|
HC SP AORTAGRAM ABDOMEN W RUNOFF
|
Facility
|
OP
|
$3,266.13
|
|
|
Service Code
|
CPT 75630
|
| Hospital Charge Code |
32000177
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$4,758.02 |
| Rate for Payer: Aetna Commercial |
$2,939.52
|
| Rate for Payer: Aetna Medicare |
$3,069.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: ASR ASR |
$3,168.15
|
| Rate for Payer: ASR Commercial |
$3,168.15
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,674.63
|
| Rate for Payer: BCN Commercial |
$2,532.23
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cash Price |
$2,612.90
|
| Rate for Payer: Cofinity Commercial |
$3,070.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,612.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Healthscope Commercial |
$3,266.13
|
| Rate for Payer: Healthscope Whirlpool |
$3,168.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,069.69
|
| Rate for Payer: Mclaren Commercial |
$2,939.52
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.21
|
| Rate for Payer: Nomi Health Commercial |
$2,678.23
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Commercial |
$3,376.66
|
| Rate for Payer: PHP Medicaid |
$1,645.35
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,122.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,861.78
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,289.56
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,874.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$4,758.02
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP DNSP |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
HC SPECIAL DOSIMETRY
|
Facility
|
IP
|
$153.98
|
|
|
Service Code
|
CPT 77331
|
| Hospital Charge Code |
33300013
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$100.09 |
| Max. Negotiated Rate |
$153.98 |
| Rate for Payer: Aetna Commercial |
$138.58
|
| Rate for Payer: ASR ASR |
$149.36
|
| Rate for Payer: ASR Commercial |
$149.36
|
| Rate for Payer: BCBS Trust/PPO |
$125.48
|
| Rate for Payer: BCN Commercial |
$119.38
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cofinity Commercial |
$144.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.18
|
| Rate for Payer: Healthscope Commercial |
$153.98
|
| Rate for Payer: Healthscope Whirlpool |
$149.36
|
| Rate for Payer: Mclaren Commercial |
$138.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.88
|
| Rate for Payer: Nomi Health Commercial |
$126.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$135.50
|
|
|
HC SPECIAL DOSIMETRY
|
Facility
|
OP
|
$153.98
|
|
|
Service Code
|
CPT 77331
|
| Hospital Charge Code |
33300013
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$69.41 |
| Max. Negotiated Rate |
$200.71 |
| Rate for Payer: Aetna Commercial |
$138.58
|
| Rate for Payer: Aetna Medicare |
$129.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.86
|
| Rate for Payer: ASR ASR |
$149.36
|
| Rate for Payer: ASR Commercial |
$149.36
|
| Rate for Payer: BCBS Complete |
$72.88
|
| Rate for Payer: BCBS MAPPO |
$129.49
|
| Rate for Payer: BCBS Trust/PPO |
$126.09
|
| Rate for Payer: BCN Commercial |
$119.38
|
| Rate for Payer: BCN Medicare Advantage |
$129.49
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cash Price |
$123.18
|
| Rate for Payer: Cofinity Commercial |
$144.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.49
|
| Rate for Payer: Healthscope Commercial |
$153.98
|
| Rate for Payer: Healthscope Whirlpool |
$149.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$129.49
|
| Rate for Payer: Mclaren Commercial |
$138.58
|
| Rate for Payer: Mclaren Medicaid |
$69.41
|
| Rate for Payer: Mclaren Medicare |
$129.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.96
|
| Rate for Payer: Meridian Medicaid |
$72.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.88
|
| Rate for Payer: Nomi Health Commercial |
$126.26
|
| Rate for Payer: PACE Medicare |
$123.02
|
| Rate for Payer: PACE SWMI |
$129.49
|
| Rate for Payer: PHP Commercial |
$142.44
|
| Rate for Payer: PHP Medicaid |
$69.41
|
| Rate for Payer: PHP Medicare Advantage |
$129.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.92
|
| Rate for Payer: Priority Health Medicare |
$129.49
|
| Rate for Payer: Priority Health Narrow Network |
$107.94
|
| Rate for Payer: Railroad Medicare Medicare |
$129.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$135.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.49
|
| Rate for Payer: UHC Exchange |
$200.71
|
| Rate for Payer: UHC Medicare Advantage |
$129.49
|
| Rate for Payer: UHCCP DNSP |
$129.49
|
| Rate for Payer: UHCCP Medicaid |
$69.41
|
| Rate for Payer: VA VA |
$129.49
|
|
|
HC SPECIAL STAINS
|
Facility
|
IP
|
$225.55
|
|
|
Service Code
|
CPT 88312
|
| Hospital Charge Code |
31000053
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$146.61 |
| Max. Negotiated Rate |
$225.55 |
| Rate for Payer: Aetna Commercial |
$203.00
|
| Rate for Payer: ASR ASR |
$218.78
|
| Rate for Payer: ASR Commercial |
$218.78
|
| Rate for Payer: BCBS Trust/PPO |
$183.80
|
| Rate for Payer: BCN Commercial |
$174.87
|
| Rate for Payer: Cash Price |
$180.44
|
| Rate for Payer: Cofinity Commercial |
$212.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.44
|
| Rate for Payer: Healthscope Commercial |
$225.55
|
| Rate for Payer: Healthscope Whirlpool |
$218.78
|
| Rate for Payer: Mclaren Commercial |
$203.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$191.72
|
| Rate for Payer: Nomi Health Commercial |
$184.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$198.48
|
|
|
HC SPECIAL STAINS
|
Facility
|
OP
|
$225.55
|
|
|
Service Code
|
CPT 88312
|
| Hospital Charge Code |
31000053
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$27.93 |
| Max. Negotiated Rate |
$225.55 |
| Rate for Payer: Aetna Commercial |
$203.00
|
| Rate for Payer: Aetna Medicare |
$52.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.14
|
| Rate for Payer: ASR ASR |
$218.78
|
| Rate for Payer: ASR Commercial |
$218.78
|
| Rate for Payer: BCBS Complete |
$29.33
|
| Rate for Payer: BCBS MAPPO |
$52.11
|
| Rate for Payer: BCBS Trust/PPO |
$184.70
|
| Rate for Payer: BCN Commercial |
$174.87
|
| Rate for Payer: BCN Medicare Advantage |
$52.11
|
| Rate for Payer: Cash Price |
$180.44
|
| Rate for Payer: Cash Price |
$180.44
|
| Rate for Payer: Cofinity Commercial |
$212.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.11
|
| Rate for Payer: Healthscope Commercial |
$225.55
|
| Rate for Payer: Healthscope Whirlpool |
$218.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.11
|
| Rate for Payer: Mclaren Commercial |
$203.00
|
| Rate for Payer: Mclaren Medicaid |
$27.93
|
| Rate for Payer: Mclaren Medicare |
$52.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.72
|
| Rate for Payer: Meridian Medicaid |
$29.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$191.72
|
| Rate for Payer: Nomi Health Commercial |
$184.95
|
| Rate for Payer: PACE Medicare |
$49.50
|
| Rate for Payer: PACE SWMI |
$52.11
|
| Rate for Payer: PHP Commercial |
$57.32
|
| Rate for Payer: PHP Medicaid |
$27.93
|
| Rate for Payer: PHP Medicare Advantage |
$52.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.63
|
| Rate for Payer: Priority Health Medicare |
$52.11
|
| Rate for Payer: Priority Health Narrow Network |
$158.11
|
| Rate for Payer: Railroad Medicare Medicare |
$52.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$198.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.11
|
| Rate for Payer: UHC Exchange |
$80.77
|
| Rate for Payer: UHC Medicare Advantage |
$52.11
|
| Rate for Payer: UHCCP DNSP |
$52.11
|
| Rate for Payer: UHCCP Medicaid |
$27.93
|
| Rate for Payer: VA VA |
$52.11
|
|
|
HC SPECIAL STAINS II
|
Facility
|
OP
|
$186.45
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
31000054
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$194.85 |
| Rate for Payer: Aetna Commercial |
$167.81
|
| Rate for Payer: Aetna Medicare |
$125.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: ASR ASR |
$180.86
|
| Rate for Payer: ASR Commercial |
$180.86
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCBS Trust/PPO |
$152.68
|
| Rate for Payer: BCN Commercial |
$144.55
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Cash Price |
$149.16
|
| Rate for Payer: Cash Price |
$149.16
|
| Rate for Payer: Cofinity Commercial |
$175.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Healthscope Commercial |
$186.45
|
| Rate for Payer: Healthscope Whirlpool |
$180.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$125.71
|
| Rate for Payer: Mclaren Commercial |
$167.81
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.48
|
| Rate for Payer: Nomi Health Commercial |
$152.89
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Commercial |
$138.28
|
| Rate for Payer: PHP Medicaid |
$67.38
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$163.37
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Priority Health Narrow Network |
$130.70
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$164.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$194.85
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP DNSP |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: VA VA |
$125.71
|
|
|
HC SPECIAL STAINS II
|
Facility
|
IP
|
$186.45
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
31000054
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$121.19 |
| Max. Negotiated Rate |
$186.45 |
| Rate for Payer: Aetna Commercial |
$167.81
|
| Rate for Payer: ASR ASR |
$180.86
|
| Rate for Payer: ASR Commercial |
$180.86
|
| Rate for Payer: BCBS Trust/PPO |
$151.94
|
| Rate for Payer: BCN Commercial |
$144.55
|
| Rate for Payer: Cash Price |
$149.16
|
| Rate for Payer: Cofinity Commercial |
$175.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.16
|
| Rate for Payer: Healthscope Commercial |
$186.45
|
| Rate for Payer: Healthscope Whirlpool |
$180.86
|
| Rate for Payer: Mclaren Commercial |
$167.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158.48
|
| Rate for Payer: Nomi Health Commercial |
$152.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$164.08
|
|
|
HC SPECIFIC GRAVITY FLUID NOT URINE
|
Facility
|
IP
|
$12.34
|
|
|
Service Code
|
CPT 84315
|
| Hospital Charge Code |
30100426
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.02 |
| Max. Negotiated Rate |
$12.34 |
| Rate for Payer: Aetna Commercial |
$11.11
|
| Rate for Payer: ASR ASR |
$11.97
|
| Rate for Payer: ASR Commercial |
$11.97
|
| Rate for Payer: BCBS Trust/PPO |
$10.06
|
| Rate for Payer: BCN Commercial |
$9.57
|
| Rate for Payer: Cash Price |
$9.87
|
| Rate for Payer: Cofinity Commercial |
$11.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.87
|
| Rate for Payer: Healthscope Commercial |
$12.34
|
| Rate for Payer: Healthscope Whirlpool |
$11.97
|
| Rate for Payer: Mclaren Commercial |
$11.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.49
|
| Rate for Payer: Nomi Health Commercial |
$10.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.86
|
|
|
HC SPECIFIC GRAVITY FLUID NOT URINE
|
Facility
|
OP
|
$12.34
|
|
|
Service Code
|
CPT 84315
|
| Hospital Charge Code |
30100426
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$1.76 |
| Max. Negotiated Rate |
$12.34 |
| Rate for Payer: Aetna Commercial |
$11.11
|
| Rate for Payer: Aetna Medicare |
$3.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.10
|
| Rate for Payer: ASR ASR |
$11.97
|
| Rate for Payer: ASR Commercial |
$11.97
|
| Rate for Payer: BCBS Complete |
$1.85
|
| Rate for Payer: BCBS MAPPO |
$3.28
|
| Rate for Payer: BCBS Trust/PPO |
$10.11
|
| Rate for Payer: BCN Commercial |
$9.57
|
| Rate for Payer: BCN Medicare Advantage |
$3.28
|
| Rate for Payer: Cash Price |
$9.87
|
| Rate for Payer: Cash Price |
$9.87
|
| Rate for Payer: Cofinity Commercial |
$11.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.28
|
| Rate for Payer: Healthscope Commercial |
$12.34
|
| Rate for Payer: Healthscope Whirlpool |
$11.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$3.28
|
| Rate for Payer: Mclaren Commercial |
$11.11
|
| Rate for Payer: Mclaren Medicaid |
$1.76
|
| Rate for Payer: Mclaren Medicare |
$3.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.44
|
| Rate for Payer: Meridian Medicaid |
$1.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.49
|
| Rate for Payer: Nomi Health Commercial |
$10.12
|
| Rate for Payer: PACE Medicare |
$3.12
|
| Rate for Payer: PACE SWMI |
$3.28
|
| Rate for Payer: PHP Commercial |
$3.61
|
| Rate for Payer: PHP Medicaid |
$1.76
|
| Rate for Payer: PHP Medicare Advantage |
$3.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10.81
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health Narrow Network |
$8.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.28
|
| Rate for Payer: UHC Exchange |
$5.08
|
| Rate for Payer: UHC Medicare Advantage |
$3.28
|
| Rate for Payer: UHCCP DNSP |
$3.28
|
| Rate for Payer: UHCCP Medicaid |
$1.76
|
| Rate for Payer: VA VA |
$3.28
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
OP
|
$44.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$3.58 |
| Max. Negotiated Rate |
$44.06 |
| Rate for Payer: Aetna Commercial |
$39.65
|
| 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 |
$42.74
|
| Rate for Payer: ASR Commercial |
$42.74
|
| Rate for Payer: BCBS Complete |
$3.76
|
| Rate for Payer: BCBS MAPPO |
$6.68
|
| Rate for Payer: BCBS Trust/PPO |
$36.08
|
| Rate for Payer: BCN Commercial |
$34.16
|
| Rate for Payer: BCN Medicare Advantage |
$6.68
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cofinity Commercial |
$41.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.68
|
| Rate for Payer: Healthscope Commercial |
$44.06
|
| Rate for Payer: Healthscope Whirlpool |
$42.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.68
|
| Rate for Payer: Mclaren Commercial |
$39.65
|
| Rate for Payer: Mclaren Medicaid |
$3.58
|
| 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 |
$3.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.45
|
| Rate for Payer: Nomi Health Commercial |
$36.13
|
| 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 |
$3.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.61
|
| Rate for Payer: Priority Health Medicare |
$6.68
|
| Rate for Payer: Priority Health Narrow Network |
$30.89
|
| Rate for Payer: Railroad Medicare Medicare |
$6.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.68
|
| Rate for Payer: UHC Exchange |
$10.35
|
| Rate for Payer: UHC Medicare Advantage |
$6.68
|
| Rate for Payer: UHCCP DNSP |
$6.68
|
| Rate for Payer: UHCCP Medicaid |
$3.58
|
| Rate for Payer: VA VA |
$6.68
|
|
|
HC SPECIMEN CONCENTRATION FOR INFECTIOUS AGENTS
|
Facility
|
IP
|
$44.06
|
|
|
Service Code
|
CPT 87015
|
| Hospital Charge Code |
30600068
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$28.64 |
| Max. Negotiated Rate |
$44.06 |
| Rate for Payer: Aetna Commercial |
$39.65
|
| Rate for Payer: ASR ASR |
$42.74
|
| Rate for Payer: ASR Commercial |
$42.74
|
| Rate for Payer: BCBS Trust/PPO |
$35.90
|
| Rate for Payer: BCN Commercial |
$34.16
|
| Rate for Payer: Cash Price |
$35.25
|
| Rate for Payer: Cofinity Commercial |
$41.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.25
|
| Rate for Payer: Healthscope Commercial |
$44.06
|
| Rate for Payer: Healthscope Whirlpool |
$42.74
|
| Rate for Payer: Mclaren Commercial |
$39.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.45
|
| Rate for Payer: Nomi Health Commercial |
$36.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.77
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
OP
|
$556.61
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$69.41 |
| Max. Negotiated Rate |
$556.61 |
| Rate for Payer: Aetna Commercial |
$500.95
|
| Rate for Payer: Aetna Medicare |
$129.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.86
|
| Rate for Payer: ASR ASR |
$539.91
|
| Rate for Payer: ASR Commercial |
$539.91
|
| Rate for Payer: BCBS Complete |
$72.88
|
| Rate for Payer: BCBS MAPPO |
$129.49
|
| Rate for Payer: BCBS Trust/PPO |
$455.81
|
| Rate for Payer: BCN Commercial |
$431.54
|
| Rate for Payer: BCN Medicare Advantage |
$129.49
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cofinity Commercial |
$523.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$445.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.49
|
| Rate for Payer: Healthscope Commercial |
$556.61
|
| Rate for Payer: Healthscope Whirlpool |
$539.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$129.49
|
| Rate for Payer: Mclaren Commercial |
$500.95
|
| Rate for Payer: Mclaren Medicaid |
$69.41
|
| Rate for Payer: Mclaren Medicare |
$129.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.96
|
| Rate for Payer: Meridian Medicaid |
$72.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$473.12
|
| Rate for Payer: Nomi Health Commercial |
$456.42
|
| Rate for Payer: PACE Medicare |
$123.02
|
| Rate for Payer: PACE SWMI |
$129.49
|
| Rate for Payer: PHP Commercial |
$142.44
|
| Rate for Payer: PHP Medicaid |
$69.41
|
| Rate for Payer: PHP Medicare Advantage |
$129.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$487.70
|
| Rate for Payer: Priority Health Medicare |
$129.49
|
| Rate for Payer: Priority Health Narrow Network |
$390.18
|
| Rate for Payer: Railroad Medicare Medicare |
$129.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$489.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.49
|
| Rate for Payer: UHC Exchange |
$200.71
|
| Rate for Payer: UHC Medicare Advantage |
$129.49
|
| Rate for Payer: UHCCP DNSP |
$129.49
|
| Rate for Payer: UHCCP Medicaid |
$69.41
|
| Rate for Payer: VA VA |
$129.49
|
|
|
HC SPEC PHYSICS CONSULT
|
Facility
|
IP
|
$556.61
|
|
|
Service Code
|
CPT 77370
|
| Hospital Charge Code |
33300017
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$361.80 |
| Max. Negotiated Rate |
$556.61 |
| Rate for Payer: Aetna Commercial |
$500.95
|
| Rate for Payer: ASR ASR |
$539.91
|
| Rate for Payer: ASR Commercial |
$539.91
|
| Rate for Payer: BCBS Trust/PPO |
$453.58
|
| Rate for Payer: BCN Commercial |
$431.54
|
| Rate for Payer: Cash Price |
$445.29
|
| Rate for Payer: Cofinity Commercial |
$523.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$445.29
|
| Rate for Payer: Healthscope Commercial |
$556.61
|
| Rate for Payer: Healthscope Whirlpool |
$539.91
|
| Rate for Payer: Mclaren Commercial |
$500.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$473.12
|
| Rate for Payer: Nomi Health Commercial |
$456.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$489.82
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
IP
|
$493.59
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$320.83 |
| Max. Negotiated Rate |
$493.59 |
| Rate for Payer: Aetna Commercial |
$444.23
|
| Rate for Payer: ASR ASR |
$478.78
|
| Rate for Payer: ASR Commercial |
$478.78
|
| Rate for Payer: BCBS Trust/PPO |
$402.23
|
| Rate for Payer: BCN Commercial |
$382.68
|
| Rate for Payer: Cash Price |
$394.87
|
| Rate for Payer: Cofinity Commercial |
$463.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.87
|
| Rate for Payer: Healthscope Commercial |
$493.59
|
| Rate for Payer: Healthscope Whirlpool |
$478.78
|
| Rate for Payer: Mclaren Commercial |
$444.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.55
|
| Rate for Payer: Nomi Health Commercial |
$404.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$434.36
|
|
|
HC SPECTRAL DOPPLER
|
Facility
|
OP
|
$493.59
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
48000006
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$197.44 |
| Max. Negotiated Rate |
$493.59 |
| Rate for Payer: Aetna Commercial |
$444.23
|
| Rate for Payer: Aetna Medicare |
$246.79
|
| Rate for Payer: ASR ASR |
$478.78
|
| Rate for Payer: ASR Commercial |
$478.78
|
| Rate for Payer: BCBS Complete |
$197.44
|
| Rate for Payer: BCBS Trust/PPO |
$404.20
|
| Rate for Payer: BCN Commercial |
$382.68
|
| Rate for Payer: Cash Price |
$394.87
|
| Rate for Payer: Cofinity Commercial |
$463.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.87
|
| Rate for Payer: Healthscope Commercial |
$493.59
|
| Rate for Payer: Healthscope Whirlpool |
$478.78
|
| Rate for Payer: Mclaren Commercial |
$444.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.55
|
| Rate for Payer: Nomi Health Commercial |
$404.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$432.48
|
| Rate for Payer: Priority Health Narrow Network |
$346.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$434.36
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
OP
|
$1,587.65
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$302.40 |
| Max. Negotiated Rate |
$1,587.65 |
| Rate for Payer: Aetna Commercial |
$1,428.88
|
| Rate for Payer: Aetna Medicare |
$564.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$705.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$705.21
|
| Rate for Payer: ASR ASR |
$1,540.02
|
| Rate for Payer: ASR Commercial |
$1,540.02
|
| Rate for Payer: BCBS Complete |
$317.51
|
| Rate for Payer: BCBS MAPPO |
$564.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,300.13
|
| Rate for Payer: BCN Commercial |
$1,230.91
|
| Rate for Payer: BCN Medicare Advantage |
$564.17
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cofinity Commercial |
$1,492.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,270.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.17
|
| Rate for Payer: Healthscope Commercial |
$1,587.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,540.02
|
| Rate for Payer: Humana Choice PPO Medicare |
$564.17
|
| Rate for Payer: Mclaren Commercial |
$1,428.88
|
| Rate for Payer: Mclaren Medicaid |
$302.40
|
| Rate for Payer: Mclaren Medicare |
$564.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$592.38
|
| Rate for Payer: Meridian Medicaid |
$317.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$648.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,349.50
|
| Rate for Payer: Nomi Health Commercial |
$1,301.87
|
| Rate for Payer: PACE Medicare |
$535.96
|
| Rate for Payer: PACE SWMI |
$564.17
|
| Rate for Payer: PHP Commercial |
$620.59
|
| Rate for Payer: PHP Medicaid |
$302.40
|
| Rate for Payer: PHP Medicare Advantage |
$564.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,391.10
|
| Rate for Payer: Priority Health Medicare |
$564.17
|
| Rate for Payer: Priority Health Narrow Network |
$1,112.94
|
| Rate for Payer: Railroad Medicare Medicare |
$564.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,397.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.17
|
| Rate for Payer: UHC Exchange |
$874.46
|
| Rate for Payer: UHC Medicare Advantage |
$564.17
|
| Rate for Payer: UHCCP DNSP |
$564.17
|
| Rate for Payer: UHCCP Medicaid |
$302.40
|
| Rate for Payer: VA VA |
$564.17
|
|
|
HC SPEC TX PROCEDURE
|
Facility
|
IP
|
$1,587.65
|
|
|
Service Code
|
CPT 77470
|
| Hospital Charge Code |
33300026
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$1,031.97 |
| Max. Negotiated Rate |
$1,587.65 |
| Rate for Payer: Aetna Commercial |
$1,428.88
|
| Rate for Payer: ASR ASR |
$1,540.02
|
| Rate for Payer: ASR Commercial |
$1,540.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,293.78
|
| Rate for Payer: BCN Commercial |
$1,230.91
|
| Rate for Payer: Cash Price |
$1,270.12
|
| Rate for Payer: Cofinity Commercial |
$1,492.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,270.12
|
| Rate for Payer: Healthscope Commercial |
$1,587.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,540.02
|
| Rate for Payer: Mclaren Commercial |
$1,428.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,349.50
|
| Rate for Payer: Nomi Health Commercial |
$1,301.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,397.13
|
|
|
HC SPEECH AUDIOMETRY COMPLETE
|
Facility
|
OP
|
$66.30
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$31.05 |
| Max. Negotiated Rate |
$89.79 |
| Rate for Payer: Aetna Commercial |
$59.67
|
| 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 |
$64.31
|
| Rate for Payer: ASR Commercial |
$64.31
|
| Rate for Payer: BCBS Complete |
$32.60
|
| Rate for Payer: BCBS MAPPO |
$57.93
|
| Rate for Payer: BCBS Trust/PPO |
$54.29
|
| Rate for Payer: BCN Commercial |
$51.40
|
| Rate for Payer: BCN Medicare Advantage |
$57.93
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.93
|
| Rate for Payer: Healthscope Commercial |
$66.30
|
| Rate for Payer: Healthscope Whirlpool |
$64.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$57.93
|
| Rate for Payer: Mclaren Commercial |
$59.67
|
| 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 |
$56.35
|
| Rate for Payer: Nomi Health Commercial |
$54.37
|
| 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 |
$43.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.09
|
| Rate for Payer: Priority Health Medicare |
$57.93
|
| Rate for Payer: Priority Health Narrow Network |
$46.48
|
| Rate for Payer: Railroad Medicare Medicare |
$57.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.34
|
| 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 SPEECH AUDIOMETRY COMPLETE
|
Facility
|
IP
|
$66.30
|
|
|
Service Code
|
CPT 92556
|
| Hospital Charge Code |
76100502
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$43.09 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Commercial |
$59.67
|
| Rate for Payer: ASR ASR |
$64.31
|
| Rate for Payer: ASR Commercial |
$64.31
|
| Rate for Payer: BCBS Trust/PPO |
$54.03
|
| Rate for Payer: BCN Commercial |
$51.40
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Healthscope Commercial |
$66.30
|
| Rate for Payer: Healthscope Whirlpool |
$64.31
|
| Rate for Payer: Mclaren Commercial |
$59.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.35
|
| Rate for Payer: Nomi Health Commercial |
$54.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.34
|
|
|
HC SPEECH EVAL
|
Facility
|
IP
|
$599.67
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$389.79 |
| Max. Negotiated Rate |
$599.67 |
| Rate for Payer: Aetna Commercial |
$539.70
|
| Rate for Payer: ASR ASR |
$581.68
|
| Rate for Payer: ASR Commercial |
$581.68
|
| Rate for Payer: BCBS Trust/PPO |
$488.67
|
| Rate for Payer: BCN Commercial |
$464.92
|
| Rate for Payer: Cash Price |
$479.74
|
| Rate for Payer: Cofinity Commercial |
$563.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$479.74
|
| Rate for Payer: Healthscope Commercial |
$599.67
|
| Rate for Payer: Healthscope Whirlpool |
$581.68
|
| Rate for Payer: Mclaren Commercial |
$539.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$509.72
|
| Rate for Payer: Nomi Health Commercial |
$491.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$389.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$527.71
|
|
|
HC SPEECH EVAL
|
Facility
|
OP
|
$599.67
|
|
|
Service Code
|
CPT 92523
|
| Hospital Charge Code |
44400009
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$239.87 |
| Max. Negotiated Rate |
$599.67 |
| Rate for Payer: Aetna Commercial |
$539.70
|
| Rate for Payer: Aetna Medicare |
$299.83
|
| Rate for Payer: ASR ASR |
$581.68
|
| Rate for Payer: ASR Commercial |
$581.68
|
| Rate for Payer: BCBS Complete |
$239.87
|
| Rate for Payer: BCBS Trust/PPO |
$491.07
|
| Rate for Payer: BCN Commercial |
$464.92
|
| Rate for Payer: Cash Price |
$479.74
|
| Rate for Payer: Cofinity Commercial |
$563.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$479.74
|
| Rate for Payer: Healthscope Commercial |
$599.67
|
| Rate for Payer: Healthscope Whirlpool |
$581.68
|
| Rate for Payer: Mclaren Commercial |
$539.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$509.72
|
| Rate for Payer: Nomi Health Commercial |
$491.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$389.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$525.43
|
| Rate for Payer: Priority Health Narrow Network |
$420.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$527.71
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
IP
|
$295.57
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$192.12 |
| Max. Negotiated Rate |
$295.57 |
| Rate for Payer: Aetna Commercial |
$266.01
|
| Rate for Payer: ASR ASR |
$286.70
|
| Rate for Payer: ASR Commercial |
$286.70
|
| Rate for Payer: BCBS Trust/PPO |
$240.86
|
| Rate for Payer: BCN Commercial |
$229.16
|
| Rate for Payer: Cash Price |
$236.46
|
| Rate for Payer: Cofinity Commercial |
$277.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.46
|
| Rate for Payer: Healthscope Commercial |
$295.57
|
| Rate for Payer: Healthscope Whirlpool |
$286.70
|
| Rate for Payer: Mclaren Commercial |
$266.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.23
|
| Rate for Payer: Nomi Health Commercial |
$242.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$260.10
|
|
|
HC SPEECH FLUENCY EVAL
|
Facility
|
OP
|
$295.57
|
|
|
Service Code
|
CPT 92521
|
| Hospital Charge Code |
44400012
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$118.23 |
| Max. Negotiated Rate |
$295.57 |
| Rate for Payer: Aetna Commercial |
$266.01
|
| Rate for Payer: Aetna Medicare |
$147.78
|
| Rate for Payer: ASR ASR |
$286.70
|
| Rate for Payer: ASR Commercial |
$286.70
|
| Rate for Payer: BCBS Complete |
$118.23
|
| Rate for Payer: BCBS Trust/PPO |
$242.04
|
| Rate for Payer: BCN Commercial |
$229.16
|
| Rate for Payer: Cash Price |
$236.46
|
| Rate for Payer: Cofinity Commercial |
$277.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.46
|
| Rate for Payer: Healthscope Commercial |
$295.57
|
| Rate for Payer: Healthscope Whirlpool |
$286.70
|
| Rate for Payer: Mclaren Commercial |
$266.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.23
|
| Rate for Payer: Nomi Health Commercial |
$242.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.98
|
| Rate for Payer: Priority Health Narrow Network |
$207.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$260.10
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
IP
|
$216.40
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$140.66 |
| Max. Negotiated Rate |
$216.40 |
| Rate for Payer: Aetna Commercial |
$194.76
|
| Rate for Payer: ASR ASR |
$209.91
|
| Rate for Payer: ASR Commercial |
$209.91
|
| Rate for Payer: BCBS Trust/PPO |
$176.34
|
| Rate for Payer: BCN Commercial |
$167.77
|
| Rate for Payer: Cash Price |
$173.12
|
| Rate for Payer: Cofinity Commercial |
$203.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.12
|
| Rate for Payer: Healthscope Commercial |
$216.40
|
| Rate for Payer: Healthscope Whirlpool |
$209.91
|
| Rate for Payer: Mclaren Commercial |
$194.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183.94
|
| Rate for Payer: Nomi Health Commercial |
$177.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$190.43
|
|
|
HC SPEECH/LANGUAGE/HEARING THERAPY
|
Facility
|
OP
|
$216.40
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
44000001
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$86.56 |
| Max. Negotiated Rate |
$216.40 |
| Rate for Payer: Aetna Commercial |
$194.76
|
| Rate for Payer: Aetna Medicare |
$108.20
|
| Rate for Payer: ASR ASR |
$209.91
|
| Rate for Payer: ASR Commercial |
$209.91
|
| Rate for Payer: BCBS Complete |
$86.56
|
| Rate for Payer: BCBS Trust/PPO |
$177.21
|
| Rate for Payer: BCN Commercial |
$167.77
|
| Rate for Payer: Cash Price |
$173.12
|
| Rate for Payer: Cofinity Commercial |
$203.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.12
|
| Rate for Payer: Healthscope Commercial |
$216.40
|
| Rate for Payer: Healthscope Whirlpool |
$209.91
|
| Rate for Payer: Mclaren Commercial |
$194.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183.94
|
| Rate for Payer: Nomi Health Commercial |
$177.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.61
|
| Rate for Payer: Priority Health Narrow Network |
$151.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$190.43
|
|
