|
HC LARYNGOSCOPY FIBEROPTIC
|
Facility
|
IP
|
$379.73
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
36100443
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$284.80 |
| Max. Negotiated Rate |
$379.73 |
| Rate for Payer: Aetna Commercial |
$341.76
|
| Rate for Payer: ASR ASR |
$368.34
|
| Rate for Payer: BCBS Trust/PPO |
$311.83
|
| Rate for Payer: BCN Commercial |
$311.83
|
| Rate for Payer: Cash Price |
$303.78
|
| Rate for Payer: Cofinity Commercial |
$356.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.78
|
| Rate for Payer: Healthscope Commercial |
$368.34
|
| Rate for Payer: Healthscope Whirlpool |
$379.73
|
| Rate for Payer: Mclaren Commercial |
$341.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.77
|
| Rate for Payer: Nomi Health Commercial |
$311.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$284.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$334.16
|
|
|
HC LARYNGOSCOPY FLX/RGD TELESCOP W/STROBOSCOP
|
Facility
|
IP
|
$1,144.44
|
|
|
Service Code
|
CPT 31579
|
| Hospital Charge Code |
76100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$858.33 |
| Max. Negotiated Rate |
$1,144.44 |
| Rate for Payer: Aetna Commercial |
$1,030.00
|
| Rate for Payer: ASR ASR |
$1,110.11
|
| Rate for Payer: BCBS Trust/PPO |
$939.81
|
| Rate for Payer: BCN Commercial |
$939.81
|
| Rate for Payer: Cash Price |
$915.55
|
| Rate for Payer: Cofinity Commercial |
$1,075.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$915.55
|
| Rate for Payer: Healthscope Commercial |
$1,110.11
|
| Rate for Payer: Healthscope Whirlpool |
$1,144.44
|
| Rate for Payer: Mclaren Commercial |
$1,030.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$972.77
|
| Rate for Payer: Nomi Health Commercial |
$938.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,007.11
|
|
|
HC LARYNGOSCOPY FLX/RGD TELESCOP W/STROBOSCOP
|
Facility
|
OP
|
$1,144.44
|
|
|
Service Code
|
CPT 31579
|
| Hospital Charge Code |
76100455
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$203.82 |
| Max. Negotiated Rate |
$1,144.44 |
| Rate for Payer: Aetna Commercial |
$1,030.00
|
| Rate for Payer: Aetna Medicare |
$389.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$487.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$487.14
|
| Rate for Payer: ASR ASR |
$1,110.11
|
| Rate for Payer: BCBS Complete |
$214.03
|
| Rate for Payer: BCBS MAPPO |
$389.71
|
| Rate for Payer: BCBS Trust/PPO |
$943.59
|
| Rate for Payer: BCN Commercial |
$943.59
|
| Rate for Payer: BCN Medicare Advantage |
$389.71
|
| Rate for Payer: Cash Price |
$915.55
|
| Rate for Payer: Cash Price |
$915.55
|
| Rate for Payer: Cofinity Commercial |
$1,075.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$915.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.71
|
| Rate for Payer: Healthscope Commercial |
$1,110.11
|
| Rate for Payer: Healthscope Whirlpool |
$1,144.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$389.71
|
| Rate for Payer: Mclaren Commercial |
$1,030.00
|
| Rate for Payer: Mclaren Medicaid |
$389.71
|
| Rate for Payer: Mclaren Medicare |
$389.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.20
|
| Rate for Payer: Meridian Medicaid |
$214.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$448.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$428.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$972.77
|
| Rate for Payer: Nomi Health Commercial |
$938.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.33
|
| Rate for Payer: PACE Medicare |
$370.22
|
| Rate for Payer: PACE SWMI |
$389.71
|
| Rate for Payer: PHP Commercial |
$428.68
|
| Rate for Payer: PHP Medicaid |
$208.88
|
| Rate for Payer: PHP Medicare Advantage |
$389.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$203.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,002.76
|
| Rate for Payer: Priority Health Medicare |
$389.71
|
| Rate for Payer: Priority Health Narrow Network |
$802.25
|
| Rate for Payer: Railroad Medicare Medicare |
$389.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,007.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$389.71
|
| Rate for Payer: UHC Exchange |
$604.05
|
| Rate for Payer: UHC Medicaid |
$203.82
|
| Rate for Payer: UHCCP DNSP |
$389.71
|
| Rate for Payer: UHCCP Medicaid |
$203.82
|
| Rate for Payer: VA VA |
$389.71
|
|
|
HC LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Facility
|
IP
|
$577.42
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
76100411
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$433.06 |
| Max. Negotiated Rate |
$577.42 |
| Rate for Payer: Aetna Commercial |
$519.68
|
| Rate for Payer: ASR ASR |
$560.10
|
| Rate for Payer: BCBS Trust/PPO |
$474.18
|
| Rate for Payer: BCN Commercial |
$474.18
|
| Rate for Payer: Cash Price |
$461.94
|
| Rate for Payer: Cofinity Commercial |
$542.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$461.94
|
| Rate for Payer: Healthscope Commercial |
$560.10
|
| Rate for Payer: Healthscope Whirlpool |
$577.42
|
| Rate for Payer: Mclaren Commercial |
$519.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$490.81
|
| Rate for Payer: Nomi Health Commercial |
$473.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$433.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$508.13
|
|
|
HC LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Facility
|
OP
|
$577.42
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
76100411
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.02 |
| Max. Negotiated Rate |
$577.42 |
| Rate for Payer: Aetna Commercial |
$519.68
|
| Rate for Payer: Aetna Medicare |
$198.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$248.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$248.61
|
| Rate for Payer: ASR ASR |
$560.10
|
| Rate for Payer: BCBS Complete |
$109.23
|
| Rate for Payer: BCBS MAPPO |
$198.89
|
| Rate for Payer: BCBS Trust/PPO |
$476.08
|
| Rate for Payer: BCN Commercial |
$476.08
|
| Rate for Payer: BCN Medicare Advantage |
$198.89
|
| Rate for Payer: Cash Price |
$461.94
|
| Rate for Payer: Cash Price |
$461.94
|
| Rate for Payer: Cofinity Commercial |
$542.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$461.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.89
|
| Rate for Payer: Healthscope Commercial |
$560.10
|
| Rate for Payer: Healthscope Whirlpool |
$577.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$198.89
|
| Rate for Payer: Mclaren Commercial |
$519.68
|
| Rate for Payer: Mclaren Medicaid |
$198.89
|
| Rate for Payer: Mclaren Medicare |
$198.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.83
|
| Rate for Payer: Meridian Medicaid |
$109.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$228.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$218.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$490.81
|
| Rate for Payer: Nomi Health Commercial |
$473.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$433.06
|
| Rate for Payer: PACE Medicare |
$188.95
|
| Rate for Payer: PACE SWMI |
$198.89
|
| Rate for Payer: PHP Commercial |
$218.78
|
| Rate for Payer: PHP Medicaid |
$106.61
|
| Rate for Payer: PHP Medicare Advantage |
$198.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$154.95
|
| Rate for Payer: Priority Health Medicare |
$198.89
|
| Rate for Payer: Priority Health Narrow Network |
$123.96
|
| Rate for Payer: Railroad Medicare Medicare |
$198.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$508.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$198.89
|
| Rate for Payer: UHC Exchange |
$308.28
|
| Rate for Payer: UHC Medicaid |
$104.02
|
| Rate for Payer: UHCCP DNSP |
$198.89
|
| Rate for Payer: UHCCP Medicaid |
$104.02
|
| Rate for Payer: VA VA |
$198.89
|
|
|
HC LASER CATHETER
|
Facility
|
OP
|
$5,038.11
|
|
|
Service Code
|
HCPCS C1885
|
| Hospital Charge Code |
27200054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,864.10 |
| Max. Negotiated Rate |
$5,038.11 |
| Rate for Payer: Aetna Commercial |
$4,534.30
|
| Rate for Payer: Aetna Medicare |
$1,864.10
|
| Rate for Payer: ASR ASR |
$4,886.97
|
| Rate for Payer: BCBS Complete |
$2,015.24
|
| Rate for Payer: BCBS Trust/PPO |
$4,153.92
|
| Rate for Payer: BCN Commercial |
$4,153.92
|
| Rate for Payer: Cash Price |
$4,030.49
|
| Rate for Payer: Cofinity Commercial |
$4,735.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,030.49
|
| Rate for Payer: Healthscope Commercial |
$4,886.97
|
| Rate for Payer: Healthscope Whirlpool |
$5,038.11
|
| Rate for Payer: Mclaren Commercial |
$4,534.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,030.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,282.39
|
| Rate for Payer: Nomi Health Commercial |
$4,131.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,778.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,414.39
|
| Rate for Payer: Priority Health Narrow Network |
$3,531.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,433.54
|
|
|
HC LASER CATHETER
|
Facility
|
IP
|
$5,038.11
|
|
|
Service Code
|
HCPCS C1885
|
| Hospital Charge Code |
27200054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,778.58 |
| Max. Negotiated Rate |
$5,038.11 |
| Rate for Payer: Aetna Commercial |
$4,534.30
|
| Rate for Payer: ASR ASR |
$4,886.97
|
| Rate for Payer: BCBS Trust/PPO |
$4,137.30
|
| Rate for Payer: BCN Commercial |
$4,137.30
|
| Rate for Payer: Cash Price |
$4,030.49
|
| Rate for Payer: Cofinity Commercial |
$4,735.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,030.49
|
| Rate for Payer: Healthscope Commercial |
$4,886.97
|
| Rate for Payer: Healthscope Whirlpool |
$5,038.11
|
| Rate for Payer: Mclaren Commercial |
$4,534.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,282.39
|
| Rate for Payer: Nomi Health Commercial |
$4,131.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,778.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,433.54
|
|
|
HC LATEX IGE
|
Facility
|
OP
|
$36.51
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200044
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$36.51 |
| Rate for Payer: Aetna Commercial |
$32.86
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$35.41
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$30.10
|
| Rate for Payer: BCN Commercial |
$30.10
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$29.21
|
| Rate for Payer: Cash Price |
$29.21
|
| Rate for Payer: Cofinity Commercial |
$34.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$35.41
|
| Rate for Payer: Healthscope Whirlpool |
$36.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$32.86
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.03
|
| Rate for Payer: Nomi Health Commercial |
$29.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.38
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$31.99
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$25.59
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC LATEX IGE
|
Facility
|
IP
|
$36.51
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200044
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$27.38 |
| Max. Negotiated Rate |
$36.51 |
| Rate for Payer: Aetna Commercial |
$32.86
|
| Rate for Payer: ASR ASR |
$35.41
|
| Rate for Payer: BCBS Trust/PPO |
$29.98
|
| Rate for Payer: BCN Commercial |
$29.98
|
| Rate for Payer: Cash Price |
$29.21
|
| Rate for Payer: Cofinity Commercial |
$34.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.21
|
| Rate for Payer: Healthscope Commercial |
$35.41
|
| Rate for Payer: Healthscope Whirlpool |
$36.51
|
| Rate for Payer: Mclaren Commercial |
$32.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.03
|
| Rate for Payer: Nomi Health Commercial |
$29.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.13
|
|
|
HC LAYR CLOS WND REST BODY <2.5 CM
|
Facility
|
OP
|
$508.61
|
|
|
Service Code
|
CPT 12041
|
| Hospital Charge Code |
76100228
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$211.84 |
| Max. Negotiated Rate |
$627.83 |
| Rate for Payer: Aetna Commercial |
$457.75
|
| Rate for Payer: Aetna Medicare |
$405.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: ASR ASR |
$493.35
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$419.35
|
| Rate for Payer: BCN Commercial |
$419.35
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$406.89
|
| Rate for Payer: Cash Price |
$406.89
|
| Rate for Payer: Cofinity Commercial |
$478.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$406.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$493.35
|
| Rate for Payer: Healthscope Whirlpool |
$508.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$405.05
|
| Rate for Payer: Mclaren Commercial |
$457.75
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$222.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$432.32
|
| Rate for Payer: Nomi Health Commercial |
$417.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$381.46
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$445.56
|
| Rate for Payer: PHP Medicaid |
$217.11
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$293.24
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health Narrow Network |
$234.60
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$447.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$405.05
|
| Rate for Payer: UHC Exchange |
$627.83
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP DNSP |
$405.05
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: VA VA |
$405.05
|
|
|
HC LAYR CLOS WND REST BODY <2.5 CM
|
Facility
|
IP
|
$508.61
|
|
|
Service Code
|
CPT 12041
|
| Hospital Charge Code |
76100228
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$381.46 |
| Max. Negotiated Rate |
$508.61 |
| Rate for Payer: Aetna Commercial |
$457.75
|
| Rate for Payer: ASR ASR |
$493.35
|
| Rate for Payer: BCBS Trust/PPO |
$417.67
|
| Rate for Payer: BCN Commercial |
$417.67
|
| Rate for Payer: Cash Price |
$406.89
|
| Rate for Payer: Cofinity Commercial |
$478.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$406.89
|
| Rate for Payer: Healthscope Commercial |
$493.35
|
| Rate for Payer: Healthscope Whirlpool |
$508.61
|
| Rate for Payer: Mclaren Commercial |
$457.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$432.32
|
| Rate for Payer: Nomi Health Commercial |
$417.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$381.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$447.58
|
|
|
HC LC/CABG'S W INTERVENTION
|
Facility
|
OP
|
$11,233.61
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100050
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$11,233.61 |
| Rate for Payer: Aetna Commercial |
$10,110.25
|
| 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 |
$10,896.60
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$9,262.11
|
| Rate for Payer: BCN Commercial |
$9,262.11
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$8,986.89
|
| Rate for Payer: Cash Price |
$8,986.89
|
| Rate for Payer: Cofinity Commercial |
$10,559.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,986.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$10,896.60
|
| Rate for Payer: Healthscope Whirlpool |
$11,233.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,230.27
|
| Rate for Payer: Mclaren Commercial |
$10,110.25
|
| 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 |
$9,548.57
|
| Rate for Payer: Nomi Health Commercial |
$9,211.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,425.21
|
| 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 |
$9,842.89
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health Narrow Network |
$7,874.76
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,885.58
|
| 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 LC/CABG'S W INTERVENTION
|
Facility
|
IP
|
$11,233.61
|
|
|
Service Code
|
CPT 93459
|
| Hospital Charge Code |
48100050
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,425.21 |
| Max. Negotiated Rate |
$11,233.61 |
| Rate for Payer: Aetna Commercial |
$10,110.25
|
| Rate for Payer: ASR ASR |
$10,896.60
|
| Rate for Payer: BCBS Trust/PPO |
$9,225.04
|
| Rate for Payer: BCN Commercial |
$9,225.04
|
| Rate for Payer: Cash Price |
$8,986.89
|
| Rate for Payer: Cofinity Commercial |
$10,559.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,986.89
|
| Rate for Payer: Healthscope Commercial |
$10,896.60
|
| Rate for Payer: Healthscope Whirlpool |
$11,233.61
|
| Rate for Payer: Mclaren Commercial |
$10,110.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,548.57
|
| Rate for Payer: Nomi Health Commercial |
$9,211.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,425.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9,885.58
|
|
|
HC LDL DIRECT MEASURE
|
Facility
|
IP
|
$60.97
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
30100283
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$45.73 |
| Max. Negotiated Rate |
$60.97 |
| Rate for Payer: Aetna Commercial |
$54.87
|
| Rate for Payer: ASR ASR |
$59.14
|
| Rate for Payer: BCBS Trust/PPO |
$50.07
|
| Rate for Payer: BCN Commercial |
$50.07
|
| Rate for Payer: Cash Price |
$48.78
|
| Rate for Payer: Cofinity Commercial |
$57.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.78
|
| Rate for Payer: Healthscope Commercial |
$59.14
|
| Rate for Payer: Healthscope Whirlpool |
$60.97
|
| Rate for Payer: Mclaren Commercial |
$54.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.82
|
| Rate for Payer: Nomi Health Commercial |
$50.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.65
|
|
|
HC LDL DIRECT MEASURE
|
Facility
|
OP
|
$60.97
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
30100283
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$104.72 |
| Rate for Payer: Aetna Commercial |
$54.87
|
| Rate for Payer: Aetna Medicare |
$10.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.12
|
| Rate for Payer: ASR ASR |
$59.14
|
| Rate for Payer: BCBS Complete |
$5.77
|
| Rate for Payer: BCBS MAPPO |
$10.50
|
| Rate for Payer: BCBS Trust/PPO |
$50.27
|
| Rate for Payer: BCN Commercial |
$50.27
|
| Rate for Payer: BCN Medicare Advantage |
$10.50
|
| Rate for Payer: Cash Price |
$48.78
|
| Rate for Payer: Cash Price |
$48.78
|
| Rate for Payer: Cofinity Commercial |
$57.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.50
|
| Rate for Payer: Healthscope Commercial |
$59.14
|
| Rate for Payer: Healthscope Whirlpool |
$60.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$10.50
|
| Rate for Payer: Mclaren Commercial |
$54.87
|
| Rate for Payer: Mclaren Medicaid |
$10.50
|
| Rate for Payer: Mclaren Medicare |
$10.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.03
|
| Rate for Payer: Meridian Medicaid |
$5.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.82
|
| Rate for Payer: Nomi Health Commercial |
$50.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.73
|
| Rate for Payer: PACE Medicare |
$9.97
|
| Rate for Payer: PACE SWMI |
$10.50
|
| Rate for Payer: PHP Commercial |
$11.55
|
| Rate for Payer: PHP Medicaid |
$5.63
|
| Rate for Payer: PHP Medicare Advantage |
$10.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$104.72
|
| Rate for Payer: Priority Health Medicare |
$10.50
|
| Rate for Payer: Priority Health Narrow Network |
$83.77
|
| Rate for Payer: Railroad Medicare Medicare |
$10.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.50
|
| Rate for Payer: UHC Exchange |
$16.27
|
| Rate for Payer: UHC Medicaid |
$5.49
|
| Rate for Payer: UHCCP DNSP |
$10.50
|
| Rate for Payer: UHCCP Medicaid |
$5.49
|
| Rate for Payer: VA VA |
$10.50
|
|
|
HC LD RECOVERY 0-2 HRS
|
Facility
|
IP
|
$1,499.27
|
|
| Hospital Charge Code |
71000012
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,124.45 |
| Max. Negotiated Rate |
$1,499.27 |
| Rate for Payer: Aetna Commercial |
$1,349.34
|
| Rate for Payer: ASR ASR |
$1,454.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,231.20
|
| Rate for Payer: BCN Commercial |
$1,231.20
|
| Rate for Payer: Cash Price |
$1,199.42
|
| Rate for Payer: Cofinity Commercial |
$1,409.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,199.42
|
| Rate for Payer: Healthscope Commercial |
$1,454.29
|
| Rate for Payer: Healthscope Whirlpool |
$1,499.27
|
| Rate for Payer: Mclaren Commercial |
$1,349.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,274.38
|
| Rate for Payer: Nomi Health Commercial |
$1,229.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,124.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,319.36
|
|
|
HC LD RECOVERY 0-2 HRS
|
Facility
|
OP
|
$1,499.27
|
|
| Hospital Charge Code |
71000012
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$554.73 |
| Max. Negotiated Rate |
$1,499.27 |
| Rate for Payer: Aetna Commercial |
$1,349.34
|
| Rate for Payer: Aetna Medicare |
$554.73
|
| Rate for Payer: ASR ASR |
$1,454.29
|
| Rate for Payer: BCBS Complete |
$599.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,236.15
|
| Rate for Payer: BCN Commercial |
$1,236.15
|
| Rate for Payer: Cash Price |
$1,199.42
|
| Rate for Payer: Cofinity Commercial |
$1,409.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,199.42
|
| Rate for Payer: Healthscope Commercial |
$1,454.29
|
| Rate for Payer: Healthscope Whirlpool |
$1,499.27
|
| Rate for Payer: Mclaren Commercial |
$1,349.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,199.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,274.38
|
| Rate for Payer: Nomi Health Commercial |
$1,229.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,124.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,313.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,050.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,319.36
|
|
|
HC LD RECOVERY 10 OR MORE HOURS
|
Facility
|
OP
|
$3,747.95
|
|
| Hospital Charge Code |
71000013
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,386.74 |
| Max. Negotiated Rate |
$3,747.95 |
| Rate for Payer: Aetna Commercial |
$3,373.16
|
| Rate for Payer: Aetna Medicare |
$1,386.74
|
| Rate for Payer: ASR ASR |
$3,635.51
|
| Rate for Payer: BCBS Complete |
$1,499.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,090.18
|
| Rate for Payer: BCN Commercial |
$3,090.18
|
| Rate for Payer: Cash Price |
$2,998.36
|
| Rate for Payer: Cofinity Commercial |
$3,523.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,998.36
|
| Rate for Payer: Healthscope Commercial |
$3,635.51
|
| Rate for Payer: Healthscope Whirlpool |
$3,747.95
|
| Rate for Payer: Mclaren Commercial |
$3,373.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,998.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,185.76
|
| Rate for Payer: Nomi Health Commercial |
$3,073.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,810.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,283.95
|
| Rate for Payer: Priority Health Narrow Network |
$2,627.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,298.20
|
|
|
HC LD RECOVERY 10 OR MORE HOURS
|
Facility
|
IP
|
$3,747.95
|
|
| Hospital Charge Code |
71000013
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2,810.96 |
| Max. Negotiated Rate |
$3,747.95 |
| Rate for Payer: Aetna Commercial |
$3,373.16
|
| Rate for Payer: ASR ASR |
$3,635.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,077.82
|
| Rate for Payer: BCN Commercial |
$3,077.82
|
| Rate for Payer: Cash Price |
$2,998.36
|
| Rate for Payer: Cofinity Commercial |
$3,523.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,998.36
|
| Rate for Payer: Healthscope Commercial |
$3,635.51
|
| Rate for Payer: Healthscope Whirlpool |
$3,747.95
|
| Rate for Payer: Mclaren Commercial |
$3,373.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,185.76
|
| Rate for Payer: Nomi Health Commercial |
$3,073.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,810.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,298.20
|
|
|
HC LD RECOVERY 2-4 HRS
|
Facility
|
IP
|
$2,998.26
|
|
| Hospital Charge Code |
71000014
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2,248.70 |
| Max. Negotiated Rate |
$2,998.26 |
| Rate for Payer: Aetna Commercial |
$2,698.43
|
| Rate for Payer: ASR ASR |
$2,908.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,462.17
|
| Rate for Payer: BCN Commercial |
$2,462.17
|
| Rate for Payer: Cash Price |
$2,398.61
|
| Rate for Payer: Cofinity Commercial |
$2,818.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,398.61
|
| Rate for Payer: Healthscope Commercial |
$2,908.31
|
| Rate for Payer: Healthscope Whirlpool |
$2,998.26
|
| Rate for Payer: Mclaren Commercial |
$2,698.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,548.52
|
| Rate for Payer: Nomi Health Commercial |
$2,458.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,248.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,638.47
|
|
|
HC LD RECOVERY 2-4 HRS
|
Facility
|
OP
|
$2,998.26
|
|
| Hospital Charge Code |
71000014
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,109.36 |
| Max. Negotiated Rate |
$2,998.26 |
| Rate for Payer: Aetna Commercial |
$2,698.43
|
| Rate for Payer: Aetna Medicare |
$1,109.36
|
| Rate for Payer: ASR ASR |
$2,908.31
|
| Rate for Payer: BCBS Complete |
$1,199.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,472.07
|
| Rate for Payer: BCN Commercial |
$2,472.07
|
| Rate for Payer: Cash Price |
$2,398.61
|
| Rate for Payer: Cofinity Commercial |
$2,818.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,398.61
|
| Rate for Payer: Healthscope Commercial |
$2,908.31
|
| Rate for Payer: Healthscope Whirlpool |
$2,998.26
|
| Rate for Payer: Mclaren Commercial |
$2,698.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,398.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,548.52
|
| Rate for Payer: Nomi Health Commercial |
$2,458.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,248.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,627.08
|
| Rate for Payer: Priority Health Narrow Network |
$2,101.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,638.47
|
|
|
HC LD RECOVERY 4-6 HRS
|
Facility
|
OP
|
$3,331.45
|
|
| Hospital Charge Code |
71000015
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$1,232.64 |
| Max. Negotiated Rate |
$3,331.45 |
| Rate for Payer: Aetna Commercial |
$2,998.30
|
| Rate for Payer: Aetna Medicare |
$1,232.64
|
| Rate for Payer: ASR ASR |
$3,231.51
|
| Rate for Payer: BCBS Complete |
$1,332.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,746.78
|
| Rate for Payer: BCN Commercial |
$2,746.78
|
| Rate for Payer: Cash Price |
$2,665.16
|
| Rate for Payer: Cofinity Commercial |
$3,131.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.16
|
| Rate for Payer: Healthscope Commercial |
$3,231.51
|
| Rate for Payer: Healthscope Whirlpool |
$3,331.45
|
| Rate for Payer: Mclaren Commercial |
$2,998.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,665.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,831.73
|
| Rate for Payer: Nomi Health Commercial |
$2,731.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,498.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,919.02
|
| Rate for Payer: Priority Health Narrow Network |
$2,335.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,931.68
|
|
|
HC LD RECOVERY 4-6 HRS
|
Facility
|
IP
|
$3,331.45
|
|
| Hospital Charge Code |
71000015
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$2,498.59 |
| Max. Negotiated Rate |
$3,331.45 |
| Rate for Payer: Aetna Commercial |
$2,998.30
|
| Rate for Payer: ASR ASR |
$3,231.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,735.79
|
| Rate for Payer: BCN Commercial |
$2,735.79
|
| Rate for Payer: Cash Price |
$2,665.16
|
| Rate for Payer: Cofinity Commercial |
$3,131.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.16
|
| Rate for Payer: Healthscope Commercial |
$3,231.51
|
| Rate for Payer: Healthscope Whirlpool |
$3,331.45
|
| Rate for Payer: Mclaren Commercial |
$2,998.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,831.73
|
| Rate for Payer: Nomi Health Commercial |
$2,731.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,498.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,931.68
|
|
|
HC LD RECOVERY 6-8 HRS
|
Facility
|
OP
|
$1,236.61
|
|
| Hospital Charge Code |
71000016
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$457.55 |
| Max. Negotiated Rate |
$1,236.61 |
| Rate for Payer: Aetna Commercial |
$1,112.95
|
| Rate for Payer: Aetna Medicare |
$457.55
|
| Rate for Payer: ASR ASR |
$1,199.51
|
| Rate for Payer: BCBS Complete |
$494.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,019.58
|
| Rate for Payer: BCN Commercial |
$1,019.58
|
| Rate for Payer: Cash Price |
$989.29
|
| Rate for Payer: Cofinity Commercial |
$1,162.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$989.29
|
| Rate for Payer: Healthscope Commercial |
$1,199.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,236.61
|
| Rate for Payer: Mclaren Commercial |
$1,112.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$989.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,051.12
|
| Rate for Payer: Nomi Health Commercial |
$1,014.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$927.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,083.52
|
| Rate for Payer: Priority Health Narrow Network |
$866.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,088.22
|
|
|
HC LD RECOVERY 6-8 HRS
|
Facility
|
IP
|
$1,236.61
|
|
| Hospital Charge Code |
71000016
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$927.46 |
| Max. Negotiated Rate |
$1,236.61 |
| Rate for Payer: Aetna Commercial |
$1,112.95
|
| Rate for Payer: ASR ASR |
$1,199.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,015.50
|
| Rate for Payer: BCN Commercial |
$1,015.50
|
| Rate for Payer: Cash Price |
$989.29
|
| Rate for Payer: Cofinity Commercial |
$1,162.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$989.29
|
| Rate for Payer: Healthscope Commercial |
$1,199.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,236.61
|
| Rate for Payer: Mclaren Commercial |
$1,112.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,051.12
|
| Rate for Payer: Nomi Health Commercial |
$1,014.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$927.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,088.22
|
|
