|
HC HEALTH & BEHAV INTERVENT INDIV INIT 30 MIN
|
Facility
|
OP
|
$125.23
|
|
|
Service Code
|
CPT 96158
|
| Hospital Charge Code |
91400010
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$79.30 |
| Max. Negotiated Rate |
$221.07 |
| Rate for Payer: Aetna Commercial |
$112.71
|
| Rate for Payer: Aetna Medicare |
$176.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$221.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$221.07
|
| Rate for Payer: ASR ASR |
$121.47
|
| Rate for Payer: BCBS Complete |
$97.13
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCBS Trust/PPO |
$103.25
|
| Rate for Payer: BCN Commercial |
$103.25
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$100.18
|
| Rate for Payer: Cash Price |
$100.18
|
| Rate for Payer: Cofinity Commercial |
$117.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Healthscope Commercial |
$121.47
|
| Rate for Payer: Healthscope Whirlpool |
$125.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$176.86
|
| Rate for Payer: Mclaren Commercial |
$112.71
|
| Rate for Payer: Mclaren Medicaid |
$176.86
|
| Rate for Payer: Mclaren Medicare |
$176.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Meridian Medicaid |
$97.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$203.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.45
|
| Rate for Payer: Nomi Health Commercial |
$102.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.92
|
| Rate for Payer: PACE Medicare |
$168.02
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Commercial |
$194.55
|
| Rate for Payer: PHP Medicaid |
$94.80
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$99.13
|
| Rate for Payer: Priority Health Medicare |
$176.86
|
| Rate for Payer: Priority Health Narrow Network |
$79.30
|
| Rate for Payer: Railroad Medicare Medicare |
$176.86
|
| Rate for Payer: UHC Medicaid |
$92.50
|
| Rate for Payer: UHCCP DNSP |
$176.86
|
| Rate for Payer: UHCCP Medicaid |
$92.50
|
| Rate for Payer: VA VA |
$176.86
|
|
|
HC HEARING AID CHECK BINAURAL
|
Facility
|
OP
|
$62.42
|
|
|
Service Code
|
CPT 92593
|
| Hospital Charge Code |
76100499
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$23.10 |
| Max. Negotiated Rate |
$62.42 |
| Rate for Payer: Aetna Commercial |
$56.18
|
| Rate for Payer: Aetna Medicare |
$23.10
|
| Rate for Payer: ASR ASR |
$60.55
|
| Rate for Payer: BCBS Complete |
$24.97
|
| Rate for Payer: BCBS Trust/PPO |
$51.47
|
| Rate for Payer: BCN Commercial |
$51.47
|
| Rate for Payer: Cash Price |
$49.94
|
| Rate for Payer: Cofinity Commercial |
$58.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.94
|
| Rate for Payer: Healthscope Commercial |
$60.55
|
| Rate for Payer: Healthscope Whirlpool |
$62.42
|
| Rate for Payer: Mclaren Commercial |
$56.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$51.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Narrow Network |
$43.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.93
|
|
|
HC HEARING AID CHECK BINAURAL
|
Facility
|
IP
|
$62.42
|
|
|
Service Code
|
CPT 92593
|
| Hospital Charge Code |
76100499
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$46.81 |
| Max. Negotiated Rate |
$62.42 |
| Rate for Payer: Aetna Commercial |
$56.18
|
| Rate for Payer: ASR ASR |
$60.55
|
| Rate for Payer: BCBS Trust/PPO |
$51.26
|
| Rate for Payer: BCN Commercial |
$51.26
|
| Rate for Payer: Cash Price |
$49.94
|
| Rate for Payer: Cofinity Commercial |
$58.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.94
|
| Rate for Payer: Healthscope Commercial |
$60.55
|
| Rate for Payer: Healthscope Whirlpool |
$62.42
|
| Rate for Payer: Mclaren Commercial |
$56.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$51.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.93
|
|
|
HC HEARING AID CHECK MONAURAL
|
Facility
|
OP
|
$55.14
|
|
|
Service Code
|
CPT 92592
|
| Hospital Charge Code |
47100402
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$55.14 |
| Rate for Payer: Aetna Commercial |
$49.63
|
| Rate for Payer: Aetna Medicare |
$20.40
|
| Rate for Payer: ASR ASR |
$53.49
|
| Rate for Payer: BCBS Complete |
$22.06
|
| Rate for Payer: BCBS Trust/PPO |
$45.46
|
| Rate for Payer: BCN Commercial |
$45.46
|
| Rate for Payer: Cash Price |
$44.11
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.11
|
| Rate for Payer: Healthscope Commercial |
$53.49
|
| Rate for Payer: Healthscope Whirlpool |
$55.14
|
| Rate for Payer: Mclaren Commercial |
$49.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.87
|
| Rate for Payer: Nomi Health Commercial |
$45.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$48.31
|
| Rate for Payer: Priority Health Narrow Network |
$38.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.52
|
|
|
HC HEARING AID CHECK MONAURAL
|
Facility
|
IP
|
$55.14
|
|
|
Service Code
|
CPT 92592
|
| Hospital Charge Code |
47100402
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$41.35 |
| Max. Negotiated Rate |
$55.14 |
| Rate for Payer: Aetna Commercial |
$49.63
|
| Rate for Payer: ASR ASR |
$53.49
|
| Rate for Payer: BCBS Trust/PPO |
$45.28
|
| Rate for Payer: BCN Commercial |
$45.28
|
| Rate for Payer: Cash Price |
$44.11
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.11
|
| Rate for Payer: Healthscope Commercial |
$53.49
|
| Rate for Payer: Healthscope Whirlpool |
$55.14
|
| Rate for Payer: Mclaren Commercial |
$49.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.87
|
| Rate for Payer: Nomi Health Commercial |
$45.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.52
|
|
|
HC HEARING AID EXAM BOTH EARS
|
Facility
|
OP
|
$123.81
|
|
|
Service Code
|
CPT 92591
|
| Hospital Charge Code |
76100504
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$45.81 |
| Max. Negotiated Rate |
$123.81 |
| Rate for Payer: Aetna Commercial |
$111.43
|
| Rate for Payer: Aetna Medicare |
$45.81
|
| Rate for Payer: ASR ASR |
$120.10
|
| Rate for Payer: BCBS Complete |
$49.52
|
| Rate for Payer: BCBS Trust/PPO |
$102.08
|
| Rate for Payer: BCN Commercial |
$102.08
|
| Rate for Payer: Cash Price |
$99.05
|
| Rate for Payer: Cofinity Commercial |
$116.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.05
|
| Rate for Payer: Healthscope Commercial |
$120.10
|
| Rate for Payer: Healthscope Whirlpool |
$123.81
|
| Rate for Payer: Mclaren Commercial |
$111.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.24
|
| Rate for Payer: Nomi Health Commercial |
$101.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$108.48
|
| Rate for Payer: Priority Health Narrow Network |
$86.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$108.95
|
|
|
HC HEARING AID EXAM BOTH EARS
|
Facility
|
IP
|
$123.81
|
|
|
Service Code
|
CPT 92591
|
| Hospital Charge Code |
76100504
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$92.86 |
| Max. Negotiated Rate |
$123.81 |
| Rate for Payer: Aetna Commercial |
$111.43
|
| Rate for Payer: ASR ASR |
$120.10
|
| Rate for Payer: BCBS Trust/PPO |
$101.67
|
| Rate for Payer: BCN Commercial |
$101.67
|
| Rate for Payer: Cash Price |
$99.05
|
| Rate for Payer: Cofinity Commercial |
$116.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.05
|
| Rate for Payer: Healthscope Commercial |
$120.10
|
| Rate for Payer: Healthscope Whirlpool |
$123.81
|
| Rate for Payer: Mclaren Commercial |
$111.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.24
|
| Rate for Payer: Nomi Health Commercial |
$101.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$108.95
|
|
|
HC HEARING AID EXAM ONE EAR
|
Facility
|
IP
|
$113.40
|
|
|
Service Code
|
CPT 92590
|
| Hospital Charge Code |
76100505
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$85.05 |
| Max. Negotiated Rate |
$113.40 |
| Rate for Payer: Aetna Commercial |
$102.06
|
| Rate for Payer: ASR ASR |
$110.00
|
| Rate for Payer: BCBS Trust/PPO |
$93.12
|
| Rate for Payer: BCN Commercial |
$93.12
|
| Rate for Payer: Cash Price |
$90.72
|
| Rate for Payer: Cofinity Commercial |
$106.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.72
|
| Rate for Payer: Healthscope Commercial |
$110.00
|
| Rate for Payer: Healthscope Whirlpool |
$113.40
|
| Rate for Payer: Mclaren Commercial |
$102.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.39
|
| Rate for Payer: Nomi Health Commercial |
$92.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$99.79
|
|
|
HC HEARING AID EXAM ONE EAR
|
Facility
|
OP
|
$113.40
|
|
|
Service Code
|
CPT 92590
|
| Hospital Charge Code |
76100505
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$41.96 |
| Max. Negotiated Rate |
$113.40 |
| Rate for Payer: Aetna Commercial |
$102.06
|
| Rate for Payer: Aetna Medicare |
$41.96
|
| Rate for Payer: ASR ASR |
$110.00
|
| Rate for Payer: BCBS Complete |
$45.36
|
| Rate for Payer: BCBS Trust/PPO |
$93.50
|
| Rate for Payer: BCN Commercial |
$93.50
|
| Rate for Payer: Cash Price |
$90.72
|
| Rate for Payer: Cofinity Commercial |
$106.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.72
|
| Rate for Payer: Healthscope Commercial |
$110.00
|
| Rate for Payer: Healthscope Whirlpool |
$113.40
|
| Rate for Payer: Mclaren Commercial |
$102.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$90.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.39
|
| Rate for Payer: Nomi Health Commercial |
$92.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$99.36
|
| Rate for Payer: Priority Health Narrow Network |
$79.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$99.79
|
|
|
HC HEART CATH CORONARIES CABG'S
|
Facility
|
OP
|
$12,456.64
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100018
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$12,456.64 |
| Rate for Payer: Aetna Commercial |
$11,210.98
|
| Rate for Payer: Aetna Medicare |
$3,230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: ASR ASR |
$12,082.94
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$10,270.50
|
| Rate for Payer: BCN Commercial |
$10,270.50
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$9,965.31
|
| Rate for Payer: Cash Price |
$9,965.31
|
| Rate for Payer: Cofinity Commercial |
$11,709.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,965.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$12,082.94
|
| Rate for Payer: Healthscope Whirlpool |
$12,456.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$11,210.98
|
| Rate for Payer: Mclaren Medicaid |
$3,230.27
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$1,774.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,588.14
|
| Rate for Payer: Nomi Health Commercial |
$10,214.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,342.48
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$3,553.30
|
| Rate for Payer: PHP Medicaid |
$1,731.42
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10,914.51
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$8,732.10
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,961.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Exchange |
$5,006.92
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP DNSP |
$3,230.27
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH CORONARIES CABG'S
|
Facility
|
IP
|
$12,456.64
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100018
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,342.48 |
| Max. Negotiated Rate |
$12,456.64 |
| Rate for Payer: Aetna Commercial |
$11,210.98
|
| Rate for Payer: ASR ASR |
$12,082.94
|
| Rate for Payer: BCBS Trust/PPO |
$10,229.39
|
| Rate for Payer: BCN Commercial |
$10,229.39
|
| Rate for Payer: Cash Price |
$9,965.31
|
| Rate for Payer: Cofinity Commercial |
$11,709.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,965.31
|
| Rate for Payer: Healthscope Commercial |
$12,082.94
|
| Rate for Payer: Healthscope Whirlpool |
$12,456.64
|
| Rate for Payer: Mclaren Commercial |
$11,210.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,588.14
|
| Rate for Payer: Nomi Health Commercial |
$10,214.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,342.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10,961.84
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
OP
|
$55.67
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.60 |
| Max. Negotiated Rate |
$55.67 |
| Rate for Payer: Aetna Commercial |
$50.10
|
| Rate for Payer: Aetna Medicare |
$20.60
|
| Rate for Payer: ASR ASR |
$54.00
|
| Rate for Payer: BCBS Complete |
$22.27
|
| Rate for Payer: BCBS Trust/PPO |
$45.90
|
| Rate for Payer: BCN Commercial |
$45.90
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Commercial |
$52.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$54.00
|
| Rate for Payer: Healthscope Whirlpool |
$55.67
|
| Rate for Payer: Mclaren Commercial |
$50.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$48.78
|
| Rate for Payer: Priority Health Narrow Network |
$39.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.99
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
IP
|
$55.67
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.75 |
| Max. Negotiated Rate |
$55.67 |
| Rate for Payer: Aetna Commercial |
$50.10
|
| Rate for Payer: ASR ASR |
$54.00
|
| Rate for Payer: BCBS Trust/PPO |
$45.72
|
| Rate for Payer: BCN Commercial |
$45.72
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Commercial |
$52.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$54.00
|
| Rate for Payer: Healthscope Whirlpool |
$55.67
|
| Rate for Payer: Mclaren Commercial |
$50.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.99
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
OP
|
$8,650.65
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$8,650.65 |
| Rate for Payer: Aetna Commercial |
$7,785.59
|
| Rate for Payer: Aetna Medicare |
$3,230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: ASR ASR |
$8,391.13
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$7,132.46
|
| Rate for Payer: BCN Commercial |
$7,132.46
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cofinity Commercial |
$8,131.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,920.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$8,391.13
|
| Rate for Payer: Healthscope Whirlpool |
$8,650.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$7,785.59
|
| Rate for Payer: Mclaren Medicaid |
$3,230.27
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$1,774.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,353.05
|
| Rate for Payer: Nomi Health Commercial |
$7,093.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,487.99
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$3,553.30
|
| Rate for Payer: PHP Medicaid |
$1,731.42
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,579.70
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$6,064.11
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,612.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Exchange |
$5,006.92
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP DNSP |
$3,230.27
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
IP
|
$8,650.65
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,487.99 |
| Max. Negotiated Rate |
$8,650.65 |
| Rate for Payer: Aetna Commercial |
$7,785.59
|
| Rate for Payer: ASR ASR |
$8,391.13
|
| Rate for Payer: BCBS Trust/PPO |
$7,103.91
|
| Rate for Payer: BCN Commercial |
$7,103.91
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cofinity Commercial |
$8,131.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,920.52
|
| Rate for Payer: Healthscope Commercial |
$8,391.13
|
| Rate for Payer: Healthscope Whirlpool |
$8,650.65
|
| Rate for Payer: Mclaren Commercial |
$7,785.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,353.05
|
| Rate for Payer: Nomi Health Commercial |
$7,093.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,487.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,612.57
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
OP
|
$15,402.66
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$15,402.66 |
| Rate for Payer: Aetna Commercial |
$13,862.39
|
| Rate for Payer: Aetna Medicare |
$3,230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: ASR ASR |
$14,940.58
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$12,699.49
|
| Rate for Payer: BCN Commercial |
$12,699.49
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cofinity Commercial |
$14,478.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,322.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$14,940.58
|
| Rate for Payer: Healthscope Whirlpool |
$15,402.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$13,862.39
|
| Rate for Payer: Mclaren Medicaid |
$3,230.27
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$1,774.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,092.26
|
| Rate for Payer: Nomi Health Commercial |
$12,630.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,552.00
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$3,553.30
|
| Rate for Payer: PHP Medicaid |
$1,731.42
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13,495.81
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$10,797.26
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,554.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Exchange |
$5,006.92
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP DNSP |
$3,230.27
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
IP
|
$15,402.66
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,552.00 |
| Max. Negotiated Rate |
$15,402.66 |
| Rate for Payer: Aetna Commercial |
$13,862.39
|
| Rate for Payer: ASR ASR |
$14,940.58
|
| Rate for Payer: BCBS Trust/PPO |
$12,648.66
|
| Rate for Payer: BCN Commercial |
$12,648.66
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cofinity Commercial |
$14,478.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,322.13
|
| Rate for Payer: Healthscope Commercial |
$14,940.58
|
| Rate for Payer: Healthscope Whirlpool |
$15,402.66
|
| Rate for Payer: Mclaren Commercial |
$13,862.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,092.26
|
| Rate for Payer: Nomi Health Commercial |
$12,630.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,552.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,554.34
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
OP
|
$13,019.87
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$13,019.87 |
| Rate for Payer: Aetna Commercial |
$11,717.88
|
| Rate for Payer: Aetna Medicare |
$3,230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: ASR ASR |
$12,629.27
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$10,734.88
|
| Rate for Payer: BCN Commercial |
$10,734.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cofinity Commercial |
$12,238.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,415.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$12,629.27
|
| Rate for Payer: Healthscope Whirlpool |
$13,019.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$11,717.88
|
| Rate for Payer: Mclaren Medicaid |
$3,230.27
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$1,774.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,066.89
|
| Rate for Payer: Nomi Health Commercial |
$10,676.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,764.90
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$3,553.30
|
| Rate for Payer: PHP Medicaid |
$1,731.42
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,408.01
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$9,126.93
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,457.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Exchange |
$5,006.92
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP DNSP |
$3,230.27
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
IP
|
$13,019.87
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,764.90 |
| Max. Negotiated Rate |
$13,019.87 |
| Rate for Payer: Aetna Commercial |
$11,717.88
|
| Rate for Payer: ASR ASR |
$12,629.27
|
| Rate for Payer: BCBS Trust/PPO |
$10,691.92
|
| Rate for Payer: BCN Commercial |
$10,691.92
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cofinity Commercial |
$12,238.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,415.90
|
| Rate for Payer: Healthscope Commercial |
$12,629.27
|
| Rate for Payer: Healthscope Whirlpool |
$13,019.87
|
| Rate for Payer: Mclaren Commercial |
$11,717.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,066.89
|
| Rate for Payer: Nomi Health Commercial |
$10,676.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,764.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,457.49
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
OP
|
$9,140.84
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$9,140.84 |
| Rate for Payer: Aetna Commercial |
$8,226.76
|
| Rate for Payer: Aetna Medicare |
$3,230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: ASR ASR |
$8,866.61
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$7,536.62
|
| Rate for Payer: BCN Commercial |
$7,536.62
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cofinity Commercial |
$8,592.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,312.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$8,866.61
|
| Rate for Payer: Healthscope Whirlpool |
$9,140.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$8,226.76
|
| Rate for Payer: Mclaren Medicaid |
$3,230.27
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$1,774.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,769.71
|
| Rate for Payer: Nomi Health Commercial |
$7,495.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,855.63
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$3,553.30
|
| Rate for Payer: PHP Medicaid |
$1,731.42
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$8,009.20
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$6,407.73
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,043.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Exchange |
$5,006.92
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP DNSP |
$3,230.27
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
IP
|
$9,140.84
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,855.63 |
| Max. Negotiated Rate |
$9,140.84 |
| Rate for Payer: Aetna Commercial |
$8,226.76
|
| Rate for Payer: ASR ASR |
$8,866.61
|
| Rate for Payer: BCBS Trust/PPO |
$7,506.46
|
| Rate for Payer: BCN Commercial |
$7,506.46
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cofinity Commercial |
$8,592.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,312.67
|
| Rate for Payer: Healthscope Commercial |
$8,866.61
|
| Rate for Payer: Healthscope Whirlpool |
$9,140.84
|
| Rate for Payer: Mclaren Commercial |
$8,226.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,769.71
|
| Rate for Payer: Nomi Health Commercial |
$7,495.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,855.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,043.94
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
IP
|
$13,107.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,830.33 |
| Max. Negotiated Rate |
$13,107.11 |
| Rate for Payer: Aetna Commercial |
$11,796.40
|
| Rate for Payer: ASR ASR |
$12,713.90
|
| Rate for Payer: BCBS Trust/PPO |
$10,763.56
|
| Rate for Payer: BCN Commercial |
$10,763.56
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cofinity Commercial |
$12,320.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,485.69
|
| Rate for Payer: Healthscope Commercial |
$12,713.90
|
| Rate for Payer: Healthscope Whirlpool |
$13,107.11
|
| Rate for Payer: Mclaren Commercial |
$11,796.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,141.04
|
| Rate for Payer: Nomi Health Commercial |
$10,747.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,830.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,534.26
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
OP
|
$13,107.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$13,107.11 |
| Rate for Payer: Aetna Commercial |
$11,796.40
|
| Rate for Payer: Aetna Medicare |
$3,230.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: ASR ASR |
$12,713.90
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$10,806.81
|
| Rate for Payer: BCN Commercial |
$10,806.81
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cofinity Commercial |
$12,320.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,485.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$12,713.90
|
| Rate for Payer: Healthscope Whirlpool |
$13,107.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$11,796.40
|
| Rate for Payer: Mclaren Medicaid |
$3,230.27
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$1,774.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,141.04
|
| Rate for Payer: Nomi Health Commercial |
$10,747.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,830.33
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$3,553.30
|
| Rate for Payer: PHP Medicaid |
$1,731.42
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,484.45
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$9,188.08
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,534.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Exchange |
$5,006.92
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP DNSP |
$3,230.27
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
IP
|
$43.96
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.97 |
| Max. Negotiated Rate |
$43.96 |
| Rate for Payer: Aetna Commercial |
$39.56
|
| Rate for Payer: ASR ASR |
$42.64
|
| Rate for Payer: BCBS Trust/PPO |
$36.10
|
| Rate for Payer: BCN Commercial |
$36.10
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Commercial |
$41.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$42.64
|
| Rate for Payer: Healthscope Whirlpool |
$43.96
|
| Rate for Payer: Mclaren Commercial |
$39.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Nomi Health Commercial |
$36.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.68
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
OP
|
$43.96
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.27 |
| Max. Negotiated Rate |
$43.96 |
| Rate for Payer: Aetna Commercial |
$39.56
|
| Rate for Payer: Aetna Medicare |
$16.27
|
| Rate for Payer: ASR ASR |
$42.64
|
| Rate for Payer: BCBS Complete |
$17.58
|
| Rate for Payer: BCBS Trust/PPO |
$36.25
|
| Rate for Payer: BCN Commercial |
$36.25
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Commercial |
$41.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$42.64
|
| Rate for Payer: Healthscope Whirlpool |
$43.96
|
| Rate for Payer: Mclaren Commercial |
$39.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Nomi Health Commercial |
$36.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$38.52
|
| Rate for Payer: Priority Health Narrow Network |
$30.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.68
|
|
