|
HC SIGMOIDOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,621.12
|
|
| Hospital Charge Code |
36000082
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,703.73 |
| Max. Negotiated Rate |
$2,621.12 |
| Rate for Payer: Aetna Commercial |
$2,359.01
|
| Rate for Payer: ASR ASR |
$2,542.49
|
| Rate for Payer: ASR Commercial |
$2,542.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,135.95
|
| Rate for Payer: BCN Commercial |
$2,032.15
|
| Rate for Payer: Cash Price |
$2,096.90
|
| Rate for Payer: Cofinity Commercial |
$2,463.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,096.90
|
| Rate for Payer: Healthscope Commercial |
$2,621.12
|
| Rate for Payer: Healthscope Whirlpool |
$2,542.49
|
| Rate for Payer: Mclaren Commercial |
$2,359.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,227.95
|
| Rate for Payer: Nomi Health Commercial |
$2,149.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,703.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,306.59
|
|
|
HC SIGMOIDOSCOPY WITH BIOPSY
|
Facility
|
IP
|
$1,264.83
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
36000111
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$822.14 |
| Max. Negotiated Rate |
$1,264.83 |
| Rate for Payer: Aetna Commercial |
$1,138.35
|
| Rate for Payer: ASR ASR |
$1,226.89
|
| Rate for Payer: ASR Commercial |
$1,226.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,030.71
|
| Rate for Payer: BCN Commercial |
$980.62
|
| Rate for Payer: Cash Price |
$1,011.86
|
| Rate for Payer: Cofinity Commercial |
$1,188.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,011.86
|
| Rate for Payer: Healthscope Commercial |
$1,264.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,226.89
|
| Rate for Payer: Mclaren Commercial |
$1,138.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,075.11
|
| Rate for Payer: Nomi Health Commercial |
$1,037.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$822.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,113.05
|
|
|
HC SIGMOIDOSCOPY WITH BIOPSY
|
Facility
|
OP
|
$1,264.83
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
36000111
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$476.60 |
| Max. Negotiated Rate |
$1,378.21 |
| Rate for Payer: Aetna Commercial |
$1,138.35
|
| Rate for Payer: Aetna Medicare |
$889.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,111.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,111.46
|
| Rate for Payer: ASR ASR |
$1,226.89
|
| Rate for Payer: ASR Commercial |
$1,226.89
|
| Rate for Payer: BCBS Complete |
$500.42
|
| Rate for Payer: BCBS MAPPO |
$889.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,035.77
|
| Rate for Payer: BCN Commercial |
$980.62
|
| Rate for Payer: BCN Medicare Advantage |
$889.17
|
| Rate for Payer: Cash Price |
$1,011.86
|
| Rate for Payer: Cash Price |
$1,011.86
|
| Rate for Payer: Cofinity Commercial |
$1,188.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,011.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$889.17
|
| Rate for Payer: Healthscope Commercial |
$1,264.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,226.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$889.17
|
| Rate for Payer: Mclaren Commercial |
$1,138.35
|
| Rate for Payer: Mclaren Medicaid |
$476.60
|
| Rate for Payer: Mclaren Medicare |
$889.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.63
|
| Rate for Payer: Meridian Medicaid |
$500.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,022.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,075.11
|
| Rate for Payer: Nomi Health Commercial |
$1,037.16
|
| Rate for Payer: PACE Medicare |
$844.71
|
| Rate for Payer: PACE SWMI |
$889.17
|
| Rate for Payer: PHP Commercial |
$978.09
|
| Rate for Payer: PHP Medicaid |
$476.60
|
| Rate for Payer: PHP Medicare Advantage |
$889.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$822.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,108.24
|
| Rate for Payer: Priority Health Medicare |
$889.17
|
| Rate for Payer: Priority Health Narrow Network |
$886.65
|
| Rate for Payer: Railroad Medicare Medicare |
$889.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,113.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$889.17
|
| Rate for Payer: UHC Exchange |
$1,378.21
|
| Rate for Payer: UHC Medicare Advantage |
$889.17
|
| Rate for Payer: UHCCP DNSP |
$889.17
|
| Rate for Payer: UHCCP Medicaid |
$476.60
|
| Rate for Payer: VA VA |
$889.17
|
|
|
HC SIGNAL AVERAGE EKG
|
Facility
|
OP
|
$252.87
|
|
|
Service Code
|
CPT 93278
|
| Hospital Charge Code |
73100004
|
|
Hospital Revenue Code
|
731
|
| Min. Negotiated Rate |
$31.05 |
| Max. Negotiated Rate |
$252.87 |
| Rate for Payer: Aetna Commercial |
$227.58
|
| Rate for Payer: Aetna Medicare |
$57.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72.41
|
| Rate for Payer: ASR ASR |
$245.28
|
| Rate for Payer: ASR Commercial |
$245.28
|
| Rate for Payer: BCBS Complete |
$32.60
|
| Rate for Payer: BCBS MAPPO |
$57.93
|
| Rate for Payer: BCBS Trust/PPO |
$207.08
|
| Rate for Payer: BCN Commercial |
$196.05
|
| Rate for Payer: BCN Medicare Advantage |
$57.93
|
| Rate for Payer: Cash Price |
$202.30
|
| Rate for Payer: Cash Price |
$202.30
|
| Rate for Payer: Cofinity Commercial |
$237.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$202.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.93
|
| Rate for Payer: Healthscope Commercial |
$252.87
|
| Rate for Payer: Healthscope Whirlpool |
$245.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$57.93
|
| Rate for Payer: Mclaren Commercial |
$227.58
|
| Rate for Payer: Mclaren Medicaid |
$31.05
|
| Rate for Payer: Mclaren Medicare |
$57.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.83
|
| Rate for Payer: Meridian Medicaid |
$32.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$214.94
|
| Rate for Payer: Nomi Health Commercial |
$207.35
|
| Rate for Payer: PACE Medicare |
$55.03
|
| Rate for Payer: PACE SWMI |
$57.93
|
| Rate for Payer: PHP Commercial |
$63.72
|
| Rate for Payer: PHP Medicaid |
$31.05
|
| Rate for Payer: PHP Medicare Advantage |
$57.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$164.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.56
|
| Rate for Payer: Priority Health Medicare |
$57.93
|
| Rate for Payer: Priority Health Narrow Network |
$177.26
|
| Rate for Payer: Railroad Medicare Medicare |
$57.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$222.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.93
|
| Rate for Payer: UHC Exchange |
$89.79
|
| Rate for Payer: UHC Medicare Advantage |
$57.93
|
| Rate for Payer: UHCCP DNSP |
$57.93
|
| Rate for Payer: UHCCP Medicaid |
$31.05
|
| Rate for Payer: VA VA |
$57.93
|
|
|
HC SIGNAL AVERAGE EKG
|
Facility
|
IP
|
$252.87
|
|
|
Service Code
|
CPT 93278
|
| Hospital Charge Code |
73100004
|
|
Hospital Revenue Code
|
731
|
| Min. Negotiated Rate |
$164.37 |
| Max. Negotiated Rate |
$252.87 |
| Rate for Payer: Aetna Commercial |
$227.58
|
| Rate for Payer: ASR ASR |
$245.28
|
| Rate for Payer: ASR Commercial |
$245.28
|
| Rate for Payer: BCBS Trust/PPO |
$206.06
|
| Rate for Payer: BCN Commercial |
$196.05
|
| Rate for Payer: Cash Price |
$202.30
|
| Rate for Payer: Cofinity Commercial |
$237.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$202.30
|
| Rate for Payer: Healthscope Commercial |
$252.87
|
| Rate for Payer: Healthscope Whirlpool |
$245.28
|
| Rate for Payer: Mclaren Commercial |
$227.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$214.94
|
| Rate for Payer: Nomi Health Commercial |
$207.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$164.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$222.53
|
|
|
HC SILICA CLOTTING TIME ASSAY
|
Facility
|
IP
|
$26.01
|
|
|
Service Code
|
CPT 85730
|
| Hospital Charge Code |
30500099
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$26.01 |
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: ASR ASR |
$25.23
|
| Rate for Payer: ASR Commercial |
$25.23
|
| Rate for Payer: BCBS Trust/PPO |
$21.20
|
| Rate for Payer: BCN Commercial |
$20.17
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$24.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$26.01
|
| Rate for Payer: Healthscope Whirlpool |
$25.23
|
| Rate for Payer: Mclaren Commercial |
$23.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.89
|
|
|
HC SILICA CLOTTING TIME ASSAY
|
Facility
|
OP
|
$26.01
|
|
|
Service Code
|
CPT 85730
|
| Hospital Charge Code |
30500099
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$3.22 |
| Max. Negotiated Rate |
$26.01 |
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: Aetna Medicare |
$6.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.51
|
| Rate for Payer: ASR ASR |
$25.23
|
| Rate for Payer: ASR Commercial |
$25.23
|
| Rate for Payer: BCBS Complete |
$3.38
|
| Rate for Payer: BCBS MAPPO |
$6.01
|
| Rate for Payer: BCBS Trust/PPO |
$21.30
|
| Rate for Payer: BCN Commercial |
$20.17
|
| Rate for Payer: BCN Medicare Advantage |
$6.01
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$24.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.01
|
| Rate for Payer: Healthscope Commercial |
$26.01
|
| Rate for Payer: Healthscope Whirlpool |
$25.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.01
|
| Rate for Payer: Mclaren Commercial |
$23.41
|
| Rate for Payer: Mclaren Medicaid |
$3.22
|
| Rate for Payer: Mclaren Medicare |
$6.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.31
|
| Rate for Payer: Meridian Medicaid |
$3.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PACE Medicare |
$5.71
|
| Rate for Payer: PACE SWMI |
$6.01
|
| Rate for Payer: PHP Commercial |
$6.61
|
| Rate for Payer: PHP Medicaid |
$3.22
|
| Rate for Payer: PHP Medicare Advantage |
$6.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.79
|
| Rate for Payer: Priority Health Medicare |
$6.01
|
| Rate for Payer: Priority Health Narrow Network |
$18.23
|
| Rate for Payer: Railroad Medicare Medicare |
$6.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.01
|
| Rate for Payer: UHC Exchange |
$9.32
|
| Rate for Payer: UHC Medicare Advantage |
$6.01
|
| Rate for Payer: UHCCP DNSP |
$6.01
|
| Rate for Payer: UHCCP Medicaid |
$3.22
|
| Rate for Payer: VA VA |
$6.01
|
|
|
HC SILVADENE 400 GM
|
Facility
|
IP
|
$253.52
|
|
| Hospital Charge Code |
27100016
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$164.79 |
| Max. Negotiated Rate |
$253.52 |
| Rate for Payer: Aetna Commercial |
$228.17
|
| Rate for Payer: ASR ASR |
$245.91
|
| Rate for Payer: ASR Commercial |
$245.91
|
| Rate for Payer: BCBS Trust/PPO |
$206.59
|
| Rate for Payer: BCN Commercial |
$196.55
|
| Rate for Payer: Cash Price |
$202.82
|
| Rate for Payer: Cofinity Commercial |
$238.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$202.82
|
| Rate for Payer: Healthscope Commercial |
$253.52
|
| Rate for Payer: Healthscope Whirlpool |
$245.91
|
| Rate for Payer: Mclaren Commercial |
$228.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.49
|
| Rate for Payer: Nomi Health Commercial |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$164.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$223.10
|
|
|
HC SILVADENE 400 GM
|
Facility
|
OP
|
$253.52
|
|
| Hospital Charge Code |
27100016
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$101.41 |
| Max. Negotiated Rate |
$253.52 |
| Rate for Payer: Aetna Commercial |
$228.17
|
| Rate for Payer: Aetna Medicare |
$126.76
|
| Rate for Payer: ASR ASR |
$245.91
|
| Rate for Payer: ASR Commercial |
$245.91
|
| Rate for Payer: BCBS Complete |
$101.41
|
| Rate for Payer: BCBS Trust/PPO |
$207.61
|
| Rate for Payer: BCN Commercial |
$196.55
|
| Rate for Payer: Cash Price |
$202.82
|
| Rate for Payer: Cofinity Commercial |
$238.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$202.82
|
| Rate for Payer: Healthscope Commercial |
$253.52
|
| Rate for Payer: Healthscope Whirlpool |
$245.91
|
| Rate for Payer: Mclaren Commercial |
$228.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.49
|
| Rate for Payer: Nomi Health Commercial |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$164.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$222.13
|
| Rate for Payer: Priority Health Narrow Network |
$177.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$223.10
|
|
|
HC SILVADENE 85 GM
|
Facility
|
OP
|
$104.62
|
|
| Hospital Charge Code |
27100017
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$41.85 |
| Max. Negotiated Rate |
$104.62 |
| Rate for Payer: Aetna Commercial |
$94.16
|
| Rate for Payer: Aetna Medicare |
$52.31
|
| Rate for Payer: ASR ASR |
$101.48
|
| Rate for Payer: ASR Commercial |
$101.48
|
| Rate for Payer: BCBS Complete |
$41.85
|
| Rate for Payer: BCBS Trust/PPO |
$85.67
|
| Rate for Payer: BCN Commercial |
$81.11
|
| Rate for Payer: Cash Price |
$83.70
|
| Rate for Payer: Cofinity Commercial |
$98.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.70
|
| Rate for Payer: Healthscope Commercial |
$104.62
|
| Rate for Payer: Healthscope Whirlpool |
$101.48
|
| Rate for Payer: Mclaren Commercial |
$94.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.93
|
| Rate for Payer: Nomi Health Commercial |
$85.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.67
|
| Rate for Payer: Priority Health Narrow Network |
$73.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.07
|
|
|
HC SILVADENE 85 GM
|
Facility
|
IP
|
$104.62
|
|
| Hospital Charge Code |
27100017
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$68.00 |
| Max. Negotiated Rate |
$104.62 |
| Rate for Payer: Aetna Commercial |
$94.16
|
| Rate for Payer: ASR ASR |
$101.48
|
| Rate for Payer: ASR Commercial |
$101.48
|
| Rate for Payer: BCBS Trust/PPO |
$85.25
|
| Rate for Payer: BCN Commercial |
$81.11
|
| Rate for Payer: Cash Price |
$83.70
|
| Rate for Payer: Cofinity Commercial |
$98.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.70
|
| Rate for Payer: Healthscope Commercial |
$104.62
|
| Rate for Payer: Healthscope Whirlpool |
$101.48
|
| Rate for Payer: Mclaren Commercial |
$94.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.93
|
| Rate for Payer: Nomi Health Commercial |
$85.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.07
|
|
|
HC SILVER 4X4
|
Facility
|
OP
|
$65.41
|
|
| Hospital Charge Code |
27000146
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$26.16 |
| Max. Negotiated Rate |
$65.41 |
| Rate for Payer: Aetna Commercial |
$58.87
|
| Rate for Payer: Aetna Medicare |
$32.70
|
| Rate for Payer: ASR ASR |
$63.45
|
| Rate for Payer: ASR Commercial |
$63.45
|
| Rate for Payer: BCBS Complete |
$26.16
|
| Rate for Payer: BCBS Trust/PPO |
$53.56
|
| Rate for Payer: BCN Commercial |
$50.71
|
| Rate for Payer: Cash Price |
$52.33
|
| Rate for Payer: Cofinity Commercial |
$61.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.33
|
| Rate for Payer: Healthscope Commercial |
$65.41
|
| Rate for Payer: Healthscope Whirlpool |
$63.45
|
| Rate for Payer: Mclaren Commercial |
$58.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.60
|
| Rate for Payer: Nomi Health Commercial |
$53.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.31
|
| Rate for Payer: Priority Health Narrow Network |
$45.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.56
|
|
|
HC SILVER 4X4
|
Facility
|
IP
|
$65.41
|
|
| Hospital Charge Code |
27000146
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.52 |
| Max. Negotiated Rate |
$65.41 |
| Rate for Payer: Aetna Commercial |
$58.87
|
| Rate for Payer: ASR ASR |
$63.45
|
| Rate for Payer: ASR Commercial |
$63.45
|
| Rate for Payer: BCBS Trust/PPO |
$53.30
|
| Rate for Payer: BCN Commercial |
$50.71
|
| Rate for Payer: Cash Price |
$52.33
|
| Rate for Payer: Cofinity Commercial |
$61.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.33
|
| Rate for Payer: Healthscope Commercial |
$65.41
|
| Rate for Payer: Healthscope Whirlpool |
$63.45
|
| Rate for Payer: Mclaren Commercial |
$58.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.60
|
| Rate for Payer: Nomi Health Commercial |
$53.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.56
|
|
|
HC SILVER HAWK CATHETER
|
Facility
|
IP
|
$8,746.56
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200070
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,685.26 |
| Max. Negotiated Rate |
$8,746.56 |
| Rate for Payer: Aetna Commercial |
$7,871.90
|
| Rate for Payer: ASR ASR |
$8,484.16
|
| Rate for Payer: ASR Commercial |
$8,484.16
|
| Rate for Payer: BCBS Trust/PPO |
$7,127.57
|
| Rate for Payer: BCN Commercial |
$6,781.21
|
| Rate for Payer: Cash Price |
$6,997.25
|
| Rate for Payer: Cofinity Commercial |
$8,221.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,997.25
|
| Rate for Payer: Healthscope Commercial |
$8,746.56
|
| Rate for Payer: Healthscope Whirlpool |
$8,484.16
|
| Rate for Payer: Mclaren Commercial |
$7,871.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,434.58
|
| Rate for Payer: Nomi Health Commercial |
$7,172.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,685.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,696.97
|
|
|
HC SILVER HAWK CATHETER
|
Facility
|
OP
|
$8,746.56
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200070
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,498.62 |
| Max. Negotiated Rate |
$8,746.56 |
| Rate for Payer: Aetna Commercial |
$7,871.90
|
| Rate for Payer: Aetna Medicare |
$4,373.28
|
| Rate for Payer: ASR ASR |
$8,484.16
|
| Rate for Payer: ASR Commercial |
$8,484.16
|
| Rate for Payer: BCBS Complete |
$3,498.62
|
| Rate for Payer: BCBS Trust/PPO |
$7,162.56
|
| Rate for Payer: BCN Commercial |
$6,781.21
|
| Rate for Payer: Cash Price |
$6,997.25
|
| Rate for Payer: Cofinity Commercial |
$8,221.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,997.25
|
| Rate for Payer: Healthscope Commercial |
$8,746.56
|
| Rate for Payer: Healthscope Whirlpool |
$8,484.16
|
| Rate for Payer: Mclaren Commercial |
$7,871.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,434.58
|
| Rate for Payer: Nomi Health Commercial |
$7,172.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,685.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,663.74
|
| Rate for Payer: Priority Health Narrow Network |
$6,131.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,696.97
|
|
|
HC SILVER ROPE
|
Facility
|
OP
|
$54.58
|
|
| Hospital Charge Code |
27000147
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.83 |
| Max. Negotiated Rate |
$54.58 |
| Rate for Payer: Aetna Commercial |
$49.12
|
| Rate for Payer: Aetna Medicare |
$27.29
|
| Rate for Payer: ASR ASR |
$52.94
|
| Rate for Payer: ASR Commercial |
$52.94
|
| Rate for Payer: BCBS Complete |
$21.83
|
| Rate for Payer: BCBS Trust/PPO |
$44.70
|
| Rate for Payer: BCN Commercial |
$42.32
|
| Rate for Payer: Cash Price |
$43.66
|
| Rate for Payer: Cofinity Commercial |
$51.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.66
|
| Rate for Payer: Healthscope Commercial |
$54.58
|
| Rate for Payer: Healthscope Whirlpool |
$52.94
|
| Rate for Payer: Mclaren Commercial |
$49.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.39
|
| Rate for Payer: Nomi Health Commercial |
$44.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.82
|
| Rate for Payer: Priority Health Narrow Network |
$38.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.03
|
|
|
HC SILVER ROPE
|
Facility
|
IP
|
$54.58
|
|
| Hospital Charge Code |
27000147
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.48 |
| Max. Negotiated Rate |
$54.58 |
| Rate for Payer: Aetna Commercial |
$49.12
|
| Rate for Payer: ASR ASR |
$52.94
|
| Rate for Payer: ASR Commercial |
$52.94
|
| Rate for Payer: BCBS Trust/PPO |
$44.48
|
| Rate for Payer: BCN Commercial |
$42.32
|
| Rate for Payer: Cash Price |
$43.66
|
| Rate for Payer: Cofinity Commercial |
$51.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.66
|
| Rate for Payer: Healthscope Commercial |
$54.58
|
| Rate for Payer: Healthscope Whirlpool |
$52.94
|
| Rate for Payer: Mclaren Commercial |
$49.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.39
|
| Rate for Payer: Nomi Health Commercial |
$44.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$48.03
|
|
|
HC SIMIAN B AB
|
Facility
|
OP
|
$91.09
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
30200333
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.90 |
| Max. Negotiated Rate |
$91.09 |
| Rate for Payer: Aetna Commercial |
$81.98
|
| Rate for Payer: Aetna Medicare |
$12.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.10
|
| Rate for Payer: ASR ASR |
$88.36
|
| Rate for Payer: ASR Commercial |
$88.36
|
| Rate for Payer: BCBS Complete |
$7.25
|
| Rate for Payer: BCBS MAPPO |
$12.88
|
| Rate for Payer: BCBS Trust/PPO |
$74.59
|
| Rate for Payer: BCN Commercial |
$70.62
|
| Rate for Payer: BCN Medicare Advantage |
$12.88
|
| Rate for Payer: Cash Price |
$72.87
|
| Rate for Payer: Cash Price |
$72.87
|
| Rate for Payer: Cofinity Commercial |
$85.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.88
|
| Rate for Payer: Healthscope Commercial |
$91.09
|
| Rate for Payer: Healthscope Whirlpool |
$88.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.88
|
| Rate for Payer: Mclaren Commercial |
$81.98
|
| Rate for Payer: Mclaren Medicaid |
$6.90
|
| Rate for Payer: Mclaren Medicare |
$12.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.52
|
| Rate for Payer: Meridian Medicaid |
$7.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.43
|
| Rate for Payer: Nomi Health Commercial |
$74.69
|
| Rate for Payer: PACE Medicare |
$12.24
|
| Rate for Payer: PACE SWMI |
$12.88
|
| Rate for Payer: PHP Commercial |
$14.17
|
| Rate for Payer: PHP Medicaid |
$6.90
|
| Rate for Payer: PHP Medicare Advantage |
$12.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.81
|
| Rate for Payer: Priority Health Medicare |
$12.88
|
| Rate for Payer: Priority Health Narrow Network |
$63.85
|
| Rate for Payer: Railroad Medicare Medicare |
$12.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$80.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.88
|
| Rate for Payer: UHC Exchange |
$19.96
|
| Rate for Payer: UHC Medicare Advantage |
$12.88
|
| Rate for Payer: UHCCP DNSP |
$12.88
|
| Rate for Payer: UHCCP Medicaid |
$6.90
|
| Rate for Payer: VA VA |
$12.88
|
|
|
HC SIMIAN B AB
|
Facility
|
IP
|
$91.09
|
|
|
Service Code
|
CPT 86790
|
| Hospital Charge Code |
30200333
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$59.21 |
| Max. Negotiated Rate |
$91.09 |
| Rate for Payer: Aetna Commercial |
$81.98
|
| Rate for Payer: ASR ASR |
$88.36
|
| Rate for Payer: ASR Commercial |
$88.36
|
| Rate for Payer: BCBS Trust/PPO |
$74.23
|
| Rate for Payer: BCN Commercial |
$70.62
|
| Rate for Payer: Cash Price |
$72.87
|
| Rate for Payer: Cofinity Commercial |
$85.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.87
|
| Rate for Payer: Healthscope Commercial |
$91.09
|
| Rate for Payer: Healthscope Whirlpool |
$88.36
|
| Rate for Payer: Mclaren Commercial |
$81.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.43
|
| Rate for Payer: Nomi Health Commercial |
$74.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$80.16
|
|
|
HC SIMPLE CYSTOMETROGRAM
|
Facility
|
OP
|
$361.15
|
|
|
Service Code
|
CPT 51725
|
| Hospital Charge Code |
76100189
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$127.14 |
| Max. Negotiated Rate |
$367.66 |
| Rate for Payer: Aetna Commercial |
$325.04
|
| Rate for Payer: Aetna Medicare |
$237.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$296.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$296.50
|
| Rate for Payer: ASR ASR |
$350.32
|
| Rate for Payer: ASR Commercial |
$350.32
|
| Rate for Payer: BCBS Complete |
$133.50
|
| Rate for Payer: BCBS MAPPO |
$237.20
|
| Rate for Payer: BCBS Trust/PPO |
$295.75
|
| Rate for Payer: BCN Commercial |
$280.00
|
| Rate for Payer: BCN Medicare Advantage |
$237.20
|
| Rate for Payer: Cash Price |
$288.92
|
| Rate for Payer: Cash Price |
$288.92
|
| Rate for Payer: Cofinity Commercial |
$339.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.20
|
| Rate for Payer: Healthscope Commercial |
$361.15
|
| Rate for Payer: Healthscope Whirlpool |
$350.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$237.20
|
| Rate for Payer: Mclaren Commercial |
$325.04
|
| Rate for Payer: Mclaren Medicaid |
$127.14
|
| Rate for Payer: Mclaren Medicare |
$237.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.06
|
| Rate for Payer: Meridian Medicaid |
$133.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$272.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.98
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: PACE Medicare |
$225.34
|
| Rate for Payer: PACE SWMI |
$237.20
|
| Rate for Payer: PHP Commercial |
$260.92
|
| Rate for Payer: PHP Medicaid |
$127.14
|
| Rate for Payer: PHP Medicare Advantage |
$237.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.44
|
| Rate for Payer: Priority Health Medicare |
$237.20
|
| Rate for Payer: Priority Health Narrow Network |
$253.17
|
| Rate for Payer: Railroad Medicare Medicare |
$237.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.20
|
| Rate for Payer: UHC Exchange |
$367.66
|
| Rate for Payer: UHC Medicare Advantage |
$237.20
|
| Rate for Payer: UHCCP DNSP |
$237.20
|
| Rate for Payer: UHCCP Medicaid |
$127.14
|
| Rate for Payer: VA VA |
$237.20
|
|
|
HC SIMPLE CYSTOMETROGRAM
|
Facility
|
IP
|
$361.15
|
|
|
Service Code
|
CPT 51725
|
| Hospital Charge Code |
76100189
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$234.75 |
| Max. Negotiated Rate |
$361.15 |
| Rate for Payer: Aetna Commercial |
$325.04
|
| Rate for Payer: ASR ASR |
$350.32
|
| Rate for Payer: ASR Commercial |
$350.32
|
| Rate for Payer: BCBS Trust/PPO |
$294.30
|
| Rate for Payer: BCN Commercial |
$280.00
|
| Rate for Payer: Cash Price |
$288.92
|
| Rate for Payer: Cofinity Commercial |
$339.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.92
|
| Rate for Payer: Healthscope Commercial |
$361.15
|
| Rate for Payer: Healthscope Whirlpool |
$350.32
|
| Rate for Payer: Mclaren Commercial |
$325.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.98
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.81
|
|
|
HC SIMPLE REPAIR FACE EARS EYELIDS NOSE LIP OR MUC MEMB 2.6 CM-5.0 CM
|
Facility
|
IP
|
$562.00
|
|
|
Service Code
|
CPT 12013
|
| Hospital Charge Code |
76100434
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$365.30 |
| Max. Negotiated Rate |
$562.00 |
| Rate for Payer: Aetna Commercial |
$505.80
|
| Rate for Payer: ASR ASR |
$545.14
|
| Rate for Payer: ASR Commercial |
$545.14
|
| Rate for Payer: BCBS Trust/PPO |
$457.97
|
| Rate for Payer: BCN Commercial |
$435.72
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cofinity Commercial |
$528.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.60
|
| Rate for Payer: Healthscope Commercial |
$562.00
|
| Rate for Payer: Healthscope Whirlpool |
$545.14
|
| Rate for Payer: Mclaren Commercial |
$505.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.70
|
| Rate for Payer: Nomi Health Commercial |
$460.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.56
|
|
|
HC SIMPLE REPAIR FACE EARS EYELIDS NOSE LIP OR MUC MEMB 2.6 CM-5.0 CM
|
Facility
|
OP
|
$562.00
|
|
|
Service Code
|
CPT 12013
|
| Hospital Charge Code |
76100434
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.87 |
| Max. Negotiated Rate |
$562.00 |
| Rate for Payer: Aetna Commercial |
$505.80
|
| Rate for Payer: Aetna Medicare |
$193.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: ASR ASR |
$545.14
|
| Rate for Payer: ASR Commercial |
$545.14
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCBS Trust/PPO |
$460.22
|
| Rate for Payer: BCN Commercial |
$435.72
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cofinity Commercial |
$528.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$562.00
|
| Rate for Payer: Healthscope Whirlpool |
$545.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$193.79
|
| Rate for Payer: Mclaren Commercial |
$505.80
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.70
|
| Rate for Payer: Nomi Health Commercial |
$460.84
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$213.17
|
| Rate for Payer: PHP Medicaid |
$103.87
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$492.42
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health Narrow Network |
$393.96
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$300.37
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP DNSP |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: VA VA |
$193.79
|
|
|
HC SIMPLE REPAIR FACE EARS EYELIDS NOSE LIP OR MUC MEMB 5.1CM-7.5 CM
|
Facility
|
IP
|
$638.00
|
|
|
Service Code
|
CPT 12014
|
| Hospital Charge Code |
76100433
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$414.70 |
| Max. Negotiated Rate |
$638.00 |
| Rate for Payer: Aetna Commercial |
$574.20
|
| Rate for Payer: ASR ASR |
$618.86
|
| Rate for Payer: ASR Commercial |
$618.86
|
| Rate for Payer: BCBS Trust/PPO |
$519.91
|
| Rate for Payer: BCN Commercial |
$494.64
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cofinity Commercial |
$599.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$510.40
|
| Rate for Payer: Healthscope Commercial |
$638.00
|
| Rate for Payer: Healthscope Whirlpool |
$618.86
|
| Rate for Payer: Mclaren Commercial |
$574.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$542.30
|
| Rate for Payer: Nomi Health Commercial |
$523.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$561.44
|
|
|
HC SIMPLE REPAIR FACE EARS EYELIDS NOSE LIP OR MUC MEMB 5.1CM-7.5 CM
|
Facility
|
OP
|
$638.00
|
|
|
Service Code
|
CPT 12014
|
| Hospital Charge Code |
76100433
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.87 |
| Max. Negotiated Rate |
$638.00 |
| Rate for Payer: Aetna Commercial |
$574.20
|
| Rate for Payer: Aetna Medicare |
$193.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: ASR ASR |
$618.86
|
| Rate for Payer: ASR Commercial |
$618.86
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCBS Trust/PPO |
$522.46
|
| Rate for Payer: BCN Commercial |
$494.64
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cofinity Commercial |
$599.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$510.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$638.00
|
| Rate for Payer: Healthscope Whirlpool |
$618.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$193.79
|
| Rate for Payer: Mclaren Commercial |
$574.20
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$542.30
|
| Rate for Payer: Nomi Health Commercial |
$523.16
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$213.17
|
| Rate for Payer: PHP Medicaid |
$103.87
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.02
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health Narrow Network |
$447.24
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$561.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$300.37
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP DNSP |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: VA VA |
$193.79
|
|
