|
HC MR MRA ABDOMEN WO CON
|
Facility
|
IP
|
$2,111.40
|
|
|
Service Code
|
HCPCS C8901
|
| Hospital Charge Code |
61000061
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,372.41 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna Commercial |
$1,900.26
|
| Rate for Payer: ASR ASR |
$2,048.06
|
| Rate for Payer: ASR Commercial |
$2,048.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,720.58
|
| Rate for Payer: BCN Commercial |
$1,636.97
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cofinity Commercial |
$1,984.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Whirlpool |
$2,048.06
|
| Rate for Payer: Mclaren Commercial |
$1,900.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,794.69
|
| Rate for Payer: Nomi Health Commercial |
$1,731.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,372.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,858.03
|
|
|
HC MR MRA ABDOMEN WO W CON
|
Facility
|
IP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8902
|
| Hospital Charge Code |
61000062
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,773.09 |
| 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: ASR Commercial |
$2,646.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,222.91
|
| Rate for Payer: BCN Commercial |
$2,114.89
|
| 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 |
$2,727.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,646.00
|
| 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: Priority Health Cigna Priority Health |
$1,773.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,400.49
|
|
|
HC MR MRA ABDOMEN WO W CON
|
Facility
|
OP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8902
|
| Hospital Charge Code |
61000062
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$2,727.83 |
| Rate for Payer: Aetna Commercial |
$2,455.05
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$2,646.00
|
| Rate for Payer: ASR Commercial |
$2,646.00
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,233.82
|
| Rate for Payer: BCN Commercial |
$2,114.89
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| 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 |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$2,727.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,646.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,455.05
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,318.66
|
| Rate for Payer: Nomi Health Commercial |
$2,236.82
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,773.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,390.12
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,912.21
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,400.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA CHEST W CON
|
Facility
|
OP
|
$2,252.06
|
|
|
Service Code
|
HCPCS C8909
|
| Hospital Charge Code |
61000063
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$2,252.06 |
| Rate for Payer: Aetna Commercial |
$2,026.85
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$2,184.50
|
| Rate for Payer: ASR Commercial |
$2,184.50
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,844.21
|
| Rate for Payer: BCN Commercial |
$1,746.02
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cofinity Commercial |
$2,116.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$2,252.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,026.85
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,914.25
|
| Rate for Payer: Nomi Health Commercial |
$1,846.69
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,463.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,973.25
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,578.69
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,981.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA CHEST W CON
|
Facility
|
IP
|
$2,252.06
|
|
|
Service Code
|
HCPCS C8909
|
| Hospital Charge Code |
61000063
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,463.84 |
| Max. Negotiated Rate |
$2,252.06 |
| Rate for Payer: Aetna Commercial |
$2,026.85
|
| Rate for Payer: ASR ASR |
$2,184.50
|
| Rate for Payer: ASR Commercial |
$2,184.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,835.20
|
| Rate for Payer: BCN Commercial |
$1,746.02
|
| Rate for Payer: Cash Price |
$1,801.65
|
| Rate for Payer: Cofinity Commercial |
$2,116.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.65
|
| Rate for Payer: Healthscope Commercial |
$2,252.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.50
|
| Rate for Payer: Mclaren Commercial |
$2,026.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,914.25
|
| Rate for Payer: Nomi Health Commercial |
$1,846.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,463.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,981.81
|
|
|
HC MR MRA CHEST WO CON
|
Facility
|
IP
|
$2,111.40
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,372.41 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna Commercial |
$1,900.26
|
| Rate for Payer: ASR ASR |
$2,048.06
|
| Rate for Payer: ASR Commercial |
$2,048.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,720.58
|
| Rate for Payer: BCN Commercial |
$1,636.97
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cofinity Commercial |
$1,984.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Whirlpool |
$2,048.06
|
| Rate for Payer: Mclaren Commercial |
$1,900.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,794.69
|
| Rate for Payer: Nomi Health Commercial |
$1,731.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,372.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,858.03
|
|
|
HC MR MRA CHEST WO CON
|
Facility
|
OP
|
$2,111.40
|
|
|
Service Code
|
HCPCS C8910
|
| Hospital Charge Code |
61000064
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$126.36 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna Commercial |
$1,900.26
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: ASR ASR |
$2,048.06
|
| Rate for Payer: ASR Commercial |
$2,048.06
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,729.03
|
| Rate for Payer: BCN Commercial |
$1,636.97
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cofinity Commercial |
$1,984.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.74
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Whirlpool |
$2,048.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Mclaren Commercial |
$1,900.26
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,794.69
|
| Rate for Payer: Nomi Health Commercial |
$1,731.35
|
| Rate for Payer: PACE Medicare |
$223.95
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,372.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,850.01
|
| Rate for Payer: Priority Health Medicare |
$235.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,480.09
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,858.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: VA VA |
$235.74
|
|
|
HC MR MRA CHEST WO W CON
|
Facility
|
OP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$2,727.83 |
| Rate for Payer: Aetna Commercial |
$2,455.05
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$2,646.00
|
| Rate for Payer: ASR Commercial |
$2,646.00
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,233.82
|
| Rate for Payer: BCN Commercial |
$2,114.89
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| 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 |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$2,727.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,646.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,455.05
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,318.66
|
| Rate for Payer: Nomi Health Commercial |
$2,236.82
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,773.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,390.12
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,912.21
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,400.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA CHEST WO W CON
|
Facility
|
IP
|
$2,727.83
|
|
|
Service Code
|
HCPCS C8911
|
| Hospital Charge Code |
61000065
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$1,773.09 |
| 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: ASR Commercial |
$2,646.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,222.91
|
| Rate for Payer: BCN Commercial |
$2,114.89
|
| 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 |
$2,727.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,646.00
|
| 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: Priority Health Cigna Priority Health |
$1,773.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,400.49
|
|
|
HC MR MRA LOWR EXTREM BIL W CON
|
Facility
|
IP
|
$2,392.92
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,555.40 |
| Max. Negotiated Rate |
$2,392.92 |
| Rate for Payer: Aetna Commercial |
$2,153.63
|
| Rate for Payer: ASR ASR |
$2,321.13
|
| Rate for Payer: ASR Commercial |
$2,321.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,949.99
|
| Rate for Payer: BCN Commercial |
$1,855.23
|
| Rate for Payer: Cash Price |
$1,914.34
|
| Rate for Payer: Cofinity Commercial |
$2,249.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,914.34
|
| Rate for Payer: Healthscope Commercial |
$2,392.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,321.13
|
| Rate for Payer: Mclaren Commercial |
$2,153.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,033.98
|
| Rate for Payer: Nomi Health Commercial |
$1,962.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,555.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,105.77
|
|
|
HC MR MRA LOWR EXTREM BIL W CON
|
Facility
|
OP
|
$2,392.92
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000066
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$2,392.92 |
| Rate for Payer: Aetna Commercial |
$2,153.63
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$2,321.13
|
| Rate for Payer: ASR Commercial |
$2,321.13
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,959.56
|
| Rate for Payer: BCN Commercial |
$1,855.23
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: Cash Price |
$1,914.34
|
| Rate for Payer: Cash Price |
$1,914.34
|
| Rate for Payer: Cofinity Commercial |
$2,249.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,914.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$2,392.92
|
| Rate for Payer: Healthscope Whirlpool |
$2,321.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,153.63
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,033.98
|
| Rate for Payer: Nomi Health Commercial |
$1,962.19
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,555.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,096.68
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,677.44
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,105.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
IP
|
$2,181.78
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,418.16 |
| Max. Negotiated Rate |
$2,181.78 |
| Rate for Payer: Aetna Commercial |
$1,963.60
|
| Rate for Payer: ASR ASR |
$2,116.33
|
| Rate for Payer: ASR Commercial |
$2,116.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,777.93
|
| Rate for Payer: BCN Commercial |
$1,691.53
|
| Rate for Payer: Cash Price |
$1,745.42
|
| Rate for Payer: Cofinity Commercial |
$2,050.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,745.42
|
| Rate for Payer: Healthscope Commercial |
$2,181.78
|
| Rate for Payer: Healthscope Whirlpool |
$2,116.33
|
| Rate for Payer: Mclaren Commercial |
$1,963.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,854.51
|
| Rate for Payer: Nomi Health Commercial |
$1,789.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,418.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,919.97
|
|
|
HC MR MRA LOWR EXTREM BIL WO CON
|
Facility
|
OP
|
$2,181.78
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000067
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$126.36 |
| Max. Negotiated Rate |
$2,181.78 |
| Rate for Payer: Aetna Commercial |
$1,963.60
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: ASR ASR |
$2,116.33
|
| Rate for Payer: ASR Commercial |
$2,116.33
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,786.66
|
| Rate for Payer: BCN Commercial |
$1,691.53
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| Rate for Payer: Cash Price |
$1,745.42
|
| Rate for Payer: Cash Price |
$1,745.42
|
| Rate for Payer: Cofinity Commercial |
$2,050.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,745.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.74
|
| Rate for Payer: Healthscope Commercial |
$2,181.78
|
| Rate for Payer: Healthscope Whirlpool |
$2,116.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Mclaren Commercial |
$1,963.60
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,854.51
|
| Rate for Payer: Nomi Health Commercial |
$1,789.06
|
| Rate for Payer: PACE Medicare |
$223.95
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,418.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,911.68
|
| Rate for Payer: Priority Health Medicare |
$235.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,529.43
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,919.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: VA VA |
$235.74
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
OP
|
$2,674.34
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$2,674.34 |
| Rate for Payer: Aetna Commercial |
$2,406.91
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$2,594.11
|
| Rate for Payer: ASR Commercial |
$2,594.11
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,190.02
|
| Rate for Payer: BCN Commercial |
$2,073.42
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: Cash Price |
$2,139.47
|
| Rate for Payer: Cash Price |
$2,139.47
|
| Rate for Payer: Cofinity Commercial |
$2,513.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,139.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$2,674.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,594.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,406.91
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,273.19
|
| Rate for Payer: Nomi Health Commercial |
$2,192.96
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,738.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,343.26
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,874.71
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,353.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA LOWR EXTREM BIL WO W
|
Facility
|
IP
|
$2,674.34
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000068
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,738.32 |
| Max. Negotiated Rate |
$2,674.34 |
| Rate for Payer: Aetna Commercial |
$2,406.91
|
| Rate for Payer: ASR ASR |
$2,594.11
|
| Rate for Payer: ASR Commercial |
$2,594.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,179.32
|
| Rate for Payer: BCN Commercial |
$2,073.42
|
| Rate for Payer: Cash Price |
$2,139.47
|
| Rate for Payer: Cofinity Commercial |
$2,513.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,139.47
|
| Rate for Payer: Healthscope Commercial |
$2,674.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,594.11
|
| Rate for Payer: Mclaren Commercial |
$2,406.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,273.19
|
| Rate for Payer: Nomi Health Commercial |
$2,192.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,738.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,353.42
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
IP
|
$2,252.05
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,463.83 |
| Max. Negotiated Rate |
$2,252.05 |
| Rate for Payer: Aetna Commercial |
$2,026.85
|
| Rate for Payer: Aetna Commercial |
$3,040.27
|
| Rate for Payer: ASR ASR |
$3,276.74
|
| Rate for Payer: ASR ASR |
$2,184.49
|
| Rate for Payer: ASR Commercial |
$3,276.74
|
| Rate for Payer: ASR Commercial |
$2,184.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,752.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,835.20
|
| Rate for Payer: BCN Commercial |
$2,619.03
|
| Rate for Payer: BCN Commercial |
$1,746.01
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cofinity Commercial |
$3,175.40
|
| Rate for Payer: Cofinity Commercial |
$2,116.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,702.46
|
| Rate for Payer: Healthscope Commercial |
$2,252.05
|
| Rate for Payer: Healthscope Commercial |
$3,378.08
|
| Rate for Payer: Healthscope Whirlpool |
$3,276.74
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.49
|
| Rate for Payer: Mclaren Commercial |
$2,026.85
|
| Rate for Payer: Mclaren Commercial |
$3,040.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,871.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,914.24
|
| Rate for Payer: Nomi Health Commercial |
$2,770.03
|
| Rate for Payer: Nomi Health Commercial |
$1,846.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,463.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,195.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,981.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,972.71
|
|
|
HC MR MRA LOWR EXTREM W CON
|
Facility
|
OP
|
$3,378.08
|
|
|
Service Code
|
HCPCS C8912
|
| Hospital Charge Code |
61000069
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$3,378.08 |
| Rate for Payer: Aetna Commercial |
$3,040.27
|
| Rate for Payer: Aetna Commercial |
$2,026.85
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$3,276.74
|
| Rate for Payer: ASR ASR |
$2,184.49
|
| Rate for Payer: ASR Commercial |
$2,184.49
|
| Rate for Payer: ASR Commercial |
$3,276.74
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,844.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,766.31
|
| Rate for Payer: BCN Commercial |
$1,746.01
|
| Rate for Payer: BCN Commercial |
$2,619.03
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cofinity Commercial |
$3,175.40
|
| Rate for Payer: Cofinity Commercial |
$2,116.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,702.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,801.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$3,378.08
|
| Rate for Payer: Healthscope Commercial |
$2,252.05
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.49
|
| Rate for Payer: Healthscope Whirlpool |
$3,276.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,026.85
|
| Rate for Payer: Mclaren Commercial |
$3,040.27
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,871.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,914.24
|
| Rate for Payer: Nomi Health Commercial |
$1,846.68
|
| Rate for Payer: Nomi Health Commercial |
$2,770.03
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,463.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,195.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,973.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,959.87
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$2,368.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,578.69
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,981.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,972.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
IP
|
$2,111.40
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,372.41 |
| Max. Negotiated Rate |
$2,111.40 |
| Rate for Payer: Aetna Commercial |
$1,900.26
|
| Rate for Payer: Aetna Commercial |
$2,850.39
|
| Rate for Payer: ASR ASR |
$3,072.09
|
| Rate for Payer: ASR ASR |
$2,048.06
|
| Rate for Payer: ASR Commercial |
$3,072.09
|
| Rate for Payer: ASR Commercial |
$2,048.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,580.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,720.58
|
| Rate for Payer: BCN Commercial |
$2,455.45
|
| Rate for Payer: BCN Commercial |
$1,636.97
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cofinity Commercial |
$2,977.07
|
| Rate for Payer: Cofinity Commercial |
$1,984.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,533.68
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Commercial |
$3,167.10
|
| Rate for Payer: Healthscope Whirlpool |
$3,072.09
|
| Rate for Payer: Healthscope Whirlpool |
$2,048.06
|
| Rate for Payer: Mclaren Commercial |
$1,900.26
|
| Rate for Payer: Mclaren Commercial |
$2,850.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,692.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,794.69
|
| Rate for Payer: Nomi Health Commercial |
$2,597.02
|
| Rate for Payer: Nomi Health Commercial |
$1,731.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,372.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,058.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,858.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,787.05
|
|
|
HC MR MRA LOWR EXTREM WO CON
|
Facility
|
OP
|
$3,167.10
|
|
|
Service Code
|
HCPCS C8913
|
| Hospital Charge Code |
61000070
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$126.36 |
| Max. Negotiated Rate |
$3,167.10 |
| Rate for Payer: Aetna Commercial |
$2,850.39
|
| Rate for Payer: Aetna Commercial |
$1,900.26
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: ASR ASR |
$3,072.09
|
| Rate for Payer: ASR ASR |
$2,048.06
|
| Rate for Payer: ASR Commercial |
$2,048.06
|
| Rate for Payer: ASR Commercial |
$3,072.09
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,729.03
|
| Rate for Payer: BCBS Trust/PPO |
$2,593.54
|
| Rate for Payer: BCN Commercial |
$1,636.97
|
| Rate for Payer: BCN Commercial |
$2,455.45
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cofinity Commercial |
$2,977.07
|
| Rate for Payer: Cofinity Commercial |
$1,984.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,533.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,689.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.74
|
| Rate for Payer: Healthscope Commercial |
$3,167.10
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Whirlpool |
$2,048.06
|
| Rate for Payer: Healthscope Whirlpool |
$3,072.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Mclaren Commercial |
$1,900.26
|
| Rate for Payer: Mclaren Commercial |
$2,850.39
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,692.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,794.69
|
| Rate for Payer: Nomi Health Commercial |
$1,731.35
|
| Rate for Payer: Nomi Health Commercial |
$2,597.02
|
| Rate for Payer: PACE Medicare |
$223.95
|
| Rate for Payer: PACE Medicare |
$223.95
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,372.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,058.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,850.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,775.01
|
| Rate for Payer: Priority Health Medicare |
$235.74
|
| Rate for Payer: Priority Health Medicare |
$235.74
|
| Rate for Payer: Priority Health Narrow Network |
$2,220.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,480.09
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,858.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,787.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: VA VA |
$235.74
|
| Rate for Payer: VA VA |
$235.74
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
OP
|
$3,800.36
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$3,800.36 |
| Rate for Payer: Aetna Commercial |
$3,420.32
|
| Rate for Payer: Aetna Commercial |
$2,280.21
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$3,686.35
|
| Rate for Payer: ASR ASR |
$2,457.56
|
| Rate for Payer: ASR Commercial |
$2,457.56
|
| Rate for Payer: ASR Commercial |
$3,686.35
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,074.74
|
| Rate for Payer: BCBS Trust/PPO |
$3,112.11
|
| Rate for Payer: BCN Commercial |
$1,964.28
|
| Rate for Payer: BCN Commercial |
$2,946.42
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cofinity Commercial |
$3,572.34
|
| Rate for Payer: Cofinity Commercial |
$2,381.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,040.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,026.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$3,800.36
|
| Rate for Payer: Healthscope Commercial |
$2,533.57
|
| Rate for Payer: Healthscope Whirlpool |
$2,457.56
|
| Rate for Payer: Healthscope Whirlpool |
$3,686.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,280.21
|
| Rate for Payer: Mclaren Commercial |
$3,420.32
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,230.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,153.53
|
| Rate for Payer: Nomi Health Commercial |
$2,077.53
|
| Rate for Payer: Nomi Health Commercial |
$3,116.30
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,646.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,470.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,219.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,329.88
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$2,664.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,776.03
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,229.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,344.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA LOWR EXTREM WO W
|
Facility
|
IP
|
$2,533.57
|
|
|
Service Code
|
HCPCS C8914
|
| Hospital Charge Code |
61000071
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,646.82 |
| Max. Negotiated Rate |
$2,533.57 |
| Rate for Payer: Aetna Commercial |
$2,280.21
|
| Rate for Payer: Aetna Commercial |
$3,420.32
|
| Rate for Payer: ASR ASR |
$3,686.35
|
| Rate for Payer: ASR ASR |
$2,457.56
|
| Rate for Payer: ASR Commercial |
$3,686.35
|
| Rate for Payer: ASR Commercial |
$2,457.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,096.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.61
|
| Rate for Payer: BCN Commercial |
$2,946.42
|
| Rate for Payer: BCN Commercial |
$1,964.28
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cofinity Commercial |
$3,572.34
|
| Rate for Payer: Cofinity Commercial |
$2,381.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,026.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,040.29
|
| Rate for Payer: Healthscope Commercial |
$2,533.57
|
| Rate for Payer: Healthscope Commercial |
$3,800.36
|
| Rate for Payer: Healthscope Whirlpool |
$3,686.35
|
| Rate for Payer: Healthscope Whirlpool |
$2,457.56
|
| Rate for Payer: Mclaren Commercial |
$2,280.21
|
| Rate for Payer: Mclaren Commercial |
$3,420.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,230.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,153.53
|
| Rate for Payer: Nomi Health Commercial |
$3,116.30
|
| Rate for Payer: Nomi Health Commercial |
$2,077.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,646.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,470.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,229.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,344.32
|
|
|
HC MR MRA NECK W CON
|
Facility
|
OP
|
$2,404.63
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$186.69 |
| Max. Negotiated Rate |
$2,404.63 |
| Rate for Payer: Aetna Commercial |
$2,164.17
|
| Rate for Payer: Aetna Medicare |
$348.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$435.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$435.38
|
| Rate for Payer: ASR ASR |
$2,332.49
|
| Rate for Payer: ASR Commercial |
$2,332.49
|
| Rate for Payer: BCBS Complete |
$196.02
|
| Rate for Payer: BCBS MAPPO |
$348.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,969.15
|
| Rate for Payer: BCN Commercial |
$1,864.31
|
| Rate for Payer: BCN Medicare Advantage |
$348.30
|
| Rate for Payer: Cash Price |
$1,923.70
|
| Rate for Payer: Cash Price |
$1,923.70
|
| Rate for Payer: Cofinity Commercial |
$2,260.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,923.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.30
|
| Rate for Payer: Healthscope Commercial |
$2,404.63
|
| Rate for Payer: Healthscope Whirlpool |
$2,332.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$348.30
|
| Rate for Payer: Mclaren Commercial |
$2,164.17
|
| Rate for Payer: Mclaren Medicaid |
$186.69
|
| Rate for Payer: Mclaren Medicare |
$348.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.71
|
| Rate for Payer: Meridian Medicaid |
$196.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$400.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,043.94
|
| Rate for Payer: Nomi Health Commercial |
$1,971.80
|
| Rate for Payer: PACE Medicare |
$330.88
|
| Rate for Payer: PACE SWMI |
$348.30
|
| Rate for Payer: PHP Commercial |
$383.13
|
| Rate for Payer: PHP Medicaid |
$186.69
|
| Rate for Payer: PHP Medicare Advantage |
$348.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,563.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,106.94
|
| Rate for Payer: Priority Health Medicare |
$348.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,685.65
|
| Rate for Payer: Railroad Medicare Medicare |
$348.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,116.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.30
|
| Rate for Payer: UHC Exchange |
$539.87
|
| Rate for Payer: UHC Medicare Advantage |
$348.30
|
| Rate for Payer: UHCCP DNSP |
$348.30
|
| Rate for Payer: UHCCP Medicaid |
$186.69
|
| Rate for Payer: VA VA |
$348.30
|
|
|
HC MR MRA NECK W CON
|
Facility
|
IP
|
$2,404.63
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,563.01 |
| Max. Negotiated Rate |
$2,404.63 |
| Rate for Payer: Aetna Commercial |
$2,164.17
|
| Rate for Payer: ASR ASR |
$2,332.49
|
| Rate for Payer: ASR Commercial |
$2,332.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,959.53
|
| Rate for Payer: BCN Commercial |
$1,864.31
|
| Rate for Payer: Cash Price |
$1,923.70
|
| Rate for Payer: Cofinity Commercial |
$2,260.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,923.70
|
| Rate for Payer: Healthscope Commercial |
$2,404.63
|
| Rate for Payer: Healthscope Whirlpool |
$2,332.49
|
| Rate for Payer: Mclaren Commercial |
$2,164.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,043.94
|
| Rate for Payer: Nomi Health Commercial |
$1,971.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,563.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,116.07
|
|
|
HC MR MRA NECK WO CON
|
Facility
|
IP
|
$2,004.85
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
61000007
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,303.15 |
| Max. Negotiated Rate |
$2,004.85 |
| Rate for Payer: Aetna Commercial |
$1,804.37
|
| Rate for Payer: ASR ASR |
$1,944.70
|
| Rate for Payer: ASR Commercial |
$1,944.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,633.75
|
| Rate for Payer: BCN Commercial |
$1,554.36
|
| Rate for Payer: Cash Price |
$1,603.88
|
| Rate for Payer: Cofinity Commercial |
$1,884.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,603.88
|
| Rate for Payer: Healthscope Commercial |
$2,004.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,944.70
|
| Rate for Payer: Mclaren Commercial |
$1,804.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,704.12
|
| Rate for Payer: Nomi Health Commercial |
$1,643.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,764.27
|
|
|
HC MR MRA NECK WO CON
|
Facility
|
OP
|
$2,004.85
|
|
|
Service Code
|
CPT 70547
|
| Hospital Charge Code |
61000007
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$126.36 |
| Max. Negotiated Rate |
$2,004.85 |
| Rate for Payer: Aetna Commercial |
$1,804.37
|
| Rate for Payer: Aetna Medicare |
$235.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.68
|
| Rate for Payer: ASR ASR |
$1,944.70
|
| Rate for Payer: ASR Commercial |
$1,944.70
|
| Rate for Payer: BCBS Complete |
$132.67
|
| Rate for Payer: BCBS MAPPO |
$235.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,641.77
|
| Rate for Payer: BCN Commercial |
$1,554.36
|
| Rate for Payer: BCN Medicare Advantage |
$235.74
|
| Rate for Payer: Cash Price |
$1,603.88
|
| Rate for Payer: Cash Price |
$1,603.88
|
| Rate for Payer: Cofinity Commercial |
$1,884.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,603.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.74
|
| Rate for Payer: Healthscope Commercial |
$2,004.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,944.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$235.74
|
| Rate for Payer: Mclaren Commercial |
$1,804.37
|
| Rate for Payer: Mclaren Medicaid |
$126.36
|
| Rate for Payer: Mclaren Medicare |
$235.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.53
|
| Rate for Payer: Meridian Medicaid |
$132.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,704.12
|
| Rate for Payer: Nomi Health Commercial |
$1,643.98
|
| Rate for Payer: PACE Medicare |
$223.95
|
| Rate for Payer: PACE SWMI |
$235.74
|
| Rate for Payer: PHP Commercial |
$259.31
|
| Rate for Payer: PHP Medicaid |
$126.36
|
| Rate for Payer: PHP Medicare Advantage |
$235.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,756.65
|
| Rate for Payer: Priority Health Medicare |
$235.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,405.40
|
| Rate for Payer: Railroad Medicare Medicare |
$235.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,764.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.74
|
| Rate for Payer: UHC Exchange |
$365.40
|
| Rate for Payer: UHC Medicare Advantage |
$235.74
|
| Rate for Payer: UHCCP DNSP |
$235.74
|
| Rate for Payer: UHCCP Medicaid |
$126.36
|
| Rate for Payer: VA VA |
$235.74
|
|
