|
HC ST JUDE CRT LEAD
|
Facility
|
IP
|
$5,942.76
|
|
|
Service Code
|
HCPCS C1900
|
| Hospital Charge Code |
27800026
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,457.07 |
| Max. Negotiated Rate |
$5,942.76 |
| Rate for Payer: Aetna Commercial |
$5,348.48
|
| Rate for Payer: ASR ASR |
$5,764.48
|
| Rate for Payer: BCBS Trust/PPO |
$4,880.19
|
| Rate for Payer: BCN Commercial |
$4,880.19
|
| Rate for Payer: Cash Price |
$4,754.21
|
| Rate for Payer: Cofinity Commercial |
$5,586.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,754.21
|
| Rate for Payer: Healthscope Commercial |
$5,764.48
|
| Rate for Payer: Healthscope Whirlpool |
$5,942.76
|
| Rate for Payer: Mclaren Commercial |
$5,348.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,051.35
|
| Rate for Payer: Nomi Health Commercial |
$4,873.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,457.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,229.63
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
OP
|
$9,550.87
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,533.82 |
| Max. Negotiated Rate |
$9,550.87 |
| Rate for Payer: Aetna Commercial |
$8,595.78
|
| Rate for Payer: Aetna Medicare |
$3,533.82
|
| Rate for Payer: ASR ASR |
$9,264.34
|
| Rate for Payer: BCBS Complete |
$3,820.35
|
| Rate for Payer: BCBS Trust/PPO |
$7,874.69
|
| Rate for Payer: BCN Commercial |
$7,874.69
|
| Rate for Payer: Cash Price |
$7,640.70
|
| Rate for Payer: Cofinity Commercial |
$8,977.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,640.70
|
| Rate for Payer: Healthscope Commercial |
$9,264.34
|
| Rate for Payer: Healthscope Whirlpool |
$9,550.87
|
| Rate for Payer: Mclaren Commercial |
$8,595.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,640.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,118.24
|
| Rate for Payer: Nomi Health Commercial |
$7,831.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,163.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$8,368.47
|
| Rate for Payer: Priority Health Narrow Network |
$6,695.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,404.77
|
|
|
HC ST JUDE DUAL PACEMAKER
|
Facility
|
IP
|
$9,550.87
|
|
|
Service Code
|
HCPCS C1785
|
| Hospital Charge Code |
27500010
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$7,163.15 |
| Max. Negotiated Rate |
$9,550.87 |
| Rate for Payer: Aetna Commercial |
$8,595.78
|
| Rate for Payer: ASR ASR |
$9,264.34
|
| Rate for Payer: BCBS Trust/PPO |
$7,843.17
|
| Rate for Payer: BCN Commercial |
$7,843.17
|
| Rate for Payer: Cash Price |
$7,640.70
|
| Rate for Payer: Cofinity Commercial |
$8,977.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,640.70
|
| Rate for Payer: Healthscope Commercial |
$9,264.34
|
| Rate for Payer: Healthscope Whirlpool |
$9,550.87
|
| Rate for Payer: Mclaren Commercial |
$8,595.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,118.24
|
| Rate for Payer: Nomi Health Commercial |
$7,831.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,163.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8,404.77
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
OP
|
$21,648.64
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,010.00 |
| Max. Negotiated Rate |
$21,648.64 |
| Rate for Payer: Aetna Commercial |
$19,483.78
|
| Rate for Payer: Aetna Medicare |
$8,010.00
|
| Rate for Payer: ASR ASR |
$20,999.18
|
| Rate for Payer: BCBS Complete |
$8,659.46
|
| Rate for Payer: BCBS Trust/PPO |
$17,849.30
|
| Rate for Payer: BCN Commercial |
$17,849.30
|
| Rate for Payer: Cash Price |
$17,318.91
|
| Rate for Payer: Cofinity Commercial |
$20,349.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,318.91
|
| Rate for Payer: Healthscope Commercial |
$20,999.18
|
| Rate for Payer: Healthscope Whirlpool |
$21,648.64
|
| Rate for Payer: Mclaren Commercial |
$19,483.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,318.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,401.34
|
| Rate for Payer: Nomi Health Commercial |
$17,751.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,236.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$18,968.54
|
| Rate for Payer: Priority Health Narrow Network |
$15,175.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,050.80
|
|
|
HC ST JUDE ICD DUAL
|
Facility
|
IP
|
$21,648.64
|
|
|
Service Code
|
HCPCS C1721
|
| Hospital Charge Code |
27800027
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16,236.48 |
| Max. Negotiated Rate |
$21,648.64 |
| Rate for Payer: Aetna Commercial |
$19,483.78
|
| Rate for Payer: ASR ASR |
$20,999.18
|
| Rate for Payer: BCBS Trust/PPO |
$17,777.86
|
| Rate for Payer: BCN Commercial |
$17,777.86
|
| Rate for Payer: Cash Price |
$17,318.91
|
| Rate for Payer: Cofinity Commercial |
$20,349.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,318.91
|
| Rate for Payer: Healthscope Commercial |
$20,999.18
|
| Rate for Payer: Healthscope Whirlpool |
$21,648.64
|
| Rate for Payer: Mclaren Commercial |
$19,483.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,401.34
|
| Rate for Payer: Nomi Health Commercial |
$17,751.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,236.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19,050.80
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
OP
|
$14,347.53
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,308.59 |
| Max. Negotiated Rate |
$14,347.53 |
| Rate for Payer: Aetna Commercial |
$12,912.78
|
| Rate for Payer: Aetna Medicare |
$5,308.59
|
| Rate for Payer: ASR ASR |
$13,917.10
|
| Rate for Payer: BCBS Complete |
$5,739.01
|
| Rate for Payer: BCBS Trust/PPO |
$11,829.54
|
| Rate for Payer: BCN Commercial |
$11,829.54
|
| Rate for Payer: Cash Price |
$11,478.02
|
| Rate for Payer: Cofinity Commercial |
$13,486.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,478.02
|
| Rate for Payer: Healthscope Commercial |
$13,917.10
|
| Rate for Payer: Healthscope Whirlpool |
$14,347.53
|
| Rate for Payer: Mclaren Commercial |
$12,912.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,478.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,195.40
|
| Rate for Payer: Nomi Health Commercial |
$11,764.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,760.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,571.31
|
| Rate for Payer: Priority Health Narrow Network |
$10,057.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,625.83
|
|
|
HC ST JUDE ICD SINGLE
|
Facility
|
IP
|
$14,347.53
|
|
|
Service Code
|
HCPCS C1722
|
| Hospital Charge Code |
27800028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10,760.65 |
| Max. Negotiated Rate |
$14,347.53 |
| Rate for Payer: Aetna Commercial |
$12,912.78
|
| Rate for Payer: ASR ASR |
$13,917.10
|
| Rate for Payer: BCBS Trust/PPO |
$11,782.19
|
| Rate for Payer: BCN Commercial |
$11,782.19
|
| Rate for Payer: Cash Price |
$11,478.02
|
| Rate for Payer: Cofinity Commercial |
$13,486.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,478.02
|
| Rate for Payer: Healthscope Commercial |
$13,917.10
|
| Rate for Payer: Healthscope Whirlpool |
$14,347.53
|
| Rate for Payer: Mclaren Commercial |
$12,912.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,195.40
|
| Rate for Payer: Nomi Health Commercial |
$11,764.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,760.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12,625.83
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
IP
|
$7,322.34
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,491.76 |
| Max. Negotiated Rate |
$7,322.34 |
| Rate for Payer: Aetna Commercial |
$6,590.11
|
| Rate for Payer: ASR ASR |
$7,102.67
|
| Rate for Payer: BCBS Trust/PPO |
$6,013.11
|
| Rate for Payer: BCN Commercial |
$6,013.11
|
| Rate for Payer: Cash Price |
$5,857.87
|
| Rate for Payer: Cofinity Commercial |
$6,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,857.87
|
| Rate for Payer: Healthscope Commercial |
$7,102.67
|
| Rate for Payer: Healthscope Whirlpool |
$7,322.34
|
| Rate for Payer: Mclaren Commercial |
$6,590.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,223.99
|
| Rate for Payer: Nomi Health Commercial |
$6,004.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,443.66
|
|
|
HC ST JUDE SINGLE PACEMAKER
|
Facility
|
OP
|
$7,322.34
|
|
|
Service Code
|
HCPCS C1786
|
| Hospital Charge Code |
27500011
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,709.27 |
| Max. Negotiated Rate |
$7,322.34 |
| Rate for Payer: Aetna Commercial |
$6,590.11
|
| Rate for Payer: Aetna Medicare |
$2,709.27
|
| Rate for Payer: ASR ASR |
$7,102.67
|
| Rate for Payer: BCBS Complete |
$2,928.94
|
| Rate for Payer: BCBS Trust/PPO |
$6,037.27
|
| Rate for Payer: BCN Commercial |
$6,037.27
|
| Rate for Payer: Cash Price |
$5,857.87
|
| Rate for Payer: Cofinity Commercial |
$6,883.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,857.87
|
| Rate for Payer: Healthscope Commercial |
$7,102.67
|
| Rate for Payer: Healthscope Whirlpool |
$7,322.34
|
| Rate for Payer: Mclaren Commercial |
$6,590.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,857.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,223.99
|
| Rate for Payer: Nomi Health Commercial |
$6,004.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,415.83
|
| Rate for Payer: Priority Health Narrow Network |
$5,132.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,443.66
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
IP
|
$8,328.01
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,246.01 |
| Max. Negotiated Rate |
$8,328.01 |
| Rate for Payer: Aetna Commercial |
$7,495.21
|
| Rate for Payer: ASR ASR |
$8,078.17
|
| Rate for Payer: BCBS Trust/PPO |
$6,838.96
|
| Rate for Payer: BCN Commercial |
$6,838.96
|
| Rate for Payer: Cash Price |
$6,662.41
|
| Rate for Payer: Cofinity Commercial |
$7,828.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,662.41
|
| Rate for Payer: Healthscope Commercial |
$8,078.17
|
| Rate for Payer: Healthscope Whirlpool |
$8,328.01
|
| Rate for Payer: Mclaren Commercial |
$7,495.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,078.81
|
| Rate for Payer: Nomi Health Commercial |
$6,828.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,246.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,328.65
|
|
|
HC ST JUDE TACHY (ICD) LEAD
|
Facility
|
OP
|
$8,328.01
|
|
|
Service Code
|
HCPCS C1895
|
| Hospital Charge Code |
27800029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,081.36 |
| Max. Negotiated Rate |
$8,328.01 |
| Rate for Payer: Aetna Commercial |
$7,495.21
|
| Rate for Payer: Aetna Medicare |
$3,081.36
|
| Rate for Payer: ASR ASR |
$8,078.17
|
| Rate for Payer: BCBS Complete |
$3,331.20
|
| Rate for Payer: BCBS Trust/PPO |
$6,866.44
|
| Rate for Payer: BCN Commercial |
$6,866.44
|
| Rate for Payer: Cash Price |
$6,662.41
|
| Rate for Payer: Cofinity Commercial |
$7,828.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,662.41
|
| Rate for Payer: Healthscope Commercial |
$8,078.17
|
| Rate for Payer: Healthscope Whirlpool |
$8,328.01
|
| Rate for Payer: Mclaren Commercial |
$7,495.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,662.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,078.81
|
| Rate for Payer: Nomi Health Commercial |
$6,828.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,246.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,297.00
|
| Rate for Payer: Priority Health Narrow Network |
$5,837.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,328.65
|
|
|
HC STOOL CULTURE
|
Facility
|
OP
|
$40.75
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$40.75 |
| Rate for Payer: Aetna Commercial |
$36.67
|
| Rate for Payer: Aetna Medicare |
$9.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: ASR ASR |
$39.53
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$33.60
|
| Rate for Payer: BCN Commercial |
$33.60
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$38.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$39.53
|
| Rate for Payer: Healthscope Whirlpool |
$40.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$9.44
|
| Rate for Payer: Mclaren Commercial |
$36.67
|
| Rate for Payer: Mclaren Medicaid |
$9.44
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: Meridian Medicaid |
$5.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$10.38
|
| Rate for Payer: PHP Medicaid |
$5.06
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$32.68
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$26.14
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.44
|
| Rate for Payer: UHC Exchange |
$14.63
|
| Rate for Payer: UHC Medicaid |
$4.94
|
| Rate for Payer: UHCCP DNSP |
$9.44
|
| Rate for Payer: UHCCP Medicaid |
$4.94
|
| Rate for Payer: VA VA |
$9.44
|
|
|
HC STOOL CULTURE
|
Facility
|
IP
|
$40.75
|
|
|
Service Code
|
CPT 87045
|
| Hospital Charge Code |
30600073
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$30.56 |
| Max. Negotiated Rate |
$40.75 |
| Rate for Payer: Aetna Commercial |
$36.67
|
| Rate for Payer: ASR ASR |
$39.53
|
| Rate for Payer: BCBS Trust/PPO |
$33.46
|
| Rate for Payer: BCN Commercial |
$33.46
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$38.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Healthscope Commercial |
$39.53
|
| Rate for Payer: Healthscope Whirlpool |
$40.75
|
| Rate for Payer: Mclaren Commercial |
$36.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.86
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
IP
|
$40.75
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$30.56 |
| Max. Negotiated Rate |
$40.75 |
| Rate for Payer: Aetna Commercial |
$36.67
|
| Rate for Payer: ASR ASR |
$39.53
|
| Rate for Payer: BCBS Trust/PPO |
$33.46
|
| Rate for Payer: BCN Commercial |
$33.46
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$38.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Healthscope Commercial |
$39.53
|
| Rate for Payer: Healthscope Whirlpool |
$40.75
|
| Rate for Payer: Mclaren Commercial |
$36.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.86
|
|
|
HC STOOL CULTURE CMPT
|
Facility
|
OP
|
$40.75
|
|
|
Service Code
|
CPT 87046
|
| Hospital Charge Code |
30600074
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$40.75 |
| Rate for Payer: Aetna Commercial |
$36.67
|
| Rate for Payer: Aetna Medicare |
$9.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.80
|
| Rate for Payer: ASR ASR |
$39.53
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$33.60
|
| Rate for Payer: BCN Commercial |
$33.60
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cash Price |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$38.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Healthscope Commercial |
$39.53
|
| Rate for Payer: Healthscope Whirlpool |
$40.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$9.44
|
| Rate for Payer: Mclaren Commercial |
$36.67
|
| Rate for Payer: Mclaren Medicaid |
$9.44
|
| Rate for Payer: Mclaren Medicare |
$9.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: Meridian Medicaid |
$5.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.64
|
| Rate for Payer: Nomi Health Commercial |
$33.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.56
|
| Rate for Payer: PACE Medicare |
$8.97
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Commercial |
$10.38
|
| Rate for Payer: PHP Medicaid |
$5.06
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$32.68
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow Network |
$26.14
|
| Rate for Payer: Railroad Medicare Medicare |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.44
|
| Rate for Payer: UHC Exchange |
$14.63
|
| Rate for Payer: UHC Medicaid |
$4.94
|
| Rate for Payer: UHCCP DNSP |
$9.44
|
| Rate for Payer: UHCCP Medicaid |
$4.94
|
| Rate for Payer: VA VA |
$9.44
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
OP
|
$13.59
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.49 |
| Max. Negotiated Rate |
$23.01 |
| Rate for Payer: Aetna Commercial |
$12.23
|
| Rate for Payer: Aetna Medicare |
$6.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.35
|
| Rate for Payer: ASR ASR |
$13.18
|
| Rate for Payer: BCBS Complete |
$3.67
|
| Rate for Payer: BCBS MAPPO |
$6.68
|
| Rate for Payer: BCBS Trust/PPO |
$11.20
|
| Rate for Payer: BCN Commercial |
$11.20
|
| Rate for Payer: BCN Medicare Advantage |
$6.68
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cofinity Commercial |
$12.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$13.18
|
| Rate for Payer: Healthscope Whirlpool |
$13.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.68
|
| Rate for Payer: Mclaren Commercial |
$12.23
|
| Rate for Payer: Mclaren Medicaid |
$6.68
|
| Rate for Payer: Mclaren Medicare |
$6.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.01
|
| Rate for Payer: Meridian Medicaid |
$3.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.55
|
| Rate for Payer: Nomi Health Commercial |
$11.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.19
|
| Rate for Payer: PACE Medicare |
$6.35
|
| Rate for Payer: PACE SWMI |
$6.68
|
| Rate for Payer: PHP Commercial |
$7.35
|
| Rate for Payer: PHP Medicaid |
$3.58
|
| Rate for Payer: PHP Medicare Advantage |
$6.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$23.01
|
| Rate for Payer: Priority Health Medicare |
$6.68
|
| Rate for Payer: Priority Health Narrow Network |
$18.40
|
| Rate for Payer: Railroad Medicare Medicare |
$6.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.68
|
| Rate for Payer: UHC Exchange |
$10.35
|
| Rate for Payer: UHC Medicaid |
$3.49
|
| Rate for Payer: UHCCP DNSP |
$6.68
|
| Rate for Payer: UHCCP Medicaid |
$3.49
|
| Rate for Payer: VA VA |
$6.68
|
|
|
HC STOOL CULTURE CMPT2
|
Facility
|
IP
|
$13.59
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600069
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.19 |
| Max. Negotiated Rate |
$13.59 |
| Rate for Payer: Aetna Commercial |
$12.23
|
| Rate for Payer: ASR ASR |
$13.18
|
| Rate for Payer: BCBS Trust/PPO |
$11.16
|
| Rate for Payer: BCN Commercial |
$11.16
|
| Rate for Payer: Cash Price |
$10.87
|
| Rate for Payer: Cofinity Commercial |
$12.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.87
|
| Rate for Payer: Healthscope Commercial |
$13.18
|
| Rate for Payer: Healthscope Whirlpool |
$13.59
|
| Rate for Payer: Mclaren Commercial |
$12.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.55
|
| Rate for Payer: Nomi Health Commercial |
$11.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.96
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
OP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$43.40 |
| Rate for Payer: Aetna Commercial |
$39.06
|
| Rate for Payer: Aetna Medicare |
$16.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.09
|
| Rate for Payer: ASR ASR |
$42.10
|
| Rate for Payer: BCBS Complete |
$8.83
|
| Rate for Payer: BCBS MAPPO |
$16.07
|
| Rate for Payer: BCBS Trust/PPO |
$35.78
|
| Rate for Payer: BCN Commercial |
$35.78
|
| Rate for Payer: BCN Medicare Advantage |
$16.07
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.07
|
| Rate for Payer: Healthscope Commercial |
$42.10
|
| Rate for Payer: Healthscope Whirlpool |
$43.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$16.07
|
| Rate for Payer: Mclaren Commercial |
$39.06
|
| Rate for Payer: Mclaren Medicaid |
$16.07
|
| Rate for Payer: Mclaren Medicare |
$16.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.87
|
| Rate for Payer: Meridian Medicaid |
$8.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$35.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: PACE Medicare |
$15.27
|
| Rate for Payer: PACE SWMI |
$16.07
|
| Rate for Payer: PHP Commercial |
$17.68
|
| Rate for Payer: PHP Medicaid |
$8.61
|
| Rate for Payer: PHP Medicare Advantage |
$16.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$41.16
|
| Rate for Payer: Priority Health Medicare |
$16.07
|
| Rate for Payer: Priority Health Narrow Network |
$32.93
|
| Rate for Payer: Railroad Medicare Medicare |
$16.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.07
|
| Rate for Payer: UHC Exchange |
$24.91
|
| Rate for Payer: UHC Medicaid |
$8.40
|
| Rate for Payer: UHCCP DNSP |
$16.07
|
| Rate for Payer: UHCCP Medicaid |
$8.40
|
| Rate for Payer: VA VA |
$16.07
|
|
|
HC STOOL CULTURE CMPT 3
|
Facility
|
IP
|
$43.40
|
|
|
Service Code
|
CPT 87899
|
| Hospital Charge Code |
30600177
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$32.55 |
| Max. Negotiated Rate |
$43.40 |
| Rate for Payer: Aetna Commercial |
$39.06
|
| Rate for Payer: ASR ASR |
$42.10
|
| Rate for Payer: BCBS Trust/PPO |
$35.64
|
| Rate for Payer: BCN Commercial |
$35.64
|
| Rate for Payer: Cash Price |
$34.72
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.72
|
| Rate for Payer: Healthscope Commercial |
$42.10
|
| Rate for Payer: Healthscope Whirlpool |
$43.40
|
| Rate for Payer: Mclaren Commercial |
$39.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.89
|
| Rate for Payer: Nomi Health Commercial |
$35.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.19
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
IP
|
$137.21
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$102.91 |
| Max. Negotiated Rate |
$137.21 |
| Rate for Payer: Aetna Commercial |
$123.49
|
| Rate for Payer: ASR ASR |
$133.09
|
| Rate for Payer: BCBS Trust/PPO |
$112.68
|
| Rate for Payer: BCN Commercial |
$112.68
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cofinity Commercial |
$128.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.77
|
| Rate for Payer: Healthscope Commercial |
$133.09
|
| Rate for Payer: Healthscope Whirlpool |
$137.21
|
| Rate for Payer: Mclaren Commercial |
$123.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.63
|
| Rate for Payer: Nomi Health Commercial |
$112.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.74
|
|
|
HC STRAPPING ANKLE AND OR FOOT
|
Facility
|
OP
|
$137.21
|
|
|
Service Code
|
CPT 29540
|
| Hospital Charge Code |
42000005
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$250.98 |
| Rate for Payer: Aetna Commercial |
$123.49
|
| Rate for Payer: Aetna Medicare |
$161.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: ASR ASR |
$133.09
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$113.13
|
| Rate for Payer: BCN Commercial |
$113.13
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cash Price |
$109.77
|
| Rate for Payer: Cofinity Commercial |
$128.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$133.09
|
| Rate for Payer: Healthscope Whirlpool |
$137.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$161.92
|
| Rate for Payer: Mclaren Commercial |
$123.49
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$88.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116.63
|
| Rate for Payer: Nomi Health Commercial |
$112.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.91
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$178.11
|
| Rate for Payer: PHP Medicaid |
$86.79
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$186.42
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health Narrow Network |
$149.13
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP DNSP |
$161.92
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: VA VA |
$161.92
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
OP
|
$236.86
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$250.98 |
| Rate for Payer: Aetna Commercial |
$213.17
|
| Rate for Payer: Aetna Medicare |
$161.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: ASR ASR |
$229.75
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$195.29
|
| Rate for Payer: BCN Commercial |
$195.29
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cofinity Commercial |
$222.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$189.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$229.75
|
| Rate for Payer: Healthscope Whirlpool |
$236.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$161.92
|
| Rate for Payer: Mclaren Commercial |
$213.17
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$88.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201.33
|
| Rate for Payer: Nomi Health Commercial |
$194.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.65
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$178.11
|
| Rate for Payer: PHP Medicaid |
$86.79
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$207.54
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health Narrow Network |
$166.04
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$208.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP DNSP |
$161.92
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: VA VA |
$161.92
|
|
|
HC STRAPPING CASTING UNLISTED
|
Facility
|
IP
|
$236.86
|
|
|
Service Code
|
CPT 29799
|
| Hospital Charge Code |
42000053
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$177.65 |
| Max. Negotiated Rate |
$236.86 |
| Rate for Payer: Aetna Commercial |
$213.17
|
| Rate for Payer: ASR ASR |
$229.75
|
| Rate for Payer: BCBS Trust/PPO |
$194.51
|
| Rate for Payer: BCN Commercial |
$194.51
|
| Rate for Payer: Cash Price |
$189.49
|
| Rate for Payer: Cofinity Commercial |
$222.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$189.49
|
| Rate for Payer: Healthscope Commercial |
$229.75
|
| Rate for Payer: Healthscope Whirlpool |
$236.86
|
| Rate for Payer: Mclaren Commercial |
$213.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201.33
|
| Rate for Payer: Nomi Health Commercial |
$194.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$208.44
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
IP
|
$124.10
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$93.08 |
| Max. Negotiated Rate |
$124.10 |
| Rate for Payer: Aetna Commercial |
$111.69
|
| Rate for Payer: ASR ASR |
$120.38
|
| Rate for Payer: BCBS Trust/PPO |
$101.91
|
| Rate for Payer: BCN Commercial |
$101.91
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cofinity Commercial |
$116.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.28
|
| Rate for Payer: Healthscope Commercial |
$120.38
|
| Rate for Payer: Healthscope Whirlpool |
$124.10
|
| Rate for Payer: Mclaren Commercial |
$111.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.48
|
| Rate for Payer: Nomi Health Commercial |
$101.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$109.21
|
|
|
HC STRAPPING CHEST KINESIOTAPING
|
Facility
|
OP
|
$124.10
|
|
|
Service Code
|
CPT 29200
|
| Hospital Charge Code |
42000052
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$74.58 |
| Max. Negotiated Rate |
$250.98 |
| Rate for Payer: Aetna Commercial |
$111.69
|
| Rate for Payer: Aetna Medicare |
$161.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.40
|
| Rate for Payer: ASR ASR |
$120.38
|
| Rate for Payer: BCBS Complete |
$88.93
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$102.32
|
| Rate for Payer: BCN Commercial |
$102.32
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cash Price |
$99.28
|
| Rate for Payer: Cofinity Commercial |
$116.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Healthscope Commercial |
$120.38
|
| Rate for Payer: Healthscope Whirlpool |
$124.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$161.92
|
| Rate for Payer: Mclaren Commercial |
$111.69
|
| Rate for Payer: Mclaren Medicaid |
$161.92
|
| Rate for Payer: Mclaren Medicare |
$161.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: Meridian Medicaid |
$88.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.48
|
| Rate for Payer: Nomi Health Commercial |
$101.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.08
|
| Rate for Payer: PACE Medicare |
$153.82
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Commercial |
$178.11
|
| Rate for Payer: PHP Medicaid |
$86.79
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$93.22
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health Narrow Network |
$74.58
|
| Rate for Payer: Railroad Medicare Medicare |
$161.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$109.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.92
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Medicaid |
$84.68
|
| Rate for Payer: UHCCP DNSP |
$161.92
|
| Rate for Payer: UHCCP Medicaid |
$84.68
|
| Rate for Payer: VA VA |
$161.92
|
|
