|
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 |
$2,026.84
|
| 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 |
$2,026.84
|
| 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 |
$187.55 |
| Max. Negotiated Rate |
$3,378.08 |
| Rate for Payer: Aetna Commercial |
$3,040.27
|
| Rate for Payer: Aetna Commercial |
$2,026.84
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| 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 |
$196.93
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,766.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,844.20
|
| Rate for Payer: BCN Commercial |
$1,746.01
|
| Rate for Payer: BCN Commercial |
$2,619.03
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cash Price |
$2,702.46
|
| Rate for Payer: Cash Price |
$1,801.64
|
| Rate for Payer: Cofinity Commercial |
$2,116.93
|
| Rate for Payer: Cofinity Commercial |
$3,175.40
|
| 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 |
$349.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,252.05
|
| Rate for Payer: Healthscope Commercial |
$3,378.08
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.49
|
| Rate for Payer: Healthscope Whirlpool |
$3,276.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$2,026.84
|
| Rate for Payer: Mclaren Commercial |
$3,040.27
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| 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: PACE Medicare |
$332.41
|
| Rate for Payer: PACE Medicare |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| 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 |
$1,749.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,749.13
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,399.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,399.30
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| 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 |
$349.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
| Rate for Payer: VA VA |
$349.91
|
|
|
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 |
$2,692.04
|
| 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 |
$2,058.62
|
| 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 |
$126.94 |
| 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 |
$236.83
|
| Rate for Payer: Aetna Medicare |
$236.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.04
|
| 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 |
$133.29
|
| Rate for Payer: BCBS Complete |
$133.29
|
| Rate for Payer: BCBS MAPPO |
$236.83
|
| Rate for Payer: BCBS MAPPO |
$236.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,593.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,729.03
|
| Rate for Payer: BCN Commercial |
$1,636.97
|
| Rate for Payer: BCN Commercial |
$2,455.45
|
| Rate for Payer: BCN Medicare Advantage |
$236.83
|
| Rate for Payer: BCN Medicare Advantage |
$236.83
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cash Price |
$2,533.68
|
| Rate for Payer: Cash Price |
$1,689.12
|
| Rate for Payer: Cofinity Commercial |
$1,984.72
|
| Rate for Payer: Cofinity Commercial |
$2,977.07
|
| 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 |
$236.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.83
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Commercial |
$3,167.10
|
| Rate for Payer: Healthscope Whirlpool |
$2,048.06
|
| Rate for Payer: Healthscope Whirlpool |
$3,072.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.83
|
| Rate for Payer: Mclaren Commercial |
$1,900.26
|
| Rate for Payer: Mclaren Commercial |
$2,850.39
|
| Rate for Payer: Mclaren Medicaid |
$126.94
|
| Rate for Payer: Mclaren Medicaid |
$126.94
|
| Rate for Payer: Mclaren Medicare |
$236.83
|
| Rate for Payer: Mclaren Medicare |
$236.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.67
|
| Rate for Payer: Meridian Medicaid |
$133.29
|
| Rate for Payer: Meridian Medicaid |
$133.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,692.04
|
| 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: PACE Medicare |
$224.99
|
| Rate for Payer: PACE Medicare |
$224.99
|
| Rate for Payer: PACE SWMI |
$236.83
|
| Rate for Payer: PACE SWMI |
$236.83
|
| Rate for Payer: PHP Commercial |
$260.51
|
| Rate for Payer: PHP Commercial |
$260.51
|
| Rate for Payer: PHP Medicaid |
$126.94
|
| Rate for Payer: PHP Medicaid |
$126.94
|
| Rate for Payer: PHP Medicare Advantage |
$236.83
|
| Rate for Payer: PHP Medicare Advantage |
$236.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,372.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,058.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,660.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,660.75
|
| Rate for Payer: Priority Health Medicare |
$236.83
|
| Rate for Payer: Priority Health Medicare |
$236.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,328.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,328.60
|
| Rate for Payer: Railroad Medicare Medicare |
$236.83
|
| Rate for Payer: Railroad Medicare Medicare |
$236.83
|
| 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 |
$236.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.83
|
| Rate for Payer: UHC Exchange |
$367.09
|
| Rate for Payer: UHC Exchange |
$367.09
|
| Rate for Payer: UHC Medicare Advantage |
$236.83
|
| Rate for Payer: UHC Medicare Advantage |
$236.83
|
| Rate for Payer: UHCCP DNSP |
$236.83
|
| Rate for Payer: UHCCP DNSP |
$236.83
|
| Rate for Payer: UHCCP Medicaid |
$126.94
|
| Rate for Payer: UHCCP Medicaid |
$126.94
|
| Rate for Payer: VA VA |
$236.83
|
| Rate for Payer: VA VA |
$236.83
|
|
|
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 |
$187.55 |
| 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 |
$349.91
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| 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 |
$196.93
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$3,112.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,074.74
|
| Rate for Payer: BCN Commercial |
$1,964.28
|
| Rate for Payer: BCN Commercial |
$2,946.42
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cash Price |
$3,040.29
|
| Rate for Payer: Cash Price |
$2,026.86
|
| Rate for Payer: Cofinity Commercial |
$2,381.56
|
| Rate for Payer: Cofinity Commercial |
$3,572.34
|
| 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 |
$349.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,533.57
|
| Rate for Payer: Healthscope Commercial |
$3,800.36
|
| Rate for Payer: Healthscope Whirlpool |
$2,457.56
|
| Rate for Payer: Healthscope Whirlpool |
$3,686.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$2,280.21
|
| Rate for Payer: Mclaren Commercial |
$3,420.32
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| 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: PACE Medicare |
$332.41
|
| Rate for Payer: PACE Medicare |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| 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 |
$1,892.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,892.97
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,514.38
|
| Rate for Payer: Priority Health Narrow Network |
$1,514.38
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| 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 |
$349.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
| Rate for Payer: VA VA |
$349.91
|
|
|
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
|
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 W CON
|
Facility
|
OP
|
$2,404.63
|
|
|
Service Code
|
CPT 70548
|
| Hospital Charge Code |
61000008
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$2,404.63 |
| Rate for Payer: Aetna Commercial |
$2,164.17
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: ASR ASR |
$2,332.49
|
| Rate for Payer: ASR Commercial |
$2,332.49
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,969.15
|
| Rate for Payer: BCN Commercial |
$1,864.31
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| 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 |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,404.63
|
| Rate for Payer: Healthscope Whirlpool |
$2,332.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$2,164.17
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| 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 |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,563.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,312.12
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,049.70
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,116.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
|
|
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 |
$1,804.36
|
| 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 |
$1,804.36
|
| 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 |
$126.94 |
| Max. Negotiated Rate |
$2,004.85 |
| Rate for Payer: Aetna Commercial |
$1,804.36
|
| Rate for Payer: Aetna Medicare |
$236.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.04
|
| Rate for Payer: ASR ASR |
$1,944.70
|
| Rate for Payer: ASR Commercial |
$1,944.70
|
| Rate for Payer: BCBS Complete |
$133.29
|
| Rate for Payer: BCBS MAPPO |
$236.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,641.77
|
| Rate for Payer: BCN Commercial |
$1,554.36
|
| Rate for Payer: BCN Medicare Advantage |
$236.83
|
| 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 |
$236.83
|
| Rate for Payer: Healthscope Commercial |
$2,004.85
|
| Rate for Payer: Healthscope Whirlpool |
$1,944.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.83
|
| Rate for Payer: Mclaren Commercial |
$1,804.36
|
| Rate for Payer: Mclaren Medicaid |
$126.94
|
| Rate for Payer: Mclaren Medicare |
$236.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.67
|
| Rate for Payer: Meridian Medicaid |
$133.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.35
|
| 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 |
$224.99
|
| Rate for Payer: PACE SWMI |
$236.83
|
| Rate for Payer: PHP Commercial |
$260.51
|
| Rate for Payer: PHP Medicaid |
$126.94
|
| Rate for Payer: PHP Medicare Advantage |
$236.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,182.01
|
| Rate for Payer: Priority Health Medicare |
$236.83
|
| Rate for Payer: Priority Health Narrow Network |
$945.61
|
| Rate for Payer: Railroad Medicare Medicare |
$236.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,764.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.83
|
| Rate for Payer: UHC Exchange |
$367.09
|
| Rate for Payer: UHC Medicare Advantage |
$236.83
|
| Rate for Payer: UHCCP DNSP |
$236.83
|
| Rate for Payer: UHCCP Medicaid |
$126.94
|
| Rate for Payer: VA VA |
$236.83
|
|
|
HC MR MRA NECK WO W CON
|
Facility
|
OP
|
$2,826.51
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
61000009
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$2,826.51 |
| Rate for Payer: Aetna Commercial |
$2,543.86
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: ASR ASR |
$2,741.71
|
| Rate for Payer: ASR Commercial |
$2,741.71
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,314.63
|
| Rate for Payer: BCN Commercial |
$2,191.39
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: Cash Price |
$2,261.21
|
| Rate for Payer: Cash Price |
$2,261.21
|
| Rate for Payer: Cofinity Commercial |
$2,656.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,261.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,826.51
|
| Rate for Payer: Healthscope Whirlpool |
$2,741.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$2,543.86
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,402.53
|
| Rate for Payer: Nomi Health Commercial |
$2,317.74
|
| Rate for Payer: PACE Medicare |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,837.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,442.24
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,153.79
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,487.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
|
|
HC MR MRA NECK WO W CON
|
Facility
|
IP
|
$2,826.51
|
|
|
Service Code
|
CPT 70549
|
| Hospital Charge Code |
61000009
|
|
Hospital Revenue Code
|
615
|
| Min. Negotiated Rate |
$1,837.23 |
| Max. Negotiated Rate |
$2,826.51 |
| Rate for Payer: Aetna Commercial |
$2,543.86
|
| Rate for Payer: ASR ASR |
$2,741.71
|
| Rate for Payer: ASR Commercial |
$2,741.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,303.32
|
| Rate for Payer: BCN Commercial |
$2,191.39
|
| Rate for Payer: Cash Price |
$2,261.21
|
| Rate for Payer: Cofinity Commercial |
$2,656.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,261.21
|
| Rate for Payer: Healthscope Commercial |
$2,826.51
|
| Rate for Payer: Healthscope Whirlpool |
$2,741.71
|
| Rate for Payer: Mclaren Commercial |
$2,543.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,402.53
|
| Rate for Payer: Nomi Health Commercial |
$2,317.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,837.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,487.33
|
|
|
HC MR MRA PELVIS W CON
|
Facility
|
IP
|
$2,040.92
|
|
|
Service Code
|
HCPCS C8918
|
| Hospital Charge Code |
61800001
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$1,326.60 |
| Max. Negotiated Rate |
$2,040.92 |
| Rate for Payer: Aetna Commercial |
$1,836.83
|
| Rate for Payer: ASR ASR |
$1,979.69
|
| Rate for Payer: ASR Commercial |
$1,979.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,663.15
|
| Rate for Payer: BCN Commercial |
$1,582.33
|
| Rate for Payer: Cash Price |
$1,632.74
|
| Rate for Payer: Cofinity Commercial |
$1,918.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,632.74
|
| Rate for Payer: Healthscope Commercial |
$2,040.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,979.69
|
| Rate for Payer: Mclaren Commercial |
$1,836.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,734.78
|
| Rate for Payer: Nomi Health Commercial |
$1,673.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,326.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,796.01
|
|
|
HC MR MRA PELVIS W CON
|
Facility
|
OP
|
$2,040.92
|
|
|
Service Code
|
HCPCS C8918
|
| Hospital Charge Code |
61800001
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$2,040.92 |
| Rate for Payer: Aetna Commercial |
$1,836.83
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: ASR ASR |
$1,979.69
|
| Rate for Payer: ASR Commercial |
$1,979.69
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,671.31
|
| Rate for Payer: BCN Commercial |
$1,582.33
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: Cash Price |
$1,632.74
|
| Rate for Payer: Cash Price |
$1,632.74
|
| Rate for Payer: Cofinity Commercial |
$1,918.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,632.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,040.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,979.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$1,836.83
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,734.78
|
| Rate for Payer: Nomi Health Commercial |
$1,673.55
|
| Rate for Payer: PACE Medicare |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,326.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,815.55
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,452.44
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,796.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
|
|
HC MR MRA PELVIS WO CON
|
Facility
|
IP
|
$1,900.16
|
|
|
Service Code
|
HCPCS C8919
|
| Hospital Charge Code |
61800002
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$1,235.10 |
| Max. Negotiated Rate |
$1,900.16 |
| Rate for Payer: Aetna Commercial |
$1,710.14
|
| Rate for Payer: ASR ASR |
$1,843.16
|
| Rate for Payer: ASR Commercial |
$1,843.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,548.44
|
| Rate for Payer: BCN Commercial |
$1,473.19
|
| Rate for Payer: Cash Price |
$1,520.13
|
| Rate for Payer: Cofinity Commercial |
$1,786.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,520.13
|
| Rate for Payer: Healthscope Commercial |
$1,900.16
|
| Rate for Payer: Healthscope Whirlpool |
$1,843.16
|
| Rate for Payer: Mclaren Commercial |
$1,710.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,615.14
|
| Rate for Payer: Nomi Health Commercial |
$1,558.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,235.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,672.14
|
|
|
HC MR MRA PELVIS WO CON
|
Facility
|
OP
|
$1,900.16
|
|
|
Service Code
|
HCPCS C8919
|
| Hospital Charge Code |
61800002
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$126.94 |
| Max. Negotiated Rate |
$1,900.16 |
| Rate for Payer: Aetna Commercial |
$1,710.14
|
| Rate for Payer: Aetna Medicare |
$236.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.04
|
| Rate for Payer: ASR ASR |
$1,843.16
|
| Rate for Payer: ASR Commercial |
$1,843.16
|
| Rate for Payer: BCBS Complete |
$133.29
|
| Rate for Payer: BCBS MAPPO |
$236.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,556.04
|
| Rate for Payer: BCN Commercial |
$1,473.19
|
| Rate for Payer: BCN Medicare Advantage |
$236.83
|
| Rate for Payer: Cash Price |
$1,520.13
|
| Rate for Payer: Cash Price |
$1,520.13
|
| Rate for Payer: Cofinity Commercial |
$1,786.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,520.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.83
|
| Rate for Payer: Healthscope Commercial |
$1,900.16
|
| Rate for Payer: Healthscope Whirlpool |
$1,843.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.83
|
| Rate for Payer: Mclaren Commercial |
$1,710.14
|
| Rate for Payer: Mclaren Medicaid |
$126.94
|
| Rate for Payer: Mclaren Medicare |
$236.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.67
|
| Rate for Payer: Meridian Medicaid |
$133.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,615.14
|
| Rate for Payer: Nomi Health Commercial |
$1,558.13
|
| Rate for Payer: PACE Medicare |
$224.99
|
| Rate for Payer: PACE SWMI |
$236.83
|
| Rate for Payer: PHP Commercial |
$260.51
|
| Rate for Payer: PHP Medicaid |
$126.94
|
| Rate for Payer: PHP Medicare Advantage |
$236.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,235.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,685.44
|
| Rate for Payer: Priority Health Medicare |
$236.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,348.35
|
| Rate for Payer: Railroad Medicare Medicare |
$236.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,672.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.83
|
| Rate for Payer: UHC Exchange |
$367.09
|
| Rate for Payer: UHC Medicare Advantage |
$236.83
|
| Rate for Payer: UHCCP DNSP |
$236.83
|
| Rate for Payer: UHCCP Medicaid |
$126.94
|
| Rate for Payer: VA VA |
$236.83
|
|
|
HC MR MRA PELVIS WO W CON
|
Facility
|
IP
|
$2,252.06
|
|
|
Service Code
|
HCPCS C8920
|
| Hospital Charge Code |
61800003
|
|
Hospital Revenue Code
|
618
|
| 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 PELVIS WO W CON
|
Facility
|
OP
|
$2,252.06
|
|
|
Service Code
|
HCPCS C8920
|
| Hospital Charge Code |
61800003
|
|
Hospital Revenue Code
|
618
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$2,252.06 |
| Rate for Payer: Aetna Commercial |
$2,026.85
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: ASR ASR |
$2,184.50
|
| Rate for Payer: ASR Commercial |
$2,184.50
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,844.21
|
| Rate for Payer: BCN Commercial |
$1,746.02
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| 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 |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,252.06
|
| Rate for Payer: Healthscope Whirlpool |
$2,184.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$2,026.85
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| 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 |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| 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 |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,578.69
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,981.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
|
|
HC MR MRA SPINAL CANAL W CON
|
Facility
|
OP
|
$1,940.65
|
|
|
Service Code
|
HCPCS C8931
|
| Hospital Charge Code |
61000072
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$1,940.65 |
| Rate for Payer: Aetna Commercial |
$1,746.58
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: ASR ASR |
$1,882.43
|
| Rate for Payer: ASR Commercial |
$1,882.43
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,589.20
|
| Rate for Payer: BCN Commercial |
$1,504.59
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: Cash Price |
$1,552.52
|
| Rate for Payer: Cash Price |
$1,552.52
|
| Rate for Payer: Cofinity Commercial |
$1,824.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$1,940.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,882.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$1,746.58
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.55
|
| Rate for Payer: Nomi Health Commercial |
$1,591.33
|
| Rate for Payer: PACE Medicare |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,668.43
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,334.74
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,707.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
|
|
HC MR MRA SPINAL CANAL W CON
|
Facility
|
IP
|
$1,940.65
|
|
|
Service Code
|
HCPCS C8931
|
| Hospital Charge Code |
61000072
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,261.42 |
| Max. Negotiated Rate |
$1,940.65 |
| Rate for Payer: Aetna Commercial |
$1,746.58
|
| Rate for Payer: ASR ASR |
$1,882.43
|
| Rate for Payer: ASR Commercial |
$1,882.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,581.44
|
| Rate for Payer: BCN Commercial |
$1,504.59
|
| Rate for Payer: Cash Price |
$1,552.52
|
| Rate for Payer: Cofinity Commercial |
$1,824.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.52
|
| Rate for Payer: Healthscope Commercial |
$1,940.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,882.43
|
| Rate for Payer: Mclaren Commercial |
$1,746.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.55
|
| Rate for Payer: Nomi Health Commercial |
$1,591.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,707.77
|
|
|
HC MR MRA SPINAL CANAL WO CON
|
Facility
|
IP
|
$1,940.65
|
|
|
Service Code
|
HCPCS C8932
|
| Hospital Charge Code |
61000073
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,261.42 |
| Max. Negotiated Rate |
$1,940.65 |
| Rate for Payer: Aetna Commercial |
$1,746.58
|
| Rate for Payer: ASR ASR |
$1,882.43
|
| Rate for Payer: ASR Commercial |
$1,882.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,581.44
|
| Rate for Payer: BCN Commercial |
$1,504.59
|
| Rate for Payer: Cash Price |
$1,552.52
|
| Rate for Payer: Cofinity Commercial |
$1,824.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.52
|
| Rate for Payer: Healthscope Commercial |
$1,940.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,882.43
|
| Rate for Payer: Mclaren Commercial |
$1,746.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.55
|
| Rate for Payer: Nomi Health Commercial |
$1,591.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,707.77
|
|
|
HC MR MRA SPINAL CANAL WO CON
|
Facility
|
OP
|
$1,940.65
|
|
|
Service Code
|
HCPCS C8932
|
| Hospital Charge Code |
61000073
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$126.94 |
| Max. Negotiated Rate |
$1,940.65 |
| Rate for Payer: Aetna Commercial |
$1,746.58
|
| Rate for Payer: Aetna Medicare |
$236.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.04
|
| Rate for Payer: ASR ASR |
$1,882.43
|
| Rate for Payer: ASR Commercial |
$1,882.43
|
| Rate for Payer: BCBS Complete |
$133.29
|
| Rate for Payer: BCBS MAPPO |
$236.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,589.20
|
| Rate for Payer: BCN Commercial |
$1,504.59
|
| Rate for Payer: BCN Medicare Advantage |
$236.83
|
| Rate for Payer: Cash Price |
$1,552.52
|
| Rate for Payer: Cash Price |
$1,552.52
|
| Rate for Payer: Cofinity Commercial |
$1,824.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.83
|
| Rate for Payer: Healthscope Commercial |
$1,940.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,882.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$236.83
|
| Rate for Payer: Mclaren Commercial |
$1,746.58
|
| Rate for Payer: Mclaren Medicaid |
$126.94
|
| Rate for Payer: Mclaren Medicare |
$236.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.67
|
| Rate for Payer: Meridian Medicaid |
$133.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.55
|
| Rate for Payer: Nomi Health Commercial |
$1,591.33
|
| Rate for Payer: PACE Medicare |
$224.99
|
| Rate for Payer: PACE SWMI |
$236.83
|
| Rate for Payer: PHP Commercial |
$260.51
|
| Rate for Payer: PHP Medicaid |
$126.94
|
| Rate for Payer: PHP Medicare Advantage |
$236.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,668.43
|
| Rate for Payer: Priority Health Medicare |
$236.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,334.74
|
| Rate for Payer: Railroad Medicare Medicare |
$236.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,707.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.83
|
| Rate for Payer: UHC Exchange |
$367.09
|
| Rate for Payer: UHC Medicare Advantage |
$236.83
|
| Rate for Payer: UHCCP DNSP |
$236.83
|
| Rate for Payer: UHCCP Medicaid |
$126.94
|
| Rate for Payer: VA VA |
$236.83
|
|
|
HC MR MRA UPPER EXTREM BIL WO W C
|
Facility
|
IP
|
$2,122.52
|
|
|
Service Code
|
HCPCS C8936
|
| Hospital Charge Code |
61000074
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,379.64 |
| Max. Negotiated Rate |
$2,122.52 |
| Rate for Payer: Aetna Commercial |
$1,910.27
|
| Rate for Payer: ASR ASR |
$2,058.84
|
| Rate for Payer: ASR Commercial |
$2,058.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,729.64
|
| Rate for Payer: BCN Commercial |
$1,645.59
|
| Rate for Payer: Cash Price |
$1,698.02
|
| Rate for Payer: Cofinity Commercial |
$1,995.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,698.02
|
| Rate for Payer: Healthscope Commercial |
$2,122.52
|
| Rate for Payer: Healthscope Whirlpool |
$2,058.84
|
| Rate for Payer: Mclaren Commercial |
$1,910.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,804.14
|
| Rate for Payer: Nomi Health Commercial |
$1,740.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,379.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,867.82
|
|
|
HC MR MRA UPPER EXTREM BIL WO W C
|
Facility
|
OP
|
$2,122.52
|
|
|
Service Code
|
HCPCS C8936
|
| Hospital Charge Code |
61000074
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$2,122.52 |
| Rate for Payer: Aetna Commercial |
$1,910.27
|
| Rate for Payer: Aetna Medicare |
$349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$437.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$437.39
|
| Rate for Payer: ASR ASR |
$2,058.84
|
| Rate for Payer: ASR Commercial |
$2,058.84
|
| Rate for Payer: BCBS Complete |
$196.93
|
| Rate for Payer: BCBS MAPPO |
$349.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,738.13
|
| Rate for Payer: BCN Commercial |
$1,645.59
|
| Rate for Payer: BCN Medicare Advantage |
$349.91
|
| Rate for Payer: Cash Price |
$1,698.02
|
| Rate for Payer: Cash Price |
$1,698.02
|
| Rate for Payer: Cofinity Commercial |
$1,995.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,698.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.91
|
| Rate for Payer: Healthscope Commercial |
$2,122.52
|
| Rate for Payer: Healthscope Whirlpool |
$2,058.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$349.91
|
| Rate for Payer: Mclaren Commercial |
$1,910.27
|
| Rate for Payer: Mclaren Medicaid |
$187.55
|
| Rate for Payer: Mclaren Medicare |
$349.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.41
|
| Rate for Payer: Meridian Medicaid |
$196.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$402.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,804.14
|
| Rate for Payer: Nomi Health Commercial |
$1,740.47
|
| Rate for Payer: PACE Medicare |
$332.41
|
| Rate for Payer: PACE SWMI |
$349.91
|
| Rate for Payer: PHP Commercial |
$384.90
|
| Rate for Payer: PHP Medicaid |
$187.55
|
| Rate for Payer: PHP Medicare Advantage |
$349.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,379.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,859.75
|
| Rate for Payer: Priority Health Medicare |
$349.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,487.89
|
| Rate for Payer: Railroad Medicare Medicare |
$349.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,867.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.91
|
| Rate for Payer: UHC Exchange |
$542.36
|
| Rate for Payer: UHC Medicare Advantage |
$349.91
|
| Rate for Payer: UHCCP DNSP |
$349.91
|
| Rate for Payer: UHCCP Medicaid |
$187.55
|
| Rate for Payer: VA VA |
$349.91
|
|
|
HC MR MRA UPPER EXTREMITY BIL W CO
|
Facility
|
IP
|
$2,122.52
|
|
|
Service Code
|
HCPCS C8934
|
| Hospital Charge Code |
61000075
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$1,379.64 |
| Max. Negotiated Rate |
$2,122.52 |
| Rate for Payer: Aetna Commercial |
$1,910.27
|
| Rate for Payer: ASR ASR |
$2,058.84
|
| Rate for Payer: ASR Commercial |
$2,058.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,729.64
|
| Rate for Payer: BCN Commercial |
$1,645.59
|
| Rate for Payer: Cash Price |
$1,698.02
|
| Rate for Payer: Cofinity Commercial |
$1,995.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,698.02
|
| Rate for Payer: Healthscope Commercial |
$2,122.52
|
| Rate for Payer: Healthscope Whirlpool |
$2,058.84
|
| Rate for Payer: Mclaren Commercial |
$1,910.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,804.14
|
| Rate for Payer: Nomi Health Commercial |
$1,740.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,379.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,867.82
|
|
