|
HC NONINVASIVE PROGRAM STIM
|
Facility
|
IP
|
$2,469.74
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
48100043
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,605.33 |
| Max. Negotiated Rate |
$2,469.74 |
| Rate for Payer: Aetna Commercial |
$2,222.77
|
| Rate for Payer: ASR ASR |
$2,395.65
|
| Rate for Payer: ASR Commercial |
$2,395.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,012.59
|
| Rate for Payer: BCN Commercial |
$1,914.79
|
| Rate for Payer: Cash Price |
$1,975.79
|
| Rate for Payer: Cofinity Commercial |
$2,321.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,975.79
|
| Rate for Payer: Healthscope Commercial |
$2,469.74
|
| Rate for Payer: Healthscope Whirlpool |
$2,395.65
|
| Rate for Payer: Mclaren Commercial |
$2,222.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,099.28
|
| Rate for Payer: Nomi Health Commercial |
$2,025.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,605.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,173.37
|
|
|
HC NON OPEN HEART PLATELET MAPPING
|
Facility
|
OP
|
$1,132.67
|
|
| Hospital Charge Code |
27000389
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$453.07 |
| Max. Negotiated Rate |
$1,132.67 |
| Rate for Payer: Aetna Commercial |
$1,019.40
|
| Rate for Payer: Aetna Medicare |
$566.34
|
| Rate for Payer: ASR ASR |
$1,098.69
|
| Rate for Payer: ASR Commercial |
$1,098.69
|
| Rate for Payer: BCBS Complete |
$453.07
|
| Rate for Payer: BCBS Trust/PPO |
$927.54
|
| Rate for Payer: BCN Commercial |
$878.16
|
| Rate for Payer: Cash Price |
$906.14
|
| Rate for Payer: Cofinity Commercial |
$1,064.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$906.14
|
| Rate for Payer: Healthscope Commercial |
$1,132.67
|
| Rate for Payer: Healthscope Whirlpool |
$1,098.69
|
| Rate for Payer: Mclaren Commercial |
$1,019.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$962.77
|
| Rate for Payer: Nomi Health Commercial |
$928.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$736.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$992.45
|
| Rate for Payer: Priority Health Narrow Network |
$794.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$996.75
|
|
|
HC NON OPEN HEART PLATELET MAPPING
|
Facility
|
IP
|
$1,132.67
|
|
| Hospital Charge Code |
27000389
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$736.24 |
| Max. Negotiated Rate |
$1,132.67 |
| Rate for Payer: Aetna Commercial |
$1,019.40
|
| Rate for Payer: ASR ASR |
$1,098.69
|
| Rate for Payer: ASR Commercial |
$1,098.69
|
| Rate for Payer: BCBS Trust/PPO |
$923.01
|
| Rate for Payer: BCN Commercial |
$878.16
|
| Rate for Payer: Cash Price |
$906.14
|
| Rate for Payer: Cofinity Commercial |
$1,064.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$906.14
|
| Rate for Payer: Healthscope Commercial |
$1,132.67
|
| Rate for Payer: Healthscope Whirlpool |
$1,098.69
|
| Rate for Payer: Mclaren Commercial |
$1,019.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$962.77
|
| Rate for Payer: Nomi Health Commercial |
$928.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$736.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$996.75
|
|
|
HC NON OPEN HEART TEG
|
Facility
|
IP
|
$924.31
|
|
| Hospital Charge Code |
27000197
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$600.80 |
| Max. Negotiated Rate |
$924.31 |
| Rate for Payer: Aetna Commercial |
$831.88
|
| Rate for Payer: ASR ASR |
$896.58
|
| Rate for Payer: ASR Commercial |
$896.58
|
| Rate for Payer: BCBS Trust/PPO |
$753.22
|
| Rate for Payer: BCN Commercial |
$716.62
|
| Rate for Payer: Cash Price |
$739.45
|
| Rate for Payer: Cofinity Commercial |
$868.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.45
|
| Rate for Payer: Healthscope Commercial |
$924.31
|
| Rate for Payer: Healthscope Whirlpool |
$896.58
|
| Rate for Payer: Mclaren Commercial |
$831.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.66
|
| Rate for Payer: Nomi Health Commercial |
$757.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$813.39
|
|
|
HC NON OPEN HEART TEG
|
Facility
|
OP
|
$924.31
|
|
| Hospital Charge Code |
27000197
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$369.72 |
| Max. Negotiated Rate |
$924.31 |
| Rate for Payer: Aetna Commercial |
$831.88
|
| Rate for Payer: Aetna Medicare |
$462.16
|
| Rate for Payer: ASR ASR |
$896.58
|
| Rate for Payer: ASR Commercial |
$896.58
|
| Rate for Payer: BCBS Complete |
$369.72
|
| Rate for Payer: BCBS Trust/PPO |
$756.92
|
| Rate for Payer: BCN Commercial |
$716.62
|
| Rate for Payer: Cash Price |
$739.45
|
| Rate for Payer: Cofinity Commercial |
$868.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.45
|
| Rate for Payer: Healthscope Commercial |
$924.31
|
| Rate for Payer: Healthscope Whirlpool |
$896.58
|
| Rate for Payer: Mclaren Commercial |
$831.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.66
|
| Rate for Payer: Nomi Health Commercial |
$757.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$809.88
|
| Rate for Payer: Priority Health Narrow Network |
$647.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$813.39
|
|
|
HC NON-SELECTIVE DEBRIDEMENT
|
Facility
|
IP
|
$358.94
|
|
|
Service Code
|
CPT 97602
|
| Hospital Charge Code |
42000037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$233.31 |
| Max. Negotiated Rate |
$358.94 |
| Rate for Payer: Aetna Commercial |
$323.05
|
| Rate for Payer: ASR ASR |
$348.17
|
| Rate for Payer: ASR Commercial |
$348.17
|
| Rate for Payer: BCBS Trust/PPO |
$292.50
|
| Rate for Payer: BCN Commercial |
$278.29
|
| Rate for Payer: Cash Price |
$287.15
|
| Rate for Payer: Cofinity Commercial |
$337.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.15
|
| Rate for Payer: Healthscope Commercial |
$358.94
|
| Rate for Payer: Healthscope Whirlpool |
$348.17
|
| Rate for Payer: Mclaren Commercial |
$323.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.10
|
| Rate for Payer: Nomi Health Commercial |
$294.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.87
|
|
|
HC NON-SELECTIVE DEBRIDEMENT
|
Facility
|
OP
|
$358.94
|
|
|
Service Code
|
CPT 97602
|
| Hospital Charge Code |
42000037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.35 |
| Max. Negotiated Rate |
$358.94 |
| Rate for Payer: Aetna Commercial |
$323.05
|
| Rate for Payer: Aetna Medicare |
$194.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$243.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$243.35
|
| Rate for Payer: ASR ASR |
$348.17
|
| Rate for Payer: ASR Commercial |
$348.17
|
| Rate for Payer: BCBS Complete |
$109.57
|
| Rate for Payer: BCBS MAPPO |
$194.68
|
| Rate for Payer: BCBS Trust/PPO |
$293.94
|
| Rate for Payer: BCN Commercial |
$278.29
|
| Rate for Payer: BCN Medicare Advantage |
$194.68
|
| Rate for Payer: Cash Price |
$287.15
|
| Rate for Payer: Cash Price |
$287.15
|
| Rate for Payer: Cofinity Commercial |
$337.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.68
|
| Rate for Payer: Healthscope Commercial |
$358.94
|
| Rate for Payer: Healthscope Whirlpool |
$348.17
|
| Rate for Payer: Humana Choice PPO Medicare |
$194.68
|
| Rate for Payer: Mclaren Commercial |
$323.05
|
| Rate for Payer: Mclaren Medicaid |
$104.35
|
| Rate for Payer: Mclaren Medicare |
$194.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.41
|
| Rate for Payer: Meridian Medicaid |
$109.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$223.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.10
|
| Rate for Payer: Nomi Health Commercial |
$294.33
|
| Rate for Payer: PACE Medicare |
$184.95
|
| Rate for Payer: PACE SWMI |
$194.68
|
| Rate for Payer: PHP Commercial |
$214.15
|
| Rate for Payer: PHP Medicaid |
$104.35
|
| Rate for Payer: PHP Medicare Advantage |
$194.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$137.25
|
| Rate for Payer: Priority Health Medicare |
$194.68
|
| Rate for Payer: Priority Health Narrow Network |
$109.80
|
| Rate for Payer: Railroad Medicare Medicare |
$194.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.68
|
| Rate for Payer: UHC Exchange |
$301.75
|
| Rate for Payer: UHC Medicare Advantage |
$194.68
|
| Rate for Payer: UHCCP DNSP |
$194.68
|
| Rate for Payer: UHCCP Medicaid |
$104.35
|
| Rate for Payer: VA VA |
$194.68
|
|
|
HC NON-SELECTIVE THORACIC AORTA W ANGIO
|
Facility
|
OP
|
$3,955.19
|
|
|
Service Code
|
CPT 36221
|
| Hospital Charge Code |
36100376
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$4,779.98 |
| Rate for Payer: Aetna Commercial |
$3,559.67
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$3,836.53
|
| Rate for Payer: ASR Commercial |
$3,836.53
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,238.91
|
| Rate for Payer: BCN Commercial |
$3,066.46
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$3,164.15
|
| Rate for Payer: Cash Price |
$3,164.15
|
| Rate for Payer: Cofinity Commercial |
$3,717.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,164.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$3,955.19
|
| Rate for Payer: Healthscope Whirlpool |
$3,836.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$3,559.67
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,361.91
|
| Rate for Payer: Nomi Health Commercial |
$3,243.26
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,570.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,541.47
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,033.18
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,480.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC NON-SELECTIVE THORACIC AORTA W ANGIO
|
Facility
|
IP
|
$3,955.19
|
|
|
Service Code
|
CPT 36221
|
| Hospital Charge Code |
36100376
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,570.87 |
| Max. Negotiated Rate |
$3,955.19 |
| Rate for Payer: Aetna Commercial |
$3,559.67
|
| Rate for Payer: ASR ASR |
$3,836.53
|
| Rate for Payer: ASR Commercial |
$3,836.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,223.08
|
| Rate for Payer: BCN Commercial |
$3,066.46
|
| Rate for Payer: Cash Price |
$3,164.15
|
| Rate for Payer: Cofinity Commercial |
$3,717.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,164.15
|
| Rate for Payer: Healthscope Commercial |
$3,955.19
|
| Rate for Payer: Healthscope Whirlpool |
$3,836.53
|
| Rate for Payer: Mclaren Commercial |
$3,559.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,361.91
|
| Rate for Payer: Nomi Health Commercial |
$3,243.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,570.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,480.57
|
|
|
HC NON-SELECTIVE VERTEBRAL ARTERY UNI
|
Facility
|
OP
|
$9,547.08
|
|
|
Service Code
|
CPT 36225
|
| Hospital Charge Code |
36100380
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,652.95 |
| Max. Negotiated Rate |
$9,547.08 |
| Rate for Payer: Aetna Commercial |
$8,592.37
|
| Rate for Payer: Aetna Medicare |
$3,083.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,854.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,854.82
|
| Rate for Payer: ASR ASR |
$9,260.67
|
| Rate for Payer: ASR Commercial |
$9,260.67
|
| Rate for Payer: BCBS Complete |
$1,735.60
|
| Rate for Payer: BCBS MAPPO |
$3,083.86
|
| Rate for Payer: BCBS Trust/PPO |
$7,818.10
|
| Rate for Payer: BCN Commercial |
$7,401.85
|
| Rate for Payer: BCN Medicare Advantage |
$3,083.86
|
| Rate for Payer: Cash Price |
$7,637.66
|
| Rate for Payer: Cash Price |
$7,637.66
|
| Rate for Payer: Cofinity Commercial |
$8,974.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,637.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,083.86
|
| Rate for Payer: Healthscope Commercial |
$9,547.08
|
| Rate for Payer: Healthscope Whirlpool |
$9,260.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,083.86
|
| Rate for Payer: Mclaren Commercial |
$8,592.37
|
| Rate for Payer: Mclaren Medicaid |
$1,652.95
|
| Rate for Payer: Mclaren Medicare |
$3,083.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,238.05
|
| Rate for Payer: Meridian Medicaid |
$1,735.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,115.02
|
| Rate for Payer: Nomi Health Commercial |
$7,828.61
|
| Rate for Payer: PACE Medicare |
$2,929.67
|
| Rate for Payer: PACE SWMI |
$3,083.86
|
| Rate for Payer: PHP Commercial |
$3,392.25
|
| Rate for Payer: PHP Medicaid |
$1,652.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,083.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,205.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,541.47
|
| Rate for Payer: Priority Health Medicare |
$3,083.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,033.18
|
| Rate for Payer: Railroad Medicare Medicare |
$3,083.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,401.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,083.86
|
| Rate for Payer: UHC Exchange |
$4,779.98
|
| Rate for Payer: UHC Medicare Advantage |
$3,083.86
|
| Rate for Payer: UHCCP DNSP |
$3,083.86
|
| Rate for Payer: UHCCP Medicaid |
$1,652.95
|
| Rate for Payer: VA VA |
$3,083.86
|
|
|
HC NON-SELECTIVE VERTEBRAL ARTERY UNI
|
Facility
|
IP
|
$9,547.08
|
|
|
Service Code
|
CPT 36225
|
| Hospital Charge Code |
36100380
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,205.60 |
| Max. Negotiated Rate |
$9,547.08 |
| Rate for Payer: Aetna Commercial |
$8,592.37
|
| Rate for Payer: ASR ASR |
$9,260.67
|
| Rate for Payer: ASR Commercial |
$9,260.67
|
| Rate for Payer: BCBS Trust/PPO |
$7,779.92
|
| Rate for Payer: BCN Commercial |
$7,401.85
|
| Rate for Payer: Cash Price |
$7,637.66
|
| Rate for Payer: Cofinity Commercial |
$8,974.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,637.66
|
| Rate for Payer: Healthscope Commercial |
$9,547.08
|
| Rate for Payer: Healthscope Whirlpool |
$9,260.67
|
| Rate for Payer: Mclaren Commercial |
$8,592.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,115.02
|
| Rate for Payer: Nomi Health Commercial |
$7,828.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,205.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,401.43
|
|
|
HC NONSTRESS TEST
|
Facility
|
OP
|
$352.44
|
|
|
Service Code
|
CPT 59025
|
| Hospital Charge Code |
92000004
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$105.65 |
| Max. Negotiated Rate |
$352.44 |
| Rate for Payer: Aetna Commercial |
$317.20
|
| Rate for Payer: Aetna Medicare |
$197.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$246.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$246.38
|
| Rate for Payer: ASR ASR |
$341.87
|
| Rate for Payer: ASR Commercial |
$341.87
|
| Rate for Payer: BCBS Complete |
$110.93
|
| Rate for Payer: BCBS MAPPO |
$197.10
|
| Rate for Payer: BCBS Trust/PPO |
$288.61
|
| Rate for Payer: BCN Commercial |
$273.25
|
| Rate for Payer: BCN Medicare Advantage |
$197.10
|
| Rate for Payer: Cash Price |
$281.95
|
| Rate for Payer: Cash Price |
$281.95
|
| Rate for Payer: Cofinity Commercial |
$331.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$281.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.10
|
| Rate for Payer: Healthscope Commercial |
$352.44
|
| Rate for Payer: Healthscope Whirlpool |
$341.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$197.10
|
| Rate for Payer: Mclaren Commercial |
$317.20
|
| Rate for Payer: Mclaren Medicaid |
$105.65
|
| Rate for Payer: Mclaren Medicare |
$197.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$206.96
|
| Rate for Payer: Meridian Medicaid |
$110.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$299.57
|
| Rate for Payer: Nomi Health Commercial |
$289.00
|
| Rate for Payer: PACE Medicare |
$187.24
|
| Rate for Payer: PACE SWMI |
$197.10
|
| Rate for Payer: PHP Commercial |
$216.81
|
| Rate for Payer: PHP Medicaid |
$105.65
|
| Rate for Payer: PHP Medicare Advantage |
$197.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$229.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$284.38
|
| Rate for Payer: Priority Health Medicare |
$197.10
|
| Rate for Payer: Priority Health Narrow Network |
$227.50
|
| Rate for Payer: Railroad Medicare Medicare |
$197.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$310.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.10
|
| Rate for Payer: UHC Exchange |
$305.50
|
| Rate for Payer: UHC Medicare Advantage |
$197.10
|
| Rate for Payer: UHCCP DNSP |
$197.10
|
| Rate for Payer: UHCCP Medicaid |
$105.65
|
| Rate for Payer: VA VA |
$197.10
|
|
|
HC NONSTRESS TEST
|
Facility
|
IP
|
$352.44
|
|
|
Service Code
|
CPT 59025
|
| Hospital Charge Code |
92000004
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$229.09 |
| Max. Negotiated Rate |
$352.44 |
| Rate for Payer: Aetna Commercial |
$317.20
|
| Rate for Payer: ASR ASR |
$341.87
|
| Rate for Payer: ASR Commercial |
$341.87
|
| Rate for Payer: BCBS Trust/PPO |
$287.20
|
| Rate for Payer: BCN Commercial |
$273.25
|
| Rate for Payer: Cash Price |
$281.95
|
| Rate for Payer: Cofinity Commercial |
$331.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$281.95
|
| Rate for Payer: Healthscope Commercial |
$352.44
|
| Rate for Payer: Healthscope Whirlpool |
$341.87
|
| Rate for Payer: Mclaren Commercial |
$317.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$299.57
|
| Rate for Payer: Nomi Health Commercial |
$289.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$229.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$310.15
|
|
|
HC NON THROMBOLYTIC INTRACRANIAL EA ADDL VASCULAR TERRITORY
|
Facility
|
IP
|
$3,312.08
|
|
|
Service Code
|
CPT 61651
|
| Hospital Charge Code |
36100515
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,152.85 |
| Max. Negotiated Rate |
$3,312.08 |
| Rate for Payer: Aetna Commercial |
$2,980.87
|
| Rate for Payer: ASR ASR |
$3,212.72
|
| Rate for Payer: ASR Commercial |
$3,212.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,699.01
|
| Rate for Payer: BCN Commercial |
$2,567.86
|
| Rate for Payer: Cash Price |
$2,649.66
|
| Rate for Payer: Cofinity Commercial |
$3,113.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,649.66
|
| Rate for Payer: Healthscope Commercial |
$3,312.08
|
| Rate for Payer: Healthscope Whirlpool |
$3,212.72
|
| Rate for Payer: Mclaren Commercial |
$2,980.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,815.27
|
| Rate for Payer: Nomi Health Commercial |
$2,715.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,152.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,914.63
|
|
|
HC NON THROMBOLYTIC INTRACRANIAL EA ADDL VASCULAR TERRITORY
|
Facility
|
OP
|
$3,312.08
|
|
|
Service Code
|
CPT 61651
|
| Hospital Charge Code |
36100515
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,324.83 |
| Max. Negotiated Rate |
$3,312.08 |
| Rate for Payer: Aetna Commercial |
$2,980.87
|
| Rate for Payer: Aetna Medicare |
$1,656.04
|
| Rate for Payer: ASR ASR |
$3,212.72
|
| Rate for Payer: ASR Commercial |
$3,212.72
|
| Rate for Payer: BCBS Complete |
$1,324.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,712.26
|
| Rate for Payer: BCN Commercial |
$2,567.86
|
| Rate for Payer: Cash Price |
$2,649.66
|
| Rate for Payer: Cofinity Commercial |
$3,113.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,649.66
|
| Rate for Payer: Healthscope Commercial |
$3,312.08
|
| Rate for Payer: Healthscope Whirlpool |
$3,212.72
|
| Rate for Payer: Mclaren Commercial |
$2,980.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,815.27
|
| Rate for Payer: Nomi Health Commercial |
$2,715.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,152.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,902.04
|
| Rate for Payer: Priority Health Narrow Network |
$2,321.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,914.63
|
|
|
HC NON THROMBOLYTIC INTRACRANIAL INITIAL VASCULAR TERRITORY
|
Facility
|
OP
|
$4,516.48
|
|
|
Service Code
|
CPT 61650
|
| Hospital Charge Code |
36100514
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,806.59 |
| Max. Negotiated Rate |
$4,516.48 |
| Rate for Payer: Aetna Commercial |
$4,064.83
|
| Rate for Payer: Aetna Medicare |
$2,258.24
|
| Rate for Payer: ASR ASR |
$4,380.99
|
| Rate for Payer: ASR Commercial |
$4,380.99
|
| Rate for Payer: BCBS Complete |
$1,806.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,698.55
|
| Rate for Payer: BCN Commercial |
$3,501.63
|
| Rate for Payer: Cash Price |
$3,613.18
|
| Rate for Payer: Cofinity Commercial |
$4,245.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,613.18
|
| Rate for Payer: Healthscope Commercial |
$4,516.48
|
| Rate for Payer: Healthscope Whirlpool |
$4,380.99
|
| Rate for Payer: Mclaren Commercial |
$4,064.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,839.01
|
| Rate for Payer: Nomi Health Commercial |
$3,703.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,935.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,957.34
|
| Rate for Payer: Priority Health Narrow Network |
$3,166.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,974.50
|
|
|
HC NON THROMBOLYTIC INTRACRANIAL INITIAL VASCULAR TERRITORY
|
Facility
|
IP
|
$4,516.48
|
|
|
Service Code
|
CPT 61650
|
| Hospital Charge Code |
36100514
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,935.71 |
| Max. Negotiated Rate |
$4,516.48 |
| Rate for Payer: Aetna Commercial |
$4,064.83
|
| Rate for Payer: ASR ASR |
$4,380.99
|
| Rate for Payer: ASR Commercial |
$4,380.99
|
| Rate for Payer: BCBS Trust/PPO |
$3,680.48
|
| Rate for Payer: BCN Commercial |
$3,501.63
|
| Rate for Payer: Cash Price |
$3,613.18
|
| Rate for Payer: Cofinity Commercial |
$4,245.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,613.18
|
| Rate for Payer: Healthscope Commercial |
$4,516.48
|
| Rate for Payer: Healthscope Whirlpool |
$4,380.99
|
| Rate for Payer: Mclaren Commercial |
$4,064.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,839.01
|
| Rate for Payer: Nomi Health Commercial |
$3,703.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,935.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,974.50
|
|
|
HC NORCLOZAPINE LEVEL
|
Facility
|
OP
|
$24.97
|
|
|
Service Code
|
CPT 80299
|
| Hospital Charge Code |
30100065
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.99 |
| Max. Negotiated Rate |
$245.96 |
| Rate for Payer: Aetna Commercial |
$22.47
|
| Rate for Payer: Aetna Medicare |
$18.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.30
|
| Rate for Payer: ASR ASR |
$24.22
|
| Rate for Payer: ASR Commercial |
$24.22
|
| Rate for Payer: BCBS Complete |
$10.49
|
| Rate for Payer: BCBS MAPPO |
$18.64
|
| Rate for Payer: BCBS Trust/PPO |
$20.45
|
| Rate for Payer: BCN Commercial |
$19.36
|
| Rate for Payer: BCN Medicare Advantage |
$18.64
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$23.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.64
|
| Rate for Payer: Healthscope Commercial |
$24.97
|
| Rate for Payer: Healthscope Whirlpool |
$24.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.64
|
| Rate for Payer: Mclaren Commercial |
$22.47
|
| Rate for Payer: Mclaren Medicaid |
$9.99
|
| Rate for Payer: Mclaren Medicare |
$18.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.57
|
| Rate for Payer: Meridian Medicaid |
$10.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: PACE Medicare |
$17.71
|
| Rate for Payer: PACE SWMI |
$18.64
|
| Rate for Payer: PHP Commercial |
$20.50
|
| Rate for Payer: PHP Medicaid |
$9.99
|
| Rate for Payer: PHP Medicare Advantage |
$18.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$245.96
|
| Rate for Payer: Priority Health Medicare |
$18.64
|
| Rate for Payer: Priority Health Narrow Network |
$196.77
|
| Rate for Payer: Railroad Medicare Medicare |
$18.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.64
|
| Rate for Payer: UHC Exchange |
$28.89
|
| Rate for Payer: UHC Medicare Advantage |
$18.64
|
| Rate for Payer: UHCCP DNSP |
$18.64
|
| Rate for Payer: UHCCP Medicaid |
$9.99
|
| Rate for Payer: VA VA |
$18.64
|
|
|
HC NORCLOZAPINE LEVEL
|
Facility
|
IP
|
$24.97
|
|
|
Service Code
|
CPT 80299
|
| Hospital Charge Code |
30100065
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.23 |
| Max. Negotiated Rate |
$24.97 |
| Rate for Payer: Aetna Commercial |
$22.47
|
| Rate for Payer: ASR ASR |
$24.22
|
| Rate for Payer: ASR Commercial |
$24.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.35
|
| Rate for Payer: BCN Commercial |
$19.36
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$23.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$24.97
|
| Rate for Payer: Healthscope Whirlpool |
$24.22
|
| Rate for Payer: Mclaren Commercial |
$22.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.97
|
|
|
HC NORTRIPTYLINE LVL
|
Facility
|
OP
|
$43.86
|
|
|
Service Code
|
CPT 80335
|
| Hospital Charge Code |
30100592
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.54 |
| Max. Negotiated Rate |
$43.86 |
| Rate for Payer: Aetna Commercial |
$39.47
|
| Rate for Payer: Aetna Medicare |
$21.93
|
| Rate for Payer: ASR ASR |
$42.54
|
| Rate for Payer: ASR Commercial |
$42.54
|
| Rate for Payer: BCBS Complete |
$17.54
|
| Rate for Payer: BCBS Trust/PPO |
$35.92
|
| Rate for Payer: BCN Commercial |
$34.00
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$41.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$43.86
|
| Rate for Payer: Healthscope Whirlpool |
$42.54
|
| Rate for Payer: Mclaren Commercial |
$39.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.28
|
| Rate for Payer: Nomi Health Commercial |
$35.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.43
|
| Rate for Payer: Priority Health Narrow Network |
$30.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.60
|
|
|
HC NORTRIPTYLINE LVL
|
Facility
|
IP
|
$43.86
|
|
|
Service Code
|
CPT 80335
|
| Hospital Charge Code |
30100592
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.51 |
| Max. Negotiated Rate |
$43.86 |
| Rate for Payer: Aetna Commercial |
$39.47
|
| Rate for Payer: ASR ASR |
$42.54
|
| Rate for Payer: ASR Commercial |
$42.54
|
| Rate for Payer: BCBS Trust/PPO |
$35.74
|
| Rate for Payer: BCN Commercial |
$34.00
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$41.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$43.86
|
| Rate for Payer: Healthscope Whirlpool |
$42.54
|
| Rate for Payer: Mclaren Commercial |
$39.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.28
|
| Rate for Payer: Nomi Health Commercial |
$35.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.60
|
|
|
HC NOSEBLEED/ENT
|
Facility
|
IP
|
$414.53
|
|
| Hospital Charge Code |
45000061
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$269.44 |
| Max. Negotiated Rate |
$414.53 |
| Rate for Payer: Aetna Commercial |
$373.08
|
| Rate for Payer: ASR ASR |
$402.09
|
| Rate for Payer: ASR Commercial |
$402.09
|
| Rate for Payer: BCBS Trust/PPO |
$337.80
|
| Rate for Payer: BCN Commercial |
$321.39
|
| Rate for Payer: Cash Price |
$331.62
|
| Rate for Payer: Cofinity Commercial |
$389.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.62
|
| Rate for Payer: Healthscope Commercial |
$414.53
|
| Rate for Payer: Healthscope Whirlpool |
$402.09
|
| Rate for Payer: Mclaren Commercial |
$373.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.35
|
| Rate for Payer: Nomi Health Commercial |
$339.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$364.79
|
|
|
HC NOSEBLEED/ENT
|
Facility
|
OP
|
$414.53
|
|
| Hospital Charge Code |
45000061
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$165.81 |
| Max. Negotiated Rate |
$414.53 |
| Rate for Payer: Aetna Commercial |
$373.08
|
| Rate for Payer: Aetna Medicare |
$207.26
|
| Rate for Payer: ASR ASR |
$402.09
|
| Rate for Payer: ASR Commercial |
$402.09
|
| Rate for Payer: BCBS Complete |
$165.81
|
| Rate for Payer: BCBS Trust/PPO |
$339.46
|
| Rate for Payer: BCN Commercial |
$321.39
|
| Rate for Payer: Cash Price |
$331.62
|
| Rate for Payer: Cofinity Commercial |
$389.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.62
|
| Rate for Payer: Healthscope Commercial |
$414.53
|
| Rate for Payer: Healthscope Whirlpool |
$402.09
|
| Rate for Payer: Mclaren Commercial |
$373.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.35
|
| Rate for Payer: Nomi Health Commercial |
$339.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$363.21
|
| Rate for Payer: Priority Health Narrow Network |
$290.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$364.79
|
|
|
HC NUC MED STRESS TEST
|
Facility
|
OP
|
$948.26
|
|
|
Service Code
|
CPT 93017
|
| Hospital Charge Code |
48200005
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$163.53 |
| Max. Negotiated Rate |
$948.26 |
| Rate for Payer: Healthscope Whirlpool |
$919.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.10
|
| Rate for Payer: Mclaren Commercial |
$853.43
|
| Rate for Payer: Mclaren Medicaid |
$163.53
|
| Rate for Payer: Mclaren Medicare |
$305.10
|
| Rate for Payer: Aetna Commercial |
$853.43
|
| Rate for Payer: Aetna Medicare |
$305.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$381.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$381.38
|
| Rate for Payer: ASR ASR |
$919.81
|
| Rate for Payer: ASR Commercial |
$919.81
|
| Rate for Payer: BCBS Complete |
$171.71
|
| Rate for Payer: BCBS MAPPO |
$305.10
|
| Rate for Payer: BCBS Trust/PPO |
$776.53
|
| Rate for Payer: BCN Commercial |
$735.19
|
| Rate for Payer: BCN Medicare Advantage |
$305.10
|
| Rate for Payer: Cash Price |
$758.61
|
| Rate for Payer: Cash Price |
$758.61
|
| Rate for Payer: Cofinity Commercial |
$891.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$758.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.10
|
| Rate for Payer: Healthscope Commercial |
$948.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.36
|
| Rate for Payer: Meridian Medicaid |
$171.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$350.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.02
|
| Rate for Payer: Nomi Health Commercial |
$777.57
|
| Rate for Payer: PACE Medicare |
$289.84
|
| Rate for Payer: PACE SWMI |
$305.10
|
| Rate for Payer: PHP Commercial |
$335.61
|
| Rate for Payer: PHP Medicaid |
$163.53
|
| Rate for Payer: PHP Medicare Advantage |
$305.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$909.16
|
| Rate for Payer: Priority Health Medicare |
$305.10
|
| Rate for Payer: Priority Health Narrow Network |
$727.33
|
| Rate for Payer: Railroad Medicare Medicare |
$305.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$834.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.10
|
| Rate for Payer: UHC Exchange |
$472.90
|
| Rate for Payer: UHC Medicare Advantage |
$305.10
|
| Rate for Payer: UHCCP DNSP |
$305.10
|
| Rate for Payer: UHCCP Medicaid |
$163.53
|
| Rate for Payer: VA VA |
$305.10
|
|
|
HC NUC MED STRESS TEST
|
Facility
|
IP
|
$948.26
|
|
|
Service Code
|
CPT 93017
|
| Hospital Charge Code |
48200005
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$616.37 |
| Max. Negotiated Rate |
$948.26 |
| Rate for Payer: Aetna Commercial |
$853.43
|
| Rate for Payer: ASR ASR |
$919.81
|
| Rate for Payer: ASR Commercial |
$919.81
|
| Rate for Payer: BCBS Trust/PPO |
$772.74
|
| Rate for Payer: BCN Commercial |
$735.19
|
| Rate for Payer: Cash Price |
$758.61
|
| Rate for Payer: Cofinity Commercial |
$891.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$758.61
|
| Rate for Payer: Healthscope Commercial |
$948.26
|
| Rate for Payer: Healthscope Whirlpool |
$919.81
|
| Rate for Payer: Mclaren Commercial |
$853.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.02
|
| Rate for Payer: Nomi Health Commercial |
$777.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$834.47
|
|
