|
HC SURGERY FROZEN EA ADDL
|
Facility
|
OP
|
$74.70
|
|
|
Service Code
|
CPT 88332
|
| Hospital Charge Code |
31000057
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$29.88 |
| Max. Negotiated Rate |
$74.70 |
| Rate for Payer: Aetna Commercial |
$67.23
|
| Rate for Payer: Aetna Medicare |
$37.35
|
| Rate for Payer: ASR ASR |
$72.46
|
| Rate for Payer: ASR Commercial |
$72.46
|
| Rate for Payer: BCBS Complete |
$29.88
|
| Rate for Payer: BCBS Trust/PPO |
$61.17
|
| Rate for Payer: BCCCP Commercial |
$51.41
|
| Rate for Payer: BCN Commercial |
$57.91
|
| Rate for Payer: Cash Price |
$59.76
|
| Rate for Payer: Cash Price |
$59.76
|
| Rate for Payer: Cofinity Commercial |
$70.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.76
|
| Rate for Payer: Healthscope Commercial |
$74.70
|
| Rate for Payer: Healthscope Whirlpool |
$72.46
|
| Rate for Payer: Mclaren Commercial |
$67.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.50
|
| Rate for Payer: Nomi Health Commercial |
$61.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.45
|
| Rate for Payer: Priority Health Narrow Network |
$52.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.74
|
|
|
HC SURGICAL HAND
|
Facility
|
OP
|
$704.42
|
|
| Hospital Charge Code |
45000053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$281.77 |
| Max. Negotiated Rate |
$704.42 |
| Rate for Payer: Aetna Commercial |
$633.98
|
| Rate for Payer: Aetna Medicare |
$352.21
|
| Rate for Payer: ASR ASR |
$683.29
|
| Rate for Payer: ASR Commercial |
$683.29
|
| Rate for Payer: BCBS Complete |
$281.77
|
| Rate for Payer: BCBS Trust/PPO |
$576.85
|
| Rate for Payer: BCN Commercial |
$546.14
|
| Rate for Payer: Cash Price |
$563.54
|
| Rate for Payer: Cofinity Commercial |
$662.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$563.54
|
| Rate for Payer: Healthscope Commercial |
$704.42
|
| Rate for Payer: Healthscope Whirlpool |
$683.29
|
| Rate for Payer: Mclaren Commercial |
$633.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$598.76
|
| Rate for Payer: Nomi Health Commercial |
$577.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$457.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$617.21
|
| Rate for Payer: Priority Health Narrow Network |
$493.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$619.89
|
|
|
HC SURGICAL HAND
|
Facility
|
IP
|
$704.42
|
|
| Hospital Charge Code |
45000053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$457.87 |
| Max. Negotiated Rate |
$704.42 |
| Rate for Payer: Aetna Commercial |
$633.98
|
| Rate for Payer: ASR ASR |
$683.29
|
| Rate for Payer: ASR Commercial |
$683.29
|
| Rate for Payer: BCBS Trust/PPO |
$574.03
|
| Rate for Payer: BCN Commercial |
$546.14
|
| Rate for Payer: Cash Price |
$563.54
|
| Rate for Payer: Cofinity Commercial |
$662.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$563.54
|
| Rate for Payer: Healthscope Commercial |
$704.42
|
| Rate for Payer: Healthscope Whirlpool |
$683.29
|
| Rate for Payer: Mclaren Commercial |
$633.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$598.76
|
| Rate for Payer: Nomi Health Commercial |
$577.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$457.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$619.89
|
|
|
HC SURG SUPPLY MISC
|
Facility
|
OP
|
$86.43
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
62300132
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$34.57 |
| Max. Negotiated Rate |
$86.43 |
| Rate for Payer: Aetna Commercial |
$77.79
|
| Rate for Payer: Aetna Medicare |
$43.22
|
| Rate for Payer: ASR ASR |
$83.84
|
| Rate for Payer: ASR Commercial |
$83.84
|
| Rate for Payer: BCBS Complete |
$34.57
|
| Rate for Payer: BCBS Trust/PPO |
$70.78
|
| Rate for Payer: BCN Commercial |
$67.01
|
| Rate for Payer: Cash Price |
$69.14
|
| Rate for Payer: Cofinity Commercial |
$81.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.14
|
| Rate for Payer: Healthscope Commercial |
$86.43
|
| Rate for Payer: Healthscope Whirlpool |
$83.84
|
| Rate for Payer: Mclaren Commercial |
$77.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.47
|
| Rate for Payer: Nomi Health Commercial |
$70.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.73
|
| Rate for Payer: Priority Health Narrow Network |
$60.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$76.06
|
|
|
HC SURG SUPPLY MISC
|
Facility
|
IP
|
$86.43
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
62300132
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$56.18 |
| Max. Negotiated Rate |
$86.43 |
| Rate for Payer: Aetna Commercial |
$77.79
|
| Rate for Payer: ASR ASR |
$83.84
|
| Rate for Payer: ASR Commercial |
$83.84
|
| Rate for Payer: BCBS Trust/PPO |
$70.43
|
| Rate for Payer: BCN Commercial |
$67.01
|
| Rate for Payer: Cash Price |
$69.14
|
| Rate for Payer: Cofinity Commercial |
$81.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.14
|
| Rate for Payer: Healthscope Commercial |
$86.43
|
| Rate for Payer: Healthscope Whirlpool |
$83.84
|
| Rate for Payer: Mclaren Commercial |
$77.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.47
|
| Rate for Payer: Nomi Health Commercial |
$70.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$76.06
|
|
|
HC SUSCEPTIBILITY DISK
|
Facility
|
IP
|
$58.65
|
|
|
Service Code
|
CPT 87184
|
| Hospital Charge Code |
30600098
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$38.12 |
| Max. Negotiated Rate |
$58.65 |
| Rate for Payer: Aetna Commercial |
$52.78
|
| Rate for Payer: ASR ASR |
$56.89
|
| Rate for Payer: ASR Commercial |
$56.89
|
| Rate for Payer: BCBS Trust/PPO |
$47.79
|
| Rate for Payer: BCN Commercial |
$45.47
|
| Rate for Payer: Cash Price |
$46.92
|
| Rate for Payer: Cofinity Commercial |
$55.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.92
|
| Rate for Payer: Healthscope Commercial |
$58.65
|
| Rate for Payer: Healthscope Whirlpool |
$56.89
|
| Rate for Payer: Mclaren Commercial |
$52.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.85
|
| Rate for Payer: Nomi Health Commercial |
$48.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.61
|
|
|
HC SUSCEPTIBILITY DISK
|
Facility
|
OP
|
$58.65
|
|
|
Service Code
|
CPT 87184
|
| Hospital Charge Code |
30600098
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.01 |
| Max. Negotiated Rate |
$58.65 |
| Rate for Payer: Aetna Commercial |
$52.78
|
| Rate for Payer: Aetna Medicare |
$7.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.35
|
| Rate for Payer: ASR ASR |
$56.89
|
| Rate for Payer: ASR Commercial |
$56.89
|
| Rate for Payer: BCBS Complete |
$4.21
|
| Rate for Payer: BCBS MAPPO |
$7.48
|
| Rate for Payer: BCBS Trust/PPO |
$48.03
|
| Rate for Payer: BCN Commercial |
$45.47
|
| Rate for Payer: BCN Medicare Advantage |
$7.48
|
| Rate for Payer: Cash Price |
$46.92
|
| Rate for Payer: Cash Price |
$46.92
|
| Rate for Payer: Cofinity Commercial |
$55.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.48
|
| Rate for Payer: Healthscope Commercial |
$58.65
|
| Rate for Payer: Healthscope Whirlpool |
$56.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$7.48
|
| Rate for Payer: Mclaren Commercial |
$52.78
|
| Rate for Payer: Mclaren Medicaid |
$4.01
|
| Rate for Payer: Mclaren Medicare |
$7.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.85
|
| Rate for Payer: Meridian Medicaid |
$4.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.85
|
| Rate for Payer: Nomi Health Commercial |
$48.09
|
| Rate for Payer: PACE Medicare |
$7.11
|
| Rate for Payer: PACE SWMI |
$7.48
|
| Rate for Payer: PHP Commercial |
$8.23
|
| Rate for Payer: PHP Medicaid |
$4.01
|
| Rate for Payer: PHP Medicare Advantage |
$7.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.87
|
| Rate for Payer: Priority Health Medicare |
$7.48
|
| Rate for Payer: Priority Health Narrow Network |
$16.70
|
| Rate for Payer: Railroad Medicare Medicare |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.48
|
| Rate for Payer: UHC Exchange |
$11.59
|
| Rate for Payer: UHC Medicare Advantage |
$7.48
|
| Rate for Payer: UHCCP DNSP |
$7.48
|
| Rate for Payer: UHCCP Medicaid |
$4.01
|
| Rate for Payer: VA VA |
$7.48
|
|
|
HC SUSCEPTIBILITY E TEST
|
Facility
|
OP
|
$32.77
|
|
|
Service Code
|
CPT 87181
|
| Hospital Charge Code |
30600097
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.55 |
| Max. Negotiated Rate |
$32.77 |
| Rate for Payer: Aetna Commercial |
$29.49
|
| Rate for Payer: Aetna Medicare |
$4.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.94
|
| Rate for Payer: ASR ASR |
$31.79
|
| Rate for Payer: ASR Commercial |
$31.79
|
| Rate for Payer: BCBS Complete |
$2.67
|
| Rate for Payer: BCBS MAPPO |
$4.75
|
| Rate for Payer: BCBS Trust/PPO |
$26.84
|
| Rate for Payer: BCN Commercial |
$25.41
|
| Rate for Payer: BCN Medicare Advantage |
$4.75
|
| Rate for Payer: Cash Price |
$26.22
|
| Rate for Payer: Cash Price |
$26.22
|
| Rate for Payer: Cofinity Commercial |
$30.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.75
|
| Rate for Payer: Healthscope Commercial |
$32.77
|
| Rate for Payer: Healthscope Whirlpool |
$31.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$4.75
|
| Rate for Payer: Mclaren Commercial |
$29.49
|
| Rate for Payer: Mclaren Medicaid |
$2.55
|
| Rate for Payer: Mclaren Medicare |
$4.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.99
|
| Rate for Payer: Meridian Medicaid |
$2.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.85
|
| Rate for Payer: Nomi Health Commercial |
$26.87
|
| Rate for Payer: PACE Medicare |
$4.51
|
| Rate for Payer: PACE SWMI |
$4.75
|
| Rate for Payer: PHP Commercial |
$5.22
|
| Rate for Payer: PHP Medicaid |
$2.55
|
| Rate for Payer: PHP Medicare Advantage |
$4.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.71
|
| Rate for Payer: Priority Health Medicare |
$4.75
|
| Rate for Payer: Priority Health Narrow Network |
$22.97
|
| Rate for Payer: Railroad Medicare Medicare |
$4.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.75
|
| Rate for Payer: UHC Exchange |
$7.36
|
| Rate for Payer: UHC Medicare Advantage |
$4.75
|
| Rate for Payer: UHCCP DNSP |
$4.75
|
| Rate for Payer: UHCCP Medicaid |
$2.55
|
| Rate for Payer: VA VA |
$4.75
|
|
|
HC SUSCEPTIBILITY E TEST
|
Facility
|
IP
|
$32.77
|
|
|
Service Code
|
CPT 87181
|
| Hospital Charge Code |
30600097
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$21.30 |
| Max. Negotiated Rate |
$32.77 |
| Rate for Payer: Aetna Commercial |
$29.49
|
| Rate for Payer: ASR ASR |
$31.79
|
| Rate for Payer: ASR Commercial |
$31.79
|
| Rate for Payer: BCBS Trust/PPO |
$26.70
|
| Rate for Payer: BCN Commercial |
$25.41
|
| Rate for Payer: Cash Price |
$26.22
|
| Rate for Payer: Cofinity Commercial |
$30.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.22
|
| Rate for Payer: Healthscope Commercial |
$32.77
|
| Rate for Payer: Healthscope Whirlpool |
$31.79
|
| Rate for Payer: Mclaren Commercial |
$29.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.85
|
| Rate for Payer: Nomi Health Commercial |
$26.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.84
|
|
|
HC SUSCEPTIBILITY, MIC
|
Facility
|
IP
|
$80.58
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600100
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$52.38 |
| Max. Negotiated Rate |
$80.58 |
| Rate for Payer: Aetna Commercial |
$72.52
|
| Rate for Payer: ASR ASR |
$78.16
|
| Rate for Payer: ASR Commercial |
$78.16
|
| Rate for Payer: BCBS Trust/PPO |
$65.66
|
| Rate for Payer: BCN Commercial |
$62.47
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$75.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Healthscope Commercial |
$80.58
|
| Rate for Payer: Healthscope Whirlpool |
$78.16
|
| Rate for Payer: Mclaren Commercial |
$72.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.49
|
| Rate for Payer: Nomi Health Commercial |
$66.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$70.91
|
|
|
HC SUSCEPTIBILITY, MIC
|
Facility
|
OP
|
$80.58
|
|
|
Service Code
|
CPT 87186
|
| Hospital Charge Code |
30600100
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.64 |
| Max. Negotiated Rate |
$80.58 |
| Rate for Payer: Aetna Commercial |
$72.52
|
| Rate for Payer: Aetna Medicare |
$8.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.81
|
| Rate for Payer: ASR ASR |
$78.16
|
| Rate for Payer: ASR Commercial |
$78.16
|
| Rate for Payer: BCBS Complete |
$4.87
|
| Rate for Payer: BCBS MAPPO |
$8.65
|
| Rate for Payer: BCBS Trust/PPO |
$65.99
|
| Rate for Payer: BCN Commercial |
$62.47
|
| Rate for Payer: BCN Medicare Advantage |
$8.65
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cash Price |
$64.46
|
| Rate for Payer: Cofinity Commercial |
$75.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.65
|
| Rate for Payer: Healthscope Commercial |
$80.58
|
| Rate for Payer: Healthscope Whirlpool |
$78.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$8.65
|
| Rate for Payer: Mclaren Commercial |
$72.52
|
| Rate for Payer: Mclaren Medicaid |
$4.64
|
| Rate for Payer: Mclaren Medicare |
$8.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.08
|
| Rate for Payer: Meridian Medicaid |
$4.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.49
|
| Rate for Payer: Nomi Health Commercial |
$66.08
|
| Rate for Payer: PACE Medicare |
$8.22
|
| Rate for Payer: PACE SWMI |
$8.65
|
| Rate for Payer: PHP Commercial |
$9.52
|
| Rate for Payer: PHP Medicaid |
$4.64
|
| Rate for Payer: PHP Medicare Advantage |
$8.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.54
|
| Rate for Payer: Priority Health Medicare |
$8.65
|
| Rate for Payer: Priority Health Narrow Network |
$31.63
|
| Rate for Payer: Railroad Medicare Medicare |
$8.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$70.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.65
|
| Rate for Payer: UHC Exchange |
$13.41
|
| Rate for Payer: UHC Medicare Advantage |
$8.65
|
| Rate for Payer: UHCCP DNSP |
$8.65
|
| Rate for Payer: UHCCP Medicaid |
$4.64
|
| Rate for Payer: VA VA |
$8.65
|
|
|
HC SWALLOW EVALUATION
|
Facility
|
IP
|
$333.35
|
|
|
Service Code
|
CPT 92610
|
| Hospital Charge Code |
44400004
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$216.68 |
| Max. Negotiated Rate |
$333.35 |
| Rate for Payer: Aetna Commercial |
$300.02
|
| Rate for Payer: ASR ASR |
$323.35
|
| Rate for Payer: ASR Commercial |
$323.35
|
| Rate for Payer: BCBS Trust/PPO |
$271.65
|
| Rate for Payer: BCN Commercial |
$258.45
|
| Rate for Payer: Cash Price |
$266.68
|
| Rate for Payer: Cofinity Commercial |
$313.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.68
|
| Rate for Payer: Healthscope Commercial |
$333.35
|
| Rate for Payer: Healthscope Whirlpool |
$323.35
|
| Rate for Payer: Mclaren Commercial |
$300.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.35
|
| Rate for Payer: Nomi Health Commercial |
$273.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.35
|
|
|
HC SWALLOW EVALUATION
|
Facility
|
OP
|
$333.35
|
|
|
Service Code
|
CPT 92610
|
| Hospital Charge Code |
44400004
|
|
Hospital Revenue Code
|
444
|
| Min. Negotiated Rate |
$133.34 |
| Max. Negotiated Rate |
$333.35 |
| Rate for Payer: Aetna Commercial |
$300.02
|
| Rate for Payer: Aetna Medicare |
$166.68
|
| Rate for Payer: ASR ASR |
$323.35
|
| Rate for Payer: ASR Commercial |
$323.35
|
| Rate for Payer: BCBS Complete |
$133.34
|
| Rate for Payer: BCBS Trust/PPO |
$272.98
|
| Rate for Payer: BCN Commercial |
$258.45
|
| Rate for Payer: Cash Price |
$266.68
|
| Rate for Payer: Cash Price |
$266.68
|
| Rate for Payer: Cofinity Commercial |
$313.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.68
|
| Rate for Payer: Healthscope Commercial |
$333.35
|
| Rate for Payer: Healthscope Whirlpool |
$323.35
|
| Rate for Payer: Mclaren Commercial |
$300.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.35
|
| Rate for Payer: Nomi Health Commercial |
$273.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$173.49
|
| Rate for Payer: Priority Health Narrow Network |
$138.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.35
|
|
|
HC SWALLOWING THERAPY
|
Facility
|
OP
|
$222.68
|
|
|
Service Code
|
CPT 92526
|
| Hospital Charge Code |
43000020
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$89.07 |
| Max. Negotiated Rate |
$233.88 |
| Rate for Payer: Aetna Commercial |
$200.41
|
| Rate for Payer: Aetna Medicare |
$111.34
|
| Rate for Payer: ASR ASR |
$216.00
|
| Rate for Payer: ASR Commercial |
$216.00
|
| Rate for Payer: BCBS Complete |
$89.07
|
| Rate for Payer: BCBS Trust/PPO |
$182.35
|
| Rate for Payer: BCN Commercial |
$172.64
|
| Rate for Payer: Cash Price |
$178.14
|
| Rate for Payer: Cash Price |
$178.14
|
| Rate for Payer: Cofinity Commercial |
$209.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.14
|
| Rate for Payer: Healthscope Commercial |
$222.68
|
| Rate for Payer: Healthscope Whirlpool |
$216.00
|
| Rate for Payer: Mclaren Commercial |
$200.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.28
|
| Rate for Payer: Nomi Health Commercial |
$182.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$144.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$233.88
|
| Rate for Payer: Priority Health Narrow Network |
$187.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$195.96
|
|
|
HC SWALLOWING THERAPY
|
Facility
|
IP
|
$222.68
|
|
|
Service Code
|
CPT 92526
|
| Hospital Charge Code |
43000020
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$144.74 |
| Max. Negotiated Rate |
$222.68 |
| Rate for Payer: Aetna Commercial |
$200.41
|
| Rate for Payer: ASR ASR |
$216.00
|
| Rate for Payer: ASR Commercial |
$216.00
|
| Rate for Payer: BCBS Trust/PPO |
$181.46
|
| Rate for Payer: BCN Commercial |
$172.64
|
| Rate for Payer: Cash Price |
$178.14
|
| Rate for Payer: Cofinity Commercial |
$209.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.14
|
| Rate for Payer: Healthscope Commercial |
$222.68
|
| Rate for Payer: Healthscope Whirlpool |
$216.00
|
| Rate for Payer: Mclaren Commercial |
$200.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.28
|
| Rate for Payer: Nomi Health Commercial |
$182.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$144.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$195.96
|
|
|
HC SWAN GANZ CATHETER
|
Facility
|
IP
|
$235.47
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200073
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$153.06 |
| Max. Negotiated Rate |
$235.47 |
| Rate for Payer: Aetna Commercial |
$211.92
|
| Rate for Payer: ASR ASR |
$228.41
|
| Rate for Payer: ASR Commercial |
$228.41
|
| Rate for Payer: BCBS Trust/PPO |
$191.88
|
| Rate for Payer: BCN Commercial |
$182.56
|
| Rate for Payer: Cash Price |
$188.38
|
| Rate for Payer: Cofinity Commercial |
$221.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.38
|
| Rate for Payer: Healthscope Commercial |
$235.47
|
| Rate for Payer: Healthscope Whirlpool |
$228.41
|
| Rate for Payer: Mclaren Commercial |
$211.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200.15
|
| Rate for Payer: Nomi Health Commercial |
$193.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$153.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.21
|
|
|
HC SWAN GANZ CATHETER
|
Facility
|
OP
|
$235.47
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200073
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$94.19 |
| Max. Negotiated Rate |
$235.47 |
| Rate for Payer: Aetna Commercial |
$211.92
|
| Rate for Payer: Aetna Medicare |
$117.74
|
| Rate for Payer: ASR ASR |
$228.41
|
| Rate for Payer: ASR Commercial |
$228.41
|
| Rate for Payer: BCBS Complete |
$94.19
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: BCN Commercial |
$182.56
|
| Rate for Payer: Cash Price |
$188.38
|
| Rate for Payer: Cofinity Commercial |
$221.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.38
|
| Rate for Payer: Healthscope Commercial |
$235.47
|
| Rate for Payer: Healthscope Whirlpool |
$228.41
|
| Rate for Payer: Mclaren Commercial |
$211.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200.15
|
| Rate for Payer: Nomi Health Commercial |
$193.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$153.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.32
|
| Rate for Payer: Priority Health Narrow Network |
$165.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.21
|
|
|
HC SWAN GANZ PLACEMENT
|
Facility
|
IP
|
$1,644.87
|
|
|
Service Code
|
CPT 93503
|
| Hospital Charge Code |
48100024
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,069.17 |
| Max. Negotiated Rate |
$1,644.87 |
| Rate for Payer: Aetna Commercial |
$1,480.38
|
| Rate for Payer: ASR ASR |
$1,595.52
|
| Rate for Payer: ASR Commercial |
$1,595.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,340.40
|
| Rate for Payer: BCN Commercial |
$1,275.27
|
| Rate for Payer: Cash Price |
$1,315.90
|
| Rate for Payer: Cofinity Commercial |
$1,546.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,315.90
|
| Rate for Payer: Healthscope Commercial |
$1,644.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,595.52
|
| Rate for Payer: Mclaren Commercial |
$1,480.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,398.14
|
| Rate for Payer: Nomi Health Commercial |
$1,348.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,069.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,447.49
|
|
|
HC SWAN GANZ PLACEMENT
|
Facility
|
OP
|
$1,644.87
|
|
|
Service Code
|
CPT 93503
|
| Hospital Charge Code |
48100024
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$815.81 |
| Max. Negotiated Rate |
$2,359.15 |
| Rate for Payer: Aetna Commercial |
$1,480.38
|
| Rate for Payer: Aetna Medicare |
$1,522.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,902.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,902.54
|
| Rate for Payer: ASR ASR |
$1,595.52
|
| Rate for Payer: ASR Commercial |
$1,595.52
|
| Rate for Payer: BCBS Complete |
$856.60
|
| Rate for Payer: BCBS MAPPO |
$1,522.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,346.98
|
| Rate for Payer: BCN Commercial |
$1,275.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.03
|
| Rate for Payer: Cash Price |
$1,315.90
|
| Rate for Payer: Cash Price |
$1,315.90
|
| Rate for Payer: Cofinity Commercial |
$1,546.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,315.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.03
|
| Rate for Payer: Healthscope Commercial |
$1,644.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,595.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,522.03
|
| Rate for Payer: Mclaren Commercial |
$1,480.38
|
| Rate for Payer: Mclaren Medicaid |
$815.81
|
| Rate for Payer: Mclaren Medicare |
$1,522.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.13
|
| Rate for Payer: Meridian Medicaid |
$856.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,750.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,398.14
|
| Rate for Payer: Nomi Health Commercial |
$1,348.79
|
| Rate for Payer: PACE Medicare |
$1,445.93
|
| Rate for Payer: PACE SWMI |
$1,522.03
|
| Rate for Payer: PHP Commercial |
$1,674.23
|
| Rate for Payer: PHP Medicaid |
$815.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$815.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,069.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,441.24
|
| Rate for Payer: Priority Health Medicare |
$1,522.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,153.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,522.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,447.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.03
|
| Rate for Payer: UHC Exchange |
$2,359.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.03
|
| Rate for Payer: UHCCP DNSP |
$1,522.03
|
| Rate for Payer: UHCCP Medicaid |
$815.81
|
| Rate for Payer: VA VA |
$1,522.03
|
|
|
HC SWEAT CHLORIDE
|
Facility
|
OP
|
$79.25
|
|
|
Service Code
|
CPT 82438
|
| Hospital Charge Code |
30100154
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.68 |
| Max. Negotiated Rate |
$79.25 |
| Rate for Payer: Aetna Commercial |
$71.32
|
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.25
|
| Rate for Payer: ASR ASR |
$76.87
|
| Rate for Payer: ASR Commercial |
$76.87
|
| Rate for Payer: BCBS Complete |
$2.81
|
| Rate for Payer: BCBS MAPPO |
$5.00
|
| Rate for Payer: BCBS Trust/PPO |
$64.90
|
| Rate for Payer: BCN Commercial |
$61.44
|
| Rate for Payer: BCN Medicare Advantage |
$5.00
|
| Rate for Payer: Cash Price |
$63.40
|
| Rate for Payer: Cash Price |
$63.40
|
| Rate for Payer: Cofinity Commercial |
$74.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.00
|
| Rate for Payer: Healthscope Commercial |
$79.25
|
| Rate for Payer: Healthscope Whirlpool |
$76.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.00
|
| Rate for Payer: Mclaren Commercial |
$71.32
|
| Rate for Payer: Mclaren Medicaid |
$2.68
|
| Rate for Payer: Mclaren Medicare |
$5.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.25
|
| Rate for Payer: Meridian Medicaid |
$2.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.36
|
| Rate for Payer: Nomi Health Commercial |
$64.98
|
| Rate for Payer: PACE Medicare |
$4.75
|
| Rate for Payer: PACE SWMI |
$5.00
|
| Rate for Payer: PHP Commercial |
$5.50
|
| Rate for Payer: PHP Medicaid |
$2.68
|
| Rate for Payer: PHP Medicare Advantage |
$5.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.91
|
| Rate for Payer: Priority Health Medicare |
$5.00
|
| Rate for Payer: Priority Health Narrow Network |
$21.53
|
| Rate for Payer: Railroad Medicare Medicare |
$5.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$69.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.00
|
| Rate for Payer: UHC Exchange |
$7.75
|
| Rate for Payer: UHC Medicare Advantage |
$5.00
|
| Rate for Payer: UHCCP DNSP |
$5.00
|
| Rate for Payer: UHCCP Medicaid |
$2.68
|
| Rate for Payer: VA VA |
$5.00
|
|
|
HC SWEAT CHLORIDE
|
Facility
|
IP
|
$79.25
|
|
|
Service Code
|
CPT 82438
|
| Hospital Charge Code |
30100154
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$51.51 |
| Max. Negotiated Rate |
$79.25 |
| Rate for Payer: Aetna Commercial |
$71.32
|
| Rate for Payer: ASR ASR |
$76.87
|
| Rate for Payer: ASR Commercial |
$76.87
|
| Rate for Payer: BCBS Trust/PPO |
$64.58
|
| Rate for Payer: BCN Commercial |
$61.44
|
| Rate for Payer: Cash Price |
$63.40
|
| Rate for Payer: Cofinity Commercial |
$74.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.40
|
| Rate for Payer: Healthscope Commercial |
$79.25
|
| Rate for Payer: Healthscope Whirlpool |
$76.87
|
| Rate for Payer: Mclaren Commercial |
$71.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.36
|
| Rate for Payer: Nomi Health Commercial |
$64.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$69.74
|
|
|
HC SWEAT COLLECTION
|
Facility
|
OP
|
$99.14
|
|
|
Service Code
|
CPT 89230
|
| Hospital Charge Code |
30000004
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$28.06 |
| Max. Negotiated Rate |
$99.14 |
| Rate for Payer: Aetna Commercial |
$89.23
|
| Rate for Payer: Aetna Medicare |
$52.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.44
|
| Rate for Payer: ASR ASR |
$96.17
|
| Rate for Payer: ASR Commercial |
$96.17
|
| Rate for Payer: BCBS Complete |
$29.46
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCBS Trust/PPO |
$81.19
|
| Rate for Payer: BCN Commercial |
$76.86
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$79.31
|
| Rate for Payer: Cash Price |
$79.31
|
| Rate for Payer: Cofinity Commercial |
$93.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Healthscope Commercial |
$99.14
|
| Rate for Payer: Healthscope Whirlpool |
$96.17
|
| Rate for Payer: Humana Choice PPO Medicare |
$52.35
|
| Rate for Payer: Mclaren Commercial |
$89.23
|
| Rate for Payer: Mclaren Medicaid |
$28.06
|
| Rate for Payer: Mclaren Medicare |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$29.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.27
|
| Rate for Payer: Nomi Health Commercial |
$81.29
|
| Rate for Payer: PACE Medicare |
$49.73
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$57.58
|
| Rate for Payer: PHP Medicaid |
$28.06
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86.87
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health Narrow Network |
$69.50
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$87.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.35
|
| Rate for Payer: UHC Exchange |
$81.14
|
| Rate for Payer: UHC Medicare Advantage |
$52.35
|
| Rate for Payer: UHCCP DNSP |
$52.35
|
| Rate for Payer: UHCCP Medicaid |
$28.06
|
| Rate for Payer: VA VA |
$52.35
|
|
|
HC SWEAT COLLECTION
|
Facility
|
IP
|
$99.14
|
|
|
Service Code
|
CPT 89230
|
| Hospital Charge Code |
30000004
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$64.44 |
| Max. Negotiated Rate |
$99.14 |
| Rate for Payer: Aetna Commercial |
$89.23
|
| Rate for Payer: ASR ASR |
$96.17
|
| Rate for Payer: ASR Commercial |
$96.17
|
| Rate for Payer: BCBS Trust/PPO |
$80.79
|
| Rate for Payer: BCN Commercial |
$76.86
|
| Rate for Payer: Cash Price |
$79.31
|
| Rate for Payer: Cofinity Commercial |
$93.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.31
|
| Rate for Payer: Healthscope Commercial |
$99.14
|
| Rate for Payer: Healthscope Whirlpool |
$96.17
|
| Rate for Payer: Mclaren Commercial |
$89.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.27
|
| Rate for Payer: Nomi Health Commercial |
$81.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$87.24
|
|
|
HC SWEET VERNAL IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200103
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Trust/PPO |
$20.69
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
|
|
HC SWEET VERNAL IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200103
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$25.39 |
| Rate for Payer: Aetna Commercial |
$22.85
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.52
|
| Rate for Payer: ASR ASR |
$24.63
|
| Rate for Payer: ASR Commercial |
$24.63
|
| Rate for Payer: BCBS Complete |
$2.94
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.79
|
| Rate for Payer: BCN Commercial |
$19.68
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$23.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.39
|
| Rate for Payer: Healthscope Whirlpool |
$24.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$22.85
|
| Rate for Payer: Mclaren Medicaid |
$2.80
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.25
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$17.80
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicare Advantage |
$5.22
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.80
|
| Rate for Payer: VA VA |
$5.22
|
|
