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Service Code CPT 84478
Hospital Charge Code 30100445
Hospital Revenue Code 301
Min. Negotiated Rate $3.14
Max. Negotiated Rate $29.76
Rate for Payer: Aetna Commercial $18.36
Rate for Payer: Aetna Medicare $5.74
Rate for Payer: Allen County Amish Medical Aid Commercial $7.18
Rate for Payer: Amish Plain Church Group Commercial $7.18
Rate for Payer: ASR ASR $19.79
Rate for Payer: BCBS Complete $3.30
Rate for Payer: BCBS MAPPO $5.74
Rate for Payer: BCBS Trust/PPO $15.82
Rate for Payer: BCN Commercial $15.82
Rate for Payer: BCN Medicare Advantage $5.74
Rate for Payer: Cash Price $16.32
Rate for Payer: Cash Price $16.32
Rate for Payer: Cofinity Commercial $19.18
Rate for Payer: Encore Health Key Benefits Commercial $16.32
Rate for Payer: Health Alliance Plan Medicare Advantage $5.74
Rate for Payer: Healthscope Commercial $20.40
Rate for Payer: Healthscope Whirlpool $19.79
Rate for Payer: Humana Choice PPO Medicare $5.74
Rate for Payer: Mclaren Commercial $18.36
Rate for Payer: Mclaren Medicaid $3.14
Rate for Payer: Mclaren Medicare $5.74
Rate for Payer: Meridian Medicaid $3.30
Rate for Payer: Meridian Wellcare - Medicare Advantage $6.03
Rate for Payer: MI Amish Medical Board Commercial $6.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $17.34
Rate for Payer: PACE Medicare $5.45
Rate for Payer: PACE SWMI $5.74
Rate for Payer: PHP Commercial $6.31
Rate for Payer: PHP Medicaid $3.14
Rate for Payer: PHP Medicare Advantage $5.74
Rate for Payer: Priority Health Choice Medicaid $3.14
Rate for Payer: Priority Health Cigna Priority Health $14.28
Rate for Payer: Priority Health HMO/PPO/Tiered Network $29.76
Rate for Payer: Priority Health Medicare $5.74
Rate for Payer: Priority Health Narrow Network $23.81
Rate for Payer: Railroad Medicare Medicare $5.74
Rate for Payer: UHC All Payor (Choice/PPO) + Core $17.95
Rate for Payer: UHC Medicare Advantage $5.91
Rate for Payer: VA VA $5.74
Service Code CPT 90716
Hospital Charge Code 63600084
Hospital Revenue Code 636
Min. Negotiated Rate $86.50
Max. Negotiated Rate $216.24
Rate for Payer: Aetna Commercial $194.62
Rate for Payer: ASR ASR $209.75
Rate for Payer: BCBS Complete $86.50
Rate for Payer: BCBS Trust/PPO $167.65
Rate for Payer: BCN Commercial $167.65
Rate for Payer: Cash Price $172.99
Rate for Payer: Cofinity Commercial $203.27
Rate for Payer: Encore Health Key Benefits Commercial $172.99
Rate for Payer: Healthscope Commercial $216.24
Rate for Payer: Healthscope Whirlpool $209.75
Rate for Payer: Mclaren Commercial $194.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $183.80
Rate for Payer: Priority Health Cigna Priority Health $151.37
Rate for Payer: Priority Health HMO/PPO/Tiered Network $196.78
Rate for Payer: Priority Health Narrow Network $153.53
Rate for Payer: UHC All Payor (Choice/PPO) + Core $190.29
Service Code CPT 90716
Hospital Charge Code 63600084
Hospital Revenue Code 636
Min. Negotiated Rate $151.37
Max. Negotiated Rate $216.24
Rate for Payer: Aetna Commercial $194.62
Rate for Payer: ASR ASR $209.75
Rate for Payer: BCBS Trust/PPO $167.65
Rate for Payer: BCN Commercial $167.65
Rate for Payer: Cash Price $172.99
Rate for Payer: Cofinity Commercial $203.27
Rate for Payer: Encore Health Key Benefits Commercial $172.99
Rate for Payer: Healthscope Commercial $216.24
Rate for Payer: Healthscope Whirlpool $209.75
Rate for Payer: Mclaren Commercial $194.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $183.80
Rate for Payer: Priority Health Cigna Priority Health $151.37
Rate for Payer: UHC All Payor (Choice/PPO) + Core $190.29
Service Code CPT 86787
Hospital Charge Code 30200327
Hospital Revenue Code 302
Min. Negotiated Rate $30.70
Max. Negotiated Rate $43.86
Rate for Payer: Aetna Commercial $39.47
Rate for Payer: ASR ASR $42.54
Rate for Payer: BCBS Trust/PPO $34.00
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 Multiplan/Beech St/PHCS $37.28
Rate for Payer: Priority Health Cigna Priority Health $30.70
Rate for Payer: UHC All Payor (Choice/PPO) + Core $38.60
Service Code CPT 86787
Hospital Charge Code 30200327
Hospital Revenue Code 302
Min. Negotiated Rate $7.05
Max. Negotiated Rate $97.49
Rate for Payer: Aetna Commercial $39.47
Rate for Payer: Aetna Medicare $12.88
Rate for Payer: Allen County Amish Medical Aid Commercial $16.10
Rate for Payer: Amish Plain Church Group Commercial $16.10
Rate for Payer: ASR ASR $42.54
Rate for Payer: BCBS Complete $7.40
Rate for Payer: BCBS MAPPO $12.88
Rate for Payer: BCBS Trust/PPO $34.00
Rate for Payer: BCN Commercial $34.00
Rate for Payer: BCN Medicare Advantage $12.88
Rate for Payer: Cash Price $35.09
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: Health Alliance Plan Medicare Advantage $12.88
Rate for Payer: Healthscope Commercial $43.86
Rate for Payer: Healthscope Whirlpool $42.54
Rate for Payer: Humana Choice PPO Medicare $12.88
Rate for Payer: Mclaren Commercial $39.47
Rate for Payer: Mclaren Medicaid $7.05
Rate for Payer: Mclaren Medicare $12.88
Rate for Payer: Meridian Medicaid $7.40
Rate for Payer: Meridian Wellcare - Medicare Advantage $13.52
Rate for Payer: MI Amish Medical Board Commercial $14.81
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $37.28
Rate for Payer: PACE Medicare $12.24
Rate for Payer: PACE SWMI $12.88
Rate for Payer: PHP Commercial $14.17
Rate for Payer: PHP Medicaid $7.05
Rate for Payer: PHP Medicare Advantage $12.88
Rate for Payer: Priority Health Choice Medicaid $7.05
Rate for Payer: Priority Health Cigna Priority Health $30.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $97.49
Rate for Payer: Priority Health Medicare $12.88
Rate for Payer: Priority Health Narrow Network $77.99
Rate for Payer: Railroad Medicare Medicare $12.88
Rate for Payer: UHC All Payor (Choice/PPO) + Core $38.60
Rate for Payer: UHC Medicare Advantage $13.27
Rate for Payer: VA VA $12.88
Service Code CPT 86787
Hospital Charge Code 30200326
Hospital Revenue Code 302
Min. Negotiated Rate $7.05
Max. Negotiated Rate $97.49
Rate for Payer: Aetna Commercial $71.10
Rate for Payer: Aetna Medicare $12.88
Rate for Payer: Allen County Amish Medical Aid Commercial $16.10
Rate for Payer: Amish Plain Church Group Commercial $16.10
Rate for Payer: ASR ASR $76.63
Rate for Payer: BCBS Complete $7.40
Rate for Payer: BCBS MAPPO $12.88
Rate for Payer: BCBS Trust/PPO $61.25
Rate for Payer: BCN Commercial $61.25
Rate for Payer: BCN Medicare Advantage $12.88
Rate for Payer: Cash Price $63.20
Rate for Payer: Cash Price $63.20
Rate for Payer: Cofinity Commercial $74.26
Rate for Payer: Encore Health Key Benefits Commercial $63.20
Rate for Payer: Health Alliance Plan Medicare Advantage $12.88
Rate for Payer: Healthscope Commercial $79.00
Rate for Payer: Healthscope Whirlpool $76.63
Rate for Payer: Humana Choice PPO Medicare $12.88
Rate for Payer: Mclaren Commercial $71.10
Rate for Payer: Mclaren Medicaid $7.05
Rate for Payer: Mclaren Medicare $12.88
Rate for Payer: Meridian Medicaid $7.40
Rate for Payer: Meridian Wellcare - Medicare Advantage $13.52
Rate for Payer: MI Amish Medical Board Commercial $14.81
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $67.15
Rate for Payer: PACE Medicare $12.24
Rate for Payer: PACE SWMI $12.88
Rate for Payer: PHP Commercial $14.17
Rate for Payer: PHP Medicaid $7.05
Rate for Payer: PHP Medicare Advantage $12.88
Rate for Payer: Priority Health Choice Medicaid $7.05
Rate for Payer: Priority Health Cigna Priority Health $55.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $97.49
Rate for Payer: Priority Health Medicare $12.88
Rate for Payer: Priority Health Narrow Network $77.99
Rate for Payer: Railroad Medicare Medicare $12.88
Rate for Payer: UHC All Payor (Choice/PPO) + Core $69.52
Rate for Payer: UHC Medicare Advantage $13.27
Rate for Payer: VA VA $12.88
Service Code CPT 86787
Hospital Charge Code 30200326
Hospital Revenue Code 302
Min. Negotiated Rate $55.30
Max. Negotiated Rate $79.00
Rate for Payer: Aetna Commercial $71.10
Rate for Payer: ASR ASR $76.63
Rate for Payer: BCBS Trust/PPO $61.25
Rate for Payer: BCN Commercial $61.25
Rate for Payer: Cash Price $63.20
Rate for Payer: Cofinity Commercial $74.26
Rate for Payer: Encore Health Key Benefits Commercial $63.20
Rate for Payer: Healthscope Commercial $79.00
Rate for Payer: Healthscope Whirlpool $76.63
Rate for Payer: Mclaren Commercial $71.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $67.15
Rate for Payer: Priority Health Cigna Priority Health $55.30
Rate for Payer: UHC All Payor (Choice/PPO) + Core $69.52
Service Code CPT 87798
Hospital Charge Code 30600167
Hospital Revenue Code 306
Min. Negotiated Rate $19.19
Max. Negotiated Rate $107.10
Rate for Payer: Aetna Commercial $96.39
Rate for Payer: Aetna Medicare $35.09
Rate for Payer: Allen County Amish Medical Aid Commercial $43.86
Rate for Payer: Amish Plain Church Group Commercial $43.86
Rate for Payer: ASR ASR $103.89
Rate for Payer: BCBS Complete $20.16
Rate for Payer: BCBS MAPPO $35.09
Rate for Payer: BCBS Trust/PPO $83.03
Rate for Payer: BCN Commercial $83.03
Rate for Payer: BCN Medicare Advantage $35.09
Rate for Payer: Cash Price $85.68
Rate for Payer: Cash Price $85.68
Rate for Payer: Cofinity Commercial $100.67
Rate for Payer: Encore Health Key Benefits Commercial $85.68
Rate for Payer: Health Alliance Plan Medicare Advantage $35.09
Rate for Payer: Healthscope Commercial $107.10
Rate for Payer: Healthscope Whirlpool $103.89
Rate for Payer: Humana Choice PPO Medicare $35.09
Rate for Payer: Mclaren Commercial $96.39
Rate for Payer: Mclaren Medicaid $19.19
Rate for Payer: Mclaren Medicare $35.09
Rate for Payer: Meridian Medicaid $20.16
Rate for Payer: Meridian Wellcare - Medicare Advantage $36.84
Rate for Payer: MI Amish Medical Board Commercial $40.35
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $91.04
Rate for Payer: PACE Medicare $33.34
Rate for Payer: PACE SWMI $35.09
Rate for Payer: PHP Commercial $38.60
Rate for Payer: PHP Medicaid $19.19
Rate for Payer: PHP Medicare Advantage $35.09
Rate for Payer: Priority Health Choice Medicaid $19.19
Rate for Payer: Priority Health Cigna Priority Health $74.97
Rate for Payer: Priority Health HMO/PPO/Tiered Network $97.46
Rate for Payer: Priority Health Medicare $35.09
Rate for Payer: Priority Health Narrow Network $76.04
Rate for Payer: Railroad Medicare Medicare $35.09
Rate for Payer: UHC All Payor (Choice/PPO) + Core $94.25
Rate for Payer: UHC Medicare Advantage $36.14
Rate for Payer: VA VA $35.09
Service Code CPT 87798
Hospital Charge Code 30600167
Hospital Revenue Code 306
Min. Negotiated Rate $74.97
Max. Negotiated Rate $107.10
Rate for Payer: Aetna Commercial $96.39
Rate for Payer: ASR ASR $103.89
Rate for Payer: BCBS Trust/PPO $83.03
Rate for Payer: BCN Commercial $83.03
Rate for Payer: Cash Price $85.68
Rate for Payer: Cofinity Commercial $100.67
Rate for Payer: Encore Health Key Benefits Commercial $85.68
Rate for Payer: Healthscope Commercial $107.10
Rate for Payer: Healthscope Whirlpool $103.89
Rate for Payer: Mclaren Commercial $96.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $91.04
Rate for Payer: Priority Health Cigna Priority Health $74.97
Rate for Payer: UHC All Payor (Choice/PPO) + Core $94.25
Service Code CPT 87798
Hospital Charge Code 30600278
Hospital Revenue Code 306
Min. Negotiated Rate $19.19
Max. Negotiated Rate $55.00
Rate for Payer: Aetna Commercial $49.50
Rate for Payer: Aetna Medicare $35.09
Rate for Payer: Allen County Amish Medical Aid Commercial $43.86
Rate for Payer: Amish Plain Church Group Commercial $43.86
Rate for Payer: ASR ASR $53.35
Rate for Payer: BCBS Complete $20.16
Rate for Payer: BCBS MAPPO $35.09
Rate for Payer: BCBS Trust/PPO $42.64
Rate for Payer: BCN Commercial $42.64
Rate for Payer: BCN Medicare Advantage $35.09
Rate for Payer: Cash Price $44.00
Rate for Payer: Cash Price $44.00
Rate for Payer: Cofinity Commercial $51.70
Rate for Payer: Encore Health Key Benefits Commercial $44.00
Rate for Payer: Health Alliance Plan Medicare Advantage $35.09
Rate for Payer: Healthscope Commercial $55.00
Rate for Payer: Healthscope Whirlpool $53.35
Rate for Payer: Humana Choice PPO Medicare $35.09
Rate for Payer: Mclaren Commercial $49.50
Rate for Payer: Mclaren Medicaid $19.19
Rate for Payer: Mclaren Medicare $35.09
Rate for Payer: Meridian Medicaid $20.16
Rate for Payer: Meridian Wellcare - Medicare Advantage $36.84
Rate for Payer: MI Amish Medical Board Commercial $40.35
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $46.75
Rate for Payer: PACE Medicare $33.34
Rate for Payer: PACE SWMI $35.09
Rate for Payer: PHP Commercial $38.60
Rate for Payer: PHP Medicaid $19.19
Rate for Payer: PHP Medicare Advantage $35.09
Rate for Payer: Priority Health Choice Medicaid $19.19
Rate for Payer: Priority Health Cigna Priority Health $38.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $50.05
Rate for Payer: Priority Health Medicare $35.09
Rate for Payer: Priority Health Narrow Network $39.05
Rate for Payer: Railroad Medicare Medicare $35.09
Rate for Payer: UHC All Payor (Choice/PPO) + Core $48.40
Rate for Payer: UHC Medicare Advantage $36.14
Rate for Payer: VA VA $35.09
Service Code CPT 87798
Hospital Charge Code 30600278
Hospital Revenue Code 306
Min. Negotiated Rate $38.50
Max. Negotiated Rate $55.00
Rate for Payer: Aetna Commercial $49.50
Rate for Payer: ASR ASR $53.35
Rate for Payer: BCBS Trust/PPO $42.64
Rate for Payer: BCN Commercial $42.64
Rate for Payer: Cash Price $44.00
Rate for Payer: Cofinity Commercial $51.70
Rate for Payer: Encore Health Key Benefits Commercial $44.00
Rate for Payer: Healthscope Commercial $55.00
Rate for Payer: Healthscope Whirlpool $53.35
Rate for Payer: Mclaren Commercial $49.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $46.75
Rate for Payer: Priority Health Cigna Priority Health $38.50
Rate for Payer: UHC All Payor (Choice/PPO) + Core $48.40
Service Code CPT 36909
Hospital Charge Code 36100533
Hospital Revenue Code 361
Min. Negotiated Rate $80.16
Max. Negotiated Rate $200.40
Rate for Payer: Aetna Commercial $180.36
Rate for Payer: ASR ASR $194.39
Rate for Payer: BCBS Complete $80.16
Rate for Payer: BCBS Trust/PPO $155.37
Rate for Payer: BCN Commercial $155.37
Rate for Payer: Cash Price $160.32
Rate for Payer: Cofinity Commercial $188.38
Rate for Payer: Encore Health Key Benefits Commercial $160.32
Rate for Payer: Healthscope Commercial $200.40
Rate for Payer: Healthscope Whirlpool $194.39
Rate for Payer: Mclaren Commercial $180.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $170.34
Rate for Payer: Priority Health Cigna Priority Health $140.28
Rate for Payer: Priority Health HMO/PPO/Tiered Network $182.36
Rate for Payer: Priority Health Narrow Network $142.28
Rate for Payer: UHC All Payor (Choice/PPO) + Core $176.35
Service Code CPT 36909
Hospital Charge Code 36100533
Hospital Revenue Code 361
Min. Negotiated Rate $140.28
Max. Negotiated Rate $200.40
Rate for Payer: Aetna Commercial $180.36
Rate for Payer: ASR ASR $194.39
Rate for Payer: BCBS Trust/PPO $155.37
Rate for Payer: BCN Commercial $155.37
Rate for Payer: Cash Price $160.32
Rate for Payer: Cofinity Commercial $188.38
Rate for Payer: Encore Health Key Benefits Commercial $160.32
Rate for Payer: Healthscope Commercial $200.40
Rate for Payer: Healthscope Whirlpool $194.39
Rate for Payer: Mclaren Commercial $180.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $170.34
Rate for Payer: Priority Health Cigna Priority Health $140.28
Rate for Payer: UHC All Payor (Choice/PPO) + Core $176.35
Service Code HCPCS C1768
Hospital Charge Code 27800033
Hospital Revenue Code 278
Min. Negotiated Rate $907.61
Max. Negotiated Rate $2,269.02
Rate for Payer: Aetna Commercial $2,042.12
Rate for Payer: ASR ASR $2,200.95
Rate for Payer: BCBS Complete $907.61
Rate for Payer: BCBS Trust/PPO $1,759.17
Rate for Payer: BCN Commercial $1,759.17
Rate for Payer: Cash Price $1,815.22
Rate for Payer: Cofinity Commercial $2,132.88
Rate for Payer: Encore Health Key Benefits Commercial $1,815.22
Rate for Payer: Healthscope Commercial $2,269.02
Rate for Payer: Healthscope Whirlpool $2,200.95
Rate for Payer: Mclaren Commercial $2,042.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,928.67
Rate for Payer: Priority Health Cigna Priority Health $1,588.31
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,064.81
Rate for Payer: Priority Health Narrow Network $1,611.00
Rate for Payer: UHC All Payor (Choice/PPO) + Core $1,996.74
Service Code HCPCS C1768
Hospital Charge Code 27800033
Hospital Revenue Code 278
Min. Negotiated Rate $1,588.31
Max. Negotiated Rate $2,269.02
Rate for Payer: Aetna Commercial $2,042.12
Rate for Payer: ASR ASR $2,200.95
Rate for Payer: BCBS Trust/PPO $1,759.17
Rate for Payer: BCN Commercial $1,759.17
Rate for Payer: Cash Price $1,815.22
Rate for Payer: Cofinity Commercial $2,132.88
Rate for Payer: Encore Health Key Benefits Commercial $1,815.22
Rate for Payer: Healthscope Commercial $2,269.02
Rate for Payer: Healthscope Whirlpool $2,200.95
Rate for Payer: Mclaren Commercial $2,042.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,928.67
Rate for Payer: Priority Health Cigna Priority Health $1,588.31
Rate for Payer: UHC All Payor (Choice/PPO) + Core $1,996.74
Service Code CPT 84586
Hospital Charge Code 30100456
Hospital Revenue Code 301
Min. Negotiated Rate $19.33
Max. Negotiated Rate $82.62
Rate for Payer: Aetna Commercial $74.36
Rate for Payer: Aetna Medicare $35.33
Rate for Payer: Allen County Amish Medical Aid Commercial $44.16
Rate for Payer: Amish Plain Church Group Commercial $44.16
Rate for Payer: ASR ASR $80.14
Rate for Payer: BCBS Complete $20.29
Rate for Payer: BCBS MAPPO $35.33
Rate for Payer: BCBS Trust/PPO $64.06
Rate for Payer: BCN Commercial $64.06
Rate for Payer: BCN Medicare Advantage $35.33
Rate for Payer: Cash Price $66.10
Rate for Payer: Cash Price $66.10
Rate for Payer: Cofinity Commercial $77.66
Rate for Payer: Encore Health Key Benefits Commercial $66.10
Rate for Payer: Health Alliance Plan Medicare Advantage $35.33
Rate for Payer: Healthscope Commercial $82.62
Rate for Payer: Healthscope Whirlpool $80.14
Rate for Payer: Humana Choice PPO Medicare $35.33
Rate for Payer: Mclaren Commercial $74.36
Rate for Payer: Mclaren Medicaid $19.33
Rate for Payer: Mclaren Medicare $35.33
Rate for Payer: Meridian Medicaid $20.29
Rate for Payer: Meridian Wellcare - Medicare Advantage $37.10
Rate for Payer: MI Amish Medical Board Commercial $40.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $70.23
Rate for Payer: PACE Medicare $33.56
Rate for Payer: PACE SWMI $35.33
Rate for Payer: PHP Commercial $38.86
Rate for Payer: PHP Medicaid $19.33
Rate for Payer: PHP Medicare Advantage $35.33
Rate for Payer: Priority Health Choice Medicaid $19.33
Rate for Payer: Priority Health Cigna Priority Health $57.83
Rate for Payer: Priority Health HMO/PPO/Tiered Network $75.18
Rate for Payer: Priority Health Medicare $35.33
Rate for Payer: Priority Health Narrow Network $58.66
Rate for Payer: Railroad Medicare Medicare $35.33
Rate for Payer: UHC All Payor (Choice/PPO) + Core $72.71
Rate for Payer: UHC Medicare Advantage $36.39
Rate for Payer: VA VA $35.33
Service Code CPT 84586
Hospital Charge Code 30100456
Hospital Revenue Code 301
Min. Negotiated Rate $57.83
Max. Negotiated Rate $82.62
Rate for Payer: Aetna Commercial $74.36
Rate for Payer: ASR ASR $80.14
Rate for Payer: BCBS Trust/PPO $64.06
Rate for Payer: BCN Commercial $64.06
Rate for Payer: Cash Price $66.10
Rate for Payer: Cofinity Commercial $77.66
Rate for Payer: Encore Health Key Benefits Commercial $66.10
Rate for Payer: Healthscope Commercial $82.62
Rate for Payer: Healthscope Whirlpool $80.14
Rate for Payer: Mclaren Commercial $74.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $70.23
Rate for Payer: Priority Health Cigna Priority Health $57.83
Rate for Payer: UHC All Payor (Choice/PPO) + Core $72.71
Service Code CPT 97016
Hospital Charge Code 43000017
Hospital Revenue Code 430
Min. Negotiated Rate $51.41
Max. Negotiated Rate $73.44
Rate for Payer: Aetna Commercial $66.10
Rate for Payer: ASR ASR $71.24
Rate for Payer: BCBS Trust/PPO $56.94
Rate for Payer: BCN Commercial $56.94
Rate for Payer: Cash Price $58.75
Rate for Payer: Cofinity Commercial $69.03
Rate for Payer: Encore Health Key Benefits Commercial $58.75
Rate for Payer: Healthscope Commercial $73.44
Rate for Payer: Healthscope Whirlpool $71.24
Rate for Payer: Mclaren Commercial $66.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.42
Rate for Payer: Priority Health Cigna Priority Health $51.41
Rate for Payer: UHC All Payor (Choice/PPO) + Core $64.63
Service Code CPT 97016
Hospital Charge Code 43000017
Hospital Revenue Code 430
Min. Negotiated Rate $27.91
Max. Negotiated Rate $73.44
Rate for Payer: Aetna Commercial $66.10
Rate for Payer: ASR ASR $71.24
Rate for Payer: BCBS Complete $29.38
Rate for Payer: BCBS Trust/PPO $56.94
Rate for Payer: BCN Commercial $56.94
Rate for Payer: Cash Price $58.75
Rate for Payer: Cash Price $58.75
Rate for Payer: Cofinity Commercial $69.03
Rate for Payer: Encore Health Key Benefits Commercial $58.75
Rate for Payer: Healthscope Commercial $73.44
Rate for Payer: Healthscope Whirlpool $71.24
Rate for Payer: Mclaren Commercial $66.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.42
Rate for Payer: Priority Health Cigna Priority Health $51.41
Rate for Payer: Priority Health HMO/PPO/Tiered Network $34.89
Rate for Payer: Priority Health Narrow Network $27.91
Rate for Payer: UHC All Payor (Choice/PPO) + Core $64.63
Service Code CPT 86592
Hospital Charge Code 30200216
Hospital Revenue Code 302
Min. Negotiated Rate $2.34
Max. Negotiated Rate $37.96
Rate for Payer: Aetna Commercial $31.21
Rate for Payer: Aetna Medicare $4.27
Rate for Payer: Allen County Amish Medical Aid Commercial $5.34
Rate for Payer: Amish Plain Church Group Commercial $5.34
Rate for Payer: ASR ASR $33.64
Rate for Payer: BCBS Complete $2.45
Rate for Payer: BCBS MAPPO $4.27
Rate for Payer: BCBS Trust/PPO $26.89
Rate for Payer: BCN Commercial $26.89
Rate for Payer: BCN Medicare Advantage $4.27
Rate for Payer: Cash Price $27.74
Rate for Payer: Cash Price $27.74
Rate for Payer: Cofinity Commercial $32.60
Rate for Payer: Encore Health Key Benefits Commercial $27.74
Rate for Payer: Health Alliance Plan Medicare Advantage $4.27
Rate for Payer: Healthscope Commercial $34.68
Rate for Payer: Healthscope Whirlpool $33.64
Rate for Payer: Humana Choice PPO Medicare $4.27
Rate for Payer: Mclaren Commercial $31.21
Rate for Payer: Mclaren Medicaid $2.34
Rate for Payer: Mclaren Medicare $4.27
Rate for Payer: Meridian Medicaid $2.45
Rate for Payer: Meridian Wellcare - Medicare Advantage $4.48
Rate for Payer: MI Amish Medical Board Commercial $4.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.48
Rate for Payer: PACE Medicare $4.06
Rate for Payer: PACE SWMI $4.27
Rate for Payer: PHP Commercial $4.70
Rate for Payer: PHP Medicaid $2.34
Rate for Payer: PHP Medicare Advantage $4.27
Rate for Payer: Priority Health Choice Medicaid $2.34
Rate for Payer: Priority Health Cigna Priority Health $24.28
Rate for Payer: Priority Health HMO/PPO/Tiered Network $37.96
Rate for Payer: Priority Health Medicare $4.27
Rate for Payer: Priority Health Narrow Network $30.37
Rate for Payer: Railroad Medicare Medicare $4.27
Rate for Payer: UHC All Payor (Choice/PPO) + Core $30.52
Rate for Payer: UHC Medicare Advantage $4.40
Rate for Payer: VA VA $4.27
Service Code CPT 86592
Hospital Charge Code 30200216
Hospital Revenue Code 302
Min. Negotiated Rate $24.28
Max. Negotiated Rate $34.68
Rate for Payer: Aetna Commercial $31.21
Rate for Payer: ASR ASR $33.64
Rate for Payer: BCBS Trust/PPO $26.89
Rate for Payer: BCN Commercial $26.89
Rate for Payer: Cash Price $27.74
Rate for Payer: Cofinity Commercial $32.60
Rate for Payer: Encore Health Key Benefits Commercial $27.74
Rate for Payer: Healthscope Commercial $34.68
Rate for Payer: Healthscope Whirlpool $33.64
Rate for Payer: Mclaren Commercial $31.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $29.48
Rate for Payer: Priority Health Cigna Priority Health $24.28
Rate for Payer: UHC All Payor (Choice/PPO) + Core $30.52
Service Code CPT 86593
Hospital Charge Code 30200397
Hospital Revenue Code 302
Min. Negotiated Rate $51.80
Max. Negotiated Rate $74.00
Rate for Payer: Aetna Commercial $66.60
Rate for Payer: ASR ASR $71.78
Rate for Payer: BCBS Trust/PPO $57.37
Rate for Payer: BCN Commercial $57.37
Rate for Payer: Cash Price $59.20
Rate for Payer: Cofinity Commercial $69.56
Rate for Payer: Encore Health Key Benefits Commercial $59.20
Rate for Payer: Healthscope Commercial $74.00
Rate for Payer: Healthscope Whirlpool $71.78
Rate for Payer: Mclaren Commercial $66.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.90
Rate for Payer: Priority Health Cigna Priority Health $51.80
Rate for Payer: UHC All Payor (Choice/PPO) + Core $65.12
Service Code CPT 86593
Hospital Charge Code 30200397
Hospital Revenue Code 302
Min. Negotiated Rate $2.41
Max. Negotiated Rate $74.00
Rate for Payer: Aetna Commercial $66.60
Rate for Payer: Aetna Medicare $4.40
Rate for Payer: Allen County Amish Medical Aid Commercial $5.50
Rate for Payer: Amish Plain Church Group Commercial $5.50
Rate for Payer: ASR ASR $71.78
Rate for Payer: BCBS Complete $2.53
Rate for Payer: BCBS MAPPO $4.40
Rate for Payer: BCBS Trust/PPO $57.37
Rate for Payer: BCN Commercial $57.37
Rate for Payer: BCN Medicare Advantage $4.40
Rate for Payer: Cash Price $59.20
Rate for Payer: Cash Price $59.20
Rate for Payer: Cofinity Commercial $69.56
Rate for Payer: Encore Health Key Benefits Commercial $59.20
Rate for Payer: Health Alliance Plan Medicare Advantage $4.40
Rate for Payer: Healthscope Commercial $74.00
Rate for Payer: Healthscope Whirlpool $71.78
Rate for Payer: Humana Choice PPO Medicare $4.40
Rate for Payer: Mclaren Commercial $66.60
Rate for Payer: Mclaren Medicaid $2.41
Rate for Payer: Mclaren Medicare $4.40
Rate for Payer: Meridian Medicaid $2.53
Rate for Payer: Meridian Wellcare - Medicare Advantage $4.62
Rate for Payer: MI Amish Medical Board Commercial $5.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $62.90
Rate for Payer: PACE Medicare $4.18
Rate for Payer: PACE SWMI $4.40
Rate for Payer: PHP Commercial $4.84
Rate for Payer: PHP Medicaid $2.41
Rate for Payer: PHP Medicare Advantage $4.40
Rate for Payer: Priority Health Choice Medicaid $2.41
Rate for Payer: Priority Health Cigna Priority Health $51.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $67.34
Rate for Payer: Priority Health Medicare $4.40
Rate for Payer: Priority Health Narrow Network $52.54
Rate for Payer: Railroad Medicare Medicare $4.40
Rate for Payer: UHC All Payor (Choice/PPO) + Core $65.12
Rate for Payer: UHC Medicare Advantage $4.53
Rate for Payer: VA VA $4.40
Service Code CPT 83520
Hospital Charge Code 30100671
Hospital Revenue Code 301
Min. Negotiated Rate $114.10
Max. Negotiated Rate $163.00
Rate for Payer: Aetna Commercial $146.70
Rate for Payer: ASR ASR $158.11
Rate for Payer: BCBS Trust/PPO $126.37
Rate for Payer: BCN Commercial $126.37
Rate for Payer: Cash Price $130.40
Rate for Payer: Cofinity Commercial $153.22
Rate for Payer: Encore Health Key Benefits Commercial $130.40
Rate for Payer: Healthscope Commercial $163.00
Rate for Payer: Healthscope Whirlpool $158.11
Rate for Payer: Mclaren Commercial $146.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $138.55
Rate for Payer: Priority Health Cigna Priority Health $114.10
Rate for Payer: UHC All Payor (Choice/PPO) + Core $143.44
Service Code CPT 83520
Hospital Charge Code 30100671
Hospital Revenue Code 301
Min. Negotiated Rate $9.45
Max. Negotiated Rate $292.46
Rate for Payer: Aetna Commercial $146.70
Rate for Payer: Aetna Medicare $17.27
Rate for Payer: Allen County Amish Medical Aid Commercial $21.59
Rate for Payer: Amish Plain Church Group Commercial $21.59
Rate for Payer: ASR ASR $158.11
Rate for Payer: BCBS Complete $9.92
Rate for Payer: BCBS MAPPO $17.27
Rate for Payer: BCBS Trust/PPO $126.37
Rate for Payer: BCN Commercial $126.37
Rate for Payer: BCN Medicare Advantage $17.27
Rate for Payer: Cash Price $130.40
Rate for Payer: Cash Price $130.40
Rate for Payer: Cofinity Commercial $153.22
Rate for Payer: Encore Health Key Benefits Commercial $130.40
Rate for Payer: Health Alliance Plan Medicare Advantage $17.27
Rate for Payer: Healthscope Commercial $163.00
Rate for Payer: Healthscope Whirlpool $158.11
Rate for Payer: Humana Choice PPO Medicare $17.27
Rate for Payer: Mclaren Commercial $146.70
Rate for Payer: Mclaren Medicaid $9.45
Rate for Payer: Mclaren Medicare $17.27
Rate for Payer: Meridian Medicaid $9.92
Rate for Payer: Meridian Wellcare - Medicare Advantage $18.13
Rate for Payer: MI Amish Medical Board Commercial $19.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $138.55
Rate for Payer: PACE Medicare $16.41
Rate for Payer: PACE SWMI $17.27
Rate for Payer: PHP Commercial $19.00
Rate for Payer: PHP Medicaid $9.45
Rate for Payer: PHP Medicare Advantage $17.27
Rate for Payer: Priority Health Choice Medicaid $9.45
Rate for Payer: Priority Health Cigna Priority Health $114.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $292.46
Rate for Payer: Priority Health Medicare $17.27
Rate for Payer: Priority Health Narrow Network $233.97
Rate for Payer: Railroad Medicare Medicare $17.27
Rate for Payer: UHC All Payor (Choice/PPO) + Core $143.44
Rate for Payer: UHC Medicare Advantage $17.79
Rate for Payer: VA VA $17.27