|
HC PAIN PUMP ADJUSTMENT
|
Facility
|
IP
|
$151.79
|
|
|
Service Code
|
CPT 99211
|
| Hospital Charge Code |
76100028
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$113.84 |
| Max. Negotiated Rate |
$151.79 |
| Rate for Payer: Aetna Commercial |
$136.61
|
| Rate for Payer: ASR ASR |
$147.24
|
| Rate for Payer: BCBS Trust/PPO |
$124.65
|
| Rate for Payer: BCN Commercial |
$124.65
|
| Rate for Payer: Cash Price |
$121.43
|
| Rate for Payer: Cofinity Commercial |
$142.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.43
|
| Rate for Payer: Healthscope Commercial |
$147.24
|
| Rate for Payer: Healthscope Whirlpool |
$151.79
|
| Rate for Payer: Mclaren Commercial |
$136.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129.02
|
| Rate for Payer: Nomi Health Commercial |
$124.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$133.58
|
|
|
HC PAIN PUMP SUPPLY
|
Facility
|
IP
|
$942.09
|
|
| Hospital Charge Code |
27000130
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$706.57 |
| Max. Negotiated Rate |
$942.09 |
| Rate for Payer: Aetna Commercial |
$847.88
|
| Rate for Payer: ASR ASR |
$913.83
|
| Rate for Payer: BCBS Trust/PPO |
$773.64
|
| Rate for Payer: BCN Commercial |
$773.64
|
| Rate for Payer: Cash Price |
$753.67
|
| Rate for Payer: Cofinity Commercial |
$885.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$753.67
|
| Rate for Payer: Healthscope Commercial |
$913.83
|
| Rate for Payer: Healthscope Whirlpool |
$942.09
|
| Rate for Payer: Mclaren Commercial |
$847.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$800.78
|
| Rate for Payer: Nomi Health Commercial |
$772.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$706.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$829.04
|
|
|
HC PAIN PUMP SUPPLY
|
Facility
|
OP
|
$942.09
|
|
| Hospital Charge Code |
27000130
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$348.57 |
| Max. Negotiated Rate |
$942.09 |
| Rate for Payer: Aetna Commercial |
$847.88
|
| Rate for Payer: Aetna Medicare |
$348.57
|
| Rate for Payer: ASR ASR |
$913.83
|
| Rate for Payer: BCBS Complete |
$376.84
|
| Rate for Payer: BCBS Trust/PPO |
$776.75
|
| Rate for Payer: BCN Commercial |
$776.75
|
| Rate for Payer: Cash Price |
$753.67
|
| Rate for Payer: Cofinity Commercial |
$885.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$753.67
|
| Rate for Payer: Healthscope Commercial |
$913.83
|
| Rate for Payer: Healthscope Whirlpool |
$942.09
|
| Rate for Payer: Mclaren Commercial |
$847.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$753.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$800.78
|
| Rate for Payer: Nomi Health Commercial |
$772.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$706.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$825.46
|
| Rate for Payer: Priority Health Narrow Network |
$660.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$829.04
|
|
|
HC PANCREATIC AMYLASE
|
Facility
|
OP
|
$68.67
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100100
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.39 |
| Max. Negotiated Rate |
$122.25 |
| Rate for Payer: Aetna Commercial |
$61.80
|
| Rate for Payer: Aetna Medicare |
$6.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.10
|
| Rate for Payer: ASR ASR |
$66.61
|
| Rate for Payer: BCBS Complete |
$3.56
|
| Rate for Payer: BCBS MAPPO |
$6.48
|
| Rate for Payer: BCBS Trust/PPO |
$56.62
|
| Rate for Payer: BCN Commercial |
$56.62
|
| Rate for Payer: BCN Medicare Advantage |
$6.48
|
| Rate for Payer: Cash Price |
$54.94
|
| Rate for Payer: Cash Price |
$54.94
|
| Rate for Payer: Cofinity Commercial |
$64.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.48
|
| Rate for Payer: Healthscope Commercial |
$66.61
|
| Rate for Payer: Healthscope Whirlpool |
$68.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.48
|
| Rate for Payer: Mclaren Commercial |
$61.80
|
| Rate for Payer: Mclaren Medicaid |
$6.48
|
| Rate for Payer: Mclaren Medicare |
$6.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$3.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.37
|
| Rate for Payer: Nomi Health Commercial |
$56.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.50
|
| Rate for Payer: PACE Medicare |
$6.16
|
| Rate for Payer: PACE SWMI |
$6.48
|
| Rate for Payer: PHP Commercial |
$7.13
|
| Rate for Payer: PHP Medicaid |
$3.47
|
| Rate for Payer: PHP Medicare Advantage |
$6.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$122.25
|
| Rate for Payer: Priority Health Medicare |
$6.48
|
| Rate for Payer: Priority Health Narrow Network |
$97.80
|
| Rate for Payer: Railroad Medicare Medicare |
$6.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.48
|
| Rate for Payer: UHC Exchange |
$10.04
|
| Rate for Payer: UHC Medicaid |
$3.39
|
| Rate for Payer: UHCCP DNSP |
$6.48
|
| Rate for Payer: UHCCP Medicaid |
$3.39
|
| Rate for Payer: VA VA |
$6.48
|
|
|
HC PANCREATIC AMYLASE
|
Facility
|
IP
|
$68.67
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100100
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$51.50 |
| Max. Negotiated Rate |
$68.67 |
| Rate for Payer: Aetna Commercial |
$61.80
|
| Rate for Payer: ASR ASR |
$66.61
|
| Rate for Payer: BCBS Trust/PPO |
$56.39
|
| Rate for Payer: BCN Commercial |
$56.39
|
| Rate for Payer: Cash Price |
$54.94
|
| Rate for Payer: Cofinity Commercial |
$64.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.94
|
| Rate for Payer: Healthscope Commercial |
$66.61
|
| Rate for Payer: Healthscope Whirlpool |
$68.67
|
| Rate for Payer: Mclaren Commercial |
$61.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.37
|
| Rate for Payer: Nomi Health Commercial |
$56.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.43
|
|
|
HC PANCREATIC ELAST IN STOOL
|
Facility
|
OP
|
$119.65
|
|
|
Service Code
|
CPT 82653
|
| Hospital Charge Code |
30100632
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.01 |
| Max. Negotiated Rate |
$119.65 |
| Rate for Payer: Aetna Commercial |
$107.69
|
| Rate for Payer: Aetna Medicare |
$22.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.71
|
| Rate for Payer: ASR ASR |
$116.06
|
| Rate for Payer: BCBS Complete |
$12.62
|
| Rate for Payer: BCBS MAPPO |
$22.97
|
| Rate for Payer: BCBS Trust/PPO |
$98.65
|
| Rate for Payer: BCN Commercial |
$98.65
|
| Rate for Payer: BCN Medicare Advantage |
$22.97
|
| Rate for Payer: Cash Price |
$95.72
|
| Rate for Payer: Cash Price |
$95.72
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.97
|
| Rate for Payer: Healthscope Commercial |
$116.06
|
| Rate for Payer: Healthscope Whirlpool |
$119.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$22.97
|
| Rate for Payer: Mclaren Commercial |
$107.69
|
| Rate for Payer: Mclaren Medicaid |
$22.97
|
| Rate for Payer: Mclaren Medicare |
$22.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.12
|
| Rate for Payer: Meridian Medicaid |
$12.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.70
|
| Rate for Payer: Nomi Health Commercial |
$98.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.74
|
| Rate for Payer: PACE Medicare |
$21.82
|
| Rate for Payer: PACE SWMI |
$22.97
|
| Rate for Payer: PHP Commercial |
$25.27
|
| Rate for Payer: PHP Medicaid |
$12.31
|
| Rate for Payer: PHP Medicare Advantage |
$22.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$104.84
|
| Rate for Payer: Priority Health Medicare |
$22.97
|
| Rate for Payer: Priority Health Narrow Network |
$83.87
|
| Rate for Payer: Railroad Medicare Medicare |
$22.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$105.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.97
|
| Rate for Payer: UHC Exchange |
$35.60
|
| Rate for Payer: UHC Medicaid |
$12.01
|
| Rate for Payer: UHCCP DNSP |
$22.97
|
| Rate for Payer: UHCCP Medicaid |
$12.01
|
| Rate for Payer: VA VA |
$22.97
|
|
|
HC PANCREATIC ELAST IN STOOL
|
Facility
|
IP
|
$119.65
|
|
|
Service Code
|
CPT 82653
|
| Hospital Charge Code |
30100632
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$89.74 |
| Max. Negotiated Rate |
$119.65 |
| Rate for Payer: Aetna Commercial |
$107.69
|
| Rate for Payer: ASR ASR |
$116.06
|
| Rate for Payer: BCBS Trust/PPO |
$98.26
|
| Rate for Payer: BCN Commercial |
$98.26
|
| Rate for Payer: Cash Price |
$95.72
|
| Rate for Payer: Cofinity Commercial |
$112.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.72
|
| Rate for Payer: Healthscope Commercial |
$116.06
|
| Rate for Payer: Healthscope Whirlpool |
$119.65
|
| Rate for Payer: Mclaren Commercial |
$107.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.70
|
| Rate for Payer: Nomi Health Commercial |
$98.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$105.29
|
|
|
HC PANTOTHENIC ACID (B-5) BIOASSAY
|
Facility
|
OP
|
$112.20
|
|
|
Service Code
|
CPT 84591
|
| Hospital Charge Code |
30100762
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.92 |
| Max. Negotiated Rate |
$112.20 |
| Rate for Payer: Aetna Commercial |
$100.98
|
| Rate for Payer: Aetna Medicare |
$17.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.32
|
| Rate for Payer: ASR ASR |
$108.83
|
| Rate for Payer: BCBS Complete |
$9.37
|
| Rate for Payer: BCBS MAPPO |
$17.06
|
| Rate for Payer: BCBS Trust/PPO |
$92.51
|
| Rate for Payer: BCN Commercial |
$92.51
|
| Rate for Payer: BCN Medicare Advantage |
$17.06
|
| Rate for Payer: Cash Price |
$89.76
|
| Rate for Payer: Cash Price |
$89.76
|
| Rate for Payer: Cofinity Commercial |
$105.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.06
|
| Rate for Payer: Healthscope Commercial |
$108.83
|
| Rate for Payer: Healthscope Whirlpool |
$112.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.06
|
| Rate for Payer: Mclaren Commercial |
$100.98
|
| Rate for Payer: Mclaren Medicaid |
$17.06
|
| Rate for Payer: Mclaren Medicare |
$17.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.91
|
| Rate for Payer: Meridian Medicaid |
$9.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.37
|
| Rate for Payer: Nomi Health Commercial |
$92.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.15
|
| Rate for Payer: PACE Medicare |
$16.21
|
| Rate for Payer: PACE SWMI |
$17.06
|
| Rate for Payer: PHP Commercial |
$18.77
|
| Rate for Payer: PHP Medicaid |
$9.14
|
| Rate for Payer: PHP Medicare Advantage |
$17.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$98.31
|
| Rate for Payer: Priority Health Medicare |
$17.06
|
| Rate for Payer: Priority Health Narrow Network |
$78.65
|
| Rate for Payer: Railroad Medicare Medicare |
$17.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.06
|
| Rate for Payer: UHC Exchange |
$26.44
|
| Rate for Payer: UHC Medicaid |
$8.92
|
| Rate for Payer: UHCCP DNSP |
$17.06
|
| Rate for Payer: UHCCP Medicaid |
$8.92
|
| Rate for Payer: VA VA |
$17.06
|
|
|
HC PANTOTHENIC ACID (B-5) BIOASSAY
|
Facility
|
IP
|
$112.20
|
|
|
Service Code
|
CPT 84591
|
| Hospital Charge Code |
30100762
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$84.15 |
| Max. Negotiated Rate |
$112.20 |
| Rate for Payer: Aetna Commercial |
$100.98
|
| Rate for Payer: ASR ASR |
$108.83
|
| Rate for Payer: BCBS Trust/PPO |
$92.14
|
| Rate for Payer: BCN Commercial |
$92.14
|
| Rate for Payer: Cash Price |
$89.76
|
| Rate for Payer: Cofinity Commercial |
$105.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.76
|
| Rate for Payer: Healthscope Commercial |
$108.83
|
| Rate for Payer: Healthscope Whirlpool |
$112.20
|
| Rate for Payer: Mclaren Commercial |
$100.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.37
|
| Rate for Payer: Nomi Health Commercial |
$92.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$84.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.74
|
|
|
HC PAPER WASP IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.69
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$18.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC PAPER WASP IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.43 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Trust/PPO |
$21.27
|
| Rate for Payer: BCN Commercial |
$21.27
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
|
|
HC PAP NAP
|
Facility
|
OP
|
$2,358.48
|
|
|
Service Code
|
CPT 95807
|
| Hospital Charge Code |
92000019
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$194.46 |
| Max. Negotiated Rate |
$2,358.48 |
| Rate for Payer: Aetna Commercial |
$2,122.63
|
| Rate for Payer: Aetna Medicare |
$371.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$464.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$464.77
|
| Rate for Payer: ASR ASR |
$2,287.73
|
| Rate for Payer: BCBS Complete |
$204.20
|
| Rate for Payer: BCBS MAPPO |
$371.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,944.57
|
| Rate for Payer: BCN Commercial |
$1,944.57
|
| Rate for Payer: BCN Medicare Advantage |
$371.82
|
| Rate for Payer: Cash Price |
$1,886.78
|
| Rate for Payer: Cash Price |
$1,886.78
|
| Rate for Payer: Cofinity Commercial |
$2,216.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,886.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.82
|
| Rate for Payer: Healthscope Commercial |
$2,287.73
|
| Rate for Payer: Healthscope Whirlpool |
$2,358.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$371.82
|
| Rate for Payer: Mclaren Commercial |
$2,122.63
|
| Rate for Payer: Mclaren Medicaid |
$371.82
|
| Rate for Payer: Mclaren Medicare |
$371.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.41
|
| Rate for Payer: Meridian Medicaid |
$204.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$427.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$409.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,004.71
|
| Rate for Payer: Nomi Health Commercial |
$1,933.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,768.86
|
| Rate for Payer: PACE Medicare |
$353.23
|
| Rate for Payer: PACE SWMI |
$371.82
|
| Rate for Payer: PHP Commercial |
$409.00
|
| Rate for Payer: PHP Medicaid |
$199.30
|
| Rate for Payer: PHP Medicare Advantage |
$371.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,066.50
|
| Rate for Payer: Priority Health Medicare |
$371.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,653.29
|
| Rate for Payer: Railroad Medicare Medicare |
$371.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,075.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$371.82
|
| Rate for Payer: UHC Exchange |
$576.32
|
| Rate for Payer: UHC Medicaid |
$194.46
|
| Rate for Payer: UHCCP DNSP |
$371.82
|
| Rate for Payer: UHCCP Medicaid |
$194.46
|
| Rate for Payer: VA VA |
$371.82
|
|
|
HC PAP NAP
|
Facility
|
IP
|
$2,358.48
|
|
|
Service Code
|
CPT 95807
|
| Hospital Charge Code |
92000019
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,768.86 |
| Max. Negotiated Rate |
$2,358.48 |
| Rate for Payer: Aetna Commercial |
$2,122.63
|
| Rate for Payer: ASR ASR |
$2,287.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,936.78
|
| Rate for Payer: BCN Commercial |
$1,936.78
|
| Rate for Payer: Cash Price |
$1,886.78
|
| Rate for Payer: Cofinity Commercial |
$2,216.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,886.78
|
| Rate for Payer: Healthscope Commercial |
$2,287.73
|
| Rate for Payer: Healthscope Whirlpool |
$2,358.48
|
| Rate for Payer: Mclaren Commercial |
$2,122.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,004.71
|
| Rate for Payer: Nomi Health Commercial |
$1,933.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,768.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,075.46
|
|
|
HC PAP SMEAR, SCREENING
|
Facility
|
OP
|
$57.22
|
|
|
Service Code
|
HCPCS P3000
|
| Hospital Charge Code |
31100027
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$9.70 |
| Max. Negotiated Rate |
$99.26 |
| Rate for Payer: Aetna Commercial |
$51.50
|
| Rate for Payer: Aetna Medicare |
$18.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.18
|
| Rate for Payer: ASR ASR |
$55.50
|
| Rate for Payer: BCBS Complete |
$10.18
|
| Rate for Payer: BCBS MAPPO |
$18.54
|
| Rate for Payer: BCBS Trust/PPO |
$47.18
|
| Rate for Payer: BCN Commercial |
$47.18
|
| Rate for Payer: BCN Medicare Advantage |
$18.54
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$53.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.54
|
| Rate for Payer: Healthscope Commercial |
$55.50
|
| Rate for Payer: Healthscope Whirlpool |
$57.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.54
|
| Rate for Payer: Mclaren Commercial |
$51.50
|
| Rate for Payer: Mclaren Medicaid |
$18.54
|
| Rate for Payer: Mclaren Medicare |
$18.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.47
|
| Rate for Payer: Meridian Medicaid |
$10.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.91
|
| Rate for Payer: PACE Medicare |
$17.61
|
| Rate for Payer: PACE SWMI |
$18.54
|
| Rate for Payer: PHP Commercial |
$20.39
|
| Rate for Payer: PHP Medicaid |
$9.94
|
| Rate for Payer: PHP Medicare Advantage |
$18.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$99.26
|
| Rate for Payer: Priority Health Medicare |
$18.54
|
| Rate for Payer: Priority Health Narrow Network |
$79.41
|
| Rate for Payer: Railroad Medicare Medicare |
$18.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.54
|
| Rate for Payer: UHC Exchange |
$28.74
|
| Rate for Payer: UHC Medicaid |
$9.70
|
| Rate for Payer: UHCCP DNSP |
$18.54
|
| Rate for Payer: UHCCP Medicaid |
$9.70
|
| Rate for Payer: VA VA |
$18.54
|
|
|
HC PAP SMEAR, SCREENING
|
Facility
|
IP
|
$57.22
|
|
|
Service Code
|
HCPCS P3000
|
| Hospital Charge Code |
31100027
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$42.91 |
| Max. Negotiated Rate |
$57.22 |
| Rate for Payer: Aetna Commercial |
$51.50
|
| Rate for Payer: ASR ASR |
$55.50
|
| Rate for Payer: BCBS Trust/PPO |
$46.99
|
| Rate for Payer: BCN Commercial |
$46.99
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$53.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Healthscope Commercial |
$55.50
|
| Rate for Payer: Healthscope Whirlpool |
$57.22
|
| Rate for Payer: Mclaren Commercial |
$51.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.35
|
|
|
HC PARACENTESIS
|
Facility
|
OP
|
$1,015.62
|
|
| Hospital Charge Code |
36000078
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$375.78 |
| Max. Negotiated Rate |
$1,015.62 |
| Rate for Payer: Aetna Commercial |
$914.06
|
| Rate for Payer: Aetna Medicare |
$375.78
|
| Rate for Payer: ASR ASR |
$985.15
|
| Rate for Payer: BCBS Complete |
$406.25
|
| Rate for Payer: BCBS Trust/PPO |
$837.38
|
| Rate for Payer: BCN Commercial |
$837.38
|
| Rate for Payer: Cash Price |
$812.50
|
| Rate for Payer: Cofinity Commercial |
$954.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$812.50
|
| Rate for Payer: Healthscope Commercial |
$985.15
|
| Rate for Payer: Healthscope Whirlpool |
$1,015.62
|
| Rate for Payer: Mclaren Commercial |
$914.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$812.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$863.28
|
| Rate for Payer: Nomi Health Commercial |
$832.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$761.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$889.89
|
| Rate for Payer: Priority Health Narrow Network |
$711.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$893.75
|
|
|
HC PARACENTESIS
|
Facility
|
IP
|
$1,015.62
|
|
| Hospital Charge Code |
36000078
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$761.72 |
| Max. Negotiated Rate |
$1,015.62 |
| Rate for Payer: Aetna Commercial |
$914.06
|
| Rate for Payer: ASR ASR |
$985.15
|
| Rate for Payer: BCBS Trust/PPO |
$834.03
|
| Rate for Payer: BCN Commercial |
$834.03
|
| Rate for Payer: Cash Price |
$812.50
|
| Rate for Payer: Cofinity Commercial |
$954.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$812.50
|
| Rate for Payer: Healthscope Commercial |
$985.15
|
| Rate for Payer: Healthscope Whirlpool |
$1,015.62
|
| Rate for Payer: Mclaren Commercial |
$914.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$863.28
|
| Rate for Payer: Nomi Health Commercial |
$832.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$761.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$893.75
|
|
|
HC PARACERVIAL/PUDENDAL ANES
|
Facility
|
IP
|
$387.95
|
|
| Hospital Charge Code |
37000004
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$290.96 |
| Max. Negotiated Rate |
$387.95 |
| Rate for Payer: Aetna Commercial |
$349.15
|
| Rate for Payer: ASR ASR |
$376.31
|
| Rate for Payer: BCBS Trust/PPO |
$318.58
|
| Rate for Payer: BCN Commercial |
$318.58
|
| Rate for Payer: Cash Price |
$310.36
|
| Rate for Payer: Cofinity Commercial |
$364.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.36
|
| Rate for Payer: Healthscope Commercial |
$376.31
|
| Rate for Payer: Healthscope Whirlpool |
$387.95
|
| Rate for Payer: Mclaren Commercial |
$349.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.76
|
| Rate for Payer: Nomi Health Commercial |
$318.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$341.40
|
|
|
HC PARACERVIAL/PUDENDAL ANES
|
Facility
|
OP
|
$387.95
|
|
| Hospital Charge Code |
37000004
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$143.54 |
| Max. Negotiated Rate |
$387.95 |
| Rate for Payer: Aetna Commercial |
$349.15
|
| Rate for Payer: Aetna Medicare |
$143.54
|
| Rate for Payer: ASR ASR |
$376.31
|
| Rate for Payer: BCBS Complete |
$155.18
|
| Rate for Payer: BCBS Trust/PPO |
$319.86
|
| Rate for Payer: BCN Commercial |
$319.86
|
| Rate for Payer: Cash Price |
$310.36
|
| Rate for Payer: Cofinity Commercial |
$364.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.36
|
| Rate for Payer: Healthscope Commercial |
$376.31
|
| Rate for Payer: Healthscope Whirlpool |
$387.95
|
| Rate for Payer: Mclaren Commercial |
$349.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$310.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.76
|
| Rate for Payer: Nomi Health Commercial |
$318.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$339.92
|
| Rate for Payer: Priority Health Narrow Network |
$271.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$341.40
|
|
|
HC PARAFFIN BATH
|
Facility
|
IP
|
$65.79
|
|
|
Service Code
|
CPT 97018
|
| Hospital Charge Code |
43000008
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$49.34 |
| Max. Negotiated Rate |
$65.79 |
| Rate for Payer: Aetna Commercial |
$59.21
|
| Rate for Payer: ASR ASR |
$63.82
|
| Rate for Payer: BCBS Trust/PPO |
$54.03
|
| Rate for Payer: BCN Commercial |
$54.03
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Commercial |
$61.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Healthscope Commercial |
$63.82
|
| Rate for Payer: Healthscope Whirlpool |
$65.79
|
| Rate for Payer: Mclaren Commercial |
$59.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Nomi Health Commercial |
$53.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.90
|
|
|
HC PARAFFIN BATH
|
Facility
|
OP
|
$65.79
|
|
|
Service Code
|
CPT 97018
|
| Hospital Charge Code |
43000008
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$24.34 |
| Max. Negotiated Rate |
$65.79 |
| Rate for Payer: Aetna Commercial |
$59.21
|
| Rate for Payer: Aetna Medicare |
$24.34
|
| Rate for Payer: ASR ASR |
$63.82
|
| Rate for Payer: BCBS Complete |
$26.32
|
| Rate for Payer: BCBS Trust/PPO |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Commercial |
$61.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Healthscope Commercial |
$63.82
|
| Rate for Payer: Healthscope Whirlpool |
$65.79
|
| Rate for Payer: Mclaren Commercial |
$59.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Nomi Health Commercial |
$53.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.65
|
| Rate for Payer: Priority Health Narrow Network |
$46.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.90
|
|
|
HC PARANEOPLAS AB EVAL CSF
|
Facility
|
IP
|
$108.20
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200470
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$81.15 |
| Max. Negotiated Rate |
$108.20 |
| Rate for Payer: Aetna Commercial |
$97.38
|
| Rate for Payer: ASR ASR |
$104.95
|
| Rate for Payer: BCBS Trust/PPO |
$88.85
|
| Rate for Payer: BCN Commercial |
$88.85
|
| Rate for Payer: Cash Price |
$86.56
|
| Rate for Payer: Cofinity Commercial |
$101.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.56
|
| Rate for Payer: Healthscope Commercial |
$104.95
|
| Rate for Payer: Healthscope Whirlpool |
$108.20
|
| Rate for Payer: Mclaren Commercial |
$97.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.97
|
| Rate for Payer: Nomi Health Commercial |
$88.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.22
|
|
|
HC PARANEOPLAS AB EVAL CSF
|
Facility
|
OP
|
$108.20
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200470
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$250.58 |
| Rate for Payer: Aetna Commercial |
$97.38
|
| Rate for Payer: Aetna Medicare |
$12.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: ASR ASR |
$104.95
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$89.21
|
| Rate for Payer: BCN Commercial |
$89.21
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$86.56
|
| Rate for Payer: Cash Price |
$86.56
|
| Rate for Payer: Cofinity Commercial |
$101.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$104.95
|
| Rate for Payer: Healthscope Whirlpool |
$108.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$97.38
|
| Rate for Payer: Mclaren Medicaid |
$12.05
|
| Rate for Payer: Mclaren Medicare |
$12.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: Meridian Medicaid |
$6.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.97
|
| Rate for Payer: Nomi Health Commercial |
$88.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.15
|
| Rate for Payer: PACE Medicare |
$11.45
|
| Rate for Payer: PACE SWMI |
$12.05
|
| Rate for Payer: PHP Commercial |
$13.26
|
| Rate for Payer: PHP Medicaid |
$6.46
|
| Rate for Payer: PHP Medicare Advantage |
$12.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$250.58
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$200.47
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.05
|
| Rate for Payer: UHC Exchange |
$18.68
|
| Rate for Payer: UHC Medicaid |
$6.30
|
| Rate for Payer: UHCCP DNSP |
$12.05
|
| Rate for Payer: UHCCP Medicaid |
$6.30
|
| Rate for Payer: VA VA |
$12.05
|
|
|
HC PARANEOPLAS AB EVAL CSF CMPT
|
Facility
|
IP
|
$83.83
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200471
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$62.87 |
| Max. Negotiated Rate |
$83.83 |
| Rate for Payer: Aetna Commercial |
$75.45
|
| Rate for Payer: ASR ASR |
$81.32
|
| Rate for Payer: BCBS Trust/PPO |
$68.84
|
| Rate for Payer: BCN Commercial |
$68.84
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cofinity Commercial |
$78.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.06
|
| Rate for Payer: Healthscope Commercial |
$81.32
|
| Rate for Payer: Healthscope Whirlpool |
$83.83
|
| Rate for Payer: Mclaren Commercial |
$75.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.26
|
| Rate for Payer: Nomi Health Commercial |
$68.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$73.77
|
|
|
HC PARANEOPLAS AB EVAL CSF CMPT
|
Facility
|
OP
|
$83.83
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200471
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$250.58 |
| Rate for Payer: Aetna Commercial |
$75.45
|
| Rate for Payer: Aetna Medicare |
$12.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: ASR ASR |
$81.32
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$69.12
|
| Rate for Payer: BCN Commercial |
$69.12
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cash Price |
$67.06
|
| Rate for Payer: Cofinity Commercial |
$78.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$81.32
|
| Rate for Payer: Healthscope Whirlpool |
$83.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$75.45
|
| Rate for Payer: Mclaren Medicaid |
$12.05
|
| Rate for Payer: Mclaren Medicare |
$12.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: Meridian Medicaid |
$6.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.26
|
| Rate for Payer: Nomi Health Commercial |
$68.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.87
|
| Rate for Payer: PACE Medicare |
$11.45
|
| Rate for Payer: PACE SWMI |
$12.05
|
| Rate for Payer: PHP Commercial |
$13.26
|
| Rate for Payer: PHP Medicaid |
$6.46
|
| Rate for Payer: PHP Medicare Advantage |
$12.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$250.58
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$200.47
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$73.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.05
|
| Rate for Payer: UHC Exchange |
$18.68
|
| Rate for Payer: UHC Medicaid |
$6.30
|
| Rate for Payer: UHCCP DNSP |
$12.05
|
| Rate for Payer: UHCCP Medicaid |
$6.30
|
| Rate for Payer: VA VA |
$12.05
|
|
