|
HC MR LOWER EXTREM NO JOINT WO W CON
|
Facility
|
OP
|
$3,090.29
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000033
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$3,090.29 |
| Rate for Payer: Aetna Commercial |
$2,781.26
|
| Rate for Payer: Aetna Commercial |
$4,171.90
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,997.58
|
| Rate for Payer: ASR ASR |
$4,496.38
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,821.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,547.94
|
| Rate for Payer: BCN Commercial |
$3,821.92
|
| Rate for Payer: BCN Commercial |
$2,547.94
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$2,472.23
|
| Rate for Payer: Cash Price |
$2,472.23
|
| Rate for Payer: Cash Price |
$3,708.35
|
| Rate for Payer: Cash Price |
$3,708.35
|
| Rate for Payer: Cofinity Commercial |
$2,904.87
|
| Rate for Payer: Cofinity Commercial |
$4,357.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,708.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,472.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,997.58
|
| Rate for Payer: Healthscope Commercial |
$4,496.38
|
| Rate for Payer: Healthscope Whirlpool |
$3,090.29
|
| Rate for Payer: Healthscope Whirlpool |
$4,635.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$4,171.90
|
| Rate for Payer: Mclaren Commercial |
$2,781.26
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,626.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,940.12
|
| Rate for Payer: Nomi Health Commercial |
$3,801.06
|
| Rate for Payer: Nomi Health Commercial |
$2,534.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,317.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,476.58
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,830.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,830.98
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,464.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,464.78
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,079.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,719.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR LOWER EXTREM NO JOINT WO W CON
|
Facility
|
IP
|
$3,090.29
|
|
|
Service Code
|
CPT 73720
|
| Hospital Charge Code |
61000033
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,317.72 |
| Max. Negotiated Rate |
$3,090.29 |
| Rate for Payer: Aetna Commercial |
$2,781.26
|
| Rate for Payer: Aetna Commercial |
$4,171.90
|
| Rate for Payer: ASR ASR |
$2,997.58
|
| Rate for Payer: ASR ASR |
$4,496.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,537.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,806.62
|
| Rate for Payer: BCN Commercial |
$2,537.75
|
| Rate for Payer: BCN Commercial |
$3,806.62
|
| Rate for Payer: Cash Price |
$3,708.35
|
| Rate for Payer: Cash Price |
$2,472.23
|
| Rate for Payer: Cofinity Commercial |
$4,357.31
|
| Rate for Payer: Cofinity Commercial |
$2,904.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,472.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,708.35
|
| Rate for Payer: Healthscope Commercial |
$2,997.58
|
| Rate for Payer: Healthscope Commercial |
$4,496.38
|
| Rate for Payer: Healthscope Whirlpool |
$4,635.44
|
| Rate for Payer: Healthscope Whirlpool |
$3,090.29
|
| Rate for Payer: Mclaren Commercial |
$4,171.90
|
| Rate for Payer: Mclaren Commercial |
$2,781.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,940.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,626.75
|
| Rate for Payer: Nomi Health Commercial |
$3,801.06
|
| Rate for Payer: Nomi Health Commercial |
$2,534.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,317.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,476.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,079.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,719.46
|
|
|
HC MR MRA ABDOMEN W CON
|
Facility
|
OP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8900
|
| Hospital Charge Code |
61000060
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,438.07 |
| Rate for Payer: Aetna Commercial |
$2,067.39
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,228.19
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,893.96
|
| Rate for Payer: BCN Commercial |
$1,893.96
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$2,159.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,228.19
|
| Rate for Payer: Healthscope Whirlpool |
$2,297.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$2,067.39
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,438.07
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,950.45
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,021.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA ABDOMEN W CON
|
Facility
|
IP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8900
|
| Hospital Charge Code |
61000060
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,722.83 |
| Max. Negotiated Rate |
$2,297.10 |
| Rate for Payer: Aetna Commercial |
$2,067.39
|
| Rate for Payer: ASR ASR |
$2,228.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,886.38
|
| Rate for Payer: BCN Commercial |
$1,886.38
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$2,159.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Healthscope Commercial |
$2,228.19
|
| Rate for Payer: Healthscope Whirlpool |
$2,297.10
|
| Rate for Payer: Mclaren Commercial |
$2,067.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,021.45
|
|
|
HC MR MRA ABDOMEN WO CON
|
Facility
|
OP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8901
|
| Hospital Charge Code |
61000061
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$2,179.60 |
| Rate for Payer: Aetna Commercial |
$1,938.27
|
| Rate for Payer: Aetna Medicare |
$237.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: ASR ASR |
$2,089.02
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,775.67
|
| Rate for Payer: BCN Commercial |
$1,775.67
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$2,024.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$2,089.02
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.74
|
| Rate for Payer: Mclaren Commercial |
$1,938.27
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$130.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$261.51
|
| Rate for Payer: PHP Medicaid |
$127.43
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,179.60
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,743.68
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,895.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$368.50
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP DNSP |
$237.74
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: VA VA |
$237.74
|
|
|
HC MR MRA ABDOMEN WO CON
|
Facility
|
IP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8901
|
| Hospital Charge Code |
61000061
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,615.22 |
| Max. Negotiated Rate |
$2,153.63 |
| Rate for Payer: Aetna Commercial |
$1,938.27
|
| Rate for Payer: ASR ASR |
$2,089.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,768.56
|
| Rate for Payer: BCN Commercial |
$1,768.56
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$2,024.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Healthscope Commercial |
$2,089.02
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.63
|
| Rate for Payer: Mclaren Commercial |
$1,938.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,895.19
|
|
|
HC MR MRA ABDOMEN WO W CON
|
Facility
|
OP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8902
|
| Hospital Charge Code |
61000062
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,782.39 |
| Rate for Payer: Aetna Commercial |
$2,504.15
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,698.92
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.08
|
| Rate for Payer: BCN Commercial |
$2,294.08
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cofinity Commercial |
$2,615.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,225.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,698.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,782.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$2,504.15
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,365.03
|
| Rate for Payer: Nomi Health Commercial |
$2,281.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,086.79
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,618.44
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,094.75
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,448.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA ABDOMEN WO W CON
|
Facility
|
IP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8902
|
| Hospital Charge Code |
61000062
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,086.79 |
| Max. Negotiated Rate |
$2,782.39 |
| Rate for Payer: Aetna Commercial |
$2,504.15
|
| Rate for Payer: ASR ASR |
$2,698.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.90
|
| Rate for Payer: BCN Commercial |
$2,284.90
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cofinity Commercial |
$2,615.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,225.91
|
| Rate for Payer: Healthscope Commercial |
$2,698.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,782.39
|
| Rate for Payer: Mclaren Commercial |
$2,504.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,365.03
|
| Rate for Payer: Nomi Health Commercial |
$2,281.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,086.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,448.50
|
|
|
HC MR MRA CHEST W CON
|
Facility
|
IP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8909
|
| Hospital Charge Code |
61000063
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,722.83 |
| Max. Negotiated Rate |
$2,297.10 |
| Rate for Payer: Aetna Commercial |
$2,067.39
|
| Rate for Payer: ASR ASR |
$2,228.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,886.38
|
| Rate for Payer: BCN Commercial |
$1,886.38
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$2,159.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Healthscope Commercial |
$2,228.19
|
| Rate for Payer: Healthscope Whirlpool |
$2,297.10
|
| Rate for Payer: Mclaren Commercial |
$2,067.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,021.45
|
|
|
HC MR MRA CHEST W CON
|
Facility
|
OP
|
$2,297.10
|
|
|
Service Code
|
HCPCS C8909
|
| Hospital Charge Code |
61000063
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,297.10 |
| Rate for Payer: Aetna Commercial |
$2,067.39
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,228.19
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,893.96
|
| Rate for Payer: BCN Commercial |
$1,893.96
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cash Price |
$1,837.68
|
| Rate for Payer: Cofinity Commercial |
$2,159.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,228.19
|
| Rate for Payer: Healthscope Whirlpool |
$2,297.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$2,067.39
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.54
|
| Rate for Payer: Nomi Health Commercial |
$1,883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.83
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,213.51
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,770.80
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,021.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA CHEST WO CON
|
Facility
|
OP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$2,153.63 |
| Rate for Payer: Aetna Commercial |
$1,938.27
|
| Rate for Payer: Aetna Medicare |
$237.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: ASR ASR |
$2,089.02
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,775.67
|
| Rate for Payer: BCN Commercial |
$1,775.67
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$2,024.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$2,089.02
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.74
|
| Rate for Payer: Mclaren Commercial |
$1,938.27
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$130.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$261.51
|
| Rate for Payer: PHP Medicaid |
$127.43
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,088.82
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,671.05
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,895.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$368.50
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP DNSP |
$237.74
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: VA VA |
$237.74
|
|
|
HC MR MRA CHEST WO CON
|
Facility
|
IP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,615.22 |
| Max. Negotiated Rate |
$2,153.63 |
| Rate for Payer: Aetna Commercial |
$1,938.27
|
| Rate for Payer: ASR ASR |
$2,089.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,768.56
|
| Rate for Payer: BCN Commercial |
$1,768.56
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$2,024.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Healthscope Commercial |
$2,089.02
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.63
|
| Rate for Payer: Mclaren Commercial |
$1,938.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,895.19
|
|
|
HC MR MRA CHEST WO W CON
|
Facility
|
OP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,782.39 |
| Rate for Payer: Aetna Commercial |
$2,504.15
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,698.92
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.08
|
| Rate for Payer: BCN Commercial |
$2,294.08
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cofinity Commercial |
$2,615.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,225.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,698.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,782.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$2,504.15
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,365.03
|
| Rate for Payer: Nomi Health Commercial |
$2,281.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,086.79
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,649.91
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,119.92
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,448.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA CHEST WO W CON
|
Facility
|
IP
|
$2,782.39
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$2,086.79 |
| Max. Negotiated Rate |
$2,782.39 |
| Rate for Payer: Aetna Commercial |
$2,504.15
|
| Rate for Payer: ASR ASR |
$2,698.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.90
|
| Rate for Payer: BCN Commercial |
$2,284.90
|
| Rate for Payer: Cash Price |
$2,225.91
|
| Rate for Payer: Cofinity Commercial |
$2,615.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,225.91
|
| Rate for Payer: Healthscope Commercial |
$2,698.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,782.39
|
| Rate for Payer: Mclaren Commercial |
$2,504.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,365.03
|
| Rate for Payer: Nomi Health Commercial |
$2,281.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,086.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,448.50
|
|
|
HC MR MRA LOWR EXTREM BIL W CON
|
Facility
|
IP
|
$2,440.78
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,830.59 |
| Max. Negotiated Rate |
$2,440.78 |
| Rate for Payer: Aetna Commercial |
$2,196.70
|
| Rate for Payer: ASR ASR |
$2,367.56
|
| Rate for Payer: BCBS Trust/PPO |
$2,004.37
|
| Rate for Payer: BCN Commercial |
$2,004.37
|
| Rate for Payer: Cash Price |
$1,952.62
|
| Rate for Payer: Cofinity Commercial |
$2,294.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,952.62
|
| Rate for Payer: Healthscope Commercial |
$2,367.56
|
| Rate for Payer: Healthscope Whirlpool |
$2,440.78
|
| Rate for Payer: Mclaren Commercial |
$2,196.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,074.66
|
| Rate for Payer: Nomi Health Commercial |
$2,001.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,830.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,147.89
|
|
|
HC MR MRA LOWR EXTREM BIL W CON
|
Facility
|
OP
|
$2,440.78
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,440.78 |
| Rate for Payer: Aetna Commercial |
$2,196.70
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,367.56
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,012.42
|
| Rate for Payer: BCN Commercial |
$2,012.42
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$1,952.62
|
| Rate for Payer: Cash Price |
$1,952.62
|
| Rate for Payer: Cofinity Commercial |
$2,294.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,952.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,367.56
|
| Rate for Payer: Healthscope Whirlpool |
$2,440.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$2,196.70
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,074.66
|
| Rate for Payer: Nomi Health Commercial |
$2,001.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,830.59
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,928.42
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,542.74
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,147.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
IP
|
$2,225.42
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,669.07 |
| Max. Negotiated Rate |
$2,225.42 |
| Rate for Payer: Aetna Commercial |
$2,002.88
|
| Rate for Payer: ASR ASR |
$2,158.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,827.51
|
| Rate for Payer: BCN Commercial |
$1,827.51
|
| Rate for Payer: Cash Price |
$1,780.34
|
| Rate for Payer: Cofinity Commercial |
$2,091.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,780.34
|
| Rate for Payer: Healthscope Commercial |
$2,158.66
|
| Rate for Payer: Healthscope Whirlpool |
$2,225.42
|
| Rate for Payer: Mclaren Commercial |
$2,002.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.61
|
| Rate for Payer: Nomi Health Commercial |
$1,824.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,669.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,958.37
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
OP
|
$2,225.42
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$2,225.42 |
| Rate for Payer: Aetna Commercial |
$2,002.88
|
| Rate for Payer: Aetna Medicare |
$237.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: ASR ASR |
$2,158.66
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,834.86
|
| Rate for Payer: BCN Commercial |
$1,834.86
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,780.34
|
| Rate for Payer: Cash Price |
$1,780.34
|
| Rate for Payer: Cofinity Commercial |
$2,091.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,780.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$2,158.66
|
| Rate for Payer: Healthscope Whirlpool |
$2,225.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.74
|
| Rate for Payer: Mclaren Commercial |
$2,002.88
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$130.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.61
|
| Rate for Payer: Nomi Health Commercial |
$1,824.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,669.07
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$261.51
|
| Rate for Payer: PHP Medicaid |
$127.43
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,830.98
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,464.78
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,958.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$368.50
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP DNSP |
$237.74
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: VA VA |
$237.74
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
OP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,727.83 |
| Rate for Payer: Aetna Commercial |
$2,455.05
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,646.00
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,249.10
|
| Rate for Payer: BCN Commercial |
$2,249.10
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$2,182.26
|
| Rate for Payer: Cash Price |
$2,182.26
|
| Rate for Payer: Cofinity Commercial |
$2,564.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,182.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,646.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,727.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$2,455.05
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,318.66
|
| Rate for Payer: Nomi Health Commercial |
$2,236.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,045.87
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,087.00
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,669.60
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,400.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
IP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$2,045.87 |
| Max. Negotiated Rate |
$2,727.83 |
| Rate for Payer: Aetna Commercial |
$2,455.05
|
| Rate for Payer: ASR ASR |
$2,646.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,240.09
|
| Rate for Payer: BCN Commercial |
$2,240.09
|
| Rate for Payer: Cash Price |
$2,182.26
|
| Rate for Payer: Cofinity Commercial |
$2,564.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,182.26
|
| Rate for Payer: Healthscope Commercial |
$2,646.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,727.83
|
| Rate for Payer: Mclaren Commercial |
$2,455.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,318.66
|
| Rate for Payer: Nomi Health Commercial |
$2,236.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,045.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,400.49
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
OP
|
$2,297.09
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$181.81 |
| Max. Negotiated Rate |
$2,297.09 |
| Rate for Payer: Aetna Commercial |
$2,067.38
|
| Rate for Payer: Aetna Commercial |
$3,101.08
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Aetna Medicare |
$347.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$434.52
|
| Rate for Payer: ASR ASR |
$2,228.18
|
| Rate for Payer: ASR ASR |
$3,342.27
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS Complete |
$190.91
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS MAPPO |
$347.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,840.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,893.95
|
| Rate for Payer: BCN Commercial |
$2,840.93
|
| Rate for Payer: BCN Commercial |
$1,893.95
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: BCN Medicare Advantage |
$347.62
|
| Rate for Payer: Cash Price |
$1,837.67
|
| Rate for Payer: Cash Price |
$1,837.67
|
| Rate for Payer: Cash Price |
$2,756.51
|
| Rate for Payer: Cash Price |
$2,756.51
|
| Rate for Payer: Cofinity Commercial |
$2,159.26
|
| Rate for Payer: Cofinity Commercial |
$3,238.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,756.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.62
|
| Rate for Payer: Healthscope Commercial |
$2,228.18
|
| Rate for Payer: Healthscope Commercial |
$3,342.27
|
| Rate for Payer: Healthscope Whirlpool |
$2,297.09
|
| Rate for Payer: Healthscope Whirlpool |
$3,445.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Humana Choice PPO Medicare |
$347.62
|
| Rate for Payer: Mclaren Commercial |
$3,101.08
|
| Rate for Payer: Mclaren Commercial |
$2,067.38
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicaid |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Mclaren Medicare |
$347.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.00
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: Meridian Medicaid |
$190.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$399.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$382.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,928.79
|
| Rate for Payer: Nomi Health Commercial |
$2,825.42
|
| Rate for Payer: Nomi Health Commercial |
$1,883.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,584.23
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE Medicare |
$330.24
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PACE SWMI |
$347.62
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Commercial |
$382.38
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicaid |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: PHP Medicare Advantage |
$347.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,928.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,928.42
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Medicare |
$347.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,542.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,542.74
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: Railroad Medicare Medicare |
$347.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,032.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,021.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$347.62
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Exchange |
$538.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHC Medicaid |
$181.81
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP DNSP |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: UHCCP Medicaid |
$181.81
|
| Rate for Payer: VA VA |
$347.62
|
| Rate for Payer: VA VA |
$347.62
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
IP
|
$2,297.09
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,722.82 |
| Max. Negotiated Rate |
$2,297.09 |
| Rate for Payer: Aetna Commercial |
$2,067.38
|
| Rate for Payer: Aetna Commercial |
$3,101.08
|
| Rate for Payer: ASR ASR |
$2,228.18
|
| Rate for Payer: ASR ASR |
$3,342.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,886.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,829.56
|
| Rate for Payer: BCN Commercial |
$1,886.37
|
| Rate for Payer: BCN Commercial |
$2,829.56
|
| Rate for Payer: Cash Price |
$2,756.51
|
| Rate for Payer: Cash Price |
$1,837.67
|
| Rate for Payer: Cofinity Commercial |
$3,238.90
|
| Rate for Payer: Cofinity Commercial |
$2,159.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,837.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,756.51
|
| Rate for Payer: Healthscope Commercial |
$2,228.18
|
| Rate for Payer: Healthscope Commercial |
$3,342.27
|
| Rate for Payer: Healthscope Whirlpool |
$3,445.64
|
| Rate for Payer: Healthscope Whirlpool |
$2,297.09
|
| Rate for Payer: Mclaren Commercial |
$3,101.08
|
| Rate for Payer: Mclaren Commercial |
$2,067.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,928.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,952.53
|
| Rate for Payer: Nomi Health Commercial |
$2,825.42
|
| Rate for Payer: Nomi Health Commercial |
$1,883.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,584.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,032.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,021.44
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
IP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,615.22 |
| Max. Negotiated Rate |
$2,153.63 |
| Rate for Payer: Aetna Commercial |
$1,938.27
|
| Rate for Payer: Aetna Commercial |
$2,907.40
|
| Rate for Payer: ASR ASR |
$2,089.02
|
| Rate for Payer: ASR ASR |
$3,133.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,768.56
|
| Rate for Payer: BCBS Trust/PPO |
$2,652.84
|
| Rate for Payer: BCN Commercial |
$1,768.56
|
| Rate for Payer: BCN Commercial |
$2,652.84
|
| Rate for Payer: Cash Price |
$2,584.35
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cofinity Commercial |
$3,036.61
|
| Rate for Payer: Cofinity Commercial |
$2,024.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,584.35
|
| Rate for Payer: Healthscope Commercial |
$2,089.02
|
| Rate for Payer: Healthscope Commercial |
$3,133.53
|
| Rate for Payer: Healthscope Whirlpool |
$3,230.44
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.63
|
| Rate for Payer: Mclaren Commercial |
$2,907.40
|
| Rate for Payer: Mclaren Commercial |
$1,938.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,745.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Nomi Health Commercial |
$2,648.96
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,422.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,842.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,895.19
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
OP
|
$2,153.63
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$124.34 |
| Max. Negotiated Rate |
$2,153.63 |
| Rate for Payer: Aetna Commercial |
$1,938.27
|
| Rate for Payer: Aetna Commercial |
$2,907.40
|
| Rate for Payer: Aetna Medicare |
$237.74
|
| Rate for Payer: Aetna Medicare |
$237.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$297.18
|
| Rate for Payer: ASR ASR |
$2,089.02
|
| Rate for Payer: ASR ASR |
$3,133.53
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS Complete |
$130.57
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS MAPPO |
$237.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,663.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,775.67
|
| Rate for Payer: BCN Commercial |
$2,663.50
|
| Rate for Payer: BCN Commercial |
$1,775.67
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: BCN Medicare Advantage |
$237.74
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cash Price |
$1,722.90
|
| Rate for Payer: Cash Price |
$2,584.35
|
| Rate for Payer: Cash Price |
$2,584.35
|
| Rate for Payer: Cofinity Commercial |
$2,024.41
|
| Rate for Payer: Cofinity Commercial |
$3,036.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,584.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,722.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.74
|
| Rate for Payer: Healthscope Commercial |
$2,089.02
|
| Rate for Payer: Healthscope Commercial |
$3,133.53
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.63
|
| Rate for Payer: Healthscope Whirlpool |
$3,230.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.74
|
| Rate for Payer: Mclaren Commercial |
$2,907.40
|
| Rate for Payer: Mclaren Commercial |
$1,938.27
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicaid |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Mclaren Medicare |
$237.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.63
|
| Rate for Payer: Meridian Medicaid |
$130.57
|
| Rate for Payer: Meridian Medicaid |
$130.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$261.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,830.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,745.87
|
| Rate for Payer: Nomi Health Commercial |
$2,648.96
|
| Rate for Payer: Nomi Health Commercial |
$1,765.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,615.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,422.83
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE Medicare |
$225.85
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PACE SWMI |
$237.74
|
| Rate for Payer: PHP Commercial |
$261.51
|
| Rate for Payer: PHP Commercial |
$261.51
|
| Rate for Payer: PHP Medicaid |
$127.43
|
| Rate for Payer: PHP Medicaid |
$127.43
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: PHP Medicare Advantage |
$237.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,830.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,830.98
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health Medicare |
$237.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,464.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,464.78
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: Railroad Medicare Medicare |
$237.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,842.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,895.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$237.74
|
| Rate for Payer: UHC Exchange |
$368.50
|
| Rate for Payer: UHC Exchange |
$368.50
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHC Medicaid |
$124.34
|
| Rate for Payer: UHCCP DNSP |
$237.74
|
| Rate for Payer: UHCCP DNSP |
$237.74
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: UHCCP Medicaid |
$124.34
|
| Rate for Payer: VA VA |
$237.74
|
| Rate for Payer: VA VA |
$237.74
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
IP
|
$2,584.24
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,938.18 |
| Max. Negotiated Rate |
$2,584.24 |
| Rate for Payer: Aetna Commercial |
$2,325.82
|
| Rate for Payer: Aetna Commercial |
$3,488.73
|
| Rate for Payer: ASR ASR |
$2,506.71
|
| Rate for Payer: ASR ASR |
$3,760.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,122.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,183.28
|
| Rate for Payer: BCN Commercial |
$2,122.18
|
| Rate for Payer: BCN Commercial |
$3,183.28
|
| Rate for Payer: Cash Price |
$3,101.10
|
| Rate for Payer: Cash Price |
$2,067.39
|
| Rate for Payer: Cofinity Commercial |
$3,643.79
|
| Rate for Payer: Cofinity Commercial |
$2,429.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,067.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,101.10
|
| Rate for Payer: Healthscope Commercial |
$2,506.71
|
| Rate for Payer: Healthscope Commercial |
$3,760.08
|
| Rate for Payer: Healthscope Whirlpool |
$3,876.37
|
| Rate for Payer: Healthscope Whirlpool |
$2,584.24
|
| Rate for Payer: Mclaren Commercial |
$3,488.73
|
| Rate for Payer: Mclaren Commercial |
$2,325.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,294.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,196.60
|
| Rate for Payer: Nomi Health Commercial |
$3,178.62
|
| Rate for Payer: Nomi Health Commercial |
$2,119.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,938.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,907.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,411.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,274.13
|
|
