|
HC HEART CATH LT ONLY
|
Facility
|
IP
|
$8,481.03
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,512.67 |
| Max. Negotiated Rate |
$8,481.03 |
| Rate for Payer: Aetna Commercial |
$7,632.93
|
| Rate for Payer: ASR ASR |
$8,226.60
|
| Rate for Payer: ASR Commercial |
$8,226.60
|
| Rate for Payer: BCBS Trust/PPO |
$6,911.19
|
| Rate for Payer: BCN Commercial |
$6,575.34
|
| Rate for Payer: Cash Price |
$6,784.82
|
| Rate for Payer: Cofinity Commercial |
$7,972.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,784.82
|
| Rate for Payer: Healthscope Commercial |
$8,481.03
|
| Rate for Payer: Healthscope Whirlpool |
$8,226.60
|
| Rate for Payer: Mclaren Commercial |
$7,632.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,208.88
|
| Rate for Payer: Nomi Health Commercial |
$6,954.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,512.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,463.31
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
OP
|
$8,481.03
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,681.38 |
| Max. Negotiated Rate |
$8,481.03 |
| Rate for Payer: Aetna Commercial |
$7,632.93
|
| Rate for Payer: Aetna Medicare |
$3,136.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,921.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,921.12
|
| Rate for Payer: ASR ASR |
$8,226.60
|
| Rate for Payer: ASR Commercial |
$8,226.60
|
| Rate for Payer: BCBS Complete |
$1,765.45
|
| Rate for Payer: BCBS MAPPO |
$3,136.90
|
| Rate for Payer: BCBS Trust/PPO |
$6,945.12
|
| Rate for Payer: BCN Commercial |
$6,575.34
|
| Rate for Payer: BCN Medicare Advantage |
$3,136.90
|
| Rate for Payer: Cash Price |
$6,784.82
|
| Rate for Payer: Cash Price |
$6,784.82
|
| Rate for Payer: Cofinity Commercial |
$7,972.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,784.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,136.90
|
| Rate for Payer: Healthscope Commercial |
$8,481.03
|
| Rate for Payer: Healthscope Whirlpool |
$8,226.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,136.90
|
| Rate for Payer: Mclaren Commercial |
$7,632.93
|
| Rate for Payer: Mclaren Medicaid |
$1,681.38
|
| Rate for Payer: Mclaren Medicare |
$3,136.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,293.74
|
| Rate for Payer: Meridian Medicaid |
$1,765.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,607.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,208.88
|
| Rate for Payer: Nomi Health Commercial |
$6,954.44
|
| Rate for Payer: PACE Medicare |
$2,980.05
|
| Rate for Payer: PACE SWMI |
$3,136.90
|
| Rate for Payer: PHP Commercial |
$3,450.59
|
| Rate for Payer: PHP Medicaid |
$1,681.38
|
| Rate for Payer: PHP Medicare Advantage |
$3,136.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,681.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,512.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,431.08
|
| Rate for Payer: Priority Health Medicare |
$3,136.90
|
| Rate for Payer: Priority Health Narrow Network |
$5,945.20
|
| Rate for Payer: Railroad Medicare Medicare |
$3,136.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,463.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,136.90
|
| Rate for Payer: UHC Exchange |
$4,862.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,136.90
|
| Rate for Payer: UHCCP DNSP |
$3,136.90
|
| Rate for Payer: UHCCP Medicaid |
$1,681.38
|
| Rate for Payer: VA VA |
$3,136.90
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
OP
|
$15,100.65
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,681.38 |
| Max. Negotiated Rate |
$15,100.65 |
| Rate for Payer: Aetna Commercial |
$13,590.58
|
| Rate for Payer: Aetna Medicare |
$3,136.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,921.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,921.12
|
| Rate for Payer: ASR ASR |
$14,647.63
|
| Rate for Payer: ASR Commercial |
$14,647.63
|
| Rate for Payer: BCBS Complete |
$1,765.45
|
| Rate for Payer: BCBS MAPPO |
$3,136.90
|
| Rate for Payer: BCBS Trust/PPO |
$12,365.92
|
| Rate for Payer: BCN Commercial |
$11,707.53
|
| Rate for Payer: BCN Medicare Advantage |
$3,136.90
|
| Rate for Payer: Cash Price |
$12,080.52
|
| Rate for Payer: Cash Price |
$12,080.52
|
| Rate for Payer: Cofinity Commercial |
$14,194.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,080.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,136.90
|
| Rate for Payer: Healthscope Commercial |
$15,100.65
|
| Rate for Payer: Healthscope Whirlpool |
$14,647.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,136.90
|
| Rate for Payer: Mclaren Commercial |
$13,590.58
|
| Rate for Payer: Mclaren Medicaid |
$1,681.38
|
| Rate for Payer: Mclaren Medicare |
$3,136.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,293.74
|
| Rate for Payer: Meridian Medicaid |
$1,765.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,607.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,835.55
|
| Rate for Payer: Nomi Health Commercial |
$12,382.53
|
| Rate for Payer: PACE Medicare |
$2,980.05
|
| Rate for Payer: PACE SWMI |
$3,136.90
|
| Rate for Payer: PHP Commercial |
$3,450.59
|
| Rate for Payer: PHP Medicaid |
$1,681.38
|
| Rate for Payer: PHP Medicare Advantage |
$3,136.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,681.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,815.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,231.19
|
| Rate for Payer: Priority Health Medicare |
$3,136.90
|
| Rate for Payer: Priority Health Narrow Network |
$10,585.56
|
| Rate for Payer: Railroad Medicare Medicare |
$3,136.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,288.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,136.90
|
| Rate for Payer: UHC Exchange |
$4,862.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,136.90
|
| Rate for Payer: UHCCP DNSP |
$3,136.90
|
| Rate for Payer: UHCCP Medicaid |
$1,681.38
|
| Rate for Payer: VA VA |
$3,136.90
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
IP
|
$15,100.65
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,815.42 |
| Max. Negotiated Rate |
$15,100.65 |
| Rate for Payer: Aetna Commercial |
$13,590.58
|
| Rate for Payer: ASR ASR |
$14,647.63
|
| Rate for Payer: ASR Commercial |
$14,647.63
|
| Rate for Payer: BCBS Trust/PPO |
$12,305.52
|
| Rate for Payer: BCN Commercial |
$11,707.53
|
| Rate for Payer: Cash Price |
$12,080.52
|
| Rate for Payer: Cofinity Commercial |
$14,194.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,080.52
|
| Rate for Payer: Healthscope Commercial |
$15,100.65
|
| Rate for Payer: Healthscope Whirlpool |
$14,647.63
|
| Rate for Payer: Mclaren Commercial |
$13,590.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,835.55
|
| Rate for Payer: Nomi Health Commercial |
$12,382.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,815.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13,288.57
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
IP
|
$12,764.58
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,296.98 |
| Max. Negotiated Rate |
$12,764.58 |
| Rate for Payer: Aetna Commercial |
$11,488.12
|
| Rate for Payer: ASR ASR |
$12,381.64
|
| Rate for Payer: ASR Commercial |
$12,381.64
|
| Rate for Payer: BCBS Trust/PPO |
$10,401.86
|
| Rate for Payer: BCN Commercial |
$9,896.38
|
| Rate for Payer: Cash Price |
$10,211.66
|
| Rate for Payer: Cofinity Commercial |
$11,998.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,211.66
|
| Rate for Payer: Healthscope Commercial |
$12,764.58
|
| Rate for Payer: Healthscope Whirlpool |
$12,381.64
|
| Rate for Payer: Mclaren Commercial |
$11,488.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,849.89
|
| Rate for Payer: Nomi Health Commercial |
$10,466.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,296.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,232.83
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
OP
|
$12,764.58
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,681.38 |
| Max. Negotiated Rate |
$12,764.58 |
| Rate for Payer: Aetna Commercial |
$11,488.12
|
| Rate for Payer: Aetna Medicare |
$3,136.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,921.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,921.12
|
| Rate for Payer: ASR ASR |
$12,381.64
|
| Rate for Payer: ASR Commercial |
$12,381.64
|
| Rate for Payer: BCBS Complete |
$1,765.45
|
| Rate for Payer: BCBS MAPPO |
$3,136.90
|
| Rate for Payer: BCBS Trust/PPO |
$10,452.91
|
| Rate for Payer: BCN Commercial |
$9,896.38
|
| Rate for Payer: BCN Medicare Advantage |
$3,136.90
|
| Rate for Payer: Cash Price |
$10,211.66
|
| Rate for Payer: Cash Price |
$10,211.66
|
| Rate for Payer: Cofinity Commercial |
$11,998.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,211.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,136.90
|
| Rate for Payer: Healthscope Commercial |
$12,764.58
|
| Rate for Payer: Healthscope Whirlpool |
$12,381.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,136.90
|
| Rate for Payer: Mclaren Commercial |
$11,488.12
|
| Rate for Payer: Mclaren Medicaid |
$1,681.38
|
| Rate for Payer: Mclaren Medicare |
$3,136.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,293.74
|
| Rate for Payer: Meridian Medicaid |
$1,765.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,607.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,849.89
|
| Rate for Payer: Nomi Health Commercial |
$10,466.96
|
| Rate for Payer: PACE Medicare |
$2,980.05
|
| Rate for Payer: PACE SWMI |
$3,136.90
|
| Rate for Payer: PHP Commercial |
$3,450.59
|
| Rate for Payer: PHP Medicaid |
$1,681.38
|
| Rate for Payer: PHP Medicare Advantage |
$3,136.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,681.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,296.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,184.32
|
| Rate for Payer: Priority Health Medicare |
$3,136.90
|
| Rate for Payer: Priority Health Narrow Network |
$8,947.97
|
| Rate for Payer: Railroad Medicare Medicare |
$3,136.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,232.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,136.90
|
| Rate for Payer: UHC Exchange |
$4,862.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,136.90
|
| Rate for Payer: UHCCP DNSP |
$3,136.90
|
| Rate for Payer: UHCCP Medicaid |
$1,681.38
|
| Rate for Payer: VA VA |
$3,136.90
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
OP
|
$8,961.61
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,681.38 |
| Max. Negotiated Rate |
$8,961.61 |
| Rate for Payer: Aetna Commercial |
$8,065.45
|
| Rate for Payer: Aetna Medicare |
$3,136.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,921.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,921.12
|
| Rate for Payer: ASR ASR |
$8,692.76
|
| Rate for Payer: ASR Commercial |
$8,692.76
|
| Rate for Payer: BCBS Complete |
$1,765.45
|
| Rate for Payer: BCBS MAPPO |
$3,136.90
|
| Rate for Payer: BCBS Trust/PPO |
$7,338.66
|
| Rate for Payer: BCN Commercial |
$6,947.94
|
| Rate for Payer: BCN Medicare Advantage |
$3,136.90
|
| Rate for Payer: Cash Price |
$7,169.29
|
| Rate for Payer: Cash Price |
$7,169.29
|
| Rate for Payer: Cofinity Commercial |
$8,423.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,169.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,136.90
|
| Rate for Payer: Healthscope Commercial |
$8,961.61
|
| Rate for Payer: Healthscope Whirlpool |
$8,692.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,136.90
|
| Rate for Payer: Mclaren Commercial |
$8,065.45
|
| Rate for Payer: Mclaren Medicaid |
$1,681.38
|
| Rate for Payer: Mclaren Medicare |
$3,136.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,293.74
|
| Rate for Payer: Meridian Medicaid |
$1,765.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,607.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,617.37
|
| Rate for Payer: Nomi Health Commercial |
$7,348.52
|
| Rate for Payer: PACE Medicare |
$2,980.05
|
| Rate for Payer: PACE SWMI |
$3,136.90
|
| Rate for Payer: PHP Commercial |
$3,450.59
|
| Rate for Payer: PHP Medicaid |
$1,681.38
|
| Rate for Payer: PHP Medicare Advantage |
$3,136.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,681.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,825.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,852.16
|
| Rate for Payer: Priority Health Medicare |
$3,136.90
|
| Rate for Payer: Priority Health Narrow Network |
$6,282.09
|
| Rate for Payer: Railroad Medicare Medicare |
$3,136.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,886.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,136.90
|
| Rate for Payer: UHC Exchange |
$4,862.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,136.90
|
| Rate for Payer: UHCCP DNSP |
$3,136.90
|
| Rate for Payer: UHCCP Medicaid |
$1,681.38
|
| Rate for Payer: VA VA |
$3,136.90
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
IP
|
$8,961.61
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,825.05 |
| Max. Negotiated Rate |
$8,961.61 |
| Rate for Payer: Aetna Commercial |
$8,065.45
|
| Rate for Payer: ASR ASR |
$8,692.76
|
| Rate for Payer: ASR Commercial |
$8,692.76
|
| Rate for Payer: BCBS Trust/PPO |
$7,302.82
|
| Rate for Payer: BCN Commercial |
$6,947.94
|
| Rate for Payer: Cash Price |
$7,169.29
|
| Rate for Payer: Cofinity Commercial |
$8,423.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,169.29
|
| Rate for Payer: Healthscope Commercial |
$8,961.61
|
| Rate for Payer: Healthscope Whirlpool |
$8,692.76
|
| Rate for Payer: Mclaren Commercial |
$8,065.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,617.37
|
| Rate for Payer: Nomi Health Commercial |
$7,348.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,825.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,886.22
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
OP
|
$12,850.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,681.38 |
| Max. Negotiated Rate |
$12,850.11 |
| Rate for Payer: Aetna Commercial |
$11,565.10
|
| Rate for Payer: Aetna Medicare |
$3,136.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,921.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,921.12
|
| Rate for Payer: ASR ASR |
$12,464.61
|
| Rate for Payer: ASR Commercial |
$12,464.61
|
| Rate for Payer: BCBS Complete |
$1,765.45
|
| Rate for Payer: BCBS MAPPO |
$3,136.90
|
| Rate for Payer: BCBS Trust/PPO |
$10,522.96
|
| Rate for Payer: BCN Commercial |
$9,962.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,136.90
|
| Rate for Payer: Cash Price |
$10,280.09
|
| Rate for Payer: Cash Price |
$10,280.09
|
| Rate for Payer: Cofinity Commercial |
$12,079.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,280.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,136.90
|
| Rate for Payer: Healthscope Commercial |
$12,850.11
|
| Rate for Payer: Healthscope Whirlpool |
$12,464.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,136.90
|
| Rate for Payer: Mclaren Commercial |
$11,565.10
|
| Rate for Payer: Mclaren Medicaid |
$1,681.38
|
| Rate for Payer: Mclaren Medicare |
$3,136.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,293.74
|
| Rate for Payer: Meridian Medicaid |
$1,765.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,607.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,922.59
|
| Rate for Payer: Nomi Health Commercial |
$10,537.09
|
| Rate for Payer: PACE Medicare |
$2,980.05
|
| Rate for Payer: PACE SWMI |
$3,136.90
|
| Rate for Payer: PHP Commercial |
$3,450.59
|
| Rate for Payer: PHP Medicaid |
$1,681.38
|
| Rate for Payer: PHP Medicare Advantage |
$3,136.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,681.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,352.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,259.27
|
| Rate for Payer: Priority Health Medicare |
$3,136.90
|
| Rate for Payer: Priority Health Narrow Network |
$9,007.93
|
| Rate for Payer: Railroad Medicare Medicare |
$3,136.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,308.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,136.90
|
| Rate for Payer: UHC Exchange |
$4,862.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,136.90
|
| Rate for Payer: UHCCP DNSP |
$3,136.90
|
| Rate for Payer: UHCCP Medicaid |
$1,681.38
|
| Rate for Payer: VA VA |
$3,136.90
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
IP
|
$12,850.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,352.57 |
| Max. Negotiated Rate |
$12,850.11 |
| Rate for Payer: Aetna Commercial |
$11,565.10
|
| Rate for Payer: ASR ASR |
$12,464.61
|
| Rate for Payer: ASR Commercial |
$12,464.61
|
| Rate for Payer: BCBS Trust/PPO |
$10,471.55
|
| Rate for Payer: BCN Commercial |
$9,962.69
|
| Rate for Payer: Cash Price |
$10,280.09
|
| Rate for Payer: Cofinity Commercial |
$12,079.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,280.09
|
| Rate for Payer: Healthscope Commercial |
$12,850.11
|
| Rate for Payer: Healthscope Whirlpool |
$12,464.61
|
| Rate for Payer: Mclaren Commercial |
$11,565.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,922.59
|
| Rate for Payer: Nomi Health Commercial |
$10,537.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,352.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,308.10
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
IP
|
$43.10
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.02 |
| Max. Negotiated Rate |
$43.10 |
| Rate for Payer: Aetna Commercial |
$38.79
|
| Rate for Payer: ASR ASR |
$41.81
|
| Rate for Payer: ASR Commercial |
$41.81
|
| Rate for Payer: BCBS Trust/PPO |
$35.12
|
| Rate for Payer: BCN Commercial |
$33.42
|
| Rate for Payer: Cash Price |
$34.48
|
| Rate for Payer: Cofinity Commercial |
$40.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.48
|
| Rate for Payer: Healthscope Commercial |
$43.10
|
| Rate for Payer: Healthscope Whirlpool |
$41.81
|
| Rate for Payer: Mclaren Commercial |
$38.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.63
|
| Rate for Payer: Nomi Health Commercial |
$35.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.93
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
OP
|
$43.10
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.24 |
| Max. Negotiated Rate |
$43.10 |
| Rate for Payer: Aetna Commercial |
$38.79
|
| Rate for Payer: Aetna Medicare |
$21.55
|
| Rate for Payer: ASR ASR |
$41.81
|
| Rate for Payer: ASR Commercial |
$41.81
|
| Rate for Payer: BCBS Complete |
$17.24
|
| Rate for Payer: BCBS Trust/PPO |
$35.29
|
| Rate for Payer: BCN Commercial |
$33.42
|
| Rate for Payer: Cash Price |
$34.48
|
| Rate for Payer: Cofinity Commercial |
$40.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.48
|
| Rate for Payer: Healthscope Commercial |
$43.10
|
| Rate for Payer: Healthscope Whirlpool |
$41.81
|
| Rate for Payer: Mclaren Commercial |
$38.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.63
|
| Rate for Payer: Nomi Health Commercial |
$35.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.76
|
| Rate for Payer: Priority Health Narrow Network |
$30.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.93
|
|
|
HC HEART CATH PACK
|
Facility
|
OP
|
$518.38
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$207.35 |
| Max. Negotiated Rate |
$518.38 |
| Rate for Payer: Aetna Commercial |
$466.54
|
| Rate for Payer: Aetna Medicare |
$259.19
|
| Rate for Payer: ASR ASR |
$502.83
|
| Rate for Payer: ASR Commercial |
$502.83
|
| Rate for Payer: BCBS Complete |
$207.35
|
| Rate for Payer: BCBS Trust/PPO |
$424.50
|
| Rate for Payer: BCN Commercial |
$401.90
|
| Rate for Payer: Cash Price |
$414.70
|
| Rate for Payer: Cofinity Commercial |
$487.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$414.70
|
| Rate for Payer: Healthscope Commercial |
$518.38
|
| Rate for Payer: Healthscope Whirlpool |
$502.83
|
| Rate for Payer: Mclaren Commercial |
$466.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$440.62
|
| Rate for Payer: Nomi Health Commercial |
$425.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$454.20
|
| Rate for Payer: Priority Health Narrow Network |
$363.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$456.17
|
|
|
HC HEART CATH PACK
|
Facility
|
IP
|
$518.38
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$336.95 |
| Max. Negotiated Rate |
$518.38 |
| Rate for Payer: Aetna Commercial |
$466.54
|
| Rate for Payer: ASR ASR |
$502.83
|
| Rate for Payer: ASR Commercial |
$502.83
|
| Rate for Payer: BCBS Trust/PPO |
$422.43
|
| Rate for Payer: BCN Commercial |
$401.90
|
| Rate for Payer: Cash Price |
$414.70
|
| Rate for Payer: Cofinity Commercial |
$487.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$414.70
|
| Rate for Payer: Healthscope Commercial |
$518.38
|
| Rate for Payer: Healthscope Whirlpool |
$502.83
|
| Rate for Payer: Mclaren Commercial |
$466.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$440.62
|
| Rate for Payer: Nomi Health Commercial |
$425.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$456.17
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
OP
|
$9,551.63
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,681.38 |
| Max. Negotiated Rate |
$9,551.63 |
| Rate for Payer: Aetna Commercial |
$8,596.47
|
| Rate for Payer: Aetna Medicare |
$3,136.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,921.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,921.12
|
| Rate for Payer: ASR ASR |
$9,265.08
|
| Rate for Payer: ASR Commercial |
$9,265.08
|
| Rate for Payer: BCBS Complete |
$1,765.45
|
| Rate for Payer: BCBS MAPPO |
$3,136.90
|
| Rate for Payer: BCBS Trust/PPO |
$7,821.83
|
| Rate for Payer: BCN Commercial |
$7,405.38
|
| Rate for Payer: BCN Medicare Advantage |
$3,136.90
|
| Rate for Payer: Cash Price |
$7,641.30
|
| Rate for Payer: Cash Price |
$7,641.30
|
| Rate for Payer: Cofinity Commercial |
$8,978.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,641.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,136.90
|
| Rate for Payer: Healthscope Commercial |
$9,551.63
|
| Rate for Payer: Healthscope Whirlpool |
$9,265.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,136.90
|
| Rate for Payer: Mclaren Commercial |
$8,596.47
|
| Rate for Payer: Mclaren Medicaid |
$1,681.38
|
| Rate for Payer: Mclaren Medicare |
$3,136.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,293.74
|
| Rate for Payer: Meridian Medicaid |
$1,765.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,607.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,118.89
|
| Rate for Payer: Nomi Health Commercial |
$7,832.34
|
| Rate for Payer: PACE Medicare |
$2,980.05
|
| Rate for Payer: PACE SWMI |
$3,136.90
|
| Rate for Payer: PHP Commercial |
$3,450.59
|
| Rate for Payer: PHP Medicaid |
$1,681.38
|
| Rate for Payer: PHP Medicare Advantage |
$3,136.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,681.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,208.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,369.14
|
| Rate for Payer: Priority Health Medicare |
$3,136.90
|
| Rate for Payer: Priority Health Narrow Network |
$6,695.69
|
| Rate for Payer: Railroad Medicare Medicare |
$3,136.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,405.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,136.90
|
| Rate for Payer: UHC Exchange |
$4,862.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,136.90
|
| Rate for Payer: UHCCP DNSP |
$3,136.90
|
| Rate for Payer: UHCCP Medicaid |
$1,681.38
|
| Rate for Payer: VA VA |
$3,136.90
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
IP
|
$9,551.63
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,208.56 |
| Max. Negotiated Rate |
$9,551.63 |
| Rate for Payer: Aetna Commercial |
$8,596.47
|
| Rate for Payer: ASR ASR |
$9,265.08
|
| Rate for Payer: ASR Commercial |
$9,265.08
|
| Rate for Payer: BCBS Trust/PPO |
$7,783.62
|
| Rate for Payer: BCN Commercial |
$7,405.38
|
| Rate for Payer: Cash Price |
$7,641.30
|
| Rate for Payer: Cofinity Commercial |
$8,978.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,641.30
|
| Rate for Payer: Healthscope Commercial |
$9,551.63
|
| Rate for Payer: Healthscope Whirlpool |
$9,265.08
|
| Rate for Payer: Mclaren Commercial |
$8,596.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,118.89
|
| Rate for Payer: Nomi Health Commercial |
$7,832.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,208.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,405.43
|
|
|
HC HEART CATH WIRE
|
Facility
|
OP
|
$33.27
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.31 |
| Max. Negotiated Rate |
$33.27 |
| Rate for Payer: Aetna Commercial |
$29.94
|
| Rate for Payer: Aetna Medicare |
$16.64
|
| Rate for Payer: ASR ASR |
$32.27
|
| Rate for Payer: ASR Commercial |
$32.27
|
| Rate for Payer: BCBS Complete |
$13.31
|
| Rate for Payer: BCBS Trust/PPO |
$27.24
|
| Rate for Payer: BCN Commercial |
$25.79
|
| Rate for Payer: Cash Price |
$26.62
|
| Rate for Payer: Cofinity Commercial |
$31.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.62
|
| Rate for Payer: Healthscope Commercial |
$33.27
|
| Rate for Payer: Healthscope Whirlpool |
$32.27
|
| Rate for Payer: Mclaren Commercial |
$29.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.28
|
| Rate for Payer: Nomi Health Commercial |
$27.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.15
|
| Rate for Payer: Priority Health Narrow Network |
$23.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.28
|
|
|
HC HEART CATH WIRE
|
Facility
|
IP
|
$33.27
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.63 |
| Max. Negotiated Rate |
$33.27 |
| Rate for Payer: Aetna Commercial |
$29.94
|
| Rate for Payer: ASR ASR |
$32.27
|
| Rate for Payer: ASR Commercial |
$32.27
|
| Rate for Payer: BCBS Trust/PPO |
$27.11
|
| Rate for Payer: BCN Commercial |
$25.79
|
| Rate for Payer: Cash Price |
$26.62
|
| Rate for Payer: Cofinity Commercial |
$31.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.62
|
| Rate for Payer: Healthscope Commercial |
$33.27
|
| Rate for Payer: Healthscope Whirlpool |
$32.27
|
| Rate for Payer: Mclaren Commercial |
$29.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.28
|
| Rate for Payer: Nomi Health Commercial |
$27.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.28
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
IP
|
$31.04
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.18 |
| Max. Negotiated Rate |
$31.04 |
| Rate for Payer: Aetna Commercial |
$27.94
|
| Rate for Payer: ASR ASR |
$30.11
|
| Rate for Payer: ASR Commercial |
$30.11
|
| Rate for Payer: BCBS Trust/PPO |
$25.29
|
| Rate for Payer: BCN Commercial |
$24.07
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cofinity Commercial |
$29.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Healthscope Commercial |
$31.04
|
| Rate for Payer: Healthscope Whirlpool |
$30.11
|
| Rate for Payer: Mclaren Commercial |
$27.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.38
|
| Rate for Payer: Nomi Health Commercial |
$25.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.32
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
OP
|
$31.04
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.17 |
| Max. Negotiated Rate |
$31.04 |
| Rate for Payer: Aetna Commercial |
$27.94
|
| Rate for Payer: Aetna Medicare |
$18.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: ASR ASR |
$30.11
|
| Rate for Payer: ASR Commercial |
$30.11
|
| Rate for Payer: BCBS Complete |
$10.68
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$25.42
|
| Rate for Payer: BCN Commercial |
$24.07
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cofinity Commercial |
$29.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$31.04
|
| Rate for Payer: Healthscope Whirlpool |
$30.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.97
|
| Rate for Payer: Mclaren Commercial |
$27.94
|
| Rate for Payer: Mclaren Medicaid |
$10.17
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: Meridian Medicaid |
$10.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.38
|
| Rate for Payer: Nomi Health Commercial |
$25.45
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$20.87
|
| Rate for Payer: PHP Medicaid |
$10.17
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27.20
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health Narrow Network |
$21.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.97
|
| Rate for Payer: UHC Exchange |
$29.40
|
| Rate for Payer: UHC Medicare Advantage |
$18.97
|
| Rate for Payer: UHCCP DNSP |
$18.97
|
| Rate for Payer: UHCCP Medicaid |
$10.17
|
| Rate for Payer: VA VA |
$18.97
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
IP
|
$26.61
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.30 |
| Max. Negotiated Rate |
$26.61 |
| Rate for Payer: Aetna Commercial |
$23.95
|
| Rate for Payer: ASR ASR |
$25.81
|
| Rate for Payer: ASR Commercial |
$25.81
|
| Rate for Payer: BCBS Trust/PPO |
$21.68
|
| Rate for Payer: BCN Commercial |
$20.63
|
| Rate for Payer: Cash Price |
$21.29
|
| Rate for Payer: Cofinity Commercial |
$25.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.29
|
| Rate for Payer: Healthscope Commercial |
$26.61
|
| Rate for Payer: Healthscope Whirlpool |
$25.81
|
| Rate for Payer: Mclaren Commercial |
$23.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.62
|
| Rate for Payer: Nomi Health Commercial |
$21.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.42
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
OP
|
$26.61
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.72 |
| Max. Negotiated Rate |
$26.61 |
| Rate for Payer: Aetna Commercial |
$23.95
|
| Rate for Payer: Aetna Medicare |
$16.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.32
|
| Rate for Payer: ASR ASR |
$25.81
|
| Rate for Payer: ASR Commercial |
$25.81
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS MAPPO |
$16.26
|
| Rate for Payer: BCBS Trust/PPO |
$21.79
|
| Rate for Payer: BCN Commercial |
$20.63
|
| Rate for Payer: BCN Medicare Advantage |
$16.26
|
| Rate for Payer: Cash Price |
$21.29
|
| Rate for Payer: Cash Price |
$21.29
|
| Rate for Payer: Cofinity Commercial |
$25.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.26
|
| Rate for Payer: Healthscope Commercial |
$26.61
|
| Rate for Payer: Healthscope Whirlpool |
$25.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.26
|
| Rate for Payer: Mclaren Commercial |
$23.95
|
| Rate for Payer: Mclaren Medicaid |
$8.72
|
| Rate for Payer: Mclaren Medicare |
$16.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.07
|
| Rate for Payer: Meridian Medicaid |
$9.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.62
|
| Rate for Payer: Nomi Health Commercial |
$21.82
|
| Rate for Payer: PACE Medicare |
$15.45
|
| Rate for Payer: PACE SWMI |
$16.26
|
| Rate for Payer: PHP Commercial |
$17.89
|
| Rate for Payer: PHP Medicaid |
$8.72
|
| Rate for Payer: PHP Medicare Advantage |
$16.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23.32
|
| Rate for Payer: Priority Health Medicare |
$16.26
|
| Rate for Payer: Priority Health Narrow Network |
$18.65
|
| Rate for Payer: Railroad Medicare Medicare |
$16.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.26
|
| Rate for Payer: UHC Exchange |
$25.20
|
| Rate for Payer: UHC Medicare Advantage |
$16.26
|
| Rate for Payer: UHCCP DNSP |
$16.26
|
| Rate for Payer: UHCCP Medicaid |
$8.72
|
| Rate for Payer: VA VA |
$16.26
|
|
|
HC HEAVY METAL PANEL CADMIUM LEVEL
|
Facility
|
OP
|
$38.67
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
30100125
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.67 |
| Max. Negotiated Rate |
$38.67 |
| Rate for Payer: Aetna Commercial |
$34.80
|
| Rate for Payer: Aetna Medicare |
$23.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.55
|
| Rate for Payer: ASR ASR |
$37.51
|
| Rate for Payer: ASR Commercial |
$37.51
|
| Rate for Payer: BCBS Complete |
$13.30
|
| Rate for Payer: BCBS MAPPO |
$23.64
|
| Rate for Payer: BCBS Trust/PPO |
$31.67
|
| Rate for Payer: BCN Commercial |
$29.98
|
| Rate for Payer: BCN Medicare Advantage |
$23.64
|
| Rate for Payer: Cash Price |
$30.94
|
| Rate for Payer: Cash Price |
$30.94
|
| Rate for Payer: Cofinity Commercial |
$36.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.64
|
| Rate for Payer: Healthscope Commercial |
$38.67
|
| Rate for Payer: Healthscope Whirlpool |
$37.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$23.64
|
| Rate for Payer: Mclaren Commercial |
$34.80
|
| Rate for Payer: Mclaren Medicaid |
$12.67
|
| Rate for Payer: Mclaren Medicare |
$23.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.82
|
| Rate for Payer: Meridian Medicaid |
$13.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.87
|
| Rate for Payer: Nomi Health Commercial |
$31.71
|
| Rate for Payer: PACE Medicare |
$22.46
|
| Rate for Payer: PACE SWMI |
$23.64
|
| Rate for Payer: PHP Commercial |
$26.00
|
| Rate for Payer: PHP Medicaid |
$12.67
|
| Rate for Payer: PHP Medicare Advantage |
$23.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.88
|
| Rate for Payer: Priority Health Medicare |
$23.64
|
| Rate for Payer: Priority Health Narrow Network |
$27.11
|
| Rate for Payer: Railroad Medicare Medicare |
$23.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$34.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.64
|
| Rate for Payer: UHC Exchange |
$36.64
|
| Rate for Payer: UHC Medicare Advantage |
$23.64
|
| Rate for Payer: UHCCP DNSP |
$23.64
|
| Rate for Payer: UHCCP Medicaid |
$12.67
|
| Rate for Payer: VA VA |
$23.64
|
|
|
HC HEAVY METAL PANEL CADMIUM LEVEL
|
Facility
|
IP
|
$38.67
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
30100125
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.14 |
| Max. Negotiated Rate |
$38.67 |
| Rate for Payer: Aetna Commercial |
$34.80
|
| Rate for Payer: ASR ASR |
$37.51
|
| Rate for Payer: ASR Commercial |
$37.51
|
| Rate for Payer: BCBS Trust/PPO |
$31.51
|
| Rate for Payer: BCN Commercial |
$29.98
|
| Rate for Payer: Cash Price |
$30.94
|
| Rate for Payer: Cofinity Commercial |
$36.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.94
|
| Rate for Payer: Healthscope Commercial |
$38.67
|
| Rate for Payer: Healthscope Whirlpool |
$37.51
|
| Rate for Payer: Mclaren Commercial |
$34.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.87
|
| Rate for Payer: Nomi Health Commercial |
$31.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$34.03
|
|
|
HC HEAVY METAL PANEL LEAD
|
Facility
|
IP
|
$19.80
|
|
|
Service Code
|
CPT 83655
|
| Hospital Charge Code |
30100276
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.87 |
| Max. Negotiated Rate |
$19.80 |
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: ASR ASR |
$19.21
|
| Rate for Payer: ASR Commercial |
$19.21
|
| Rate for Payer: BCBS Trust/PPO |
$16.14
|
| Rate for Payer: BCN Commercial |
$15.35
|
| Rate for Payer: Cash Price |
$15.84
|
| Rate for Payer: Cofinity Commercial |
$18.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.84
|
| Rate for Payer: Healthscope Commercial |
$19.80
|
| Rate for Payer: Healthscope Whirlpool |
$19.21
|
| Rate for Payer: Mclaren Commercial |
$17.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.83
|
| Rate for Payer: Nomi Health Commercial |
$16.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.42
|
|
