| Rate for Payer: Healthscope Whirlpool |
$3,597.50
|
| Rate for Payer: Mclaren Commercial |
$3,237.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,057.88
|
| Rate for Payer: Nomi Health Commercial |
$2,949.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,698.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,165.80
|
|
|
HC CRYOABLATION STANDBY
|
Facility
|
OP
|
$8,343.84
|
|
| Hospital Charge Code |
27200283
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,087.22 |
| Max. Negotiated Rate |
$8,343.84 |
| Rate for Payer: Aetna Commercial |
$7,509.46
|
| Rate for Payer: Aetna Medicare |
$3,087.22
|
| Rate for Payer: ASR ASR |
$8,093.52
|
| Rate for Payer: BCBS Complete |
$3,337.54
|
| Rate for Payer: BCBS Trust/PPO |
$6,879.50
|
| Rate for Payer: BCN Commercial |
$6,879.50
|
| Rate for Payer: Cash Price |
$6,675.07
|
| Rate for Payer: Cofinity Commercial |
$7,843.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,675.07
|
| Rate for Payer: Healthscope Commercial |
$8,093.52
|
| Rate for Payer: Healthscope Whirlpool |
$8,343.84
|
| Rate for Payer: Mclaren Commercial |
$7,509.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,675.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,092.26
|
| Rate for Payer: Nomi Health Commercial |
$6,841.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,257.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,310.87
|
| Rate for Payer: Priority Health Narrow Network |
$5,849.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,342.58
|
|
