|
HC OSMOLALITY SERUM
|
Facility
|
OP
|
$56.04
|
|
|
Service Code
|
CPT 83930
|
| Hospital Charge Code |
30100378
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$56.04 |
| Rate for Payer: Aetna Commercial |
$50.44
|
| Rate for Payer: Aetna Medicare |
$6.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.26
|
| Rate for Payer: ASR ASR |
$54.36
|
| Rate for Payer: BCBS Complete |
$3.63
|
| Rate for Payer: BCBS MAPPO |
$6.61
|
| Rate for Payer: BCBS Trust/PPO |
$46.20
|
| Rate for Payer: BCN Commercial |
$46.20
|
| Rate for Payer: BCN Medicare Advantage |
$6.61
|
| Rate for Payer: Cash Price |
$44.83
|
| Rate for Payer: Cash Price |
$44.83
|
| Rate for Payer: Cofinity Commercial |
$52.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.61
|
| Rate for Payer: Healthscope Commercial |
$54.36
|
| Rate for Payer: Healthscope Whirlpool |
$56.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.61
|
| Rate for Payer: Mclaren Commercial |
$50.44
|
| Rate for Payer: Mclaren Medicaid |
$6.61
|
| Rate for Payer: Mclaren Medicare |
$6.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.94
|
| Rate for Payer: Meridian Medicaid |
$3.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.63
|
| Rate for Payer: Nomi Health Commercial |
$45.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.03
|
| Rate for Payer: PACE Medicare |
$6.28
|
| Rate for Payer: PACE SWMI |
$6.61
|
| Rate for Payer: PHP Commercial |
$7.27
|
| Rate for Payer: PHP Medicaid |
$3.54
|
| Rate for Payer: PHP Medicare Advantage |
$6.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$44.78
|
| Rate for Payer: Priority Health Medicare |
$6.61
|
| Rate for Payer: Priority Health Narrow Network |
$35.83
|
| Rate for Payer: Railroad Medicare Medicare |
$6.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.61
|
| Rate for Payer: UHC Exchange |
$10.25
|
| Rate for Payer: UHC Medicaid |
$3.46
|
| Rate for Payer: UHCCP DNSP |
$6.61
|
| Rate for Payer: UHCCP Medicaid |
$3.46
|
| Rate for Payer: VA VA |
$6.61
|
|
|
HC OSMOLALITY SERUM
|
Facility
|
IP
|
$56.04
|
|
|
Service Code
|
CPT 83930
|
| Hospital Charge Code |
30100378
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$42.03 |
| Max. Negotiated Rate |
$56.04 |
| Rate for Payer: Aetna Commercial |
$50.44
|
| Rate for Payer: ASR ASR |
$54.36
|
| Rate for Payer: BCBS Trust/PPO |
$46.02
|
| Rate for Payer: BCN Commercial |
$46.02
|
| Rate for Payer: Cash Price |
$44.83
|
| Rate for Payer: Cofinity Commercial |
$52.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.83
|
| Rate for Payer: Healthscope Commercial |
$54.36
|
| Rate for Payer: Healthscope Whirlpool |
$56.04
|
| Rate for Payer: Mclaren Commercial |
$50.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.63
|
| Rate for Payer: Nomi Health Commercial |
$45.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.32
|
|
|
HC OSMOLALITY URINE
|
Facility
|
IP
|
$54.94
|
|
|
Service Code
|
CPT 83935
|
| Hospital Charge Code |
30100379
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$41.20 |
| Max. Negotiated Rate |
$54.94 |
| Rate for Payer: Aetna Commercial |
$49.45
|
| Rate for Payer: ASR ASR |
$53.29
|
| Rate for Payer: BCBS Trust/PPO |
$45.12
|
| Rate for Payer: BCN Commercial |
$45.12
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cofinity Commercial |
$51.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.95
|
| Rate for Payer: Healthscope Commercial |
$53.29
|
| Rate for Payer: Healthscope Whirlpool |
$54.94
|
| Rate for Payer: Mclaren Commercial |
$49.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.70
|
| Rate for Payer: Nomi Health Commercial |
$45.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.35
|
|
|
HC OSMOLALITY URINE
|
Facility
|
OP
|
$54.94
|
|
|
Service Code
|
CPT 83935
|
| Hospital Charge Code |
30100379
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.57 |
| Max. Negotiated Rate |
$54.94 |
| Rate for Payer: Aetna Commercial |
$49.45
|
| Rate for Payer: Aetna Medicare |
$6.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.53
|
| Rate for Payer: ASR ASR |
$53.29
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS MAPPO |
$6.82
|
| Rate for Payer: BCBS Trust/PPO |
$45.30
|
| Rate for Payer: BCN Commercial |
$45.30
|
| Rate for Payer: BCN Medicare Advantage |
$6.82
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cash Price |
$43.95
|
| Rate for Payer: Cofinity Commercial |
$51.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.82
|
| Rate for Payer: Healthscope Commercial |
$53.29
|
| Rate for Payer: Healthscope Whirlpool |
$54.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.82
|
| Rate for Payer: Mclaren Commercial |
$49.45
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Mclaren Medicare |
$6.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.70
|
| Rate for Payer: Nomi Health Commercial |
$45.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.20
|
| Rate for Payer: PACE Medicare |
$6.48
|
| Rate for Payer: PACE SWMI |
$6.82
|
| Rate for Payer: PHP Commercial |
$7.50
|
| Rate for Payer: PHP Medicaid |
$3.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$48.43
|
| Rate for Payer: Priority Health Medicare |
$6.82
|
| Rate for Payer: Priority Health Narrow Network |
$38.74
|
| Rate for Payer: Railroad Medicare Medicare |
$6.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.82
|
| Rate for Payer: UHC Exchange |
$10.57
|
| Rate for Payer: UHC Medicaid |
$3.57
|
| Rate for Payer: UHCCP DNSP |
$6.82
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: VA VA |
$6.82
|
|
|
HC OSMOTIC FRAGILITY RBC
|
Facility
|
OP
|
$134.05
|
|
|
Service Code
|
CPT 85557
|
| Hospital Charge Code |
30500052
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$6.99 |
| Max. Negotiated Rate |
$134.05 |
| Rate for Payer: Aetna Commercial |
$120.64
|
| Rate for Payer: Aetna Medicare |
$13.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.70
|
| Rate for Payer: ASR ASR |
$130.03
|
| Rate for Payer: BCBS Complete |
$7.34
|
| Rate for Payer: BCBS MAPPO |
$13.36
|
| Rate for Payer: BCBS Trust/PPO |
$110.52
|
| Rate for Payer: BCN Commercial |
$110.52
|
| Rate for Payer: BCN Medicare Advantage |
$13.36
|
| Rate for Payer: Cash Price |
$107.24
|
| Rate for Payer: Cash Price |
$107.24
|
| Rate for Payer: Cofinity Commercial |
$126.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.36
|
| Rate for Payer: Healthscope Commercial |
$130.03
|
| Rate for Payer: Healthscope Whirlpool |
$134.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.36
|
| Rate for Payer: Mclaren Commercial |
$120.64
|
| Rate for Payer: Mclaren Medicaid |
$13.36
|
| Rate for Payer: Mclaren Medicare |
$13.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.03
|
| Rate for Payer: Meridian Medicaid |
$7.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.94
|
| Rate for Payer: Nomi Health Commercial |
$109.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.54
|
| Rate for Payer: PACE Medicare |
$12.69
|
| Rate for Payer: PACE SWMI |
$13.36
|
| Rate for Payer: PHP Commercial |
$14.70
|
| Rate for Payer: PHP Medicaid |
$7.16
|
| Rate for Payer: PHP Medicare Advantage |
$13.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$117.45
|
| Rate for Payer: Priority Health Medicare |
$13.36
|
| Rate for Payer: Priority Health Narrow Network |
$93.97
|
| Rate for Payer: Railroad Medicare Medicare |
$13.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$117.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.36
|
| Rate for Payer: UHC Exchange |
$20.71
|
| Rate for Payer: UHC Medicaid |
$6.99
|
| Rate for Payer: UHCCP DNSP |
$13.36
|
| Rate for Payer: UHCCP Medicaid |
$6.99
|
| Rate for Payer: VA VA |
$13.36
|
|
|
HC OSMOTIC FRAGILITY RBC
|
Facility
|
IP
|
$134.05
|
|
|
Service Code
|
CPT 85557
|
| Hospital Charge Code |
30500052
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$100.54 |
| Max. Negotiated Rate |
$134.05 |
| Rate for Payer: Aetna Commercial |
$120.64
|
| Rate for Payer: ASR ASR |
$130.03
|
| Rate for Payer: BCBS Trust/PPO |
$110.08
|
| Rate for Payer: BCN Commercial |
$110.08
|
| Rate for Payer: Cash Price |
$107.24
|
| Rate for Payer: Cofinity Commercial |
$126.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$107.24
|
| Rate for Payer: Healthscope Commercial |
$130.03
|
| Rate for Payer: Healthscope Whirlpool |
$134.05
|
| Rate for Payer: Mclaren Commercial |
$120.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113.94
|
| Rate for Payer: Nomi Health Commercial |
$109.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$100.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$117.96
|
|
|
HC OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
Facility
|
IP
|
$8,531.28
|
|
|
Service Code
|
CPT 28111
|
| Hospital Charge Code |
76100365
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,398.46 |
| Max. Negotiated Rate |
$8,531.28 |
| Rate for Payer: Aetna Commercial |
$7,678.15
|
| Rate for Payer: ASR ASR |
$8,275.34
|
| Rate for Payer: BCBS Trust/PPO |
$7,005.89
|
| Rate for Payer: BCN Commercial |
$7,005.89
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Commercial |
$8,019.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Healthscope Commercial |
$8,275.34
|
| Rate for Payer: Healthscope Whirlpool |
$8,531.28
|
| Rate for Payer: Mclaren Commercial |
$7,678.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$6,995.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,507.53
|
|
|
HC OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
Facility
|
OP
|
$8,531.28
|
|
|
Service Code
|
CPT 28111
|
| Hospital Charge Code |
76100365
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$8,531.28 |
| Rate for Payer: Aetna Commercial |
$7,678.15
|
| Rate for Payer: Aetna Medicare |
$3,260.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: ASR ASR |
$8,275.34
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$7,034.04
|
| Rate for Payer: BCN Commercial |
$7,034.04
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Commercial |
$8,019.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$8,275.34
|
| Rate for Payer: Healthscope Whirlpool |
$8,531.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,260.23
|
| Rate for Payer: Mclaren Commercial |
$7,678.15
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$1,790.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$6,995.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$3,586.25
|
| Rate for Payer: PHP Medicaid |
$1,747.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,475.11
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health Narrow Network |
$5,980.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,507.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$5,053.36
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP DNSP |
$3,260.23
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: VA VA |
$3,260.23
|
|
|
HC OSTECTOMY COMPLETE 2,3 OR 4TH METATARSAL HEAD
|
Facility
|
IP
|
$8,531.28
|
|
|
Service Code
|
CPT 28112
|
| Hospital Charge Code |
76100366
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,398.46 |
| Max. Negotiated Rate |
$8,531.28 |
| Rate for Payer: Aetna Commercial |
$7,678.15
|
| Rate for Payer: ASR ASR |
$8,275.34
|
| Rate for Payer: BCBS Trust/PPO |
$7,005.89
|
| Rate for Payer: BCN Commercial |
$7,005.89
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Commercial |
$8,019.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Healthscope Commercial |
$8,275.34
|
| Rate for Payer: Healthscope Whirlpool |
$8,531.28
|
| Rate for Payer: Mclaren Commercial |
$7,678.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$6,995.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,507.53
|
|
|
HC OSTECTOMY COMPLETE 2,3 OR 4TH METATARSAL HEAD
|
Facility
|
OP
|
$8,531.28
|
|
|
Service Code
|
CPT 28112
|
| Hospital Charge Code |
76100366
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$8,531.28 |
| Rate for Payer: Aetna Commercial |
$7,678.15
|
| Rate for Payer: Aetna Medicare |
$3,260.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: ASR ASR |
$8,275.34
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$7,034.04
|
| Rate for Payer: BCN Commercial |
$7,034.04
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Commercial |
$8,019.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$8,275.34
|
| Rate for Payer: Healthscope Whirlpool |
$8,531.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,260.23
|
| Rate for Payer: Mclaren Commercial |
$7,678.15
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$1,790.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$6,995.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$3,586.25
|
| Rate for Payer: PHP Medicaid |
$1,747.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,475.11
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health Narrow Network |
$5,980.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,507.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$5,053.36
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP DNSP |
$3,260.23
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: VA VA |
$3,260.23
|
|
|
HC OSTECTOMY COMPLETE 5TH METATARSAL HEAD
|
Facility
|
IP
|
$8,531.28
|
|
|
Service Code
|
CPT 28113
|
| Hospital Charge Code |
76100367
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$6,398.46 |
| Max. Negotiated Rate |
$8,531.28 |
| Rate for Payer: Aetna Commercial |
$7,678.15
|
| Rate for Payer: ASR ASR |
$8,275.34
|
| Rate for Payer: BCBS Trust/PPO |
$7,005.89
|
| Rate for Payer: BCN Commercial |
$7,005.89
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Commercial |
$8,019.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Healthscope Commercial |
$8,275.34
|
| Rate for Payer: Healthscope Whirlpool |
$8,531.28
|
| Rate for Payer: Mclaren Commercial |
$7,678.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$6,995.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,507.53
|
|
|
HC OSTECTOMY COMPLETE 5TH METATARSAL HEAD
|
Facility
|
OP
|
$8,531.28
|
|
|
Service Code
|
CPT 28113
|
| Hospital Charge Code |
76100367
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,705.10 |
| Max. Negotiated Rate |
$8,531.28 |
| Rate for Payer: Aetna Commercial |
$7,678.15
|
| Rate for Payer: Aetna Medicare |
$3,260.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: ASR ASR |
$8,275.34
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$7,034.04
|
| Rate for Payer: BCN Commercial |
$7,034.04
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cash Price |
$6,825.02
|
| Rate for Payer: Cofinity Commercial |
$8,019.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,825.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$8,275.34
|
| Rate for Payer: Healthscope Whirlpool |
$8,531.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,260.23
|
| Rate for Payer: Mclaren Commercial |
$7,678.15
|
| Rate for Payer: Mclaren Medicaid |
$3,260.23
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$1,790.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,251.59
|
| Rate for Payer: Nomi Health Commercial |
$6,995.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,398.46
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$3,586.25
|
| Rate for Payer: PHP Medicaid |
$1,747.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,475.11
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health Narrow Network |
$5,980.43
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,507.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Exchange |
$5,053.36
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP DNSP |
$3,260.23
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: VA VA |
$3,260.23
|
|
|
HC OSTEOCALCIN
|
Facility
|
IP
|
$105.06
|
|
|
Service Code
|
CPT 83937
|
| Hospital Charge Code |
30100380
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$78.80 |
| Max. Negotiated Rate |
$105.06 |
| Rate for Payer: Aetna Commercial |
$94.55
|
| Rate for Payer: ASR ASR |
$101.91
|
| Rate for Payer: BCBS Trust/PPO |
$86.28
|
| Rate for Payer: BCN Commercial |
$86.28
|
| Rate for Payer: Cash Price |
$84.05
|
| Rate for Payer: Cofinity Commercial |
$98.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.05
|
| Rate for Payer: Healthscope Commercial |
$101.91
|
| Rate for Payer: Healthscope Whirlpool |
$105.06
|
| Rate for Payer: Mclaren Commercial |
$94.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.30
|
| Rate for Payer: Nomi Health Commercial |
$86.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.45
|
|
|
HC OSTEOCALCIN
|
Facility
|
OP
|
$105.06
|
|
|
Service Code
|
CPT 83937
|
| Hospital Charge Code |
30100380
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.61 |
| Max. Negotiated Rate |
$105.06 |
| Rate for Payer: Aetna Commercial |
$94.55
|
| Rate for Payer: Aetna Medicare |
$29.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.31
|
| Rate for Payer: ASR ASR |
$101.91
|
| Rate for Payer: BCBS Complete |
$16.39
|
| Rate for Payer: BCBS MAPPO |
$29.85
|
| Rate for Payer: BCBS Trust/PPO |
$86.62
|
| Rate for Payer: BCN Commercial |
$86.62
|
| Rate for Payer: BCN Medicare Advantage |
$29.85
|
| Rate for Payer: Cash Price |
$84.05
|
| Rate for Payer: Cash Price |
$84.05
|
| Rate for Payer: Cofinity Commercial |
$98.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.85
|
| Rate for Payer: Healthscope Commercial |
$101.91
|
| Rate for Payer: Healthscope Whirlpool |
$105.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$29.85
|
| Rate for Payer: Mclaren Commercial |
$94.55
|
| Rate for Payer: Mclaren Medicaid |
$29.85
|
| Rate for Payer: Mclaren Medicare |
$29.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.34
|
| Rate for Payer: Meridian Medicaid |
$16.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.30
|
| Rate for Payer: Nomi Health Commercial |
$86.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.80
|
| Rate for Payer: PACE Medicare |
$28.36
|
| Rate for Payer: PACE SWMI |
$29.85
|
| Rate for Payer: PHP Commercial |
$32.84
|
| Rate for Payer: PHP Medicaid |
$16.00
|
| Rate for Payer: PHP Medicare Advantage |
$29.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$92.05
|
| Rate for Payer: Priority Health Medicare |
$29.85
|
| Rate for Payer: Priority Health Narrow Network |
$73.65
|
| Rate for Payer: Railroad Medicare Medicare |
$29.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.85
|
| Rate for Payer: UHC Exchange |
$46.27
|
| Rate for Payer: UHC Medicaid |
$15.61
|
| Rate for Payer: UHCCP DNSP |
$29.85
|
| Rate for Payer: UHCCP Medicaid |
$15.61
|
| Rate for Payer: VA VA |
$29.85
|
|
|
HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS
|
Facility
|
OP
|
$37.82
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
53000001
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$37.82 |
| Rate for Payer: Aetna Commercial |
$34.04
|
| Rate for Payer: Aetna Medicare |
$21.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: ASR ASR |
$36.69
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$31.18
|
| Rate for Payer: BCN Commercial |
$31.18
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$30.26
|
| Rate for Payer: Cash Price |
$30.26
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$36.69
|
| Rate for Payer: Healthscope Whirlpool |
$37.82
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.51
|
| Rate for Payer: Mclaren Commercial |
$34.04
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$11.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.15
|
| Rate for Payer: Nomi Health Commercial |
$31.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.36
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Medicaid |
$11.53
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$33.14
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health Narrow Network |
$26.51
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$33.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$33.34
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP DNSP |
$21.51
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: VA VA |
$21.51
|
|
|
HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS
|
Facility
|
IP
|
$37.82
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
53000001
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$28.36 |
| Max. Negotiated Rate |
$37.82 |
| Rate for Payer: Aetna Commercial |
$34.04
|
| Rate for Payer: ASR ASR |
$36.69
|
| Rate for Payer: BCBS Trust/PPO |
$31.06
|
| Rate for Payer: BCN Commercial |
$31.06
|
| Rate for Payer: Cash Price |
$30.26
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.26
|
| Rate for Payer: Healthscope Commercial |
$36.69
|
| Rate for Payer: Healthscope Whirlpool |
$37.82
|
| Rate for Payer: Mclaren Commercial |
$34.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.15
|
| Rate for Payer: Nomi Health Commercial |
$31.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$33.28
|
|
|
HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS
|
Facility
|
IP
|
$32.15
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
53000002
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$24.11 |
| Max. Negotiated Rate |
$32.15 |
| Rate for Payer: Aetna Commercial |
$28.93
|
| Rate for Payer: ASR ASR |
$31.19
|
| Rate for Payer: BCBS Trust/PPO |
$26.40
|
| Rate for Payer: BCN Commercial |
$26.40
|
| Rate for Payer: Cash Price |
$25.72
|
| Rate for Payer: Cofinity Commercial |
$30.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.72
|
| Rate for Payer: Healthscope Commercial |
$31.19
|
| Rate for Payer: Healthscope Whirlpool |
$32.15
|
| Rate for Payer: Mclaren Commercial |
$28.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.33
|
| Rate for Payer: Nomi Health Commercial |
$26.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.29
|
|
|
HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS
|
Facility
|
OP
|
$32.15
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
53000002
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$33.34 |
| Rate for Payer: Aetna Commercial |
$28.93
|
| Rate for Payer: Aetna Medicare |
$21.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: ASR ASR |
$31.19
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$26.51
|
| Rate for Payer: BCN Commercial |
$26.51
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$25.72
|
| Rate for Payer: Cash Price |
$25.72
|
| Rate for Payer: Cofinity Commercial |
$30.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$31.19
|
| Rate for Payer: Healthscope Whirlpool |
$32.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.51
|
| Rate for Payer: Mclaren Commercial |
$28.93
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$11.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.33
|
| Rate for Payer: Nomi Health Commercial |
$26.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.11
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Medicaid |
$11.53
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$28.17
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health Narrow Network |
$22.54
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$33.34
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP DNSP |
$21.51
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: VA VA |
$21.51
|
|
|
HC OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS
|
Facility
|
OP
|
$60.61
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
53000003
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$60.61 |
| Rate for Payer: Aetna Commercial |
$54.55
|
| Rate for Payer: Aetna Medicare |
$21.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: ASR ASR |
$58.79
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$49.97
|
| Rate for Payer: BCN Commercial |
$49.97
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cofinity Commercial |
$56.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$58.79
|
| Rate for Payer: Healthscope Whirlpool |
$60.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.51
|
| Rate for Payer: Mclaren Commercial |
$54.55
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$11.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.52
|
| Rate for Payer: Nomi Health Commercial |
$49.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.46
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Medicaid |
$11.53
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$53.11
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health Narrow Network |
$42.49
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$33.34
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP DNSP |
$21.51
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: VA VA |
$21.51
|
|
|
HC OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS
|
Facility
|
IP
|
$60.61
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
53000003
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$45.46 |
| Max. Negotiated Rate |
$60.61 |
| Rate for Payer: Aetna Commercial |
$54.55
|
| Rate for Payer: ASR ASR |
$58.79
|
| Rate for Payer: BCBS Trust/PPO |
$49.77
|
| Rate for Payer: BCN Commercial |
$49.77
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cofinity Commercial |
$56.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.49
|
| Rate for Payer: Healthscope Commercial |
$58.79
|
| Rate for Payer: Healthscope Whirlpool |
$60.61
|
| Rate for Payer: Mclaren Commercial |
$54.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.52
|
| Rate for Payer: Nomi Health Commercial |
$49.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.34
|
|
|
HC OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS
|
Facility
|
IP
|
$72.88
|
|
|
Service Code
|
CPT 98928
|
| Hospital Charge Code |
53000004
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$54.66 |
| Max. Negotiated Rate |
$72.88 |
| Rate for Payer: Aetna Commercial |
$65.59
|
| Rate for Payer: ASR ASR |
$70.69
|
| Rate for Payer: BCBS Trust/PPO |
$59.85
|
| Rate for Payer: BCN Commercial |
$59.85
|
| Rate for Payer: Cash Price |
$58.30
|
| Rate for Payer: Cofinity Commercial |
$68.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.30
|
| Rate for Payer: Healthscope Commercial |
$70.69
|
| Rate for Payer: Healthscope Whirlpool |
$72.88
|
| Rate for Payer: Mclaren Commercial |
$65.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.95
|
| Rate for Payer: Nomi Health Commercial |
$59.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.13
|
|
|
HC OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS
|
Facility
|
OP
|
$72.88
|
|
|
Service Code
|
CPT 98928
|
| Hospital Charge Code |
53000004
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$72.88 |
| Rate for Payer: Aetna Commercial |
$65.59
|
| Rate for Payer: Aetna Medicare |
$21.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: ASR ASR |
$70.69
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$60.09
|
| Rate for Payer: BCN Commercial |
$60.09
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$58.30
|
| Rate for Payer: Cash Price |
$58.30
|
| Rate for Payer: Cofinity Commercial |
$68.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$70.69
|
| Rate for Payer: Healthscope Whirlpool |
$72.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.51
|
| Rate for Payer: Mclaren Commercial |
$65.59
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$11.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.95
|
| Rate for Payer: Nomi Health Commercial |
$59.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.66
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Medicaid |
$11.53
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$63.86
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health Narrow Network |
$51.09
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$33.34
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP DNSP |
$21.51
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: VA VA |
$21.51
|
|
|
HC OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS
|
Facility
|
OP
|
$66.92
|
|
|
Service Code
|
CPT 98929
|
| Hospital Charge Code |
53000005
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$66.92 |
| Rate for Payer: Aetna Commercial |
$60.23
|
| Rate for Payer: Aetna Medicare |
$21.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.89
|
| Rate for Payer: ASR ASR |
$64.91
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS MAPPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$55.18
|
| Rate for Payer: BCN Commercial |
$55.18
|
| Rate for Payer: BCN Medicare Advantage |
$21.51
|
| Rate for Payer: Cash Price |
$53.54
|
| Rate for Payer: Cash Price |
$53.54
|
| Rate for Payer: Cofinity Commercial |
$62.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.51
|
| Rate for Payer: Healthscope Commercial |
$64.91
|
| Rate for Payer: Healthscope Whirlpool |
$66.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.51
|
| Rate for Payer: Mclaren Commercial |
$60.23
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Mclaren Medicare |
$21.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.59
|
| Rate for Payer: Meridian Medicaid |
$11.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.88
|
| Rate for Payer: Nomi Health Commercial |
$54.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.19
|
| Rate for Payer: PACE Medicare |
$20.43
|
| Rate for Payer: PACE SWMI |
$21.51
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Medicaid |
$11.53
|
| Rate for Payer: PHP Medicare Advantage |
$21.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$58.64
|
| Rate for Payer: Priority Health Medicare |
$21.51
|
| Rate for Payer: Priority Health Narrow Network |
$46.91
|
| Rate for Payer: Railroad Medicare Medicare |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.51
|
| Rate for Payer: UHC Exchange |
$33.34
|
| Rate for Payer: UHC Medicaid |
$11.25
|
| Rate for Payer: UHCCP DNSP |
$21.51
|
| Rate for Payer: UHCCP Medicaid |
$11.25
|
| Rate for Payer: VA VA |
$21.51
|
|
|
HC OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS
|
Facility
|
IP
|
$66.92
|
|
|
Service Code
|
CPT 98929
|
| Hospital Charge Code |
53000005
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$50.19 |
| Max. Negotiated Rate |
$66.92 |
| Rate for Payer: Aetna Commercial |
$60.23
|
| Rate for Payer: ASR ASR |
$64.91
|
| Rate for Payer: BCBS Trust/PPO |
$54.95
|
| Rate for Payer: BCN Commercial |
$54.95
|
| Rate for Payer: Cash Price |
$53.54
|
| Rate for Payer: Cofinity Commercial |
$62.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.54
|
| Rate for Payer: Healthscope Commercial |
$64.91
|
| Rate for Payer: Healthscope Whirlpool |
$66.92
|
| Rate for Payer: Mclaren Commercial |
$60.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.88
|
| Rate for Payer: Nomi Health Commercial |
$54.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.89
|
|
|
HC OSTIAL PRO SYSTEM
|
Facility
|
IP
|
$2,028.41
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,521.31 |
| Max. Negotiated Rate |
$2,028.41 |
| Rate for Payer: Aetna Commercial |
$1,825.57
|
| Rate for Payer: ASR ASR |
$1,967.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,665.73
|
| Rate for Payer: BCN Commercial |
$1,665.73
|
| Rate for Payer: Cash Price |
$1,622.73
|
| Rate for Payer: Cofinity Commercial |
$1,906.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,622.73
|
| Rate for Payer: Healthscope Commercial |
$1,967.56
|
| Rate for Payer: Healthscope Whirlpool |
$2,028.41
|
| Rate for Payer: Mclaren Commercial |
$1,825.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,724.15
|
| Rate for Payer: Nomi Health Commercial |
$1,663.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,521.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,785.00
|
|
