|
HC GALIUM 67 PER MCI
|
Facility
|
OP
|
$144.76
|
|
|
Service Code
|
HCPCS A9556
|
| Hospital Charge Code |
34300007
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$53.56 |
| Max. Negotiated Rate |
$240.90 |
| Rate for Payer: Aetna Commercial |
$130.28
|
| Rate for Payer: Aetna Medicare |
$53.56
|
| Rate for Payer: ASR ASR |
$140.42
|
| Rate for Payer: BCBS Complete |
$57.90
|
| Rate for Payer: BCBS Trust/PPO |
$119.35
|
| Rate for Payer: BCN Commercial |
$119.35
|
| Rate for Payer: Cash Price |
$115.81
|
| Rate for Payer: Cash Price |
$115.81
|
| Rate for Payer: Cofinity Commercial |
$136.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.81
|
| Rate for Payer: Healthscope Commercial |
$140.42
|
| Rate for Payer: Healthscope Whirlpool |
$144.76
|
| Rate for Payer: Mclaren Commercial |
$130.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.05
|
| Rate for Payer: Nomi Health Commercial |
$118.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$108.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$240.90
|
| Rate for Payer: Priority Health Narrow Network |
$192.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$127.39
|
|
|
HC GARAMYCIN GENTAMICIN INJ UP TO 80 MG
|
Facility
|
IP
|
$4.24
|
|
|
Service Code
|
HCPCS J1580
|
| Hospital Charge Code |
63600139
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.18 |
| Max. Negotiated Rate |
$4.24 |
| Rate for Payer: Aetna Commercial |
$3.82
|
| Rate for Payer: ASR ASR |
$4.11
|
| Rate for Payer: BCBS Trust/PPO |
$3.48
|
| Rate for Payer: BCN Commercial |
$3.48
|
| Rate for Payer: Cash Price |
$3.39
|
| Rate for Payer: Cofinity Commercial |
$3.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.39
|
| Rate for Payer: Healthscope Commercial |
$4.11
|
| Rate for Payer: Healthscope Whirlpool |
$4.24
|
| Rate for Payer: Mclaren Commercial |
$3.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.60
|
| Rate for Payer: Nomi Health Commercial |
$3.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.73
|
|
|
HC GARAMYCIN GENTAMICIN INJ UP TO 80 MG
|
Facility
|
OP
|
$4.24
|
|
|
Service Code
|
HCPCS J1580
|
| Hospital Charge Code |
63600139
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$4.24 |
| Rate for Payer: Aetna Commercial |
$3.82
|
| Rate for Payer: Aetna Medicare |
$1.57
|
| Rate for Payer: ASR ASR |
$4.11
|
| Rate for Payer: BCBS Complete |
$1.70
|
| Rate for Payer: BCBS Trust/PPO |
$3.50
|
| Rate for Payer: BCN Commercial |
$3.50
|
| Rate for Payer: Cash Price |
$3.39
|
| Rate for Payer: Cash Price |
$3.39
|
| Rate for Payer: Cofinity Commercial |
$3.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.39
|
| Rate for Payer: Healthscope Commercial |
$4.11
|
| Rate for Payer: Healthscope Whirlpool |
$4.24
|
| Rate for Payer: Mclaren Commercial |
$3.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.60
|
| Rate for Payer: Nomi Health Commercial |
$3.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2.25
|
| Rate for Payer: Priority Health Narrow Network |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.73
|
|
|
HC GAS DILUTION/WASHOUT VOLUMES
|
Facility
|
OP
|
$244.55
|
|
|
Service Code
|
CPT 94727
|
| Hospital Charge Code |
46000025
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$112.52 |
| Max. Negotiated Rate |
$333.48 |
| Rate for Payer: Aetna Commercial |
$220.09
|
| 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 |
$237.21
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$201.63
|
| Rate for Payer: BCN Commercial |
$201.63
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$195.64
|
| Rate for Payer: Cash Price |
$195.64
|
| Rate for Payer: Cofinity Commercial |
$229.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$237.21
|
| Rate for Payer: Healthscope Whirlpool |
$244.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$215.15
|
| Rate for Payer: Mclaren Commercial |
$220.09
|
| 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 |
$207.87
|
| Rate for Payer: Nomi Health Commercial |
$200.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.41
|
| 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 |
$214.27
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health Narrow Network |
$171.43
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$215.20
|
| 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 GAS DILUTION/WASHOUT VOLUMES
|
Facility
|
IP
|
$244.55
|
|
|
Service Code
|
CPT 94727
|
| Hospital Charge Code |
46000025
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$183.41 |
| Max. Negotiated Rate |
$244.55 |
| Rate for Payer: Aetna Commercial |
$220.09
|
| Rate for Payer: ASR ASR |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$200.82
|
| Rate for Payer: BCN Commercial |
$200.82
|
| Rate for Payer: Cash Price |
$195.64
|
| Rate for Payer: Cofinity Commercial |
$229.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.64
|
| Rate for Payer: Healthscope Commercial |
$237.21
|
| Rate for Payer: Healthscope Whirlpool |
$244.55
|
| Rate for Payer: Mclaren Commercial |
$220.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$207.87
|
| Rate for Payer: Nomi Health Commercial |
$200.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$215.20
|
|
|
HC GASTRIC ASPIRATION
|
Facility
|
IP
|
$361.10
|
|
|
Service Code
|
CPT 43753
|
| Hospital Charge Code |
45000002
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$270.82 |
| Max. Negotiated Rate |
$361.10 |
| Rate for Payer: Aetna Commercial |
$324.99
|
| Rate for Payer: ASR ASR |
$350.27
|
| Rate for Payer: BCBS Trust/PPO |
$296.54
|
| Rate for Payer: BCN Commercial |
$296.54
|
| Rate for Payer: Cash Price |
$288.88
|
| Rate for Payer: Cofinity Commercial |
$339.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.88
|
| Rate for Payer: Healthscope Commercial |
$350.27
|
| Rate for Payer: Healthscope Whirlpool |
$361.10
|
| Rate for Payer: Mclaren Commercial |
$324.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.94
|
| Rate for Payer: Nomi Health Commercial |
$296.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.77
|
|
|
HC GASTRIC ASPIRATION
|
Facility
|
OP
|
$361.10
|
|
|
Service Code
|
CPT 43753
|
| Hospital Charge Code |
45000002
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$89.10 |
| Max. Negotiated Rate |
$361.10 |
| Rate for Payer: Aetna Commercial |
$324.99
|
| 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 |
$350.27
|
| Rate for Payer: BCBS Complete |
$118.16
|
| Rate for Payer: BCBS MAPPO |
$215.15
|
| Rate for Payer: BCBS Trust/PPO |
$297.73
|
| Rate for Payer: BCN Commercial |
$297.73
|
| Rate for Payer: BCN Medicare Advantage |
$215.15
|
| Rate for Payer: Cash Price |
$288.88
|
| Rate for Payer: Cash Price |
$288.88
|
| Rate for Payer: Cofinity Commercial |
$339.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$350.27
|
| Rate for Payer: Healthscope Whirlpool |
$361.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$215.15
|
| Rate for Payer: Mclaren Commercial |
$324.99
|
| 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 |
$306.94
|
| Rate for Payer: Nomi Health Commercial |
$296.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.82
|
| 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 |
$111.37
|
| Rate for Payer: Priority Health Medicare |
$215.15
|
| Rate for Payer: Priority Health Narrow Network |
$89.10
|
| Rate for Payer: Railroad Medicare Medicare |
$215.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.77
|
| 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 GASTRIC/COLON CLIPPING
|
Facility
|
IP
|
$398.23
|
|
| Hospital Charge Code |
27200124
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$298.67 |
| Max. Negotiated Rate |
$398.23 |
| Rate for Payer: Aetna Commercial |
$358.41
|
| Rate for Payer: ASR ASR |
$386.28
|
| Rate for Payer: BCBS Trust/PPO |
$327.03
|
| Rate for Payer: BCN Commercial |
$327.03
|
| Rate for Payer: Cash Price |
$318.58
|
| Rate for Payer: Cofinity Commercial |
$374.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.58
|
| Rate for Payer: Healthscope Commercial |
$386.28
|
| Rate for Payer: Healthscope Whirlpool |
$398.23
|
| Rate for Payer: Mclaren Commercial |
$358.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.50
|
| Rate for Payer: Nomi Health Commercial |
$326.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$350.44
|
|
|
HC GASTRIC/COLON CLIPPING
|
Facility
|
OP
|
$398.23
|
|
| Hospital Charge Code |
27200124
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$147.35 |
| Max. Negotiated Rate |
$398.23 |
| Rate for Payer: Aetna Commercial |
$358.41
|
| Rate for Payer: Aetna Medicare |
$147.35
|
| Rate for Payer: ASR ASR |
$386.28
|
| Rate for Payer: BCBS Complete |
$159.29
|
| Rate for Payer: BCBS Trust/PPO |
$328.34
|
| Rate for Payer: BCN Commercial |
$328.34
|
| Rate for Payer: Cash Price |
$318.58
|
| Rate for Payer: Cofinity Commercial |
$374.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$318.58
|
| Rate for Payer: Healthscope Commercial |
$386.28
|
| Rate for Payer: Healthscope Whirlpool |
$398.23
|
| Rate for Payer: Mclaren Commercial |
$358.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$318.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.50
|
| Rate for Payer: Nomi Health Commercial |
$326.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$298.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$348.93
|
| Rate for Payer: Priority Health Narrow Network |
$279.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$350.44
|
|
|
HC GASTRIC EMPTYING WITH SMALL BOWEL AND COLON TRANSIT MULTI DAYS
|
Facility
|
IP
|
$1,474.18
|
|
|
Service Code
|
CPT 78266
|
| Hospital Charge Code |
34100079
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$1,105.63 |
| Max. Negotiated Rate |
$1,474.18 |
| Rate for Payer: Aetna Commercial |
$1,326.76
|
| Rate for Payer: ASR ASR |
$1,429.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,210.60
|
| Rate for Payer: BCN Commercial |
$1,210.60
|
| Rate for Payer: Cash Price |
$1,179.34
|
| Rate for Payer: Cofinity Commercial |
$1,385.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,179.34
|
| Rate for Payer: Healthscope Commercial |
$1,429.95
|
| Rate for Payer: Healthscope Whirlpool |
$1,474.18
|
| Rate for Payer: Mclaren Commercial |
$1,326.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,253.05
|
| Rate for Payer: Nomi Health Commercial |
$1,208.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,105.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,297.28
|
|
|
HC GASTRIC EMPTYING WITH SMALL BOWEL AND COLON TRANSIT MULTI DAYS
|
Facility
|
OP
|
$1,474.18
|
|
|
Service Code
|
CPT 78266
|
| Hospital Charge Code |
34100079
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$282.95 |
| Max. Negotiated Rate |
$1,474.18 |
| Rate for Payer: Aetna Commercial |
$1,326.76
|
| Rate for Payer: Aetna Medicare |
$541.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$676.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$676.27
|
| Rate for Payer: ASR ASR |
$1,429.95
|
| Rate for Payer: BCBS Complete |
$297.13
|
| Rate for Payer: BCBS MAPPO |
$541.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,215.46
|
| Rate for Payer: BCN Commercial |
$1,215.46
|
| Rate for Payer: BCN Medicare Advantage |
$541.02
|
| Rate for Payer: Cash Price |
$1,179.34
|
| Rate for Payer: Cash Price |
$1,179.34
|
| Rate for Payer: Cofinity Commercial |
$1,385.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,179.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$541.02
|
| Rate for Payer: Healthscope Commercial |
$1,429.95
|
| Rate for Payer: Healthscope Whirlpool |
$1,474.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$541.02
|
| Rate for Payer: Mclaren Commercial |
$1,326.76
|
| Rate for Payer: Mclaren Medicaid |
$541.02
|
| Rate for Payer: Mclaren Medicare |
$541.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$568.07
|
| Rate for Payer: Meridian Medicaid |
$297.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$622.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$595.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,253.05
|
| Rate for Payer: Nomi Health Commercial |
$1,208.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,105.63
|
| Rate for Payer: PACE Medicare |
$513.97
|
| Rate for Payer: PACE SWMI |
$541.02
|
| Rate for Payer: PHP Commercial |
$595.12
|
| Rate for Payer: PHP Medicaid |
$289.99
|
| Rate for Payer: PHP Medicare Advantage |
$541.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,291.68
|
| Rate for Payer: Priority Health Medicare |
$541.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,033.40
|
| Rate for Payer: Railroad Medicare Medicare |
$541.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,297.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$541.02
|
| Rate for Payer: UHC Exchange |
$838.58
|
| Rate for Payer: UHC Medicaid |
$282.95
|
| Rate for Payer: UHCCP DNSP |
$541.02
|
| Rate for Payer: UHCCP Medicaid |
$282.95
|
| Rate for Payer: VA VA |
$541.02
|
|
|
HC GASTRIC EMPTYING WITH SMALL BOWEL TRANSIT
|
Facility
|
IP
|
$1,535.61
|
|
|
Service Code
|
CPT 78265
|
| Hospital Charge Code |
34100080
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$1,151.71 |
| Max. Negotiated Rate |
$1,535.61 |
| Rate for Payer: Aetna Commercial |
$1,382.05
|
| Rate for Payer: ASR ASR |
$1,489.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.04
|
| Rate for Payer: BCN Commercial |
$1,261.04
|
| Rate for Payer: Cash Price |
$1,228.49
|
| Rate for Payer: Cofinity Commercial |
$1,443.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,228.49
|
| Rate for Payer: Healthscope Commercial |
$1,489.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,535.61
|
| Rate for Payer: Mclaren Commercial |
$1,382.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,305.27
|
| Rate for Payer: Nomi Health Commercial |
$1,259.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,151.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,351.34
|
|
|
HC GASTRIC EMPTYING WITH SMALL BOWEL TRANSIT
|
Facility
|
OP
|
$1,535.61
|
|
|
Service Code
|
CPT 78265
|
| Hospital Charge Code |
34100080
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$208.33 |
| Max. Negotiated Rate |
$1,535.61 |
| Rate for Payer: Aetna Commercial |
$1,382.05
|
| Rate for Payer: Aetna Medicare |
$398.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$497.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$497.91
|
| Rate for Payer: ASR ASR |
$1,489.54
|
| Rate for Payer: BCBS Complete |
$218.76
|
| Rate for Payer: BCBS MAPPO |
$398.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,266.11
|
| Rate for Payer: BCN Commercial |
$1,266.11
|
| Rate for Payer: BCN Medicare Advantage |
$398.33
|
| Rate for Payer: Cash Price |
$1,228.49
|
| Rate for Payer: Cash Price |
$1,228.49
|
| Rate for Payer: Cofinity Commercial |
$1,443.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,228.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.33
|
| Rate for Payer: Healthscope Commercial |
$1,489.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,535.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$398.33
|
| Rate for Payer: Mclaren Commercial |
$1,382.05
|
| Rate for Payer: Mclaren Medicaid |
$398.33
|
| Rate for Payer: Mclaren Medicare |
$398.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.25
|
| Rate for Payer: Meridian Medicaid |
$218.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$458.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$438.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,305.27
|
| Rate for Payer: Nomi Health Commercial |
$1,259.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,151.71
|
| Rate for Payer: PACE Medicare |
$378.41
|
| Rate for Payer: PACE SWMI |
$398.33
|
| Rate for Payer: PHP Commercial |
$438.16
|
| Rate for Payer: PHP Medicaid |
$213.50
|
| Rate for Payer: PHP Medicare Advantage |
$398.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,345.50
|
| Rate for Payer: Priority Health Medicare |
$398.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,076.46
|
| Rate for Payer: Railroad Medicare Medicare |
$398.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,351.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$398.33
|
| Rate for Payer: UHC Exchange |
$617.41
|
| Rate for Payer: UHC Medicaid |
$208.33
|
| Rate for Payer: UHCCP DNSP |
$398.33
|
| Rate for Payer: UHCCP Medicaid |
$208.33
|
| Rate for Payer: VA VA |
$398.33
|
|
|
HC GASTRIN LEVEL
|
Facility
|
OP
|
$43.51
|
|
|
Service Code
|
CPT 82941
|
| Hospital Charge Code |
30100220
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.22 |
| Max. Negotiated Rate |
$75.04 |
| Rate for Payer: Aetna Commercial |
$39.16
|
| Rate for Payer: Aetna Medicare |
$17.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.04
|
| Rate for Payer: ASR ASR |
$42.20
|
| Rate for Payer: BCBS Complete |
$9.68
|
| Rate for Payer: BCBS MAPPO |
$17.63
|
| Rate for Payer: BCBS Trust/PPO |
$35.87
|
| Rate for Payer: BCN Commercial |
$35.87
|
| Rate for Payer: BCN Medicare Advantage |
$17.63
|
| Rate for Payer: Cash Price |
$34.81
|
| Rate for Payer: Cash Price |
$34.81
|
| Rate for Payer: Cofinity Commercial |
$40.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.63
|
| Rate for Payer: Healthscope Commercial |
$42.20
|
| Rate for Payer: Healthscope Whirlpool |
$43.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.63
|
| Rate for Payer: Mclaren Commercial |
$39.16
|
| Rate for Payer: Mclaren Medicaid |
$17.63
|
| Rate for Payer: Mclaren Medicare |
$17.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.51
|
| Rate for Payer: Meridian Medicaid |
$9.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.98
|
| Rate for Payer: Nomi Health Commercial |
$35.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.63
|
| Rate for Payer: PACE Medicare |
$16.75
|
| Rate for Payer: PACE SWMI |
$17.63
|
| Rate for Payer: PHP Commercial |
$19.39
|
| Rate for Payer: PHP Medicaid |
$9.45
|
| Rate for Payer: PHP Medicare Advantage |
$17.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$75.04
|
| Rate for Payer: Priority Health Medicare |
$17.63
|
| Rate for Payer: Priority Health Narrow Network |
$60.03
|
| Rate for Payer: Railroad Medicare Medicare |
$17.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.63
|
| Rate for Payer: UHC Exchange |
$27.33
|
| Rate for Payer: UHC Medicaid |
$9.22
|
| Rate for Payer: UHCCP DNSP |
$17.63
|
| Rate for Payer: UHCCP Medicaid |
$9.22
|
| Rate for Payer: VA VA |
$17.63
|
|
|
HC GASTRIN LEVEL
|
Facility
|
IP
|
$43.51
|
|
|
Service Code
|
CPT 82941
|
| Hospital Charge Code |
30100220
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$32.63 |
| Max. Negotiated Rate |
$43.51 |
| Rate for Payer: Aetna Commercial |
$39.16
|
| Rate for Payer: ASR ASR |
$42.20
|
| Rate for Payer: BCBS Trust/PPO |
$35.73
|
| Rate for Payer: BCN Commercial |
$35.73
|
| Rate for Payer: Cash Price |
$34.81
|
| Rate for Payer: Cofinity Commercial |
$40.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.81
|
| Rate for Payer: Healthscope Commercial |
$42.20
|
| Rate for Payer: Healthscope Whirlpool |
$43.51
|
| Rate for Payer: Mclaren Commercial |
$39.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.98
|
| Rate for Payer: Nomi Health Commercial |
$35.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.29
|
|
|
HC GASTROGRAFIN PER ML
|
Facility
|
OP
|
$3.55
|
|
|
Service Code
|
HCPCS Q9963
|
| Hospital Charge Code |
63600010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.31 |
| Max. Negotiated Rate |
$3.55 |
| Rate for Payer: Aetna Commercial |
$3.19
|
| Rate for Payer: Aetna Medicare |
$1.31
|
| Rate for Payer: ASR ASR |
$3.44
|
| Rate for Payer: BCBS Complete |
$1.42
|
| Rate for Payer: BCBS Trust/PPO |
$2.93
|
| Rate for Payer: BCN Commercial |
$2.93
|
| Rate for Payer: Cash Price |
$2.84
|
| Rate for Payer: Cofinity Commercial |
$3.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.84
|
| Rate for Payer: Healthscope Commercial |
$3.44
|
| Rate for Payer: Healthscope Whirlpool |
$3.55
|
| Rate for Payer: Mclaren Commercial |
$3.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.02
|
| Rate for Payer: Nomi Health Commercial |
$2.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.11
|
| Rate for Payer: Priority Health Narrow Network |
$2.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.12
|
|
|
HC GASTROGRAFIN PER ML
|
Facility
|
IP
|
$3.55
|
|
|
Service Code
|
HCPCS Q9963
|
| Hospital Charge Code |
63600010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.66 |
| Max. Negotiated Rate |
$3.55 |
| Rate for Payer: Aetna Commercial |
$3.19
|
| Rate for Payer: ASR ASR |
$3.44
|
| Rate for Payer: BCBS Trust/PPO |
$2.92
|
| Rate for Payer: BCN Commercial |
$2.92
|
| Rate for Payer: Cash Price |
$2.84
|
| Rate for Payer: Cofinity Commercial |
$3.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.84
|
| Rate for Payer: Healthscope Commercial |
$3.44
|
| Rate for Payer: Healthscope Whirlpool |
$3.55
|
| Rate for Payer: Mclaren Commercial |
$3.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.02
|
| Rate for Payer: Nomi Health Commercial |
$2.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.12
|
|
|
HC GASTROSCOPY
|
Facility
|
IP
|
$2,001.39
|
|
| Hospital Charge Code |
36000047
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,501.04 |
| Max. Negotiated Rate |
$2,001.39 |
| Rate for Payer: Aetna Commercial |
$1,801.25
|
| Rate for Payer: ASR ASR |
$1,941.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,643.54
|
| Rate for Payer: BCN Commercial |
$1,643.54
|
| Rate for Payer: Cash Price |
$1,601.11
|
| Rate for Payer: Cofinity Commercial |
$1,881.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,601.11
|
| Rate for Payer: Healthscope Commercial |
$1,941.35
|
| Rate for Payer: Healthscope Whirlpool |
$2,001.39
|
| Rate for Payer: Mclaren Commercial |
$1,801.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,701.18
|
| Rate for Payer: Nomi Health Commercial |
$1,641.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,501.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,761.22
|
|
|
HC GASTROSCOPY
|
Facility
|
OP
|
$2,001.39
|
|
| Hospital Charge Code |
36000047
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$740.51 |
| Max. Negotiated Rate |
$2,001.39 |
| Rate for Payer: Aetna Commercial |
$1,801.25
|
| Rate for Payer: Aetna Medicare |
$740.51
|
| Rate for Payer: ASR ASR |
$1,941.35
|
| Rate for Payer: BCBS Complete |
$800.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,650.15
|
| Rate for Payer: BCN Commercial |
$1,650.15
|
| Rate for Payer: Cash Price |
$1,601.11
|
| Rate for Payer: Cofinity Commercial |
$1,881.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,601.11
|
| Rate for Payer: Healthscope Commercial |
$1,941.35
|
| Rate for Payer: Healthscope Whirlpool |
$2,001.39
|
| Rate for Payer: Mclaren Commercial |
$1,801.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,601.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,701.18
|
| Rate for Payer: Nomi Health Commercial |
$1,641.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,501.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,753.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,402.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,761.22
|
|
|
HC GEL SKIN/WOUND ANTIMICROBIAL ANASEPT
|
Facility
|
IP
|
$81.82
|
|
| Hospital Charge Code |
27000708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.37 |
| Max. Negotiated Rate |
$81.82 |
| Rate for Payer: Aetna Commercial |
$73.64
|
| Rate for Payer: ASR ASR |
$79.37
|
| Rate for Payer: BCBS Trust/PPO |
$67.19
|
| Rate for Payer: BCN Commercial |
$67.19
|
| Rate for Payer: Cash Price |
$65.46
|
| Rate for Payer: Cofinity Commercial |
$76.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.46
|
| Rate for Payer: Healthscope Commercial |
$79.37
|
| Rate for Payer: Healthscope Whirlpool |
$81.82
|
| Rate for Payer: Mclaren Commercial |
$73.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.55
|
| Rate for Payer: Nomi Health Commercial |
$67.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$72.00
|
|
|
HC GEL SKIN/WOUND ANTIMICROBIAL ANASEPT
|
Facility
|
OP
|
$81.82
|
|
| Hospital Charge Code |
27000708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.27 |
| Max. Negotiated Rate |
$81.82 |
| Rate for Payer: Aetna Commercial |
$73.64
|
| Rate for Payer: Aetna Medicare |
$30.27
|
| Rate for Payer: ASR ASR |
$79.37
|
| Rate for Payer: BCBS Complete |
$32.73
|
| Rate for Payer: BCBS Trust/PPO |
$67.46
|
| Rate for Payer: BCN Commercial |
$67.46
|
| Rate for Payer: Cash Price |
$65.46
|
| Rate for Payer: Cofinity Commercial |
$76.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.46
|
| Rate for Payer: Healthscope Commercial |
$79.37
|
| Rate for Payer: Healthscope Whirlpool |
$81.82
|
| Rate for Payer: Mclaren Commercial |
$73.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.55
|
| Rate for Payer: Nomi Health Commercial |
$67.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$71.69
|
| Rate for Payer: Priority Health Narrow Network |
$57.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$72.00
|
|
|
HC GELSYN-3 FOR INTRA-ARTICULAR INJ, 0.1 MG
|
Facility
|
IP
|
$0.01
|
|
|
Service Code
|
HCPCS J7328
|
| Hospital Charge Code |
63600259
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Aetna Commercial |
$0.01
|
| Rate for Payer: ASR ASR |
$0.01
|
| Rate for Payer: BCBS Trust/PPO |
$0.01
|
| Rate for Payer: BCN Commercial |
$0.01
|
| Rate for Payer: Cash Price |
$0.01
|
| Rate for Payer: Cofinity Commercial |
$0.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$0.01
|
| Rate for Payer: Healthscope Commercial |
$0.01
|
| Rate for Payer: Healthscope Whirlpool |
$0.01
|
| Rate for Payer: Mclaren Commercial |
$0.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$0.01
|
| Rate for Payer: Nomi Health Commercial |
$0.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$0.01
|
|
|
HC GELSYN-3 FOR INTRA-ARTICULAR INJ, 0.1 MG
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
HCPCS J7328
|
| Hospital Charge Code |
63600259
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$1.05 |
| Rate for Payer: Aetna Commercial |
$0.01
|
| Rate for Payer: Aetna Medicare |
$0.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.85
|
| Rate for Payer: ASR ASR |
$0.01
|
| Rate for Payer: BCBS Complete |
$0.37
|
| Rate for Payer: BCBS MAPPO |
$0.68
|
| Rate for Payer: BCBS Trust/PPO |
$0.01
|
| Rate for Payer: BCN Commercial |
$0.01
|
| Rate for Payer: BCN Medicare Advantage |
$0.68
|
| Rate for Payer: Cash Price |
$0.01
|
| Rate for Payer: Cash Price |
$0.01
|
| Rate for Payer: Cofinity Commercial |
$0.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$0.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.68
|
| Rate for Payer: Healthscope Commercial |
$0.01
|
| Rate for Payer: Healthscope Whirlpool |
$0.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.68
|
| Rate for Payer: Mclaren Commercial |
$0.01
|
| Rate for Payer: Mclaren Medicaid |
$0.68
|
| Rate for Payer: Mclaren Medicare |
$0.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.71
|
| Rate for Payer: Meridian Medicaid |
$0.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$0.01
|
| Rate for Payer: Nomi Health Commercial |
$0.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$0.01
|
| Rate for Payer: PACE Medicare |
$0.65
|
| Rate for Payer: PACE SWMI |
$0.68
|
| Rate for Payer: PHP Commercial |
$0.75
|
| Rate for Payer: PHP Medicaid |
$0.36
|
| Rate for Payer: PHP Medicare Advantage |
$0.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.70
|
| Rate for Payer: Priority Health Medicare |
$0.68
|
| Rate for Payer: Priority Health Narrow Network |
$0.56
|
| Rate for Payer: Railroad Medicare Medicare |
$0.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$0.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.68
|
| Rate for Payer: UHC Exchange |
$1.05
|
| Rate for Payer: UHC Medicaid |
$0.36
|
| Rate for Payer: UHCCP DNSP |
$0.68
|
| Rate for Payer: UHCCP Medicaid |
$0.36
|
| Rate for Payer: VA VA |
$0.68
|
|
|
HC GEN ANES ADDL 15 MIN
|
Facility
|
OP
|
$152.92
|
|
| Hospital Charge Code |
37000001
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$56.58 |
| Max. Negotiated Rate |
$152.92 |
| Rate for Payer: Aetna Commercial |
$137.63
|
| Rate for Payer: Aetna Medicare |
$56.58
|
| Rate for Payer: ASR ASR |
$148.33
|
| Rate for Payer: BCBS Complete |
$61.17
|
| Rate for Payer: BCBS Trust/PPO |
$126.08
|
| Rate for Payer: BCN Commercial |
$126.08
|
| Rate for Payer: Cash Price |
$122.34
|
| Rate for Payer: Cofinity Commercial |
$143.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$122.34
|
| Rate for Payer: Healthscope Commercial |
$148.33
|
| Rate for Payer: Healthscope Whirlpool |
$152.92
|
| Rate for Payer: Mclaren Commercial |
$137.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.98
|
| Rate for Payer: Nomi Health Commercial |
$125.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$133.99
|
| Rate for Payer: Priority Health Narrow Network |
$107.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$134.57
|
|
|
HC GEN ANES ADDL 15 MIN
|
Facility
|
IP
|
$152.92
|
|
| Hospital Charge Code |
37000001
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$114.69 |
| Max. Negotiated Rate |
$152.92 |
| Rate for Payer: Aetna Commercial |
$137.63
|
| Rate for Payer: ASR ASR |
$148.33
|
| Rate for Payer: BCBS Trust/PPO |
$125.58
|
| Rate for Payer: BCN Commercial |
$125.58
|
| Rate for Payer: Cash Price |
$122.34
|
| Rate for Payer: Cofinity Commercial |
$143.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$122.34
|
| Rate for Payer: Healthscope Commercial |
$148.33
|
| Rate for Payer: Healthscope Whirlpool |
$152.92
|
| Rate for Payer: Mclaren Commercial |
$137.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.98
|
| Rate for Payer: Nomi Health Commercial |
$125.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$134.57
|
|
