|
HC ERCP SPHINCTEROTOMY
|
Facility
|
OP
|
$4,045.90
|
|
| Hospital Charge Code |
36000040
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,618.36 |
| Max. Negotiated Rate |
$4,045.90 |
| Rate for Payer: Aetna Commercial |
$3,641.31
|
| Rate for Payer: Aetna Medicare |
$2,022.95
|
| Rate for Payer: ASR ASR |
$3,924.52
|
| Rate for Payer: ASR Commercial |
$3,924.52
|
| Rate for Payer: BCBS Complete |
$1,618.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,313.19
|
| Rate for Payer: BCN Commercial |
$3,136.79
|
| Rate for Payer: Cash Price |
$3,236.72
|
| Rate for Payer: Cofinity Commercial |
$3,803.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,236.72
|
| Rate for Payer: Healthscope Commercial |
$4,045.90
|
| Rate for Payer: Healthscope Whirlpool |
$3,924.52
|
| Rate for Payer: Mclaren Commercial |
$3,641.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,439.02
|
| Rate for Payer: Nomi Health Commercial |
$3,317.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,629.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,545.02
|
| Rate for Payer: Priority Health Narrow Network |
$2,836.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,560.39
|
|
|
HC ERCP SPHINCTEROTOMY
|
Facility
|
IP
|
$4,045.90
|
|
| Hospital Charge Code |
36000040
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,629.84 |
| Max. Negotiated Rate |
$4,045.90 |
| Rate for Payer: Aetna Commercial |
$3,641.31
|
| Rate for Payer: ASR ASR |
$3,924.52
|
| Rate for Payer: ASR Commercial |
$3,924.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,297.00
|
| Rate for Payer: BCN Commercial |
$3,136.79
|
| Rate for Payer: Cash Price |
$3,236.72
|
| Rate for Payer: Cofinity Commercial |
$3,803.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,236.72
|
| Rate for Payer: Healthscope Commercial |
$4,045.90
|
| Rate for Payer: Healthscope Whirlpool |
$3,924.52
|
| Rate for Payer: Mclaren Commercial |
$3,641.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,439.02
|
| Rate for Payer: Nomi Health Commercial |
$3,317.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,629.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,560.39
|
|
|
HC ER CRITICAL CARE EA ADDL 30 MIN
|
Facility
|
IP
|
$895.36
|
|
|
Service Code
|
CPT 99292
|
| Hospital Charge Code |
45000081
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$581.98 |
| Max. Negotiated Rate |
$895.36 |
| Rate for Payer: Aetna Commercial |
$805.82
|
| Rate for Payer: ASR ASR |
$868.50
|
| Rate for Payer: ASR Commercial |
$868.50
|
| Rate for Payer: BCBS Trust/PPO |
$729.63
|
| Rate for Payer: BCN Commercial |
$694.17
|
| Rate for Payer: Cash Price |
$716.29
|
| Rate for Payer: Cofinity Commercial |
$841.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$716.29
|
| Rate for Payer: Healthscope Commercial |
$895.36
|
| Rate for Payer: Healthscope Whirlpool |
$868.50
|
| Rate for Payer: Mclaren Commercial |
$805.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$761.06
|
| Rate for Payer: Nomi Health Commercial |
$734.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$787.92
|
|
|
HC ER CRITICAL CARE EA ADDL 30 MIN
|
Facility
|
OP
|
$895.36
|
|
|
Service Code
|
CPT 99292
|
| Hospital Charge Code |
45000081
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$358.14 |
| Max. Negotiated Rate |
$895.36 |
| Rate for Payer: Aetna Commercial |
$805.82
|
| Rate for Payer: Aetna Medicare |
$447.68
|
| Rate for Payer: ASR ASR |
$868.50
|
| Rate for Payer: ASR Commercial |
$868.50
|
| Rate for Payer: BCBS Complete |
$358.14
|
| Rate for Payer: BCBS Trust/PPO |
$733.21
|
| Rate for Payer: BCN Commercial |
$694.17
|
| Rate for Payer: Cash Price |
$716.29
|
| Rate for Payer: Cofinity Commercial |
$841.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$716.29
|
| Rate for Payer: Healthscope Commercial |
$895.36
|
| Rate for Payer: Healthscope Whirlpool |
$868.50
|
| Rate for Payer: Mclaren Commercial |
$805.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$761.06
|
| Rate for Payer: Nomi Health Commercial |
$734.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$784.51
|
| Rate for Payer: Priority Health Narrow Network |
$627.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$787.92
|
|
|
HC ER CRITICAL CARE INITIAL 30-74 MIN
|
Facility
|
IP
|
$3,433.56
|
|
|
Service Code
|
CPT 99291
|
| Hospital Charge Code |
45000026
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,231.81 |
| Max. Negotiated Rate |
$3,433.56 |
| Rate for Payer: Aetna Commercial |
$3,090.20
|
| Rate for Payer: ASR ASR |
$3,330.55
|
| Rate for Payer: ASR Commercial |
$3,330.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,798.01
|
| Rate for Payer: BCN Commercial |
$2,662.04
|
| Rate for Payer: Cash Price |
$2,746.85
|
| Rate for Payer: Cofinity Commercial |
$3,227.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,746.85
|
| Rate for Payer: Healthscope Commercial |
$3,433.56
|
| Rate for Payer: Healthscope Whirlpool |
$3,330.55
|
| Rate for Payer: Mclaren Commercial |
$3,090.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,918.53
|
| Rate for Payer: Nomi Health Commercial |
$2,815.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,231.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,021.53
|
|
|
HC ER CRITICAL CARE INITIAL 30-74 MIN
|
Facility
|
OP
|
$3,433.56
|
|
|
Service Code
|
CPT 99291
|
| Hospital Charge Code |
45000026
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$442.51 |
| Max. Negotiated Rate |
$3,433.56 |
| Rate for Payer: Aetna Commercial |
$3,090.20
|
| Rate for Payer: Aetna Medicare |
$825.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,031.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,031.96
|
| Rate for Payer: ASR ASR |
$3,330.55
|
| Rate for Payer: ASR Commercial |
$3,330.55
|
| Rate for Payer: BCBS Complete |
$464.63
|
| Rate for Payer: BCBS MAPPO |
$825.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,811.74
|
| Rate for Payer: BCN Commercial |
$2,662.04
|
| Rate for Payer: BCN Medicare Advantage |
$825.57
|
| Rate for Payer: Cash Price |
$2,746.85
|
| Rate for Payer: Cash Price |
$2,746.85
|
| Rate for Payer: Cofinity Commercial |
$3,227.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,746.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$825.57
|
| Rate for Payer: Healthscope Commercial |
$3,433.56
|
| Rate for Payer: Healthscope Whirlpool |
$3,330.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$825.57
|
| Rate for Payer: Mclaren Commercial |
$3,090.20
|
| Rate for Payer: Mclaren Medicaid |
$442.51
|
| Rate for Payer: Mclaren Medicare |
$825.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$866.85
|
| Rate for Payer: Meridian Medicaid |
$464.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$949.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,918.53
|
| Rate for Payer: Nomi Health Commercial |
$2,815.52
|
| Rate for Payer: PACE Medicare |
$784.29
|
| Rate for Payer: PACE SWMI |
$825.57
|
| Rate for Payer: PHP Commercial |
$908.13
|
| Rate for Payer: PHP Medicaid |
$442.51
|
| Rate for Payer: PHP Medicare Advantage |
$825.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,231.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,008.49
|
| Rate for Payer: Priority Health Medicare |
$825.57
|
| Rate for Payer: Priority Health Narrow Network |
$2,406.93
|
| Rate for Payer: Railroad Medicare Medicare |
$825.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,021.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$825.57
|
| Rate for Payer: UHC Exchange |
$1,279.63
|
| Rate for Payer: UHC Medicare Advantage |
$825.57
|
| Rate for Payer: UHCCP DNSP |
$825.57
|
| Rate for Payer: UHCCP Medicaid |
$442.51
|
| Rate for Payer: VA VA |
$825.57
|
|
|
HC ER LEVEL FIVE 99285
|
Facility
|
IP
|
$2,047.66
|
|
|
Service Code
|
CPT 99285
|
| Hospital Charge Code |
45000025
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,330.98 |
| Max. Negotiated Rate |
$2,047.66 |
| Rate for Payer: Aetna Commercial |
$1,842.89
|
| Rate for Payer: ASR ASR |
$1,986.23
|
| Rate for Payer: ASR Commercial |
$1,986.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,668.64
|
| Rate for Payer: BCN Commercial |
$1,587.55
|
| Rate for Payer: Cash Price |
$1,638.13
|
| Rate for Payer: Cofinity Commercial |
$1,924.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,638.13
|
| Rate for Payer: Healthscope Commercial |
$2,047.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,986.23
|
| Rate for Payer: Mclaren Commercial |
$1,842.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,740.51
|
| Rate for Payer: Nomi Health Commercial |
$1,679.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,330.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,801.94
|
|
|
HC ER LEVEL FIVE 99285
|
Facility
|
OP
|
$2,047.66
|
|
|
Service Code
|
CPT 99285
|
| Hospital Charge Code |
45000025
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$321.98 |
| Max. Negotiated Rate |
$2,047.66 |
| Rate for Payer: Aetna Commercial |
$1,842.89
|
| Rate for Payer: Aetna Medicare |
$600.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$750.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$750.88
|
| Rate for Payer: ASR ASR |
$1,986.23
|
| Rate for Payer: ASR Commercial |
$1,986.23
|
| Rate for Payer: BCBS Complete |
$338.07
|
| Rate for Payer: BCBS MAPPO |
$600.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,676.83
|
| Rate for Payer: BCN Commercial |
$1,587.55
|
| Rate for Payer: BCN Medicare Advantage |
$600.70
|
| Rate for Payer: Cash Price |
$1,638.13
|
| Rate for Payer: Cash Price |
$1,638.13
|
| Rate for Payer: Cofinity Commercial |
$1,924.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,638.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.70
|
| Rate for Payer: Healthscope Commercial |
$2,047.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,986.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$600.70
|
| Rate for Payer: Mclaren Commercial |
$1,842.89
|
| Rate for Payer: Mclaren Medicaid |
$321.98
|
| Rate for Payer: Mclaren Medicare |
$600.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$630.74
|
| Rate for Payer: Meridian Medicaid |
$338.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$690.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,740.51
|
| Rate for Payer: Nomi Health Commercial |
$1,679.08
|
| Rate for Payer: PACE Medicare |
$570.66
|
| Rate for Payer: PACE SWMI |
$600.70
|
| Rate for Payer: PHP Commercial |
$660.77
|
| Rate for Payer: PHP Medicaid |
$321.98
|
| Rate for Payer: PHP Medicare Advantage |
$600.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,330.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,006.87
|
| Rate for Payer: Priority Health Medicare |
$600.70
|
| Rate for Payer: Priority Health Narrow Network |
$805.50
|
| Rate for Payer: Railroad Medicare Medicare |
$600.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,801.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.70
|
| Rate for Payer: UHC Exchange |
$931.08
|
| Rate for Payer: UHC Medicare Advantage |
$600.70
|
| Rate for Payer: UHCCP DNSP |
$600.70
|
| Rate for Payer: UHCCP Medicaid |
$321.98
|
| Rate for Payer: VA VA |
$600.70
|
|
|
HC ER LEVEL FOUR 99284
|
Facility
|
IP
|
$1,419.01
|
|
|
Service Code
|
CPT 99284
|
| Hospital Charge Code |
45000024
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$922.36 |
| Max. Negotiated Rate |
$1,419.01 |
| Rate for Payer: Aetna Commercial |
$1,277.11
|
| Rate for Payer: ASR ASR |
$1,376.44
|
| Rate for Payer: ASR Commercial |
$1,376.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,156.35
|
| Rate for Payer: BCN Commercial |
$1,100.16
|
| Rate for Payer: Cash Price |
$1,135.21
|
| Rate for Payer: Cofinity Commercial |
$1,333.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,135.21
|
| Rate for Payer: Healthscope Commercial |
$1,419.01
|
| Rate for Payer: Healthscope Whirlpool |
$1,376.44
|
| Rate for Payer: Mclaren Commercial |
$1,277.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,206.16
|
| Rate for Payer: Nomi Health Commercial |
$1,163.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$922.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,248.73
|
|
|
HC ER LEVEL FOUR 99284
|
Facility
|
OP
|
$1,419.01
|
|
|
Service Code
|
CPT 99284
|
| Hospital Charge Code |
45000024
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$223.62 |
| Max. Negotiated Rate |
$1,419.01 |
| Rate for Payer: Aetna Commercial |
$1,277.11
|
| Rate for Payer: Aetna Medicare |
$417.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$521.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$521.51
|
| Rate for Payer: ASR ASR |
$1,376.44
|
| Rate for Payer: ASR Commercial |
$1,376.44
|
| Rate for Payer: BCBS Complete |
$234.81
|
| Rate for Payer: BCBS MAPPO |
$417.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,162.03
|
| Rate for Payer: BCN Commercial |
$1,100.16
|
| Rate for Payer: BCN Medicare Advantage |
$417.21
|
| Rate for Payer: Cash Price |
$1,135.21
|
| Rate for Payer: Cash Price |
$1,135.21
|
| Rate for Payer: Cofinity Commercial |
$1,333.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,135.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.21
|
| Rate for Payer: Healthscope Commercial |
$1,419.01
|
| Rate for Payer: Healthscope Whirlpool |
$1,376.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$417.21
|
| Rate for Payer: Mclaren Commercial |
$1,277.11
|
| Rate for Payer: Mclaren Medicaid |
$223.62
|
| Rate for Payer: Mclaren Medicare |
$417.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.07
|
| Rate for Payer: Meridian Medicaid |
$234.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$479.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,206.16
|
| Rate for Payer: Nomi Health Commercial |
$1,163.59
|
| Rate for Payer: PACE Medicare |
$396.35
|
| Rate for Payer: PACE SWMI |
$417.21
|
| Rate for Payer: PHP Commercial |
$458.93
|
| Rate for Payer: PHP Medicaid |
$223.62
|
| Rate for Payer: PHP Medicare Advantage |
$417.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$223.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$922.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$687.36
|
| Rate for Payer: Priority Health Medicare |
$417.21
|
| Rate for Payer: Priority Health Narrow Network |
$549.89
|
| Rate for Payer: Railroad Medicare Medicare |
$417.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,248.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.21
|
| Rate for Payer: UHC Exchange |
$646.68
|
| Rate for Payer: UHC Medicare Advantage |
$417.21
|
| Rate for Payer: UHCCP DNSP |
$417.21
|
| Rate for Payer: UHCCP Medicaid |
$223.62
|
| Rate for Payer: VA VA |
$417.21
|
|
|
HC ER LEVEL ONE 99281
|
Facility
|
IP
|
$257.36
|
|
|
Service Code
|
CPT 99281
|
| Hospital Charge Code |
45000020
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$167.28 |
| Max. Negotiated Rate |
$257.36 |
| Rate for Payer: Aetna Commercial |
$231.62
|
| Rate for Payer: ASR ASR |
$249.64
|
| Rate for Payer: ASR Commercial |
$249.64
|
| Rate for Payer: BCBS Trust/PPO |
$209.72
|
| Rate for Payer: BCN Commercial |
$199.53
|
| Rate for Payer: Cash Price |
$205.89
|
| Rate for Payer: Cofinity Commercial |
$241.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.89
|
| Rate for Payer: Healthscope Commercial |
$257.36
|
| Rate for Payer: Healthscope Whirlpool |
$249.64
|
| Rate for Payer: Mclaren Commercial |
$231.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$218.76
|
| Rate for Payer: Nomi Health Commercial |
$211.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$226.48
|
|
|
HC ER LEVEL ONE 99281
|
Facility
|
OP
|
$257.36
|
|
|
Service Code
|
CPT 99281
|
| Hospital Charge Code |
45000020
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$46.24 |
| Max. Negotiated Rate |
$257.36 |
| Rate for Payer: Aetna Commercial |
$231.62
|
| Rate for Payer: Aetna Medicare |
$86.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$107.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$107.84
|
| Rate for Payer: ASR ASR |
$249.64
|
| Rate for Payer: ASR Commercial |
$249.64
|
| Rate for Payer: BCBS Complete |
$48.55
|
| Rate for Payer: BCBS MAPPO |
$86.27
|
| Rate for Payer: BCBS Trust/PPO |
$210.75
|
| Rate for Payer: BCN Commercial |
$199.53
|
| Rate for Payer: BCN Medicare Advantage |
$86.27
|
| Rate for Payer: Cash Price |
$205.89
|
| Rate for Payer: Cash Price |
$205.89
|
| Rate for Payer: Cofinity Commercial |
$241.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.27
|
| Rate for Payer: Healthscope Commercial |
$257.36
|
| Rate for Payer: Healthscope Whirlpool |
$249.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$86.27
|
| Rate for Payer: Mclaren Commercial |
$231.62
|
| Rate for Payer: Mclaren Medicaid |
$46.24
|
| Rate for Payer: Mclaren Medicare |
$86.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.58
|
| Rate for Payer: Meridian Medicaid |
$48.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$218.76
|
| Rate for Payer: Nomi Health Commercial |
$211.04
|
| Rate for Payer: PACE Medicare |
$81.96
|
| Rate for Payer: PACE SWMI |
$86.27
|
| Rate for Payer: PHP Commercial |
$94.90
|
| Rate for Payer: PHP Medicaid |
$46.24
|
| Rate for Payer: PHP Medicare Advantage |
$86.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$174.58
|
| Rate for Payer: Priority Health Medicare |
$86.27
|
| Rate for Payer: Priority Health Narrow Network |
$139.66
|
| Rate for Payer: Railroad Medicare Medicare |
$86.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$226.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.27
|
| Rate for Payer: UHC Exchange |
$133.72
|
| Rate for Payer: UHC Medicare Advantage |
$86.27
|
| Rate for Payer: UHCCP DNSP |
$86.27
|
| Rate for Payer: UHCCP Medicaid |
$46.24
|
| Rate for Payer: VA VA |
$86.27
|
|
|
HC ER LEVEL THREE 99283
|
Facility
|
IP
|
$903.62
|
|
|
Service Code
|
CPT 99283
|
| Hospital Charge Code |
45000022
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$587.35 |
| Max. Negotiated Rate |
$903.62 |
| Rate for Payer: Aetna Commercial |
$813.26
|
| Rate for Payer: ASR ASR |
$876.51
|
| Rate for Payer: ASR Commercial |
$876.51
|
| Rate for Payer: BCBS Trust/PPO |
$736.36
|
| Rate for Payer: BCN Commercial |
$700.58
|
| Rate for Payer: Cash Price |
$722.90
|
| Rate for Payer: Cofinity Commercial |
$849.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$722.90
|
| Rate for Payer: Healthscope Commercial |
$903.62
|
| Rate for Payer: Healthscope Whirlpool |
$876.51
|
| Rate for Payer: Mclaren Commercial |
$813.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$768.08
|
| Rate for Payer: Nomi Health Commercial |
$740.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$587.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.19
|
|
|
HC ER LEVEL THREE 99283
|
Facility
|
OP
|
$903.62
|
|
|
Service Code
|
CPT 99283
|
| Hospital Charge Code |
45000022
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$145.41 |
| Max. Negotiated Rate |
$903.62 |
| Rate for Payer: Aetna Commercial |
$813.26
|
| Rate for Payer: Aetna Medicare |
$271.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$339.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$339.11
|
| Rate for Payer: ASR ASR |
$876.51
|
| Rate for Payer: ASR Commercial |
$876.51
|
| Rate for Payer: BCBS Complete |
$152.68
|
| Rate for Payer: BCBS MAPPO |
$271.29
|
| Rate for Payer: BCBS Trust/PPO |
$739.97
|
| Rate for Payer: BCN Commercial |
$700.58
|
| Rate for Payer: BCN Medicare Advantage |
$271.29
|
| Rate for Payer: Cash Price |
$722.90
|
| Rate for Payer: Cash Price |
$722.90
|
| Rate for Payer: Cofinity Commercial |
$849.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$722.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.29
|
| Rate for Payer: Healthscope Commercial |
$903.62
|
| Rate for Payer: Healthscope Whirlpool |
$876.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$271.29
|
| Rate for Payer: Mclaren Commercial |
$813.26
|
| Rate for Payer: Mclaren Medicaid |
$145.41
|
| Rate for Payer: Mclaren Medicare |
$271.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$284.85
|
| Rate for Payer: Meridian Medicaid |
$152.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$311.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$768.08
|
| Rate for Payer: Nomi Health Commercial |
$740.97
|
| Rate for Payer: PACE Medicare |
$257.73
|
| Rate for Payer: PACE SWMI |
$271.29
|
| Rate for Payer: PHP Commercial |
$298.42
|
| Rate for Payer: PHP Medicaid |
$145.41
|
| Rate for Payer: PHP Medicare Advantage |
$271.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$587.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$478.73
|
| Rate for Payer: Priority Health Medicare |
$271.29
|
| Rate for Payer: Priority Health Narrow Network |
$382.98
|
| Rate for Payer: Railroad Medicare Medicare |
$271.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$271.29
|
| Rate for Payer: UHC Exchange |
$420.50
|
| Rate for Payer: UHC Medicare Advantage |
$271.29
|
| Rate for Payer: UHCCP DNSP |
$271.29
|
| Rate for Payer: UHCCP Medicaid |
$145.41
|
| Rate for Payer: VA VA |
$271.29
|
|
|
HC ER LEVEL TWO 99282
|
Facility
|
IP
|
$512.06
|
|
|
Service Code
|
CPT 99282
|
| Hospital Charge Code |
45000021
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$332.84 |
| Max. Negotiated Rate |
$512.06 |
| Rate for Payer: Aetna Commercial |
$460.85
|
| Rate for Payer: ASR ASR |
$496.70
|
| Rate for Payer: ASR Commercial |
$496.70
|
| Rate for Payer: BCBS Trust/PPO |
$417.28
|
| Rate for Payer: BCN Commercial |
$397.00
|
| Rate for Payer: Cash Price |
$409.65
|
| Rate for Payer: Cofinity Commercial |
$481.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$409.65
|
| Rate for Payer: Healthscope Commercial |
$512.06
|
| Rate for Payer: Healthscope Whirlpool |
$496.70
|
| Rate for Payer: Mclaren Commercial |
$460.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$435.25
|
| Rate for Payer: Nomi Health Commercial |
$419.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$332.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$450.61
|
|
|
HC ER LEVEL TWO 99282
|
Facility
|
OP
|
$512.06
|
|
|
Service Code
|
CPT 99282
|
| Hospital Charge Code |
45000021
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$83.17 |
| Max. Negotiated Rate |
$512.06 |
| Rate for Payer: Aetna Commercial |
$460.85
|
| Rate for Payer: Aetna Medicare |
$155.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$193.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$193.95
|
| Rate for Payer: ASR ASR |
$496.70
|
| Rate for Payer: ASR Commercial |
$496.70
|
| Rate for Payer: BCBS Complete |
$87.32
|
| Rate for Payer: BCBS MAPPO |
$155.16
|
| Rate for Payer: BCBS Trust/PPO |
$419.33
|
| Rate for Payer: BCN Commercial |
$397.00
|
| Rate for Payer: BCN Medicare Advantage |
$155.16
|
| Rate for Payer: Cash Price |
$409.65
|
| Rate for Payer: Cash Price |
$409.65
|
| Rate for Payer: Cofinity Commercial |
$481.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$409.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.16
|
| Rate for Payer: Healthscope Commercial |
$512.06
|
| Rate for Payer: Healthscope Whirlpool |
$496.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$155.16
|
| Rate for Payer: Mclaren Commercial |
$460.85
|
| Rate for Payer: Mclaren Medicaid |
$83.17
|
| Rate for Payer: Mclaren Medicare |
$155.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$162.92
|
| Rate for Payer: Meridian Medicaid |
$87.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$178.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$435.25
|
| Rate for Payer: Nomi Health Commercial |
$419.89
|
| Rate for Payer: PACE Medicare |
$147.40
|
| Rate for Payer: PACE SWMI |
$155.16
|
| Rate for Payer: PHP Commercial |
$170.68
|
| Rate for Payer: PHP Medicaid |
$83.17
|
| Rate for Payer: PHP Medicare Advantage |
$155.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$332.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$232.78
|
| Rate for Payer: Priority Health Medicare |
$155.16
|
| Rate for Payer: Priority Health Narrow Network |
$186.22
|
| Rate for Payer: Railroad Medicare Medicare |
$155.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$450.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.16
|
| Rate for Payer: UHC Exchange |
$240.50
|
| Rate for Payer: UHC Medicare Advantage |
$155.16
|
| Rate for Payer: UHCCP DNSP |
$155.16
|
| Rate for Payer: UHCCP Medicaid |
$83.17
|
| Rate for Payer: VA VA |
$155.16
|
|
|
HC ER OBSERVATION PER HOUR
|
Facility
|
OP
|
$145.08
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200002
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$49.38 |
| Max. Negotiated Rate |
$145.08 |
| Rate for Payer: Aetna Commercial |
$130.57
|
| Rate for Payer: Aetna Medicare |
$72.54
|
| Rate for Payer: ASR ASR |
$140.73
|
| Rate for Payer: ASR Commercial |
$140.73
|
| Rate for Payer: BCBS Complete |
$58.03
|
| Rate for Payer: BCBS Trust/PPO |
$118.81
|
| Rate for Payer: BCN Commercial |
$112.48
|
| Rate for Payer: Cash Price |
$116.06
|
| Rate for Payer: Cash Price |
$116.06
|
| Rate for Payer: Cofinity Commercial |
$136.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.06
|
| Rate for Payer: Healthscope Commercial |
$145.08
|
| Rate for Payer: Healthscope Whirlpool |
$140.73
|
| Rate for Payer: Mclaren Commercial |
$130.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.32
|
| Rate for Payer: Nomi Health Commercial |
$118.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.72
|
| Rate for Payer: Priority Health Narrow Network |
$49.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$127.67
|
|
|
HC ER OBSERVATION PER HOUR
|
Facility
|
IP
|
$145.08
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200002
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$94.30 |
| Max. Negotiated Rate |
$145.08 |
| Rate for Payer: Aetna Commercial |
$130.57
|
| Rate for Payer: ASR ASR |
$140.73
|
| Rate for Payer: ASR Commercial |
$140.73
|
| Rate for Payer: BCBS Trust/PPO |
$118.23
|
| Rate for Payer: BCN Commercial |
$112.48
|
| Rate for Payer: Cash Price |
$116.06
|
| Rate for Payer: Cofinity Commercial |
$136.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.06
|
| Rate for Payer: Healthscope Commercial |
$145.08
|
| Rate for Payer: Healthscope Whirlpool |
$140.73
|
| Rate for Payer: Mclaren Commercial |
$130.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.32
|
| Rate for Payer: Nomi Health Commercial |
$118.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$127.67
|
|
|
HC ERO OR PACU R&B
|
Facility
|
IP
|
$3,356.84
|
|
| Hospital Charge Code |
12000001
|
|
Hospital Revenue Code
|
120
|
| Min. Negotiated Rate |
$2,181.95 |
| Max. Negotiated Rate |
$3,356.84 |
| Rate for Payer: Aetna Commercial |
$3,021.16
|
| Rate for Payer: ASR ASR |
$3,256.13
|
| Rate for Payer: ASR Commercial |
$3,256.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,735.49
|
| Rate for Payer: BCN Commercial |
$2,602.56
|
| Rate for Payer: Cash Price |
$2,685.47
|
| Rate for Payer: Cofinity Commercial |
$3,155.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,685.47
|
| Rate for Payer: Healthscope Commercial |
$3,356.84
|
| Rate for Payer: Healthscope Whirlpool |
$3,256.13
|
| Rate for Payer: Mclaren Commercial |
$3,021.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,853.31
|
| Rate for Payer: Nomi Health Commercial |
$2,752.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,181.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,954.02
|
|
|
HC ER REDUCTION/DISLOCATION LEVEL 1
|
Facility
|
OP
|
$690.61
|
|
| Hospital Charge Code |
45000039
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$276.24 |
| Max. Negotiated Rate |
$690.61 |
| Rate for Payer: Aetna Commercial |
$621.55
|
| Rate for Payer: Aetna Medicare |
$345.30
|
| Rate for Payer: ASR ASR |
$669.89
|
| Rate for Payer: ASR Commercial |
$669.89
|
| Rate for Payer: BCBS Complete |
$276.24
|
| Rate for Payer: BCBS Trust/PPO |
$565.54
|
| Rate for Payer: BCN Commercial |
$535.43
|
| Rate for Payer: Cash Price |
$552.49
|
| Rate for Payer: Cofinity Commercial |
$649.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$552.49
|
| Rate for Payer: Healthscope Commercial |
$690.61
|
| Rate for Payer: Healthscope Whirlpool |
$669.89
|
| Rate for Payer: Mclaren Commercial |
$621.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$587.02
|
| Rate for Payer: Nomi Health Commercial |
$566.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$448.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$605.11
|
| Rate for Payer: Priority Health Narrow Network |
$484.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.74
|
|
|
HC ER REDUCTION/DISLOCATION LEVEL 1
|
Facility
|
IP
|
$690.61
|
|
| Hospital Charge Code |
45000039
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$448.90 |
| Max. Negotiated Rate |
$690.61 |
| Rate for Payer: Aetna Commercial |
$621.55
|
| Rate for Payer: ASR ASR |
$669.89
|
| Rate for Payer: ASR Commercial |
$669.89
|
| Rate for Payer: BCBS Trust/PPO |
$562.78
|
| Rate for Payer: BCN Commercial |
$535.43
|
| Rate for Payer: Cash Price |
$552.49
|
| Rate for Payer: Cofinity Commercial |
$649.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$552.49
|
| Rate for Payer: Healthscope Commercial |
$690.61
|
| Rate for Payer: Healthscope Whirlpool |
$669.89
|
| Rate for Payer: Mclaren Commercial |
$621.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$587.02
|
| Rate for Payer: Nomi Health Commercial |
$566.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$448.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.74
|
|
|
HC ER SURGICAL HAND/FOOT CARE
|
Facility
|
IP
|
$690.61
|
|
| Hospital Charge Code |
45000040
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$448.90 |
| Max. Negotiated Rate |
$690.61 |
| Rate for Payer: Aetna Commercial |
$621.55
|
| Rate for Payer: ASR ASR |
$669.89
|
| Rate for Payer: ASR Commercial |
$669.89
|
| Rate for Payer: BCBS Trust/PPO |
$562.78
|
| Rate for Payer: BCN Commercial |
$535.43
|
| Rate for Payer: Cash Price |
$552.49
|
| Rate for Payer: Cofinity Commercial |
$649.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$552.49
|
| Rate for Payer: Healthscope Commercial |
$690.61
|
| Rate for Payer: Healthscope Whirlpool |
$669.89
|
| Rate for Payer: Mclaren Commercial |
$621.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$587.02
|
| Rate for Payer: Nomi Health Commercial |
$566.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$448.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.74
|
|
|
HC ER SURGICAL HAND/FOOT CARE
|
Facility
|
OP
|
$690.61
|
|
| Hospital Charge Code |
45000040
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$276.24 |
| Max. Negotiated Rate |
$690.61 |
| Rate for Payer: Aetna Commercial |
$621.55
|
| Rate for Payer: Aetna Medicare |
$345.30
|
| Rate for Payer: ASR ASR |
$669.89
|
| Rate for Payer: ASR Commercial |
$669.89
|
| Rate for Payer: BCBS Complete |
$276.24
|
| Rate for Payer: BCBS Trust/PPO |
$565.54
|
| Rate for Payer: BCN Commercial |
$535.43
|
| Rate for Payer: Cash Price |
$552.49
|
| Rate for Payer: Cofinity Commercial |
$649.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$552.49
|
| Rate for Payer: Healthscope Commercial |
$690.61
|
| Rate for Payer: Healthscope Whirlpool |
$669.89
|
| Rate for Payer: Mclaren Commercial |
$621.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$587.02
|
| Rate for Payer: Nomi Health Commercial |
$566.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$448.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$605.11
|
| Rate for Payer: Priority Health Narrow Network |
$484.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.74
|
|
|
HC ERYTHROPOIETIN
|
Facility
|
IP
|
$41.62
|
|
|
Service Code
|
CPT 82668
|
| Hospital Charge Code |
30100191
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.05 |
| Max. Negotiated Rate |
$41.62 |
| Rate for Payer: Aetna Commercial |
$37.46
|
| Rate for Payer: ASR ASR |
$40.37
|
| Rate for Payer: ASR Commercial |
$40.37
|
| Rate for Payer: BCBS Trust/PPO |
$33.92
|
| Rate for Payer: BCN Commercial |
$32.27
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$39.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Healthscope Commercial |
$41.62
|
| Rate for Payer: Healthscope Whirlpool |
$40.37
|
| Rate for Payer: Mclaren Commercial |
$37.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: Nomi Health Commercial |
$34.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.63
|
|
|
HC ERYTHROPOIETIN
|
Facility
|
OP
|
$41.62
|
|
|
Service Code
|
CPT 82668
|
| Hospital Charge Code |
30100191
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.07 |
| Max. Negotiated Rate |
$72.47 |
| Rate for Payer: Aetna Commercial |
$37.46
|
| Rate for Payer: Aetna Medicare |
$18.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.49
|
| Rate for Payer: ASR ASR |
$40.37
|
| Rate for Payer: ASR Commercial |
$40.37
|
| Rate for Payer: BCBS Complete |
$10.58
|
| Rate for Payer: BCBS MAPPO |
$18.79
|
| Rate for Payer: BCBS Trust/PPO |
$34.08
|
| Rate for Payer: BCN Commercial |
$32.27
|
| Rate for Payer: BCN Medicare Advantage |
$18.79
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$39.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.79
|
| Rate for Payer: Healthscope Commercial |
$41.62
|
| Rate for Payer: Healthscope Whirlpool |
$40.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.79
|
| Rate for Payer: Mclaren Commercial |
$37.46
|
| Rate for Payer: Mclaren Medicaid |
$10.07
|
| Rate for Payer: Mclaren Medicare |
$18.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.73
|
| Rate for Payer: Meridian Medicaid |
$10.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: Nomi Health Commercial |
$34.13
|
| Rate for Payer: PACE Medicare |
$17.85
|
| Rate for Payer: PACE SWMI |
$18.79
|
| Rate for Payer: PHP Commercial |
$20.67
|
| Rate for Payer: PHP Medicaid |
$10.07
|
| Rate for Payer: PHP Medicare Advantage |
$18.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.47
|
| Rate for Payer: Priority Health Medicare |
$18.79
|
| Rate for Payer: Priority Health Narrow Network |
$57.98
|
| Rate for Payer: Railroad Medicare Medicare |
$18.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.79
|
| Rate for Payer: UHC Exchange |
$29.12
|
| Rate for Payer: UHC Medicare Advantage |
$18.79
|
| Rate for Payer: UHCCP DNSP |
$18.79
|
| Rate for Payer: UHCCP Medicaid |
$10.07
|
| Rate for Payer: VA VA |
$18.79
|
|
