|
HC YELLOW JACKET IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200114
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| 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 |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| 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 |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.69
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$18.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
|
HC YELLOW JACKET IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200114
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$19.43 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Trust/PPO |
$21.27
|
| Rate for Payer: BCN Commercial |
$21.27
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
|
|
HC Y SET ANTE/RETRO
|
Facility
|
IP
|
$42.92
|
|
| Hospital Charge Code |
27000661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.19 |
| Max. Negotiated Rate |
$42.92 |
| Rate for Payer: Aetna Commercial |
$38.63
|
| Rate for Payer: ASR ASR |
$41.63
|
| Rate for Payer: BCBS Trust/PPO |
$35.25
|
| Rate for Payer: BCN Commercial |
$35.25
|
| Rate for Payer: Cash Price |
$34.34
|
| Rate for Payer: Cofinity Commercial |
$40.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.34
|
| Rate for Payer: Healthscope Commercial |
$41.63
|
| Rate for Payer: Healthscope Whirlpool |
$42.92
|
| Rate for Payer: Mclaren Commercial |
$38.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.48
|
| Rate for Payer: Nomi Health Commercial |
$35.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.77
|
|
|
HC Y SET ANTE/RETRO
|
Facility
|
OP
|
$42.92
|
|
| Hospital Charge Code |
27000661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.88 |
| Max. Negotiated Rate |
$42.92 |
| Rate for Payer: Aetna Commercial |
$38.63
|
| Rate for Payer: Aetna Medicare |
$15.88
|
| Rate for Payer: ASR ASR |
$41.63
|
| Rate for Payer: BCBS Complete |
$17.17
|
| Rate for Payer: BCBS Trust/PPO |
$35.39
|
| Rate for Payer: BCN Commercial |
$35.39
|
| Rate for Payer: Cash Price |
$34.34
|
| Rate for Payer: Cofinity Commercial |
$40.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.34
|
| Rate for Payer: Healthscope Commercial |
$41.63
|
| Rate for Payer: Healthscope Whirlpool |
$42.92
|
| Rate for Payer: Mclaren Commercial |
$38.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.48
|
| Rate for Payer: Nomi Health Commercial |
$35.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$37.61
|
| Rate for Payer: Priority Health Narrow Network |
$30.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.77
|
|
|
HC YTTRIUM 90 MICROSPHERES
|
Facility
|
IP
|
$51,795.10
|
|
|
Service Code
|
HCPCS C2616
|
| Hospital Charge Code |
27800106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$38,846.32 |
| Max. Negotiated Rate |
$51,795.10 |
| Rate for Payer: Aetna Commercial |
$46,615.59
|
| Rate for Payer: ASR ASR |
$50,241.25
|
| Rate for Payer: BCBS Trust/PPO |
$42,534.14
|
| Rate for Payer: BCN Commercial |
$42,534.14
|
| Rate for Payer: Cash Price |
$41,436.08
|
| Rate for Payer: Cofinity Commercial |
$48,687.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41,436.08
|
| Rate for Payer: Healthscope Commercial |
$50,241.25
|
| Rate for Payer: Healthscope Whirlpool |
$51,795.10
|
| Rate for Payer: Mclaren Commercial |
$46,615.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44,025.83
|
| Rate for Payer: Nomi Health Commercial |
$42,471.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38,846.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45,579.69
|
|
|
HC YTTRIUM 90 MICROSPHERES
|
Facility
|
OP
|
$51,795.10
|
|
|
Service Code
|
HCPCS C2616
|
| Hospital Charge Code |
27800106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,064.48 |
| Max. Negotiated Rate |
$51,795.10 |
| Rate for Payer: Aetna Commercial |
$46,615.59
|
| Rate for Payer: Aetna Medicare |
$17,331.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,664.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,664.64
|
| Rate for Payer: ASR ASR |
$50,241.25
|
| Rate for Payer: BCBS Complete |
$9,518.58
|
| Rate for Payer: BCBS MAPPO |
$17,331.71
|
| Rate for Payer: BCBS Trust/PPO |
$42,705.06
|
| Rate for Payer: BCN Commercial |
$42,705.06
|
| Rate for Payer: BCN Medicare Advantage |
$17,331.71
|
| Rate for Payer: Cash Price |
$41,436.08
|
| Rate for Payer: Cash Price |
$41,436.08
|
| Rate for Payer: Cofinity Commercial |
$48,687.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41,436.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,331.71
|
| Rate for Payer: Healthscope Commercial |
$50,241.25
|
| Rate for Payer: Healthscope Whirlpool |
$51,795.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,331.71
|
| Rate for Payer: Mclaren Commercial |
$46,615.59
|
| Rate for Payer: Mclaren Medicaid |
$17,331.71
|
| Rate for Payer: Mclaren Medicare |
$17,331.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,198.30
|
| Rate for Payer: Meridian Medicaid |
$9,518.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,931.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,064.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44,025.83
|
| Rate for Payer: Nomi Health Commercial |
$42,471.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38,846.32
|
| Rate for Payer: PACE Medicare |
$16,465.12
|
| Rate for Payer: PACE SWMI |
$17,331.71
|
| Rate for Payer: PHP Commercial |
$19,064.88
|
| Rate for Payer: PHP Medicaid |
$9,289.80
|
| Rate for Payer: PHP Medicare Advantage |
$17,331.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,064.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$45,382.87
|
| Rate for Payer: Priority Health Medicare |
$17,331.71
|
| Rate for Payer: Priority Health Narrow Network |
$36,308.37
|
| Rate for Payer: Railroad Medicare Medicare |
$17,331.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45,579.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,331.71
|
| Rate for Payer: UHC Exchange |
$26,864.15
|
| Rate for Payer: UHC Medicaid |
$9,064.48
|
| Rate for Payer: UHCCP DNSP |
$17,331.71
|
| Rate for Payer: UHCCP Medicaid |
$9,064.48
|
| Rate for Payer: VA VA |
$17,331.71
|
|
|
HC Y VENOUS BICAVAL
|
Facility
|
OP
|
$42.66
|
|
| Hospital Charge Code |
27000279
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.78 |
| Max. Negotiated Rate |
$42.66 |
| Rate for Payer: Aetna Commercial |
$38.39
|
| Rate for Payer: Aetna Medicare |
$15.78
|
| Rate for Payer: ASR ASR |
$41.38
|
| Rate for Payer: BCBS Complete |
$17.06
|
| Rate for Payer: BCBS Trust/PPO |
$35.17
|
| Rate for Payer: BCN Commercial |
$35.17
|
| Rate for Payer: Cash Price |
$34.13
|
| Rate for Payer: Cofinity Commercial |
$40.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.13
|
| Rate for Payer: Healthscope Commercial |
$41.38
|
| Rate for Payer: Healthscope Whirlpool |
$42.66
|
| Rate for Payer: Mclaren Commercial |
$38.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.26
|
| Rate for Payer: Nomi Health Commercial |
$34.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$37.38
|
| Rate for Payer: Priority Health Narrow Network |
$29.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.54
|
|
|
HC Y VENOUS BICAVAL
|
Facility
|
IP
|
$42.66
|
|
| Hospital Charge Code |
27000279
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.00 |
| Max. Negotiated Rate |
$42.66 |
| Rate for Payer: Aetna Commercial |
$38.39
|
| Rate for Payer: ASR ASR |
$41.38
|
| Rate for Payer: BCBS Trust/PPO |
$35.03
|
| Rate for Payer: BCN Commercial |
$35.03
|
| Rate for Payer: Cash Price |
$34.13
|
| Rate for Payer: Cofinity Commercial |
$40.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.13
|
| Rate for Payer: Healthscope Commercial |
$41.38
|
| Rate for Payer: Healthscope Whirlpool |
$42.66
|
| Rate for Payer: Mclaren Commercial |
$38.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.26
|
| Rate for Payer: Nomi Health Commercial |
$34.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.54
|
|
|
HC Z ACCESS DEVICE
|
Facility
|
IP
|
$208.96
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200082
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$156.72 |
| Max. Negotiated Rate |
$208.96 |
| Rate for Payer: Aetna Commercial |
$188.06
|
| Rate for Payer: ASR ASR |
$202.69
|
| Rate for Payer: BCBS Trust/PPO |
$171.60
|
| Rate for Payer: BCN Commercial |
$171.60
|
| Rate for Payer: Cash Price |
$167.17
|
| Rate for Payer: Cofinity Commercial |
$196.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.17
|
| Rate for Payer: Healthscope Commercial |
$202.69
|
| Rate for Payer: Healthscope Whirlpool |
$208.96
|
| Rate for Payer: Mclaren Commercial |
$188.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.62
|
| Rate for Payer: Nomi Health Commercial |
$171.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$183.88
|
|
|
HC Z ACCESS DEVICE
|
Facility
|
OP
|
$208.96
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
27200082
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$77.32 |
| Max. Negotiated Rate |
$208.96 |
| Rate for Payer: Aetna Commercial |
$188.06
|
| Rate for Payer: Aetna Medicare |
$77.32
|
| Rate for Payer: ASR ASR |
$202.69
|
| Rate for Payer: BCBS Complete |
$83.58
|
| Rate for Payer: BCBS Trust/PPO |
$172.29
|
| Rate for Payer: BCN Commercial |
$172.29
|
| Rate for Payer: Cash Price |
$167.17
|
| Rate for Payer: Cofinity Commercial |
$196.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.17
|
| Rate for Payer: Healthscope Commercial |
$202.69
|
| Rate for Payer: Healthscope Whirlpool |
$208.96
|
| Rate for Payer: Mclaren Commercial |
$188.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$167.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.62
|
| Rate for Payer: Nomi Health Commercial |
$171.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$183.09
|
| Rate for Payer: Priority Health Narrow Network |
$146.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$183.88
|
|
|
HC Z ACCUNET PROTECTIVE SYSTEM
|
Facility
|
OP
|
$6,493.43
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,402.57 |
| Max. Negotiated Rate |
$6,493.43 |
| Rate for Payer: Aetna Commercial |
$5,844.09
|
| Rate for Payer: Aetna Medicare |
$2,402.57
|
| Rate for Payer: ASR ASR |
$6,298.63
|
| Rate for Payer: BCBS Complete |
$2,597.37
|
| Rate for Payer: BCBS Trust/PPO |
$5,353.83
|
| Rate for Payer: BCN Commercial |
$5,353.83
|
| Rate for Payer: Cash Price |
$5,194.74
|
| Rate for Payer: Cofinity Commercial |
$6,103.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,194.74
|
| Rate for Payer: Healthscope Commercial |
$6,298.63
|
| Rate for Payer: Healthscope Whirlpool |
$6,493.43
|
| Rate for Payer: Mclaren Commercial |
$5,844.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,194.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,519.42
|
| Rate for Payer: Nomi Health Commercial |
$5,324.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,870.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,689.54
|
| Rate for Payer: Priority Health Narrow Network |
$4,551.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.22
|
|
|
HC Z ACCUNET PROTECTIVE SYSTEM
|
Facility
|
IP
|
$6,493.43
|
|
|
Service Code
|
HCPCS C1884
|
| Hospital Charge Code |
27800037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,870.07 |
| Max. Negotiated Rate |
$6,493.43 |
| Rate for Payer: Aetna Commercial |
$5,844.09
|
| Rate for Payer: ASR ASR |
$6,298.63
|
| Rate for Payer: BCBS Trust/PPO |
$5,332.40
|
| Rate for Payer: BCN Commercial |
$5,332.40
|
| Rate for Payer: Cash Price |
$5,194.74
|
| Rate for Payer: Cofinity Commercial |
$6,103.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,194.74
|
| Rate for Payer: Healthscope Commercial |
$6,298.63
|
| Rate for Payer: Healthscope Whirlpool |
$6,493.43
|
| Rate for Payer: Mclaren Commercial |
$5,844.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,519.42
|
| Rate for Payer: Nomi Health Commercial |
$5,324.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,870.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,714.22
|
|
|
HC Z ARTHROCENTESIS SMALL JOINT BIL
|
Facility
|
IP
|
$446.38
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$334.79 |
| Max. Negotiated Rate |
$446.38 |
| Rate for Payer: Aetna Commercial |
$401.74
|
| Rate for Payer: ASR ASR |
$432.99
|
| Rate for Payer: BCBS Trust/PPO |
$366.57
|
| Rate for Payer: BCN Commercial |
$366.57
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cofinity Commercial |
$419.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.10
|
| Rate for Payer: Healthscope Commercial |
$432.99
|
| Rate for Payer: Healthscope Whirlpool |
$446.38
|
| Rate for Payer: Mclaren Commercial |
$401.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.42
|
| Rate for Payer: Nomi Health Commercial |
$366.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$392.81
|
|
|
HC Z ARTHROCENTESIS SMALL JOINT BIL
|
Facility
|
OP
|
$446.38
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
36100023
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$474.07 |
| Rate for Payer: Aetna Commercial |
$401.74
|
| Rate for Payer: Aetna Medicare |
$305.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382.31
|
| Rate for Payer: ASR ASR |
$432.99
|
| Rate for Payer: BCBS Complete |
$167.97
|
| Rate for Payer: BCBS MAPPO |
$305.85
|
| Rate for Payer: BCBS Trust/PPO |
$368.04
|
| Rate for Payer: BCN Commercial |
$368.04
|
| Rate for Payer: BCN Medicare Advantage |
$305.85
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cash Price |
$357.10
|
| Rate for Payer: Cofinity Commercial |
$419.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.85
|
| Rate for Payer: Healthscope Commercial |
$432.99
|
| Rate for Payer: Healthscope Whirlpool |
$446.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$305.85
|
| Rate for Payer: Mclaren Commercial |
$401.74
|
| Rate for Payer: Mclaren Medicaid |
$305.85
|
| Rate for Payer: Mclaren Medicare |
$305.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.14
|
| Rate for Payer: Meridian Medicaid |
$167.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.42
|
| Rate for Payer: Nomi Health Commercial |
$366.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.79
|
| Rate for Payer: PACE Medicare |
$290.56
|
| Rate for Payer: PACE SWMI |
$305.85
|
| Rate for Payer: PHP Commercial |
$336.44
|
| Rate for Payer: PHP Medicaid |
$163.94
|
| Rate for Payer: PHP Medicare Advantage |
$305.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$445.48
|
| Rate for Payer: Priority Health Medicare |
$305.85
|
| Rate for Payer: Priority Health Narrow Network |
$356.39
|
| Rate for Payer: Railroad Medicare Medicare |
$305.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$392.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.85
|
| Rate for Payer: UHC Exchange |
$474.07
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$305.85
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
| Rate for Payer: VA VA |
$305.85
|
|
|
HC ZB002 CX ID GI PANEL 12-25 TARGETS
|
Facility
|
OP
|
$706.55
|
|
|
Service Code
|
CPT 87507
|
| Hospital Charge Code |
30600280
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$217.98 |
| Max. Negotiated Rate |
$706.55 |
| Rate for Payer: Aetna Commercial |
$635.89
|
| Rate for Payer: Aetna Medicare |
$416.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$520.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$520.98
|
| Rate for Payer: ASR ASR |
$685.35
|
| Rate for Payer: BCBS Complete |
$228.90
|
| Rate for Payer: BCBS MAPPO |
$416.78
|
| Rate for Payer: BCBS Trust/PPO |
$582.55
|
| Rate for Payer: BCN Commercial |
$582.55
|
| Rate for Payer: BCN Medicare Advantage |
$416.78
|
| Rate for Payer: Cash Price |
$565.24
|
| Rate for Payer: Cash Price |
$565.24
|
| Rate for Payer: Cofinity Commercial |
$664.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$565.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.78
|
| Rate for Payer: Healthscope Commercial |
$685.35
|
| Rate for Payer: Healthscope Whirlpool |
$706.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$416.78
|
| Rate for Payer: Mclaren Commercial |
$635.89
|
| Rate for Payer: Mclaren Medicaid |
$416.78
|
| Rate for Payer: Mclaren Medicare |
$416.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.62
|
| Rate for Payer: Meridian Medicaid |
$228.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$479.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$458.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$600.57
|
| Rate for Payer: Nomi Health Commercial |
$579.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$529.91
|
| Rate for Payer: PACE Medicare |
$395.94
|
| Rate for Payer: PACE SWMI |
$416.78
|
| Rate for Payer: PHP Commercial |
$458.46
|
| Rate for Payer: PHP Medicaid |
$223.39
|
| Rate for Payer: PHP Medicare Advantage |
$416.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$619.08
|
| Rate for Payer: Priority Health Medicare |
$416.78
|
| Rate for Payer: Priority Health Narrow Network |
$495.29
|
| Rate for Payer: Railroad Medicare Medicare |
$416.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$621.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$416.78
|
| Rate for Payer: UHC Exchange |
$646.01
|
| Rate for Payer: UHC Medicaid |
$217.98
|
| Rate for Payer: UHCCP DNSP |
$416.78
|
| Rate for Payer: UHCCP Medicaid |
$217.98
|
| Rate for Payer: VA VA |
$416.78
|
|
|
HC ZB002 CX ID GI PANEL 12-25 TARGETS
|
Facility
|
IP
|
$706.55
|
|
|
Service Code
|
CPT 87507
|
| Hospital Charge Code |
30600280
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$529.91 |
| Max. Negotiated Rate |
$706.55 |
| Rate for Payer: Aetna Commercial |
$635.89
|
| Rate for Payer: ASR ASR |
$685.35
|
| Rate for Payer: BCBS Trust/PPO |
$580.22
|
| Rate for Payer: BCN Commercial |
$580.22
|
| Rate for Payer: Cash Price |
$565.24
|
| Rate for Payer: Cofinity Commercial |
$664.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$565.24
|
| Rate for Payer: Healthscope Commercial |
$685.35
|
| Rate for Payer: Healthscope Whirlpool |
$706.55
|
| Rate for Payer: Mclaren Commercial |
$635.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$600.57
|
| Rate for Payer: Nomi Health Commercial |
$579.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$529.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$621.76
|
|
|
HC ZB5CG RESPIRATORY VIRAL PANEL 12-25 TARGETS
|
Facility
|
OP
|
$635.14
|
|
|
Service Code
|
CPT 87633
|
| Hospital Charge Code |
30600205
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$646.01 |
| Rate for Payer: Aetna Commercial |
$571.63
|
| Rate for Payer: Aetna Medicare |
$416.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$520.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$520.98
|
| Rate for Payer: ASR ASR |
$616.09
|
| Rate for Payer: BCBS Complete |
$228.90
|
| Rate for Payer: BCBS MAPPO |
$416.78
|
| Rate for Payer: BCBS Trust/PPO |
$523.67
|
| Rate for Payer: BCN Commercial |
$523.67
|
| Rate for Payer: BCN Medicare Advantage |
$416.78
|
| Rate for Payer: Cash Price |
$508.11
|
| Rate for Payer: Cash Price |
$508.11
|
| Rate for Payer: Cofinity Commercial |
$597.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.78
|
| Rate for Payer: Healthscope Commercial |
$616.09
|
| Rate for Payer: Healthscope Whirlpool |
$635.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$416.78
|
| Rate for Payer: Mclaren Commercial |
$571.63
|
| Rate for Payer: Mclaren Medicaid |
$416.78
|
| Rate for Payer: Mclaren Medicare |
$416.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.62
|
| Rate for Payer: Meridian Medicaid |
$228.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$479.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$458.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$539.87
|
| Rate for Payer: Nomi Health Commercial |
$520.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$476.36
|
| Rate for Payer: PACE Medicare |
$395.94
|
| Rate for Payer: PACE SWMI |
$416.78
|
| Rate for Payer: PHP Commercial |
$458.46
|
| Rate for Payer: PHP Medicaid |
$223.39
|
| Rate for Payer: PHP Medicare Advantage |
$416.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Medicare |
$416.78
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Railroad Medicare Medicare |
$416.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$558.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$416.78
|
| Rate for Payer: UHC Exchange |
$646.01
|
| Rate for Payer: UHC Medicaid |
$217.98
|
| Rate for Payer: UHCCP DNSP |
$416.78
|
| Rate for Payer: UHCCP Medicaid |
$217.98
|
| Rate for Payer: VA VA |
$416.78
|
|
|
HC ZB5CG RESPIRATORY VIRAL PANEL 12-25 TARGETS
|
Facility
|
IP
|
$635.14
|
|
|
Service Code
|
CPT 87633
|
| Hospital Charge Code |
30600205
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$476.36 |
| Max. Negotiated Rate |
$635.14 |
| Rate for Payer: Aetna Commercial |
$571.63
|
| Rate for Payer: ASR ASR |
$616.09
|
| Rate for Payer: BCBS Trust/PPO |
$521.58
|
| Rate for Payer: BCN Commercial |
$521.58
|
| Rate for Payer: Cash Price |
$508.11
|
| Rate for Payer: Cofinity Commercial |
$597.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.11
|
| Rate for Payer: Healthscope Commercial |
$616.09
|
| Rate for Payer: Healthscope Whirlpool |
$635.14
|
| Rate for Payer: Mclaren Commercial |
$571.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$539.87
|
| Rate for Payer: Nomi Health Commercial |
$520.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$476.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$558.92
|
|
|
HC ZB774 FACTOR II (2) & FACTOR V LEIDEN MUTATION
|
Facility
|
IP
|
$117.60
|
|
|
Service Code
|
CPT 81240
|
| Hospital Charge Code |
30100514
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$88.20 |
| Max. Negotiated Rate |
$117.60 |
| Rate for Payer: Aetna Commercial |
$105.84
|
| Rate for Payer: ASR ASR |
$114.07
|
| Rate for Payer: BCBS Trust/PPO |
$96.57
|
| Rate for Payer: BCN Commercial |
$96.57
|
| Rate for Payer: Cash Price |
$94.08
|
| Rate for Payer: Cofinity Commercial |
$110.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.08
|
| Rate for Payer: Healthscope Commercial |
$114.07
|
| Rate for Payer: Healthscope Whirlpool |
$117.60
|
| Rate for Payer: Mclaren Commercial |
$105.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.96
|
| Rate for Payer: Nomi Health Commercial |
$96.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$103.49
|
|
|
HC ZB774 FACTOR II (2) & FACTOR V LEIDEN MUTATION
|
Facility
|
OP
|
$117.60
|
|
|
Service Code
|
CPT 81240
|
| Hospital Charge Code |
30100514
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$34.36 |
| Max. Negotiated Rate |
$117.60 |
| Rate for Payer: Aetna Commercial |
$105.84
|
| Rate for Payer: Aetna Medicare |
$65.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$82.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$82.11
|
| Rate for Payer: ASR ASR |
$114.07
|
| Rate for Payer: BCBS Complete |
$36.08
|
| Rate for Payer: BCBS MAPPO |
$65.69
|
| Rate for Payer: BCBS Trust/PPO |
$96.96
|
| Rate for Payer: BCN Commercial |
$96.96
|
| Rate for Payer: BCN Medicare Advantage |
$65.69
|
| Rate for Payer: Cash Price |
$94.08
|
| Rate for Payer: Cash Price |
$94.08
|
| Rate for Payer: Cofinity Commercial |
$110.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.69
|
| Rate for Payer: Healthscope Commercial |
$114.07
|
| Rate for Payer: Healthscope Whirlpool |
$117.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$65.69
|
| Rate for Payer: Mclaren Commercial |
$105.84
|
| Rate for Payer: Mclaren Medicaid |
$65.69
|
| Rate for Payer: Mclaren Medicare |
$65.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.97
|
| Rate for Payer: Meridian Medicaid |
$36.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.96
|
| Rate for Payer: Nomi Health Commercial |
$96.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.20
|
| Rate for Payer: PACE Medicare |
$62.41
|
| Rate for Payer: PACE SWMI |
$65.69
|
| Rate for Payer: PHP Commercial |
$72.26
|
| Rate for Payer: PHP Medicaid |
$35.21
|
| Rate for Payer: PHP Medicare Advantage |
$65.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.76
|
| Rate for Payer: Priority Health Medicare |
$65.69
|
| Rate for Payer: Priority Health Narrow Network |
$46.21
|
| Rate for Payer: Railroad Medicare Medicare |
$65.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$103.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.69
|
| Rate for Payer: UHC Exchange |
$101.82
|
| Rate for Payer: UHC Medicaid |
$34.36
|
| Rate for Payer: UHCCP DNSP |
$65.69
|
| Rate for Payer: UHCCP Medicaid |
$34.36
|
| Rate for Payer: VA VA |
$65.69
|
|
|
HC ZB774 FACTOR II (2) & FACTOR V LEIDEN MUTATION CMPT
|
Facility
|
IP
|
$131.35
|
|
|
Service Code
|
CPT 81241
|
| Hospital Charge Code |
30100515
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$98.51 |
| Max. Negotiated Rate |
$131.35 |
| Rate for Payer: Aetna Commercial |
$118.22
|
| Rate for Payer: ASR ASR |
$127.41
|
| Rate for Payer: BCBS Trust/PPO |
$107.86
|
| Rate for Payer: BCN Commercial |
$107.86
|
| Rate for Payer: Cash Price |
$105.08
|
| Rate for Payer: Cofinity Commercial |
$123.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.08
|
| Rate for Payer: Healthscope Commercial |
$127.41
|
| Rate for Payer: Healthscope Whirlpool |
$131.35
|
| Rate for Payer: Mclaren Commercial |
$118.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.65
|
| Rate for Payer: Nomi Health Commercial |
$107.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$115.59
|
|
|
HC ZB774 FACTOR II (2) & FACTOR V LEIDEN MUTATION CMPT
|
Facility
|
OP
|
$131.35
|
|
|
Service Code
|
CPT 81241
|
| Hospital Charge Code |
30100515
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.37 |
| Max. Negotiated Rate |
$131.35 |
| Rate for Payer: Aetna Commercial |
$118.22
|
| Rate for Payer: Aetna Medicare |
$73.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$91.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$91.71
|
| Rate for Payer: ASR ASR |
$127.41
|
| Rate for Payer: BCBS Complete |
$40.29
|
| Rate for Payer: BCBS MAPPO |
$73.37
|
| Rate for Payer: BCBS Trust/PPO |
$108.30
|
| Rate for Payer: BCN Commercial |
$108.30
|
| Rate for Payer: BCN Medicare Advantage |
$73.37
|
| Rate for Payer: Cash Price |
$105.08
|
| Rate for Payer: Cash Price |
$105.08
|
| Rate for Payer: Cofinity Commercial |
$123.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.37
|
| Rate for Payer: Healthscope Commercial |
$127.41
|
| Rate for Payer: Healthscope Whirlpool |
$131.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$73.37
|
| Rate for Payer: Mclaren Commercial |
$118.22
|
| Rate for Payer: Mclaren Medicaid |
$73.37
|
| Rate for Payer: Mclaren Medicare |
$73.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.04
|
| Rate for Payer: Meridian Medicaid |
$40.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$80.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.65
|
| Rate for Payer: Nomi Health Commercial |
$107.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.51
|
| Rate for Payer: PACE Medicare |
$69.70
|
| Rate for Payer: PACE SWMI |
$73.37
|
| Rate for Payer: PHP Commercial |
$80.71
|
| Rate for Payer: PHP Medicaid |
$39.33
|
| Rate for Payer: PHP Medicare Advantage |
$73.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$52.47
|
| Rate for Payer: Priority Health Medicare |
$73.37
|
| Rate for Payer: Priority Health Narrow Network |
$41.97
|
| Rate for Payer: Railroad Medicare Medicare |
$73.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$115.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$73.37
|
| Rate for Payer: UHC Exchange |
$113.72
|
| Rate for Payer: UHC Medicaid |
$38.37
|
| Rate for Payer: UHCCP DNSP |
$73.37
|
| Rate for Payer: UHCCP Medicaid |
$38.37
|
| Rate for Payer: VA VA |
$73.37
|
|
|
HC Z EMBOLIZATION COILS
|
Facility
|
OP
|
$4,179.85
|
|
| Hospital Charge Code |
27800045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,546.54 |
| Max. Negotiated Rate |
$4,179.85 |
| Rate for Payer: Aetna Commercial |
$3,761.86
|
| Rate for Payer: Aetna Medicare |
$1,546.54
|
| Rate for Payer: ASR ASR |
$4,054.45
|
| Rate for Payer: BCBS Complete |
$1,671.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,446.29
|
| Rate for Payer: BCN Commercial |
$3,446.29
|
| Rate for Payer: Cash Price |
$3,343.88
|
| Rate for Payer: Cofinity Commercial |
$3,929.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,343.88
|
| Rate for Payer: Healthscope Commercial |
$4,054.45
|
| Rate for Payer: Healthscope Whirlpool |
$4,179.85
|
| Rate for Payer: Mclaren Commercial |
$3,761.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,343.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,552.87
|
| Rate for Payer: Nomi Health Commercial |
$3,427.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,134.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,662.38
|
| Rate for Payer: Priority Health Narrow Network |
$2,930.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,678.27
|
|
|
HC Z EMBOLIZATION COILS
|
Facility
|
IP
|
$4,179.85
|
|
| Hospital Charge Code |
27800045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,134.89 |
| Max. Negotiated Rate |
$4,179.85 |
| Rate for Payer: Aetna Commercial |
$3,761.86
|
| Rate for Payer: ASR ASR |
$4,054.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,432.49
|
| Rate for Payer: BCN Commercial |
$3,432.49
|
| Rate for Payer: Cash Price |
$3,343.88
|
| Rate for Payer: Cofinity Commercial |
$3,929.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,343.88
|
| Rate for Payer: Healthscope Commercial |
$4,054.45
|
| Rate for Payer: Healthscope Whirlpool |
$4,179.85
|
| Rate for Payer: Mclaren Commercial |
$3,761.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,552.87
|
| Rate for Payer: Nomi Health Commercial |
$3,427.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,134.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,678.27
|
|
|
HC Z ENTERPRISE DEVICE
|
Facility
|
OP
|
$7,846.08
|
|
| Hospital Charge Code |
27800047
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,903.05 |
| Max. Negotiated Rate |
$7,846.08 |
| Rate for Payer: Aetna Commercial |
$7,061.47
|
| Rate for Payer: Aetna Medicare |
$2,903.05
|
| Rate for Payer: ASR ASR |
$7,610.70
|
| Rate for Payer: BCBS Complete |
$3,138.43
|
| Rate for Payer: BCBS Trust/PPO |
$6,469.09
|
| Rate for Payer: BCN Commercial |
$6,469.09
|
| Rate for Payer: Cash Price |
$6,276.86
|
| Rate for Payer: Cofinity Commercial |
$7,375.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,276.86
|
| Rate for Payer: Healthscope Commercial |
$7,610.70
|
| Rate for Payer: Healthscope Whirlpool |
$7,846.08
|
| Rate for Payer: Mclaren Commercial |
$7,061.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,276.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,669.17
|
| Rate for Payer: Nomi Health Commercial |
$6,433.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,884.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,874.74
|
| Rate for Payer: Priority Health Narrow Network |
$5,500.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,904.55
|
|
