|
HC IR CATHETER.
|
Facility
|
OP
|
$234.09
|
|
| Hospital Charge Code |
27200308
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$93.64 |
| Max. Negotiated Rate |
$234.09 |
| Rate for Payer: Aetna Commercial |
$210.68
|
| Rate for Payer: Aetna Medicare |
$117.05
|
| Rate for Payer: ASR ASR |
$227.07
|
| Rate for Payer: ASR Commercial |
$227.07
|
| Rate for Payer: BCBS Complete |
$93.64
|
| Rate for Payer: BCBS Trust/PPO |
$191.70
|
| Rate for Payer: BCN Commercial |
$181.49
|
| Rate for Payer: Cash Price |
$187.27
|
| Rate for Payer: Cofinity Commercial |
$220.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.27
|
| Rate for Payer: Healthscope Commercial |
$234.09
|
| Rate for Payer: Healthscope Whirlpool |
$227.07
|
| Rate for Payer: Mclaren Commercial |
$210.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.98
|
| Rate for Payer: Nomi Health Commercial |
$191.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.11
|
| Rate for Payer: Priority Health Narrow Network |
$164.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$206.00
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
OP
|
$555.66
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$110.14 |
| Max. Negotiated Rate |
$555.66 |
| Rate for Payer: Aetna Commercial |
$500.09
|
| Rate for Payer: Aetna Medicare |
$205.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$256.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$256.85
|
| Rate for Payer: ASR ASR |
$538.99
|
| Rate for Payer: ASR Commercial |
$538.99
|
| Rate for Payer: BCBS Complete |
$115.64
|
| Rate for Payer: BCBS MAPPO |
$205.48
|
| Rate for Payer: BCBS Trust/PPO |
$455.03
|
| Rate for Payer: BCN Commercial |
$430.80
|
| Rate for Payer: BCN Medicare Advantage |
$205.48
|
| Rate for Payer: Cash Price |
$444.53
|
| Rate for Payer: Cash Price |
$444.53
|
| Rate for Payer: Cofinity Commercial |
$522.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$444.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.48
|
| Rate for Payer: Healthscope Commercial |
$555.66
|
| Rate for Payer: Healthscope Whirlpool |
$538.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$205.48
|
| Rate for Payer: Mclaren Commercial |
$500.09
|
| Rate for Payer: Mclaren Medicaid |
$110.14
|
| Rate for Payer: Mclaren Medicare |
$205.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$215.75
|
| Rate for Payer: Meridian Medicaid |
$115.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$236.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$472.31
|
| Rate for Payer: Nomi Health Commercial |
$455.64
|
| Rate for Payer: PACE Medicare |
$195.21
|
| Rate for Payer: PACE SWMI |
$205.48
|
| Rate for Payer: PHP Commercial |
$226.03
|
| Rate for Payer: PHP Medicaid |
$110.14
|
| Rate for Payer: PHP Medicare Advantage |
$205.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$486.87
|
| Rate for Payer: Priority Health Medicare |
$205.48
|
| Rate for Payer: Priority Health Narrow Network |
$389.52
|
| Rate for Payer: Railroad Medicare Medicare |
$205.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$488.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.48
|
| Rate for Payer: UHC Exchange |
$318.49
|
| Rate for Payer: UHC Medicare Advantage |
$205.48
|
| Rate for Payer: UHCCP DNSP |
$205.48
|
| Rate for Payer: UHCCP Medicaid |
$110.14
|
| Rate for Payer: VA VA |
$205.48
|
|
|
HC IR CENTRAL LINE CHECK W FLUOROSCOPY
|
Facility
|
IP
|
$555.66
|
|
|
Service Code
|
CPT 36598
|
| Hospital Charge Code |
36100145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$361.18 |
| Max. Negotiated Rate |
$555.66 |
| Rate for Payer: Aetna Commercial |
$500.09
|
| Rate for Payer: ASR ASR |
$538.99
|
| Rate for Payer: ASR Commercial |
$538.99
|
| Rate for Payer: BCBS Trust/PPO |
$452.81
|
| Rate for Payer: BCN Commercial |
$430.80
|
| Rate for Payer: Cash Price |
$444.53
|
| Rate for Payer: Cofinity Commercial |
$522.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$444.53
|
| Rate for Payer: Healthscope Commercial |
$555.66
|
| Rate for Payer: Healthscope Whirlpool |
$538.99
|
| Rate for Payer: Mclaren Commercial |
$500.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$472.31
|
| Rate for Payer: Nomi Health Commercial |
$455.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$488.98
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
IP
|
$3,560.77
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,314.50 |
| Max. Negotiated Rate |
$3,560.77 |
| Rate for Payer: Aetna Commercial |
$3,204.69
|
| Rate for Payer: ASR ASR |
$3,453.95
|
| Rate for Payer: ASR Commercial |
$3,453.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,901.67
|
| Rate for Payer: BCN Commercial |
$2,760.66
|
| Rate for Payer: Cash Price |
$2,848.62
|
| Rate for Payer: Cofinity Commercial |
$3,347.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,848.62
|
| Rate for Payer: Healthscope Commercial |
$3,560.77
|
| Rate for Payer: Healthscope Whirlpool |
$3,453.95
|
| Rate for Payer: Mclaren Commercial |
$3,204.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,026.65
|
| Rate for Payer: Nomi Health Commercial |
$2,919.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,314.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,133.48
|
|
|
HC IR CYSTOSTOMY WITH DRAINAGE
|
Facility
|
OP
|
$3,560.77
|
|
|
Service Code
|
CPT 51040
|
| Hospital Charge Code |
36100398
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,070.86 |
| Max. Negotiated Rate |
$3,560.77 |
| Rate for Payer: Aetna Commercial |
$3,204.69
|
| Rate for Payer: Aetna Medicare |
$1,997.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,497.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,497.34
|
| Rate for Payer: ASR ASR |
$3,453.95
|
| Rate for Payer: ASR Commercial |
$3,453.95
|
| Rate for Payer: BCBS Complete |
$1,124.40
|
| Rate for Payer: BCBS MAPPO |
$1,997.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.91
|
| Rate for Payer: BCN Commercial |
$2,760.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,997.87
|
| Rate for Payer: Cash Price |
$2,848.62
|
| Rate for Payer: Cash Price |
$2,848.62
|
| Rate for Payer: Cofinity Commercial |
$3,347.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,848.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,997.87
|
| Rate for Payer: Healthscope Commercial |
$3,560.77
|
| Rate for Payer: Healthscope Whirlpool |
$3,453.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,997.87
|
| Rate for Payer: Mclaren Commercial |
$3,204.69
|
| Rate for Payer: Mclaren Medicaid |
$1,070.86
|
| Rate for Payer: Mclaren Medicare |
$1,997.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,097.76
|
| Rate for Payer: Meridian Medicaid |
$1,124.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,297.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,026.65
|
| Rate for Payer: Nomi Health Commercial |
$2,919.83
|
| Rate for Payer: PACE Medicare |
$1,897.98
|
| Rate for Payer: PACE SWMI |
$1,997.87
|
| Rate for Payer: PHP Commercial |
$2,197.66
|
| Rate for Payer: PHP Medicaid |
$1,070.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,997.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,070.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,314.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,119.95
|
| Rate for Payer: Priority Health Medicare |
$1,997.87
|
| Rate for Payer: Priority Health Narrow Network |
$2,496.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,997.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,133.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,997.87
|
| Rate for Payer: UHC Exchange |
$3,096.70
|
| Rate for Payer: UHC Medicare Advantage |
$1,997.87
|
| Rate for Payer: UHCCP DNSP |
$1,997.87
|
| Rate for Payer: UHCCP Medicaid |
$1,070.86
|
| Rate for Payer: VA VA |
$1,997.87
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
IP
|
$2,558.14
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,662.79 |
| Max. Negotiated Rate |
$2,558.14 |
| Rate for Payer: Aetna Commercial |
$2,302.33
|
| Rate for Payer: ASR ASR |
$2,481.40
|
| Rate for Payer: ASR Commercial |
$2,481.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,084.63
|
| Rate for Payer: BCN Commercial |
$1,983.33
|
| Rate for Payer: Cash Price |
$2,046.51
|
| Rate for Payer: Cofinity Commercial |
$2,404.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,046.51
|
| Rate for Payer: Healthscope Commercial |
$2,558.14
|
| Rate for Payer: Healthscope Whirlpool |
$2,481.40
|
| Rate for Payer: Mclaren Commercial |
$2,302.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,174.42
|
| Rate for Payer: Nomi Health Commercial |
$2,097.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,662.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,251.16
|
|
|
HC IR DISKOGRAM CERVICAL THORACIC
|
Facility
|
OP
|
$2,558.14
|
|
|
Service Code
|
CPT 72285
|
| Hospital Charge Code |
32000057
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,020.81 |
| Max. Negotiated Rate |
$2,951.97 |
| Rate for Payer: Aetna Commercial |
$2,302.33
|
| Rate for Payer: Aetna Medicare |
$1,904.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,380.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,380.62
|
| Rate for Payer: ASR ASR |
$2,481.40
|
| Rate for Payer: ASR Commercial |
$2,481.40
|
| Rate for Payer: BCBS Complete |
$1,071.85
|
| Rate for Payer: BCBS MAPPO |
$1,904.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,094.86
|
| Rate for Payer: BCN Commercial |
$1,983.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,904.50
|
| Rate for Payer: Cash Price |
$2,046.51
|
| Rate for Payer: Cash Price |
$2,046.51
|
| Rate for Payer: Cofinity Commercial |
$2,404.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,046.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,904.50
|
| Rate for Payer: Healthscope Commercial |
$2,558.14
|
| Rate for Payer: Healthscope Whirlpool |
$2,481.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,904.50
|
| Rate for Payer: Mclaren Commercial |
$2,302.33
|
| Rate for Payer: Mclaren Medicaid |
$1,020.81
|
| Rate for Payer: Mclaren Medicare |
$1,904.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,999.72
|
| Rate for Payer: Meridian Medicaid |
$1,071.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,190.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,174.42
|
| Rate for Payer: Nomi Health Commercial |
$2,097.67
|
| Rate for Payer: PACE Medicare |
$1,809.28
|
| Rate for Payer: PACE SWMI |
$1,904.50
|
| Rate for Payer: PHP Commercial |
$2,094.95
|
| Rate for Payer: PHP Medicaid |
$1,020.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,904.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,662.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,241.44
|
| Rate for Payer: Priority Health Medicare |
$1,904.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,793.26
|
| Rate for Payer: Railroad Medicare Medicare |
$1,904.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,251.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,904.50
|
| Rate for Payer: UHC Exchange |
$2,951.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,904.50
|
| Rate for Payer: UHCCP DNSP |
$1,904.50
|
| Rate for Payer: UHCCP Medicaid |
$1,020.81
|
| Rate for Payer: VA VA |
$1,904.50
|
|
|
HC IR DISKOGRAM LUMBAR ONLY
|
Facility
|
IP
|
$2,929.03
|
|
|
Service Code
|
CPT 72295
|
| Hospital Charge Code |
32000277
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,903.87 |
| Max. Negotiated Rate |
$2,929.03 |
| Rate for Payer: Aetna Commercial |
$2,636.13
|
| Rate for Payer: ASR ASR |
$2,841.16
|
| Rate for Payer: ASR Commercial |
$2,841.16
|
| Rate for Payer: BCBS Trust/PPO |
$2,386.87
|
| Rate for Payer: BCN Commercial |
$2,270.88
|
| Rate for Payer: Cash Price |
$2,343.22
|
| Rate for Payer: Cofinity Commercial |
$2,753.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,343.22
|
| Rate for Payer: Healthscope Commercial |
$2,929.03
|
| Rate for Payer: Healthscope Whirlpool |
$2,841.16
|
| Rate for Payer: Mclaren Commercial |
$2,636.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,489.68
|
| Rate for Payer: Nomi Health Commercial |
$2,401.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,903.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,577.55
|
|
|
HC IR DISKOGRAM LUMBAR ONLY
|
Facility
|
OP
|
$2,929.03
|
|
|
Service Code
|
CPT 72295
|
| Hospital Charge Code |
32000277
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,020.81 |
| Max. Negotiated Rate |
$2,951.97 |
| Rate for Payer: Aetna Commercial |
$2,636.13
|
| Rate for Payer: Aetna Medicare |
$1,904.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,380.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,380.62
|
| Rate for Payer: ASR ASR |
$2,841.16
|
| Rate for Payer: ASR Commercial |
$2,841.16
|
| Rate for Payer: BCBS Complete |
$1,071.85
|
| Rate for Payer: BCBS MAPPO |
$1,904.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,398.58
|
| Rate for Payer: BCN Commercial |
$2,270.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,904.50
|
| Rate for Payer: Cash Price |
$2,343.22
|
| Rate for Payer: Cash Price |
$2,343.22
|
| Rate for Payer: Cofinity Commercial |
$2,753.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,343.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,904.50
|
| Rate for Payer: Healthscope Commercial |
$2,929.03
|
| Rate for Payer: Healthscope Whirlpool |
$2,841.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,904.50
|
| Rate for Payer: Mclaren Commercial |
$2,636.13
|
| Rate for Payer: Mclaren Medicaid |
$1,020.81
|
| Rate for Payer: Mclaren Medicare |
$1,904.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,999.72
|
| Rate for Payer: Meridian Medicaid |
$1,071.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,190.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,489.68
|
| Rate for Payer: Nomi Health Commercial |
$2,401.80
|
| Rate for Payer: PACE Medicare |
$1,809.28
|
| Rate for Payer: PACE SWMI |
$1,904.50
|
| Rate for Payer: PHP Commercial |
$2,094.95
|
| Rate for Payer: PHP Medicaid |
$1,020.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,904.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,903.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,566.42
|
| Rate for Payer: Priority Health Medicare |
$1,904.50
|
| Rate for Payer: Priority Health Narrow Network |
$2,053.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,904.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,577.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,904.50
|
| Rate for Payer: UHC Exchange |
$2,951.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,904.50
|
| Rate for Payer: UHCCP DNSP |
$1,904.50
|
| Rate for Payer: UHCCP Medicaid |
$1,020.81
|
| Rate for Payer: VA VA |
$1,904.50
|
|
|
HC IR EMBOLIZATION
|
Facility
|
IP
|
$3,499.53
|
|
|
Service Code
|
CPT 75894
|
| Hospital Charge Code |
32000210
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,274.69 |
| Max. Negotiated Rate |
$3,499.53 |
| Rate for Payer: Aetna Commercial |
$3,149.58
|
| Rate for Payer: ASR ASR |
$3,394.54
|
| Rate for Payer: ASR Commercial |
$3,394.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,851.77
|
| Rate for Payer: BCN Commercial |
$2,713.19
|
| Rate for Payer: Cash Price |
$2,799.62
|
| Rate for Payer: Cofinity Commercial |
$3,289.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,799.62
|
| Rate for Payer: Healthscope Commercial |
$3,499.53
|
| Rate for Payer: Healthscope Whirlpool |
$3,394.54
|
| Rate for Payer: Mclaren Commercial |
$3,149.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,974.60
|
| Rate for Payer: Nomi Health Commercial |
$2,869.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,274.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,079.59
|
|
|
HC IR EMBOLIZATION
|
Facility
|
OP
|
$3,499.53
|
|
|
Service Code
|
CPT 75894
|
| Hospital Charge Code |
32000210
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,399.81 |
| Max. Negotiated Rate |
$3,499.53 |
| Rate for Payer: Aetna Commercial |
$3,149.58
|
| Rate for Payer: Aetna Medicare |
$1,749.77
|
| Rate for Payer: ASR ASR |
$3,394.54
|
| Rate for Payer: ASR Commercial |
$3,394.54
|
| Rate for Payer: BCBS Complete |
$1,399.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,865.77
|
| Rate for Payer: BCN Commercial |
$2,713.19
|
| Rate for Payer: Cash Price |
$2,799.62
|
| Rate for Payer: Cofinity Commercial |
$3,289.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,799.62
|
| Rate for Payer: Healthscope Commercial |
$3,499.53
|
| Rate for Payer: Healthscope Whirlpool |
$3,394.54
|
| Rate for Payer: Mclaren Commercial |
$3,149.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,974.60
|
| Rate for Payer: Nomi Health Commercial |
$2,869.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,274.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,066.29
|
| Rate for Payer: Priority Health Narrow Network |
$2,453.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,079.59
|
|
|
HC IR ERCP
|
Facility
|
IP
|
$816.66
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
32000155
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$530.83 |
| Max. Negotiated Rate |
$816.66 |
| Rate for Payer: Aetna Commercial |
$734.99
|
| Rate for Payer: ASR ASR |
$792.16
|
| Rate for Payer: ASR Commercial |
$792.16
|
| Rate for Payer: BCBS Trust/PPO |
$665.50
|
| Rate for Payer: BCN Commercial |
$633.16
|
| Rate for Payer: Cash Price |
$653.33
|
| Rate for Payer: Cofinity Commercial |
$767.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$653.33
|
| Rate for Payer: Healthscope Commercial |
$816.66
|
| Rate for Payer: Healthscope Whirlpool |
$792.16
|
| Rate for Payer: Mclaren Commercial |
$734.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$694.16
|
| Rate for Payer: Nomi Health Commercial |
$669.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$718.66
|
|
|
HC IR ERCP
|
Facility
|
OP
|
$816.66
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
32000155
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$326.66 |
| Max. Negotiated Rate |
$816.66 |
| Rate for Payer: Aetna Commercial |
$734.99
|
| Rate for Payer: Aetna Medicare |
$408.33
|
| Rate for Payer: ASR ASR |
$792.16
|
| Rate for Payer: ASR Commercial |
$792.16
|
| Rate for Payer: BCBS Complete |
$326.66
|
| Rate for Payer: BCBS Trust/PPO |
$668.76
|
| Rate for Payer: BCN Commercial |
$633.16
|
| Rate for Payer: Cash Price |
$653.33
|
| Rate for Payer: Cofinity Commercial |
$767.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$653.33
|
| Rate for Payer: Healthscope Commercial |
$816.66
|
| Rate for Payer: Healthscope Whirlpool |
$792.16
|
| Rate for Payer: Mclaren Commercial |
$734.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$694.16
|
| Rate for Payer: Nomi Health Commercial |
$669.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$715.56
|
| Rate for Payer: Priority Health Narrow Network |
$572.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$718.66
|
|
|
HC IR FIBRIN STRIPPING OF VAD
|
Facility
|
IP
|
$628.94
|
|
|
Service Code
|
CPT 75901
|
| Hospital Charge Code |
32000275
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$408.81 |
| Max. Negotiated Rate |
$628.94 |
| Rate for Payer: Aetna Commercial |
$566.05
|
| Rate for Payer: ASR ASR |
$610.07
|
| Rate for Payer: ASR Commercial |
$610.07
|
| Rate for Payer: BCBS Trust/PPO |
$512.52
|
| Rate for Payer: BCN Commercial |
$487.62
|
| Rate for Payer: Cash Price |
$503.15
|
| Rate for Payer: Cofinity Commercial |
$591.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$503.15
|
| Rate for Payer: Healthscope Commercial |
$628.94
|
| Rate for Payer: Healthscope Whirlpool |
$610.07
|
| Rate for Payer: Mclaren Commercial |
$566.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$534.60
|
| Rate for Payer: Nomi Health Commercial |
$515.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$553.47
|
|
|
HC IR FIBRIN STRIPPING OF VAD
|
Facility
|
OP
|
$628.94
|
|
|
Service Code
|
CPT 75901
|
| Hospital Charge Code |
32000275
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$251.58 |
| Max. Negotiated Rate |
$628.94 |
| Rate for Payer: Aetna Commercial |
$566.05
|
| Rate for Payer: Aetna Medicare |
$314.47
|
| Rate for Payer: ASR ASR |
$610.07
|
| Rate for Payer: ASR Commercial |
$610.07
|
| Rate for Payer: BCBS Complete |
$251.58
|
| Rate for Payer: BCBS Trust/PPO |
$515.04
|
| Rate for Payer: BCN Commercial |
$487.62
|
| Rate for Payer: Cash Price |
$503.15
|
| Rate for Payer: Cofinity Commercial |
$591.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$503.15
|
| Rate for Payer: Healthscope Commercial |
$628.94
|
| Rate for Payer: Healthscope Whirlpool |
$610.07
|
| Rate for Payer: Mclaren Commercial |
$566.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$534.60
|
| Rate for Payer: Nomi Health Commercial |
$515.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$551.08
|
| Rate for Payer: Priority Health Narrow Network |
$440.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$553.47
|
|
|
HC IR FLUORO GUIDE CVA
|
Facility
|
OP
|
$306.43
|
|
|
Service Code
|
CPT 77001
|
| Hospital Charge Code |
32000245
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$122.57 |
| Max. Negotiated Rate |
$306.43 |
| Rate for Payer: Aetna Commercial |
$275.79
|
| Rate for Payer: Aetna Medicare |
$153.22
|
| Rate for Payer: ASR ASR |
$297.24
|
| Rate for Payer: ASR Commercial |
$297.24
|
| Rate for Payer: BCBS Complete |
$122.57
|
| Rate for Payer: BCBS Trust/PPO |
$250.94
|
| Rate for Payer: BCN Commercial |
$237.58
|
| Rate for Payer: Cash Price |
$245.14
|
| Rate for Payer: Cofinity Commercial |
$288.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$245.14
|
| Rate for Payer: Healthscope Commercial |
$306.43
|
| Rate for Payer: Healthscope Whirlpool |
$297.24
|
| Rate for Payer: Mclaren Commercial |
$275.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.47
|
| Rate for Payer: Nomi Health Commercial |
$251.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$268.49
|
| Rate for Payer: Priority Health Narrow Network |
$214.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$269.66
|
|
|
HC IR FLUORO GUIDE CVA
|
Facility
|
IP
|
$306.43
|
|
|
Service Code
|
CPT 77001
|
| Hospital Charge Code |
32000245
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$199.18 |
| Max. Negotiated Rate |
$306.43 |
| Rate for Payer: Aetna Commercial |
$275.79
|
| Rate for Payer: ASR ASR |
$297.24
|
| Rate for Payer: ASR Commercial |
$297.24
|
| Rate for Payer: BCBS Trust/PPO |
$249.71
|
| Rate for Payer: BCN Commercial |
$237.58
|
| Rate for Payer: Cash Price |
$245.14
|
| Rate for Payer: Cofinity Commercial |
$288.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$245.14
|
| Rate for Payer: Healthscope Commercial |
$306.43
|
| Rate for Payer: Healthscope Whirlpool |
$297.24
|
| Rate for Payer: Mclaren Commercial |
$275.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.47
|
| Rate for Payer: Nomi Health Commercial |
$251.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$269.66
|
|
|
HC IR FLUOROSCOPIC GUIDE SPINE
|
Facility
|
IP
|
$561.59
|
|
|
Service Code
|
CPT 77003
|
| Hospital Charge Code |
32000247
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$365.03 |
| Max. Negotiated Rate |
$561.59 |
| Rate for Payer: Aetna Commercial |
$505.43
|
| Rate for Payer: ASR ASR |
$544.74
|
| Rate for Payer: ASR Commercial |
$544.74
|
| Rate for Payer: BCBS Trust/PPO |
$457.64
|
| Rate for Payer: BCN Commercial |
$435.40
|
| Rate for Payer: Cash Price |
$449.27
|
| Rate for Payer: Cofinity Commercial |
$527.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.27
|
| Rate for Payer: Healthscope Commercial |
$561.59
|
| Rate for Payer: Healthscope Whirlpool |
$544.74
|
| Rate for Payer: Mclaren Commercial |
$505.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.35
|
| Rate for Payer: Nomi Health Commercial |
$460.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.20
|
|
|
HC IR FLUOROSCOPIC GUIDE SPINE
|
Facility
|
OP
|
$561.59
|
|
|
Service Code
|
CPT 77003
|
| Hospital Charge Code |
32000247
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$224.64 |
| Max. Negotiated Rate |
$561.59 |
| Rate for Payer: Aetna Commercial |
$505.43
|
| Rate for Payer: Aetna Medicare |
$280.80
|
| Rate for Payer: ASR ASR |
$544.74
|
| Rate for Payer: ASR Commercial |
$544.74
|
| Rate for Payer: BCBS Complete |
$224.64
|
| Rate for Payer: BCBS Trust/PPO |
$459.89
|
| Rate for Payer: BCN Commercial |
$435.40
|
| Rate for Payer: Cash Price |
$449.27
|
| Rate for Payer: Cofinity Commercial |
$527.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.27
|
| Rate for Payer: Healthscope Commercial |
$561.59
|
| Rate for Payer: Healthscope Whirlpool |
$544.74
|
| Rate for Payer: Mclaren Commercial |
$505.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.35
|
| Rate for Payer: Nomi Health Commercial |
$460.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$492.07
|
| Rate for Payer: Priority Health Narrow Network |
$393.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.20
|
|
|
HC IR FLUORO UP TO 1 HOUR DR TIME
|
Facility
|
IP
|
$561.59
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000231
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$365.03 |
| Max. Negotiated Rate |
$561.59 |
| Rate for Payer: Aetna Commercial |
$505.43
|
| Rate for Payer: ASR ASR |
$544.74
|
| Rate for Payer: ASR Commercial |
$544.74
|
| Rate for Payer: BCBS Trust/PPO |
$457.64
|
| Rate for Payer: BCN Commercial |
$435.40
|
| Rate for Payer: Cash Price |
$449.27
|
| Rate for Payer: Cofinity Commercial |
$527.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.27
|
| Rate for Payer: Healthscope Commercial |
$561.59
|
| Rate for Payer: Healthscope Whirlpool |
$544.74
|
| Rate for Payer: Mclaren Commercial |
$505.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.35
|
| Rate for Payer: Nomi Health Commercial |
$460.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.20
|
|
|
HC IR FLUORO UP TO 1 HOUR DR TIME
|
Facility
|
OP
|
$561.59
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000231
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$126.36 |
| Max. Negotiated Rate |
$561.59 |
| Rate for Payer: Aetna Commercial |
$505.43
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: ASR ASR |
$544.74
|
| Rate for Payer: ASR Commercial |
$544.74
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS Trust/PPO |
$459.89
|
| Rate for Payer: BCN Commercial |
$435.40
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| Rate for Payer: Cash Price |
$449.27
|
| Rate for Payer: Cash Price |
$449.27
|
| Rate for Payer: Cofinity Commercial |
$527.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.74
|
| Rate for Payer: Healthscope Commercial |
$561.59
|
| Rate for Payer: Healthscope Whirlpool |
$544.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Mclaren Commercial |
$505.43
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.35
|
| Rate for Payer: Nomi Health Commercial |
$460.50
|
| Rate for Payer: PACE Medicare |
$223.95
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$492.07
|
| Rate for Payer: Priority Health Medicare |
$235.74
|
| Rate for Payer: Priority Health Narrow Network |
$393.67
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: VA VA |
$235.74
|
|
|
HC IR GENICULAR NERVE BRANCHES ANESTHETIC/STEROID INJ
|
Facility
|
IP
|
$975.38
|
|
|
Service Code
|
CPT 64454
|
| Hospital Charge Code |
36100581
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$634.00 |
| Max. Negotiated Rate |
$975.38 |
| Rate for Payer: Aetna Commercial |
$877.84
|
| Rate for Payer: ASR ASR |
$946.12
|
| Rate for Payer: ASR Commercial |
$946.12
|
| Rate for Payer: BCBS Trust/PPO |
$794.84
|
| Rate for Payer: BCN Commercial |
$756.21
|
| Rate for Payer: Cash Price |
$780.30
|
| Rate for Payer: Cofinity Commercial |
$916.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$780.30
|
| Rate for Payer: Healthscope Commercial |
$975.38
|
| Rate for Payer: Healthscope Whirlpool |
$946.12
|
| Rate for Payer: Mclaren Commercial |
$877.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$829.07
|
| Rate for Payer: Nomi Health Commercial |
$799.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$634.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$858.33
|
|
|
HC IR GENICULAR NERVE BRANCHES ANESTHETIC/STEROID INJ
|
Facility
|
OP
|
$975.38
|
|
|
Service Code
|
CPT 64454
|
| Hospital Charge Code |
36100581
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$362.01 |
| Max. Negotiated Rate |
$1,046.87 |
| Rate for Payer: Aetna Commercial |
$877.84
|
| Rate for Payer: Aetna Medicare |
$675.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$844.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$844.25
|
| Rate for Payer: ASR ASR |
$946.12
|
| Rate for Payer: ASR Commercial |
$946.12
|
| Rate for Payer: BCBS Complete |
$380.12
|
| Rate for Payer: BCBS MAPPO |
$675.40
|
| Rate for Payer: BCBS Trust/PPO |
$798.74
|
| Rate for Payer: BCN Commercial |
$756.21
|
| Rate for Payer: BCN Medicare Advantage |
$675.40
|
| Rate for Payer: Cash Price |
$780.30
|
| Rate for Payer: Cash Price |
$780.30
|
| Rate for Payer: Cofinity Commercial |
$916.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$780.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$675.40
|
| Rate for Payer: Healthscope Commercial |
$975.38
|
| Rate for Payer: Healthscope Whirlpool |
$946.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$675.40
|
| Rate for Payer: Mclaren Commercial |
$877.84
|
| Rate for Payer: Mclaren Medicaid |
$362.01
|
| Rate for Payer: Mclaren Medicare |
$675.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$709.17
|
| Rate for Payer: Meridian Medicaid |
$380.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$776.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$829.07
|
| Rate for Payer: Nomi Health Commercial |
$799.81
|
| Rate for Payer: PACE Medicare |
$641.63
|
| Rate for Payer: PACE SWMI |
$675.40
|
| Rate for Payer: PHP Commercial |
$742.94
|
| Rate for Payer: PHP Medicaid |
$362.01
|
| Rate for Payer: PHP Medicare Advantage |
$675.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$634.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$854.63
|
| Rate for Payer: Priority Health Medicare |
$675.40
|
| Rate for Payer: Priority Health Narrow Network |
$683.74
|
| Rate for Payer: Railroad Medicare Medicare |
$675.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$858.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$675.40
|
| Rate for Payer: UHC Exchange |
$1,046.87
|
| Rate for Payer: UHC Medicare Advantage |
$675.40
|
| Rate for Payer: UHCCP DNSP |
$675.40
|
| Rate for Payer: UHCCP Medicaid |
$362.01
|
| Rate for Payer: VA VA |
$675.40
|
|
|
HC IR GI BILI DUCT DIL W WO STENT
|
Facility
|
IP
|
$1,506.90
|
|
|
Service Code
|
CPT 74363
|
| Hospital Charge Code |
32000157
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$979.49 |
| Max. Negotiated Rate |
$1,506.90 |
| Rate for Payer: Aetna Commercial |
$1,356.21
|
| Rate for Payer: ASR ASR |
$1,461.69
|
| Rate for Payer: ASR Commercial |
$1,461.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,227.97
|
| Rate for Payer: BCN Commercial |
$1,168.30
|
| Rate for Payer: Cash Price |
$1,205.52
|
| Rate for Payer: Cofinity Commercial |
$1,416.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,205.52
|
| Rate for Payer: Healthscope Commercial |
$1,506.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,461.69
|
| Rate for Payer: Mclaren Commercial |
$1,356.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,280.87
|
| Rate for Payer: Nomi Health Commercial |
$1,235.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$979.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,326.07
|
|
|
HC IR GI BILI DUCT DIL W WO STENT
|
Facility
|
OP
|
$1,506.90
|
|
|
Service Code
|
CPT 74363
|
| Hospital Charge Code |
32000157
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$602.76 |
| Max. Negotiated Rate |
$1,506.90 |
| Rate for Payer: Aetna Commercial |
$1,356.21
|
| Rate for Payer: Aetna Medicare |
$753.45
|
| Rate for Payer: ASR ASR |
$1,461.69
|
| Rate for Payer: ASR Commercial |
$1,461.69
|
| Rate for Payer: BCBS Complete |
$602.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.00
|
| Rate for Payer: BCN Commercial |
$1,168.30
|
| Rate for Payer: Cash Price |
$1,205.52
|
| Rate for Payer: Cofinity Commercial |
$1,416.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,205.52
|
| Rate for Payer: Healthscope Commercial |
$1,506.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,461.69
|
| Rate for Payer: Mclaren Commercial |
$1,356.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,280.87
|
| Rate for Payer: Nomi Health Commercial |
$1,235.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$979.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,320.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,056.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,326.07
|
|
