|
HC PULMONARY STRESS TESTING (EG 6 MIN WALK)
|
Facility
|
IP
|
$379.26
|
|
|
Service Code
|
CPT 94618
|
| Hospital Charge Code |
46000030
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$284.44 |
| Max. Negotiated Rate |
$379.26 |
| Rate for Payer: Aetna Commercial |
$341.33
|
| Rate for Payer: ASR ASR |
$367.88
|
| Rate for Payer: BCBS Trust/PPO |
$311.45
|
| Rate for Payer: BCN Commercial |
$311.45
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Cofinity Commercial |
$356.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.41
|
| Rate for Payer: Healthscope Commercial |
$367.88
|
| Rate for Payer: Healthscope Whirlpool |
$379.26
|
| Rate for Payer: Mclaren Commercial |
$341.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.37
|
| Rate for Payer: Nomi Health Commercial |
$310.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$284.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$333.75
|
|
|
HC PULM REHAB W/ CONT OXIMTRY MNTR
|
Facility
|
IP
|
$263.50
|
|
|
Service Code
|
CPT 94626
|
| Hospital Charge Code |
94800004
|
|
Hospital Revenue Code
|
948
|
| Min. Negotiated Rate |
$197.62 |
| Max. Negotiated Rate |
$263.50 |
| Rate for Payer: Aetna Commercial |
$237.15
|
| Rate for Payer: ASR ASR |
$255.59
|
| Rate for Payer: BCBS Trust/PPO |
$216.39
|
| Rate for Payer: BCN Commercial |
$216.39
|
| Rate for Payer: Cash Price |
$210.80
|
| Rate for Payer: Cofinity Commercial |
$247.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$210.80
|
| Rate for Payer: Healthscope Commercial |
$255.59
|
| Rate for Payer: Healthscope Whirlpool |
$263.50
|
| Rate for Payer: Mclaren Commercial |
$237.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.97
|
| Rate for Payer: Nomi Health Commercial |
$216.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.88
|
|
|
HC PULM REHAB W/ CONT OXIMTRY MNTR
|
Facility
|
OP
|
$263.50
|
|
|
Service Code
|
CPT 94626
|
| Hospital Charge Code |
94800004
|
|
Hospital Revenue Code
|
948
|
| Min. Negotiated Rate |
$30.74 |
| Max. Negotiated Rate |
$263.50 |
| Rate for Payer: Aetna Commercial |
$237.15
|
| Rate for Payer: Aetna Medicare |
$58.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$73.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$73.47
|
| Rate for Payer: ASR ASR |
$255.59
|
| Rate for Payer: BCBS Complete |
$32.28
|
| Rate for Payer: BCBS MAPPO |
$58.78
|
| Rate for Payer: BCBS Trust/PPO |
$217.26
|
| Rate for Payer: BCN Commercial |
$217.26
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$210.80
|
| Rate for Payer: Cash Price |
$210.80
|
| Rate for Payer: Cofinity Commercial |
$247.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$210.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$255.59
|
| Rate for Payer: Healthscope Whirlpool |
$263.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$58.78
|
| Rate for Payer: Mclaren Commercial |
$237.15
|
| Rate for Payer: Mclaren Medicaid |
$58.78
|
| Rate for Payer: Mclaren Medicare |
$58.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.72
|
| Rate for Payer: Meridian Medicaid |
$32.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.97
|
| Rate for Payer: Nomi Health Commercial |
$216.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.62
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$64.66
|
| Rate for Payer: PHP Medicaid |
$31.51
|
| Rate for Payer: PHP Medicare Advantage |
$58.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$230.88
|
| Rate for Payer: Priority Health Medicare |
$58.78
|
| Rate for Payer: Priority Health Narrow Network |
$184.71
|
| Rate for Payer: Railroad Medicare Medicare |
$58.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$91.11
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP DNSP |
$58.78
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: VA VA |
$58.78
|
|
|
HC PULM REHAB W/O CONT OXIMTRY MNTR
|
Facility
|
IP
|
$223.97
|
|
|
Service Code
|
CPT 94625
|
| Hospital Charge Code |
94800003
|
|
Hospital Revenue Code
|
948
|
| Min. Negotiated Rate |
$167.98 |
| Max. Negotiated Rate |
$223.97 |
| Rate for Payer: Aetna Commercial |
$201.57
|
| Rate for Payer: ASR ASR |
$217.25
|
| Rate for Payer: BCBS Trust/PPO |
$183.92
|
| Rate for Payer: BCN Commercial |
$183.92
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cofinity Commercial |
$210.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.18
|
| Rate for Payer: Healthscope Commercial |
$217.25
|
| Rate for Payer: Healthscope Whirlpool |
$223.97
|
| Rate for Payer: Mclaren Commercial |
$201.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.37
|
| Rate for Payer: Nomi Health Commercial |
$183.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$197.09
|
|
|
HC PULM REHAB W/O CONT OXIMTRY MNTR
|
Facility
|
OP
|
$223.97
|
|
|
Service Code
|
CPT 94625
|
| Hospital Charge Code |
94800003
|
|
Hospital Revenue Code
|
948
|
| Min. Negotiated Rate |
$30.74 |
| Max. Negotiated Rate |
$223.97 |
| Rate for Payer: Aetna Commercial |
$201.57
|
| Rate for Payer: Aetna Medicare |
$58.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$73.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$73.47
|
| Rate for Payer: ASR ASR |
$217.25
|
| Rate for Payer: BCBS Complete |
$32.28
|
| Rate for Payer: BCBS MAPPO |
$58.78
|
| Rate for Payer: BCBS Trust/PPO |
$184.66
|
| Rate for Payer: BCN Commercial |
$184.66
|
| Rate for Payer: BCN Medicare Advantage |
$58.78
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cash Price |
$179.18
|
| Rate for Payer: Cofinity Commercial |
$210.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.78
|
| Rate for Payer: Healthscope Commercial |
$217.25
|
| Rate for Payer: Healthscope Whirlpool |
$223.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$58.78
|
| Rate for Payer: Mclaren Commercial |
$201.57
|
| Rate for Payer: Mclaren Medicaid |
$58.78
|
| Rate for Payer: Mclaren Medicare |
$58.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.72
|
| Rate for Payer: Meridian Medicaid |
$32.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.37
|
| Rate for Payer: Nomi Health Commercial |
$183.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.98
|
| Rate for Payer: PACE Medicare |
$55.84
|
| Rate for Payer: PACE SWMI |
$58.78
|
| Rate for Payer: PHP Commercial |
$64.66
|
| Rate for Payer: PHP Medicaid |
$31.51
|
| Rate for Payer: PHP Medicare Advantage |
$58.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$196.24
|
| Rate for Payer: Priority Health Medicare |
$58.78
|
| Rate for Payer: Priority Health Narrow Network |
$157.00
|
| Rate for Payer: Railroad Medicare Medicare |
$58.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$197.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.78
|
| Rate for Payer: UHC Exchange |
$91.11
|
| Rate for Payer: UHC Medicaid |
$30.74
|
| Rate for Payer: UHCCP DNSP |
$58.78
|
| Rate for Payer: UHCCP Medicaid |
$30.74
|
| Rate for Payer: VA VA |
$58.78
|
|
|
HC PULSE OXIMETRY MULTI DETER
|
Facility
|
IP
|
$130.80
|
|
|
Service Code
|
CPT 94761
|
| Hospital Charge Code |
46000012
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$98.10 |
| Max. Negotiated Rate |
$130.80 |
| Rate for Payer: Aetna Commercial |
$117.72
|
| Rate for Payer: ASR ASR |
$126.88
|
| Rate for Payer: BCBS Trust/PPO |
$107.41
|
| Rate for Payer: BCN Commercial |
$107.41
|
| Rate for Payer: Cash Price |
$104.64
|
| Rate for Payer: Cofinity Commercial |
$122.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.64
|
| Rate for Payer: Healthscope Commercial |
$126.88
|
| Rate for Payer: Healthscope Whirlpool |
$130.80
|
| Rate for Payer: Mclaren Commercial |
$117.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.18
|
| Rate for Payer: Nomi Health Commercial |
$107.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$115.10
|
|
|
HC PULSE OXIMETRY MULTI DETER
|
Facility
|
OP
|
$130.80
|
|
|
Service Code
|
CPT 94761
|
| Hospital Charge Code |
46000012
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$16.46 |
| Max. Negotiated Rate |
$130.80 |
| Rate for Payer: Aetna Commercial |
$117.72
|
| Rate for Payer: Aetna Medicare |
$48.40
|
| Rate for Payer: ASR ASR |
$126.88
|
| Rate for Payer: BCBS Complete |
$52.32
|
| Rate for Payer: BCBS Trust/PPO |
$107.84
|
| Rate for Payer: BCN Commercial |
$107.84
|
| Rate for Payer: Cash Price |
$104.64
|
| Rate for Payer: Cash Price |
$104.64
|
| Rate for Payer: Cofinity Commercial |
$122.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.64
|
| Rate for Payer: Healthscope Commercial |
$126.88
|
| Rate for Payer: Healthscope Whirlpool |
$130.80
|
| Rate for Payer: Mclaren Commercial |
$117.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.18
|
| Rate for Payer: Nomi Health Commercial |
$107.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20.57
|
| Rate for Payer: Priority Health Narrow Network |
$16.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$115.10
|
|
|
HC PULSE OX OVERNIGHT
|
Facility
|
IP
|
$209.53
|
|
|
Service Code
|
CPT 94762
|
| Hospital Charge Code |
46000027
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$157.15 |
| Max. Negotiated Rate |
$209.53 |
| Rate for Payer: Aetna Commercial |
$188.58
|
| Rate for Payer: ASR ASR |
$203.24
|
| Rate for Payer: BCBS Trust/PPO |
$172.07
|
| Rate for Payer: BCN Commercial |
$172.07
|
| Rate for Payer: Cash Price |
$167.62
|
| Rate for Payer: Cofinity Commercial |
$196.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.62
|
| Rate for Payer: Healthscope Commercial |
$203.24
|
| Rate for Payer: Healthscope Whirlpool |
$209.53
|
| Rate for Payer: Mclaren Commercial |
$188.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.10
|
| Rate for Payer: Nomi Health Commercial |
$171.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.39
|
|
|
HC PULSE OX OVERNIGHT
|
Facility
|
OP
|
$209.53
|
|
|
Service Code
|
CPT 94762
|
| Hospital Charge Code |
46000027
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$67.05 |
| Max. Negotiated Rate |
$209.53 |
| Rate for Payer: Aetna Commercial |
$188.58
|
| Rate for Payer: Aetna Medicare |
$128.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$160.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$160.26
|
| Rate for Payer: ASR ASR |
$203.24
|
| Rate for Payer: BCBS Complete |
$70.41
|
| Rate for Payer: BCBS MAPPO |
$128.21
|
| Rate for Payer: BCBS Trust/PPO |
$172.76
|
| Rate for Payer: BCN Commercial |
$172.76
|
| Rate for Payer: BCN Medicare Advantage |
$128.21
|
| Rate for Payer: Cash Price |
$167.62
|
| Rate for Payer: Cash Price |
$167.62
|
| Rate for Payer: Cofinity Commercial |
$196.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.21
|
| Rate for Payer: Healthscope Commercial |
$203.24
|
| Rate for Payer: Healthscope Whirlpool |
$209.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$128.21
|
| Rate for Payer: Mclaren Commercial |
$188.58
|
| Rate for Payer: Mclaren Medicaid |
$128.21
|
| Rate for Payer: Mclaren Medicare |
$128.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.62
|
| Rate for Payer: Meridian Medicaid |
$70.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$147.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178.10
|
| Rate for Payer: Nomi Health Commercial |
$171.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.15
|
| Rate for Payer: PACE Medicare |
$121.80
|
| Rate for Payer: PACE SWMI |
$128.21
|
| Rate for Payer: PHP Commercial |
$141.03
|
| Rate for Payer: PHP Medicaid |
$68.72
|
| Rate for Payer: PHP Medicare Advantage |
$128.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$145.28
|
| Rate for Payer: Priority Health Medicare |
$128.21
|
| Rate for Payer: Priority Health Narrow Network |
$116.22
|
| Rate for Payer: Railroad Medicare Medicare |
$128.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.21
|
| Rate for Payer: UHC Exchange |
$198.73
|
| Rate for Payer: UHC Medicaid |
$67.05
|
| Rate for Payer: UHCCP DNSP |
$128.21
|
| Rate for Payer: UHCCP Medicaid |
$67.05
|
| Rate for Payer: VA VA |
$128.21
|
|
|
HC PULSE OX SINGLE
|
Facility
|
OP
|
$88.16
|
|
|
Service Code
|
CPT 94760
|
| Hospital Charge Code |
46000026
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$88.16 |
| Rate for Payer: Aetna Commercial |
$79.34
|
| Rate for Payer: Aetna Medicare |
$32.62
|
| Rate for Payer: ASR ASR |
$85.52
|
| Rate for Payer: BCBS Complete |
$35.26
|
| Rate for Payer: BCBS Trust/PPO |
$72.69
|
| Rate for Payer: BCN Commercial |
$72.69
|
| Rate for Payer: Cash Price |
$70.53
|
| Rate for Payer: Cash Price |
$70.53
|
| Rate for Payer: Cofinity Commercial |
$82.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.53
|
| Rate for Payer: Healthscope Commercial |
$85.52
|
| Rate for Payer: Healthscope Whirlpool |
$88.16
|
| Rate for Payer: Mclaren Commercial |
$79.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.94
|
| Rate for Payer: Nomi Health Commercial |
$72.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10.89
|
| Rate for Payer: Priority Health Narrow Network |
$8.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$77.58
|
|
|
HC PULSE OX SINGLE
|
Facility
|
IP
|
$88.16
|
|
|
Service Code
|
CPT 94760
|
| Hospital Charge Code |
46000026
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$66.12 |
| Max. Negotiated Rate |
$88.16 |
| Rate for Payer: Aetna Commercial |
$79.34
|
| Rate for Payer: ASR ASR |
$85.52
|
| Rate for Payer: BCBS Trust/PPO |
$72.40
|
| Rate for Payer: BCN Commercial |
$72.40
|
| Rate for Payer: Cash Price |
$70.53
|
| Rate for Payer: Cofinity Commercial |
$82.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.53
|
| Rate for Payer: Healthscope Commercial |
$85.52
|
| Rate for Payer: Healthscope Whirlpool |
$88.16
|
| Rate for Payer: Mclaren Commercial |
$79.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.94
|
| Rate for Payer: Nomi Health Commercial |
$72.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$77.58
|
|
|
HC PULSERIDER
|
Facility
|
OP
|
$17,410.45
|
|
|
Service Code
|
HCPCS C2625
|
| Hospital Charge Code |
27800119
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,441.87 |
| Max. Negotiated Rate |
$17,410.45 |
| Rate for Payer: MI Amish Medical Board Commercial |
$13,928.36
|
| Rate for Payer: Aetna Commercial |
$15,669.41
|
| Rate for Payer: Aetna Medicare |
$6,441.87
|
| Rate for Payer: ASR ASR |
$16,888.14
|
| Rate for Payer: BCBS Complete |
$6,964.18
|
| Rate for Payer: BCBS Trust/PPO |
$14,354.92
|
| Rate for Payer: BCN Commercial |
$14,354.92
|
| Rate for Payer: Cash Price |
$13,928.36
|
| Rate for Payer: Cofinity Commercial |
$16,365.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,928.36
|
| Rate for Payer: Healthscope Commercial |
$16,888.14
|
| Rate for Payer: Healthscope Whirlpool |
$17,410.45
|
| Rate for Payer: Mclaren Commercial |
$15,669.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,798.88
|
| Rate for Payer: Nomi Health Commercial |
$14,276.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,057.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15,255.04
|
| Rate for Payer: Priority Health Narrow Network |
$12,204.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,321.20
|
|
|
HC PULSERIDER
|
Facility
|
IP
|
$17,410.45
|
|
|
Service Code
|
HCPCS C2625
|
| Hospital Charge Code |
27800119
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13,057.84 |
| Max. Negotiated Rate |
$17,410.45 |
| Rate for Payer: Aetna Commercial |
$15,669.41
|
| Rate for Payer: ASR ASR |
$16,888.14
|
| Rate for Payer: BCBS Trust/PPO |
$14,297.46
|
| Rate for Payer: BCN Commercial |
$14,297.46
|
| Rate for Payer: Cash Price |
$13,928.36
|
| Rate for Payer: Cofinity Commercial |
$16,365.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13,928.36
|
| Rate for Payer: Healthscope Commercial |
$16,888.14
|
| Rate for Payer: Healthscope Whirlpool |
$17,410.45
|
| Rate for Payer: Mclaren Commercial |
$15,669.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,798.88
|
| Rate for Payer: Nomi Health Commercial |
$14,276.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13,057.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15,321.20
|
|
|
HC PUMP CENTRFUGAL
|
Facility
|
OP
|
$466.40
|
|
| Hospital Charge Code |
27000382
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$172.57 |
| Max. Negotiated Rate |
$466.40 |
| Rate for Payer: Aetna Commercial |
$419.76
|
| Rate for Payer: Aetna Medicare |
$172.57
|
| Rate for Payer: ASR ASR |
$452.41
|
| Rate for Payer: BCBS Complete |
$186.56
|
| Rate for Payer: BCBS Trust/PPO |
$384.55
|
| Rate for Payer: BCN Commercial |
$384.55
|
| Rate for Payer: Cash Price |
$373.12
|
| Rate for Payer: Cofinity Commercial |
$438.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$373.12
|
| Rate for Payer: Healthscope Commercial |
$452.41
|
| Rate for Payer: Healthscope Whirlpool |
$466.40
|
| Rate for Payer: Mclaren Commercial |
$419.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$373.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$396.44
|
| Rate for Payer: Nomi Health Commercial |
$382.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$349.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$408.66
|
| Rate for Payer: Priority Health Narrow Network |
$326.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$410.43
|
|
|
HC PUMP CENTRFUGAL
|
Facility
|
IP
|
$466.40
|
|
| Hospital Charge Code |
27000382
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$349.80 |
| Max. Negotiated Rate |
$466.40 |
| Rate for Payer: Aetna Commercial |
$419.76
|
| Rate for Payer: ASR ASR |
$452.41
|
| Rate for Payer: BCBS Trust/PPO |
$383.01
|
| Rate for Payer: BCN Commercial |
$383.01
|
| Rate for Payer: Cash Price |
$373.12
|
| Rate for Payer: Cofinity Commercial |
$438.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$373.12
|
| Rate for Payer: Healthscope Commercial |
$452.41
|
| Rate for Payer: Healthscope Whirlpool |
$466.40
|
| Rate for Payer: Mclaren Commercial |
$419.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$396.44
|
| Rate for Payer: Nomi Health Commercial |
$382.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$349.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$410.43
|
|
|
HC PUNCH BIOPSY SKIN ADDL LESION
|
Facility
|
OP
|
$85.22
|
|
|
Service Code
|
CPT 11105
|
| Hospital Charge Code |
76100151
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$31.53 |
| Max. Negotiated Rate |
$85.22 |
| Rate for Payer: Aetna Commercial |
$76.70
|
| Rate for Payer: Aetna Medicare |
$31.53
|
| Rate for Payer: ASR ASR |
$82.66
|
| Rate for Payer: BCBS Complete |
$34.09
|
| Rate for Payer: BCBS Trust/PPO |
$70.26
|
| Rate for Payer: BCN Commercial |
$70.26
|
| Rate for Payer: Cash Price |
$68.18
|
| Rate for Payer: Cofinity Commercial |
$80.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.18
|
| Rate for Payer: Healthscope Commercial |
$82.66
|
| Rate for Payer: Healthscope Whirlpool |
$85.22
|
| Rate for Payer: Mclaren Commercial |
$76.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.44
|
| Rate for Payer: Nomi Health Commercial |
$69.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$74.67
|
| Rate for Payer: Priority Health Narrow Network |
$59.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$74.99
|
|
|
HC PUNCH BIOPSY SKIN ADDL LESION
|
Facility
|
IP
|
$85.22
|
|
|
Service Code
|
CPT 11105
|
| Hospital Charge Code |
76100151
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$63.91 |
| Max. Negotiated Rate |
$85.22 |
| Rate for Payer: Aetna Commercial |
$76.70
|
| Rate for Payer: ASR ASR |
$82.66
|
| Rate for Payer: BCBS Trust/PPO |
$69.98
|
| Rate for Payer: BCN Commercial |
$69.98
|
| Rate for Payer: Cash Price |
$68.18
|
| Rate for Payer: Cofinity Commercial |
$80.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.18
|
| Rate for Payer: Healthscope Commercial |
$82.66
|
| Rate for Payer: Healthscope Whirlpool |
$85.22
|
| Rate for Payer: Mclaren Commercial |
$76.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.44
|
| Rate for Payer: Nomi Health Commercial |
$69.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$74.99
|
|
|
HC PUNCH BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$325.50
|
|
|
Service Code
|
CPT 11104
|
| Hospital Charge Code |
76100150
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$178.18 |
| Max. Negotiated Rate |
$627.83 |
| Rate for Payer: Aetna Commercial |
$292.95
|
| Rate for Payer: Aetna Medicare |
$405.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: ASR ASR |
$315.74
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$268.37
|
| Rate for Payer: BCN Commercial |
$268.37
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$260.40
|
| Rate for Payer: Cash Price |
$260.40
|
| Rate for Payer: Cofinity Commercial |
$305.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$315.74
|
| Rate for Payer: Healthscope Whirlpool |
$325.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$405.05
|
| Rate for Payer: Mclaren Commercial |
$292.95
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$222.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$276.68
|
| Rate for Payer: Nomi Health Commercial |
$266.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$244.12
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$445.56
|
| Rate for Payer: PHP Medicaid |
$217.11
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$222.73
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health Narrow Network |
$178.18
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$405.05
|
| Rate for Payer: UHC Exchange |
$627.83
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP DNSP |
$405.05
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: VA VA |
$405.05
|
|
|
HC PUNCH BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$325.50
|
|
|
Service Code
|
CPT 11104
|
| Hospital Charge Code |
76100150
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$244.12 |
| Max. Negotiated Rate |
$325.50 |
| Rate for Payer: Aetna Commercial |
$292.95
|
| Rate for Payer: ASR ASR |
$315.74
|
| Rate for Payer: BCBS Trust/PPO |
$267.30
|
| Rate for Payer: BCN Commercial |
$267.30
|
| Rate for Payer: Cash Price |
$260.40
|
| Rate for Payer: Cofinity Commercial |
$305.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.40
|
| Rate for Payer: Healthscope Commercial |
$315.74
|
| Rate for Payer: Healthscope Whirlpool |
$325.50
|
| Rate for Payer: Mclaren Commercial |
$292.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$276.68
|
| Rate for Payer: Nomi Health Commercial |
$266.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$244.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.44
|
|
|
HC PUNCTURE ASPIRATION, HYDROCELE
|
Facility
|
IP
|
$971.03
|
|
|
Service Code
|
CPT 55000
|
| Hospital Charge Code |
76100259
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$728.27 |
| Max. Negotiated Rate |
$971.03 |
| Rate for Payer: Aetna Commercial |
$873.93
|
| Rate for Payer: ASR ASR |
$941.90
|
| Rate for Payer: BCBS Trust/PPO |
$797.41
|
| Rate for Payer: BCN Commercial |
$797.41
|
| Rate for Payer: Cash Price |
$776.82
|
| Rate for Payer: Cofinity Commercial |
$912.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$776.82
|
| Rate for Payer: Healthscope Commercial |
$941.90
|
| Rate for Payer: Healthscope Whirlpool |
$971.03
|
| Rate for Payer: Mclaren Commercial |
$873.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$825.38
|
| Rate for Payer: Nomi Health Commercial |
$796.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$728.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$854.51
|
|
|
HC PUNCTURE ASPIRATION, HYDROCELE
|
Facility
|
OP
|
$971.03
|
|
|
Service Code
|
CPT 55000
|
| Hospital Charge Code |
76100259
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$369.02 |
| Max. Negotiated Rate |
$1,093.66 |
| Rate for Payer: Aetna Commercial |
$873.93
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$941.90
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$800.61
|
| Rate for Payer: BCN Commercial |
$800.61
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$776.82
|
| Rate for Payer: Cash Price |
$776.82
|
| Rate for Payer: Cofinity Commercial |
$912.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$776.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$941.90
|
| Rate for Payer: Healthscope Whirlpool |
$971.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$873.93
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$825.38
|
| Rate for Payer: Nomi Health Commercial |
$796.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$728.27
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$850.82
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$680.69
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$854.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.59
|
| Rate for Payer: UHC Exchange |
$1,093.66
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
HC PUNCTURE ASPIRATION OF ABSCESS
|
Facility
|
OP
|
$280.80
|
|
|
Service Code
|
CPT 10160
|
| Hospital Charge Code |
36100004
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$198.53 |
| Max. Negotiated Rate |
$627.83 |
| Rate for Payer: Aetna Commercial |
$252.72
|
| Rate for Payer: Aetna Medicare |
$405.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: ASR ASR |
$272.38
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$231.52
|
| Rate for Payer: BCN Commercial |
$231.52
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$224.64
|
| Rate for Payer: Cash Price |
$224.64
|
| Rate for Payer: Cofinity Commercial |
$263.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$272.38
|
| Rate for Payer: Healthscope Whirlpool |
$280.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$405.05
|
| Rate for Payer: Mclaren Commercial |
$252.72
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$222.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$238.68
|
| Rate for Payer: Nomi Health Commercial |
$230.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.60
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$445.56
|
| Rate for Payer: PHP Medicaid |
$217.11
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$248.16
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health Narrow Network |
$198.53
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$247.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$405.05
|
| Rate for Payer: UHC Exchange |
$627.83
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP DNSP |
$405.05
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: VA VA |
$405.05
|
|
|
HC PUNCTURE ASPIRATION OF ABSCESS
|
Facility
|
IP
|
$280.80
|
|
|
Service Code
|
CPT 10160
|
| Hospital Charge Code |
36100004
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$210.60 |
| Max. Negotiated Rate |
$280.80 |
| Rate for Payer: Aetna Commercial |
$252.72
|
| Rate for Payer: ASR ASR |
$272.38
|
| Rate for Payer: BCBS Trust/PPO |
$230.59
|
| Rate for Payer: BCN Commercial |
$230.59
|
| Rate for Payer: Cash Price |
$224.64
|
| Rate for Payer: Cofinity Commercial |
$263.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.64
|
| Rate for Payer: Healthscope Commercial |
$272.38
|
| Rate for Payer: Healthscope Whirlpool |
$280.80
|
| Rate for Payer: Mclaren Commercial |
$252.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$238.68
|
| Rate for Payer: Nomi Health Commercial |
$230.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$247.10
|
|
|
HC PUNCTURE CERVICAL
|
Facility
|
IP
|
$793.26
|
|
|
Service Code
|
CPT 61050
|
| Hospital Charge Code |
36100268
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$594.95 |
| Max. Negotiated Rate |
$793.26 |
| Rate for Payer: Aetna Commercial |
$713.93
|
| Rate for Payer: ASR ASR |
$769.46
|
| Rate for Payer: BCBS Trust/PPO |
$651.43
|
| Rate for Payer: BCN Commercial |
$651.43
|
| Rate for Payer: Cash Price |
$634.61
|
| Rate for Payer: Cofinity Commercial |
$745.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$634.61
|
| Rate for Payer: Healthscope Commercial |
$769.46
|
| Rate for Payer: Healthscope Whirlpool |
$793.26
|
| Rate for Payer: Mclaren Commercial |
$713.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$674.27
|
| Rate for Payer: Nomi Health Commercial |
$650.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$594.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$698.07
|
|
|
HC PUNCTURE CERVICAL
|
Facility
|
OP
|
$793.26
|
|
|
Service Code
|
CPT 61050
|
| Hospital Charge Code |
36100268
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$793.26 |
| Rate for Payer: Aetna Commercial |
$713.93
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$769.46
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$654.04
|
| Rate for Payer: BCN Commercial |
$654.04
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$634.61
|
| Rate for Payer: Cash Price |
$634.61
|
| Rate for Payer: Cofinity Commercial |
$745.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$634.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$769.46
|
| Rate for Payer: Healthscope Whirlpool |
$793.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$713.93
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$674.27
|
| Rate for Payer: Nomi Health Commercial |
$650.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$594.95
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$695.05
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$556.08
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$698.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
