|
HC PEG TUBE INSERTION/TRAY
|
Facility
|
OP
|
$1,235.07
|
|
| Hospital Charge Code |
36000079
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$456.98 |
| Max. Negotiated Rate |
$1,235.07 |
| Rate for Payer: Aetna Commercial |
$1,111.56
|
| Rate for Payer: Aetna Medicare |
$456.98
|
| Rate for Payer: ASR ASR |
$1,198.02
|
| Rate for Payer: BCBS Complete |
$494.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.32
|
| Rate for Payer: BCN Commercial |
$1,018.32
|
| Rate for Payer: Cash Price |
$988.06
|
| Rate for Payer: Cofinity Commercial |
$1,160.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$988.06
|
| Rate for Payer: Healthscope Commercial |
$1,198.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,235.07
|
| Rate for Payer: Mclaren Commercial |
$1,111.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$988.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,049.81
|
| Rate for Payer: Nomi Health Commercial |
$1,012.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$926.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,082.17
|
| Rate for Payer: Priority Health Narrow Network |
$865.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,086.86
|
|
|
HC PEG TUBE INSERTION/TRAY
|
Facility
|
IP
|
$1,235.07
|
|
| Hospital Charge Code |
36000079
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$926.30 |
| Max. Negotiated Rate |
$1,235.07 |
| Rate for Payer: Aetna Commercial |
$1,111.56
|
| Rate for Payer: ASR ASR |
$1,198.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.24
|
| Rate for Payer: BCN Commercial |
$1,014.24
|
| Rate for Payer: Cash Price |
$988.06
|
| Rate for Payer: Cofinity Commercial |
$1,160.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$988.06
|
| Rate for Payer: Healthscope Commercial |
$1,198.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,235.07
|
| Rate for Payer: Mclaren Commercial |
$1,111.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,049.81
|
| Rate for Payer: Nomi Health Commercial |
$1,012.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$926.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,086.86
|
|
|
HC PEJ FDG TUBE INSERTION/REPLACE
|
Facility
|
IP
|
$1,555.53
|
|
| Hospital Charge Code |
36000059
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,166.65 |
| Max. Negotiated Rate |
$1,555.53 |
| Rate for Payer: Aetna Commercial |
$1,399.98
|
| Rate for Payer: ASR ASR |
$1,508.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,277.40
|
| Rate for Payer: BCN Commercial |
$1,277.40
|
| Rate for Payer: Cash Price |
$1,244.42
|
| Rate for Payer: Cofinity Commercial |
$1,462.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,244.42
|
| Rate for Payer: Healthscope Commercial |
$1,508.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,555.53
|
| Rate for Payer: Mclaren Commercial |
$1,399.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,322.20
|
| Rate for Payer: Nomi Health Commercial |
$1,275.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,166.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,368.87
|
|
|
HC PEJ FDG TUBE INSERTION/REPLACE
|
Facility
|
OP
|
$1,555.53
|
|
| Hospital Charge Code |
36000059
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$575.55 |
| Max. Negotiated Rate |
$1,555.53 |
| Rate for Payer: Aetna Commercial |
$1,399.98
|
| Rate for Payer: Aetna Medicare |
$575.55
|
| Rate for Payer: ASR ASR |
$1,508.86
|
| Rate for Payer: BCBS Complete |
$622.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,282.53
|
| Rate for Payer: BCN Commercial |
$1,282.53
|
| Rate for Payer: Cash Price |
$1,244.42
|
| Rate for Payer: Cofinity Commercial |
$1,462.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,244.42
|
| Rate for Payer: Healthscope Commercial |
$1,508.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,555.53
|
| Rate for Payer: Mclaren Commercial |
$1,399.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,244.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,322.20
|
| Rate for Payer: Nomi Health Commercial |
$1,275.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,166.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,362.96
|
| Rate for Payer: Priority Health Narrow Network |
$1,090.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,368.87
|
|
|
HC PELVIC EXAMINATION
|
Facility
|
IP
|
$47.94
|
|
|
Service Code
|
CPT 99459
|
| Hospital Charge Code |
51000129
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$35.95 |
| Max. Negotiated Rate |
$47.94 |
| Rate for Payer: Aetna Commercial |
$43.15
|
| Rate for Payer: ASR ASR |
$46.50
|
| Rate for Payer: BCBS Trust/PPO |
$39.37
|
| Rate for Payer: BCN Commercial |
$39.37
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cofinity Commercial |
$45.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.35
|
| Rate for Payer: Healthscope Commercial |
$46.50
|
| Rate for Payer: Healthscope Whirlpool |
$47.94
|
| Rate for Payer: Mclaren Commercial |
$43.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.75
|
| Rate for Payer: Nomi Health Commercial |
$39.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.19
|
|
|
HC PELVIC EXAMINATION
|
Facility
|
OP
|
$47.94
|
|
|
Service Code
|
CPT 99459
|
| Hospital Charge Code |
51000129
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$16.76 |
| Max. Negotiated Rate |
$47.94 |
| Rate for Payer: Aetna Commercial |
$43.15
|
| Rate for Payer: Aetna Medicare |
$17.74
|
| Rate for Payer: ASR ASR |
$46.50
|
| Rate for Payer: BCBS Complete |
$19.18
|
| Rate for Payer: BCBS Trust/PPO |
$39.53
|
| Rate for Payer: BCCCP Commercial |
$16.76
|
| Rate for Payer: BCN Commercial |
$39.53
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cash Price |
$38.35
|
| Rate for Payer: Cofinity Commercial |
$45.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.35
|
| Rate for Payer: Healthscope Commercial |
$46.50
|
| Rate for Payer: Healthscope Whirlpool |
$47.94
|
| Rate for Payer: Mclaren Commercial |
$43.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.75
|
| Rate for Payer: Nomi Health Commercial |
$39.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42.01
|
| Rate for Payer: Priority Health Narrow Network |
$33.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.19
|
|
|
HC PENICILLIUM IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200055
|
|
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 PENICILLIUM IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200055
|
|
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 PENTAMIDINE THERAPY
|
Facility
|
OP
|
$1,054.22
|
|
|
Service Code
|
CPT 94642
|
| Hospital Charge Code |
41000005
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$114.11 |
| Max. Negotiated Rate |
$1,054.22 |
| Rate for Payer: Aetna Commercial |
$948.80
|
| Rate for Payer: Aetna Medicare |
$218.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.74
|
| Rate for Payer: ASR ASR |
$1,022.59
|
| Rate for Payer: BCBS Complete |
$119.83
|
| Rate for Payer: BCBS MAPPO |
$218.19
|
| Rate for Payer: BCBS Trust/PPO |
$869.20
|
| Rate for Payer: BCN Commercial |
$869.20
|
| Rate for Payer: BCN Medicare Advantage |
$218.19
|
| Rate for Payer: Cash Price |
$843.38
|
| Rate for Payer: Cash Price |
$843.38
|
| Rate for Payer: Cofinity Commercial |
$990.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$843.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.19
|
| Rate for Payer: Healthscope Commercial |
$1,022.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,054.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$218.19
|
| Rate for Payer: Mclaren Commercial |
$948.80
|
| Rate for Payer: Mclaren Medicaid |
$218.19
|
| Rate for Payer: Mclaren Medicare |
$218.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.10
|
| Rate for Payer: Meridian Medicaid |
$119.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$240.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$896.09
|
| Rate for Payer: Nomi Health Commercial |
$864.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$790.66
|
| Rate for Payer: PACE Medicare |
$207.28
|
| Rate for Payer: PACE SWMI |
$218.19
|
| Rate for Payer: PHP Commercial |
$240.01
|
| Rate for Payer: PHP Medicaid |
$116.95
|
| Rate for Payer: PHP Medicare Advantage |
$218.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$923.71
|
| Rate for Payer: Priority Health Medicare |
$218.19
|
| Rate for Payer: Priority Health Narrow Network |
$739.01
|
| Rate for Payer: Railroad Medicare Medicare |
$218.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$927.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$218.19
|
| Rate for Payer: UHC Exchange |
$338.19
|
| Rate for Payer: UHC Medicaid |
$114.11
|
| Rate for Payer: UHCCP DNSP |
$218.19
|
| Rate for Payer: UHCCP Medicaid |
$114.11
|
| Rate for Payer: VA VA |
$218.19
|
|
|
HC PENTAMIDINE THERAPY
|
Facility
|
IP
|
$1,054.22
|
|
|
Service Code
|
CPT 94642
|
| Hospital Charge Code |
41000005
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$790.66 |
| Max. Negotiated Rate |
$1,054.22 |
| Rate for Payer: Aetna Commercial |
$948.80
|
| Rate for Payer: ASR ASR |
$1,022.59
|
| Rate for Payer: BCBS Trust/PPO |
$865.73
|
| Rate for Payer: BCN Commercial |
$865.73
|
| Rate for Payer: Cash Price |
$843.38
|
| Rate for Payer: Cofinity Commercial |
$990.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$843.38
|
| Rate for Payer: Healthscope Commercial |
$1,022.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,054.22
|
| Rate for Payer: Mclaren Commercial |
$948.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$896.09
|
| Rate for Payer: Nomi Health Commercial |
$864.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$790.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$927.71
|
|
|
HC PENTOBARBITOL NEMBUTAL LVL
|
Facility
|
IP
|
$182.07
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
30100572
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$136.55 |
| Max. Negotiated Rate |
$182.07 |
| Rate for Payer: Aetna Commercial |
$163.86
|
| Rate for Payer: ASR ASR |
$176.61
|
| Rate for Payer: BCBS Trust/PPO |
$149.52
|
| Rate for Payer: BCN Commercial |
$149.52
|
| Rate for Payer: Cash Price |
$145.66
|
| Rate for Payer: Cofinity Commercial |
$171.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.66
|
| Rate for Payer: Healthscope Commercial |
$176.61
|
| Rate for Payer: Healthscope Whirlpool |
$182.07
|
| Rate for Payer: Mclaren Commercial |
$163.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154.76
|
| Rate for Payer: Nomi Health Commercial |
$149.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$136.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$160.22
|
|
|
HC PENTOBARBITOL NEMBUTAL LVL
|
Facility
|
OP
|
$182.07
|
|
|
Service Code
|
CPT 80345
|
| Hospital Charge Code |
30100572
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$67.37 |
| Max. Negotiated Rate |
$182.07 |
| Rate for Payer: Aetna Commercial |
$163.86
|
| Rate for Payer: Aetna Medicare |
$67.37
|
| Rate for Payer: ASR ASR |
$176.61
|
| Rate for Payer: BCBS Complete |
$72.83
|
| Rate for Payer: BCBS Trust/PPO |
$150.12
|
| Rate for Payer: BCN Commercial |
$150.12
|
| Rate for Payer: Cash Price |
$145.66
|
| Rate for Payer: Cofinity Commercial |
$171.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$145.66
|
| Rate for Payer: Healthscope Commercial |
$176.61
|
| Rate for Payer: Healthscope Whirlpool |
$182.07
|
| Rate for Payer: Mclaren Commercial |
$163.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$145.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154.76
|
| Rate for Payer: Nomi Health Commercial |
$149.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$136.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$159.53
|
| Rate for Payer: Priority Health Narrow Network |
$127.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$160.22
|
|
|
HC PEP VALVE SUPPLY
|
Facility
|
IP
|
$55.67
|
|
| Hospital Charge Code |
27000134
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$41.75 |
| Max. Negotiated Rate |
$55.67 |
| Rate for Payer: Aetna Commercial |
$50.10
|
| Rate for Payer: ASR ASR |
$54.00
|
| Rate for Payer: BCBS Trust/PPO |
$45.72
|
| Rate for Payer: BCN Commercial |
$45.72
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Commercial |
$52.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$54.00
|
| Rate for Payer: Healthscope Whirlpool |
$55.67
|
| Rate for Payer: Mclaren Commercial |
$50.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.99
|
|
|
HC PEP VALVE SUPPLY
|
Facility
|
OP
|
$55.67
|
|
| Hospital Charge Code |
27000134
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.60 |
| Max. Negotiated Rate |
$55.67 |
| Rate for Payer: Aetna Commercial |
$50.10
|
| Rate for Payer: Aetna Medicare |
$20.60
|
| Rate for Payer: ASR ASR |
$54.00
|
| Rate for Payer: BCBS Complete |
$22.27
|
| Rate for Payer: BCBS Trust/PPO |
$45.90
|
| Rate for Payer: BCN Commercial |
$45.90
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Commercial |
$52.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$54.00
|
| Rate for Payer: Healthscope Whirlpool |
$55.67
|
| Rate for Payer: Mclaren Commercial |
$50.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$48.78
|
| Rate for Payer: Priority Health Narrow Network |
$39.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.99
|
|
|
HC PERC CHOLECYSTOSTOMY
|
Facility
|
OP
|
$5,268.14
|
|
|
Service Code
|
CPT 47490
|
| Hospital Charge Code |
36100200
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,865.82 |
| Max. Negotiated Rate |
$5,529.67 |
| Rate for Payer: Aetna Commercial |
$4,741.33
|
| Rate for Payer: Aetna Medicare |
$3,567.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,459.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,459.41
|
| Rate for Payer: ASR ASR |
$5,110.10
|
| Rate for Payer: BCBS Complete |
$1,959.29
|
| Rate for Payer: BCBS MAPPO |
$3,567.53
|
| Rate for Payer: BCBS Trust/PPO |
$4,343.58
|
| Rate for Payer: BCN Commercial |
$4,343.58
|
| Rate for Payer: BCN Medicare Advantage |
$3,567.53
|
| Rate for Payer: Cash Price |
$4,214.51
|
| Rate for Payer: Cash Price |
$4,214.51
|
| Rate for Payer: Cofinity Commercial |
$4,952.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,214.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,567.53
|
| Rate for Payer: Healthscope Commercial |
$5,110.10
|
| Rate for Payer: Healthscope Whirlpool |
$5,268.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,567.53
|
| Rate for Payer: Mclaren Commercial |
$4,741.33
|
| Rate for Payer: Mclaren Medicaid |
$3,567.53
|
| Rate for Payer: Mclaren Medicare |
$3,567.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,745.91
|
| Rate for Payer: Meridian Medicaid |
$1,959.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,102.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,924.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,477.92
|
| Rate for Payer: Nomi Health Commercial |
$4,319.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,951.11
|
| Rate for Payer: PACE Medicare |
$3,389.15
|
| Rate for Payer: PACE SWMI |
$3,567.53
|
| Rate for Payer: PHP Commercial |
$3,924.28
|
| Rate for Payer: PHP Medicaid |
$1,912.20
|
| Rate for Payer: PHP Medicare Advantage |
$3,567.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,865.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,615.94
|
| Rate for Payer: Priority Health Medicare |
$3,567.53
|
| Rate for Payer: Priority Health Narrow Network |
$3,692.97
|
| Rate for Payer: Railroad Medicare Medicare |
$3,567.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,635.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,567.53
|
| Rate for Payer: UHC Exchange |
$5,529.67
|
| Rate for Payer: UHC Medicaid |
$1,865.82
|
| Rate for Payer: UHCCP DNSP |
$3,567.53
|
| Rate for Payer: UHCCP Medicaid |
$1,865.82
|
| Rate for Payer: VA VA |
$3,567.53
|
|
|
HC PERC CHOLECYSTOSTOMY
|
Facility
|
IP
|
$5,268.14
|
|
|
Service Code
|
CPT 47490
|
| Hospital Charge Code |
36100200
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,951.11 |
| Max. Negotiated Rate |
$5,268.14 |
| Rate for Payer: Aetna Commercial |
$4,741.33
|
| Rate for Payer: ASR ASR |
$5,110.10
|
| Rate for Payer: BCBS Trust/PPO |
$4,326.20
|
| Rate for Payer: BCN Commercial |
$4,326.20
|
| Rate for Payer: Cash Price |
$4,214.51
|
| Rate for Payer: Cofinity Commercial |
$4,952.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,214.51
|
| Rate for Payer: Healthscope Commercial |
$5,110.10
|
| Rate for Payer: Healthscope Whirlpool |
$5,268.14
|
| Rate for Payer: Mclaren Commercial |
$4,741.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,477.92
|
| Rate for Payer: Nomi Health Commercial |
$4,319.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,951.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,635.96
|
|
|
HC PERCH OCEAN IGE
|
Facility
|
IP
|
$74.29
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200481
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$55.72 |
| Max. Negotiated Rate |
$74.29 |
| Rate for Payer: Aetna Commercial |
$66.86
|
| Rate for Payer: ASR ASR |
$72.06
|
| Rate for Payer: BCBS Trust/PPO |
$61.01
|
| Rate for Payer: BCN Commercial |
$61.01
|
| Rate for Payer: Cash Price |
$59.43
|
| Rate for Payer: Cofinity Commercial |
$69.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.43
|
| Rate for Payer: Healthscope Commercial |
$72.06
|
| Rate for Payer: Healthscope Whirlpool |
$74.29
|
| Rate for Payer: Mclaren Commercial |
$66.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.15
|
| Rate for Payer: Nomi Health Commercial |
$60.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.38
|
|
|
HC PERCH OCEAN IGE
|
Facility
|
OP
|
$74.29
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200481
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$74.29 |
| Rate for Payer: Aetna Commercial |
$66.86
|
| 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 |
$72.06
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$61.25
|
| Rate for Payer: BCN Commercial |
$61.25
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$59.43
|
| Rate for Payer: Cash Price |
$59.43
|
| Rate for Payer: Cofinity Commercial |
$69.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$72.06
|
| Rate for Payer: Healthscope Whirlpool |
$74.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$66.86
|
| 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 |
$63.15
|
| Rate for Payer: Nomi Health Commercial |
$60.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.72
|
| 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 |
$65.09
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$52.08
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.38
|
| 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 PERC IMPLANT OF NEUROSTIM EPIDURAL
|
Facility
|
OP
|
$14,383.08
|
|
|
Service Code
|
CPT 63650
|
| Hospital Charge Code |
36100610
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,321.09 |
| Max. Negotiated Rate |
$14,383.08 |
| Rate for Payer: Aetna Commercial |
$12,944.77
|
| Rate for Payer: Aetna Medicare |
$6,350.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,937.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,937.60
|
| Rate for Payer: ASR ASR |
$13,951.59
|
| Rate for Payer: BCBS Complete |
$3,487.46
|
| Rate for Payer: BCBS MAPPO |
$6,350.08
|
| Rate for Payer: BCBS Trust/PPO |
$11,858.85
|
| Rate for Payer: BCN Commercial |
$11,858.85
|
| Rate for Payer: BCN Medicare Advantage |
$6,350.08
|
| Rate for Payer: Cash Price |
$11,506.46
|
| Rate for Payer: Cash Price |
$11,506.46
|
| Rate for Payer: Cofinity Commercial |
$13,520.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,506.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,350.08
|
| Rate for Payer: Healthscope Commercial |
$13,951.59
|
| Rate for Payer: Healthscope Whirlpool |
$14,383.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,350.08
|
| Rate for Payer: Mclaren Commercial |
$12,944.77
|
| Rate for Payer: Mclaren Medicaid |
$6,350.08
|
| Rate for Payer: Mclaren Medicare |
$6,350.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,667.58
|
| Rate for Payer: Meridian Medicaid |
$3,487.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,302.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,985.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,225.62
|
| Rate for Payer: Nomi Health Commercial |
$11,794.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,787.31
|
| Rate for Payer: PACE Medicare |
$6,032.58
|
| Rate for Payer: PACE SWMI |
$6,350.08
|
| Rate for Payer: PHP Commercial |
$6,985.09
|
| Rate for Payer: PHP Medicaid |
$3,403.64
|
| Rate for Payer: PHP Medicare Advantage |
$6,350.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,321.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,602.45
|
| Rate for Payer: Priority Health Medicare |
$6,350.08
|
| Rate for Payer: Priority Health Narrow Network |
$10,082.54
|
| Rate for Payer: Railroad Medicare Medicare |
$6,350.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,657.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,350.08
|
| Rate for Payer: UHC Exchange |
$9,842.62
|
| Rate for Payer: UHC Medicaid |
$3,321.09
|
| Rate for Payer: UHCCP DNSP |
$6,350.08
|
| Rate for Payer: UHCCP Medicaid |
$3,321.09
|
| Rate for Payer: VA VA |
$6,350.08
|
|
|
HC PERC IMPLANT OF NEUROSTIM EPIDURAL
|
Facility
|
IP
|
$14,383.08
|
|
|
Service Code
|
CPT 63650
|
| Hospital Charge Code |
36100610
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,787.31 |
| Max. Negotiated Rate |
$14,383.08 |
| Rate for Payer: Aetna Commercial |
$12,944.77
|
| Rate for Payer: ASR ASR |
$13,951.59
|
| Rate for Payer: BCBS Trust/PPO |
$11,811.39
|
| Rate for Payer: BCN Commercial |
$11,811.39
|
| Rate for Payer: Cash Price |
$11,506.46
|
| Rate for Payer: Cofinity Commercial |
$13,520.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,506.46
|
| Rate for Payer: Healthscope Commercial |
$13,951.59
|
| Rate for Payer: Healthscope Whirlpool |
$14,383.08
|
| Rate for Payer: Mclaren Commercial |
$12,944.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,225.62
|
| Rate for Payer: Nomi Health Commercial |
$11,794.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,787.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,657.11
|
|
|
HC PERCLOSE
|
Facility
|
IP
|
$1,073.27
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
27200060
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$804.95 |
| Max. Negotiated Rate |
$1,073.27 |
| Rate for Payer: Aetna Commercial |
$965.94
|
| Rate for Payer: ASR ASR |
$1,041.07
|
| Rate for Payer: BCBS Trust/PPO |
$881.37
|
| Rate for Payer: BCN Commercial |
$881.37
|
| Rate for Payer: Cash Price |
$858.62
|
| Rate for Payer: Cofinity Commercial |
$1,008.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$858.62
|
| Rate for Payer: Healthscope Commercial |
$1,041.07
|
| Rate for Payer: Healthscope Whirlpool |
$1,073.27
|
| Rate for Payer: Mclaren Commercial |
$965.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$912.28
|
| Rate for Payer: Nomi Health Commercial |
$880.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$804.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$944.48
|
|
|
HC PERCLOSE
|
Facility
|
OP
|
$1,073.27
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
27200060
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$397.11 |
| Max. Negotiated Rate |
$1,073.27 |
| Rate for Payer: Aetna Commercial |
$965.94
|
| Rate for Payer: Aetna Medicare |
$397.11
|
| Rate for Payer: ASR ASR |
$1,041.07
|
| Rate for Payer: BCBS Complete |
$429.31
|
| Rate for Payer: BCBS Trust/PPO |
$884.91
|
| Rate for Payer: BCN Commercial |
$884.91
|
| Rate for Payer: Cash Price |
$858.62
|
| Rate for Payer: Cofinity Commercial |
$1,008.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$858.62
|
| Rate for Payer: Healthscope Commercial |
$1,041.07
|
| Rate for Payer: Healthscope Whirlpool |
$1,073.27
|
| Rate for Payer: Mclaren Commercial |
$965.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$858.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$912.28
|
| Rate for Payer: Nomi Health Commercial |
$880.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$804.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$940.40
|
| Rate for Payer: Priority Health Narrow Network |
$752.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$944.48
|
|
|
HC PERC THROMBECTOMY OR INFUSION DIALYSIS CIRCUIT W IMAGING
|
Facility
|
IP
|
$6,639.53
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
36100528
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,979.65 |
| Max. Negotiated Rate |
$6,639.53 |
| Rate for Payer: Aetna Commercial |
$5,975.58
|
| Rate for Payer: ASR ASR |
$6,440.34
|
| Rate for Payer: BCBS Trust/PPO |
$5,452.38
|
| Rate for Payer: BCN Commercial |
$5,452.38
|
| Rate for Payer: Cash Price |
$5,311.62
|
| Rate for Payer: Cofinity Commercial |
$6,241.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,311.62
|
| Rate for Payer: Healthscope Commercial |
$6,440.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,639.53
|
| Rate for Payer: Mclaren Commercial |
$5,975.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,643.60
|
| Rate for Payer: Nomi Health Commercial |
$5,444.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,979.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,842.79
|
|
|
HC PERC THROMBECTOMY OR INFUSION DIALYSIS CIRCUIT W IMAGING
|
Facility
|
OP
|
$6,639.53
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
36100528
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,965.99 |
| Max. Negotiated Rate |
$8,790.20 |
| Rate for Payer: Aetna Commercial |
$5,975.58
|
| Rate for Payer: Aetna Medicare |
$5,671.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,088.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,088.88
|
| Rate for Payer: ASR ASR |
$6,440.34
|
| Rate for Payer: BCBS Complete |
$3,114.57
|
| Rate for Payer: BCBS MAPPO |
$5,671.10
|
| Rate for Payer: BCBS Trust/PPO |
$5,474.29
|
| Rate for Payer: BCN Commercial |
$5,474.29
|
| Rate for Payer: BCN Medicare Advantage |
$5,671.10
|
| Rate for Payer: Cash Price |
$5,311.62
|
| Rate for Payer: Cash Price |
$5,311.62
|
| Rate for Payer: Cofinity Commercial |
$6,241.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,311.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,671.10
|
| Rate for Payer: Healthscope Commercial |
$6,440.34
|
| Rate for Payer: Healthscope Whirlpool |
$6,639.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,671.10
|
| Rate for Payer: Mclaren Commercial |
$5,975.58
|
| Rate for Payer: Mclaren Medicaid |
$5,671.10
|
| Rate for Payer: Mclaren Medicare |
$5,671.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,954.65
|
| Rate for Payer: Meridian Medicaid |
$3,114.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,521.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,238.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,643.60
|
| Rate for Payer: Nomi Health Commercial |
$5,444.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,979.65
|
| Rate for Payer: PACE Medicare |
$5,387.55
|
| Rate for Payer: PACE SWMI |
$5,671.10
|
| Rate for Payer: PHP Commercial |
$6,238.21
|
| Rate for Payer: PHP Medicaid |
$3,039.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,671.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,965.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,817.56
|
| Rate for Payer: Priority Health Medicare |
$5,671.10
|
| Rate for Payer: Priority Health Narrow Network |
$4,654.31
|
| Rate for Payer: Railroad Medicare Medicare |
$5,671.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,842.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,671.10
|
| Rate for Payer: UHC Exchange |
$8,790.20
|
| Rate for Payer: UHC Medicaid |
$2,965.99
|
| Rate for Payer: UHCCP DNSP |
$5,671.10
|
| Rate for Payer: UHCCP Medicaid |
$2,965.99
|
| Rate for Payer: VA VA |
$5,671.10
|
|
|
HC PERC THROMBECT OR INF W ANGIOPLASTY PERIPH DIALYSIS W IMAGING
|
Facility
|
IP
|
$18,046.39
|
|
|
Service Code
|
CPT 36905
|
| Hospital Charge Code |
36100529
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,534.79 |
| Max. Negotiated Rate |
$18,046.39 |
| Rate for Payer: Aetna Commercial |
$16,241.75
|
| Rate for Payer: ASR ASR |
$17,505.00
|
| Rate for Payer: BCBS Trust/PPO |
$14,819.70
|
| Rate for Payer: BCN Commercial |
$14,819.70
|
| Rate for Payer: Cash Price |
$14,437.11
|
| Rate for Payer: Cofinity Commercial |
$16,963.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,437.11
|
| Rate for Payer: Healthscope Commercial |
$17,505.00
|
| Rate for Payer: Healthscope Whirlpool |
$18,046.39
|
| Rate for Payer: Mclaren Commercial |
$16,241.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,339.43
|
| Rate for Payer: Nomi Health Commercial |
$14,798.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,534.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,880.82
|
|
