|
HC EXTERNAL EKG RECORDIN >48 HRS UP TO 7 DAYS
|
Facility
|
IP
|
$92.95
|
|
|
Service Code
|
CPT 93242
|
| Hospital Charge Code |
48000030
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$69.71 |
| Max. Negotiated Rate |
$92.95 |
| Rate for Payer: Aetna Commercial |
$83.66
|
| Rate for Payer: ASR ASR |
$90.16
|
| Rate for Payer: BCBS Trust/PPO |
$76.33
|
| Rate for Payer: BCN Commercial |
$76.33
|
| Rate for Payer: Cash Price |
$74.36
|
| Rate for Payer: Cofinity Commercial |
$87.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.36
|
| Rate for Payer: Healthscope Commercial |
$90.16
|
| Rate for Payer: Healthscope Whirlpool |
$92.95
|
| Rate for Payer: Mclaren Commercial |
$83.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.01
|
| Rate for Payer: Nomi Health Commercial |
$76.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$81.80
|
|
|
HC EXTERNAL EKG RECORDING >7 DAYS UP TO 15 DAYS
|
Facility
|
OP
|
$140.14
|
|
|
Service Code
|
CPT 93246
|
| Hospital Charge Code |
48000031
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$19.47 |
| Max. Negotiated Rate |
$140.14 |
| Rate for Payer: Aetna Commercial |
$126.13
|
| Rate for Payer: Aetna Medicare |
$37.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46.52
|
| Rate for Payer: ASR ASR |
$135.94
|
| Rate for Payer: BCBS Complete |
$20.44
|
| Rate for Payer: BCBS MAPPO |
$37.22
|
| Rate for Payer: BCBS Trust/PPO |
$115.55
|
| Rate for Payer: BCN Commercial |
$115.55
|
| Rate for Payer: BCN Medicare Advantage |
$37.22
|
| Rate for Payer: Cash Price |
$112.11
|
| Rate for Payer: Cash Price |
$112.11
|
| Rate for Payer: Cofinity Commercial |
$131.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.22
|
| Rate for Payer: Healthscope Commercial |
$135.94
|
| Rate for Payer: Healthscope Whirlpool |
$140.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$37.22
|
| Rate for Payer: Mclaren Commercial |
$126.13
|
| Rate for Payer: Mclaren Medicaid |
$37.22
|
| Rate for Payer: Mclaren Medicare |
$37.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.08
|
| Rate for Payer: Meridian Medicaid |
$20.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.12
|
| Rate for Payer: Nomi Health Commercial |
$114.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.11
|
| Rate for Payer: PACE Medicare |
$35.36
|
| Rate for Payer: PACE SWMI |
$37.22
|
| Rate for Payer: PHP Commercial |
$40.94
|
| Rate for Payer: PHP Medicaid |
$19.95
|
| Rate for Payer: PHP Medicare Advantage |
$37.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$122.79
|
| Rate for Payer: Priority Health Medicare |
$37.22
|
| Rate for Payer: Priority Health Narrow Network |
$98.24
|
| Rate for Payer: Railroad Medicare Medicare |
$37.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$123.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.22
|
| Rate for Payer: UHC Exchange |
$57.69
|
| Rate for Payer: UHC Medicaid |
$19.47
|
| Rate for Payer: UHCCP DNSP |
$37.22
|
| Rate for Payer: UHCCP Medicaid |
$19.47
|
| Rate for Payer: VA VA |
$37.22
|
|
|
HC EXTERNAL EKG RECORDING >7 DAYS UP TO 15 DAYS
|
Facility
|
IP
|
$140.14
|
|
|
Service Code
|
CPT 93246
|
| Hospital Charge Code |
48000031
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$105.11 |
| Max. Negotiated Rate |
$140.14 |
| Rate for Payer: Aetna Commercial |
$126.13
|
| Rate for Payer: ASR ASR |
$135.94
|
| Rate for Payer: BCBS Trust/PPO |
$115.08
|
| Rate for Payer: BCN Commercial |
$115.08
|
| Rate for Payer: Cash Price |
$112.11
|
| Rate for Payer: Cofinity Commercial |
$131.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.11
|
| Rate for Payer: Healthscope Commercial |
$135.94
|
| Rate for Payer: Healthscope Whirlpool |
$140.14
|
| Rate for Payer: Mclaren Commercial |
$126.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.12
|
| Rate for Payer: Nomi Health Commercial |
$114.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$123.32
|
|
|
HC EXTERNAL PACER
|
Facility
|
IP
|
$587.96
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
48000001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$440.97 |
| Max. Negotiated Rate |
$587.96 |
| Rate for Payer: Aetna Commercial |
$529.16
|
| Rate for Payer: ASR ASR |
$570.32
|
| Rate for Payer: BCBS Trust/PPO |
$482.83
|
| Rate for Payer: BCN Commercial |
$482.83
|
| Rate for Payer: Cash Price |
$470.37
|
| Rate for Payer: Cofinity Commercial |
$552.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$470.37
|
| Rate for Payer: Healthscope Commercial |
$570.32
|
| Rate for Payer: Healthscope Whirlpool |
$587.96
|
| Rate for Payer: Mclaren Commercial |
$529.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$499.77
|
| Rate for Payer: Nomi Health Commercial |
$482.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$440.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$517.40
|
|
|
HC EXTERNAL PACER
|
Facility
|
OP
|
$587.96
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
48000001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$344.43 |
| Max. Negotiated Rate |
$1,020.78 |
| Rate for Payer: Aetna Commercial |
$529.16
|
| Rate for Payer: Aetna Medicare |
$658.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$823.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$823.21
|
| Rate for Payer: ASR ASR |
$570.32
|
| Rate for Payer: BCBS Complete |
$361.69
|
| Rate for Payer: BCBS MAPPO |
$658.57
|
| Rate for Payer: BCBS Trust/PPO |
$484.77
|
| Rate for Payer: BCN Commercial |
$484.77
|
| Rate for Payer: BCN Medicare Advantage |
$658.57
|
| Rate for Payer: Cash Price |
$470.37
|
| Rate for Payer: Cash Price |
$470.37
|
| Rate for Payer: Cofinity Commercial |
$552.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$470.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.57
|
| Rate for Payer: Healthscope Commercial |
$570.32
|
| Rate for Payer: Healthscope Whirlpool |
$587.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$658.57
|
| Rate for Payer: Mclaren Commercial |
$529.16
|
| Rate for Payer: Mclaren Medicaid |
$658.57
|
| Rate for Payer: Mclaren Medicare |
$658.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$691.50
|
| Rate for Payer: Meridian Medicaid |
$361.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$757.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$724.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$499.77
|
| Rate for Payer: Nomi Health Commercial |
$482.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$440.97
|
| Rate for Payer: PACE Medicare |
$625.64
|
| Rate for Payer: PACE SWMI |
$658.57
|
| Rate for Payer: PHP Commercial |
$724.43
|
| Rate for Payer: PHP Medicaid |
$352.99
|
| Rate for Payer: PHP Medicare Advantage |
$658.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$344.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$515.17
|
| Rate for Payer: Priority Health Medicare |
$658.57
|
| Rate for Payer: Priority Health Narrow Network |
$412.16
|
| Rate for Payer: Railroad Medicare Medicare |
$658.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$517.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$658.57
|
| Rate for Payer: UHC Exchange |
$1,020.78
|
| Rate for Payer: UHC Medicaid |
$344.43
|
| Rate for Payer: UHCCP DNSP |
$658.57
|
| Rate for Payer: UHCCP Medicaid |
$344.43
|
| Rate for Payer: VA VA |
$658.57
|
|
|
HC EXTERNAL VERSION
|
Facility
|
IP
|
$2,895.09
|
|
|
Service Code
|
CPT 59412
|
| Hospital Charge Code |
36100121
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,171.32 |
| Max. Negotiated Rate |
$2,895.09 |
| Rate for Payer: Aetna Commercial |
$2,605.58
|
| Rate for Payer: ASR ASR |
$2,808.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,377.45
|
| Rate for Payer: BCN Commercial |
$2,377.45
|
| Rate for Payer: Cash Price |
$2,316.07
|
| Rate for Payer: Cofinity Commercial |
$2,721.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,316.07
|
| Rate for Payer: Healthscope Commercial |
$2,808.24
|
| Rate for Payer: Healthscope Whirlpool |
$2,895.09
|
| Rate for Payer: Mclaren Commercial |
$2,605.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,460.83
|
| Rate for Payer: Nomi Health Commercial |
$2,373.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,171.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,547.68
|
|
|
HC EXTERNAL VERSION
|
Facility
|
OP
|
$2,895.09
|
|
|
Service Code
|
CPT 59412
|
| Hospital Charge Code |
36100121
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,686.93 |
| Max. Negotiated Rate |
$4,999.51 |
| Rate for Payer: Aetna Commercial |
$2,605.58
|
| Rate for Payer: Aetna Medicare |
$3,225.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,031.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,031.86
|
| Rate for Payer: ASR ASR |
$2,808.24
|
| Rate for Payer: BCBS Complete |
$1,771.44
|
| Rate for Payer: BCBS MAPPO |
$3,225.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,387.00
|
| Rate for Payer: BCN Commercial |
$2,387.00
|
| Rate for Payer: BCN Medicare Advantage |
$3,225.49
|
| Rate for Payer: Cash Price |
$2,316.07
|
| Rate for Payer: Cash Price |
$2,316.07
|
| Rate for Payer: Cofinity Commercial |
$2,721.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,316.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,225.49
|
| Rate for Payer: Healthscope Commercial |
$2,808.24
|
| Rate for Payer: Healthscope Whirlpool |
$2,895.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,225.49
|
| Rate for Payer: Mclaren Commercial |
$2,605.58
|
| Rate for Payer: Mclaren Medicaid |
$3,225.49
|
| Rate for Payer: Mclaren Medicare |
$3,225.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,386.76
|
| Rate for Payer: Meridian Medicaid |
$1,771.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,709.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,548.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,460.83
|
| Rate for Payer: Nomi Health Commercial |
$2,373.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,171.32
|
| Rate for Payer: PACE Medicare |
$3,064.22
|
| Rate for Payer: PACE SWMI |
$3,225.49
|
| Rate for Payer: PHP Commercial |
$3,548.04
|
| Rate for Payer: PHP Medicaid |
$1,728.86
|
| Rate for Payer: PHP Medicare Advantage |
$3,225.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,686.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,447.68
|
| Rate for Payer: Priority Health Medicare |
$3,225.49
|
| Rate for Payer: Priority Health Narrow Network |
$2,758.14
|
| Rate for Payer: Railroad Medicare Medicare |
$3,225.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,547.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,225.49
|
| Rate for Payer: UHC Exchange |
$4,999.51
|
| Rate for Payer: UHC Medicaid |
$1,686.93
|
| Rate for Payer: UHCCP DNSP |
$3,225.49
|
| Rate for Payer: UHCCP Medicaid |
$1,686.93
|
| Rate for Payer: VA VA |
$3,225.49
|
|
|
HC EXTRACTION
|
Facility
|
IP
|
$278.14
|
|
|
Service Code
|
CPT 10040
|
| Hospital Charge Code |
76100282
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$208.60 |
| Max. Negotiated Rate |
$278.14 |
| Rate for Payer: Aetna Commercial |
$250.33
|
| Rate for Payer: ASR ASR |
$269.80
|
| Rate for Payer: BCBS Trust/PPO |
$228.41
|
| Rate for Payer: BCN Commercial |
$228.41
|
| Rate for Payer: Cash Price |
$222.51
|
| Rate for Payer: Cofinity Commercial |
$261.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$222.51
|
| Rate for Payer: Healthscope Commercial |
$269.80
|
| Rate for Payer: Healthscope Whirlpool |
$278.14
|
| Rate for Payer: Mclaren Commercial |
$250.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.42
|
| Rate for Payer: Nomi Health Commercial |
$228.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$208.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$244.76
|
|
|
HC EXTRACTION
|
Facility
|
OP
|
$278.14
|
|
|
Service Code
|
CPT 10040
|
| Hospital Charge Code |
76100282
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.55 |
| Max. Negotiated Rate |
$309.86 |
| Rate for Payer: Aetna Commercial |
$250.33
|
| Rate for Payer: Aetna Medicare |
$199.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: ASR ASR |
$269.80
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$229.33
|
| Rate for Payer: BCN Commercial |
$229.33
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$222.51
|
| Rate for Payer: Cash Price |
$222.51
|
| Rate for Payer: Cofinity Commercial |
$261.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$222.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$269.80
|
| Rate for Payer: Healthscope Whirlpool |
$278.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$199.91
|
| Rate for Payer: Mclaren Commercial |
$250.33
|
| Rate for Payer: Mclaren Medicaid |
$199.91
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$109.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.42
|
| Rate for Payer: Nomi Health Commercial |
$228.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$208.60
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$219.90
|
| Rate for Payer: PHP Medicaid |
$107.15
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$243.71
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health Narrow Network |
$194.98
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$244.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.91
|
| Rate for Payer: UHC Exchange |
$309.86
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP DNSP |
$199.91
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: VA VA |
$199.91
|
|
|
HC EXTRAORAL INC AND DRAIN ABSC, CYST, HEMATOMA FLOOR OF MOUTH SUBLING
|
Facility
|
IP
|
$398.50
|
|
|
Service Code
|
CPT 41015
|
| Hospital Charge Code |
76100137
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$298.88 |
| Max. Negotiated Rate |
$398.50 |
| Rate for Payer: Aetna Commercial |
$358.65
|
| Rate for Payer: ASR ASR |
$386.55
|
| Rate for Payer: BCBS Trust/PPO |
$327.25
|
| Rate for Payer: BCN Commercial |
$327.25
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Commercial |
$374.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Healthscope Commercial |
$386.55
|
| Rate for Payer: Healthscope Whirlpool |
$398.50
|
| Rate for Payer: Mclaren Commercial |
$358.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$326.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$350.68
|
|
|
HC EXTRAORAL INC AND DRAIN ABSC, CYST, HEMATOMA FLOOR OF MOUTH SUBLING
|
Facility
|
OP
|
$398.50
|
|
|
Service Code
|
CPT 41015
|
| Hospital Charge Code |
76100137
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$279.35 |
| Max. Negotiated Rate |
$832.95 |
| Rate for Payer: Aetna Commercial |
$358.65
|
| Rate for Payer: Aetna Medicare |
$537.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.74
|
| Rate for Payer: ASR ASR |
$386.55
|
| Rate for Payer: BCBS Complete |
$295.13
|
| Rate for Payer: BCBS MAPPO |
$537.39
|
| Rate for Payer: BCBS Trust/PPO |
$328.56
|
| Rate for Payer: BCN Commercial |
$328.56
|
| Rate for Payer: BCN Medicare Advantage |
$537.39
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cash Price |
$318.80
|
| Rate for Payer: Cofinity Commercial |
$374.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.39
|
| Rate for Payer: Healthscope Commercial |
$386.55
|
| Rate for Payer: Healthscope Whirlpool |
$398.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$537.39
|
| Rate for Payer: Mclaren Commercial |
$358.65
|
| Rate for Payer: Mclaren Medicaid |
$537.39
|
| Rate for Payer: Mclaren Medicare |
$537.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.26
|
| Rate for Payer: Meridian Medicaid |
$295.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$618.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.73
|
| Rate for Payer: Nomi Health Commercial |
$326.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.88
|
| Rate for Payer: PACE Medicare |
$510.52
|
| Rate for Payer: PACE SWMI |
$537.39
|
| Rate for Payer: PHP Commercial |
$591.13
|
| Rate for Payer: PHP Medicaid |
$288.04
|
| Rate for Payer: PHP Medicare Advantage |
$537.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$349.17
|
| Rate for Payer: Priority Health Medicare |
$537.39
|
| Rate for Payer: Priority Health Narrow Network |
$279.35
|
| Rate for Payer: Railroad Medicare Medicare |
$537.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$350.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.39
|
| Rate for Payer: UHC Exchange |
$832.95
|
| Rate for Payer: UHC Medicaid |
$281.05
|
| Rate for Payer: UHCCP DNSP |
$537.39
|
| Rate for Payer: UHCCP Medicaid |
$281.05
|
| Rate for Payer: VA VA |
$537.39
|
|
|
HC EXTRA VASCULAR ICD
|
Facility
|
IP
|
$26,875.00
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800160
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20,156.25 |
| Max. Negotiated Rate |
$26,875.00 |
| Rate for Payer: Aetna Commercial |
$24,187.50
|
| Rate for Payer: ASR ASR |
$26,068.75
|
| Rate for Payer: BCBS Trust/PPO |
$22,069.75
|
| Rate for Payer: BCN Commercial |
$22,069.75
|
| Rate for Payer: Cash Price |
$21,500.00
|
| Rate for Payer: Cofinity Commercial |
$25,262.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,500.00
|
| Rate for Payer: Healthscope Commercial |
$26,068.75
|
| Rate for Payer: Healthscope Whirlpool |
$26,875.00
|
| Rate for Payer: Mclaren Commercial |
$24,187.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,843.75
|
| Rate for Payer: Nomi Health Commercial |
$22,037.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20,156.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23,650.00
|
|
|
HC EXTRA VASCULAR ICD
|
Facility
|
OP
|
$26,875.00
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800160
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,943.75 |
| Max. Negotiated Rate |
$26,875.00 |
| Rate for Payer: Aetna Commercial |
$24,187.50
|
| Rate for Payer: Aetna Medicare |
$9,943.75
|
| Rate for Payer: ASR ASR |
$26,068.75
|
| Rate for Payer: BCBS Complete |
$10,750.00
|
| Rate for Payer: BCBS Trust/PPO |
$22,158.44
|
| Rate for Payer: BCN Commercial |
$22,158.44
|
| Rate for Payer: Cash Price |
$21,500.00
|
| Rate for Payer: Cofinity Commercial |
$25,262.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21,500.00
|
| Rate for Payer: Healthscope Commercial |
$26,068.75
|
| Rate for Payer: Healthscope Whirlpool |
$26,875.00
|
| Rate for Payer: Mclaren Commercial |
$24,187.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,500.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,843.75
|
| Rate for Payer: Nomi Health Commercial |
$22,037.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20,156.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$23,547.88
|
| Rate for Payer: Priority Health Narrow Network |
$18,839.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23,650.00
|
|
|
HC EXTRA VASCULAR LEAD
|
Facility
|
OP
|
$8,085.00
|
|
|
Service Code
|
HCPCS C1896
|
| Hospital Charge Code |
27800161
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,991.45 |
| Max. Negotiated Rate |
$8,085.00 |
| Rate for Payer: Aetna Commercial |
$7,276.50
|
| Rate for Payer: Aetna Medicare |
$2,991.45
|
| Rate for Payer: ASR ASR |
$7,842.45
|
| Rate for Payer: BCBS Complete |
$3,234.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,666.08
|
| Rate for Payer: BCN Commercial |
$6,666.08
|
| Rate for Payer: Cash Price |
$6,468.00
|
| Rate for Payer: Cofinity Commercial |
$7,599.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,468.00
|
| Rate for Payer: Healthscope Commercial |
$7,842.45
|
| Rate for Payer: Healthscope Whirlpool |
$8,085.00
|
| Rate for Payer: Mclaren Commercial |
$7,276.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,468.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,872.25
|
| Rate for Payer: Nomi Health Commercial |
$6,629.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,063.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,084.08
|
| Rate for Payer: Priority Health Narrow Network |
$5,667.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,114.80
|
|
|
HC EXTRA VASCULAR LEAD
|
Facility
|
IP
|
$8,085.00
|
|
|
Service Code
|
HCPCS C1896
|
| Hospital Charge Code |
27800161
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,063.75 |
| Max. Negotiated Rate |
$8,085.00 |
| Rate for Payer: Aetna Commercial |
$7,276.50
|
| Rate for Payer: ASR ASR |
$7,842.45
|
| Rate for Payer: BCBS Trust/PPO |
$6,639.40
|
| Rate for Payer: BCN Commercial |
$6,639.40
|
| Rate for Payer: Cash Price |
$6,468.00
|
| Rate for Payer: Cofinity Commercial |
$7,599.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,468.00
|
| Rate for Payer: Healthscope Commercial |
$7,842.45
|
| Rate for Payer: Healthscope Whirlpool |
$8,085.00
|
| Rate for Payer: Mclaren Commercial |
$7,276.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,872.25
|
| Rate for Payer: Nomi Health Commercial |
$6,629.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,063.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,114.80
|
|
|
HC EXTRA VASCULAR STERNAL TUNNELING TOOL
|
Facility
|
OP
|
$1,500.00
|
|
| Hospital Charge Code |
27200398
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$555.00 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$1,350.00
|
| Rate for Payer: Aetna Medicare |
$555.00
|
| Rate for Payer: ASR ASR |
$1,455.00
|
| Rate for Payer: BCBS Complete |
$600.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,236.75
|
| Rate for Payer: BCN Commercial |
$1,236.75
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cofinity Commercial |
$1,410.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,200.00
|
| Rate for Payer: Healthscope Commercial |
$1,455.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,500.00
|
| Rate for Payer: Mclaren Commercial |
$1,350.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,200.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.00
|
| Rate for Payer: Nomi Health Commercial |
$1,230.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,314.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,051.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,320.00
|
|
|
HC EXTRA VASCULAR STERNAL TUNNELING TOOL
|
Facility
|
IP
|
$1,500.00
|
|
| Hospital Charge Code |
27200398
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,125.00 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$1,350.00
|
| Rate for Payer: ASR ASR |
$1,455.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,231.80
|
| Rate for Payer: BCN Commercial |
$1,231.80
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cofinity Commercial |
$1,410.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,200.00
|
| Rate for Payer: Healthscope Commercial |
$1,455.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,500.00
|
| Rate for Payer: Mclaren Commercial |
$1,350.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.00
|
| Rate for Payer: Nomi Health Commercial |
$1,230.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,320.00
|
|
|
HC EXTRA VASCULAR TRANSVERSE TUNNELING TOOL
|
Facility
|
IP
|
$1,500.00
|
|
| Hospital Charge Code |
27200399
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,125.00 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$1,350.00
|
| Rate for Payer: ASR ASR |
$1,455.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,231.80
|
| Rate for Payer: BCN Commercial |
$1,231.80
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cofinity Commercial |
$1,410.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,200.00
|
| Rate for Payer: Healthscope Commercial |
$1,455.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,500.00
|
| Rate for Payer: Mclaren Commercial |
$1,350.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.00
|
| Rate for Payer: Nomi Health Commercial |
$1,230.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,320.00
|
|
|
HC EXTRA VASCULAR TRANSVERSE TUNNELING TOOL
|
Facility
|
OP
|
$1,500.00
|
|
| Hospital Charge Code |
27200399
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$555.00 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$1,350.00
|
| Rate for Payer: Aetna Medicare |
$555.00
|
| Rate for Payer: ASR ASR |
$1,455.00
|
| Rate for Payer: BCBS Complete |
$600.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,236.75
|
| Rate for Payer: BCN Commercial |
$1,236.75
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cofinity Commercial |
$1,410.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,200.00
|
| Rate for Payer: Healthscope Commercial |
$1,455.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,500.00
|
| Rate for Payer: Mclaren Commercial |
$1,350.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,200.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.00
|
| Rate for Payer: Nomi Health Commercial |
$1,230.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,314.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,051.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,320.00
|
|
|
HC EZPAP SUPPLY
|
Facility
|
IP
|
$130.55
|
|
| Hospital Charge Code |
27000072
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$97.91 |
| Max. Negotiated Rate |
$130.55 |
| Rate for Payer: Aetna Commercial |
$117.50
|
| Rate for Payer: ASR ASR |
$126.63
|
| Rate for Payer: BCBS Trust/PPO |
$107.21
|
| Rate for Payer: BCN Commercial |
$107.21
|
| Rate for Payer: Cash Price |
$104.44
|
| Rate for Payer: Cofinity Commercial |
$122.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.44
|
| Rate for Payer: Healthscope Commercial |
$126.63
|
| Rate for Payer: Healthscope Whirlpool |
$130.55
|
| Rate for Payer: Mclaren Commercial |
$117.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.97
|
| Rate for Payer: Nomi Health Commercial |
$107.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$114.88
|
|
|
HC EZPAP SUPPLY
|
Facility
|
OP
|
$130.55
|
|
| Hospital Charge Code |
27000072
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.30 |
| Max. Negotiated Rate |
$130.55 |
| Rate for Payer: Aetna Commercial |
$117.50
|
| Rate for Payer: Aetna Medicare |
$48.30
|
| Rate for Payer: ASR ASR |
$126.63
|
| Rate for Payer: BCBS Complete |
$52.22
|
| Rate for Payer: BCBS Trust/PPO |
$107.64
|
| Rate for Payer: BCN Commercial |
$107.64
|
| Rate for Payer: Cash Price |
$104.44
|
| Rate for Payer: Cofinity Commercial |
$122.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.44
|
| Rate for Payer: Healthscope Commercial |
$126.63
|
| Rate for Payer: Healthscope Whirlpool |
$130.55
|
| Rate for Payer: Mclaren Commercial |
$117.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.97
|
| Rate for Payer: Nomi Health Commercial |
$107.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$114.39
|
| Rate for Payer: Priority Health Narrow Network |
$91.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$114.88
|
|
|
HC F-18 SODIUM FLUORIDE <=30MCI
|
Facility
|
OP
|
$494.43
|
|
|
Service Code
|
HCPCS A9580
|
| Hospital Charge Code |
34300028
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$182.94 |
| Max. Negotiated Rate |
$494.43 |
| Rate for Payer: Aetna Commercial |
$444.99
|
| Rate for Payer: Aetna Medicare |
$182.94
|
| Rate for Payer: ASR ASR |
$479.60
|
| Rate for Payer: BCBS Complete |
$197.77
|
| Rate for Payer: BCBS Trust/PPO |
$407.66
|
| Rate for Payer: BCN Commercial |
$407.66
|
| Rate for Payer: Cash Price |
$395.54
|
| Rate for Payer: Cash Price |
$395.54
|
| Rate for Payer: Cofinity Commercial |
$464.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$395.54
|
| Rate for Payer: Healthscope Commercial |
$479.60
|
| Rate for Payer: Healthscope Whirlpool |
$494.43
|
| Rate for Payer: Mclaren Commercial |
$444.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$395.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.27
|
| Rate for Payer: Nomi Health Commercial |
$405.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$370.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$306.00
|
| Rate for Payer: Priority Health Narrow Network |
$244.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$435.10
|
|
|
HC F-18 SODIUM FLUORIDE <=30MCI
|
Facility
|
IP
|
$494.43
|
|
|
Service Code
|
HCPCS A9580
|
| Hospital Charge Code |
34300028
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$370.82 |
| Max. Negotiated Rate |
$494.43 |
| Rate for Payer: Aetna Commercial |
$444.99
|
| Rate for Payer: ASR ASR |
$479.60
|
| Rate for Payer: BCBS Trust/PPO |
$406.03
|
| Rate for Payer: BCN Commercial |
$406.03
|
| Rate for Payer: Cash Price |
$395.54
|
| Rate for Payer: Cofinity Commercial |
$464.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$395.54
|
| Rate for Payer: Healthscope Commercial |
$479.60
|
| Rate for Payer: Healthscope Whirlpool |
$494.43
|
| Rate for Payer: Mclaren Commercial |
$444.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.27
|
| Rate for Payer: Nomi Health Commercial |
$405.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$370.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$435.10
|
|
|
HC F232 OVALBUMIN
|
Facility
|
OP
|
$32.10
|
|
|
Service Code
|
CPT 86008
|
| Hospital Charge Code |
30200439
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$32.10 |
| Rate for Payer: Aetna Commercial |
$28.89
|
| 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 |
$31.14
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$26.47
|
| Rate for Payer: BCN Commercial |
$26.47
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$25.68
|
| Rate for Payer: Cash Price |
$25.68
|
| Rate for Payer: Cofinity Commercial |
$30.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$31.14
|
| Rate for Payer: Healthscope Whirlpool |
$32.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.93
|
| Rate for Payer: Mclaren Commercial |
$28.89
|
| 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 |
$27.29
|
| Rate for Payer: Nomi Health Commercial |
$26.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.07
|
| 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 |
$25.13
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$20.10
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.25
|
| 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 F232 OVALBUMIN
|
Facility
|
IP
|
$32.10
|
|
|
Service Code
|
CPT 86008
|
| Hospital Charge Code |
30200439
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$24.07 |
| Max. Negotiated Rate |
$32.10 |
| Rate for Payer: Aetna Commercial |
$28.89
|
| Rate for Payer: ASR ASR |
$31.14
|
| Rate for Payer: BCBS Trust/PPO |
$26.36
|
| Rate for Payer: BCN Commercial |
$26.36
|
| Rate for Payer: Cash Price |
$25.68
|
| Rate for Payer: Cofinity Commercial |
$30.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.68
|
| Rate for Payer: Healthscope Commercial |
$31.14
|
| Rate for Payer: Healthscope Whirlpool |
$32.10
|
| Rate for Payer: Mclaren Commercial |
$28.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.29
|
| Rate for Payer: Nomi Health Commercial |
$26.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.25
|
|
