|
HC PLACE BILIARY DRAIN WITH GUIDE EXTERNAL
|
Facility
|
IP
|
$3,181.54
|
|
|
Service Code
|
CPT 47533
|
| Hospital Charge Code |
36100490
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,068.00 |
| Max. Negotiated Rate |
$3,181.54 |
| Rate for Payer: Aetna Commercial |
$2,863.39
|
| Rate for Payer: ASR ASR |
$3,086.09
|
| Rate for Payer: ASR Commercial |
$3,086.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,592.64
|
| Rate for Payer: BCN Commercial |
$2,466.65
|
| Rate for Payer: Cash Price |
$2,545.23
|
| Rate for Payer: Cofinity Commercial |
$2,990.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,545.23
|
| Rate for Payer: Healthscope Commercial |
$3,181.54
|
| Rate for Payer: Healthscope Whirlpool |
$3,086.09
|
| Rate for Payer: Mclaren Commercial |
$2,863.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,704.31
|
| Rate for Payer: Nomi Health Commercial |
$2,608.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,068.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,799.76
|
|
|
HC PLACE BILIARY DRAIN WITH GUIDE EXTERNAL
|
Facility
|
OP
|
$3,181.54
|
|
|
Service Code
|
CPT 47533
|
| Hospital Charge Code |
36100490
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,844.82 |
| Max. Negotiated Rate |
$5,334.82 |
| Rate for Payer: Aetna Commercial |
$2,863.39
|
| Rate for Payer: Aetna Medicare |
$3,441.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,302.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,302.27
|
| Rate for Payer: ASR ASR |
$3,086.09
|
| Rate for Payer: ASR Commercial |
$3,086.09
|
| Rate for Payer: BCBS Complete |
$1,937.06
|
| Rate for Payer: BCBS MAPPO |
$3,441.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,605.36
|
| Rate for Payer: BCN Commercial |
$2,466.65
|
| Rate for Payer: BCN Medicare Advantage |
$3,441.82
|
| Rate for Payer: Cash Price |
$2,545.23
|
| Rate for Payer: Cash Price |
$2,545.23
|
| Rate for Payer: Cofinity Commercial |
$2,990.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,545.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,441.82
|
| Rate for Payer: Healthscope Commercial |
$3,181.54
|
| Rate for Payer: Healthscope Whirlpool |
$3,086.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,441.82
|
| Rate for Payer: Mclaren Commercial |
$2,863.39
|
| Rate for Payer: Mclaren Medicaid |
$1,844.82
|
| Rate for Payer: Mclaren Medicare |
$3,441.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,613.91
|
| Rate for Payer: Meridian Medicaid |
$1,937.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,958.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,704.31
|
| Rate for Payer: Nomi Health Commercial |
$2,608.86
|
| Rate for Payer: PACE Medicare |
$3,269.73
|
| Rate for Payer: PACE SWMI |
$3,441.82
|
| Rate for Payer: PHP Commercial |
$3,786.00
|
| Rate for Payer: PHP Medicaid |
$1,844.82
|
| Rate for Payer: PHP Medicare Advantage |
$3,441.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,844.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,068.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,787.67
|
| Rate for Payer: Priority Health Medicare |
$3,441.82
|
| Rate for Payer: Priority Health Narrow Network |
$2,230.26
|
| Rate for Payer: Railroad Medicare Medicare |
$3,441.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,799.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,441.82
|
| Rate for Payer: UHC Exchange |
$5,334.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,441.82
|
| Rate for Payer: UHCCP DNSP |
$3,441.82
|
| Rate for Payer: UHCCP Medicaid |
$1,844.82
|
| Rate for Payer: VA VA |
$3,441.82
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION MAMM GUIDE
|
Facility
|
IP
|
$1,165.71
|
|
|
Service Code
|
CPT 19282
|
| Hospital Charge Code |
36100415
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$757.71 |
| Max. Negotiated Rate |
$1,165.71 |
| Rate for Payer: Aetna Commercial |
$1,049.14
|
| Rate for Payer: ASR ASR |
$1,130.74
|
| Rate for Payer: ASR Commercial |
$1,130.74
|
| Rate for Payer: BCBS Trust/PPO |
$949.94
|
| Rate for Payer: BCN Commercial |
$903.77
|
| Rate for Payer: Cash Price |
$932.57
|
| Rate for Payer: Cofinity Commercial |
$1,095.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$932.57
|
| Rate for Payer: Healthscope Commercial |
$1,165.71
|
| Rate for Payer: Healthscope Whirlpool |
$1,130.74
|
| Rate for Payer: Mclaren Commercial |
$1,049.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$990.85
|
| Rate for Payer: Nomi Health Commercial |
$955.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,025.82
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION MAMM GUIDE
|
Facility
|
OP
|
$1,165.71
|
|
|
Service Code
|
CPT 19282
|
| Hospital Charge Code |
36100415
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$466.28 |
| Max. Negotiated Rate |
$1,165.71 |
| Rate for Payer: Aetna Commercial |
$1,049.14
|
| Rate for Payer: Aetna Medicare |
$582.86
|
| Rate for Payer: ASR ASR |
$1,130.74
|
| Rate for Payer: ASR Commercial |
$1,130.74
|
| Rate for Payer: BCBS Complete |
$466.28
|
| Rate for Payer: BCBS Trust/PPO |
$954.60
|
| Rate for Payer: BCN Commercial |
$903.77
|
| Rate for Payer: Cash Price |
$932.57
|
| Rate for Payer: Cofinity Commercial |
$1,095.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$932.57
|
| Rate for Payer: Healthscope Commercial |
$1,165.71
|
| Rate for Payer: Healthscope Whirlpool |
$1,130.74
|
| Rate for Payer: Mclaren Commercial |
$1,049.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$990.85
|
| Rate for Payer: Nomi Health Commercial |
$955.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,021.40
|
| Rate for Payer: Priority Health Narrow Network |
$817.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,025.82
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION MR GUIDE
|
Facility
|
OP
|
$1,755.98
|
|
|
Service Code
|
CPT 19288
|
| Hospital Charge Code |
36100421
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$702.39 |
| Max. Negotiated Rate |
$1,755.98 |
| Rate for Payer: Aetna Commercial |
$1,580.38
|
| Rate for Payer: Aetna Medicare |
$877.99
|
| Rate for Payer: ASR ASR |
$1,703.30
|
| Rate for Payer: ASR Commercial |
$1,703.30
|
| Rate for Payer: BCBS Complete |
$702.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,437.97
|
| Rate for Payer: BCN Commercial |
$1,361.41
|
| Rate for Payer: Cash Price |
$1,404.78
|
| Rate for Payer: Cofinity Commercial |
$1,650.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,404.78
|
| Rate for Payer: Healthscope Commercial |
$1,755.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,703.30
|
| Rate for Payer: Mclaren Commercial |
$1,580.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,492.58
|
| Rate for Payer: Nomi Health Commercial |
$1,439.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,141.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,538.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,230.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,545.26
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION MR GUIDE
|
Facility
|
IP
|
$1,755.98
|
|
|
Service Code
|
CPT 19288
|
| Hospital Charge Code |
36100421
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,141.39 |
| Max. Negotiated Rate |
$1,755.98 |
| Rate for Payer: Aetna Commercial |
$1,580.38
|
| Rate for Payer: ASR ASR |
$1,703.30
|
| Rate for Payer: ASR Commercial |
$1,703.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,430.95
|
| Rate for Payer: BCN Commercial |
$1,361.41
|
| Rate for Payer: Cash Price |
$1,404.78
|
| Rate for Payer: Cofinity Commercial |
$1,650.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,404.78
|
| Rate for Payer: Healthscope Commercial |
$1,755.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,703.30
|
| Rate for Payer: Mclaren Commercial |
$1,580.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,492.58
|
| Rate for Payer: Nomi Health Commercial |
$1,439.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,141.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,545.26
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION STEREO GUIDE
|
Facility
|
IP
|
$2,107.08
|
|
|
Service Code
|
CPT 19284
|
| Hospital Charge Code |
36100417
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,369.60 |
| Max. Negotiated Rate |
$2,107.08 |
| Rate for Payer: Aetna Commercial |
$1,896.37
|
| Rate for Payer: ASR ASR |
$2,043.87
|
| Rate for Payer: ASR Commercial |
$2,043.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,717.06
|
| Rate for Payer: BCN Commercial |
$1,633.62
|
| Rate for Payer: Cash Price |
$1,685.66
|
| Rate for Payer: Cofinity Commercial |
$1,980.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,685.66
|
| Rate for Payer: Healthscope Commercial |
$2,107.08
|
| Rate for Payer: Healthscope Whirlpool |
$2,043.87
|
| Rate for Payer: Mclaren Commercial |
$1,896.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,791.02
|
| Rate for Payer: Nomi Health Commercial |
$1,727.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,369.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,854.23
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION STEREO GUIDE
|
Facility
|
OP
|
$2,107.08
|
|
|
Service Code
|
CPT 19284
|
| Hospital Charge Code |
36100417
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$842.83 |
| Max. Negotiated Rate |
$2,107.08 |
| Rate for Payer: Aetna Commercial |
$1,896.37
|
| Rate for Payer: Aetna Medicare |
$1,053.54
|
| Rate for Payer: ASR ASR |
$2,043.87
|
| Rate for Payer: ASR Commercial |
$2,043.87
|
| Rate for Payer: BCBS Complete |
$842.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.49
|
| Rate for Payer: BCN Commercial |
$1,633.62
|
| Rate for Payer: Cash Price |
$1,685.66
|
| Rate for Payer: Cofinity Commercial |
$1,980.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,685.66
|
| Rate for Payer: Healthscope Commercial |
$2,107.08
|
| Rate for Payer: Healthscope Whirlpool |
$2,043.87
|
| Rate for Payer: Mclaren Commercial |
$1,896.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,791.02
|
| Rate for Payer: Nomi Health Commercial |
$1,727.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,369.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,846.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,477.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,854.23
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION US GUIDE
|
Facility
|
IP
|
$2,918.68
|
|
|
Service Code
|
CPT 19286
|
| Hospital Charge Code |
36100419
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,897.14 |
| Max. Negotiated Rate |
$2,918.68 |
| Rate for Payer: Aetna Commercial |
$2,626.81
|
| Rate for Payer: ASR ASR |
$2,831.12
|
| Rate for Payer: ASR Commercial |
$2,831.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,378.43
|
| Rate for Payer: BCN Commercial |
$2,262.85
|
| Rate for Payer: Cash Price |
$2,334.94
|
| Rate for Payer: Cofinity Commercial |
$2,743.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,334.94
|
| Rate for Payer: Healthscope Commercial |
$2,918.68
|
| Rate for Payer: Healthscope Whirlpool |
$2,831.12
|
| Rate for Payer: Mclaren Commercial |
$2,626.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,480.88
|
| Rate for Payer: Nomi Health Commercial |
$2,393.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,897.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,568.44
|
|
|
HC PLACE BREAST LOC DEVICE EACH ADDL LESION US GUIDE
|
Facility
|
OP
|
$2,918.68
|
|
|
Service Code
|
CPT 19286
|
| Hospital Charge Code |
36100419
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,167.47 |
| Max. Negotiated Rate |
$2,918.68 |
| Rate for Payer: Aetna Commercial |
$2,626.81
|
| Rate for Payer: Aetna Medicare |
$1,459.34
|
| Rate for Payer: ASR ASR |
$2,831.12
|
| Rate for Payer: ASR Commercial |
$2,831.12
|
| Rate for Payer: BCBS Complete |
$1,167.47
|
| Rate for Payer: BCBS Trust/PPO |
$2,390.11
|
| Rate for Payer: BCN Commercial |
$2,262.85
|
| Rate for Payer: Cash Price |
$2,334.94
|
| Rate for Payer: Cofinity Commercial |
$2,743.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,334.94
|
| Rate for Payer: Healthscope Commercial |
$2,918.68
|
| Rate for Payer: Healthscope Whirlpool |
$2,831.12
|
| Rate for Payer: Mclaren Commercial |
$2,626.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,480.88
|
| Rate for Payer: Nomi Health Commercial |
$2,393.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,897.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.35
|
| Rate for Payer: Priority Health Narrow Network |
$2,045.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,568.44
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION MAMM GUIDE
|
Facility
|
IP
|
$1,448.79
|
|
|
Service Code
|
CPT 19281
|
| Hospital Charge Code |
36100414
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$941.71 |
| Max. Negotiated Rate |
$1,448.79 |
| Rate for Payer: Aetna Commercial |
$1,303.91
|
| Rate for Payer: ASR ASR |
$1,405.33
|
| Rate for Payer: ASR Commercial |
$1,405.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.62
|
| Rate for Payer: BCN Commercial |
$1,123.25
|
| Rate for Payer: Cash Price |
$1,159.03
|
| Rate for Payer: Cofinity Commercial |
$1,361.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,159.03
|
| Rate for Payer: Healthscope Commercial |
$1,448.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,405.33
|
| Rate for Payer: Mclaren Commercial |
$1,303.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,231.47
|
| Rate for Payer: Nomi Health Commercial |
$1,188.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,274.94
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION MAMM GUIDE
|
Facility
|
OP
|
$1,448.79
|
|
|
Service Code
|
CPT 19281
|
| Hospital Charge Code |
36100414
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$846.98 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$1,303.91
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$1,405.33
|
| Rate for Payer: ASR Commercial |
$1,405.33
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.41
|
| Rate for Payer: BCN Commercial |
$1,123.25
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,159.03
|
| Rate for Payer: Cash Price |
$1,159.03
|
| Rate for Payer: Cofinity Commercial |
$1,361.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,159.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,448.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,405.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$1,303.91
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,231.47
|
| Rate for Payer: Nomi Health Commercial |
$1,188.01
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,269.43
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,015.60
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,274.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION MR GUIDE
|
Facility
|
OP
|
$1,693.72
|
|
|
Service Code
|
CPT 19287
|
| Hospital Charge Code |
36100420
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$367.80 |
| Max. Negotiated Rate |
$1,693.72 |
| Rate for Payer: Aetna Commercial |
$1,524.35
|
| Rate for Payer: Aetna Medicare |
$686.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: ASR ASR |
$1,642.91
|
| Rate for Payer: ASR Commercial |
$1,642.91
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,386.99
|
| Rate for Payer: BCN Commercial |
$1,313.14
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$1,354.98
|
| Rate for Payer: Cash Price |
$1,354.98
|
| Rate for Payer: Cofinity Commercial |
$1,592.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,354.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$1,693.72
|
| Rate for Payer: Healthscope Whirlpool |
$1,642.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$686.20
|
| Rate for Payer: Mclaren Commercial |
$1,524.35
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,439.66
|
| Rate for Payer: Nomi Health Commercial |
$1,388.85
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$754.82
|
| Rate for Payer: PHP Medicaid |
$367.80
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,484.04
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,187.30
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,490.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Exchange |
$1,063.61
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP DNSP |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$367.80
|
| Rate for Payer: VA VA |
$686.20
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION MR GUIDE
|
Facility
|
IP
|
$1,693.72
|
|
|
Service Code
|
CPT 19287
|
| Hospital Charge Code |
36100420
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,100.92 |
| Max. Negotiated Rate |
$1,693.72 |
| Rate for Payer: Aetna Commercial |
$1,524.35
|
| Rate for Payer: ASR ASR |
$1,642.91
|
| Rate for Payer: ASR Commercial |
$1,642.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,380.21
|
| Rate for Payer: BCN Commercial |
$1,313.14
|
| Rate for Payer: Cash Price |
$1,354.98
|
| Rate for Payer: Cofinity Commercial |
$1,592.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,354.98
|
| Rate for Payer: Healthscope Commercial |
$1,693.72
|
| Rate for Payer: Healthscope Whirlpool |
$1,642.91
|
| Rate for Payer: Mclaren Commercial |
$1,524.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,439.66
|
| Rate for Payer: Nomi Health Commercial |
$1,388.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,490.47
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION STEREO GUIDE
|
Facility
|
IP
|
$2,390.22
|
|
|
Service Code
|
CPT 19283
|
| Hospital Charge Code |
36100416
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,553.64 |
| Max. Negotiated Rate |
$2,390.22 |
| Rate for Payer: Aetna Commercial |
$2,151.20
|
| Rate for Payer: ASR ASR |
$2,318.51
|
| Rate for Payer: ASR Commercial |
$2,318.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,947.79
|
| Rate for Payer: BCN Commercial |
$1,853.14
|
| Rate for Payer: Cash Price |
$1,912.18
|
| Rate for Payer: Cofinity Commercial |
$2,246.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,912.18
|
| Rate for Payer: Healthscope Commercial |
$2,390.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,318.51
|
| Rate for Payer: Mclaren Commercial |
$2,151.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,031.69
|
| Rate for Payer: Nomi Health Commercial |
$1,959.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,553.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,103.39
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION STEREO GUIDE
|
Facility
|
OP
|
$2,390.22
|
|
|
Service Code
|
CPT 19283
|
| Hospital Charge Code |
36100416
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$367.80 |
| Max. Negotiated Rate |
$2,390.22 |
| Rate for Payer: Aetna Commercial |
$2,151.20
|
| Rate for Payer: Aetna Medicare |
$686.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: ASR ASR |
$2,318.51
|
| Rate for Payer: ASR Commercial |
$2,318.51
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,957.35
|
| Rate for Payer: BCN Commercial |
$1,853.14
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$1,912.18
|
| Rate for Payer: Cash Price |
$1,912.18
|
| Rate for Payer: Cofinity Commercial |
$2,246.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,912.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$2,390.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,318.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$686.20
|
| Rate for Payer: Mclaren Commercial |
$2,151.20
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,031.69
|
| Rate for Payer: Nomi Health Commercial |
$1,959.98
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$754.82
|
| Rate for Payer: PHP Medicaid |
$367.80
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,553.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,094.31
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,675.54
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,103.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Exchange |
$1,063.61
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP DNSP |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$367.80
|
| Rate for Payer: VA VA |
$686.20
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION US GUIDE
|
Facility
|
IP
|
$1,962.98
|
|
|
Service Code
|
CPT 19285
|
| Hospital Charge Code |
36100418
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,275.94 |
| Max. Negotiated Rate |
$1,962.98 |
| Rate for Payer: Aetna Commercial |
$1,766.68
|
| Rate for Payer: ASR ASR |
$1,904.09
|
| Rate for Payer: ASR Commercial |
$1,904.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,599.63
|
| Rate for Payer: BCN Commercial |
$1,521.90
|
| Rate for Payer: Cash Price |
$1,570.38
|
| Rate for Payer: Cofinity Commercial |
$1,845.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.38
|
| Rate for Payer: Healthscope Commercial |
$1,962.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,904.09
|
| Rate for Payer: Mclaren Commercial |
$1,766.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,668.53
|
| Rate for Payer: Nomi Health Commercial |
$1,609.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,275.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,727.42
|
|
|
HC PLACE BREAST LOC DEVICE FIRST LESION US GUIDE
|
Facility
|
OP
|
$1,962.98
|
|
|
Service Code
|
CPT 19285
|
| Hospital Charge Code |
36100418
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$367.80 |
| Max. Negotiated Rate |
$1,962.98 |
| Rate for Payer: Aetna Commercial |
$1,766.68
|
| Rate for Payer: Aetna Medicare |
$686.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: ASR ASR |
$1,904.09
|
| Rate for Payer: ASR Commercial |
$1,904.09
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,607.48
|
| Rate for Payer: BCN Commercial |
$1,521.90
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$1,570.38
|
| Rate for Payer: Cash Price |
$1,570.38
|
| Rate for Payer: Cofinity Commercial |
$1,845.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,570.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$1,962.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,904.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$686.20
|
| Rate for Payer: Mclaren Commercial |
$1,766.68
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,668.53
|
| Rate for Payer: Nomi Health Commercial |
$1,609.64
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$754.82
|
| Rate for Payer: PHP Medicaid |
$367.80
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,275.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,719.96
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,376.05
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,727.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Exchange |
$1,063.61
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP DNSP |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$367.80
|
| Rate for Payer: VA VA |
$686.20
|
|
|
HC PLACEMENT FIDUCIAL MARKERS
|
Facility
|
OP
|
$1,071.00
|
|
| Hospital Charge Code |
36000120
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$428.40 |
| Max. Negotiated Rate |
$1,071.00 |
| Rate for Payer: Aetna Commercial |
$963.90
|
| Rate for Payer: Aetna Medicare |
$535.50
|
| Rate for Payer: ASR ASR |
$1,038.87
|
| Rate for Payer: ASR Commercial |
$1,038.87
|
| Rate for Payer: BCBS Complete |
$428.40
|
| Rate for Payer: BCBS Trust/PPO |
$877.04
|
| Rate for Payer: BCN Commercial |
$830.35
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$1,006.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$856.80
|
| Rate for Payer: Healthscope Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,038.87
|
| Rate for Payer: Mclaren Commercial |
$963.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$910.35
|
| Rate for Payer: Nomi Health Commercial |
$878.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$696.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$938.41
|
| Rate for Payer: Priority Health Narrow Network |
$750.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$942.48
|
|
|
HC PLACEMENT FIDUCIAL MARKERS
|
Facility
|
IP
|
$1,071.00
|
|
| Hospital Charge Code |
36000120
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$696.15 |
| Max. Negotiated Rate |
$1,071.00 |
| Rate for Payer: Aetna Commercial |
$963.90
|
| Rate for Payer: ASR ASR |
$1,038.87
|
| Rate for Payer: ASR Commercial |
$1,038.87
|
| Rate for Payer: BCBS Trust/PPO |
$872.76
|
| Rate for Payer: BCN Commercial |
$830.35
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$1,006.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$856.80
|
| Rate for Payer: Healthscope Commercial |
$1,071.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,038.87
|
| Rate for Payer: Mclaren Commercial |
$963.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$910.35
|
| Rate for Payer: Nomi Health Commercial |
$878.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$696.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$942.48
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH 1ST ORDER
|
Facility
|
OP
|
$7,265.88
|
|
|
Service Code
|
CPT 36215
|
| Hospital Charge Code |
36100106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,906.35 |
| Max. Negotiated Rate |
$7,265.88 |
| Rate for Payer: Aetna Commercial |
$6,539.29
|
| Rate for Payer: Aetna Medicare |
$3,632.94
|
| Rate for Payer: ASR ASR |
$7,047.90
|
| Rate for Payer: ASR Commercial |
$7,047.90
|
| Rate for Payer: BCBS Complete |
$2,906.35
|
| Rate for Payer: BCBS Trust/PPO |
$5,950.03
|
| Rate for Payer: BCN Commercial |
$5,633.24
|
| Rate for Payer: Cash Price |
$5,812.70
|
| Rate for Payer: Cofinity Commercial |
$6,829.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,812.70
|
| Rate for Payer: Healthscope Commercial |
$7,265.88
|
| Rate for Payer: Healthscope Whirlpool |
$7,047.90
|
| Rate for Payer: Mclaren Commercial |
$6,539.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,176.00
|
| Rate for Payer: Nomi Health Commercial |
$5,958.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,722.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,366.36
|
| Rate for Payer: Priority Health Narrow Network |
$5,093.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,393.97
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH 1ST ORDER
|
Facility
|
IP
|
$7,265.88
|
|
|
Service Code
|
CPT 36215
|
| Hospital Charge Code |
36100106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,722.82 |
| Max. Negotiated Rate |
$7,265.88 |
| Rate for Payer: Aetna Commercial |
$6,539.29
|
| Rate for Payer: ASR ASR |
$7,047.90
|
| Rate for Payer: ASR Commercial |
$7,047.90
|
| Rate for Payer: BCBS Trust/PPO |
$5,920.97
|
| Rate for Payer: BCN Commercial |
$5,633.24
|
| Rate for Payer: Cash Price |
$5,812.70
|
| Rate for Payer: Cofinity Commercial |
$6,829.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,812.70
|
| Rate for Payer: Healthscope Commercial |
$7,265.88
|
| Rate for Payer: Healthscope Whirlpool |
$7,047.90
|
| Rate for Payer: Mclaren Commercial |
$6,539.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,176.00
|
| Rate for Payer: Nomi Health Commercial |
$5,958.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,722.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,393.97
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH 2ND ORDER
|
Facility
|
IP
|
$1,020.00
|
|
|
Service Code
|
CPT 36216
|
| Hospital Charge Code |
36100107
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$663.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Aetna Commercial |
$918.00
|
| Rate for Payer: ASR ASR |
$989.40
|
| Rate for Payer: ASR Commercial |
$989.40
|
| Rate for Payer: BCBS Trust/PPO |
$831.20
|
| Rate for Payer: BCN Commercial |
$790.81
|
| Rate for Payer: Cash Price |
$816.00
|
| Rate for Payer: Cofinity Commercial |
$958.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$816.00
|
| Rate for Payer: Healthscope Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Whirlpool |
$989.40
|
| Rate for Payer: Mclaren Commercial |
$918.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.00
|
| Rate for Payer: Nomi Health Commercial |
$836.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$663.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$897.60
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH 2ND ORDER
|
Facility
|
OP
|
$1,020.00
|
|
|
Service Code
|
CPT 36216
|
| Hospital Charge Code |
36100107
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$408.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Aetna Commercial |
$918.00
|
| Rate for Payer: Aetna Medicare |
$510.00
|
| Rate for Payer: ASR ASR |
$989.40
|
| Rate for Payer: ASR Commercial |
$989.40
|
| Rate for Payer: BCBS Complete |
$408.00
|
| Rate for Payer: BCBS Trust/PPO |
$835.28
|
| Rate for Payer: BCN Commercial |
$790.81
|
| Rate for Payer: Cash Price |
$816.00
|
| Rate for Payer: Cofinity Commercial |
$958.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$816.00
|
| Rate for Payer: Healthscope Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Whirlpool |
$989.40
|
| Rate for Payer: Mclaren Commercial |
$918.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.00
|
| Rate for Payer: Nomi Health Commercial |
$836.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$663.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$893.72
|
| Rate for Payer: Priority Health Narrow Network |
$715.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$897.60
|
|
|
HC PLACEMENT SELECTIVE ART ABOVE ARCH 3RD ORDER
|
Facility
|
IP
|
$845.54
|
|
|
Service Code
|
CPT 36217
|
| Hospital Charge Code |
36100108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$549.60 |
| Max. Negotiated Rate |
$845.54 |
| Rate for Payer: Aetna Commercial |
$760.99
|
| Rate for Payer: ASR ASR |
$820.17
|
| Rate for Payer: ASR Commercial |
$820.17
|
| Rate for Payer: BCBS Trust/PPO |
$689.03
|
| Rate for Payer: BCN Commercial |
$655.55
|
| Rate for Payer: Cash Price |
$676.43
|
| Rate for Payer: Cofinity Commercial |
$794.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$676.43
|
| Rate for Payer: Healthscope Commercial |
$845.54
|
| Rate for Payer: Healthscope Whirlpool |
$820.17
|
| Rate for Payer: Mclaren Commercial |
$760.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$718.71
|
| Rate for Payer: Nomi Health Commercial |
$693.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$549.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$744.08
|
|
