|
HC DIRECT ADMIT TO OBS
|
Facility
|
OP
|
$157.93
|
|
|
Service Code
|
HCPCS G0379
|
| Hospital Charge Code |
76200001
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$101.43 |
| Max. Negotiated Rate |
$1,608.00 |
| Rate for Payer: Aetna Commercial |
$142.14
|
| Rate for Payer: Aetna Medicare |
$593.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$741.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$741.74
|
| Rate for Payer: ASR ASR |
$153.19
|
| Rate for Payer: BCBS Complete |
$325.89
|
| Rate for Payer: BCBS MAPPO |
$593.39
|
| Rate for Payer: BCBS Trust/PPO |
$130.21
|
| Rate for Payer: BCN Commercial |
$130.21
|
| Rate for Payer: BCN Medicare Advantage |
$593.39
|
| Rate for Payer: Cash Price |
$126.34
|
| Rate for Payer: Cash Price |
$126.34
|
| Rate for Payer: Cash Price |
$126.34
|
| Rate for Payer: Cofinity Commercial |
$148.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$593.39
|
| Rate for Payer: Healthscope Commercial |
$153.19
|
| Rate for Payer: Healthscope Whirlpool |
$157.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$593.39
|
| Rate for Payer: Mclaren Commercial |
$142.14
|
| Rate for Payer: Mclaren Medicaid |
$593.39
|
| Rate for Payer: Mclaren Medicare |
$593.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.06
|
| Rate for Payer: Meridian Medicaid |
$325.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$682.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$652.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.24
|
| Rate for Payer: Nomi Health Commercial |
$129.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.45
|
| Rate for Payer: PACE Medicare |
$563.72
|
| Rate for Payer: PACE SWMI |
$593.39
|
| Rate for Payer: PHP Commercial |
$652.73
|
| Rate for Payer: PHP Medicaid |
$318.06
|
| Rate for Payer: PHP Medicare Advantage |
$593.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$310.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$126.79
|
| Rate for Payer: Priority Health Medicare |
$593.39
|
| Rate for Payer: Priority Health Narrow Network |
$101.43
|
| Rate for Payer: Railroad Medicare Medicare |
$593.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$138.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$593.39
|
| Rate for Payer: UHC Exchange |
$919.75
|
| Rate for Payer: UHC Medicaid |
$1,608.00
|
| Rate for Payer: UHCCP DNSP |
$593.39
|
| Rate for Payer: UHCCP Medicaid |
$310.34
|
| Rate for Payer: VA VA |
$593.39
|
|
|
HC DIRECT COOMBS
|
Facility
|
IP
|
$66.96
|
|
|
Service Code
|
CPT 86880
|
| Hospital Charge Code |
30200343
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$50.22 |
| Max. Negotiated Rate |
$66.96 |
| Rate for Payer: Aetna Commercial |
$60.26
|
| Rate for Payer: ASR ASR |
$64.95
|
| Rate for Payer: BCBS Trust/PPO |
$54.99
|
| Rate for Payer: BCN Commercial |
$54.99
|
| Rate for Payer: Cash Price |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$62.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.57
|
| Rate for Payer: Healthscope Commercial |
$64.95
|
| Rate for Payer: Healthscope Whirlpool |
$66.96
|
| Rate for Payer: Mclaren Commercial |
$60.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.92
|
| Rate for Payer: Nomi Health Commercial |
$54.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.92
|
|
|
HC DIRECT COOMBS
|
Facility
|
OP
|
$66.96
|
|
|
Service Code
|
CPT 86880
|
| Hospital Charge Code |
30200343
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.82 |
| Max. Negotiated Rate |
$76.27 |
| Rate for Payer: Aetna Commercial |
$60.26
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.74
|
| Rate for Payer: ASR ASR |
$64.95
|
| Rate for Payer: BCBS Complete |
$2.96
|
| Rate for Payer: BCBS MAPPO |
$5.39
|
| Rate for Payer: BCBS Trust/PPO |
$55.21
|
| Rate for Payer: BCN Commercial |
$55.21
|
| Rate for Payer: BCN Medicare Advantage |
$5.39
|
| Rate for Payer: Cash Price |
$53.57
|
| Rate for Payer: Cash Price |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$62.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.39
|
| Rate for Payer: Healthscope Commercial |
$64.95
|
| Rate for Payer: Healthscope Whirlpool |
$66.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.39
|
| Rate for Payer: Mclaren Commercial |
$60.26
|
| Rate for Payer: Mclaren Medicaid |
$5.39
|
| Rate for Payer: Mclaren Medicare |
$5.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.66
|
| Rate for Payer: Meridian Medicaid |
$2.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.92
|
| Rate for Payer: Nomi Health Commercial |
$54.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.22
|
| Rate for Payer: PACE Medicare |
$5.12
|
| Rate for Payer: PACE SWMI |
$5.39
|
| Rate for Payer: PHP Commercial |
$5.93
|
| Rate for Payer: PHP Medicaid |
$2.89
|
| Rate for Payer: PHP Medicare Advantage |
$5.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$76.27
|
| Rate for Payer: Priority Health Medicare |
$5.39
|
| Rate for Payer: Priority Health Narrow Network |
$61.02
|
| Rate for Payer: Railroad Medicare Medicare |
$5.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.39
|
| Rate for Payer: UHC Exchange |
$8.35
|
| Rate for Payer: UHC Medicaid |
$2.82
|
| Rate for Payer: UHCCP DNSP |
$5.39
|
| Rate for Payer: UHCCP Medicaid |
$2.82
|
| Rate for Payer: VA VA |
$5.39
|
|
|
HC DISACCHARIDASE ANALYSIS
|
Facility
|
IP
|
$156.06
|
|
|
Service Code
|
CPT 82657
|
| Hospital Charge Code |
30100755
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$117.05 |
| Max. Negotiated Rate |
$156.06 |
| Rate for Payer: Aetna Commercial |
$140.45
|
| Rate for Payer: ASR ASR |
$151.38
|
| Rate for Payer: BCBS Trust/PPO |
$128.16
|
| Rate for Payer: BCN Commercial |
$128.16
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Commercial |
$146.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Healthscope Commercial |
$151.38
|
| Rate for Payer: Healthscope Whirlpool |
$156.06
|
| Rate for Payer: Mclaren Commercial |
$140.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Nomi Health Commercial |
$127.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.33
|
|
|
HC DISACCHARIDASE ANALYSIS
|
Facility
|
OP
|
$156.06
|
|
|
Service Code
|
CPT 82657
|
| Hospital Charge Code |
30100755
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.59 |
| Max. Negotiated Rate |
$156.06 |
| Rate for Payer: Aetna Commercial |
$140.45
|
| Rate for Payer: Aetna Medicare |
$22.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27.71
|
| Rate for Payer: ASR ASR |
$151.38
|
| Rate for Payer: BCBS Complete |
$12.18
|
| Rate for Payer: BCBS MAPPO |
$22.17
|
| Rate for Payer: BCBS Trust/PPO |
$128.67
|
| Rate for Payer: BCN Commercial |
$128.67
|
| Rate for Payer: BCN Medicare Advantage |
$22.17
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cash Price |
$124.85
|
| Rate for Payer: Cofinity Commercial |
$146.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.17
|
| Rate for Payer: Healthscope Commercial |
$151.38
|
| Rate for Payer: Healthscope Whirlpool |
$156.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$22.17
|
| Rate for Payer: Mclaren Commercial |
$140.45
|
| Rate for Payer: Mclaren Medicaid |
$22.17
|
| Rate for Payer: Mclaren Medicare |
$22.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.28
|
| Rate for Payer: Meridian Medicaid |
$12.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.65
|
| Rate for Payer: Nomi Health Commercial |
$127.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.05
|
| Rate for Payer: PACE Medicare |
$21.06
|
| Rate for Payer: PACE SWMI |
$22.17
|
| Rate for Payer: PHP Commercial |
$24.39
|
| Rate for Payer: PHP Medicaid |
$11.88
|
| Rate for Payer: PHP Medicare Advantage |
$22.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$136.74
|
| Rate for Payer: Priority Health Medicare |
$22.17
|
| Rate for Payer: Priority Health Narrow Network |
$109.40
|
| Rate for Payer: Railroad Medicare Medicare |
$22.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.17
|
| Rate for Payer: UHC Exchange |
$34.36
|
| Rate for Payer: UHC Medicaid |
$11.59
|
| Rate for Payer: UHCCP DNSP |
$22.17
|
| Rate for Payer: UHCCP Medicaid |
$11.59
|
| Rate for Payer: VA VA |
$22.17
|
|
|
HC DISASTER COVERAGE
|
Facility
|
OP
|
$147.74
|
|
| Hospital Charge Code |
27000704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.66 |
| Max. Negotiated Rate |
$147.74 |
| Rate for Payer: Aetna Commercial |
$132.97
|
| Rate for Payer: Aetna Medicare |
$54.66
|
| Rate for Payer: ASR ASR |
$143.31
|
| Rate for Payer: BCBS Complete |
$59.10
|
| Rate for Payer: BCBS Trust/PPO |
$121.81
|
| Rate for Payer: BCN Commercial |
$121.81
|
| Rate for Payer: Cash Price |
$118.19
|
| Rate for Payer: Cofinity Commercial |
$138.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.19
|
| Rate for Payer: Healthscope Commercial |
$143.31
|
| Rate for Payer: Healthscope Whirlpool |
$147.74
|
| Rate for Payer: Mclaren Commercial |
$132.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$118.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.58
|
| Rate for Payer: Nomi Health Commercial |
$121.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$129.45
|
| Rate for Payer: Priority Health Narrow Network |
$103.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.01
|
|
|
HC DISASTER COVERAGE
|
Facility
|
IP
|
$147.74
|
|
| Hospital Charge Code |
27000704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$110.81 |
| Max. Negotiated Rate |
$147.74 |
| Rate for Payer: Aetna Commercial |
$132.97
|
| Rate for Payer: ASR ASR |
$143.31
|
| Rate for Payer: BCBS Trust/PPO |
$121.32
|
| Rate for Payer: BCN Commercial |
$121.32
|
| Rate for Payer: Cash Price |
$118.19
|
| Rate for Payer: Cofinity Commercial |
$138.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$118.19
|
| Rate for Payer: Healthscope Commercial |
$143.31
|
| Rate for Payer: Healthscope Whirlpool |
$147.74
|
| Rate for Payer: Mclaren Commercial |
$132.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125.58
|
| Rate for Payer: Nomi Health Commercial |
$121.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.01
|
|
|
HC DISP FEE CONTRALATERAL BINAURAL
|
Facility
|
OP
|
$494.19
|
|
|
Service Code
|
CPT V5240
|
| Hospital Charge Code |
27100022
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$182.85 |
| Max. Negotiated Rate |
$494.19 |
| Rate for Payer: Aetna Commercial |
$444.77
|
| Rate for Payer: Aetna Medicare |
$182.85
|
| Rate for Payer: ASR ASR |
$479.36
|
| Rate for Payer: BCBS Complete |
$197.68
|
| Rate for Payer: BCBS Trust/PPO |
$407.46
|
| Rate for Payer: BCN Commercial |
$407.46
|
| Rate for Payer: Cash Price |
$395.35
|
| Rate for Payer: Cofinity Commercial |
$464.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$395.35
|
| Rate for Payer: Healthscope Commercial |
$479.36
|
| Rate for Payer: Healthscope Whirlpool |
$494.19
|
| Rate for Payer: Mclaren Commercial |
$444.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$395.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.06
|
| Rate for Payer: Nomi Health Commercial |
$405.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$370.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$433.01
|
| Rate for Payer: Priority Health Narrow Network |
$346.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$434.89
|
|
|
HC DISP FEE CONTRALATERAL BINAURAL
|
Facility
|
IP
|
$494.19
|
|
|
Service Code
|
CPT V5240
|
| Hospital Charge Code |
27100022
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$370.64 |
| Max. Negotiated Rate |
$494.19 |
| Rate for Payer: Aetna Commercial |
$444.77
|
| Rate for Payer: ASR ASR |
$479.36
|
| Rate for Payer: BCBS Trust/PPO |
$405.83
|
| Rate for Payer: BCN Commercial |
$405.83
|
| Rate for Payer: Cash Price |
$395.35
|
| Rate for Payer: Cofinity Commercial |
$464.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$395.35
|
| Rate for Payer: Healthscope Commercial |
$479.36
|
| Rate for Payer: Healthscope Whirlpool |
$494.19
|
| Rate for Payer: Mclaren Commercial |
$444.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.06
|
| Rate for Payer: Nomi Health Commercial |
$405.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$370.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$434.89
|
|
|
HC DISP FEE CONTRALATERAL MONAURAL
|
Facility
|
OP
|
$286.11
|
|
|
Service Code
|
CPT V5200
|
| Hospital Charge Code |
27100021
|
|
Hospital Revenue Code
|
271
|
| 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 DISP FEE CONTRALATERAL MONAURAL
|
Facility
|
IP
|
$286.11
|
|
|
Service Code
|
CPT V5200
|
| Hospital Charge Code |
27100021
|
|
Hospital Revenue Code
|
271
|
| 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 DNA DOUBLE STRANDED AB
|
Facility
|
OP
|
$28.98
|
|
|
Service Code
|
CPT 86225
|
| Hospital Charge Code |
30200158
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.19 |
| Max. Negotiated Rate |
$39.95 |
| Rate for Payer: Aetna Commercial |
$26.08
|
| Rate for Payer: Aetna Medicare |
$13.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.18
|
| Rate for Payer: ASR ASR |
$28.11
|
| Rate for Payer: BCBS Complete |
$7.55
|
| Rate for Payer: BCBS MAPPO |
$13.74
|
| Rate for Payer: BCBS Trust/PPO |
$23.89
|
| Rate for Payer: BCN Commercial |
$23.89
|
| Rate for Payer: BCN Medicare Advantage |
$13.74
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.74
|
| Rate for Payer: Healthscope Commercial |
$28.11
|
| Rate for Payer: Healthscope Whirlpool |
$28.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.74
|
| Rate for Payer: Mclaren Commercial |
$26.08
|
| Rate for Payer: Mclaren Medicaid |
$13.74
|
| Rate for Payer: Mclaren Medicare |
$13.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.43
|
| Rate for Payer: Meridian Medicaid |
$7.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.63
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: PACE Medicare |
$13.05
|
| Rate for Payer: PACE SWMI |
$13.74
|
| Rate for Payer: PHP Commercial |
$15.11
|
| Rate for Payer: PHP Medicaid |
$7.36
|
| Rate for Payer: PHP Medicare Advantage |
$13.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health Medicare |
$13.74
|
| Rate for Payer: Priority Health Narrow Network |
$31.96
|
| Rate for Payer: Railroad Medicare Medicare |
$13.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.74
|
| Rate for Payer: UHC Exchange |
$21.30
|
| Rate for Payer: UHC Medicaid |
$7.19
|
| Rate for Payer: UHCCP DNSP |
$13.74
|
| Rate for Payer: UHCCP Medicaid |
$7.19
|
| Rate for Payer: VA VA |
$13.74
|
|
|
HC DNA DOUBLE STRANDED AB
|
Facility
|
IP
|
$28.98
|
|
|
Service Code
|
CPT 86225
|
| Hospital Charge Code |
30200158
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$21.73 |
| Max. Negotiated Rate |
$28.98 |
| Rate for Payer: Aetna Commercial |
$26.08
|
| Rate for Payer: ASR ASR |
$28.11
|
| Rate for Payer: BCBS Trust/PPO |
$23.80
|
| Rate for Payer: BCN Commercial |
$23.80
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.11
|
| Rate for Payer: Healthscope Whirlpool |
$28.98
|
| Rate for Payer: Mclaren Commercial |
$26.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.63
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.50
|
|
|
HC DNA PROBES CMPT2
|
Facility
|
OP
|
$79.43
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000043
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.77 |
| Max. Negotiated Rate |
$79.43 |
| Rate for Payer: Aetna Commercial |
$71.49
|
| Rate for Payer: Aetna Medicare |
$51.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.99
|
| Rate for Payer: ASR ASR |
$77.05
|
| Rate for Payer: BCBS Complete |
$28.11
|
| Rate for Payer: BCBS MAPPO |
$51.19
|
| Rate for Payer: BCBS Trust/PPO |
$65.49
|
| Rate for Payer: BCN Commercial |
$65.49
|
| Rate for Payer: BCN Medicare Advantage |
$51.19
|
| Rate for Payer: Cash Price |
$63.54
|
| Rate for Payer: Cash Price |
$63.54
|
| Rate for Payer: Cofinity Commercial |
$74.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.19
|
| Rate for Payer: Healthscope Commercial |
$77.05
|
| Rate for Payer: Healthscope Whirlpool |
$79.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$51.19
|
| Rate for Payer: Mclaren Commercial |
$71.49
|
| Rate for Payer: Mclaren Medicaid |
$51.19
|
| Rate for Payer: Mclaren Medicare |
$51.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.75
|
| Rate for Payer: Meridian Medicaid |
$28.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.52
|
| Rate for Payer: Nomi Health Commercial |
$65.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.57
|
| Rate for Payer: PACE Medicare |
$48.63
|
| Rate for Payer: PACE SWMI |
$51.19
|
| Rate for Payer: PHP Commercial |
$56.31
|
| Rate for Payer: PHP Medicaid |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$51.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$69.60
|
| Rate for Payer: Priority Health Medicare |
$51.19
|
| Rate for Payer: Priority Health Narrow Network |
$55.68
|
| Rate for Payer: Railroad Medicare Medicare |
$51.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$69.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.19
|
| Rate for Payer: UHC Exchange |
$79.34
|
| Rate for Payer: UHC Medicaid |
$26.77
|
| Rate for Payer: UHCCP DNSP |
$51.19
|
| Rate for Payer: UHCCP Medicaid |
$26.77
|
| Rate for Payer: VA VA |
$51.19
|
|
|
HC DNA PROBES CMPT2
|
Facility
|
IP
|
$79.43
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000043
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$59.57 |
| Max. Negotiated Rate |
$79.43 |
| Rate for Payer: Aetna Commercial |
$71.49
|
| Rate for Payer: ASR ASR |
$77.05
|
| Rate for Payer: BCBS Trust/PPO |
$65.23
|
| Rate for Payer: BCN Commercial |
$65.23
|
| Rate for Payer: Cash Price |
$63.54
|
| Rate for Payer: Cofinity Commercial |
$74.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.54
|
| Rate for Payer: Healthscope Commercial |
$77.05
|
| Rate for Payer: Healthscope Whirlpool |
$79.43
|
| Rate for Payer: Mclaren Commercial |
$71.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.52
|
| Rate for Payer: Nomi Health Commercial |
$65.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$69.90
|
|
|
HC DOG IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200038
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| 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 |
$25.12
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| 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 |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| 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 |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.69
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$18.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC DOG IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200038
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.43 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Trust/PPO |
$21.27
|
| Rate for Payer: BCN Commercial |
$21.27
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
|
|
HC DOPPLER COLOR FLOW
|
Facility
|
OP
|
$449.41
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
48000007
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$166.28 |
| Max. Negotiated Rate |
$449.41 |
| Rate for Payer: Aetna Commercial |
$404.47
|
| Rate for Payer: Aetna Medicare |
$166.28
|
| Rate for Payer: ASR ASR |
$435.93
|
| Rate for Payer: BCBS Complete |
$179.76
|
| Rate for Payer: BCBS Trust/PPO |
$370.54
|
| Rate for Payer: BCN Commercial |
$370.54
|
| Rate for Payer: Cash Price |
$359.53
|
| Rate for Payer: Cash Price |
$359.53
|
| Rate for Payer: Cofinity Commercial |
$422.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$359.53
|
| Rate for Payer: Healthscope Commercial |
$435.93
|
| Rate for Payer: Healthscope Whirlpool |
$449.41
|
| Rate for Payer: Mclaren Commercial |
$404.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$359.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.00
|
| Rate for Payer: Nomi Health Commercial |
$368.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$430.36
|
| Rate for Payer: Priority Health Narrow Network |
$344.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$395.48
|
|
|
HC DOPPLER COLOR FLOW
|
Facility
|
IP
|
$449.41
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
48000007
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$337.06 |
| Max. Negotiated Rate |
$449.41 |
| Rate for Payer: Aetna Commercial |
$404.47
|
| Rate for Payer: ASR ASR |
$435.93
|
| Rate for Payer: BCBS Trust/PPO |
$369.06
|
| Rate for Payer: BCN Commercial |
$369.06
|
| Rate for Payer: Cash Price |
$359.53
|
| Rate for Payer: Cofinity Commercial |
$422.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$359.53
|
| Rate for Payer: Healthscope Commercial |
$435.93
|
| Rate for Payer: Healthscope Whirlpool |
$449.41
|
| Rate for Payer: Mclaren Commercial |
$404.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.00
|
| Rate for Payer: Nomi Health Commercial |
$368.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$395.48
|
|
|
HC DOXYCYCLINE HYCLATE 100 MG
|
Facility
|
OP
|
$230.23
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600189
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$85.19 |
| Max. Negotiated Rate |
$230.23 |
| Rate for Payer: Aetna Commercial |
$207.21
|
| Rate for Payer: Aetna Medicare |
$85.19
|
| Rate for Payer: ASR ASR |
$223.32
|
| Rate for Payer: BCBS Complete |
$92.09
|
| Rate for Payer: BCBS Trust/PPO |
$189.82
|
| Rate for Payer: BCN Commercial |
$189.82
|
| Rate for Payer: Cash Price |
$184.18
|
| Rate for Payer: Cofinity Commercial |
$216.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.18
|
| Rate for Payer: Healthscope Commercial |
$223.32
|
| Rate for Payer: Healthscope Whirlpool |
$230.23
|
| Rate for Payer: Mclaren Commercial |
$207.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$184.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195.70
|
| Rate for Payer: Nomi Health Commercial |
$188.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$172.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$201.73
|
| Rate for Payer: Priority Health Narrow Network |
$161.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$202.60
|
|
|
HC DOXYCYCLINE HYCLATE 100 MG
|
Facility
|
IP
|
$230.23
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
63600189
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$172.67 |
| Max. Negotiated Rate |
$230.23 |
| Rate for Payer: Aetna Commercial |
$207.21
|
| Rate for Payer: ASR ASR |
$223.32
|
| Rate for Payer: BCBS Trust/PPO |
$189.06
|
| Rate for Payer: BCN Commercial |
$189.06
|
| Rate for Payer: Cash Price |
$184.18
|
| Rate for Payer: Cofinity Commercial |
$216.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.18
|
| Rate for Payer: Healthscope Commercial |
$223.32
|
| Rate for Payer: Healthscope Whirlpool |
$230.23
|
| Rate for Payer: Mclaren Commercial |
$207.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195.70
|
| Rate for Payer: Nomi Health Commercial |
$188.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$172.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$202.60
|
|
|
HC DOXYCYCLINE HYCLATE 1MG
|
Facility
|
OP
|
$230.23
|
|
|
Service Code
|
HCPCS J1271
|
| Hospital Charge Code |
63600269
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.09 |
| Max. Negotiated Rate |
$230.23 |
| Rate for Payer: Aetna Commercial |
$207.21
|
| Rate for Payer: Aetna Medicare |
$85.19
|
| Rate for Payer: ASR ASR |
$223.32
|
| Rate for Payer: BCBS Complete |
$92.09
|
| Rate for Payer: BCBS Trust/PPO |
$189.82
|
| Rate for Payer: BCN Commercial |
$189.82
|
| Rate for Payer: Cash Price |
$184.18
|
| Rate for Payer: Cash Price |
$184.18
|
| Rate for Payer: Cofinity Commercial |
$216.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.18
|
| Rate for Payer: Healthscope Commercial |
$223.32
|
| Rate for Payer: Healthscope Whirlpool |
$230.23
|
| Rate for Payer: Mclaren Commercial |
$207.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$184.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195.70
|
| Rate for Payer: Nomi Health Commercial |
$188.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$172.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$202.60
|
|
|
HC DOXYCYCLINE HYCLATE 1MG
|
Facility
|
IP
|
$230.23
|
|
|
Service Code
|
HCPCS J1271
|
| Hospital Charge Code |
63600269
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$172.67 |
| Max. Negotiated Rate |
$230.23 |
| Rate for Payer: Aetna Commercial |
$207.21
|
| Rate for Payer: ASR ASR |
$223.32
|
| Rate for Payer: BCBS Trust/PPO |
$189.06
|
| Rate for Payer: BCN Commercial |
$189.06
|
| Rate for Payer: Cash Price |
$184.18
|
| Rate for Payer: Cofinity Commercial |
$216.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.18
|
| Rate for Payer: Healthscope Commercial |
$223.32
|
| Rate for Payer: Healthscope Whirlpool |
$230.23
|
| Rate for Payer: Mclaren Commercial |
$207.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195.70
|
| Rate for Payer: Nomi Health Commercial |
$188.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$172.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$202.60
|
|
|
HC DPPX AB CBA, S
|
Facility
|
IP
|
$260.10
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200462
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$195.07 |
| Max. Negotiated Rate |
$260.10 |
| Rate for Payer: Aetna Commercial |
$234.09
|
| Rate for Payer: ASR ASR |
$252.30
|
| Rate for Payer: BCBS Trust/PPO |
$213.59
|
| Rate for Payer: BCN Commercial |
$213.59
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$244.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Healthscope Commercial |
$252.30
|
| Rate for Payer: Healthscope Whirlpool |
$260.10
|
| Rate for Payer: Mclaren Commercial |
$234.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.09
|
| Rate for Payer: Nomi Health Commercial |
$213.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$228.89
|
|
|
HC DPPX AB CBA, S
|
Facility
|
OP
|
$260.10
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200462
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$260.10 |
| Rate for Payer: Aetna Commercial |
$234.09
|
| Rate for Payer: Aetna Medicare |
$12.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: ASR ASR |
$252.30
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$214.45
|
| Rate for Payer: BCN Commercial |
$214.45
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cash Price |
$208.08
|
| Rate for Payer: Cofinity Commercial |
$244.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$252.30
|
| Rate for Payer: Healthscope Whirlpool |
$260.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$234.09
|
| Rate for Payer: Mclaren Medicaid |
$12.05
|
| Rate for Payer: Mclaren Medicare |
$12.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: Meridian Medicaid |
$6.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.09
|
| Rate for Payer: Nomi Health Commercial |
$213.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.07
|
| Rate for Payer: PACE Medicare |
$11.45
|
| Rate for Payer: PACE SWMI |
$12.05
|
| Rate for Payer: PHP Commercial |
$13.26
|
| Rate for Payer: PHP Medicaid |
$6.46
|
| Rate for Payer: PHP Medicare Advantage |
$12.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$250.58
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$200.47
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$228.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.05
|
| Rate for Payer: UHC Exchange |
$18.68
|
| Rate for Payer: UHC Medicaid |
$6.30
|
| Rate for Payer: UHCCP DNSP |
$12.05
|
| Rate for Payer: UHCCP Medicaid |
$6.30
|
| Rate for Payer: VA VA |
$12.05
|
|
