|
HC MYELOPEROXIDASE AB (HC ANCA VACULITIS PANEL MPO PR3)
|
Facility
|
IP
|
$29.58
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30100253
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.71 |
| Max. Negotiated Rate |
$29.58 |
| Rate for Payer: Aetna Commercial |
$26.62
|
| Rate for Payer: ASR ASR |
$28.69
|
| Rate for Payer: BCBS Trust/PPO |
$22.93
|
| Rate for Payer: BCN Commercial |
$22.93
|
| Rate for Payer: Cash Price |
$23.66
|
| Rate for Payer: Cofinity Commercial |
$27.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.66
|
| Rate for Payer: Healthscope Commercial |
$29.58
|
| Rate for Payer: Healthscope Whirlpool |
$28.69
|
| Rate for Payer: Mclaren Commercial |
$26.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$25.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.03
|
|
|
HC MYOBLOC PER 100U (RIMABOTULINUMTOXINB)
|
Facility
|
IP
|
$34.02
|
|
|
Service Code
|
HCPCS J0587
|
| Hospital Charge Code |
63600172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.81 |
| Max. Negotiated Rate |
$34.02 |
| Rate for Payer: Aetna Commercial |
$30.62
|
| Rate for Payer: ASR ASR |
$33.00
|
| Rate for Payer: BCBS Trust/PPO |
$26.38
|
| Rate for Payer: BCN Commercial |
$26.38
|
| Rate for Payer: Cash Price |
$27.22
|
| Rate for Payer: Cofinity Commercial |
$31.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.22
|
| Rate for Payer: Healthscope Commercial |
$34.02
|
| Rate for Payer: Healthscope Whirlpool |
$33.00
|
| Rate for Payer: Mclaren Commercial |
$30.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$28.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.94
|
|
|
HC MYOBLOC PER 100U (RIMABOTULINUMTOXINB)
|
Facility
|
OP
|
$34.02
|
|
|
Service Code
|
HCPCS J0587
|
| Hospital Charge Code |
63600172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.13 |
| Max. Negotiated Rate |
$34.02 |
| Rate for Payer: Aetna Commercial |
$30.62
|
| Rate for Payer: Aetna Medicare |
$13.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.28
|
| Rate for Payer: ASR ASR |
$33.00
|
| Rate for Payer: BCBS Complete |
$7.48
|
| Rate for Payer: BCBS MAPPO |
$13.03
|
| Rate for Payer: BCBS Trust/PPO |
$26.38
|
| Rate for Payer: BCN Commercial |
$26.38
|
| Rate for Payer: BCN Medicare Advantage |
$13.03
|
| Rate for Payer: Cash Price |
$27.22
|
| Rate for Payer: Cash Price |
$27.22
|
| Rate for Payer: Cofinity Commercial |
$31.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.03
|
| Rate for Payer: Healthscope Commercial |
$34.02
|
| Rate for Payer: Healthscope Whirlpool |
$33.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.03
|
| Rate for Payer: Mclaren Commercial |
$30.62
|
| Rate for Payer: Mclaren Medicaid |
$7.13
|
| Rate for Payer: Mclaren Medicare |
$13.03
|
| Rate for Payer: Meridian Medicaid |
$7.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$28.92
|
| Rate for Payer: PACE Medicare |
$12.37
|
| Rate for Payer: PACE SWMI |
$13.03
|
| Rate for Payer: PHP Commercial |
$14.33
|
| Rate for Payer: PHP Medicaid |
$7.13
|
| Rate for Payer: PHP Medicare Advantage |
$13.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30.96
|
| Rate for Payer: Priority Health Medicare |
$13.03
|
| Rate for Payer: Priority Health Narrow Network |
$24.15
|
| Rate for Payer: Railroad Medicare Medicare |
$13.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.94
|
| Rate for Payer: UHC Medicare Advantage |
$13.42
|
| Rate for Payer: VA VA |
$13.03
|
|
|
HC MYOGLOBIN SERUM
|
Facility
|
OP
|
$143.10
|
|
|
Service Code
|
CPT 83874
|
| Hospital Charge Code |
30100303
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.07 |
| Max. Negotiated Rate |
$194.98 |
| Rate for Payer: Aetna Commercial |
$128.79
|
| Rate for Payer: Aetna Medicare |
$12.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.15
|
| Rate for Payer: ASR ASR |
$138.81
|
| Rate for Payer: BCBS Complete |
$7.42
|
| Rate for Payer: BCBS MAPPO |
$12.92
|
| Rate for Payer: BCBS Trust/PPO |
$110.95
|
| Rate for Payer: BCN Commercial |
$110.95
|
| Rate for Payer: BCN Medicare Advantage |
$12.92
|
| Rate for Payer: Cash Price |
$114.48
|
| Rate for Payer: Cash Price |
$114.48
|
| Rate for Payer: Cofinity Commercial |
$134.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.92
|
| Rate for Payer: Healthscope Commercial |
$143.10
|
| Rate for Payer: Healthscope Whirlpool |
$138.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.92
|
| Rate for Payer: Mclaren Commercial |
$128.79
|
| Rate for Payer: Mclaren Medicaid |
$7.07
|
| Rate for Payer: Mclaren Medicare |
$12.92
|
| Rate for Payer: Meridian Medicaid |
$7.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$121.64
|
| Rate for Payer: PACE Medicare |
$12.27
|
| Rate for Payer: PACE SWMI |
$12.92
|
| Rate for Payer: PHP Commercial |
$14.21
|
| Rate for Payer: PHP Medicaid |
$7.07
|
| Rate for Payer: PHP Medicare Advantage |
$12.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.98
|
| Rate for Payer: Priority Health Medicare |
$12.92
|
| Rate for Payer: Priority Health Narrow Network |
$155.98
|
| Rate for Payer: Railroad Medicare Medicare |
$12.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$125.93
|
| Rate for Payer: UHC Medicare Advantage |
$13.31
|
| Rate for Payer: VA VA |
$12.92
|
|
|
HC MYOGLOBIN SERUM
|
Facility
|
IP
|
$143.10
|
|
|
Service Code
|
CPT 83874
|
| Hospital Charge Code |
30100303
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$100.17 |
| Max. Negotiated Rate |
$143.10 |
| Rate for Payer: Aetna Commercial |
$128.79
|
| Rate for Payer: ASR ASR |
$138.81
|
| Rate for Payer: BCBS Trust/PPO |
$110.95
|
| Rate for Payer: BCN Commercial |
$110.95
|
| Rate for Payer: Cash Price |
$114.48
|
| Rate for Payer: Cofinity Commercial |
$134.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.48
|
| Rate for Payer: Healthscope Commercial |
$143.10
|
| Rate for Payer: Healthscope Whirlpool |
$138.81
|
| Rate for Payer: Mclaren Commercial |
$128.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$121.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$125.93
|
|
|
HC MYOGLOBIN SERUM.
|
Facility
|
IP
|
$53.04
|
|
|
Service Code
|
CPT 83874
|
| Hospital Charge Code |
30100664
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.13 |
| Max. Negotiated Rate |
$53.04 |
| Rate for Payer: Aetna Commercial |
$47.74
|
| Rate for Payer: ASR ASR |
$51.45
|
| Rate for Payer: BCBS Trust/PPO |
$41.12
|
| Rate for Payer: BCN Commercial |
$41.12
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$49.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.43
|
| Rate for Payer: Healthscope Commercial |
$53.04
|
| Rate for Payer: Healthscope Whirlpool |
$51.45
|
| Rate for Payer: Mclaren Commercial |
$47.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.68
|
|
|
HC MYOGLOBIN SERUM.
|
Facility
|
OP
|
$53.04
|
|
|
Service Code
|
CPT 83874
|
| Hospital Charge Code |
30100664
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.07 |
| Max. Negotiated Rate |
$194.98 |
| Rate for Payer: Aetna Commercial |
$47.74
|
| Rate for Payer: Aetna Medicare |
$12.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.15
|
| Rate for Payer: ASR ASR |
$51.45
|
| Rate for Payer: BCBS Complete |
$7.42
|
| Rate for Payer: BCBS MAPPO |
$12.92
|
| Rate for Payer: BCBS Trust/PPO |
$41.12
|
| Rate for Payer: BCN Commercial |
$41.12
|
| Rate for Payer: BCN Medicare Advantage |
$12.92
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$49.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.92
|
| Rate for Payer: Healthscope Commercial |
$53.04
|
| Rate for Payer: Healthscope Whirlpool |
$51.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.92
|
| Rate for Payer: Mclaren Commercial |
$47.74
|
| Rate for Payer: Mclaren Medicaid |
$7.07
|
| Rate for Payer: Mclaren Medicare |
$12.92
|
| Rate for Payer: Meridian Medicaid |
$7.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.08
|
| Rate for Payer: PACE Medicare |
$12.27
|
| Rate for Payer: PACE SWMI |
$12.92
|
| Rate for Payer: PHP Commercial |
$14.21
|
| Rate for Payer: PHP Medicaid |
$7.07
|
| Rate for Payer: PHP Medicare Advantage |
$12.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.98
|
| Rate for Payer: Priority Health Medicare |
$12.92
|
| Rate for Payer: Priority Health Narrow Network |
$155.98
|
| Rate for Payer: Railroad Medicare Medicare |
$12.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.68
|
| Rate for Payer: UHC Medicare Advantage |
$13.31
|
| Rate for Payer: VA VA |
$12.92
|
|
|
HC MYOGLOBIN URINE
|
Facility
|
OP
|
$47.94
|
|
|
Service Code
|
CPT 83874
|
| Hospital Charge Code |
30100302
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.07 |
| Max. Negotiated Rate |
$194.98 |
| Rate for Payer: Aetna Commercial |
$43.15
|
| Rate for Payer: Aetna Medicare |
$12.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.15
|
| Rate for Payer: ASR ASR |
$46.50
|
| Rate for Payer: BCBS Complete |
$7.42
|
| Rate for Payer: BCBS MAPPO |
$12.92
|
| Rate for Payer: BCBS Trust/PPO |
$37.17
|
| Rate for Payer: BCN Commercial |
$37.17
|
| Rate for Payer: BCN Medicare Advantage |
$12.92
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cofinity Commercial |
$45.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.92
|
| Rate for Payer: Healthscope Commercial |
$47.94
|
| Rate for Payer: Healthscope Whirlpool |
$46.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.92
|
| Rate for Payer: Mclaren Commercial |
$43.15
|
| Rate for Payer: Mclaren Medicaid |
$7.07
|
| Rate for Payer: Mclaren Medicare |
$12.92
|
| Rate for Payer: Meridian Medicaid |
$7.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$40.75
|
| Rate for Payer: PACE Medicare |
$12.27
|
| Rate for Payer: PACE SWMI |
$12.92
|
| Rate for Payer: PHP Commercial |
$14.21
|
| Rate for Payer: PHP Medicaid |
$7.07
|
| Rate for Payer: PHP Medicare Advantage |
$12.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.98
|
| Rate for Payer: Priority Health Medicare |
$12.92
|
| Rate for Payer: Priority Health Narrow Network |
$155.98
|
| Rate for Payer: Railroad Medicare Medicare |
$12.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.19
|
| Rate for Payer: UHC Medicare Advantage |
$13.31
|
| Rate for Payer: VA VA |
$12.92
|
|
|
HC MYOGLOBIN URINE
|
Facility
|
IP
|
$47.94
|
|
|
Service Code
|
CPT 83874
|
| Hospital Charge Code |
30100302
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$33.56 |
| Max. Negotiated Rate |
$47.94 |
| Rate for Payer: Aetna Commercial |
$43.15
|
| Rate for Payer: ASR ASR |
$46.50
|
| Rate for Payer: BCBS Trust/PPO |
$37.17
|
| Rate for Payer: BCN Commercial |
$37.17
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cofinity Commercial |
$45.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.35
|
| Rate for Payer: Healthscope Commercial |
$47.94
|
| Rate for Payer: Healthscope Whirlpool |
$46.50
|
| Rate for Payer: Mclaren Commercial |
$43.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$40.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.19
|
|
|
HC MYOMARKER 3 CMPT
|
Facility
|
IP
|
$26.04
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200503
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.23 |
| Max. Negotiated Rate |
$26.04 |
| Rate for Payer: Aetna Commercial |
$23.44
|
| Rate for Payer: ASR ASR |
$25.26
|
| Rate for Payer: BCBS Trust/PPO |
$20.19
|
| Rate for Payer: BCN Commercial |
$20.19
|
| Rate for Payer: Cash Price |
$20.83
|
| Rate for Payer: Cofinity Commercial |
$24.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.83
|
| Rate for Payer: Healthscope Commercial |
$26.04
|
| Rate for Payer: Healthscope Whirlpool |
$25.26
|
| Rate for Payer: Mclaren Commercial |
$23.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$22.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.92
|
|
|
HC MYOMARKER 3 CMPT
|
Facility
|
OP
|
$26.04
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200503
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.81 |
| Max. Negotiated Rate |
$143.67 |
| Rate for Payer: Aetna Commercial |
$23.44
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: ASR ASR |
$25.26
|
| Rate for Payer: BCBS Complete |
$10.30
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$20.19
|
| Rate for Payer: BCN Commercial |
$20.19
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$20.83
|
| Rate for Payer: Cash Price |
$20.83
|
| Rate for Payer: Cofinity Commercial |
$24.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$26.04
|
| Rate for Payer: Healthscope Whirlpool |
$25.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.93
|
| Rate for Payer: Mclaren Commercial |
$23.44
|
| Rate for Payer: Mclaren Medicaid |
$9.81
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Medicaid |
$10.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$22.13
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$19.72
|
| Rate for Payer: PHP Medicaid |
$9.81
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$143.67
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$114.94
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.92
|
| Rate for Payer: UHC Medicare Advantage |
$18.47
|
| Rate for Payer: VA VA |
$17.93
|
|
|
HC MYOMARKER 3 PROFILE
|
Facility
|
OP
|
$19.52
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30100746
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.31 |
| Max. Negotiated Rate |
$197.03 |
| Rate for Payer: Aetna Commercial |
$17.57
|
| Rate for Payer: Aetna Medicare |
$11.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.41
|
| Rate for Payer: ASR ASR |
$18.93
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$11.53
|
| Rate for Payer: BCBS Trust/PPO |
$15.13
|
| Rate for Payer: BCN Commercial |
$15.13
|
| Rate for Payer: BCN Medicare Advantage |
$11.53
|
| Rate for Payer: Cash Price |
$15.62
|
| Rate for Payer: Cash Price |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$18.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.53
|
| Rate for Payer: Healthscope Commercial |
$19.52
|
| Rate for Payer: Healthscope Whirlpool |
$18.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$11.53
|
| Rate for Payer: Mclaren Commercial |
$17.57
|
| Rate for Payer: Mclaren Medicaid |
$6.31
|
| Rate for Payer: Mclaren Medicare |
$11.53
|
| Rate for Payer: Meridian Medicaid |
$6.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.59
|
| Rate for Payer: PACE Medicare |
$10.95
|
| Rate for Payer: PACE SWMI |
$11.53
|
| Rate for Payer: PHP Commercial |
$12.68
|
| Rate for Payer: PHP Medicaid |
$6.31
|
| Rate for Payer: PHP Medicare Advantage |
$11.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.03
|
| Rate for Payer: Priority Health Medicare |
$11.53
|
| Rate for Payer: Priority Health Narrow Network |
$157.62
|
| Rate for Payer: Railroad Medicare Medicare |
$11.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.18
|
| Rate for Payer: UHC Medicare Advantage |
$11.88
|
| Rate for Payer: VA VA |
$11.53
|
|
|
HC MYOMARKER 3 PROFILE
|
Facility
|
IP
|
$19.52
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
30100746
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.66 |
| Max. Negotiated Rate |
$19.52 |
| Rate for Payer: Aetna Commercial |
$17.57
|
| Rate for Payer: ASR ASR |
$18.93
|
| Rate for Payer: BCBS Trust/PPO |
$15.13
|
| Rate for Payer: BCN Commercial |
$15.13
|
| Rate for Payer: Cash Price |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$18.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.62
|
| Rate for Payer: Healthscope Commercial |
$19.52
|
| Rate for Payer: Healthscope Whirlpool |
$18.93
|
| Rate for Payer: Mclaren Commercial |
$17.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.18
|
|
|
HC MYRINGOTOMY ASPIR&EUSTACHIAN TUBE NFLTJ
|
Facility
|
IP
|
$616.00
|
|
|
Service Code
|
CPT 69420
|
| Hospital Charge Code |
76100484
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$431.20 |
| Max. Negotiated Rate |
$616.00 |
| Rate for Payer: Aetna Commercial |
$554.40
|
| Rate for Payer: ASR ASR |
$597.52
|
| Rate for Payer: BCBS Trust/PPO |
$477.58
|
| Rate for Payer: BCN Commercial |
$477.58
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Cofinity Commercial |
$579.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$492.80
|
| Rate for Payer: Healthscope Commercial |
$616.00
|
| Rate for Payer: Healthscope Whirlpool |
$597.52
|
| Rate for Payer: Mclaren Commercial |
$554.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$523.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$542.08
|
|
|
HC MYRINGOTOMY ASPIR&EUSTACHIAN TUBE NFLTJ
|
Facility
|
OP
|
$616.00
|
|
|
Service Code
|
CPT 69420
|
| Hospital Charge Code |
76100484
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$118.76 |
| Max. Negotiated Rate |
$616.00 |
| Rate for Payer: Aetna Commercial |
$554.40
|
| Rate for Payer: Aetna Medicare |
$217.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$271.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$271.40
|
| Rate for Payer: ASR ASR |
$597.52
|
| Rate for Payer: BCBS Complete |
$124.71
|
| Rate for Payer: BCBS MAPPO |
$217.12
|
| Rate for Payer: BCBS Trust/PPO |
$477.58
|
| Rate for Payer: BCN Commercial |
$477.58
|
| Rate for Payer: BCN Medicare Advantage |
$217.12
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Cofinity Commercial |
$579.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$492.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.12
|
| Rate for Payer: Healthscope Commercial |
$616.00
|
| Rate for Payer: Healthscope Whirlpool |
$597.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$217.12
|
| Rate for Payer: Mclaren Commercial |
$554.40
|
| Rate for Payer: Mclaren Medicaid |
$118.76
|
| Rate for Payer: Mclaren Medicare |
$217.12
|
| Rate for Payer: Meridian Medicaid |
$124.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$227.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$249.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$523.60
|
| Rate for Payer: PACE Medicare |
$206.26
|
| Rate for Payer: PACE SWMI |
$217.12
|
| Rate for Payer: PHP Commercial |
$238.83
|
| Rate for Payer: PHP Medicaid |
$118.76
|
| Rate for Payer: PHP Medicare Advantage |
$217.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$560.56
|
| Rate for Payer: Priority Health Medicare |
$217.12
|
| Rate for Payer: Priority Health Narrow Network |
$437.36
|
| Rate for Payer: Railroad Medicare Medicare |
$217.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$542.08
|
| Rate for Payer: UHC Medicare Advantage |
$223.63
|
| Rate for Payer: VA VA |
$217.12
|
|
|
HC NAIL BED REPAIR
|
Facility
|
OP
|
$742.77
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
45000077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$198.86 |
| Max. Negotiated Rate |
$742.77 |
| Rate for Payer: Aetna Commercial |
$668.49
|
| Rate for Payer: Aetna Medicare |
$558.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$697.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$697.82
|
| Rate for Payer: ASR ASR |
$720.49
|
| Rate for Payer: BCBS Complete |
$320.66
|
| Rate for Payer: BCBS MAPPO |
$558.26
|
| Rate for Payer: BCBS Trust/PPO |
$575.87
|
| Rate for Payer: BCN Commercial |
$575.87
|
| Rate for Payer: BCN Medicare Advantage |
$558.26
|
| Rate for Payer: Cash Price |
$594.22
|
| Rate for Payer: Cash Price |
$594.22
|
| Rate for Payer: Cofinity Commercial |
$698.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$594.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.26
|
| Rate for Payer: Healthscope Commercial |
$742.77
|
| Rate for Payer: Healthscope Whirlpool |
$720.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$558.26
|
| Rate for Payer: Mclaren Commercial |
$668.49
|
| Rate for Payer: Mclaren Medicaid |
$305.37
|
| Rate for Payer: Mclaren Medicare |
$558.26
|
| Rate for Payer: Meridian Medicaid |
$320.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$642.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$631.35
|
| Rate for Payer: PACE Medicare |
$530.35
|
| Rate for Payer: PACE SWMI |
$558.26
|
| Rate for Payer: PHP Commercial |
$614.09
|
| Rate for Payer: PHP Medicaid |
$305.37
|
| Rate for Payer: PHP Medicare Advantage |
$558.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$519.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.58
|
| Rate for Payer: Priority Health Medicare |
$558.26
|
| Rate for Payer: Priority Health Narrow Network |
$198.86
|
| Rate for Payer: Railroad Medicare Medicare |
$558.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$653.64
|
| Rate for Payer: UHC Medicare Advantage |
$575.01
|
| Rate for Payer: VA VA |
$558.26
|
|
|
HC NAIL BED REPAIR
|
Facility
|
IP
|
$742.77
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
45000077
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$519.94 |
| Max. Negotiated Rate |
$742.77 |
| Rate for Payer: Aetna Commercial |
$668.49
|
| Rate for Payer: ASR ASR |
$720.49
|
| Rate for Payer: BCBS Trust/PPO |
$575.87
|
| Rate for Payer: BCN Commercial |
$575.87
|
| Rate for Payer: Cash Price |
$594.22
|
| Rate for Payer: Cofinity Commercial |
$698.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$594.22
|
| Rate for Payer: Healthscope Commercial |
$742.77
|
| Rate for Payer: Healthscope Whirlpool |
$720.49
|
| Rate for Payer: Mclaren Commercial |
$668.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$631.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$519.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$653.64
|
|
|
HC NAIL PROCEDURE
|
Facility
|
IP
|
$266.48
|
|
| Hospital Charge Code |
45000047
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$186.54 |
| Max. Negotiated Rate |
$266.48 |
| Rate for Payer: Aetna Commercial |
$239.83
|
| Rate for Payer: ASR ASR |
$258.49
|
| Rate for Payer: BCBS Trust/PPO |
$206.60
|
| Rate for Payer: BCN Commercial |
$206.60
|
| Rate for Payer: Cash Price |
$213.18
|
| Rate for Payer: Cofinity Commercial |
$250.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.18
|
| Rate for Payer: Healthscope Commercial |
$266.48
|
| Rate for Payer: Healthscope Whirlpool |
$258.49
|
| Rate for Payer: Mclaren Commercial |
$239.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$226.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$186.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$234.50
|
|
|
HC NAIL PROCEDURE
|
Facility
|
OP
|
$266.48
|
|
| Hospital Charge Code |
45000047
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$106.59 |
| Max. Negotiated Rate |
$266.48 |
| Rate for Payer: Aetna Commercial |
$239.83
|
| Rate for Payer: ASR ASR |
$258.49
|
| Rate for Payer: BCBS Complete |
$106.59
|
| Rate for Payer: BCBS Trust/PPO |
$206.60
|
| Rate for Payer: BCN Commercial |
$206.60
|
| Rate for Payer: Cash Price |
$213.18
|
| Rate for Payer: Cofinity Commercial |
$250.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$213.18
|
| Rate for Payer: Healthscope Commercial |
$266.48
|
| Rate for Payer: Healthscope Whirlpool |
$258.49
|
| Rate for Payer: Mclaren Commercial |
$239.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$226.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$186.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.50
|
| Rate for Payer: Priority Health Narrow Network |
$189.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$234.50
|
|
|
HC NA PHOSPHATE PER MCI
|
Facility
|
OP
|
$321.66
|
|
|
Service Code
|
HCPCS A9563
|
| Hospital Charge Code |
34400004
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$128.66 |
| Max. Negotiated Rate |
$321.66 |
| Rate for Payer: Aetna Commercial |
$289.49
|
| Rate for Payer: ASR ASR |
$312.01
|
| Rate for Payer: BCBS Complete |
$128.66
|
| Rate for Payer: BCBS Trust/PPO |
$249.38
|
| Rate for Payer: BCN Commercial |
$249.38
|
| Rate for Payer: Cash Price |
$257.33
|
| Rate for Payer: Cofinity Commercial |
$302.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.33
|
| Rate for Payer: Healthscope Commercial |
$321.66
|
| Rate for Payer: Healthscope Whirlpool |
$312.01
|
| Rate for Payer: Mclaren Commercial |
$289.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$273.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.71
|
| Rate for Payer: Priority Health Narrow Network |
$228.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$283.06
|
|
|
HC NA PHOSPHATE PER MCI
|
Facility
|
IP
|
$321.66
|
|
|
Service Code
|
HCPCS A9563
|
| Hospital Charge Code |
34400004
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$225.16 |
| Max. Negotiated Rate |
$321.66 |
| Rate for Payer: Aetna Commercial |
$289.49
|
| Rate for Payer: ASR ASR |
$312.01
|
| Rate for Payer: BCBS Trust/PPO |
$249.38
|
| Rate for Payer: BCN Commercial |
$249.38
|
| Rate for Payer: Cash Price |
$257.33
|
| Rate for Payer: Cofinity Commercial |
$302.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.33
|
| Rate for Payer: Healthscope Commercial |
$321.66
|
| Rate for Payer: Healthscope Whirlpool |
$312.01
|
| Rate for Payer: Mclaren Commercial |
$289.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$273.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$283.06
|
|
|
HC NASAL BONES COMP MIN 3 VW
|
Facility
|
OP
|
$194.91
|
|
|
Service Code
|
CPT 70160
|
| Hospital Charge Code |
32000011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$44.18 |
| Max. Negotiated Rate |
$194.91 |
| Rate for Payer: Aetna Commercial |
$175.42
|
| Rate for Payer: Aetna Medicare |
$80.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.96
|
| Rate for Payer: ASR ASR |
$189.06
|
| Rate for Payer: BCBS Complete |
$46.39
|
| Rate for Payer: BCBS MAPPO |
$80.77
|
| Rate for Payer: BCBS Trust/PPO |
$151.11
|
| Rate for Payer: BCN Commercial |
$151.11
|
| Rate for Payer: BCN Medicare Advantage |
$80.77
|
| Rate for Payer: Cash Price |
$155.93
|
| Rate for Payer: Cash Price |
$155.93
|
| Rate for Payer: Cofinity Commercial |
$183.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.77
|
| Rate for Payer: Healthscope Commercial |
$194.91
|
| Rate for Payer: Healthscope Whirlpool |
$189.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$80.77
|
| Rate for Payer: Mclaren Commercial |
$175.42
|
| Rate for Payer: Mclaren Medicaid |
$44.18
|
| Rate for Payer: Mclaren Medicare |
$80.77
|
| Rate for Payer: Meridian Medicaid |
$46.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$165.67
|
| Rate for Payer: PACE Medicare |
$76.73
|
| Rate for Payer: PACE SWMI |
$80.77
|
| Rate for Payer: PHP Commercial |
$88.85
|
| Rate for Payer: PHP Medicaid |
$44.18
|
| Rate for Payer: PHP Medicare Advantage |
$80.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$136.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$131.35
|
| Rate for Payer: Priority Health Medicare |
$80.77
|
| Rate for Payer: Priority Health Narrow Network |
$105.08
|
| Rate for Payer: Railroad Medicare Medicare |
$80.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$171.52
|
| Rate for Payer: UHC Medicare Advantage |
$83.19
|
| Rate for Payer: VA VA |
$80.77
|
|
|
HC NASAL BONES COMP MIN 3 VW
|
Facility
|
IP
|
$194.91
|
|
|
Service Code
|
CPT 70160
|
| Hospital Charge Code |
32000011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$194.91 |
| Rate for Payer: Aetna Commercial |
$175.42
|
| Rate for Payer: ASR ASR |
$189.06
|
| Rate for Payer: BCBS Trust/PPO |
$151.11
|
| Rate for Payer: BCN Commercial |
$151.11
|
| Rate for Payer: Cash Price |
$155.93
|
| Rate for Payer: Cofinity Commercial |
$183.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.93
|
| Rate for Payer: Healthscope Commercial |
$194.91
|
| Rate for Payer: Healthscope Whirlpool |
$189.06
|
| Rate for Payer: Mclaren Commercial |
$175.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$165.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$136.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$171.52
|
|
|
HC NASAL ENDOSCOPY DX
|
Facility
|
OP
|
$250.88
|
|
|
Service Code
|
CPT 31231
|
| Hospital Charge Code |
76100183
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$96.31 |
| Max. Negotiated Rate |
$250.88 |
| Rate for Payer: Aetna Commercial |
$225.79
|
| Rate for Payer: Aetna Medicare |
$176.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$220.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$220.09
|
| Rate for Payer: ASR ASR |
$243.35
|
| Rate for Payer: BCBS Complete |
$101.13
|
| Rate for Payer: BCBS MAPPO |
$176.07
|
| Rate for Payer: BCBS Trust/PPO |
$194.51
|
| Rate for Payer: BCN Commercial |
$194.51
|
| Rate for Payer: BCN Medicare Advantage |
$176.07
|
| Rate for Payer: Cash Price |
$200.70
|
| Rate for Payer: Cash Price |
$200.70
|
| Rate for Payer: Cofinity Commercial |
$235.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$200.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.07
|
| Rate for Payer: Healthscope Commercial |
$250.88
|
| Rate for Payer: Healthscope Whirlpool |
$243.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$176.07
|
| Rate for Payer: Mclaren Commercial |
$225.79
|
| Rate for Payer: Mclaren Medicaid |
$96.31
|
| Rate for Payer: Mclaren Medicare |
$176.07
|
| Rate for Payer: Meridian Medicaid |
$101.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$202.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$213.25
|
| Rate for Payer: PACE Medicare |
$167.27
|
| Rate for Payer: PACE SWMI |
$176.07
|
| Rate for Payer: PHP Commercial |
$193.68
|
| Rate for Payer: PHP Medicaid |
$96.31
|
| Rate for Payer: PHP Medicare Advantage |
$176.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$175.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.30
|
| Rate for Payer: Priority Health Medicare |
$176.07
|
| Rate for Payer: Priority Health Narrow Network |
$178.12
|
| Rate for Payer: Railroad Medicare Medicare |
$176.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$220.77
|
| Rate for Payer: UHC Medicare Advantage |
$181.35
|
| Rate for Payer: VA VA |
$176.07
|
|
|
HC NASAL ENDOSCOPY DX
|
Facility
|
IP
|
$250.88
|
|
|
Service Code
|
CPT 31231
|
| Hospital Charge Code |
76100183
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$175.62 |
| Max. Negotiated Rate |
$250.88 |
| Rate for Payer: Aetna Commercial |
$225.79
|
| Rate for Payer: ASR ASR |
$243.35
|
| Rate for Payer: BCBS Trust/PPO |
$194.51
|
| Rate for Payer: BCN Commercial |
$194.51
|
| Rate for Payer: Cash Price |
$200.70
|
| Rate for Payer: Cofinity Commercial |
$235.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$200.70
|
| Rate for Payer: Healthscope Commercial |
$250.88
|
| Rate for Payer: Healthscope Whirlpool |
$243.35
|
| Rate for Payer: Mclaren Commercial |
$225.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$213.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$175.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$220.77
|
|
