|
HC WOUND REPAIR INTERMEDIATE
|
Facility
|
IP
|
$737.09
|
|
| Hospital Charge Code |
45000075
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$552.82 |
| Max. Negotiated Rate |
$737.09 |
| Rate for Payer: Aetna Commercial |
$663.38
|
| Rate for Payer: ASR ASR |
$714.98
|
| Rate for Payer: BCBS Trust/PPO |
$605.30
|
| Rate for Payer: BCN Commercial |
$605.30
|
| Rate for Payer: Cash Price |
$589.67
|
| Rate for Payer: Cofinity Commercial |
$692.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$589.67
|
| Rate for Payer: Healthscope Commercial |
$714.98
|
| Rate for Payer: Healthscope Whirlpool |
$737.09
|
| Rate for Payer: Mclaren Commercial |
$663.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$626.53
|
| Rate for Payer: Nomi Health Commercial |
$604.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$552.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$648.64
|
|
|
HC WOUND REPAIR SIMPLE 12.6 CM OR GREATER
|
Facility
|
OP
|
$546.67
|
|
| Hospital Charge Code |
45000074
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$202.27 |
| Max. Negotiated Rate |
$546.67 |
| Rate for Payer: Aetna Commercial |
$492.00
|
| Rate for Payer: Aetna Medicare |
$202.27
|
| Rate for Payer: ASR ASR |
$530.27
|
| Rate for Payer: BCBS Complete |
$218.67
|
| Rate for Payer: BCBS Trust/PPO |
$450.73
|
| Rate for Payer: BCN Commercial |
$450.73
|
| Rate for Payer: Cash Price |
$437.34
|
| Rate for Payer: Cofinity Commercial |
$513.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$437.34
|
| Rate for Payer: Healthscope Commercial |
$530.27
|
| Rate for Payer: Healthscope Whirlpool |
$546.67
|
| Rate for Payer: Mclaren Commercial |
$492.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$437.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$464.67
|
| Rate for Payer: Nomi Health Commercial |
$448.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$410.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$478.99
|
| Rate for Payer: Priority Health Narrow Network |
$383.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$481.07
|
|
|
HC WOUND REPAIR SIMPLE 12.6 CM OR GREATER
|
Facility
|
IP
|
$546.67
|
|
| Hospital Charge Code |
45000074
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$410.00 |
| Max. Negotiated Rate |
$546.67 |
| Rate for Payer: Aetna Commercial |
$492.00
|
| Rate for Payer: ASR ASR |
$530.27
|
| Rate for Payer: BCBS Trust/PPO |
$448.93
|
| Rate for Payer: BCN Commercial |
$448.93
|
| Rate for Payer: Cash Price |
$437.34
|
| Rate for Payer: Cofinity Commercial |
$513.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$437.34
|
| Rate for Payer: Healthscope Commercial |
$530.27
|
| Rate for Payer: Healthscope Whirlpool |
$546.67
|
| Rate for Payer: Mclaren Commercial |
$492.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$464.67
|
| Rate for Payer: Nomi Health Commercial |
$448.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$410.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$481.07
|
|
|
HC WOUND REPAIR SIMPLE UP TO 12.5 CM
|
Facility
|
OP
|
$429.97
|
|
| Hospital Charge Code |
45000073
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$159.09 |
| Max. Negotiated Rate |
$429.97 |
| Rate for Payer: Aetna Commercial |
$386.97
|
| Rate for Payer: Aetna Medicare |
$159.09
|
| Rate for Payer: ASR ASR |
$417.07
|
| Rate for Payer: BCBS Complete |
$171.99
|
| Rate for Payer: BCBS Trust/PPO |
$354.51
|
| Rate for Payer: BCN Commercial |
$354.51
|
| Rate for Payer: Cash Price |
$343.98
|
| Rate for Payer: Cofinity Commercial |
$404.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.98
|
| Rate for Payer: Healthscope Commercial |
$417.07
|
| Rate for Payer: Healthscope Whirlpool |
$429.97
|
| Rate for Payer: Mclaren Commercial |
$386.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$343.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365.47
|
| Rate for Payer: Nomi Health Commercial |
$352.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$322.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$376.74
|
| Rate for Payer: Priority Health Narrow Network |
$301.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$378.37
|
|
|
HC WOUND REPAIR SIMPLE UP TO 12.5 CM
|
Facility
|
IP
|
$429.97
|
|
| Hospital Charge Code |
45000073
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$322.48 |
| Max. Negotiated Rate |
$429.97 |
| Rate for Payer: Aetna Commercial |
$386.97
|
| Rate for Payer: ASR ASR |
$417.07
|
| Rate for Payer: BCBS Trust/PPO |
$353.09
|
| Rate for Payer: BCN Commercial |
$353.09
|
| Rate for Payer: Cash Price |
$343.98
|
| Rate for Payer: Cofinity Commercial |
$404.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.98
|
| Rate for Payer: Healthscope Commercial |
$417.07
|
| Rate for Payer: Healthscope Whirlpool |
$429.97
|
| Rate for Payer: Mclaren Commercial |
$386.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365.47
|
| Rate for Payer: Nomi Health Commercial |
$352.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$322.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$378.37
|
|
|
HC WRIST-HAND ORTHOSIS
|
Facility
|
IP
|
$124.50
|
|
|
Service Code
|
HCPCS L3908
|
| Hospital Charge Code |
27400016
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$93.38 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Aetna Commercial |
$112.05
|
| Rate for Payer: ASR ASR |
$120.77
|
| Rate for Payer: BCBS Trust/PPO |
$102.24
|
| Rate for Payer: BCN Commercial |
$102.24
|
| Rate for Payer: Cash Price |
$99.60
|
| Rate for Payer: Cofinity Commercial |
$117.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.60
|
| Rate for Payer: Healthscope Commercial |
$120.77
|
| Rate for Payer: Healthscope Whirlpool |
$124.50
|
| Rate for Payer: Mclaren Commercial |
$112.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.83
|
| Rate for Payer: Nomi Health Commercial |
$102.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$109.56
|
|
|
HC WRIST-HAND ORTHOSIS
|
Facility
|
OP
|
$124.50
|
|
|
Service Code
|
HCPCS L3908
|
| Hospital Charge Code |
27400016
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$46.06 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Aetna Commercial |
$112.05
|
| Rate for Payer: Aetna Medicare |
$46.06
|
| Rate for Payer: ASR ASR |
$120.77
|
| Rate for Payer: BCBS Complete |
$49.80
|
| Rate for Payer: BCBS Trust/PPO |
$102.65
|
| Rate for Payer: BCN Commercial |
$102.65
|
| Rate for Payer: Cash Price |
$99.60
|
| Rate for Payer: Cofinity Commercial |
$117.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.60
|
| Rate for Payer: Healthscope Commercial |
$120.77
|
| Rate for Payer: Healthscope Whirlpool |
$124.50
|
| Rate for Payer: Mclaren Commercial |
$112.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.83
|
| Rate for Payer: Nomi Health Commercial |
$102.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$109.09
|
| Rate for Payer: Priority Health Narrow Network |
$87.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$109.56
|
|
|
HC XENON 133 PER 10 MCI
|
Facility
|
IP
|
$255.30
|
|
|
Service Code
|
HCPCS A9558
|
| Hospital Charge Code |
34300024
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$191.47 |
| Max. Negotiated Rate |
$255.30 |
| Rate for Payer: Aetna Commercial |
$229.77
|
| Rate for Payer: ASR ASR |
$247.64
|
| Rate for Payer: BCBS Trust/PPO |
$209.65
|
| Rate for Payer: BCN Commercial |
$209.65
|
| Rate for Payer: Cash Price |
$204.24
|
| Rate for Payer: Cofinity Commercial |
$239.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.24
|
| Rate for Payer: Healthscope Commercial |
$247.64
|
| Rate for Payer: Healthscope Whirlpool |
$255.30
|
| Rate for Payer: Mclaren Commercial |
$229.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.00
|
| Rate for Payer: Nomi Health Commercial |
$209.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$191.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$224.66
|
|
|
HC XENON 133 PER 10 MCI
|
Facility
|
OP
|
$255.30
|
|
|
Service Code
|
HCPCS A9558
|
| Hospital Charge Code |
34300024
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$94.46 |
| Max. Negotiated Rate |
$268.01 |
| Rate for Payer: Aetna Commercial |
$229.77
|
| Rate for Payer: Aetna Medicare |
$94.46
|
| Rate for Payer: ASR ASR |
$247.64
|
| Rate for Payer: BCBS Complete |
$102.12
|
| Rate for Payer: BCBS Trust/PPO |
$210.49
|
| Rate for Payer: BCN Commercial |
$210.49
|
| Rate for Payer: Cash Price |
$204.24
|
| Rate for Payer: Cash Price |
$204.24
|
| Rate for Payer: Cofinity Commercial |
$239.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.24
|
| Rate for Payer: Healthscope Commercial |
$247.64
|
| Rate for Payer: Healthscope Whirlpool |
$255.30
|
| Rate for Payer: Mclaren Commercial |
$229.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$204.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.00
|
| Rate for Payer: Nomi Health Commercial |
$209.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$191.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$268.01
|
| Rate for Payer: Priority Health Narrow Network |
$214.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$224.66
|
|
|
HC XEOMIN PER 1 UNIT (INCOBOTULINUMTOXINA)
|
Facility
|
IP
|
$7.08
|
|
|
Service Code
|
HCPCS J0588
|
| Hospital Charge Code |
63600149
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.31 |
| Max. Negotiated Rate |
$7.08 |
| Rate for Payer: Aetna Commercial |
$6.37
|
| Rate for Payer: ASR ASR |
$6.87
|
| Rate for Payer: BCBS Trust/PPO |
$5.81
|
| Rate for Payer: BCN Commercial |
$5.81
|
| Rate for Payer: Cash Price |
$5.66
|
| Rate for Payer: Cofinity Commercial |
$6.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.66
|
| Rate for Payer: Healthscope Commercial |
$6.87
|
| Rate for Payer: Healthscope Whirlpool |
$7.08
|
| Rate for Payer: Mclaren Commercial |
$6.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.02
|
| Rate for Payer: Nomi Health Commercial |
$5.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.23
|
|
|
HC XEOMIN PER 1 UNIT (INCOBOTULINUMTOXINA)
|
Facility
|
OP
|
$7.08
|
|
|
Service Code
|
HCPCS J0588
|
| Hospital Charge Code |
63600149
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.77 |
| Max. Negotiated Rate |
$8.20 |
| Rate for Payer: Aetna Commercial |
$6.37
|
| Rate for Payer: Aetna Medicare |
$5.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.61
|
| Rate for Payer: ASR ASR |
$6.87
|
| Rate for Payer: BCBS Complete |
$2.91
|
| Rate for Payer: BCBS MAPPO |
$5.29
|
| Rate for Payer: BCBS Trust/PPO |
$5.84
|
| Rate for Payer: BCN Commercial |
$5.84
|
| Rate for Payer: BCN Medicare Advantage |
$5.29
|
| Rate for Payer: Cash Price |
$5.66
|
| Rate for Payer: Cash Price |
$5.66
|
| Rate for Payer: Cofinity Commercial |
$6.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.29
|
| Rate for Payer: Healthscope Commercial |
$6.87
|
| Rate for Payer: Healthscope Whirlpool |
$7.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.29
|
| Rate for Payer: Mclaren Commercial |
$6.37
|
| Rate for Payer: Mclaren Medicaid |
$5.29
|
| Rate for Payer: Mclaren Medicare |
$5.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.55
|
| Rate for Payer: Meridian Medicaid |
$2.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.02
|
| Rate for Payer: Nomi Health Commercial |
$5.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.31
|
| Rate for Payer: PACE Medicare |
$5.03
|
| Rate for Payer: PACE SWMI |
$5.29
|
| Rate for Payer: PHP Commercial |
$5.82
|
| Rate for Payer: PHP Medicaid |
$2.84
|
| Rate for Payer: PHP Medicare Advantage |
$5.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5.45
|
| Rate for Payer: Priority Health Medicare |
$5.29
|
| Rate for Payer: Priority Health Narrow Network |
$4.36
|
| Rate for Payer: Railroad Medicare Medicare |
$5.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.29
|
| Rate for Payer: UHC Exchange |
$8.20
|
| Rate for Payer: UHC Medicaid |
$2.77
|
| Rate for Payer: UHCCP DNSP |
$5.29
|
| Rate for Payer: UHCCP Medicaid |
$2.77
|
| Rate for Payer: VA VA |
$5.29
|
|
|
HC XPRESS-WAY CATHETER
|
Facility
|
OP
|
$1,440.96
|
|
| Hospital Charge Code |
27200226
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$533.16 |
| Max. Negotiated Rate |
$1,440.96 |
| Rate for Payer: Aetna Commercial |
$1,296.86
|
| Rate for Payer: Aetna Medicare |
$533.16
|
| Rate for Payer: ASR ASR |
$1,397.73
|
| Rate for Payer: BCBS Complete |
$576.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,188.07
|
| Rate for Payer: BCN Commercial |
$1,188.07
|
| Rate for Payer: Cash Price |
$1,152.77
|
| Rate for Payer: Cofinity Commercial |
$1,354.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.77
|
| Rate for Payer: Healthscope Commercial |
$1,397.73
|
| Rate for Payer: Healthscope Whirlpool |
$1,440.96
|
| Rate for Payer: Mclaren Commercial |
$1,296.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,152.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,224.82
|
| Rate for Payer: Nomi Health Commercial |
$1,181.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,080.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,262.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,010.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,268.04
|
|
|
HC XPRESS-WAY CATHETER
|
Facility
|
IP
|
$1,440.96
|
|
| Hospital Charge Code |
27200226
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,080.72 |
| Max. Negotiated Rate |
$1,440.96 |
| Rate for Payer: Aetna Commercial |
$1,296.86
|
| Rate for Payer: ASR ASR |
$1,397.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.32
|
| Rate for Payer: BCN Commercial |
$1,183.32
|
| Rate for Payer: Cash Price |
$1,152.77
|
| Rate for Payer: Cofinity Commercial |
$1,354.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,152.77
|
| Rate for Payer: Healthscope Commercial |
$1,397.73
|
| Rate for Payer: Healthscope Whirlpool |
$1,440.96
|
| Rate for Payer: Mclaren Commercial |
$1,296.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,224.82
|
| Rate for Payer: Nomi Health Commercial |
$1,181.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,080.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,268.04
|
|
|
HC XR ABDOMEN 1 VIEW
|
Facility
|
IP
|
$312.00
|
|
|
Service Code
|
CPT 74018
|
| Hospital Charge Code |
32000325
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$234.00 |
| Max. Negotiated Rate |
$312.00 |
| Rate for Payer: Aetna Commercial |
$280.80
|
| Rate for Payer: ASR ASR |
$302.64
|
| Rate for Payer: BCBS Trust/PPO |
$256.21
|
| Rate for Payer: BCN Commercial |
$256.21
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cofinity Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.60
|
| Rate for Payer: Healthscope Commercial |
$302.64
|
| Rate for Payer: Healthscope Whirlpool |
$312.00
|
| Rate for Payer: Mclaren Commercial |
$280.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.20
|
| Rate for Payer: Nomi Health Commercial |
$255.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$274.56
|
|
|
HC XR ABDOMEN 1 VIEW
|
Facility
|
OP
|
$312.00
|
|
|
Service Code
|
CPT 74018
|
| Hospital Charge Code |
32000325
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$312.00 |
| Rate for Payer: Aetna Commercial |
$280.80
|
| Rate for Payer: Aetna Medicare |
$86.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: ASR ASR |
$302.64
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$257.24
|
| Rate for Payer: BCN Commercial |
$257.24
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cofinity Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$302.64
|
| Rate for Payer: Healthscope Whirlpool |
$312.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$86.71
|
| Rate for Payer: Mclaren Commercial |
$280.80
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$47.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.20
|
| Rate for Payer: Nomi Health Commercial |
$255.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.00
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$95.38
|
| Rate for Payer: PHP Medicaid |
$46.48
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$78.40
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health Narrow Network |
$62.72
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$274.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$134.40
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP DNSP |
$86.71
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: VA VA |
$86.71
|
|
|
HC XR ABDOMEN 2 VW
|
Facility
|
OP
|
$345.42
|
|
|
Service Code
|
CPT 74019
|
| Hospital Charge Code |
32000326
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$345.42 |
| Rate for Payer: Aetna Commercial |
$310.88
|
| Rate for Payer: Aetna Medicare |
$104.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: ASR ASR |
$335.06
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$284.80
|
| Rate for Payer: BCN Commercial |
$284.80
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$276.34
|
| Rate for Payer: Cash Price |
$276.34
|
| Rate for Payer: Cofinity Commercial |
$324.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$276.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$335.06
|
| Rate for Payer: Healthscope Whirlpool |
$345.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$104.17
|
| Rate for Payer: Mclaren Commercial |
$310.88
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$57.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$293.61
|
| Rate for Payer: Nomi Health Commercial |
$283.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$259.06
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$114.59
|
| Rate for Payer: PHP Medicaid |
$55.84
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$149.88
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health Narrow Network |
$119.90
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$303.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$161.46
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP DNSP |
$104.17
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$104.17
|
|
|
HC XR ABDOMEN 2 VW
|
Facility
|
IP
|
$345.42
|
|
|
Service Code
|
CPT 74019
|
| Hospital Charge Code |
32000326
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$259.06 |
| Max. Negotiated Rate |
$345.42 |
| Rate for Payer: Aetna Commercial |
$310.88
|
| Rate for Payer: ASR ASR |
$335.06
|
| Rate for Payer: BCBS Trust/PPO |
$283.66
|
| Rate for Payer: BCN Commercial |
$283.66
|
| Rate for Payer: Cash Price |
$276.34
|
| Rate for Payer: Cofinity Commercial |
$324.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$276.34
|
| Rate for Payer: Healthscope Commercial |
$335.06
|
| Rate for Payer: Healthscope Whirlpool |
$345.42
|
| Rate for Payer: Mclaren Commercial |
$310.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$293.61
|
| Rate for Payer: Nomi Health Commercial |
$283.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$259.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$303.97
|
|
|
HC XR ABDOMEN 3 OR MORE VIEWS
|
Facility
|
OP
|
$378.85
|
|
|
Service Code
|
CPT 74021
|
| Hospital Charge Code |
32000327
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$378.85 |
| Rate for Payer: Aetna Commercial |
$340.96
|
| Rate for Payer: Aetna Medicare |
$104.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: ASR ASR |
$367.48
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$312.36
|
| Rate for Payer: BCN Commercial |
$312.36
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$303.08
|
| Rate for Payer: Cash Price |
$303.08
|
| Rate for Payer: Cofinity Commercial |
$356.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$367.48
|
| Rate for Payer: Healthscope Whirlpool |
$378.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$104.17
|
| Rate for Payer: Mclaren Commercial |
$340.96
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$57.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.02
|
| Rate for Payer: Nomi Health Commercial |
$310.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$284.14
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$114.59
|
| Rate for Payer: PHP Medicaid |
$55.84
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$149.88
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health Narrow Network |
$119.90
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$333.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$161.46
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP DNSP |
$104.17
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$104.17
|
|
|
HC XR ABDOMEN 3 OR MORE VIEWS
|
Facility
|
IP
|
$378.85
|
|
|
Service Code
|
CPT 74021
|
| Hospital Charge Code |
32000327
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$284.14 |
| Max. Negotiated Rate |
$378.85 |
| Rate for Payer: Aetna Commercial |
$340.96
|
| Rate for Payer: ASR ASR |
$367.48
|
| Rate for Payer: BCBS Trust/PPO |
$311.11
|
| Rate for Payer: BCN Commercial |
$311.11
|
| Rate for Payer: Cash Price |
$303.08
|
| Rate for Payer: Cofinity Commercial |
$356.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.08
|
| Rate for Payer: Healthscope Commercial |
$367.48
|
| Rate for Payer: Healthscope Whirlpool |
$378.85
|
| Rate for Payer: Mclaren Commercial |
$340.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.02
|
| Rate for Payer: Nomi Health Commercial |
$310.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$284.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$333.39
|
|
|
HC XR ABDOMEN ACUTE
|
Facility
|
IP
|
$500.21
|
|
|
Service Code
|
CPT 74022
|
| Hospital Charge Code |
32000135
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$375.16 |
| Max. Negotiated Rate |
$500.21 |
| Rate for Payer: Aetna Commercial |
$450.19
|
| Rate for Payer: ASR ASR |
$485.20
|
| Rate for Payer: BCBS Trust/PPO |
$410.77
|
| Rate for Payer: BCN Commercial |
$410.77
|
| Rate for Payer: Cash Price |
$400.17
|
| Rate for Payer: Cofinity Commercial |
$470.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.17
|
| Rate for Payer: Healthscope Commercial |
$485.20
|
| Rate for Payer: Healthscope Whirlpool |
$500.21
|
| Rate for Payer: Mclaren Commercial |
$450.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$425.18
|
| Rate for Payer: Nomi Health Commercial |
$410.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$375.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$440.18
|
|
|
HC XR ABDOMEN ACUTE
|
Facility
|
OP
|
$500.21
|
|
|
Service Code
|
CPT 74022
|
| Hospital Charge Code |
32000135
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$500.21 |
| Rate for Payer: Aetna Commercial |
$450.19
|
| Rate for Payer: Aetna Medicare |
$104.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.21
|
| Rate for Payer: ASR ASR |
$485.20
|
| Rate for Payer: BCBS Complete |
$57.21
|
| Rate for Payer: BCBS MAPPO |
$104.17
|
| Rate for Payer: BCBS Trust/PPO |
$412.42
|
| Rate for Payer: BCN Commercial |
$412.42
|
| Rate for Payer: BCN Medicare Advantage |
$104.17
|
| Rate for Payer: Cash Price |
$400.17
|
| Rate for Payer: Cash Price |
$400.17
|
| Rate for Payer: Cofinity Commercial |
$470.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$485.20
|
| Rate for Payer: Healthscope Whirlpool |
$500.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$104.17
|
| Rate for Payer: Mclaren Commercial |
$450.19
|
| Rate for Payer: Mclaren Medicaid |
$104.17
|
| Rate for Payer: Mclaren Medicare |
$104.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.38
|
| Rate for Payer: Meridian Medicaid |
$57.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$425.18
|
| Rate for Payer: Nomi Health Commercial |
$410.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$375.16
|
| Rate for Payer: PACE Medicare |
$98.96
|
| Rate for Payer: PACE SWMI |
$104.17
|
| Rate for Payer: PHP Commercial |
$114.59
|
| Rate for Payer: PHP Medicaid |
$55.84
|
| Rate for Payer: PHP Medicare Advantage |
$104.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$300.81
|
| Rate for Payer: Priority Health Medicare |
$104.17
|
| Rate for Payer: Priority Health Narrow Network |
$240.65
|
| Rate for Payer: Railroad Medicare Medicare |
$104.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$440.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.17
|
| Rate for Payer: UHC Exchange |
$161.46
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHCCP DNSP |
$104.17
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$104.17
|
|
|
HC XR AC JOINTS
|
Facility
|
IP
|
$364.53
|
|
|
Service Code
|
CPT 73050
|
| Hospital Charge Code |
32000068
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$273.40 |
| Max. Negotiated Rate |
$364.53 |
| Rate for Payer: Aetna Commercial |
$328.08
|
| Rate for Payer: ASR ASR |
$353.59
|
| Rate for Payer: BCBS Trust/PPO |
$299.35
|
| Rate for Payer: BCN Commercial |
$299.35
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cofinity Commercial |
$342.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.62
|
| Rate for Payer: Healthscope Commercial |
$353.59
|
| Rate for Payer: Healthscope Whirlpool |
$364.53
|
| Rate for Payer: Mclaren Commercial |
$328.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.85
|
| Rate for Payer: Nomi Health Commercial |
$298.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$320.79
|
|
|
HC XR AC JOINTS
|
Facility
|
OP
|
$364.53
|
|
|
Service Code
|
CPT 73050
|
| Hospital Charge Code |
32000068
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$364.53 |
| Rate for Payer: Aetna Commercial |
$328.08
|
| Rate for Payer: Aetna Medicare |
$86.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: ASR ASR |
$353.59
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$300.55
|
| Rate for Payer: BCN Commercial |
$300.55
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cash Price |
$291.62
|
| Rate for Payer: Cofinity Commercial |
$342.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$291.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$353.59
|
| Rate for Payer: Healthscope Whirlpool |
$364.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$86.71
|
| Rate for Payer: Mclaren Commercial |
$328.08
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$47.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$309.85
|
| Rate for Payer: Nomi Health Commercial |
$298.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.40
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$95.38
|
| Rate for Payer: PHP Medicaid |
$46.48
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$204.59
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health Narrow Network |
$163.67
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$320.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$134.40
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP DNSP |
$86.71
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: VA VA |
$86.71
|
|
|
HC XR ANKLE 1 VW
|
Facility
|
IP
|
$248.07
|
|
|
Service Code
|
CPT 73600
|
| Hospital Charge Code |
32000118
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$186.05 |
| Max. Negotiated Rate |
$248.07 |
| Rate for Payer: Aetna Commercial |
$223.26
|
| Rate for Payer: ASR ASR |
$240.63
|
| Rate for Payer: BCBS Trust/PPO |
$203.72
|
| Rate for Payer: BCN Commercial |
$203.72
|
| Rate for Payer: Cash Price |
$198.46
|
| Rate for Payer: Cofinity Commercial |
$233.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$198.46
|
| Rate for Payer: Healthscope Commercial |
$240.63
|
| Rate for Payer: Healthscope Whirlpool |
$248.07
|
| Rate for Payer: Mclaren Commercial |
$223.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$210.86
|
| Rate for Payer: Nomi Health Commercial |
$203.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$218.30
|
|
|
HC XR ANKLE 1 VW
|
Facility
|
OP
|
$248.07
|
|
|
Service Code
|
CPT 73600
|
| Hospital Charge Code |
32000118
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$45.35 |
| Max. Negotiated Rate |
$272.38 |
| Rate for Payer: Aetna Commercial |
$223.26
|
| Rate for Payer: Aetna Medicare |
$86.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.39
|
| Rate for Payer: ASR ASR |
$240.63
|
| Rate for Payer: BCBS Complete |
$47.62
|
| Rate for Payer: BCBS MAPPO |
$86.71
|
| Rate for Payer: BCBS Trust/PPO |
$204.53
|
| Rate for Payer: BCN Commercial |
$204.53
|
| Rate for Payer: BCN Medicare Advantage |
$86.71
|
| Rate for Payer: Cash Price |
$198.46
|
| Rate for Payer: Cash Price |
$198.46
|
| Rate for Payer: Cofinity Commercial |
$233.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$198.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.71
|
| Rate for Payer: Healthscope Commercial |
$240.63
|
| Rate for Payer: Healthscope Whirlpool |
$248.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$86.71
|
| Rate for Payer: Mclaren Commercial |
$223.26
|
| Rate for Payer: Mclaren Medicaid |
$86.71
|
| Rate for Payer: Mclaren Medicare |
$86.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.05
|
| Rate for Payer: Meridian Medicaid |
$47.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$210.86
|
| Rate for Payer: Nomi Health Commercial |
$203.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.05
|
| Rate for Payer: PACE Medicare |
$82.37
|
| Rate for Payer: PACE SWMI |
$86.71
|
| Rate for Payer: PHP Commercial |
$95.38
|
| Rate for Payer: PHP Medicaid |
$46.48
|
| Rate for Payer: PHP Medicare Advantage |
$86.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$272.38
|
| Rate for Payer: Priority Health Medicare |
$86.71
|
| Rate for Payer: Priority Health Narrow Network |
$217.90
|
| Rate for Payer: Railroad Medicare Medicare |
$86.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$218.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.71
|
| Rate for Payer: UHC Exchange |
$134.40
|
| Rate for Payer: UHC Medicaid |
$45.35
|
| Rate for Payer: UHCCP DNSP |
$86.71
|
| Rate for Payer: UHCCP Medicaid |
$45.35
|
| Rate for Payer: VA VA |
$86.71
|
|
