|
HC PHOSPHOLIPASE A2 RECEPTOR
|
Facility
|
IP
|
$287.77
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200492
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$215.83 |
| Max. Negotiated Rate |
$287.77 |
| Rate for Payer: Aetna Commercial |
$258.99
|
| Rate for Payer: ASR ASR |
$279.14
|
| Rate for Payer: BCBS Trust/PPO |
$236.32
|
| Rate for Payer: BCN Commercial |
$236.32
|
| Rate for Payer: Cash Price |
$230.22
|
| Rate for Payer: Cofinity Commercial |
$270.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.22
|
| Rate for Payer: Healthscope Commercial |
$279.14
|
| Rate for Payer: Healthscope Whirlpool |
$287.77
|
| Rate for Payer: Mclaren Commercial |
$258.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.60
|
| Rate for Payer: Nomi Health Commercial |
$235.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$253.24
|
|
|
HC PHOSPHOLIPASE A2 RECEPTOR
|
Facility
|
OP
|
$287.77
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200492
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$287.77 |
| Rate for Payer: Aetna Commercial |
$258.99
|
| 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 |
$279.14
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$237.27
|
| Rate for Payer: BCN Commercial |
$237.27
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$230.22
|
| Rate for Payer: Cash Price |
$230.22
|
| Rate for Payer: Cofinity Commercial |
$270.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$279.14
|
| Rate for Payer: Healthscope Whirlpool |
$287.77
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$258.99
|
| 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 |
$244.60
|
| Rate for Payer: Nomi Health Commercial |
$235.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.83
|
| 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 |
$253.24
|
| 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 PHOSPHOLIPASE A2 SCREEN
|
Facility
|
IP
|
$214.32
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200430
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$214.32 |
| Rate for Payer: Aetna Commercial |
$192.89
|
| Rate for Payer: ASR ASR |
$207.89
|
| Rate for Payer: BCBS Trust/PPO |
$176.00
|
| Rate for Payer: BCN Commercial |
$176.00
|
| Rate for Payer: Cash Price |
$171.46
|
| Rate for Payer: Cofinity Commercial |
$201.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.46
|
| Rate for Payer: Healthscope Commercial |
$207.89
|
| Rate for Payer: Healthscope Whirlpool |
$214.32
|
| Rate for Payer: Mclaren Commercial |
$192.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.17
|
| Rate for Payer: Nomi Health Commercial |
$175.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$160.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$188.60
|
|
|
HC PHOSPHOLIPASE A2 SCREEN
|
Facility
|
OP
|
$214.32
|
|
|
Service Code
|
CPT 86255
|
| Hospital Charge Code |
30200430
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$250.58 |
| Rate for Payer: Aetna Commercial |
$192.89
|
| 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 |
$207.89
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$171.46
|
| Rate for Payer: Cash Price |
$171.46
|
| Rate for Payer: Cofinity Commercial |
$201.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$207.89
|
| Rate for Payer: Healthscope Whirlpool |
$214.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$192.89
|
| 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 |
$182.17
|
| Rate for Payer: Nomi Health Commercial |
$175.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$160.74
|
| 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 |
$188.60
|
| 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 PHOSPHOLIPASE A2 TITER
|
Facility
|
IP
|
$214.32
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200431
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$160.74 |
| Max. Negotiated Rate |
$214.32 |
| Rate for Payer: Aetna Commercial |
$192.89
|
| Rate for Payer: ASR ASR |
$207.89
|
| Rate for Payer: BCBS Trust/PPO |
$176.00
|
| Rate for Payer: BCN Commercial |
$176.00
|
| Rate for Payer: Cash Price |
$171.46
|
| Rate for Payer: Cofinity Commercial |
$201.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.46
|
| Rate for Payer: Healthscope Commercial |
$207.89
|
| Rate for Payer: Healthscope Whirlpool |
$214.32
|
| Rate for Payer: Mclaren Commercial |
$192.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.17
|
| Rate for Payer: Nomi Health Commercial |
$175.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$160.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$188.60
|
|
|
HC PHOSPHOLIPASE A2 TITER
|
Facility
|
OP
|
$214.32
|
|
|
Service Code
|
CPT 86256
|
| Hospital Charge Code |
30200431
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$214.32 |
| Rate for Payer: Aetna Commercial |
$192.89
|
| 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 |
$207.89
|
| Rate for Payer: BCBS Complete |
$6.62
|
| Rate for Payer: BCBS MAPPO |
$12.05
|
| Rate for Payer: BCBS Trust/PPO |
$176.71
|
| Rate for Payer: BCN Commercial |
$176.71
|
| Rate for Payer: BCN Medicare Advantage |
$12.05
|
| Rate for Payer: Cash Price |
$171.46
|
| Rate for Payer: Cash Price |
$171.46
|
| Rate for Payer: Cofinity Commercial |
$201.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.05
|
| Rate for Payer: Healthscope Commercial |
$207.89
|
| Rate for Payer: Healthscope Whirlpool |
$214.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.05
|
| Rate for Payer: Mclaren Commercial |
$192.89
|
| 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 |
$182.17
|
| Rate for Payer: Nomi Health Commercial |
$175.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$160.74
|
| 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 |
$213.06
|
| Rate for Payer: Priority Health Medicare |
$12.05
|
| Rate for Payer: Priority Health Narrow Network |
$170.44
|
| Rate for Payer: Railroad Medicare Medicare |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$188.60
|
| 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 PHOSPHOROUS SERUM
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 84100
|
| Hospital Charge Code |
30100392
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.48 |
| Max. Negotiated Rate |
$21.23 |
| Rate for Payer: Aetna Commercial |
$19.11
|
| Rate for Payer: Aetna Medicare |
$4.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.92
|
| Rate for Payer: ASR ASR |
$20.59
|
| Rate for Payer: BCBS Complete |
$2.60
|
| Rate for Payer: BCBS MAPPO |
$4.74
|
| Rate for Payer: BCBS Trust/PPO |
$17.50
|
| Rate for Payer: BCN Commercial |
$17.50
|
| Rate for Payer: BCN Medicare Advantage |
$4.74
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$19.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.74
|
| Rate for Payer: Healthscope Commercial |
$20.59
|
| Rate for Payer: Healthscope Whirlpool |
$21.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$4.74
|
| Rate for Payer: Mclaren Commercial |
$19.11
|
| Rate for Payer: Mclaren Medicaid |
$4.74
|
| Rate for Payer: Mclaren Medicare |
$4.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.98
|
| Rate for Payer: Meridian Medicaid |
$2.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Medicare |
$4.50
|
| Rate for Payer: PACE SWMI |
$4.74
|
| Rate for Payer: PHP Commercial |
$5.21
|
| Rate for Payer: PHP Medicaid |
$2.54
|
| Rate for Payer: PHP Medicare Advantage |
$4.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.18
|
| Rate for Payer: Priority Health Medicare |
$4.74
|
| Rate for Payer: Priority Health Narrow Network |
$16.94
|
| Rate for Payer: Railroad Medicare Medicare |
$4.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.74
|
| Rate for Payer: UHC Exchange |
$7.35
|
| Rate for Payer: UHC Medicaid |
$2.48
|
| Rate for Payer: UHCCP DNSP |
$4.74
|
| Rate for Payer: UHCCP Medicaid |
$2.48
|
| Rate for Payer: VA VA |
$4.74
|
|
|
HC PHOSPHOROUS SERUM
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 84100
|
| Hospital Charge Code |
30100392
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.92 |
| Max. Negotiated Rate |
$21.23 |
| Rate for Payer: Aetna Commercial |
$19.11
|
| Rate for Payer: ASR ASR |
$20.59
|
| Rate for Payer: BCBS Trust/PPO |
$17.43
|
| Rate for Payer: BCN Commercial |
$17.43
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$19.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$20.59
|
| Rate for Payer: Healthscope Whirlpool |
$21.23
|
| Rate for Payer: Mclaren Commercial |
$19.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.68
|
|
|
HC PHOSPHOROUS URINE
|
Facility
|
OP
|
$54.00
|
|
|
Service Code
|
CPT 84105
|
| Hospital Charge Code |
30100393
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.02 |
| Max. Negotiated Rate |
$54.00 |
| Rate for Payer: Aetna Commercial |
$48.60
|
| Rate for Payer: Aetna Medicare |
$5.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.22
|
| Rate for Payer: ASR ASR |
$52.38
|
| Rate for Payer: BCBS Complete |
$3.17
|
| Rate for Payer: BCBS MAPPO |
$5.78
|
| Rate for Payer: BCBS Trust/PPO |
$44.52
|
| Rate for Payer: BCN Commercial |
$44.52
|
| Rate for Payer: BCN Medicare Advantage |
$5.78
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$50.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.78
|
| Rate for Payer: Healthscope Commercial |
$52.38
|
| Rate for Payer: Healthscope Whirlpool |
$54.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.78
|
| Rate for Payer: Mclaren Commercial |
$48.60
|
| Rate for Payer: Mclaren Medicaid |
$5.78
|
| Rate for Payer: Mclaren Medicare |
$5.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.07
|
| Rate for Payer: Meridian Medicaid |
$3.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.90
|
| Rate for Payer: Nomi Health Commercial |
$44.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: PACE Medicare |
$5.49
|
| Rate for Payer: PACE SWMI |
$5.78
|
| Rate for Payer: PHP Commercial |
$6.36
|
| Rate for Payer: PHP Medicaid |
$3.10
|
| Rate for Payer: PHP Medicare Advantage |
$5.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24.21
|
| Rate for Payer: Priority Health Medicare |
$5.78
|
| Rate for Payer: Priority Health Narrow Network |
$19.37
|
| Rate for Payer: Railroad Medicare Medicare |
$5.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$47.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.78
|
| Rate for Payer: UHC Exchange |
$8.96
|
| Rate for Payer: UHC Medicaid |
$3.02
|
| Rate for Payer: UHCCP DNSP |
$5.78
|
| Rate for Payer: UHCCP Medicaid |
$3.02
|
| Rate for Payer: VA VA |
$5.78
|
|
|
HC PHOSPHOROUS URINE
|
Facility
|
IP
|
$54.00
|
|
|
Service Code
|
CPT 84105
|
| Hospital Charge Code |
30100393
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$40.50 |
| Max. Negotiated Rate |
$54.00 |
| Rate for Payer: Aetna Commercial |
$48.60
|
| Rate for Payer: ASR ASR |
$52.38
|
| Rate for Payer: BCBS Trust/PPO |
$44.34
|
| Rate for Payer: BCN Commercial |
$44.34
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$50.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.20
|
| Rate for Payer: Healthscope Commercial |
$52.38
|
| Rate for Payer: Healthscope Whirlpool |
$54.00
|
| Rate for Payer: Mclaren Commercial |
$48.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.90
|
| Rate for Payer: Nomi Health Commercial |
$44.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$47.52
|
|
|
HC PHOSPHO-TAU 217,P
|
Facility
|
OP
|
$375.00
|
|
|
Service Code
|
CPT 84393
|
| Hospital Charge Code |
30000176
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$15.23 |
| Max. Negotiated Rate |
$375.00 |
| Rate for Payer: Aetna Commercial |
$337.50
|
| Rate for Payer: Aetna Medicare |
$128.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.15
|
| Rate for Payer: ASR ASR |
$363.75
|
| Rate for Payer: BCBS Complete |
$70.80
|
| Rate for Payer: BCBS MAPPO |
$128.92
|
| Rate for Payer: BCBS Trust/PPO |
$309.19
|
| Rate for Payer: BCN Commercial |
$309.19
|
| Rate for Payer: BCN Medicare Advantage |
$128.92
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cofinity Commercial |
$352.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.92
|
| Rate for Payer: Healthscope Commercial |
$363.75
|
| Rate for Payer: Healthscope Whirlpool |
$375.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$128.92
|
| Rate for Payer: Mclaren Commercial |
$337.50
|
| Rate for Payer: Mclaren Medicaid |
$128.92
|
| Rate for Payer: Mclaren Medicare |
$128.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.37
|
| Rate for Payer: Meridian Medicaid |
$70.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.75
|
| Rate for Payer: Nomi Health Commercial |
$307.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: PACE Medicare |
$122.47
|
| Rate for Payer: PACE SWMI |
$128.92
|
| Rate for Payer: PHP Commercial |
$141.81
|
| Rate for Payer: PHP Medicaid |
$69.10
|
| Rate for Payer: PHP Medicare Advantage |
$128.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19.04
|
| Rate for Payer: Priority Health Medicare |
$128.92
|
| Rate for Payer: Priority Health Narrow Network |
$15.23
|
| Rate for Payer: Railroad Medicare Medicare |
$128.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$330.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.92
|
| Rate for Payer: UHC Exchange |
$199.83
|
| Rate for Payer: UHC Medicaid |
$67.43
|
| Rate for Payer: UHCCP DNSP |
$128.92
|
| Rate for Payer: UHCCP Medicaid |
$67.43
|
| Rate for Payer: VA VA |
$128.92
|
|
|
HC PHOSPHO-TAU 217,P
|
Facility
|
IP
|
$375.00
|
|
|
Service Code
|
CPT 84393
|
| Hospital Charge Code |
30000176
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$281.25 |
| Max. Negotiated Rate |
$375.00 |
| Rate for Payer: Aetna Commercial |
$337.50
|
| Rate for Payer: ASR ASR |
$363.75
|
| Rate for Payer: BCBS Trust/PPO |
$307.95
|
| Rate for Payer: BCN Commercial |
$307.95
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cofinity Commercial |
$352.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.00
|
| Rate for Payer: Healthscope Commercial |
$363.75
|
| Rate for Payer: Healthscope Whirlpool |
$375.00
|
| Rate for Payer: Mclaren Commercial |
$337.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.75
|
| Rate for Payer: Nomi Health Commercial |
$307.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$330.00
|
|
|
HC PHYSICAL PERF TEST EA 15 MIN
|
Facility
|
IP
|
$95.51
|
|
|
Service Code
|
CPT 97750
|
| Hospital Charge Code |
42000038
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$71.63 |
| Max. Negotiated Rate |
$95.51 |
| Rate for Payer: Aetna Commercial |
$85.96
|
| Rate for Payer: ASR ASR |
$92.64
|
| Rate for Payer: BCBS Trust/PPO |
$78.43
|
| Rate for Payer: BCN Commercial |
$78.43
|
| Rate for Payer: Cash Price |
$76.41
|
| Rate for Payer: Cofinity Commercial |
$89.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.41
|
| Rate for Payer: Healthscope Commercial |
$92.64
|
| Rate for Payer: Healthscope Whirlpool |
$95.51
|
| Rate for Payer: Mclaren Commercial |
$85.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.18
|
| Rate for Payer: Nomi Health Commercial |
$78.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$84.05
|
|
|
HC PHYSICAL PERF TEST EA 15 MIN
|
Facility
|
OP
|
$95.51
|
|
|
Service Code
|
CPT 97750
|
| Hospital Charge Code |
42000038
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$35.34 |
| Max. Negotiated Rate |
$95.51 |
| Rate for Payer: Aetna Commercial |
$85.96
|
| Rate for Payer: Aetna Medicare |
$35.34
|
| Rate for Payer: ASR ASR |
$92.64
|
| Rate for Payer: BCBS Complete |
$38.20
|
| Rate for Payer: BCBS Trust/PPO |
$78.75
|
| Rate for Payer: BCN Commercial |
$78.75
|
| Rate for Payer: Cash Price |
$76.41
|
| Rate for Payer: Cash Price |
$76.41
|
| Rate for Payer: Cofinity Commercial |
$89.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.41
|
| Rate for Payer: Healthscope Commercial |
$92.64
|
| Rate for Payer: Healthscope Whirlpool |
$95.51
|
| Rate for Payer: Mclaren Commercial |
$85.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$76.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.18
|
| Rate for Payer: Nomi Health Commercial |
$78.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$84.73
|
| Rate for Payer: Priority Health Narrow Network |
$67.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$84.05
|
|
|
HC PICC INTRODUCER
|
Facility
|
IP
|
$100.29
|
|
| Hospital Charge Code |
27200147
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.22 |
| Max. Negotiated Rate |
$100.29 |
| Rate for Payer: Aetna Commercial |
$90.26
|
| Rate for Payer: ASR ASR |
$97.28
|
| Rate for Payer: BCBS Trust/PPO |
$82.36
|
| Rate for Payer: BCN Commercial |
$82.36
|
| Rate for Payer: Cash Price |
$80.23
|
| Rate for Payer: Cofinity Commercial |
$94.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.23
|
| Rate for Payer: Healthscope Commercial |
$97.28
|
| Rate for Payer: Healthscope Whirlpool |
$100.29
|
| Rate for Payer: Mclaren Commercial |
$90.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.25
|
| Rate for Payer: Nomi Health Commercial |
$82.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.26
|
|
|
HC PICC INTRODUCER
|
Facility
|
OP
|
$100.29
|
|
| Hospital Charge Code |
27200147
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.11 |
| Max. Negotiated Rate |
$100.29 |
| Rate for Payer: Aetna Commercial |
$90.26
|
| Rate for Payer: Aetna Medicare |
$37.11
|
| Rate for Payer: ASR ASR |
$97.28
|
| Rate for Payer: BCBS Complete |
$40.12
|
| Rate for Payer: BCBS Trust/PPO |
$82.69
|
| Rate for Payer: BCN Commercial |
$82.69
|
| Rate for Payer: Cash Price |
$80.23
|
| Rate for Payer: Cofinity Commercial |
$94.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.23
|
| Rate for Payer: Healthscope Commercial |
$97.28
|
| Rate for Payer: Healthscope Whirlpool |
$100.29
|
| Rate for Payer: Mclaren Commercial |
$90.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.25
|
| Rate for Payer: Nomi Health Commercial |
$82.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$87.87
|
| Rate for Payer: Priority Health Narrow Network |
$70.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.26
|
|
|
HC PICU 30" NITROUS OXIDE SED RECOVERY
|
Facility
|
IP
|
$114.84
|
|
| Hospital Charge Code |
37000019
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$86.13 |
| Max. Negotiated Rate |
$114.84 |
| Rate for Payer: Aetna Commercial |
$103.36
|
| Rate for Payer: ASR ASR |
$111.39
|
| Rate for Payer: BCBS Trust/PPO |
$94.31
|
| Rate for Payer: BCN Commercial |
$94.31
|
| Rate for Payer: Cash Price |
$91.87
|
| Rate for Payer: Cofinity Commercial |
$107.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.87
|
| Rate for Payer: Healthscope Commercial |
$111.39
|
| Rate for Payer: Healthscope Whirlpool |
$114.84
|
| Rate for Payer: Mclaren Commercial |
$103.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.61
|
| Rate for Payer: Nomi Health Commercial |
$94.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.06
|
|
|
HC PICU 30" NITROUS OXIDE SED RECOVERY
|
Facility
|
OP
|
$114.84
|
|
| Hospital Charge Code |
37000019
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$42.49 |
| Max. Negotiated Rate |
$114.84 |
| Rate for Payer: Aetna Commercial |
$103.36
|
| Rate for Payer: Aetna Medicare |
$42.49
|
| Rate for Payer: ASR ASR |
$111.39
|
| Rate for Payer: BCBS Complete |
$45.94
|
| Rate for Payer: BCBS Trust/PPO |
$94.69
|
| Rate for Payer: BCN Commercial |
$94.69
|
| Rate for Payer: Cash Price |
$91.87
|
| Rate for Payer: Cofinity Commercial |
$107.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.87
|
| Rate for Payer: Healthscope Commercial |
$111.39
|
| Rate for Payer: Healthscope Whirlpool |
$114.84
|
| Rate for Payer: Mclaren Commercial |
$103.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.61
|
| Rate for Payer: Nomi Health Commercial |
$94.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$100.62
|
| Rate for Payer: Priority Health Narrow Network |
$80.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.06
|
|
|
HC PICU OBSERVATION PER HOUR
|
Facility
|
OP
|
$204.96
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200017
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$54.44 |
| Max. Negotiated Rate |
$1,608.00 |
| Rate for Payer: Aetna Commercial |
$184.46
|
| Rate for Payer: Aetna Medicare |
$75.84
|
| Rate for Payer: ASR ASR |
$198.81
|
| Rate for Payer: BCBS Complete |
$81.98
|
| Rate for Payer: BCBS Trust/PPO |
$168.99
|
| Rate for Payer: BCN Commercial |
$168.99
|
| Rate for Payer: Cash Price |
$163.97
|
| Rate for Payer: Cash Price |
$163.97
|
| Rate for Payer: Cash Price |
$163.97
|
| Rate for Payer: Cofinity Commercial |
$192.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.97
|
| Rate for Payer: Healthscope Commercial |
$198.81
|
| Rate for Payer: Healthscope Whirlpool |
$204.96
|
| Rate for Payer: Mclaren Commercial |
$184.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$163.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.22
|
| Rate for Payer: Nomi Health Commercial |
$168.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$68.05
|
| Rate for Payer: Priority Health Narrow Network |
$54.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$180.36
|
| Rate for Payer: UHC Medicaid |
$1,608.00
|
|
|
HC PICU OBSERVATION PER HOUR
|
Facility
|
IP
|
$204.96
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200017
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$153.72 |
| Max. Negotiated Rate |
$204.96 |
| Rate for Payer: Aetna Commercial |
$184.46
|
| Rate for Payer: ASR ASR |
$198.81
|
| Rate for Payer: BCBS Trust/PPO |
$168.31
|
| Rate for Payer: BCN Commercial |
$168.31
|
| Rate for Payer: Cash Price |
$163.97
|
| Rate for Payer: Cofinity Commercial |
$192.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.97
|
| Rate for Payer: Healthscope Commercial |
$198.81
|
| Rate for Payer: Healthscope Whirlpool |
$204.96
|
| Rate for Payer: Mclaren Commercial |
$184.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.22
|
| Rate for Payer: Nomi Health Commercial |
$168.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$180.36
|
|
|
HC PICU OR PED CRITICAL CARE R&B
|
Facility
|
IP
|
$7,957.94
|
|
| Hospital Charge Code |
20300001
|
|
Hospital Revenue Code
|
203
|
| Min. Negotiated Rate |
$5,968.45 |
| Max. Negotiated Rate |
$7,957.94 |
| Rate for Payer: Aetna Commercial |
$7,162.15
|
| Rate for Payer: ASR ASR |
$7,719.20
|
| Rate for Payer: BCBS Trust/PPO |
$6,535.06
|
| Rate for Payer: BCN Commercial |
$6,535.06
|
| Rate for Payer: Cash Price |
$6,366.35
|
| Rate for Payer: Cofinity Commercial |
$7,480.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,366.35
|
| Rate for Payer: Healthscope Commercial |
$7,719.20
|
| Rate for Payer: Healthscope Whirlpool |
$7,957.94
|
| Rate for Payer: Mclaren Commercial |
$7,162.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,764.25
|
| Rate for Payer: Nomi Health Commercial |
$6,525.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,968.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,002.99
|
|
|
HC PICU OR PED INTERMEDIATE CARE R&B
|
Facility
|
IP
|
$6,640.46
|
|
| Hospital Charge Code |
20600002
|
|
Hospital Revenue Code
|
206
|
| Min. Negotiated Rate |
$4,980.35 |
| Max. Negotiated Rate |
$6,640.46 |
| Rate for Payer: Aetna Commercial |
$5,976.41
|
| Rate for Payer: ASR ASR |
$6,441.25
|
| Rate for Payer: BCBS Trust/PPO |
$5,453.15
|
| Rate for Payer: BCN Commercial |
$5,453.15
|
| Rate for Payer: Cash Price |
$5,312.37
|
| Rate for Payer: Cofinity Commercial |
$6,242.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,312.37
|
| Rate for Payer: Healthscope Commercial |
$6,441.25
|
| Rate for Payer: Healthscope Whirlpool |
$6,640.46
|
| Rate for Payer: Mclaren Commercial |
$5,976.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,644.39
|
| Rate for Payer: Nomi Health Commercial |
$5,445.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,980.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,843.60
|
|
|
HC PICU/PEDS 30" SEDATION RECOVERY
|
Facility
|
IP
|
$321.36
|
|
| Hospital Charge Code |
71000009
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$241.02 |
| Max. Negotiated Rate |
$321.36 |
| Rate for Payer: Aetna Commercial |
$289.22
|
| Rate for Payer: ASR ASR |
$311.72
|
| Rate for Payer: BCBS Trust/PPO |
$263.90
|
| Rate for Payer: BCN Commercial |
$263.90
|
| Rate for Payer: Cash Price |
$257.09
|
| Rate for Payer: Cofinity Commercial |
$302.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.09
|
| Rate for Payer: Healthscope Commercial |
$311.72
|
| Rate for Payer: Healthscope Whirlpool |
$321.36
|
| Rate for Payer: Mclaren Commercial |
$289.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.16
|
| Rate for Payer: Nomi Health Commercial |
$263.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$282.80
|
|
|
HC PICU/PEDS 30" SEDATION RECOVERY
|
Facility
|
OP
|
$321.36
|
|
| Hospital Charge Code |
71000009
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$118.90 |
| Max. Negotiated Rate |
$321.36 |
| Rate for Payer: Aetna Commercial |
$289.22
|
| Rate for Payer: Aetna Medicare |
$118.90
|
| Rate for Payer: ASR ASR |
$311.72
|
| Rate for Payer: BCBS Complete |
$128.54
|
| Rate for Payer: BCBS Trust/PPO |
$264.96
|
| Rate for Payer: BCN Commercial |
$264.96
|
| Rate for Payer: Cash Price |
$257.09
|
| Rate for Payer: Cofinity Commercial |
$302.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.09
|
| Rate for Payer: Healthscope Commercial |
$311.72
|
| Rate for Payer: Healthscope Whirlpool |
$321.36
|
| Rate for Payer: Mclaren Commercial |
$289.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$257.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.16
|
| Rate for Payer: Nomi Health Commercial |
$263.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$281.58
|
| Rate for Payer: Priority Health Narrow Network |
$225.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$282.80
|
|
|
HC PIFLUFOLASTAT PER MILLICURIE
|
Facility
|
OP
|
$1,591.81
|
|
|
Service Code
|
CPT A9595
|
| Hospital Charge Code |
34300369
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$181.21 |
| Max. Negotiated Rate |
$1,591.81 |
| Rate for Payer: Aetna Commercial |
$1,432.63
|
| Rate for Payer: Aetna Medicare |
$346.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$433.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$433.11
|
| Rate for Payer: ASR ASR |
$1,544.06
|
| Rate for Payer: BCBS Complete |
$190.29
|
| Rate for Payer: BCBS MAPPO |
$346.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,312.45
|
| Rate for Payer: BCN Commercial |
$1,312.45
|
| Rate for Payer: BCN Medicare Advantage |
$346.49
|
| Rate for Payer: Cash Price |
$1,273.45
|
| Rate for Payer: Cash Price |
$1,273.45
|
| Rate for Payer: Cofinity Commercial |
$1,496.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,273.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.49
|
| Rate for Payer: Healthscope Commercial |
$1,544.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,591.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$346.49
|
| Rate for Payer: Mclaren Commercial |
$1,432.63
|
| Rate for Payer: Mclaren Medicaid |
$346.49
|
| Rate for Payer: Mclaren Medicare |
$346.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$363.81
|
| Rate for Payer: Meridian Medicaid |
$190.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$398.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$381.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,353.04
|
| Rate for Payer: Nomi Health Commercial |
$1,305.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,193.86
|
| Rate for Payer: PACE Medicare |
$329.17
|
| Rate for Payer: PACE SWMI |
$346.49
|
| Rate for Payer: PHP Commercial |
$381.14
|
| Rate for Payer: PHP Medicaid |
$185.72
|
| Rate for Payer: PHP Medicare Advantage |
$346.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$646.18
|
| Rate for Payer: Priority Health Medicare |
$346.49
|
| Rate for Payer: Priority Health Narrow Network |
$516.94
|
| Rate for Payer: Railroad Medicare Medicare |
$346.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,400.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$346.49
|
| Rate for Payer: UHC Exchange |
$537.06
|
| Rate for Payer: UHC Medicaid |
$181.21
|
| Rate for Payer: UHCCP DNSP |
$346.49
|
| Rate for Payer: UHCCP Medicaid |
$181.21
|
| Rate for Payer: VA VA |
$346.49
|
|
