|
HC EMG NEEDLE EXAM WITH NCS LIMITED
|
Facility
|
IP
|
$382.48
|
|
|
Service Code
|
CPT 95885
|
| Hospital Charge Code |
92200022
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$286.86 |
| Max. Negotiated Rate |
$382.48 |
| Rate for Payer: Aetna Commercial |
$344.23
|
| Rate for Payer: ASR ASR |
$371.01
|
| Rate for Payer: BCBS Trust/PPO |
$314.09
|
| Rate for Payer: BCN Commercial |
$314.09
|
| Rate for Payer: Cash Price |
$305.98
|
| Rate for Payer: Cofinity Commercial |
$359.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$305.98
|
| Rate for Payer: Healthscope Commercial |
$371.01
|
| Rate for Payer: Healthscope Whirlpool |
$382.48
|
| Rate for Payer: Mclaren Commercial |
$344.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.11
|
| Rate for Payer: Nomi Health Commercial |
$313.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$286.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$336.58
|
|
|
HC EMG NEEDLE EXAM WITH NCV COMPLETE
|
Facility
|
OP
|
$463.17
|
|
|
Service Code
|
CPT 95886
|
| Hospital Charge Code |
92200023
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$171.37 |
| Max. Negotiated Rate |
$463.17 |
| Rate for Payer: Aetna Commercial |
$416.85
|
| Rate for Payer: Aetna Medicare |
$171.37
|
| Rate for Payer: ASR ASR |
$449.27
|
| Rate for Payer: BCBS Complete |
$185.27
|
| Rate for Payer: BCBS Trust/PPO |
$381.88
|
| Rate for Payer: BCN Commercial |
$381.88
|
| Rate for Payer: Cash Price |
$370.54
|
| Rate for Payer: Cofinity Commercial |
$435.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.54
|
| Rate for Payer: Healthscope Commercial |
$449.27
|
| Rate for Payer: Healthscope Whirlpool |
$463.17
|
| Rate for Payer: Mclaren Commercial |
$416.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$370.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.69
|
| Rate for Payer: Nomi Health Commercial |
$379.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$347.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$405.83
|
| Rate for Payer: Priority Health Narrow Network |
$324.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$407.59
|
|
|
HC EMG NEEDLE EXAM WITH NCV COMPLETE
|
Facility
|
IP
|
$463.17
|
|
|
Service Code
|
CPT 95886
|
| Hospital Charge Code |
92200023
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$347.38 |
| Max. Negotiated Rate |
$463.17 |
| Rate for Payer: Aetna Commercial |
$416.85
|
| Rate for Payer: ASR ASR |
$449.27
|
| Rate for Payer: BCBS Trust/PPO |
$380.36
|
| Rate for Payer: BCN Commercial |
$380.36
|
| Rate for Payer: Cash Price |
$370.54
|
| Rate for Payer: Cofinity Commercial |
$435.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.54
|
| Rate for Payer: Healthscope Commercial |
$449.27
|
| Rate for Payer: Healthscope Whirlpool |
$463.17
|
| Rate for Payer: Mclaren Commercial |
$416.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.69
|
| Rate for Payer: Nomi Health Commercial |
$379.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$347.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$407.59
|
|
|
HC EMG NEEDLE FROM LARYNX
|
Facility
|
IP
|
$406.10
|
|
|
Service Code
|
CPT 95865
|
| Hospital Charge Code |
92200005
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$304.57 |
| Max. Negotiated Rate |
$406.10 |
| Rate for Payer: Aetna Commercial |
$365.49
|
| Rate for Payer: ASR ASR |
$393.92
|
| Rate for Payer: BCBS Trust/PPO |
$333.49
|
| Rate for Payer: BCN Commercial |
$333.49
|
| Rate for Payer: Cash Price |
$324.88
|
| Rate for Payer: Cofinity Commercial |
$381.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.88
|
| Rate for Payer: Healthscope Commercial |
$393.92
|
| Rate for Payer: Healthscope Whirlpool |
$406.10
|
| Rate for Payer: Mclaren Commercial |
$365.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.19
|
| Rate for Payer: Nomi Health Commercial |
$333.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$357.37
|
|
|
HC EMG NEEDLE FROM LARYNX
|
Facility
|
OP
|
$406.10
|
|
|
Service Code
|
CPT 95865
|
| Hospital Charge Code |
92200005
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$69.33 |
| Max. Negotiated Rate |
$406.10 |
| Rate for Payer: Aetna Commercial |
$365.49
|
| Rate for Payer: Aetna Medicare |
$132.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.71
|
| Rate for Payer: ASR ASR |
$393.92
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$132.57
|
| Rate for Payer: BCBS Trust/PPO |
$334.83
|
| Rate for Payer: BCN Commercial |
$334.83
|
| Rate for Payer: BCN Medicare Advantage |
$132.57
|
| Rate for Payer: Cash Price |
$324.88
|
| Rate for Payer: Cash Price |
$324.88
|
| Rate for Payer: Cofinity Commercial |
$381.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.57
|
| Rate for Payer: Healthscope Commercial |
$393.92
|
| Rate for Payer: Healthscope Whirlpool |
$406.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$132.57
|
| Rate for Payer: Mclaren Commercial |
$365.49
|
| Rate for Payer: Mclaren Medicaid |
$132.57
|
| Rate for Payer: Mclaren Medicare |
$132.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.20
|
| Rate for Payer: Meridian Medicaid |
$72.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.19
|
| Rate for Payer: Nomi Health Commercial |
$333.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.57
|
| Rate for Payer: PACE Medicare |
$125.94
|
| Rate for Payer: PACE SWMI |
$132.57
|
| Rate for Payer: PHP Commercial |
$145.83
|
| Rate for Payer: PHP Medicaid |
$71.06
|
| Rate for Payer: PHP Medicare Advantage |
$132.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$355.82
|
| Rate for Payer: Priority Health Medicare |
$132.57
|
| Rate for Payer: Priority Health Narrow Network |
$284.68
|
| Rate for Payer: Railroad Medicare Medicare |
$132.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$357.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.57
|
| Rate for Payer: UHC Exchange |
$205.48
|
| Rate for Payer: UHC Medicaid |
$69.33
|
| Rate for Payer: UHCCP DNSP |
$132.57
|
| Rate for Payer: UHCCP Medicaid |
$69.33
|
| Rate for Payer: VA VA |
$132.57
|
|
|
HC EMG REPETITIVE STIMULATION
|
Facility
|
OP
|
$447.79
|
|
|
Service Code
|
CPT 95937
|
| Hospital Charge Code |
92200021
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$67.05 |
| Max. Negotiated Rate |
$447.79 |
| Rate for Payer: Aetna Commercial |
$403.01
|
| Rate for Payer: Aetna Medicare |
$128.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$160.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$160.26
|
| Rate for Payer: ASR ASR |
$434.36
|
| Rate for Payer: BCBS Complete |
$70.41
|
| Rate for Payer: BCBS MAPPO |
$128.21
|
| Rate for Payer: BCBS Trust/PPO |
$369.20
|
| Rate for Payer: BCN Commercial |
$369.20
|
| Rate for Payer: BCN Medicare Advantage |
$128.21
|
| Rate for Payer: Cash Price |
$358.23
|
| Rate for Payer: Cash Price |
$358.23
|
| Rate for Payer: Cofinity Commercial |
$420.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.21
|
| Rate for Payer: Healthscope Commercial |
$434.36
|
| Rate for Payer: Healthscope Whirlpool |
$447.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$128.21
|
| Rate for Payer: Mclaren Commercial |
$403.01
|
| Rate for Payer: Mclaren Medicaid |
$128.21
|
| Rate for Payer: Mclaren Medicare |
$128.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.62
|
| Rate for Payer: Meridian Medicaid |
$70.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$147.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.62
|
| Rate for Payer: Nomi Health Commercial |
$367.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.84
|
| Rate for Payer: PACE Medicare |
$121.80
|
| Rate for Payer: PACE SWMI |
$128.21
|
| Rate for Payer: PHP Commercial |
$141.03
|
| Rate for Payer: PHP Medicaid |
$68.72
|
| Rate for Payer: PHP Medicare Advantage |
$128.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$392.35
|
| Rate for Payer: Priority Health Medicare |
$128.21
|
| Rate for Payer: Priority Health Narrow Network |
$313.90
|
| Rate for Payer: Railroad Medicare Medicare |
$128.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$394.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.21
|
| Rate for Payer: UHC Exchange |
$198.73
|
| Rate for Payer: UHC Medicaid |
$67.05
|
| Rate for Payer: UHCCP DNSP |
$128.21
|
| Rate for Payer: UHCCP Medicaid |
$67.05
|
| Rate for Payer: VA VA |
$128.21
|
|
|
HC EMG REPETITIVE STIMULATION
|
Facility
|
IP
|
$447.79
|
|
|
Service Code
|
CPT 95937
|
| Hospital Charge Code |
92200021
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$335.84 |
| Max. Negotiated Rate |
$447.79 |
| Rate for Payer: Aetna Commercial |
$403.01
|
| Rate for Payer: ASR ASR |
$434.36
|
| Rate for Payer: BCBS Trust/PPO |
$367.73
|
| Rate for Payer: BCN Commercial |
$367.73
|
| Rate for Payer: Cash Price |
$358.23
|
| Rate for Payer: Cofinity Commercial |
$420.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$358.23
|
| Rate for Payer: Healthscope Commercial |
$434.36
|
| Rate for Payer: Healthscope Whirlpool |
$447.79
|
| Rate for Payer: Mclaren Commercial |
$403.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$380.62
|
| Rate for Payer: Nomi Health Commercial |
$367.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$394.06
|
|
|
HC EMG SINGLE FIBER
|
Facility
|
IP
|
$468.74
|
|
|
Service Code
|
CPT 95872
|
| Hospital Charge Code |
92200010
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$351.56 |
| Max. Negotiated Rate |
$468.74 |
| Rate for Payer: Aetna Commercial |
$421.87
|
| Rate for Payer: ASR ASR |
$454.68
|
| Rate for Payer: BCBS Trust/PPO |
$384.93
|
| Rate for Payer: BCN Commercial |
$384.93
|
| Rate for Payer: Cash Price |
$374.99
|
| Rate for Payer: Cofinity Commercial |
$440.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$374.99
|
| Rate for Payer: Healthscope Commercial |
$454.68
|
| Rate for Payer: Healthscope Whirlpool |
$468.74
|
| Rate for Payer: Mclaren Commercial |
$421.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$398.43
|
| Rate for Payer: Nomi Health Commercial |
$384.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$412.49
|
|
|
HC EMG SINGLE FIBER
|
Facility
|
OP
|
$468.74
|
|
|
Service Code
|
CPT 95872
|
| Hospital Charge Code |
92200010
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$468.74 |
| Rate for Payer: Aetna Commercial |
$421.87
|
| 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 |
$454.68
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$386.48
|
| Rate for Payer: BCN Commercial |
$386.48
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$374.99
|
| Rate for Payer: Cash Price |
$374.99
|
| Rate for Payer: Cofinity Commercial |
$440.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$374.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$454.68
|
| Rate for Payer: Healthscope Whirlpool |
$468.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$215.15
|
| Rate for Payer: Mclaren Commercial |
$421.87
|
| 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 |
$398.43
|
| Rate for Payer: Nomi Health Commercial |
$384.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.56
|
| 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 |
$410.71
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health Narrow Network |
$328.59
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$412.49
|
| 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 EMG SURFACE FROM LARYNX
|
Facility
|
IP
|
$283.43
|
|
|
Service Code
|
CPT 95999
|
| Hospital Charge Code |
92000010
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$212.57 |
| Max. Negotiated Rate |
$283.43 |
| Rate for Payer: Aetna Commercial |
$255.09
|
| Rate for Payer: ASR ASR |
$274.93
|
| Rate for Payer: BCBS Trust/PPO |
$232.75
|
| Rate for Payer: BCN Commercial |
$232.75
|
| Rate for Payer: Cash Price |
$226.74
|
| Rate for Payer: Cofinity Commercial |
$266.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.74
|
| Rate for Payer: Healthscope Commercial |
$274.93
|
| Rate for Payer: Healthscope Whirlpool |
$283.43
|
| Rate for Payer: Mclaren Commercial |
$255.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.92
|
| Rate for Payer: Nomi Health Commercial |
$232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.42
|
|
|
HC EMG SURFACE FROM LARYNX
|
Facility
|
OP
|
$283.43
|
|
|
Service Code
|
CPT 95999
|
| Hospital Charge Code |
92000010
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$67.05 |
| Max. Negotiated Rate |
$283.43 |
| Rate for Payer: Aetna Commercial |
$255.09
|
| Rate for Payer: Aetna Medicare |
$128.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$160.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$160.26
|
| Rate for Payer: ASR ASR |
$274.93
|
| Rate for Payer: BCBS Complete |
$70.41
|
| Rate for Payer: BCBS MAPPO |
$128.21
|
| Rate for Payer: BCBS Trust/PPO |
$233.69
|
| Rate for Payer: BCN Commercial |
$233.69
|
| Rate for Payer: BCN Medicare Advantage |
$128.21
|
| Rate for Payer: Cash Price |
$226.74
|
| Rate for Payer: Cash Price |
$226.74
|
| Rate for Payer: Cofinity Commercial |
$266.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.21
|
| Rate for Payer: Healthscope Commercial |
$274.93
|
| Rate for Payer: Healthscope Whirlpool |
$283.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$128.21
|
| Rate for Payer: Mclaren Commercial |
$255.09
|
| Rate for Payer: Mclaren Medicaid |
$128.21
|
| Rate for Payer: Mclaren Medicare |
$128.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.62
|
| Rate for Payer: Meridian Medicaid |
$70.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$147.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.92
|
| Rate for Payer: Nomi Health Commercial |
$232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.57
|
| Rate for Payer: PACE Medicare |
$121.80
|
| Rate for Payer: PACE SWMI |
$128.21
|
| Rate for Payer: PHP Commercial |
$141.03
|
| Rate for Payer: PHP Medicaid |
$68.72
|
| Rate for Payer: PHP Medicare Advantage |
$128.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$248.34
|
| Rate for Payer: Priority Health Medicare |
$128.21
|
| Rate for Payer: Priority Health Narrow Network |
$198.68
|
| Rate for Payer: Railroad Medicare Medicare |
$128.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.21
|
| Rate for Payer: UHC Exchange |
$198.73
|
| Rate for Payer: UHC Medicaid |
$67.05
|
| Rate for Payer: UHCCP DNSP |
$128.21
|
| Rate for Payer: UHCCP Medicaid |
$67.05
|
| Rate for Payer: VA VA |
$128.21
|
|
|
HC EMG THORACIC PSP. NEEDLE EXAM
|
Facility
|
IP
|
$535.70
|
|
|
Service Code
|
CPT 95869
|
| Hospital Charge Code |
92200008
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$401.77 |
| Max. Negotiated Rate |
$535.70 |
| Rate for Payer: Aetna Commercial |
$482.13
|
| Rate for Payer: ASR ASR |
$519.63
|
| Rate for Payer: BCBS Trust/PPO |
$439.92
|
| Rate for Payer: BCN Commercial |
$439.92
|
| Rate for Payer: Cash Price |
$428.56
|
| Rate for Payer: Cofinity Commercial |
$503.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.56
|
| Rate for Payer: Healthscope Commercial |
$519.63
|
| Rate for Payer: Healthscope Whirlpool |
$535.70
|
| Rate for Payer: Mclaren Commercial |
$482.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$455.35
|
| Rate for Payer: Nomi Health Commercial |
$439.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$401.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$471.42
|
|
|
HC EMG THORACIC PSP. NEEDLE EXAM
|
Facility
|
OP
|
$535.70
|
|
|
Service Code
|
CPT 95869
|
| Hospital Charge Code |
92200008
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$535.70 |
| Rate for Payer: Aetna Commercial |
$482.13
|
| 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 |
$519.63
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$441.68
|
| Rate for Payer: BCN Commercial |
$441.68
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$428.56
|
| Rate for Payer: Cash Price |
$428.56
|
| Rate for Payer: Cofinity Commercial |
$503.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$519.63
|
| Rate for Payer: Healthscope Whirlpool |
$535.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$215.15
|
| Rate for Payer: Mclaren Commercial |
$482.13
|
| 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 |
$455.35
|
| Rate for Payer: Nomi Health Commercial |
$439.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$401.77
|
| 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 |
$469.38
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health Narrow Network |
$375.53
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$471.42
|
| 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 EMR RENAL BIOPSY (BILL ONLY)
|
Facility
|
OP
|
$596.15
|
|
|
Service Code
|
CPT 88348
|
| Hospital Charge Code |
31200008
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$417.90 |
| Max. Negotiated Rate |
$1,244.31 |
| Rate for Payer: Aetna Commercial |
$536.53
|
| Rate for Payer: Aetna Medicare |
$802.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,003.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,003.48
|
| Rate for Payer: ASR ASR |
$578.27
|
| Rate for Payer: BCBS Complete |
$440.89
|
| Rate for Payer: BCBS MAPPO |
$802.78
|
| Rate for Payer: BCBS Trust/PPO |
$491.53
|
| Rate for Payer: BCN Commercial |
$491.53
|
| Rate for Payer: BCN Medicare Advantage |
$802.78
|
| Rate for Payer: Cash Price |
$476.92
|
| Rate for Payer: Cash Price |
$476.92
|
| Rate for Payer: Cofinity Commercial |
$560.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$802.78
|
| Rate for Payer: Healthscope Commercial |
$578.27
|
| Rate for Payer: Healthscope Whirlpool |
$596.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$802.78
|
| Rate for Payer: Mclaren Commercial |
$536.53
|
| Rate for Payer: Mclaren Medicaid |
$802.78
|
| Rate for Payer: Mclaren Medicare |
$802.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$842.92
|
| Rate for Payer: Meridian Medicaid |
$440.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$923.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$883.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.73
|
| Rate for Payer: Nomi Health Commercial |
$488.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$447.11
|
| Rate for Payer: PACE Medicare |
$762.64
|
| Rate for Payer: PACE SWMI |
$802.78
|
| Rate for Payer: PHP Commercial |
$883.06
|
| Rate for Payer: PHP Medicaid |
$430.29
|
| Rate for Payer: PHP Medicare Advantage |
$802.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$522.35
|
| Rate for Payer: Priority Health Medicare |
$802.78
|
| Rate for Payer: Priority Health Narrow Network |
$417.90
|
| Rate for Payer: Railroad Medicare Medicare |
$802.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$524.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$802.78
|
| Rate for Payer: UHC Exchange |
$1,244.31
|
| Rate for Payer: UHC Medicaid |
$419.85
|
| Rate for Payer: UHCCP DNSP |
$802.78
|
| Rate for Payer: UHCCP Medicaid |
$419.85
|
| Rate for Payer: VA VA |
$802.78
|
|
|
HC EMR RENAL BIOPSY (BILL ONLY)
|
Facility
|
IP
|
$596.15
|
|
|
Service Code
|
CPT 88348
|
| Hospital Charge Code |
31200008
|
|
Hospital Revenue Code
|
312
|
| Min. Negotiated Rate |
$447.11 |
| Max. Negotiated Rate |
$596.15 |
| Rate for Payer: Aetna Commercial |
$536.53
|
| Rate for Payer: ASR ASR |
$578.27
|
| Rate for Payer: BCBS Trust/PPO |
$489.56
|
| Rate for Payer: BCN Commercial |
$489.56
|
| Rate for Payer: Cash Price |
$476.92
|
| Rate for Payer: Cofinity Commercial |
$560.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.92
|
| Rate for Payer: Healthscope Commercial |
$578.27
|
| Rate for Payer: Healthscope Whirlpool |
$596.15
|
| Rate for Payer: Mclaren Commercial |
$536.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.73
|
| Rate for Payer: Nomi Health Commercial |
$488.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$447.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$524.61
|
|
|
HC ENA EXTRACTABLE NUCLEAR AB PANEL
|
Facility
|
OP
|
$33.76
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200170
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$169.49 |
| Rate for Payer: Aetna Commercial |
$30.38
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: ASR ASR |
$32.75
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$27.84
|
| Rate for Payer: BCN Commercial |
$27.84
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$27.01
|
| Rate for Payer: Cash Price |
$27.01
|
| Rate for Payer: Cofinity Commercial |
$31.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$32.75
|
| Rate for Payer: Healthscope Whirlpool |
$33.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.93
|
| Rate for Payer: Mclaren Commercial |
$30.38
|
| Rate for Payer: Mclaren Medicaid |
$17.93
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$9.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.70
|
| Rate for Payer: Nomi Health Commercial |
$27.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.32
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$19.72
|
| Rate for Payer: PHP Medicaid |
$9.61
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.49
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$135.59
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$27.79
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP DNSP |
$17.93
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: VA VA |
$17.93
|
|
|
HC ENA EXTRACTABLE NUCLEAR AB PANEL
|
Facility
|
IP
|
$33.76
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200170
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$25.32 |
| Max. Negotiated Rate |
$33.76 |
| Rate for Payer: Aetna Commercial |
$30.38
|
| Rate for Payer: ASR ASR |
$32.75
|
| Rate for Payer: BCBS Trust/PPO |
$27.72
|
| Rate for Payer: BCN Commercial |
$27.72
|
| Rate for Payer: Cash Price |
$27.01
|
| Rate for Payer: Cofinity Commercial |
$31.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.01
|
| Rate for Payer: Healthscope Commercial |
$32.75
|
| Rate for Payer: Healthscope Whirlpool |
$33.76
|
| Rate for Payer: Mclaren Commercial |
$30.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.70
|
| Rate for Payer: Nomi Health Commercial |
$27.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.71
|
|
|
HC ENA EXTRACTABLE NUCLEAR AB SCREEN
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200169
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$26.90 |
| Max. Negotiated Rate |
$35.87 |
| Rate for Payer: Aetna Commercial |
$32.28
|
| Rate for Payer: ASR ASR |
$34.79
|
| Rate for Payer: BCBS Trust/PPO |
$29.46
|
| Rate for Payer: BCN Commercial |
$29.46
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$33.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$34.79
|
| Rate for Payer: Healthscope Whirlpool |
$35.87
|
| Rate for Payer: Mclaren Commercial |
$32.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.57
|
|
|
HC ENA EXTRACTABLE NUCLEAR AB SCREEN
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200169
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$169.49 |
| Rate for Payer: Aetna Commercial |
$32.28
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: ASR ASR |
$34.79
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$29.57
|
| Rate for Payer: BCN Commercial |
$29.57
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$33.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$34.79
|
| Rate for Payer: Healthscope Whirlpool |
$35.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.93
|
| Rate for Payer: Mclaren Commercial |
$32.28
|
| Rate for Payer: Mclaren Medicaid |
$17.93
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$9.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$19.72
|
| Rate for Payer: PHP Medicaid |
$9.61
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.49
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$135.59
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$27.79
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP DNSP |
$17.93
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: VA VA |
$17.93
|
|
|
HC ENCEPHALOPATHY EVAL, CSF
|
Facility
|
IP
|
$157.10
|
|
|
Service Code
|
CPT 86341
|
| Hospital Charge Code |
30100723
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$117.83 |
| Max. Negotiated Rate |
$157.10 |
| Rate for Payer: Aetna Commercial |
$141.39
|
| Rate for Payer: ASR ASR |
$152.39
|
| Rate for Payer: BCBS Trust/PPO |
$129.01
|
| Rate for Payer: BCN Commercial |
$129.01
|
| Rate for Payer: Cash Price |
$125.68
|
| Rate for Payer: Cofinity Commercial |
$147.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.68
|
| Rate for Payer: Healthscope Commercial |
$152.39
|
| Rate for Payer: Healthscope Whirlpool |
$157.10
|
| Rate for Payer: Mclaren Commercial |
$141.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.53
|
| Rate for Payer: Nomi Health Commercial |
$128.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$138.25
|
|
|
HC ENCEPHALOPATHY EVAL, CSF
|
Facility
|
OP
|
$157.10
|
|
|
Service Code
|
CPT 86341
|
| Hospital Charge Code |
30100723
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.33 |
| Max. Negotiated Rate |
$157.10 |
| Rate for Payer: Aetna Commercial |
$141.39
|
| Rate for Payer: Aetna Medicare |
$23.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.46
|
| Rate for Payer: ASR ASR |
$152.39
|
| Rate for Payer: BCBS Complete |
$12.94
|
| Rate for Payer: BCBS MAPPO |
$23.57
|
| Rate for Payer: BCBS Trust/PPO |
$129.53
|
| Rate for Payer: BCN Commercial |
$129.53
|
| Rate for Payer: BCN Medicare Advantage |
$23.57
|
| Rate for Payer: Cash Price |
$125.68
|
| Rate for Payer: Cash Price |
$125.68
|
| Rate for Payer: Cofinity Commercial |
$147.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.57
|
| Rate for Payer: Healthscope Commercial |
$152.39
|
| Rate for Payer: Healthscope Whirlpool |
$157.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$23.57
|
| Rate for Payer: Mclaren Commercial |
$141.39
|
| Rate for Payer: Mclaren Medicaid |
$23.57
|
| Rate for Payer: Mclaren Medicare |
$23.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.75
|
| Rate for Payer: Meridian Medicaid |
$12.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.53
|
| Rate for Payer: Nomi Health Commercial |
$128.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.83
|
| Rate for Payer: PACE Medicare |
$22.39
|
| Rate for Payer: PACE SWMI |
$23.57
|
| Rate for Payer: PHP Commercial |
$25.93
|
| Rate for Payer: PHP Medicaid |
$12.63
|
| Rate for Payer: PHP Medicare Advantage |
$23.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$137.65
|
| Rate for Payer: Priority Health Medicare |
$23.57
|
| Rate for Payer: Priority Health Narrow Network |
$110.13
|
| Rate for Payer: Railroad Medicare Medicare |
$23.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$138.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23.57
|
| Rate for Payer: UHC Exchange |
$36.53
|
| Rate for Payer: UHC Medicaid |
$12.33
|
| Rate for Payer: UHCCP DNSP |
$23.57
|
| Rate for Payer: UHCCP Medicaid |
$12.33
|
| Rate for Payer: VA VA |
$23.57
|
|
|
HC ENCEPHALOPATHY EVAL, CSF CMPT 1
|
Facility
|
IP
|
$68.36
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200485
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$51.27 |
| Max. Negotiated Rate |
$68.36 |
| Rate for Payer: Aetna Commercial |
$61.52
|
| Rate for Payer: ASR ASR |
$66.31
|
| Rate for Payer: BCBS Trust/PPO |
$56.14
|
| Rate for Payer: BCN Commercial |
$56.14
|
| Rate for Payer: Cash Price |
$54.69
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.69
|
| Rate for Payer: Healthscope Commercial |
$66.31
|
| Rate for Payer: Healthscope Whirlpool |
$68.36
|
| Rate for Payer: Mclaren Commercial |
$61.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.11
|
| Rate for Payer: Nomi Health Commercial |
$56.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.16
|
|
|
HC ENCEPHALOPATHY EVAL, CSF CMPT 1
|
Facility
|
OP
|
$68.36
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200485
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$250.58 |
| Rate for Payer: Aetna Commercial |
$61.52
|
| 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 |
$66.31
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$56.36
|
| Rate for Payer: BCN Commercial |
$56.36
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$54.69
|
| Rate for Payer: Cash Price |
$54.69
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$66.31
|
| Rate for Payer: Healthscope Whirlpool |
$68.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$61.52
|
| 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 |
$58.11
|
| Rate for Payer: Nomi Health Commercial |
$56.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.27
|
| 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 |
$60.16
|
| 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
|
|
|
HC ENCEPHALOPATHY EVAL, S CMPT 1
|
Facility
|
IP
|
$157.58
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100722
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$118.19 |
| Max. Negotiated Rate |
$157.58 |
| Rate for Payer: Aetna Commercial |
$141.82
|
| Rate for Payer: ASR ASR |
$152.85
|
| Rate for Payer: BCBS Trust/PPO |
$129.40
|
| Rate for Payer: BCN Commercial |
$129.40
|
| Rate for Payer: Cash Price |
$126.06
|
| Rate for Payer: Cofinity Commercial |
$148.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.06
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Whirlpool |
$157.58
|
| Rate for Payer: Mclaren Commercial |
$141.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.94
|
| Rate for Payer: Nomi Health Commercial |
$129.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$138.67
|
|
|
HC ENCEPHALOPATHY EVAL, S CMPT 1
|
Facility
|
OP
|
$157.58
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100722
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.62 |
| Max. Negotiated Rate |
$232.43 |
| Rate for Payer: Aetna Commercial |
$141.82
|
| Rate for Payer: Aetna Medicare |
$18.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.00
|
| Rate for Payer: ASR ASR |
$152.85
|
| Rate for Payer: BCBS Complete |
$10.11
|
| Rate for Payer: BCBS MAPPO |
$18.40
|
| Rate for Payer: BCBS Trust/PPO |
$129.92
|
| Rate for Payer: BCN Commercial |
$129.92
|
| Rate for Payer: BCN Medicare Advantage |
$18.40
|
| Rate for Payer: Cash Price |
$126.06
|
| Rate for Payer: Cash Price |
$126.06
|
| Rate for Payer: Cofinity Commercial |
$148.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.40
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Whirlpool |
$157.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.40
|
| Rate for Payer: Mclaren Commercial |
$141.82
|
| Rate for Payer: Mclaren Medicaid |
$18.40
|
| Rate for Payer: Mclaren Medicare |
$18.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.32
|
| Rate for Payer: Meridian Medicaid |
$10.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.94
|
| Rate for Payer: Nomi Health Commercial |
$129.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.19
|
| Rate for Payer: PACE Medicare |
$17.48
|
| Rate for Payer: PACE SWMI |
$18.40
|
| Rate for Payer: PHP Commercial |
$20.24
|
| Rate for Payer: PHP Medicaid |
$9.86
|
| Rate for Payer: PHP Medicare Advantage |
$18.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$232.43
|
| Rate for Payer: Priority Health Medicare |
$18.40
|
| Rate for Payer: Priority Health Narrow Network |
$185.94
|
| Rate for Payer: Railroad Medicare Medicare |
$18.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$138.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.40
|
| Rate for Payer: UHC Exchange |
$28.52
|
| Rate for Payer: UHC Medicaid |
$9.62
|
| Rate for Payer: UHCCP DNSP |
$18.40
|
| Rate for Payer: UHCCP Medicaid |
$9.62
|
| Rate for Payer: VA VA |
$18.40
|
|
