|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
IP
|
$3,282.56
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,297.79 |
| Max. Negotiated Rate |
$3,282.56 |
| Rate for Payer: Aetna Commercial |
$2,954.30
|
| Rate for Payer: ASR ASR |
$3,184.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,544.97
|
| Rate for Payer: BCN Commercial |
$2,544.97
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cofinity Commercial |
$3,085.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,626.05
|
| Rate for Payer: Healthscope Commercial |
$3,282.56
|
| Rate for Payer: Healthscope Whirlpool |
$3,184.08
|
| Rate for Payer: Mclaren Commercial |
$2,954.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,790.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,297.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,888.65
|
|
|
HC PLACE NEPHROURETERAL CATHETER
|
Facility
|
OP
|
$3,282.56
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
36100505
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,695.03 |
| Max. Negotiated Rate |
$3,873.46 |
| Rate for Payer: Aetna Commercial |
$2,954.30
|
| Rate for Payer: Aetna Medicare |
$3,098.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: ASR ASR |
$3,184.08
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,544.97
|
| Rate for Payer: BCN Commercial |
$2,544.97
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cash Price |
$2,626.05
|
| Rate for Payer: Cofinity Commercial |
$3,085.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,626.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$3,282.56
|
| Rate for Payer: Healthscope Whirlpool |
$3,184.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,098.77
|
| Rate for Payer: Mclaren Commercial |
$2,954.30
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,790.18
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$3,408.65
|
| Rate for Payer: PHP Medicaid |
$1,695.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,297.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,987.13
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$2,330.62
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,888.65
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: VA VA |
$3,098.77
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
OP
|
$8,255.44
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,302.18 |
| Max. Negotiated Rate |
$8,255.44 |
| Rate for Payer: Aetna Commercial |
$7,429.90
|
| Rate for Payer: ASR ASR |
$8,007.78
|
| Rate for Payer: BCBS Complete |
$3,302.18
|
| Rate for Payer: BCBS Trust/PPO |
$6,400.44
|
| Rate for Payer: BCN Commercial |
$6,400.44
|
| Rate for Payer: Cash Price |
$6,604.35
|
| Rate for Payer: Cofinity Commercial |
$7,760.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,604.35
|
| Rate for Payer: Healthscope Commercial |
$8,255.44
|
| Rate for Payer: Healthscope Whirlpool |
$8,007.78
|
| Rate for Payer: Mclaren Commercial |
$7,429.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,017.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,778.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,512.45
|
| Rate for Payer: Priority Health Narrow Network |
$5,861.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,264.79
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 1ST ORDER
|
Facility
|
IP
|
$8,255.44
|
|
|
Service Code
|
CPT 36245
|
| Hospital Charge Code |
36100474
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,778.81 |
| Max. Negotiated Rate |
$8,255.44 |
| Rate for Payer: Aetna Commercial |
$7,429.90
|
| Rate for Payer: ASR ASR |
$8,007.78
|
| Rate for Payer: BCBS Trust/PPO |
$6,400.44
|
| Rate for Payer: BCN Commercial |
$6,400.44
|
| Rate for Payer: Cash Price |
$6,604.35
|
| Rate for Payer: Cofinity Commercial |
$7,760.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,604.35
|
| Rate for Payer: Healthscope Commercial |
$8,255.44
|
| Rate for Payer: Healthscope Whirlpool |
$8,007.78
|
| Rate for Payer: Mclaren Commercial |
$7,429.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,017.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,778.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,264.79
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
IP
|
$5,277.07
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,693.95 |
| Max. Negotiated Rate |
$5,277.07 |
| Rate for Payer: Aetna Commercial |
$4,749.36
|
| Rate for Payer: ASR ASR |
$5,118.76
|
| Rate for Payer: BCBS Trust/PPO |
$4,091.31
|
| Rate for Payer: BCN Commercial |
$4,091.31
|
| Rate for Payer: Cash Price |
$4,221.66
|
| Rate for Payer: Cofinity Commercial |
$4,960.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,221.66
|
| Rate for Payer: Healthscope Commercial |
$5,277.07
|
| Rate for Payer: Healthscope Whirlpool |
$5,118.76
|
| Rate for Payer: Mclaren Commercial |
$4,749.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,485.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,693.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,643.82
|
|
|
HC PLACE SELECTIVE ART BELOW ARCH 2ND ORDER
|
Facility
|
OP
|
$5,277.07
|
|
|
Service Code
|
CPT 36246
|
| Hospital Charge Code |
36100475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,110.83 |
| Max. Negotiated Rate |
$5,277.07 |
| Rate for Payer: Aetna Commercial |
$4,749.36
|
| Rate for Payer: ASR ASR |
$5,118.76
|
| Rate for Payer: BCBS Complete |
$2,110.83
|
| Rate for Payer: BCBS Trust/PPO |
$4,091.31
|
| Rate for Payer: BCN Commercial |
$4,091.31
|
| Rate for Payer: Cash Price |
$4,221.66
|
| Rate for Payer: Cofinity Commercial |
$4,960.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,221.66
|
| Rate for Payer: Healthscope Commercial |
$5,277.07
|
| Rate for Payer: Healthscope Whirlpool |
$5,118.76
|
| Rate for Payer: Mclaren Commercial |
$4,749.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,485.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,693.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,802.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,746.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,643.82
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
IP
|
$617.10
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$431.97 |
| Max. Negotiated Rate |
$617.10 |
| Rate for Payer: Aetna Commercial |
$555.39
|
| Rate for Payer: ASR ASR |
$598.59
|
| Rate for Payer: BCBS Trust/PPO |
$478.44
|
| Rate for Payer: BCN Commercial |
$478.44
|
| Rate for Payer: Cash Price |
$493.68
|
| Rate for Payer: Cofinity Commercial |
$580.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.68
|
| Rate for Payer: Healthscope Commercial |
$617.10
|
| Rate for Payer: Healthscope Whirlpool |
$598.59
|
| Rate for Payer: Mclaren Commercial |
$555.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$524.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$543.05
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE
|
Facility
|
OP
|
$617.10
|
|
|
Service Code
|
CPT 10035
|
| Hospital Charge Code |
36100486
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$342.09 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$555.39
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$598.59
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$478.44
|
| Rate for Payer: BCN Commercial |
$478.44
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$493.68
|
| Rate for Payer: Cash Price |
$493.68
|
| Rate for Payer: Cofinity Commercial |
$580.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$617.10
|
| Rate for Payer: Healthscope Whirlpool |
$598.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$555.39
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$524.54
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$561.56
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$438.14
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$543.05
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
IP
|
$413.27
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$289.29 |
| Max. Negotiated Rate |
$413.27 |
| Rate for Payer: Aetna Commercial |
$371.94
|
| Rate for Payer: ASR ASR |
$400.87
|
| Rate for Payer: BCBS Trust/PPO |
$320.41
|
| Rate for Payer: BCN Commercial |
$320.41
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cofinity Commercial |
$388.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.62
|
| Rate for Payer: Healthscope Commercial |
$413.27
|
| Rate for Payer: Healthscope Whirlpool |
$400.87
|
| Rate for Payer: Mclaren Commercial |
$371.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$363.68
|
|
|
HC PLACE SOFT TISSUE LOCALIZATION DEVICE EA ADDL LESION
|
Facility
|
OP
|
$413.27
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
36100487
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$165.31 |
| Max. Negotiated Rate |
$413.27 |
| Rate for Payer: Aetna Commercial |
$371.94
|
| Rate for Payer: ASR ASR |
$400.87
|
| Rate for Payer: BCBS Complete |
$165.31
|
| Rate for Payer: BCBS Trust/PPO |
$320.41
|
| Rate for Payer: BCN Commercial |
$320.41
|
| Rate for Payer: Cash Price |
$330.62
|
| Rate for Payer: Cofinity Commercial |
$388.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$330.62
|
| Rate for Payer: Healthscope Commercial |
$413.27
|
| Rate for Payer: Healthscope Whirlpool |
$400.87
|
| Rate for Payer: Mclaren Commercial |
$371.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$351.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$376.08
|
| Rate for Payer: Priority Health Narrow Network |
$293.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$363.68
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
IP
|
$6,494.28
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,546.00 |
| Max. Negotiated Rate |
$6,494.28 |
| Rate for Payer: Aetna Commercial |
$5,844.85
|
| Rate for Payer: ASR ASR |
$6,299.45
|
| Rate for Payer: BCBS Trust/PPO |
$5,035.02
|
| Rate for Payer: BCN Commercial |
$5,035.02
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cofinity Commercial |
$6,104.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,195.42
|
| Rate for Payer: Healthscope Commercial |
$6,494.28
|
| Rate for Payer: Healthscope Whirlpool |
$6,299.45
|
| Rate for Payer: Mclaren Commercial |
$5,844.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,520.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.97
|
|
|
HC PLACE STENT BILE DUCT EA STENT THROUGH EXISTING ACCESS
|
Facility
|
OP
|
$6,494.28
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
36100495
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,805.46 |
| Max. Negotiated Rate |
$6,494.28 |
| Rate for Payer: Aetna Commercial |
$5,844.85
|
| Rate for Payer: Aetna Medicare |
$5,128.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,411.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,411.01
|
| Rate for Payer: ASR ASR |
$6,299.45
|
| Rate for Payer: BCBS Complete |
$2,945.99
|
| Rate for Payer: BCBS MAPPO |
$5,128.81
|
| Rate for Payer: BCBS Trust/PPO |
$5,035.02
|
| Rate for Payer: BCN Commercial |
$5,035.02
|
| Rate for Payer: BCN Medicare Advantage |
$5,128.81
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cofinity Commercial |
$6,104.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,195.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,128.81
|
| Rate for Payer: Healthscope Commercial |
$6,494.28
|
| Rate for Payer: Healthscope Whirlpool |
$6,299.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,128.81
|
| Rate for Payer: Mclaren Commercial |
$5,844.85
|
| Rate for Payer: Mclaren Medicaid |
$2,805.46
|
| Rate for Payer: Mclaren Medicare |
$5,128.81
|
| Rate for Payer: Meridian Medicaid |
$2,945.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,385.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,898.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,520.14
|
| Rate for Payer: PACE Medicare |
$4,872.37
|
| Rate for Payer: PACE SWMI |
$5,128.81
|
| Rate for Payer: PHP Commercial |
$5,641.69
|
| Rate for Payer: PHP Medicaid |
$2,805.46
|
| Rate for Payer: PHP Medicare Advantage |
$5,128.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,805.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,546.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,909.79
|
| Rate for Payer: Priority Health Medicare |
$5,128.81
|
| Rate for Payer: Priority Health Narrow Network |
$4,610.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5,128.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.97
|
| Rate for Payer: UHC Medicare Advantage |
$5,282.67
|
| Rate for Payer: VA VA |
$5,128.81
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
IP
|
$6,494.28
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,546.00 |
| Max. Negotiated Rate |
$6,494.28 |
| Rate for Payer: Aetna Commercial |
$5,844.85
|
| Rate for Payer: ASR ASR |
$6,299.45
|
| Rate for Payer: BCBS Trust/PPO |
$5,035.02
|
| Rate for Payer: BCN Commercial |
$5,035.02
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cofinity Commercial |
$6,104.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,195.42
|
| Rate for Payer: Healthscope Commercial |
$6,494.28
|
| Rate for Payer: Healthscope Whirlpool |
$6,299.45
|
| Rate for Payer: Mclaren Commercial |
$5,844.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,520.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.97
|
|
|
HCPLACE STENT BILE DUCT EA STENT THROUGH NEW ACCESS
|
Facility
|
OP
|
$6,494.28
|
|
|
Service Code
|
CPT 47539
|
| Hospital Charge Code |
36100496
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,805.46 |
| Max. Negotiated Rate |
$6,494.28 |
| Rate for Payer: Aetna Commercial |
$5,844.85
|
| Rate for Payer: Aetna Medicare |
$5,128.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,411.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,411.01
|
| Rate for Payer: ASR ASR |
$6,299.45
|
| Rate for Payer: BCBS Complete |
$2,945.99
|
| Rate for Payer: BCBS MAPPO |
$5,128.81
|
| Rate for Payer: BCBS Trust/PPO |
$5,035.02
|
| Rate for Payer: BCN Commercial |
$5,035.02
|
| Rate for Payer: BCN Medicare Advantage |
$5,128.81
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cofinity Commercial |
$6,104.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,195.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,128.81
|
| Rate for Payer: Healthscope Commercial |
$6,494.28
|
| Rate for Payer: Healthscope Whirlpool |
$6,299.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,128.81
|
| Rate for Payer: Mclaren Commercial |
$5,844.85
|
| Rate for Payer: Mclaren Medicaid |
$2,805.46
|
| Rate for Payer: Mclaren Medicare |
$5,128.81
|
| Rate for Payer: Meridian Medicaid |
$2,945.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,385.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,898.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,520.14
|
| Rate for Payer: PACE Medicare |
$4,872.37
|
| Rate for Payer: PACE SWMI |
$5,128.81
|
| Rate for Payer: PHP Commercial |
$5,641.69
|
| Rate for Payer: PHP Medicaid |
$2,805.46
|
| Rate for Payer: PHP Medicare Advantage |
$5,128.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,805.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,546.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,909.79
|
| Rate for Payer: Priority Health Medicare |
$5,128.81
|
| Rate for Payer: Priority Health Narrow Network |
$4,610.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5,128.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.97
|
| Rate for Payer: UHC Medicare Advantage |
$5,282.67
|
| Rate for Payer: VA VA |
$5,128.81
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
IP
|
$6,494.28
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,546.00 |
| Max. Negotiated Rate |
$6,494.28 |
| Rate for Payer: Aetna Commercial |
$5,844.85
|
| Rate for Payer: ASR ASR |
$6,299.45
|
| Rate for Payer: BCBS Trust/PPO |
$5,035.02
|
| Rate for Payer: BCN Commercial |
$5,035.02
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cofinity Commercial |
$6,104.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,195.42
|
| Rate for Payer: Healthscope Commercial |
$6,494.28
|
| Rate for Payer: Healthscope Whirlpool |
$6,299.45
|
| Rate for Payer: Mclaren Commercial |
$5,844.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,520.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,546.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.97
|
|
|
HC PLACE STENT BILE DUCT EA STENT THRU NEW ACCESS W PLACE OF SE BILIARY CATH
|
Facility
|
OP
|
$6,494.28
|
|
|
Service Code
|
CPT 47540
|
| Hospital Charge Code |
36100497
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,805.46 |
| Max. Negotiated Rate |
$6,494.28 |
| Rate for Payer: Aetna Commercial |
$5,844.85
|
| Rate for Payer: Aetna Medicare |
$5,128.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,411.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,411.01
|
| Rate for Payer: ASR ASR |
$6,299.45
|
| Rate for Payer: BCBS Complete |
$2,945.99
|
| Rate for Payer: BCBS MAPPO |
$5,128.81
|
| Rate for Payer: BCBS Trust/PPO |
$5,035.02
|
| Rate for Payer: BCN Commercial |
$5,035.02
|
| Rate for Payer: BCN Medicare Advantage |
$5,128.81
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cash Price |
$5,195.42
|
| Rate for Payer: Cofinity Commercial |
$6,104.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,195.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,128.81
|
| Rate for Payer: Healthscope Commercial |
$6,494.28
|
| Rate for Payer: Healthscope Whirlpool |
$6,299.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,128.81
|
| Rate for Payer: Mclaren Commercial |
$5,844.85
|
| Rate for Payer: Mclaren Medicaid |
$2,805.46
|
| Rate for Payer: Mclaren Medicare |
$5,128.81
|
| Rate for Payer: Meridian Medicaid |
$2,945.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,385.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,898.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,520.14
|
| Rate for Payer: PACE Medicare |
$4,872.37
|
| Rate for Payer: PACE SWMI |
$5,128.81
|
| Rate for Payer: PHP Commercial |
$5,641.69
|
| Rate for Payer: PHP Medicaid |
$2,805.46
|
| Rate for Payer: PHP Medicare Advantage |
$5,128.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,805.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,546.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,909.79
|
| Rate for Payer: Priority Health Medicare |
$5,128.81
|
| Rate for Payer: Priority Health Narrow Network |
$4,610.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5,128.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.97
|
| Rate for Payer: UHC Medicare Advantage |
$5,282.67
|
| Rate for Payer: VA VA |
$5,128.81
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$200.40
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$140.28 |
| Max. Negotiated Rate |
$200.40 |
| Rate for Payer: Aetna Commercial |
$180.36
|
| Rate for Payer: ASR ASR |
$194.39
|
| Rate for Payer: BCBS Trust/PPO |
$155.37
|
| Rate for Payer: BCN Commercial |
$155.37
|
| Rate for Payer: Cash Price |
$160.32
|
| Rate for Payer: Cofinity Commercial |
$188.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.32
|
| Rate for Payer: Healthscope Commercial |
$200.40
|
| Rate for Payer: Healthscope Whirlpool |
$194.39
|
| Rate for Payer: Mclaren Commercial |
$180.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$170.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$176.35
|
|
|
HC PLACE STENT CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$200.40
|
|
|
Service Code
|
CPT 36908
|
| Hospital Charge Code |
36100532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$80.16 |
| Max. Negotiated Rate |
$200.40 |
| Rate for Payer: Aetna Commercial |
$180.36
|
| Rate for Payer: ASR ASR |
$194.39
|
| Rate for Payer: BCBS Complete |
$80.16
|
| Rate for Payer: BCBS Trust/PPO |
$155.37
|
| Rate for Payer: BCN Commercial |
$155.37
|
| Rate for Payer: Cash Price |
$160.32
|
| Rate for Payer: Cofinity Commercial |
$188.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.32
|
| Rate for Payer: Healthscope Commercial |
$200.40
|
| Rate for Payer: Healthscope Whirlpool |
$194.39
|
| Rate for Payer: Mclaren Commercial |
$180.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$170.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$182.36
|
| Rate for Payer: Priority Health Narrow Network |
$142.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$176.35
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
IP
|
$8,900.00
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,230.00 |
| Max. Negotiated Rate |
$8,900.00 |
| Rate for Payer: Aetna Commercial |
$8,010.00
|
| Rate for Payer: ASR ASR |
$8,633.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,900.17
|
| Rate for Payer: BCN Commercial |
$6,900.17
|
| Rate for Payer: Cash Price |
$7,120.00
|
| Rate for Payer: Cofinity Commercial |
$8,366.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,120.00
|
| Rate for Payer: Healthscope Commercial |
$8,900.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,633.00
|
| Rate for Payer: Mclaren Commercial |
$8,010.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,565.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,230.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,832.00
|
|
|
HC PLACE STENT INTRATHORACIC COMMON CAROTID OR INNOMINATE ARTERY
|
Facility
|
OP
|
$8,900.00
|
|
|
Service Code
|
CPT 37218
|
| Hospital Charge Code |
36100517
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,560.00 |
| Max. Negotiated Rate |
$8,900.00 |
| Rate for Payer: Aetna Commercial |
$8,010.00
|
| Rate for Payer: ASR ASR |
$8,633.00
|
| Rate for Payer: BCBS Complete |
$3,560.00
|
| Rate for Payer: BCBS Trust/PPO |
$6,900.17
|
| Rate for Payer: BCN Commercial |
$6,900.17
|
| Rate for Payer: Cash Price |
$7,120.00
|
| Rate for Payer: Cofinity Commercial |
$8,366.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,120.00
|
| Rate for Payer: Healthscope Commercial |
$8,900.00
|
| Rate for Payer: Healthscope Whirlpool |
$8,633.00
|
| Rate for Payer: Mclaren Commercial |
$8,010.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,565.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,230.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,099.00
|
| Rate for Payer: Priority Health Narrow Network |
$6,319.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,832.00
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
IP
|
$324.72
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$227.30 |
| Max. Negotiated Rate |
$324.72 |
| Rate for Payer: Aetna Commercial |
$292.25
|
| Rate for Payer: ASR ASR |
$314.98
|
| Rate for Payer: BCBS Trust/PPO |
$251.76
|
| Rate for Payer: BCN Commercial |
$251.76
|
| Rate for Payer: Cash Price |
$259.78
|
| Rate for Payer: Cofinity Commercial |
$305.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$259.78
|
| Rate for Payer: Healthscope Commercial |
$324.72
|
| Rate for Payer: Healthscope Whirlpool |
$314.98
|
| Rate for Payer: Mclaren Commercial |
$292.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$276.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$285.75
|
|
|
HC PLACE URETERAL STENT NEW ACCESS WO NEPHROSTOMY CATH
|
Facility
|
OP
|
$324.72
|
|
|
Service Code
|
CPT 50694
|
| Hospital Charge Code |
36100509
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$227.30 |
| Max. Negotiated Rate |
$3,873.46 |
| Rate for Payer: Aetna Commercial |
$292.25
|
| Rate for Payer: Aetna Medicare |
$3,098.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: ASR ASR |
$314.98
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$251.76
|
| Rate for Payer: BCN Commercial |
$251.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$259.78
|
| Rate for Payer: Cash Price |
$259.78
|
| Rate for Payer: Cofinity Commercial |
$305.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$259.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$324.72
|
| Rate for Payer: Healthscope Whirlpool |
$314.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,098.77
|
| Rate for Payer: Mclaren Commercial |
$292.25
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$276.01
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$3,408.65
|
| Rate for Payer: PHP Medicaid |
$1,695.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$295.50
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$230.55
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$285.75
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: VA VA |
$3,098.77
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
IP
|
$3,571.86
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,500.30 |
| Max. Negotiated Rate |
$3,571.86 |
| Rate for Payer: Aetna Commercial |
$3,214.67
|
| Rate for Payer: ASR ASR |
$3,464.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,769.26
|
| Rate for Payer: BCN Commercial |
$2,769.26
|
| Rate for Payer: Cash Price |
$2,857.49
|
| Rate for Payer: Cofinity Commercial |
$3,357.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,857.49
|
| Rate for Payer: Healthscope Commercial |
$3,571.86
|
| Rate for Payer: Healthscope Whirlpool |
$3,464.70
|
| Rate for Payer: Mclaren Commercial |
$3,214.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,036.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,500.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,143.24
|
|
|
HC PLACE URETERAL STENT NEW ACCESS W SEPARATE NEPHROSTOMY CATH
|
Facility
|
OP
|
$3,571.86
|
|
|
Service Code
|
CPT 50695
|
| Hospital Charge Code |
36100510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,695.03 |
| Max. Negotiated Rate |
$3,873.46 |
| Rate for Payer: Aetna Commercial |
$3,214.67
|
| Rate for Payer: Aetna Medicare |
$3,098.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: ASR ASR |
$3,464.70
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,769.26
|
| Rate for Payer: BCN Commercial |
$2,769.26
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$2,857.49
|
| Rate for Payer: Cash Price |
$2,857.49
|
| Rate for Payer: Cofinity Commercial |
$3,357.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,857.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$3,571.86
|
| Rate for Payer: Healthscope Whirlpool |
$3,464.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,098.77
|
| Rate for Payer: Mclaren Commercial |
$3,214.67
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,036.08
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$3,408.65
|
| Rate for Payer: PHP Medicaid |
$1,695.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,500.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,250.39
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$2,536.02
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,143.24
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: VA VA |
$3,098.77
|
|
|
HC PLACE URETERAL STENT PRE EXISTING NEPHROSTOMY TRACT
|
Facility
|
OP
|
$3,571.86
|
|
|
Service Code
|
CPT 50693
|
| Hospital Charge Code |
36100508
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,695.03 |
| Max. Negotiated Rate |
$3,873.46 |
| Rate for Payer: Aetna Commercial |
$3,214.67
|
| Rate for Payer: Aetna Medicare |
$3,098.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,873.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,873.46
|
| Rate for Payer: ASR ASR |
$3,464.70
|
| Rate for Payer: BCBS Complete |
$1,779.93
|
| Rate for Payer: BCBS MAPPO |
$3,098.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,769.26
|
| Rate for Payer: BCN Commercial |
$2,769.26
|
| Rate for Payer: BCN Medicare Advantage |
$3,098.77
|
| Rate for Payer: Cash Price |
$2,857.49
|
| Rate for Payer: Cash Price |
$2,857.49
|
| Rate for Payer: Cofinity Commercial |
$3,357.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,857.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,098.77
|
| Rate for Payer: Healthscope Commercial |
$3,571.86
|
| Rate for Payer: Healthscope Whirlpool |
$3,464.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,098.77
|
| Rate for Payer: Mclaren Commercial |
$3,214.67
|
| Rate for Payer: Mclaren Medicaid |
$1,695.03
|
| Rate for Payer: Mclaren Medicare |
$3,098.77
|
| Rate for Payer: Meridian Medicaid |
$1,779.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,253.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,563.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,036.08
|
| Rate for Payer: PACE Medicare |
$2,943.83
|
| Rate for Payer: PACE SWMI |
$3,098.77
|
| Rate for Payer: PHP Commercial |
$3,408.65
|
| Rate for Payer: PHP Medicaid |
$1,695.03
|
| Rate for Payer: PHP Medicare Advantage |
$3,098.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,695.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,500.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,250.39
|
| Rate for Payer: Priority Health Medicare |
$3,098.77
|
| Rate for Payer: Priority Health Narrow Network |
$2,536.02
|
| Rate for Payer: Railroad Medicare Medicare |
$3,098.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,143.24
|
| Rate for Payer: UHC Medicare Advantage |
$3,191.73
|
| Rate for Payer: VA VA |
$3,098.77
|
|
