|
HC LIPID PANEL LMPP
|
Facility
|
IP
|
$51.00
|
|
|
Service Code
|
CPT 80061
|
| Hospital Charge Code |
30100767
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$33.15 |
| Max. Negotiated Rate |
$51.00 |
| Rate for Payer: Aetna Commercial |
$45.90
|
| Rate for Payer: ASR ASR |
$49.47
|
| Rate for Payer: ASR Commercial |
$49.47
|
| Rate for Payer: BCBS Trust/PPO |
$41.56
|
| Rate for Payer: BCN Commercial |
$39.54
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Healthscope Commercial |
$51.00
|
| Rate for Payer: Healthscope Whirlpool |
$49.47
|
| Rate for Payer: Mclaren Commercial |
$45.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.35
|
| Rate for Payer: Nomi Health Commercial |
$41.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.88
|
|
|
HC LIPID PANEL LMPP
|
Facility
|
OP
|
$51.00
|
|
|
Service Code
|
CPT 80061
|
| Hospital Charge Code |
30100767
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.18 |
| Max. Negotiated Rate |
$105.41 |
| Rate for Payer: Aetna Commercial |
$45.90
|
| Rate for Payer: Aetna Medicare |
$13.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.74
|
| Rate for Payer: ASR ASR |
$49.47
|
| Rate for Payer: ASR Commercial |
$49.47
|
| Rate for Payer: BCBS Complete |
$7.54
|
| Rate for Payer: BCBS MAPPO |
$13.39
|
| Rate for Payer: BCBS Trust/PPO |
$41.76
|
| Rate for Payer: BCN Commercial |
$39.54
|
| Rate for Payer: BCN Medicare Advantage |
$13.39
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.39
|
| Rate for Payer: Healthscope Commercial |
$51.00
|
| Rate for Payer: Healthscope Whirlpool |
$49.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.39
|
| Rate for Payer: Mclaren Commercial |
$45.90
|
| Rate for Payer: Mclaren Medicaid |
$7.18
|
| Rate for Payer: Mclaren Medicare |
$13.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.06
|
| Rate for Payer: Meridian Medicaid |
$7.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.35
|
| Rate for Payer: Nomi Health Commercial |
$41.82
|
| Rate for Payer: PACE Medicare |
$12.72
|
| Rate for Payer: PACE SWMI |
$13.39
|
| Rate for Payer: PHP Commercial |
$14.73
|
| Rate for Payer: PHP Medicaid |
$7.18
|
| Rate for Payer: PHP Medicare Advantage |
$13.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.41
|
| Rate for Payer: Priority Health Medicare |
$13.39
|
| Rate for Payer: Priority Health Narrow Network |
$84.33
|
| Rate for Payer: Railroad Medicare Medicare |
$13.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.39
|
| Rate for Payer: UHC Exchange |
$20.75
|
| Rate for Payer: UHC Medicare Advantage |
$13.39
|
| Rate for Payer: UHCCP DNSP |
$13.39
|
| Rate for Payer: UHCCP Medicaid |
$7.18
|
| Rate for Payer: VA VA |
$13.39
|
|
|
HC LIPOPROTEIN A
|
Facility
|
OP
|
$41.62
|
|
|
Service Code
|
CPT 83695
|
| Hospital Charge Code |
30100280
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$41.62 |
| Rate for Payer: Aetna Commercial |
$37.46
|
| Rate for Payer: Aetna Medicare |
$14.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.90
|
| Rate for Payer: ASR ASR |
$40.37
|
| Rate for Payer: ASR Commercial |
$40.37
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS MAPPO |
$14.32
|
| Rate for Payer: BCBS Trust/PPO |
$34.08
|
| Rate for Payer: BCN Commercial |
$32.27
|
| Rate for Payer: BCN Medicare Advantage |
$14.32
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$39.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.32
|
| Rate for Payer: Healthscope Commercial |
$41.62
|
| Rate for Payer: Healthscope Whirlpool |
$40.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.32
|
| Rate for Payer: Mclaren Commercial |
$37.46
|
| Rate for Payer: Mclaren Medicaid |
$7.68
|
| Rate for Payer: Mclaren Medicare |
$14.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.04
|
| Rate for Payer: Meridian Medicaid |
$8.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: Nomi Health Commercial |
$34.13
|
| Rate for Payer: PACE Medicare |
$13.60
|
| Rate for Payer: PACE SWMI |
$14.32
|
| Rate for Payer: PHP Commercial |
$15.75
|
| Rate for Payer: PHP Medicaid |
$7.68
|
| Rate for Payer: PHP Medicare Advantage |
$14.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.47
|
| Rate for Payer: Priority Health Medicare |
$14.32
|
| Rate for Payer: Priority Health Narrow Network |
$29.18
|
| Rate for Payer: Railroad Medicare Medicare |
$14.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.32
|
| Rate for Payer: UHC Exchange |
$22.20
|
| Rate for Payer: UHC Medicare Advantage |
$14.32
|
| Rate for Payer: UHCCP DNSP |
$14.32
|
| Rate for Payer: UHCCP Medicaid |
$7.68
|
| Rate for Payer: VA VA |
$14.32
|
|
|
HC LIPOPROTEIN A
|
Facility
|
IP
|
$41.62
|
|
|
Service Code
|
CPT 83695
|
| Hospital Charge Code |
30100280
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.05 |
| Max. Negotiated Rate |
$41.62 |
| Rate for Payer: Aetna Commercial |
$37.46
|
| Rate for Payer: ASR ASR |
$40.37
|
| Rate for Payer: ASR Commercial |
$40.37
|
| Rate for Payer: BCBS Trust/PPO |
$33.92
|
| Rate for Payer: BCN Commercial |
$32.27
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$39.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Healthscope Commercial |
$41.62
|
| Rate for Payer: Healthscope Whirlpool |
$40.37
|
| Rate for Payer: Mclaren Commercial |
$37.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: Nomi Health Commercial |
$34.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.63
|
|
|
HC LIQUID PLASMA IRRADIATED
|
Facility
|
IP
|
$365.05
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000096
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$237.28 |
| Max. Negotiated Rate |
$365.05 |
| Rate for Payer: Aetna Commercial |
$328.54
|
| Rate for Payer: ASR ASR |
$354.10
|
| Rate for Payer: ASR Commercial |
$354.10
|
| Rate for Payer: BCBS Trust/PPO |
$297.48
|
| Rate for Payer: BCN Commercial |
$283.02
|
| Rate for Payer: Cash Price |
$292.04
|
| Rate for Payer: Cofinity Commercial |
$343.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$292.04
|
| Rate for Payer: Healthscope Commercial |
$365.05
|
| Rate for Payer: Healthscope Whirlpool |
$354.10
|
| Rate for Payer: Mclaren Commercial |
$328.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310.29
|
| Rate for Payer: Nomi Health Commercial |
$299.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$321.24
|
|
|
HC LIQUID PLASMA IRRADIATED
|
Facility
|
OP
|
$365.05
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000096
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$44.27 |
| Max. Negotiated Rate |
$365.05 |
| Rate for Payer: Aetna Commercial |
$328.54
|
| Rate for Payer: Aetna Medicare |
$82.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$103.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$103.24
|
| Rate for Payer: ASR ASR |
$354.10
|
| Rate for Payer: ASR Commercial |
$354.10
|
| Rate for Payer: BCBS Complete |
$46.48
|
| Rate for Payer: BCBS MAPPO |
$82.59
|
| Rate for Payer: BCBS Trust/PPO |
$298.94
|
| Rate for Payer: BCN Commercial |
$283.02
|
| Rate for Payer: BCN Medicare Advantage |
$82.59
|
| Rate for Payer: Cash Price |
$292.04
|
| Rate for Payer: Cash Price |
$292.04
|
| Rate for Payer: Cofinity Commercial |
$343.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$292.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.59
|
| Rate for Payer: Healthscope Commercial |
$365.05
|
| Rate for Payer: Healthscope Whirlpool |
$354.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$82.59
|
| Rate for Payer: Mclaren Commercial |
$328.54
|
| Rate for Payer: Mclaren Medicaid |
$44.27
|
| Rate for Payer: Mclaren Medicare |
$82.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.72
|
| Rate for Payer: Meridian Medicaid |
$46.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310.29
|
| Rate for Payer: Nomi Health Commercial |
$299.34
|
| Rate for Payer: PACE Medicare |
$78.46
|
| Rate for Payer: PACE SWMI |
$82.59
|
| Rate for Payer: PHP Commercial |
$90.85
|
| Rate for Payer: PHP Medicaid |
$44.27
|
| Rate for Payer: PHP Medicare Advantage |
$82.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$118.59
|
| Rate for Payer: Priority Health Medicare |
$82.59
|
| Rate for Payer: Priority Health Narrow Network |
$94.87
|
| Rate for Payer: Railroad Medicare Medicare |
$82.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$321.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.59
|
| Rate for Payer: UHC Exchange |
$128.01
|
| Rate for Payer: UHC Medicare Advantage |
$82.59
|
| Rate for Payer: UHCCP DNSP |
$82.59
|
| Rate for Payer: UHCCP Medicaid |
$44.27
|
| Rate for Payer: VA VA |
$82.59
|
|
|
HC LISTERIA MONOCYTOGENES
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600274
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$33.81 |
| Max. Negotiated Rate |
$52.02 |
| Rate for Payer: Aetna Commercial |
$46.82
|
| Rate for Payer: ASR ASR |
$50.46
|
| Rate for Payer: ASR Commercial |
$50.46
|
| Rate for Payer: BCBS Trust/PPO |
$42.39
|
| Rate for Payer: BCN Commercial |
$40.33
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$48.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$52.02
|
| Rate for Payer: Healthscope Whirlpool |
$50.46
|
| Rate for Payer: Mclaren Commercial |
$46.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.78
|
|
|
HC LISTERIA MONOCYTOGENES
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600274
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.81 |
| Max. Negotiated Rate |
$54.39 |
| Rate for Payer: Aetna Commercial |
$46.82
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: ASR ASR |
$50.46
|
| Rate for Payer: ASR Commercial |
$50.46
|
| Rate for Payer: BCBS Complete |
$19.75
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$42.60
|
| Rate for Payer: BCN Commercial |
$40.33
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$48.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$52.02
|
| Rate for Payer: Healthscope Whirlpool |
$50.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.09
|
| Rate for Payer: Mclaren Commercial |
$46.82
|
| Rate for Payer: Mclaren Medicaid |
$18.81
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$19.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$42.66
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$38.60
|
| Rate for Payer: PHP Medicaid |
$18.81
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.58
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$36.47
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$54.39
|
| Rate for Payer: UHC Medicare Advantage |
$35.09
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
| Rate for Payer: UHCCP Medicaid |
$18.81
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC LITHIUM LEVEL
|
Facility
|
OP
|
$54.94
|
|
|
Service Code
|
CPT 80178
|
| Hospital Charge Code |
30100034
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.54 |
| Max. Negotiated Rate |
$54.94 |
| Rate for Payer: Aetna Commercial |
$49.45
|
| Rate for Payer: Aetna Medicare |
$6.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.26
|
| Rate for Payer: ASR ASR |
$53.29
|
| Rate for Payer: ASR Commercial |
$53.29
|
| Rate for Payer: BCBS Complete |
$3.72
|
| Rate for Payer: BCBS MAPPO |
$6.61
|
| Rate for Payer: BCBS Trust/PPO |
$44.99
|
| Rate for Payer: BCN Commercial |
$42.59
|
| Rate for Payer: BCN Medicare Advantage |
$6.61
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cofinity Commercial |
$51.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.61
|
| Rate for Payer: Healthscope Commercial |
$54.94
|
| Rate for Payer: Healthscope Whirlpool |
$53.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.61
|
| Rate for Payer: Mclaren Commercial |
$49.45
|
| Rate for Payer: Mclaren Medicaid |
$3.54
|
| Rate for Payer: Mclaren Medicare |
$6.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.94
|
| Rate for Payer: Meridian Medicaid |
$3.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.70
|
| Rate for Payer: Nomi Health Commercial |
$45.05
|
| Rate for Payer: PACE Medicare |
$6.28
|
| Rate for Payer: PACE SWMI |
$6.61
|
| Rate for Payer: PHP Commercial |
$7.27
|
| Rate for Payer: PHP Medicaid |
$3.54
|
| Rate for Payer: PHP Medicare Advantage |
$6.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.35
|
| Rate for Payer: Priority Health Medicare |
$6.61
|
| Rate for Payer: Priority Health Narrow Network |
$21.08
|
| Rate for Payer: Railroad Medicare Medicare |
$6.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.61
|
| Rate for Payer: UHC Exchange |
$10.25
|
| Rate for Payer: UHC Medicare Advantage |
$6.61
|
| Rate for Payer: UHCCP DNSP |
$6.61
|
| Rate for Payer: UHCCP Medicaid |
$3.54
|
| Rate for Payer: VA VA |
$6.61
|
|
|
HC LITHIUM LEVEL
|
Facility
|
IP
|
$54.94
|
|
|
Service Code
|
CPT 80178
|
| Hospital Charge Code |
30100034
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$35.71 |
| Max. Negotiated Rate |
$54.94 |
| Rate for Payer: Aetna Commercial |
$49.45
|
| Rate for Payer: ASR ASR |
$53.29
|
| Rate for Payer: ASR Commercial |
$53.29
|
| Rate for Payer: BCBS Trust/PPO |
$44.77
|
| Rate for Payer: BCN Commercial |
$42.59
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cofinity Commercial |
$51.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.95
|
| Rate for Payer: Healthscope Commercial |
$54.94
|
| Rate for Payer: Healthscope Whirlpool |
$53.29
|
| Rate for Payer: Mclaren Commercial |
$49.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.70
|
| Rate for Payer: Nomi Health Commercial |
$45.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.35
|
|
|
HC LITHOTRIPSY
|
Facility
|
OP
|
$2,852.05
|
|
| Hospital Charge Code |
36000072
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,140.82 |
| Max. Negotiated Rate |
$2,852.05 |
| Rate for Payer: Aetna Commercial |
$2,566.84
|
| Rate for Payer: Aetna Medicare |
$1,426.02
|
| Rate for Payer: ASR ASR |
$2,766.49
|
| Rate for Payer: ASR Commercial |
$2,766.49
|
| Rate for Payer: BCBS Complete |
$1,140.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,335.54
|
| Rate for Payer: BCN Commercial |
$2,211.19
|
| Rate for Payer: Cash Price |
$2,281.64
|
| Rate for Payer: Cofinity Commercial |
$2,680.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,281.64
|
| Rate for Payer: Healthscope Commercial |
$2,852.05
|
| Rate for Payer: Healthscope Whirlpool |
$2,766.49
|
| Rate for Payer: Mclaren Commercial |
$2,566.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,424.24
|
| Rate for Payer: Nomi Health Commercial |
$2,338.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,853.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,498.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,999.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,509.80
|
|
|
HC LITHOTRIPSY
|
Facility
|
IP
|
$2,852.05
|
|
| Hospital Charge Code |
36000072
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,853.83 |
| Max. Negotiated Rate |
$2,852.05 |
| Rate for Payer: Aetna Commercial |
$2,566.84
|
| Rate for Payer: ASR ASR |
$2,766.49
|
| Rate for Payer: ASR Commercial |
$2,766.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,324.14
|
| Rate for Payer: BCN Commercial |
$2,211.19
|
| Rate for Payer: Cash Price |
$2,281.64
|
| Rate for Payer: Cofinity Commercial |
$2,680.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,281.64
|
| Rate for Payer: Healthscope Commercial |
$2,852.05
|
| Rate for Payer: Healthscope Whirlpool |
$2,766.49
|
| Rate for Payer: Mclaren Commercial |
$2,566.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,424.24
|
| Rate for Payer: Nomi Health Commercial |
$2,338.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,853.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,509.80
|
|
|
HC LIVER BIOPSY
|
Facility
|
IP
|
$1,478.99
|
|
| Hospital Charge Code |
36000073
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$961.34 |
| Max. Negotiated Rate |
$1,478.99 |
| Rate for Payer: Aetna Commercial |
$1,331.09
|
| Rate for Payer: ASR ASR |
$1,434.62
|
| Rate for Payer: ASR Commercial |
$1,434.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,205.23
|
| Rate for Payer: BCN Commercial |
$1,146.66
|
| Rate for Payer: Cash Price |
$1,183.19
|
| Rate for Payer: Cofinity Commercial |
$1,390.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,183.19
|
| Rate for Payer: Healthscope Commercial |
$1,478.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,434.62
|
| Rate for Payer: Mclaren Commercial |
$1,331.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,257.14
|
| Rate for Payer: Nomi Health Commercial |
$1,212.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$961.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,301.51
|
|
|
HC LIVER BIOPSY
|
Facility
|
OP
|
$1,478.99
|
|
| Hospital Charge Code |
36000073
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$591.60 |
| Max. Negotiated Rate |
$1,478.99 |
| Rate for Payer: Aetna Commercial |
$1,331.09
|
| Rate for Payer: Aetna Medicare |
$739.50
|
| Rate for Payer: ASR ASR |
$1,434.62
|
| Rate for Payer: ASR Commercial |
$1,434.62
|
| Rate for Payer: BCBS Complete |
$591.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,211.14
|
| Rate for Payer: BCN Commercial |
$1,146.66
|
| Rate for Payer: Cash Price |
$1,183.19
|
| Rate for Payer: Cofinity Commercial |
$1,390.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,183.19
|
| Rate for Payer: Healthscope Commercial |
$1,478.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,434.62
|
| Rate for Payer: Mclaren Commercial |
$1,331.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,257.14
|
| Rate for Payer: Nomi Health Commercial |
$1,212.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$961.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,295.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,036.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,301.51
|
|
|
HC LIVER KIDNEY MICROSOME ANTIBODY
|
Facility
|
OP
|
$56.60
|
|
|
Service Code
|
CPT 86376
|
| Hospital Charge Code |
30200208
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.80 |
| Max. Negotiated Rate |
$56.60 |
| Rate for Payer: Aetna Commercial |
$50.94
|
| Rate for Payer: Aetna Medicare |
$14.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.19
|
| Rate for Payer: ASR ASR |
$54.90
|
| Rate for Payer: ASR Commercial |
$54.90
|
| Rate for Payer: BCBS Complete |
$8.19
|
| Rate for Payer: BCBS MAPPO |
$14.55
|
| Rate for Payer: BCBS Trust/PPO |
$46.35
|
| Rate for Payer: BCN Commercial |
$43.88
|
| Rate for Payer: BCN Medicare Advantage |
$14.55
|
| Rate for Payer: Cash Price |
$45.28
|
| Rate for Payer: Cash Price |
$45.28
|
| Rate for Payer: Cofinity Commercial |
$53.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.55
|
| Rate for Payer: Healthscope Commercial |
$56.60
|
| Rate for Payer: Healthscope Whirlpool |
$54.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$14.55
|
| Rate for Payer: Mclaren Commercial |
$50.94
|
| Rate for Payer: Mclaren Medicaid |
$7.80
|
| Rate for Payer: Mclaren Medicare |
$14.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.28
|
| Rate for Payer: Meridian Medicaid |
$8.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.11
|
| Rate for Payer: Nomi Health Commercial |
$46.41
|
| Rate for Payer: PACE Medicare |
$13.82
|
| Rate for Payer: PACE SWMI |
$14.55
|
| Rate for Payer: PHP Commercial |
$16.00
|
| Rate for Payer: PHP Medicaid |
$7.80
|
| Rate for Payer: PHP Medicare Advantage |
$14.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.01
|
| Rate for Payer: Priority Health Medicare |
$14.55
|
| Rate for Payer: Priority Health Narrow Network |
$36.01
|
| Rate for Payer: Railroad Medicare Medicare |
$14.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.55
|
| Rate for Payer: UHC Exchange |
$22.55
|
| Rate for Payer: UHC Medicare Advantage |
$14.55
|
| Rate for Payer: UHCCP DNSP |
$14.55
|
| Rate for Payer: UHCCP Medicaid |
$7.80
|
| Rate for Payer: VA VA |
$14.55
|
|
|
HC LIVER KIDNEY MICROSOME ANTIBODY
|
Facility
|
IP
|
$56.60
|
|
|
Service Code
|
CPT 86376
|
| Hospital Charge Code |
30200208
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$36.79 |
| Max. Negotiated Rate |
$56.60 |
| Rate for Payer: Aetna Commercial |
$50.94
|
| Rate for Payer: ASR ASR |
$54.90
|
| Rate for Payer: ASR Commercial |
$54.90
|
| Rate for Payer: BCBS Trust/PPO |
$46.12
|
| Rate for Payer: BCN Commercial |
$43.88
|
| Rate for Payer: Cash Price |
$45.28
|
| Rate for Payer: Cofinity Commercial |
$53.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.28
|
| Rate for Payer: Healthscope Commercial |
$56.60
|
| Rate for Payer: Healthscope Whirlpool |
$54.90
|
| Rate for Payer: Mclaren Commercial |
$50.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.11
|
| Rate for Payer: Nomi Health Commercial |
$46.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.81
|
|
|
HC LOBSTER IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200045
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Complete |
$2.94
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.79
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Mclaren Medicaid |
$2.80
|
| 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 |
$2.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| 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 |
$2.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.25
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$17.80
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicare Advantage |
$5.22
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.80
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC LOBSTER IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200045
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Trust/PPO |
$20.69
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
|
|
HC LOCAL ANES ADDL 15 MIN
|
Facility
|
IP
|
$96.37
|
|
| Hospital Charge Code |
37000009
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$62.64 |
| Max. Negotiated Rate |
$96.37 |
| Rate for Payer: Aetna Commercial |
$86.73
|
| Rate for Payer: ASR ASR |
$93.48
|
| Rate for Payer: ASR Commercial |
$93.48
|
| Rate for Payer: BCBS Trust/PPO |
$78.53
|
| Rate for Payer: BCN Commercial |
$74.72
|
| Rate for Payer: Cash Price |
$77.10
|
| Rate for Payer: Cofinity Commercial |
$90.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.10
|
| Rate for Payer: Healthscope Commercial |
$96.37
|
| Rate for Payer: Healthscope Whirlpool |
$93.48
|
| Rate for Payer: Mclaren Commercial |
$86.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.91
|
| Rate for Payer: Nomi Health Commercial |
$79.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$84.81
|
|
|
HC LOCAL ANES ADDL 15 MIN
|
Facility
|
OP
|
$96.37
|
|
| Hospital Charge Code |
37000009
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$38.55 |
| Max. Negotiated Rate |
$96.37 |
| Rate for Payer: Aetna Commercial |
$86.73
|
| Rate for Payer: Aetna Medicare |
$48.18
|
| Rate for Payer: ASR ASR |
$93.48
|
| Rate for Payer: ASR Commercial |
$93.48
|
| Rate for Payer: BCBS Complete |
$38.55
|
| Rate for Payer: BCBS Trust/PPO |
$78.92
|
| Rate for Payer: BCN Commercial |
$74.72
|
| Rate for Payer: Cash Price |
$77.10
|
| Rate for Payer: Cofinity Commercial |
$90.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.10
|
| Rate for Payer: Healthscope Commercial |
$96.37
|
| Rate for Payer: Healthscope Whirlpool |
$93.48
|
| Rate for Payer: Mclaren Commercial |
$86.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.91
|
| Rate for Payer: Nomi Health Commercial |
$79.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.44
|
| Rate for Payer: Priority Health Narrow Network |
$67.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$84.81
|
|
|
HC LOCAL ANES INIT 30 MIN
|
Facility
|
OP
|
$349.64
|
|
| Hospital Charge Code |
37000010
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$139.86 |
| Max. Negotiated Rate |
$349.64 |
| Rate for Payer: Aetna Commercial |
$314.68
|
| Rate for Payer: Aetna Medicare |
$174.82
|
| Rate for Payer: ASR ASR |
$339.15
|
| Rate for Payer: ASR Commercial |
$339.15
|
| Rate for Payer: BCBS Complete |
$139.86
|
| Rate for Payer: BCBS Trust/PPO |
$286.32
|
| Rate for Payer: BCN Commercial |
$271.08
|
| Rate for Payer: Cash Price |
$279.71
|
| Rate for Payer: Cofinity Commercial |
$328.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$279.71
|
| Rate for Payer: Healthscope Commercial |
$349.64
|
| Rate for Payer: Healthscope Whirlpool |
$339.15
|
| Rate for Payer: Mclaren Commercial |
$314.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297.19
|
| Rate for Payer: Nomi Health Commercial |
$286.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$306.35
|
| Rate for Payer: Priority Health Narrow Network |
$245.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$307.68
|
|
|
HC LOCAL ANES INIT 30 MIN
|
Facility
|
IP
|
$349.64
|
|
| Hospital Charge Code |
37000010
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$227.27 |
| Max. Negotiated Rate |
$349.64 |
| Rate for Payer: Aetna Commercial |
$314.68
|
| Rate for Payer: ASR ASR |
$339.15
|
| Rate for Payer: ASR Commercial |
$339.15
|
| Rate for Payer: BCBS Trust/PPO |
$284.92
|
| Rate for Payer: BCN Commercial |
$271.08
|
| Rate for Payer: Cash Price |
$279.71
|
| Rate for Payer: Cofinity Commercial |
$328.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$279.71
|
| Rate for Payer: Healthscope Commercial |
$349.64
|
| Rate for Payer: Healthscope Whirlpool |
$339.15
|
| Rate for Payer: Mclaren Commercial |
$314.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297.19
|
| Rate for Payer: Nomi Health Commercial |
$286.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$307.68
|
|
|
HC LOCALIZATION CLIP
|
Facility
|
OP
|
$206.83
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800040
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$82.73 |
| Max. Negotiated Rate |
$206.83 |
| Rate for Payer: Aetna Commercial |
$186.15
|
| Rate for Payer: Aetna Medicare |
$103.42
|
| Rate for Payer: ASR ASR |
$200.63
|
| Rate for Payer: ASR Commercial |
$200.63
|
| Rate for Payer: BCBS Complete |
$82.73
|
| Rate for Payer: BCBS Trust/PPO |
$169.37
|
| Rate for Payer: BCN Commercial |
$160.36
|
| Rate for Payer: Cash Price |
$165.46
|
| Rate for Payer: Cofinity Commercial |
$194.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.46
|
| Rate for Payer: Healthscope Commercial |
$206.83
|
| Rate for Payer: Healthscope Whirlpool |
$200.63
|
| Rate for Payer: Mclaren Commercial |
$186.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.81
|
| Rate for Payer: Nomi Health Commercial |
$169.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.22
|
| Rate for Payer: Priority Health Narrow Network |
$144.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$182.01
|
|
|
HC LOCALIZATION CLIP
|
Facility
|
IP
|
$206.83
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800040
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.44 |
| Max. Negotiated Rate |
$206.83 |
| Rate for Payer: Aetna Commercial |
$186.15
|
| Rate for Payer: ASR ASR |
$200.63
|
| Rate for Payer: ASR Commercial |
$200.63
|
| Rate for Payer: BCBS Trust/PPO |
$168.55
|
| Rate for Payer: BCN Commercial |
$160.36
|
| Rate for Payer: Cash Price |
$165.46
|
| Rate for Payer: Cofinity Commercial |
$194.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$165.46
|
| Rate for Payer: Healthscope Commercial |
$206.83
|
| Rate for Payer: Healthscope Whirlpool |
$200.63
|
| Rate for Payer: Mclaren Commercial |
$186.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.81
|
| Rate for Payer: Nomi Health Commercial |
$169.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$182.01
|
|
|
HC LOCALIZATION DEVICE LEVEL 1
|
Facility
|
IP
|
$146.88
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
27800350
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$95.47 |
| Max. Negotiated Rate |
$146.88 |
| Rate for Payer: Aetna Commercial |
$132.19
|
| Rate for Payer: ASR ASR |
$142.47
|
| Rate for Payer: ASR Commercial |
$142.47
|
| Rate for Payer: BCBS Trust/PPO |
$119.69
|
| Rate for Payer: BCN Commercial |
$113.88
|
| Rate for Payer: Cash Price |
$117.50
|
| Rate for Payer: Cofinity Commercial |
$138.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$117.50
|
| Rate for Payer: Healthscope Commercial |
$146.88
|
| Rate for Payer: Healthscope Whirlpool |
$142.47
|
| Rate for Payer: Mclaren Commercial |
$132.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$124.85
|
| Rate for Payer: Nomi Health Commercial |
$120.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$129.25
|
|
