|
HC IR TRANSCATHETER BIOPSY
|
Facility
|
IP
|
$1,763.20
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
32000224
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,234.24 |
| Max. Negotiated Rate |
$1,763.20 |
| Rate for Payer: Aetna Commercial |
$1,586.88
|
| Rate for Payer: ASR ASR |
$1,710.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.01
|
| Rate for Payer: BCN Commercial |
$1,367.01
|
| Rate for Payer: Cash Price |
$1,410.56
|
| Rate for Payer: Cofinity Commercial |
$1,657.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,410.56
|
| Rate for Payer: Healthscope Commercial |
$1,763.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,710.30
|
| Rate for Payer: Mclaren Commercial |
$1,586.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,498.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,551.62
|
|
|
HC IR TRANSCATHETER BIOPSY
|
Facility
|
OP
|
$1,763.20
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
32000224
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$705.28 |
| Max. Negotiated Rate |
$1,763.20 |
| Rate for Payer: Aetna Commercial |
$1,586.88
|
| Rate for Payer: ASR ASR |
$1,710.30
|
| Rate for Payer: BCBS Complete |
$705.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.01
|
| Rate for Payer: BCN Commercial |
$1,367.01
|
| Rate for Payer: Cash Price |
$1,410.56
|
| Rate for Payer: Cofinity Commercial |
$1,657.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,410.56
|
| Rate for Payer: Healthscope Commercial |
$1,763.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,710.30
|
| Rate for Payer: Mclaren Commercial |
$1,586.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,498.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,604.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,251.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,551.62
|
|
|
HC IR UNLISTED URINARY SYSTEM
|
Facility
|
OP
|
$2,129.88
|
|
|
Service Code
|
CPT 53899
|
| Hospital Charge Code |
36100254
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$120.16 |
| Max. Negotiated Rate |
$2,129.88 |
| Rate for Payer: Aetna Commercial |
$1,916.89
|
| Rate for Payer: Aetna Medicare |
$219.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$274.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$274.60
|
| Rate for Payer: ASR ASR |
$2,065.98
|
| Rate for Payer: BCBS Complete |
$126.18
|
| Rate for Payer: BCBS MAPPO |
$219.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,651.30
|
| Rate for Payer: BCN Commercial |
$1,651.30
|
| Rate for Payer: BCN Medicare Advantage |
$219.68
|
| Rate for Payer: Cash Price |
$1,703.90
|
| Rate for Payer: Cash Price |
$1,703.90
|
| Rate for Payer: Cofinity Commercial |
$2,002.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,703.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.68
|
| Rate for Payer: Healthscope Commercial |
$2,129.88
|
| Rate for Payer: Healthscope Whirlpool |
$2,065.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$219.68
|
| Rate for Payer: Mclaren Commercial |
$1,916.89
|
| Rate for Payer: Mclaren Medicaid |
$120.16
|
| Rate for Payer: Mclaren Medicare |
$219.68
|
| Rate for Payer: Meridian Medicaid |
$126.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$230.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$252.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,810.40
|
| Rate for Payer: PACE Medicare |
$208.70
|
| Rate for Payer: PACE SWMI |
$219.68
|
| Rate for Payer: PHP Commercial |
$241.65
|
| Rate for Payer: PHP Medicaid |
$120.16
|
| Rate for Payer: PHP Medicare Advantage |
$219.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,490.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,938.19
|
| Rate for Payer: Priority Health Medicare |
$219.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,512.21
|
| Rate for Payer: Railroad Medicare Medicare |
$219.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,874.29
|
| Rate for Payer: UHC Medicare Advantage |
$226.27
|
| Rate for Payer: VA VA |
$219.68
|
|
|
HC IR UNLISTED URINARY SYSTEM
|
Facility
|
IP
|
$2,129.88
|
|
|
Service Code
|
CPT 53899
|
| Hospital Charge Code |
36100254
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,490.92 |
| Max. Negotiated Rate |
$2,129.88 |
| Rate for Payer: Aetna Commercial |
$1,916.89
|
| Rate for Payer: ASR ASR |
$2,065.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,651.30
|
| Rate for Payer: BCN Commercial |
$1,651.30
|
| Rate for Payer: Cash Price |
$1,703.90
|
| Rate for Payer: Cofinity Commercial |
$2,002.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,703.90
|
| Rate for Payer: Healthscope Commercial |
$2,129.88
|
| Rate for Payer: Healthscope Whirlpool |
$2,065.98
|
| Rate for Payer: Mclaren Commercial |
$1,916.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,810.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,490.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,874.29
|
|
|
HC IR UROGRAPHY ANTEGRADE
|
Facility
|
IP
|
$454.34
|
|
|
Service Code
|
CPT 74425
|
| Hospital Charge Code |
32000161
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$318.04 |
| Max. Negotiated Rate |
$454.34 |
| Rate for Payer: Aetna Commercial |
$408.91
|
| Rate for Payer: ASR ASR |
$440.71
|
| Rate for Payer: BCBS Trust/PPO |
$352.25
|
| Rate for Payer: BCN Commercial |
$352.25
|
| Rate for Payer: Cash Price |
$363.47
|
| Rate for Payer: Cofinity Commercial |
$427.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$363.47
|
| Rate for Payer: Healthscope Commercial |
$454.34
|
| Rate for Payer: Healthscope Whirlpool |
$440.71
|
| Rate for Payer: Mclaren Commercial |
$408.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$386.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$399.82
|
|
|
HC IR UROGRAPHY ANTEGRADE
|
Facility
|
OP
|
$454.34
|
|
|
Service Code
|
CPT 74425
|
| Hospital Charge Code |
32000161
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$186.99 |
| Max. Negotiated Rate |
$454.34 |
| Rate for Payer: Aetna Commercial |
$408.91
|
| Rate for Payer: Aetna Medicare |
$341.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$427.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$427.30
|
| Rate for Payer: ASR ASR |
$440.71
|
| Rate for Payer: BCBS Complete |
$196.35
|
| Rate for Payer: BCBS MAPPO |
$341.84
|
| Rate for Payer: BCBS Trust/PPO |
$352.25
|
| Rate for Payer: BCN Commercial |
$352.25
|
| Rate for Payer: BCN Medicare Advantage |
$341.84
|
| Rate for Payer: Cash Price |
$363.47
|
| Rate for Payer: Cash Price |
$363.47
|
| Rate for Payer: Cofinity Commercial |
$427.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$363.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.84
|
| Rate for Payer: Healthscope Commercial |
$454.34
|
| Rate for Payer: Healthscope Whirlpool |
$440.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$341.84
|
| Rate for Payer: Mclaren Commercial |
$408.91
|
| Rate for Payer: Mclaren Medicaid |
$186.99
|
| Rate for Payer: Mclaren Medicare |
$341.84
|
| Rate for Payer: Meridian Medicaid |
$196.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$393.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$386.19
|
| Rate for Payer: PACE Medicare |
$324.75
|
| Rate for Payer: PACE SWMI |
$341.84
|
| Rate for Payer: PHP Commercial |
$376.02
|
| Rate for Payer: PHP Medicaid |
$186.99
|
| Rate for Payer: PHP Medicare Advantage |
$341.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$361.21
|
| Rate for Payer: Priority Health Medicare |
$341.84
|
| Rate for Payer: Priority Health Narrow Network |
$288.97
|
| Rate for Payer: Railroad Medicare Medicare |
$341.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$399.82
|
| Rate for Payer: UHC Medicare Advantage |
$352.10
|
| Rate for Payer: VA VA |
$341.84
|
|
|
HC IR US GUIDED VASC ACCESS
|
Facility
|
OP
|
$350.37
|
|
|
Service Code
|
CPT 76937
|
| Hospital Charge Code |
40200043
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$140.15 |
| Max. Negotiated Rate |
$350.37 |
| Rate for Payer: Aetna Commercial |
$315.33
|
| Rate for Payer: ASR ASR |
$339.86
|
| Rate for Payer: BCBS Complete |
$140.15
|
| Rate for Payer: BCBS Trust/PPO |
$271.64
|
| Rate for Payer: BCN Commercial |
$271.64
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cofinity Commercial |
$329.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.30
|
| Rate for Payer: Healthscope Commercial |
$350.37
|
| Rate for Payer: Healthscope Whirlpool |
$339.86
|
| Rate for Payer: Mclaren Commercial |
$315.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$297.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.93
|
| Rate for Payer: Priority Health Narrow Network |
$201.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$308.33
|
|
|
HC IR US GUIDED VASC ACCESS
|
Facility
|
IP
|
$350.37
|
|
|
Service Code
|
CPT 76937
|
| Hospital Charge Code |
40200043
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$245.26 |
| Max. Negotiated Rate |
$350.37 |
| Rate for Payer: Aetna Commercial |
$315.33
|
| Rate for Payer: ASR ASR |
$339.86
|
| Rate for Payer: BCBS Trust/PPO |
$271.64
|
| Rate for Payer: BCN Commercial |
$271.64
|
| Rate for Payer: Cash Price |
$280.30
|
| Rate for Payer: Cofinity Commercial |
$329.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.30
|
| Rate for Payer: Healthscope Commercial |
$350.37
|
| Rate for Payer: Healthscope Whirlpool |
$339.86
|
| Rate for Payer: Mclaren Commercial |
$315.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$297.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$308.33
|
|
|
HC IR VASCULAR UNLISTED PROCEDURE
|
Facility
|
OP
|
$480.78
|
|
|
Service Code
|
CPT 36299
|
| Hospital Charge Code |
36100114
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$192.31 |
| Max. Negotiated Rate |
$480.78 |
| Rate for Payer: Aetna Commercial |
$432.70
|
| Rate for Payer: ASR ASR |
$466.36
|
| Rate for Payer: BCBS Complete |
$192.31
|
| Rate for Payer: BCBS Trust/PPO |
$372.75
|
| Rate for Payer: BCN Commercial |
$372.75
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cofinity Commercial |
$451.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$384.62
|
| Rate for Payer: Healthscope Commercial |
$480.78
|
| Rate for Payer: Healthscope Whirlpool |
$466.36
|
| Rate for Payer: Mclaren Commercial |
$432.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$408.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$437.51
|
| Rate for Payer: Priority Health Narrow Network |
$341.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$423.09
|
|
|
HC IR VASCULAR UNLISTED PROCEDURE
|
Facility
|
IP
|
$480.78
|
|
|
Service Code
|
CPT 36299
|
| Hospital Charge Code |
36100114
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$336.55 |
| Max. Negotiated Rate |
$480.78 |
| Rate for Payer: Aetna Commercial |
$432.70
|
| Rate for Payer: ASR ASR |
$466.36
|
| Rate for Payer: BCBS Trust/PPO |
$372.75
|
| Rate for Payer: BCN Commercial |
$372.75
|
| Rate for Payer: Cash Price |
$384.62
|
| Rate for Payer: Cofinity Commercial |
$451.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$384.62
|
| Rate for Payer: Healthscope Commercial |
$480.78
|
| Rate for Payer: Healthscope Whirlpool |
$466.36
|
| Rate for Payer: Mclaren Commercial |
$432.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$408.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$423.09
|
|
|
HC IR VENOGRAM
|
Facility
|
OP
|
$1,100.68
|
|
|
Service Code
|
CPT 75820
|
| Hospital Charge Code |
32000203
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$770.48 |
| Max. Negotiated Rate |
$1,779.46 |
| Rate for Payer: Aetna Commercial |
$990.61
|
| Rate for Payer: Aetna Medicare |
$1,423.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,779.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,779.46
|
| Rate for Payer: ASR ASR |
$1,067.66
|
| Rate for Payer: BCBS Complete |
$817.70
|
| Rate for Payer: BCBS MAPPO |
$1,423.57
|
| Rate for Payer: BCBS Trust/PPO |
$853.36
|
| Rate for Payer: BCN Commercial |
$853.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$880.54
|
| Rate for Payer: Cash Price |
$880.54
|
| Rate for Payer: Cofinity Commercial |
$1,034.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$880.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$1,100.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,067.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,423.57
|
| Rate for Payer: Mclaren Commercial |
$990.61
|
| Rate for Payer: Mclaren Medicaid |
$778.69
|
| Rate for Payer: Mclaren Medicare |
$1,423.57
|
| Rate for Payer: Meridian Medicaid |
$817.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,637.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$935.58
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$1,565.93
|
| Rate for Payer: PHP Medicaid |
$778.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,001.62
|
| Rate for Payer: Priority Health Medicare |
$1,423.57
|
| Rate for Payer: Priority Health Narrow Network |
$781.48
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$968.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: VA VA |
$1,423.57
|
|
|
HC IR VENOGRAM
|
Facility
|
IP
|
$1,100.68
|
|
|
Service Code
|
CPT 75820
|
| Hospital Charge Code |
32000203
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$770.48 |
| Max. Negotiated Rate |
$1,100.68 |
| Rate for Payer: Aetna Commercial |
$990.61
|
| Rate for Payer: ASR ASR |
$1,067.66
|
| Rate for Payer: BCBS Trust/PPO |
$853.36
|
| Rate for Payer: BCN Commercial |
$853.36
|
| Rate for Payer: Cash Price |
$880.54
|
| Rate for Payer: Cofinity Commercial |
$1,034.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$880.54
|
| Rate for Payer: Healthscope Commercial |
$1,100.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,067.66
|
| Rate for Payer: Mclaren Commercial |
$990.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$935.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$968.60
|
|
|
HC IR VENOGRAM BIL
|
Facility
|
OP
|
$1,400.83
|
|
|
Service Code
|
CPT 75822
|
| Hospital Charge Code |
32000204
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$778.69 |
| Max. Negotiated Rate |
$1,779.46 |
| Rate for Payer: Aetna Commercial |
$1,260.75
|
| Rate for Payer: Aetna Medicare |
$1,423.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,779.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,779.46
|
| Rate for Payer: ASR ASR |
$1,358.81
|
| Rate for Payer: BCBS Complete |
$817.70
|
| Rate for Payer: BCBS MAPPO |
$1,423.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,086.06
|
| Rate for Payer: BCN Commercial |
$1,086.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.57
|
| Rate for Payer: Cash Price |
$1,120.66
|
| Rate for Payer: Cash Price |
$1,120.66
|
| Rate for Payer: Cofinity Commercial |
$1,316.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,120.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.57
|
| Rate for Payer: Healthscope Commercial |
$1,400.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,358.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,423.57
|
| Rate for Payer: Mclaren Commercial |
$1,260.75
|
| Rate for Payer: Mclaren Medicaid |
$778.69
|
| Rate for Payer: Mclaren Medicare |
$1,423.57
|
| Rate for Payer: Meridian Medicaid |
$817.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,637.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,190.71
|
| Rate for Payer: PACE Medicare |
$1,352.39
|
| Rate for Payer: PACE SWMI |
$1,423.57
|
| Rate for Payer: PHP Commercial |
$1,565.93
|
| Rate for Payer: PHP Medicaid |
$778.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$980.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,274.76
|
| Rate for Payer: Priority Health Medicare |
$1,423.57
|
| Rate for Payer: Priority Health Narrow Network |
$994.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,423.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,232.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.28
|
| Rate for Payer: VA VA |
$1,423.57
|
|
|
HC IR VENOGRAM BIL
|
Facility
|
IP
|
$1,400.83
|
|
|
Service Code
|
CPT 75822
|
| Hospital Charge Code |
32000204
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$980.58 |
| Max. Negotiated Rate |
$1,400.83 |
| Rate for Payer: Aetna Commercial |
$1,260.75
|
| Rate for Payer: ASR ASR |
$1,358.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,086.06
|
| Rate for Payer: BCN Commercial |
$1,086.06
|
| Rate for Payer: Cash Price |
$1,120.66
|
| Rate for Payer: Cofinity Commercial |
$1,316.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,120.66
|
| Rate for Payer: Healthscope Commercial |
$1,400.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,358.81
|
| Rate for Payer: Mclaren Commercial |
$1,260.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,190.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$980.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,232.73
|
|
|
HC IR VENOGRAM RENAL BILAT SELECT
|
Facility
|
OP
|
$3,727.13
|
|
|
Service Code
|
CPT 75833
|
| Hospital Charge Code |
32000207
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,549.81 |
| Max. Negotiated Rate |
$3,727.13 |
| Rate for Payer: Aetna Commercial |
$3,354.42
|
| Rate for Payer: Aetna Medicare |
$2,833.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: ASR ASR |
$3,615.32
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.64
|
| Rate for Payer: BCN Commercial |
$2,889.64
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,981.70
|
| Rate for Payer: Cash Price |
$2,981.70
|
| Rate for Payer: Cofinity Commercial |
$3,503.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,981.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$3,727.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,615.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,833.29
|
| Rate for Payer: Mclaren Commercial |
$3,354.42
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,168.06
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$3,116.62
|
| Rate for Payer: PHP Medicaid |
$1,549.81
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,608.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,391.69
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$2,646.26
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,279.87
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: VA VA |
$2,833.29
|
|
|
HC IR VENOGRAM RENAL BILAT SELECT
|
Facility
|
IP
|
$3,727.13
|
|
|
Service Code
|
CPT 75833
|
| Hospital Charge Code |
32000207
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,608.99 |
| Max. Negotiated Rate |
$3,727.13 |
| Rate for Payer: Aetna Commercial |
$3,354.42
|
| Rate for Payer: ASR ASR |
$3,615.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,889.64
|
| Rate for Payer: BCN Commercial |
$2,889.64
|
| Rate for Payer: Cash Price |
$2,981.70
|
| Rate for Payer: Cofinity Commercial |
$3,503.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,981.70
|
| Rate for Payer: Healthscope Commercial |
$3,727.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,615.32
|
| Rate for Payer: Mclaren Commercial |
$3,354.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,168.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,608.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,279.87
|
|
|
HC IR VENOGRAM RENAL UNI SELECT
|
Facility
|
OP
|
$3,500.17
|
|
|
Service Code
|
CPT 75831
|
| Hospital Charge Code |
32000322
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,549.81 |
| Max. Negotiated Rate |
$3,541.61 |
| Rate for Payer: Aetna Commercial |
$3,150.15
|
| Rate for Payer: Aetna Medicare |
$2,833.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,541.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,541.61
|
| Rate for Payer: ASR ASR |
$3,395.16
|
| Rate for Payer: BCBS Complete |
$1,627.44
|
| Rate for Payer: BCBS MAPPO |
$2,833.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.68
|
| Rate for Payer: BCN Commercial |
$2,713.68
|
| Rate for Payer: BCN Medicare Advantage |
$2,833.29
|
| Rate for Payer: Cash Price |
$2,800.14
|
| Rate for Payer: Cash Price |
$2,800.14
|
| Rate for Payer: Cofinity Commercial |
$3,290.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,800.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,833.29
|
| Rate for Payer: Healthscope Commercial |
$3,500.17
|
| Rate for Payer: Healthscope Whirlpool |
$3,395.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,833.29
|
| Rate for Payer: Mclaren Commercial |
$3,150.15
|
| Rate for Payer: Mclaren Medicaid |
$1,549.81
|
| Rate for Payer: Mclaren Medicare |
$2,833.29
|
| Rate for Payer: Meridian Medicaid |
$1,627.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,974.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,258.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,975.14
|
| Rate for Payer: PACE Medicare |
$2,691.63
|
| Rate for Payer: PACE SWMI |
$2,833.29
|
| Rate for Payer: PHP Commercial |
$3,116.62
|
| Rate for Payer: PHP Medicaid |
$1,549.81
|
| Rate for Payer: PHP Medicare Advantage |
$2,833.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,450.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,185.15
|
| Rate for Payer: Priority Health Medicare |
$2,833.29
|
| Rate for Payer: Priority Health Narrow Network |
$2,485.12
|
| Rate for Payer: Railroad Medicare Medicare |
$2,833.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,080.15
|
| Rate for Payer: UHC Medicare Advantage |
$2,918.29
|
| Rate for Payer: VA VA |
$2,833.29
|
|
|
HC IR VENOGRAM RENAL UNI SELECT
|
Facility
|
IP
|
$3,500.17
|
|
|
Service Code
|
CPT 75831
|
| Hospital Charge Code |
32000322
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,450.12 |
| Max. Negotiated Rate |
$3,500.17 |
| Rate for Payer: Aetna Commercial |
$3,150.15
|
| Rate for Payer: ASR ASR |
$3,395.16
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.68
|
| Rate for Payer: BCN Commercial |
$2,713.68
|
| Rate for Payer: Cash Price |
$2,800.14
|
| Rate for Payer: Cofinity Commercial |
$3,290.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,800.14
|
| Rate for Payer: Healthscope Commercial |
$3,500.17
|
| Rate for Payer: Healthscope Whirlpool |
$3,395.16
|
| Rate for Payer: Mclaren Commercial |
$3,150.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,975.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,450.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,080.15
|
|
|
HC IR Z ABSCESS PERIANAL
|
Facility
|
OP
|
$1,184.66
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
36100369
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$444.38 |
| Max. Negotiated Rate |
$2,278.12 |
| Rate for Payer: Aetna Commercial |
$1,066.19
|
| Rate for Payer: Aetna Medicare |
$812.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: ASR ASR |
$1,149.12
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$918.47
|
| Rate for Payer: BCN Commercial |
$918.47
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Cash Price |
$947.73
|
| Rate for Payer: Cash Price |
$947.73
|
| Rate for Payer: Cofinity Commercial |
$1,113.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$947.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Healthscope Commercial |
$1,184.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,149.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$812.40
|
| Rate for Payer: Mclaren Commercial |
$1,066.19
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,006.96
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Commercial |
$893.64
|
| Rate for Payer: PHP Medicaid |
$444.38
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$829.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,278.12
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,822.50
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,042.50
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
HC IR Z ABSCESS PERIANAL
|
Facility
|
IP
|
$1,184.66
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
36100369
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$829.26 |
| Max. Negotiated Rate |
$1,184.66 |
| Rate for Payer: Aetna Commercial |
$1,066.19
|
| Rate for Payer: ASR ASR |
$1,149.12
|
| Rate for Payer: BCBS Trust/PPO |
$918.47
|
| Rate for Payer: BCN Commercial |
$918.47
|
| Rate for Payer: Cash Price |
$947.73
|
| Rate for Payer: Cofinity Commercial |
$1,113.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$947.73
|
| Rate for Payer: Healthscope Commercial |
$1,184.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,149.12
|
| Rate for Payer: Mclaren Commercial |
$1,066.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,006.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$829.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,042.50
|
|
|
HC ISCHEMIA MODIFIED ALBUMIN
|
Facility
|
IP
|
$158.20
|
|
|
Service Code
|
CPT 82045
|
| Hospital Charge Code |
30100076
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$110.74 |
| Max. Negotiated Rate |
$158.20 |
| Rate for Payer: Aetna Commercial |
$142.38
|
| Rate for Payer: ASR ASR |
$153.45
|
| Rate for Payer: BCBS Trust/PPO |
$122.65
|
| Rate for Payer: BCN Commercial |
$122.65
|
| Rate for Payer: Cash Price |
$126.56
|
| Rate for Payer: Cofinity Commercial |
$148.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.56
|
| Rate for Payer: Healthscope Commercial |
$158.20
|
| Rate for Payer: Healthscope Whirlpool |
$153.45
|
| Rate for Payer: Mclaren Commercial |
$142.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$134.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$139.22
|
|
|
HC ISCHEMIA MODIFIED ALBUMIN
|
Facility
|
OP
|
$158.20
|
|
|
Service Code
|
CPT 82045
|
| Hospital Charge Code |
30100076
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.57 |
| Max. Negotiated Rate |
$158.20 |
| Rate for Payer: Aetna Commercial |
$142.38
|
| Rate for Payer: Aetna Medicare |
$33.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.42
|
| Rate for Payer: ASR ASR |
$153.45
|
| Rate for Payer: BCBS Complete |
$19.50
|
| Rate for Payer: BCBS MAPPO |
$33.94
|
| Rate for Payer: BCBS Trust/PPO |
$122.65
|
| Rate for Payer: BCN Commercial |
$122.65
|
| Rate for Payer: BCN Medicare Advantage |
$33.94
|
| Rate for Payer: Cash Price |
$126.56
|
| Rate for Payer: Cash Price |
$126.56
|
| Rate for Payer: Cofinity Commercial |
$148.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.94
|
| Rate for Payer: Healthscope Commercial |
$158.20
|
| Rate for Payer: Healthscope Whirlpool |
$153.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$33.94
|
| Rate for Payer: Mclaren Commercial |
$142.38
|
| Rate for Payer: Mclaren Medicaid |
$18.57
|
| Rate for Payer: Mclaren Medicare |
$33.94
|
| Rate for Payer: Meridian Medicaid |
$19.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$134.47
|
| Rate for Payer: PACE Medicare |
$32.24
|
| Rate for Payer: PACE SWMI |
$33.94
|
| Rate for Payer: PHP Commercial |
$37.33
|
| Rate for Payer: PHP Medicaid |
$18.57
|
| Rate for Payer: PHP Medicare Advantage |
$33.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$143.96
|
| Rate for Payer: Priority Health Medicare |
$33.94
|
| Rate for Payer: Priority Health Narrow Network |
$112.32
|
| Rate for Payer: Railroad Medicare Medicare |
$33.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$139.22
|
| Rate for Payer: UHC Medicare Advantage |
$34.96
|
| Rate for Payer: VA VA |
$33.94
|
|
|
HC ISLET ANTIGEN 2 ANTIBODY
|
Facility
|
IP
|
$54.06
|
|
|
Service Code
|
CPT 86341
|
| Hospital Charge Code |
30200412
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$37.84 |
| Max. Negotiated Rate |
$54.06 |
| Rate for Payer: Aetna Commercial |
$48.65
|
| Rate for Payer: ASR ASR |
$52.44
|
| Rate for Payer: BCBS Trust/PPO |
$41.91
|
| Rate for Payer: BCN Commercial |
$41.91
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cofinity Commercial |
$50.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.25
|
| Rate for Payer: Healthscope Commercial |
$54.06
|
| Rate for Payer: Healthscope Whirlpool |
$52.44
|
| Rate for Payer: Mclaren Commercial |
$48.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$47.57
|
|
|
HC ISLET ANTIGEN 2 ANTIBODY
|
Facility
|
OP
|
$54.06
|
|
|
Service Code
|
CPT 86341
|
| Hospital Charge Code |
30200412
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.89 |
| Max. Negotiated Rate |
$54.06 |
| Rate for Payer: Aetna Commercial |
$48.65
|
| 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 |
$52.44
|
| Rate for Payer: BCBS Complete |
$13.54
|
| Rate for Payer: BCBS MAPPO |
$23.57
|
| Rate for Payer: BCBS Trust/PPO |
$41.91
|
| Rate for Payer: BCN Commercial |
$41.91
|
| Rate for Payer: BCN Medicare Advantage |
$23.57
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cash Price |
$43.25
|
| Rate for Payer: Cofinity Commercial |
$50.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.57
|
| Rate for Payer: Healthscope Commercial |
$54.06
|
| Rate for Payer: Healthscope Whirlpool |
$52.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$23.57
|
| Rate for Payer: Mclaren Commercial |
$48.65
|
| Rate for Payer: Mclaren Medicaid |
$12.89
|
| Rate for Payer: Mclaren Medicare |
$23.57
|
| Rate for Payer: Meridian Medicaid |
$13.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.95
|
| 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 |
$12.89
|
| Rate for Payer: PHP Medicare Advantage |
$23.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.19
|
| Rate for Payer: Priority Health Medicare |
$23.57
|
| Rate for Payer: Priority Health Narrow Network |
$38.38
|
| Rate for Payer: Railroad Medicare Medicare |
$23.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$47.57
|
| Rate for Payer: UHC Medicare Advantage |
$24.28
|
| Rate for Payer: VA VA |
$23.57
|
|
|
HC ISOAGGLUTININ TITER ANTI A
|
Facility
|
IP
|
$107.10
|
|
|
Service Code
|
CPT 86886
|
| Hospital Charge Code |
30200345
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$74.97 |
| Max. Negotiated Rate |
$107.10 |
| Rate for Payer: Aetna Commercial |
$96.39
|
| Rate for Payer: ASR ASR |
$103.89
|
| Rate for Payer: BCBS Trust/PPO |
$83.03
|
| Rate for Payer: BCN Commercial |
$83.03
|
| Rate for Payer: Cash Price |
$85.68
|
| Rate for Payer: Cofinity Commercial |
$100.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$85.68
|
| Rate for Payer: Healthscope Commercial |
$107.10
|
| Rate for Payer: Healthscope Whirlpool |
$103.89
|
| Rate for Payer: Mclaren Commercial |
$96.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$91.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$94.25
|
|
