|
HC CULTURE FUNGAL SKIN, HAIR, NAIL
|
Facility
|
IP
|
$82.19
|
|
|
Service Code
|
CPT 87101
|
| Hospital Charge Code |
30600082
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$61.64 |
| Max. Negotiated Rate |
$82.19 |
| Rate for Payer: Aetna Commercial |
$73.97
|
| Rate for Payer: ASR ASR |
$79.72
|
| Rate for Payer: BCBS Trust/PPO |
$67.49
|
| Rate for Payer: BCN Commercial |
$67.49
|
| Rate for Payer: Cash Price |
$65.75
|
| Rate for Payer: Cofinity Commercial |
$77.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.75
|
| Rate for Payer: Healthscope Commercial |
$79.72
|
| Rate for Payer: Healthscope Whirlpool |
$82.19
|
| Rate for Payer: Mclaren Commercial |
$73.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.86
|
| Rate for Payer: Nomi Health Commercial |
$67.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$72.33
|
|
|
HC CULTURE ID BLOOD PATHOGEN BY NUCLEIC ACID
|
Facility
|
OP
|
$636.72
|
|
|
Service Code
|
CPT 87154
|
| Hospital Charge Code |
30600329
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$114.05 |
| Max. Negotiated Rate |
$636.72 |
| Rate for Payer: Aetna Commercial |
$573.05
|
| Rate for Payer: Aetna Medicare |
$218.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.57
|
| Rate for Payer: ASR ASR |
$617.62
|
| Rate for Payer: BCBS Complete |
$119.76
|
| Rate for Payer: BCBS MAPPO |
$218.06
|
| Rate for Payer: BCBS Trust/PPO |
$524.98
|
| Rate for Payer: BCN Commercial |
$524.98
|
| Rate for Payer: BCN Medicare Advantage |
$218.06
|
| Rate for Payer: Cash Price |
$509.38
|
| Rate for Payer: Cash Price |
$509.38
|
| Rate for Payer: Cofinity Commercial |
$598.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$509.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.06
|
| Rate for Payer: Healthscope Commercial |
$617.62
|
| Rate for Payer: Healthscope Whirlpool |
$636.72
|
| Rate for Payer: Humana Choice PPO Medicare |
$218.06
|
| Rate for Payer: Mclaren Commercial |
$573.05
|
| Rate for Payer: Mclaren Medicaid |
$218.06
|
| Rate for Payer: Mclaren Medicare |
$218.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$228.96
|
| Rate for Payer: Meridian Medicaid |
$119.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$239.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$541.21
|
| Rate for Payer: Nomi Health Commercial |
$522.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$477.54
|
| Rate for Payer: PACE Medicare |
$207.16
|
| Rate for Payer: PACE SWMI |
$218.06
|
| Rate for Payer: PHP Commercial |
$239.87
|
| Rate for Payer: PHP Medicaid |
$116.88
|
| Rate for Payer: PHP Medicare Advantage |
$218.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$557.89
|
| Rate for Payer: Priority Health Medicare |
$218.06
|
| Rate for Payer: Priority Health Narrow Network |
$446.34
|
| Rate for Payer: Railroad Medicare Medicare |
$218.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$560.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$218.06
|
| Rate for Payer: UHC Exchange |
$337.99
|
| Rate for Payer: UHC Medicaid |
$114.05
|
| Rate for Payer: UHCCP DNSP |
$218.06
|
| Rate for Payer: UHCCP Medicaid |
$114.05
|
| Rate for Payer: VA VA |
$218.06
|
|
|
HC CULTURE ID BLOOD PATHOGEN BY NUCLEIC ACID
|
Facility
|
IP
|
$636.72
|
|
|
Service Code
|
CPT 87154
|
| Hospital Charge Code |
30600329
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$477.54 |
| Max. Negotiated Rate |
$636.72 |
| Rate for Payer: Aetna Commercial |
$573.05
|
| Rate for Payer: ASR ASR |
$617.62
|
| Rate for Payer: BCBS Trust/PPO |
$522.87
|
| Rate for Payer: BCN Commercial |
$522.87
|
| Rate for Payer: Cash Price |
$509.38
|
| Rate for Payer: Cofinity Commercial |
$598.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$509.38
|
| Rate for Payer: Healthscope Commercial |
$617.62
|
| Rate for Payer: Healthscope Whirlpool |
$636.72
|
| Rate for Payer: Mclaren Commercial |
$573.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$541.21
|
| Rate for Payer: Nomi Health Commercial |
$522.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$477.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$560.31
|
|
|
HC CULTURE OTHER SOURCE
|
Facility
|
IP
|
$47.76
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600075
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$35.82 |
| Max. Negotiated Rate |
$47.76 |
| Rate for Payer: Aetna Commercial |
$42.98
|
| Rate for Payer: ASR ASR |
$46.33
|
| Rate for Payer: BCBS Trust/PPO |
$39.22
|
| Rate for Payer: BCN Commercial |
$39.22
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Commercial |
$44.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Healthscope Commercial |
$46.33
|
| Rate for Payer: Healthscope Whirlpool |
$47.76
|
| Rate for Payer: Mclaren Commercial |
$42.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$39.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.03
|
|
|
HC CULTURE OTHER SOURCE
|
Facility
|
OP
|
$47.76
|
|
|
Service Code
|
CPT 87070
|
| Hospital Charge Code |
30600075
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.51 |
| Max. Negotiated Rate |
$72.02 |
| Rate for Payer: Aetna Commercial |
$42.98
|
| Rate for Payer: Aetna Medicare |
$8.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.78
|
| Rate for Payer: ASR ASR |
$46.33
|
| Rate for Payer: BCBS Complete |
$4.73
|
| Rate for Payer: BCBS MAPPO |
$8.62
|
| Rate for Payer: BCBS Trust/PPO |
$39.38
|
| Rate for Payer: BCN Commercial |
$39.38
|
| Rate for Payer: BCN Medicare Advantage |
$8.62
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cash Price |
$38.21
|
| Rate for Payer: Cofinity Commercial |
$44.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.62
|
| Rate for Payer: Healthscope Commercial |
$46.33
|
| Rate for Payer: Healthscope Whirlpool |
$47.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.62
|
| Rate for Payer: Mclaren Commercial |
$42.98
|
| Rate for Payer: Mclaren Medicaid |
$8.62
|
| Rate for Payer: Mclaren Medicare |
$8.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.05
|
| Rate for Payer: Meridian Medicaid |
$4.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.60
|
| Rate for Payer: Nomi Health Commercial |
$39.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.82
|
| Rate for Payer: PACE Medicare |
$8.19
|
| Rate for Payer: PACE SWMI |
$8.62
|
| Rate for Payer: PHP Commercial |
$9.48
|
| Rate for Payer: PHP Medicaid |
$4.62
|
| Rate for Payer: PHP Medicare Advantage |
$8.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$72.02
|
| Rate for Payer: Priority Health Medicare |
$8.62
|
| Rate for Payer: Priority Health Narrow Network |
$57.62
|
| Rate for Payer: Railroad Medicare Medicare |
$8.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.62
|
| Rate for Payer: UHC Exchange |
$13.36
|
| Rate for Payer: UHC Medicaid |
$4.51
|
| Rate for Payer: UHCCP DNSP |
$8.62
|
| Rate for Payer: UHCCP Medicaid |
$4.51
|
| Rate for Payer: VA VA |
$8.62
|
|
|
HC CULTURE SCREENING
|
Facility
|
OP
|
$26.53
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.47 |
| Max. Negotiated Rate |
$147.68 |
| Rate for Payer: Aetna Commercial |
$23.88
|
| Rate for Payer: Aetna Medicare |
$6.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: ASR ASR |
$25.73
|
| Rate for Payer: BCBS Complete |
$3.64
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.87
|
| Rate for Payer: BCN Commercial |
$21.87
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$24.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$25.73
|
| Rate for Payer: Healthscope Whirlpool |
$26.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.63
|
| Rate for Payer: Mclaren Commercial |
$23.88
|
| Rate for Payer: Mclaren Medicaid |
$6.63
|
| Rate for Payer: Mclaren Medicare |
$6.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$3.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Medicare |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$7.29
|
| Rate for Payer: PHP Medicaid |
$3.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$147.68
|
| Rate for Payer: Priority Health Medicare |
$6.63
|
| Rate for Payer: Priority Health Narrow Network |
$118.15
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.63
|
| Rate for Payer: UHC Exchange |
$10.28
|
| Rate for Payer: UHC Medicaid |
$3.47
|
| Rate for Payer: UHCCP DNSP |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$3.47
|
| Rate for Payer: VA VA |
$6.63
|
|
|
HC CULTURE SCREENING
|
Facility
|
IP
|
$26.53
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
30600079
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$19.90 |
| Max. Negotiated Rate |
$26.53 |
| Rate for Payer: Aetna Commercial |
$23.88
|
| Rate for Payer: ASR ASR |
$25.73
|
| Rate for Payer: BCBS Trust/PPO |
$21.79
|
| Rate for Payer: BCN Commercial |
$21.79
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$24.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$25.73
|
| Rate for Payer: Healthscope Whirlpool |
$26.53
|
| Rate for Payer: Mclaren Commercial |
$23.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.35
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
IP
|
$13.27
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.95 |
| Max. Negotiated Rate |
$13.27 |
| Rate for Payer: Aetna Commercial |
$11.94
|
| Rate for Payer: ASR ASR |
$12.87
|
| Rate for Payer: BCBS Trust/PPO |
$10.90
|
| Rate for Payer: BCN Commercial |
$10.90
|
| Rate for Payer: Cash Price |
$10.62
|
| Rate for Payer: Cofinity Commercial |
$12.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$12.87
|
| Rate for Payer: Healthscope Whirlpool |
$13.27
|
| Rate for Payer: Mclaren Commercial |
$11.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.28
|
| Rate for Payer: Nomi Health Commercial |
$10.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.68
|
|
|
HC CUVETTE HEMOCHRON JR ACT+
|
Facility
|
OP
|
$13.27
|
|
| Hospital Charge Code |
27000657
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$13.27 |
| Rate for Payer: Aetna Commercial |
$11.94
|
| Rate for Payer: Aetna Medicare |
$4.91
|
| Rate for Payer: ASR ASR |
$12.87
|
| Rate for Payer: BCBS Complete |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$10.94
|
| Rate for Payer: BCN Commercial |
$10.94
|
| Rate for Payer: Cash Price |
$10.62
|
| Rate for Payer: Cofinity Commercial |
$12.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$12.87
|
| Rate for Payer: Healthscope Whirlpool |
$13.27
|
| Rate for Payer: Mclaren Commercial |
$11.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.28
|
| Rate for Payer: Nomi Health Commercial |
$10.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11.63
|
| Rate for Payer: Priority Health Narrow Network |
$9.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.68
|
|
|
HC CVC ACCESS TRAY
|
Facility
|
OP
|
$137.27
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.79 |
| Max. Negotiated Rate |
$137.27 |
| Rate for Payer: Aetna Commercial |
$123.54
|
| Rate for Payer: Aetna Medicare |
$50.79
|
| Rate for Payer: ASR ASR |
$133.15
|
| Rate for Payer: BCBS Complete |
$54.91
|
| Rate for Payer: BCBS Trust/PPO |
$113.18
|
| Rate for Payer: BCN Commercial |
$113.18
|
| Rate for Payer: Cash Price |
$109.82
|
| Rate for Payer: Cofinity Commercial |
$129.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.82
|
| Rate for Payer: Healthscope Commercial |
$133.15
|
| Rate for Payer: Healthscope Whirlpool |
$137.27
|
| Rate for Payer: Mclaren Commercial |
$123.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.68
|
| Rate for Payer: Nomi Health Commercial |
$112.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$120.28
|
| Rate for Payer: Priority Health Narrow Network |
$96.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.80
|
|
|
HC CVC ACCESS TRAY
|
Facility
|
IP
|
$137.27
|
|
| Hospital Charge Code |
27000052
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$102.95 |
| Max. Negotiated Rate |
$137.27 |
| Rate for Payer: Aetna Commercial |
$123.54
|
| Rate for Payer: ASR ASR |
$133.15
|
| Rate for Payer: BCBS Trust/PPO |
$112.73
|
| Rate for Payer: BCN Commercial |
$112.73
|
| Rate for Payer: Cash Price |
$109.82
|
| Rate for Payer: Cofinity Commercial |
$129.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.82
|
| Rate for Payer: Healthscope Commercial |
$133.15
|
| Rate for Payer: Healthscope Whirlpool |
$137.27
|
| Rate for Payer: Mclaren Commercial |
$123.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.68
|
| Rate for Payer: Nomi Health Commercial |
$112.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.80
|
|
|
HC CVC INSERT
|
Facility
|
IP
|
$2,596.45
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,947.34 |
| Max. Negotiated Rate |
$2,596.45 |
| Rate for Payer: Aetna Commercial |
$2,336.80
|
| Rate for Payer: ASR ASR |
$2,518.56
|
| Rate for Payer: BCBS Trust/PPO |
$2,132.20
|
| Rate for Payer: BCN Commercial |
$2,132.20
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,440.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Healthscope Commercial |
$2,518.56
|
| Rate for Payer: Healthscope Whirlpool |
$2,596.45
|
| Rate for Payer: Mclaren Commercial |
$2,336.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,284.88
|
|
|
HC CVC INSERT
|
Facility
|
OP
|
$2,596.45
|
|
| Hospital Charge Code |
45000036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$960.69 |
| Max. Negotiated Rate |
$2,596.45 |
| Rate for Payer: Aetna Commercial |
$2,336.80
|
| Rate for Payer: Aetna Medicare |
$960.69
|
| Rate for Payer: ASR ASR |
$2,518.56
|
| Rate for Payer: BCBS Complete |
$1,038.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,140.77
|
| Rate for Payer: BCN Commercial |
$2,140.77
|
| Rate for Payer: Cash Price |
$2,077.16
|
| Rate for Payer: Cofinity Commercial |
$2,440.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,077.16
|
| Rate for Payer: Healthscope Commercial |
$2,518.56
|
| Rate for Payer: Healthscope Whirlpool |
$2,596.45
|
| Rate for Payer: Mclaren Commercial |
$2,336.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,077.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,206.98
|
| Rate for Payer: Nomi Health Commercial |
$2,129.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,947.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,275.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,820.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,284.88
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
OP
|
$832.87
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$832.87 |
| Rate for Payer: Aetna Commercial |
$749.58
|
| Rate for Payer: Aetna Medicare |
$215.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$268.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$268.94
|
| Rate for Payer: ASR ASR |
$807.88
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$686.70
|
| Rate for Payer: BCN Commercial |
$686.70
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cofinity Commercial |
$782.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$807.88
|
| Rate for Payer: Healthscope Whirlpool |
$832.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$215.15
|
| Rate for Payer: Mclaren Commercial |
$749.58
|
| Rate for Payer: Mclaren Medicaid |
$215.15
|
| Rate for Payer: Mclaren Medicare |
$215.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.91
|
| Rate for Payer: Meridian Medicaid |
$118.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$236.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$707.94
|
| Rate for Payer: Nomi Health Commercial |
$682.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.65
|
| Rate for Payer: PACE Medicare |
$204.39
|
| Rate for Payer: PACE SWMI |
$215.15
|
| Rate for Payer: PHP Commercial |
$236.66
|
| Rate for Payer: PHP Medicaid |
$115.32
|
| Rate for Payer: PHP Medicare Advantage |
$215.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$520.55
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health Narrow Network |
$416.44
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$732.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$215.15
|
| Rate for Payer: UHC Exchange |
$333.48
|
| Rate for Payer: UHC Medicaid |
$112.52
|
| Rate for Payer: UHCCP DNSP |
$215.15
|
| Rate for Payer: UHCCP Medicaid |
$112.52
|
| Rate for Payer: VA VA |
$215.15
|
|
|
HC CVS PSEUDOANEURYSM COMPRESSION
|
Facility
|
IP
|
$832.87
|
|
|
Service Code
|
CPT 76936
|
| Hospital Charge Code |
40200042
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$624.65 |
| Max. Negotiated Rate |
$832.87 |
| Rate for Payer: Aetna Commercial |
$749.58
|
| Rate for Payer: ASR ASR |
$807.88
|
| Rate for Payer: BCBS Trust/PPO |
$683.95
|
| Rate for Payer: BCN Commercial |
$683.95
|
| Rate for Payer: Cash Price |
$666.30
|
| Rate for Payer: Cofinity Commercial |
$782.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$666.30
|
| Rate for Payer: Healthscope Commercial |
$807.88
|
| Rate for Payer: Healthscope Whirlpool |
$832.87
|
| Rate for Payer: Mclaren Commercial |
$749.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$707.94
|
| Rate for Payer: Nomi Health Commercial |
$682.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$624.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$732.93
|
|
|
HC CVVHD INSERTION
|
Facility
|
OP
|
$425.18
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| 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 CVVHD INSERTION
|
Facility
|
IP
|
$425.18
|
|
| Hospital Charge Code |
27000053
|
|
Hospital Revenue Code
|
270
|
| 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 CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
OP
|
$644.08
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$238.31 |
| Max. Negotiated Rate |
$644.08 |
| Rate for Payer: Aetna Commercial |
$579.67
|
| Rate for Payer: Aetna Medicare |
$238.31
|
| Rate for Payer: ASR ASR |
$624.76
|
| Rate for Payer: BCBS Complete |
$257.63
|
| Rate for Payer: BCBS Trust/PPO |
$531.04
|
| Rate for Payer: BCN Commercial |
$531.04
|
| Rate for Payer: Cash Price |
$515.26
|
| Rate for Payer: Cofinity Commercial |
$605.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$515.26
|
| Rate for Payer: Healthscope Commercial |
$624.76
|
| Rate for Payer: Healthscope Whirlpool |
$644.08
|
| Rate for Payer: Mclaren Commercial |
$579.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$515.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$547.47
|
| Rate for Payer: Nomi Health Commercial |
$528.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$483.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$564.34
|
| Rate for Payer: Priority Health Narrow Network |
$451.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$566.79
|
|
|
HC CVVH SUBSEQUENT CARTRIDGE
|
Facility
|
IP
|
$644.08
|
|
| Hospital Charge Code |
27000611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$483.06 |
| Max. Negotiated Rate |
$644.08 |
| Rate for Payer: Aetna Commercial |
$579.67
|
| Rate for Payer: ASR ASR |
$624.76
|
| Rate for Payer: BCBS Trust/PPO |
$528.92
|
| Rate for Payer: BCN Commercial |
$528.92
|
| Rate for Payer: Cash Price |
$515.26
|
| Rate for Payer: Cofinity Commercial |
$605.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$515.26
|
| Rate for Payer: Healthscope Commercial |
$624.76
|
| Rate for Payer: Healthscope Whirlpool |
$644.08
|
| Rate for Payer: Mclaren Commercial |
$579.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$547.47
|
| Rate for Payer: Nomi Health Commercial |
$528.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$483.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$566.79
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$58.63 |
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: ASR ASR |
$56.87
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$48.34
|
| Rate for Payer: BCN Commercial |
$48.34
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$55.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$56.87
|
| Rate for Payer: Healthscope Whirlpool |
$58.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.09
|
| Rate for Payer: Mclaren Commercial |
$52.77
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$19.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$38.60
|
| Rate for Payer: PHP Medicaid |
$18.81
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.37
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$41.10
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$54.39
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$43.97 |
| Max. Negotiated Rate |
$58.63 |
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: ASR ASR |
$56.87
|
| Rate for Payer: BCBS Trust/PPO |
$48.15
|
| Rate for Payer: BCN Commercial |
$48.15
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$55.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$56.87
|
| Rate for Payer: Healthscope Whirlpool |
$58.63
|
| Rate for Payer: Mclaren Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.59
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$43.97 |
| Max. Negotiated Rate |
$58.63 |
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: ASR ASR |
$56.87
|
| Rate for Payer: BCBS Trust/PPO |
$48.15
|
| Rate for Payer: BCN Commercial |
$48.15
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$55.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$56.87
|
| Rate for Payer: Healthscope Whirlpool |
$58.63
|
| Rate for Payer: Mclaren Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.59
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$58.63 |
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: ASR ASR |
$56.87
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$48.34
|
| Rate for Payer: BCN Commercial |
$48.34
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$55.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$56.87
|
| Rate for Payer: Healthscope Whirlpool |
$58.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.09
|
| Rate for Payer: Mclaren Commercial |
$52.77
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$19.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$38.60
|
| Rate for Payer: PHP Medicaid |
$18.81
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.37
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$41.10
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$54.39
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
OP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$58.63 |
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: ASR ASR |
$56.87
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$48.34
|
| Rate for Payer: BCN Commercial |
$48.34
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$55.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$56.87
|
| Rate for Payer: Healthscope Whirlpool |
$58.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.09
|
| Rate for Payer: Mclaren Commercial |
$52.77
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$19.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$38.60
|
| Rate for Payer: PHP Medicaid |
$18.81
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51.37
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$41.10
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$54.39
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
IP
|
$58.63
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$43.97 |
| Max. Negotiated Rate |
$58.63 |
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: ASR ASR |
$56.87
|
| Rate for Payer: BCBS Trust/PPO |
$48.15
|
| Rate for Payer: BCN Commercial |
$48.15
|
| Rate for Payer: Cash Price |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$55.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.90
|
| Rate for Payer: Healthscope Commercial |
$56.87
|
| Rate for Payer: Healthscope Whirlpool |
$58.63
|
| Rate for Payer: Mclaren Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.59
|
|
