|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Facility
|
IP
|
$580.00
|
|
|
Service Code
|
CPT 93315
|
| Hospital Charge Code |
93315
|
| Min. Negotiated Rate |
$406.00 |
| Max. Negotiated Rate |
$580.00 |
| Rate for Payer: Aetna Commercial |
$522.00
|
| Rate for Payer: ASR ASR |
$562.60
|
| Rate for Payer: BCBS Trust/PPO |
$449.67
|
| Rate for Payer: BCN Commercial |
$449.67
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cofinity Commercial |
$545.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$464.00
|
| Rate for Payer: Healthscope Commercial |
$580.00
|
| Rate for Payer: Healthscope Whirlpool |
$562.60
|
| Rate for Payer: Mclaren Commercial |
$522.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$493.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$510.40
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 93316
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$1,443.32 |
| Rate for Payer: Aetna Commercial |
$33.75
|
| Rate for Payer: Aetna Medicare |
$25.19
|
| Rate for Payer: BCBS Complete |
$17.00
|
| Rate for Payer: BCBS MAPPO |
$25.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,443.32
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: BCN Medicare Advantage |
$25.19
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$36.27
|
| Rate for Payer: Cofinity Commercial |
$33.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.19
|
| Rate for Payer: Healthscope Commercial |
$30.23
|
| Rate for Payer: Healthscope Whirlpool |
$30.23
|
| Rate for Payer: Meridian Medicaid |
$17.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.45
|
| Rate for Payer: PACE SWMI |
$25.19
|
| Rate for Payer: PHP Medicare Advantage |
$25.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$103.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.47
|
| Rate for Payer: Priority Health Medicare |
$25.19
|
| Rate for Payer: Priority Health Narrow Network |
$35.47
|
| Rate for Payer: UHC Medicare Advantage |
$25.95
|
|
|
PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT
|
Facility
|
IP
|
$114.00
|
|
|
Service Code
|
CPT 93317
|
| Hospital Charge Code |
93317
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$79.80 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$102.60
|
| Rate for Payer: ASR ASR |
$110.58
|
| Rate for Payer: BCBS Trust/PPO |
$88.38
|
| Rate for Payer: BCN Commercial |
$88.38
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$107.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$114.00
|
| Rate for Payer: Healthscope Whirlpool |
$110.58
|
| Rate for Payer: Mclaren Commercial |
$102.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$100.32
|
|
|
PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT
|
Facility
|
OP
|
$114.00
|
|
|
Service Code
|
CPT 93317
|
| Hospital Charge Code |
93317
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$45.60 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$102.60
|
| Rate for Payer: ASR ASR |
$110.58
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: BCBS Trust/PPO |
$88.38
|
| Rate for Payer: BCN Commercial |
$88.38
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$107.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.20
|
| Rate for Payer: Healthscope Commercial |
$114.00
|
| Rate for Payer: Healthscope Whirlpool |
$110.58
|
| Rate for Payer: Mclaren Commercial |
$102.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$96.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.74
|
| Rate for Payer: Priority Health Narrow Network |
$80.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$100.32
|
|
|
PR ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ
|
Professional
|
Both
|
$454.00
|
|
|
Service Code
|
HCPCS 93318
|
| Min. Negotiated Rate |
$181.60 |
| Max. Negotiated Rate |
$2,220.97 |
| Rate for Payer: Aetna Commercial |
$630.42
|
| Rate for Payer: BCBS Complete |
$181.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,220.97
|
| Rate for Payer: BCN Commercial |
$611.51
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$317.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.78
|
| Rate for Payer: Priority Health Narrow Network |
$282.78
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Professional
|
Both
|
$544.00
|
|
|
Service Code
|
HCPCS 93312
|
| Min. Negotiated Rate |
$217.60 |
| Max. Negotiated Rate |
$1,669.96 |
| Rate for Payer: Aetna Commercial |
$302.10
|
| Rate for Payer: Aetna Medicare |
$225.45
|
| Rate for Payer: BCBS Complete |
$217.60
|
| Rate for Payer: BCBS MAPPO |
$225.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,669.96
|
| Rate for Payer: BCN Commercial |
$345.01
|
| Rate for Payer: BCN Medicare Advantage |
$225.45
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cofinity Commercial |
$324.65
|
| Rate for Payer: Cofinity Commercial |
$302.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.45
|
| Rate for Payer: Healthscope Commercial |
$270.54
|
| Rate for Payer: Healthscope Whirlpool |
$270.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.72
|
| Rate for Payer: PACE SWMI |
$225.45
|
| Rate for Payer: PHP Medicare Advantage |
$225.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$380.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$333.84
|
| Rate for Payer: Priority Health Medicare |
$225.45
|
| Rate for Payer: Priority Health Narrow Network |
$333.84
|
| Rate for Payer: UHC Medicare Advantage |
$232.21
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Facility
|
OP
|
$544.00
|
|
|
Service Code
|
CPT 93312
|
| Hospital Charge Code |
93312
|
| Min. Negotiated Rate |
$268.23 |
| Max. Negotiated Rate |
$612.96 |
| Rate for Payer: Aetna Commercial |
$489.60
|
| Rate for Payer: Aetna Medicare |
$490.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$612.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$612.96
|
| Rate for Payer: ASR ASR |
$527.68
|
| Rate for Payer: BCBS Complete |
$281.67
|
| Rate for Payer: BCBS MAPPO |
$490.37
|
| Rate for Payer: BCBS Trust/PPO |
$421.76
|
| Rate for Payer: BCN Commercial |
$421.76
|
| Rate for Payer: BCN Medicare Advantage |
$490.37
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cofinity Commercial |
$511.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$435.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$490.37
|
| Rate for Payer: Healthscope Commercial |
$544.00
|
| Rate for Payer: Healthscope Whirlpool |
$527.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$490.37
|
| Rate for Payer: Mclaren Commercial |
$489.60
|
| Rate for Payer: Mclaren Medicaid |
$268.23
|
| Rate for Payer: Mclaren Medicare |
$490.37
|
| Rate for Payer: Meridian Medicaid |
$281.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$514.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$563.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$462.40
|
| Rate for Payer: PACE Medicare |
$465.85
|
| Rate for Payer: PACE SWMI |
$490.37
|
| Rate for Payer: PHP Commercial |
$539.41
|
| Rate for Payer: PHP Medicaid |
$268.23
|
| Rate for Payer: PHP Medicare Advantage |
$490.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$380.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$495.04
|
| Rate for Payer: Priority Health Medicare |
$490.37
|
| Rate for Payer: Priority Health Narrow Network |
$386.24
|
| Rate for Payer: Railroad Medicare Medicare |
$490.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$478.72
|
| Rate for Payer: UHC Medicare Advantage |
$505.08
|
| Rate for Payer: VA VA |
$490.37
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Professional
|
Both
|
$544.00
|
|
|
Service Code
|
HCPCS 93312
|
| Hospital Charge Code |
93312
|
| Min. Negotiated Rate |
$217.60 |
| Max. Negotiated Rate |
$1,669.96 |
| Rate for Payer: Aetna Commercial |
$302.10
|
| Rate for Payer: Aetna Medicare |
$225.45
|
| Rate for Payer: BCBS Complete |
$217.60
|
| Rate for Payer: BCBS MAPPO |
$225.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,669.96
|
| Rate for Payer: BCN Commercial |
$345.01
|
| Rate for Payer: BCN Medicare Advantage |
$225.45
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cofinity Commercial |
$302.10
|
| Rate for Payer: Cofinity Commercial |
$324.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.45
|
| Rate for Payer: Healthscope Commercial |
$270.54
|
| Rate for Payer: Healthscope Whirlpool |
$270.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.72
|
| Rate for Payer: PACE SWMI |
$225.45
|
| Rate for Payer: PHP Medicare Advantage |
$225.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$380.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$333.84
|
| Rate for Payer: Priority Health Medicare |
$225.45
|
| Rate for Payer: Priority Health Narrow Network |
$333.84
|
| Rate for Payer: UHC Medicare Advantage |
$232.21
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Facility
|
IP
|
$544.00
|
|
|
Service Code
|
CPT 93312
|
| Hospital Charge Code |
93312
|
| Min. Negotiated Rate |
$380.80 |
| Max. Negotiated Rate |
$544.00 |
| Rate for Payer: Aetna Commercial |
$489.60
|
| Rate for Payer: ASR ASR |
$527.68
|
| Rate for Payer: BCBS Trust/PPO |
$421.76
|
| Rate for Payer: BCN Commercial |
$421.76
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cofinity Commercial |
$511.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$435.20
|
| Rate for Payer: Healthscope Commercial |
$544.00
|
| Rate for Payer: Healthscope Whirlpool |
$527.68
|
| Rate for Payer: Mclaren Commercial |
$489.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$462.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$380.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$478.72
|
|
|
PR ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP
|
Professional
|
Both
|
$482.00
|
|
|
Service Code
|
HCPCS 93307
|
| Min. Negotiated Rate |
$129.37 |
| Max. Negotiated Rate |
$1,789.88 |
| Rate for Payer: Aetna Commercial |
$173.36
|
| Rate for Payer: Aetna Commercial |
$173.36
|
| Rate for Payer: Aetna Medicare |
$129.37
|
| Rate for Payer: Aetna Medicare |
$129.37
|
| Rate for Payer: BCBS Complete |
$132.80
|
| Rate for Payer: BCBS Complete |
$192.80
|
| Rate for Payer: BCBS MAPPO |
$129.37
|
| Rate for Payer: BCBS MAPPO |
$129.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
| Rate for Payer: BCN Commercial |
$199.86
|
| Rate for Payer: BCN Commercial |
$199.86
|
| Rate for Payer: BCN Medicare Advantage |
$129.37
|
| Rate for Payer: BCN Medicare Advantage |
$129.37
|
| Rate for Payer: Cash Price |
$385.60
|
| Rate for Payer: Cash Price |
$385.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cofinity Commercial |
$186.29
|
| Rate for Payer: Cofinity Commercial |
$173.36
|
| Rate for Payer: Cofinity Commercial |
$186.29
|
| Rate for Payer: Cofinity Commercial |
$173.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.37
|
| Rate for Payer: Healthscope Commercial |
$155.24
|
| Rate for Payer: Healthscope Commercial |
$155.24
|
| Rate for Payer: Healthscope Whirlpool |
$155.24
|
| Rate for Payer: Healthscope Whirlpool |
$155.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$135.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$135.84
|
| Rate for Payer: PACE SWMI |
$129.37
|
| Rate for Payer: PACE SWMI |
$129.37
|
| Rate for Payer: PHP Medicare Advantage |
$129.37
|
| Rate for Payer: PHP Medicare Advantage |
$129.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$337.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.40
|
| Rate for Payer: Priority Health Medicare |
$129.37
|
| Rate for Payer: Priority Health Medicare |
$129.37
|
| Rate for Payer: Priority Health Narrow Network |
$193.40
|
| Rate for Payer: Priority Health Narrow Network |
$193.40
|
| Rate for Payer: UHC Medicare Advantage |
$133.25
|
| Rate for Payer: UHC Medicare Advantage |
$133.25
|
|
|
PR ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD
|
Professional
|
Both
|
$174.00
|
|
|
Service Code
|
HCPCS 93308
|
| Min. Negotiated Rate |
$69.60 |
| Max. Negotiated Rate |
$1,789.88 |
| Rate for Payer: Aetna Commercial |
$124.06
|
| Rate for Payer: Aetna Commercial |
$124.06
|
| Rate for Payer: Aetna Medicare |
$92.58
|
| Rate for Payer: Aetna Medicare |
$92.58
|
| Rate for Payer: BCBS Complete |
$113.60
|
| Rate for Payer: BCBS Complete |
$69.60
|
| Rate for Payer: BCBS MAPPO |
$92.58
|
| Rate for Payer: BCBS MAPPO |
$92.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
| Rate for Payer: BCN Commercial |
$143.67
|
| Rate for Payer: BCN Commercial |
$143.67
|
| Rate for Payer: BCN Medicare Advantage |
$92.58
|
| Rate for Payer: BCN Medicare Advantage |
$92.58
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cash Price |
$227.20
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cash Price |
$227.20
|
| Rate for Payer: Cofinity Commercial |
$133.32
|
| Rate for Payer: Cofinity Commercial |
$133.32
|
| Rate for Payer: Cofinity Commercial |
$124.06
|
| Rate for Payer: Cofinity Commercial |
$124.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.58
|
| Rate for Payer: Healthscope Commercial |
$111.10
|
| Rate for Payer: Healthscope Commercial |
$111.10
|
| Rate for Payer: Healthscope Whirlpool |
$111.10
|
| Rate for Payer: Healthscope Whirlpool |
$111.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$97.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$97.21
|
| Rate for Payer: PACE SWMI |
$92.58
|
| Rate for Payer: PACE SWMI |
$92.58
|
| Rate for Payer: PHP Medicare Advantage |
$92.58
|
| Rate for Payer: PHP Medicare Advantage |
$92.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$139.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$139.03
|
| Rate for Payer: Priority Health Medicare |
$92.58
|
| Rate for Payer: Priority Health Medicare |
$92.58
|
| Rate for Payer: Priority Health Narrow Network |
$139.03
|
| Rate for Payer: Priority Health Narrow Network |
$139.03
|
| Rate for Payer: UHC Medicare Advantage |
$95.36
|
| Rate for Payer: UHC Medicare Advantage |
$95.36
|
|
|
PR ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST
|
Professional
|
Both
|
$443.00
|
|
|
Service Code
|
HCPCS 93350
|
| Min. Negotiated Rate |
$175.77 |
| Max. Negotiated Rate |
$1,950.48 |
| Rate for Payer: Aetna Commercial |
$235.53
|
| Rate for Payer: Aetna Commercial |
$235.53
|
| Rate for Payer: Aetna Medicare |
$175.77
|
| Rate for Payer: Aetna Medicare |
$175.77
|
| Rate for Payer: BCBS Complete |
$177.20
|
| Rate for Payer: BCBS Complete |
$58.00
|
| Rate for Payer: BCBS MAPPO |
$175.77
|
| Rate for Payer: BCBS MAPPO |
$175.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,950.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,950.48
|
| Rate for Payer: BCN Commercial |
$270.73
|
| Rate for Payer: BCN Commercial |
$270.73
|
| Rate for Payer: BCN Medicare Advantage |
$175.77
|
| Rate for Payer: BCN Medicare Advantage |
$175.77
|
| Rate for Payer: Cash Price |
$116.00
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cash Price |
$116.00
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cofinity Commercial |
$235.53
|
| Rate for Payer: Cofinity Commercial |
$235.53
|
| Rate for Payer: Cofinity Commercial |
$253.11
|
| Rate for Payer: Cofinity Commercial |
$253.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.77
|
| Rate for Payer: Healthscope Commercial |
$210.92
|
| Rate for Payer: Healthscope Commercial |
$210.92
|
| Rate for Payer: Healthscope Whirlpool |
$210.92
|
| Rate for Payer: Healthscope Whirlpool |
$210.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.56
|
| Rate for Payer: PACE SWMI |
$175.77
|
| Rate for Payer: PACE SWMI |
$175.77
|
| Rate for Payer: PHP Medicare Advantage |
$175.77
|
| Rate for Payer: PHP Medicare Advantage |
$175.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$261.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$261.98
|
| Rate for Payer: Priority Health Medicare |
$175.77
|
| Rate for Payer: Priority Health Medicare |
$175.77
|
| Rate for Payer: Priority Health Narrow Network |
$261.98
|
| Rate for Payer: Priority Health Narrow Network |
$261.98
|
| Rate for Payer: UHC Medicare Advantage |
$181.04
|
| Rate for Payer: UHC Medicare Advantage |
$181.04
|
|
|
PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D
|
Professional
|
Both
|
$265.00
|
|
|
Service Code
|
HCPCS 93306
|
| Min. Negotiated Rate |
$106.00 |
| Max. Negotiated Rate |
$1,092.00 |
| Rate for Payer: Aetna Commercial |
$248.92
|
| Rate for Payer: Aetna Commercial |
$248.92
|
| Rate for Payer: Aetna Medicare |
$185.76
|
| Rate for Payer: Aetna Medicare |
$185.76
|
| Rate for Payer: BCBS Complete |
$106.00
|
| Rate for Payer: BCBS Complete |
$392.00
|
| Rate for Payer: BCBS MAPPO |
$185.76
|
| Rate for Payer: BCBS MAPPO |
$185.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,092.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,092.00
|
| Rate for Payer: BCN Commercial |
$286.36
|
| Rate for Payer: BCN Commercial |
$286.36
|
| Rate for Payer: BCN Medicare Advantage |
$185.76
|
| Rate for Payer: BCN Medicare Advantage |
$185.76
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cash Price |
$784.00
|
| Rate for Payer: Cash Price |
$784.00
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cofinity Commercial |
$267.49
|
| Rate for Payer: Cofinity Commercial |
$248.92
|
| Rate for Payer: Cofinity Commercial |
$267.49
|
| Rate for Payer: Cofinity Commercial |
$248.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.76
|
| Rate for Payer: Healthscope Commercial |
$222.91
|
| Rate for Payer: Healthscope Commercial |
$222.91
|
| Rate for Payer: Healthscope Whirlpool |
$222.91
|
| Rate for Payer: Healthscope Whirlpool |
$222.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$195.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$195.05
|
| Rate for Payer: PACE SWMI |
$185.76
|
| Rate for Payer: PACE SWMI |
$185.76
|
| Rate for Payer: PHP Medicare Advantage |
$185.76
|
| Rate for Payer: PHP Medicare Advantage |
$185.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$185.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$686.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.10
|
| Rate for Payer: Priority Health Medicare |
$185.76
|
| Rate for Payer: Priority Health Medicare |
$185.76
|
| Rate for Payer: Priority Health Narrow Network |
$277.10
|
| Rate for Payer: Priority Health Narrow Network |
$277.10
|
| Rate for Payer: UHC Medicare Advantage |
$191.33
|
| Rate for Payer: UHC Medicare Advantage |
$191.33
|
|
|
PR ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL
|
Professional
|
Both
|
$776.00
|
|
|
Service Code
|
HCPCS 33949
|
| Min. Negotiated Rate |
$145.05 |
| Max. Negotiated Rate |
$1,551.62 |
| Rate for Payer: Aetna Commercial |
$303.44
|
| Rate for Payer: Aetna Medicare |
$226.45
|
| Rate for Payer: BCBS Complete |
$152.30
|
| Rate for Payer: BCBS MAPPO |
$226.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,551.62
|
| Rate for Payer: BCN Commercial |
$329.86
|
| Rate for Payer: BCN Medicare Advantage |
$226.45
|
| Rate for Payer: Cash Price |
$620.80
|
| Rate for Payer: Cash Price |
$620.80
|
| Rate for Payer: Cofinity Commercial |
$303.44
|
| Rate for Payer: Cofinity Commercial |
$326.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.45
|
| Rate for Payer: Healthscope Commercial |
$271.74
|
| Rate for Payer: Healthscope Whirlpool |
$271.74
|
| Rate for Payer: Meridian Medicaid |
$152.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$237.77
|
| Rate for Payer: PACE SWMI |
$226.45
|
| Rate for Payer: PHP Medicare Advantage |
$226.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$543.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$359.07
|
| Rate for Payer: Priority Health Medicare |
$226.45
|
| Rate for Payer: Priority Health Narrow Network |
$359.07
|
| Rate for Payer: UHC Medicare Advantage |
$233.24
|
|
|
PR ECMO/ECLS INITIATION VENO-ARTERIAL
|
Professional
|
Both
|
$1,030.00
|
|
|
Service Code
|
HCPCS 33947
|
| Min. Negotiated Rate |
$213.85 |
| Max. Negotiated Rate |
$1,408.45 |
| Rate for Payer: Aetna Commercial |
$451.30
|
| Rate for Payer: Aetna Medicare |
$336.79
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$336.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,408.45
|
| Rate for Payer: BCN Commercial |
$489.17
|
| Rate for Payer: BCN Medicare Advantage |
$336.79
|
| Rate for Payer: Cash Price |
$824.00
|
| Rate for Payer: Cash Price |
$824.00
|
| Rate for Payer: Cofinity Commercial |
$451.30
|
| Rate for Payer: Cofinity Commercial |
$484.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$336.79
|
| Rate for Payer: Healthscope Commercial |
$404.15
|
| Rate for Payer: Healthscope Whirlpool |
$404.15
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$353.63
|
| Rate for Payer: PACE SWMI |
$336.79
|
| Rate for Payer: PHP Medicare Advantage |
$336.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$721.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$532.49
|
| Rate for Payer: Priority Health Medicare |
$336.79
|
| Rate for Payer: Priority Health Narrow Network |
$532.49
|
| Rate for Payer: UHC Medicare Advantage |
$346.89
|
|
|
PR ECMO/ECLS INITIATION VENO-VENOUS
|
Professional
|
Both
|
$466.00
|
|
|
Service Code
|
HCPCS 33946
|
| Min. Negotiated Rate |
$193.19 |
| Max. Negotiated Rate |
$1,643.01 |
| Rate for Payer: Aetna Commercial |
$407.91
|
| Rate for Payer: Aetna Medicare |
$304.41
|
| Rate for Payer: BCBS Complete |
$202.85
|
| Rate for Payer: BCBS MAPPO |
$304.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,643.01
|
| Rate for Payer: BCN Commercial |
$442.25
|
| Rate for Payer: BCN Medicare Advantage |
$304.41
|
| Rate for Payer: Cash Price |
$372.80
|
| Rate for Payer: Cash Price |
$372.80
|
| Rate for Payer: Cofinity Commercial |
$407.91
|
| Rate for Payer: Cofinity Commercial |
$438.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$304.41
|
| Rate for Payer: Healthscope Commercial |
$365.29
|
| Rate for Payer: Healthscope Whirlpool |
$365.29
|
| Rate for Payer: Meridian Medicaid |
$202.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$319.63
|
| Rate for Payer: PACE SWMI |
$304.41
|
| Rate for Payer: PHP Medicare Advantage |
$304.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$326.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$481.42
|
| Rate for Payer: Priority Health Medicare |
$304.41
|
| Rate for Payer: Priority Health Narrow Network |
$481.42
|
| Rate for Payer: UHC Medicare Advantage |
$313.54
|
|
|
PR ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER
|
Professional
|
Both
|
$2,556.00
|
|
|
Service Code
|
HCPCS 33956
|
| Min. Negotiated Rate |
$521.00 |
| Max. Negotiated Rate |
$3,231.61 |
| Rate for Payer: Aetna Commercial |
$1,102.12
|
| Rate for Payer: Aetna Medicare |
$822.48
|
| Rate for Payer: BCBS Complete |
$547.05
|
| Rate for Payer: BCBS MAPPO |
$822.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,231.61
|
| Rate for Payer: BCN Commercial |
$1,192.37
|
| Rate for Payer: BCN Medicare Advantage |
$822.48
|
| Rate for Payer: Cash Price |
$2,044.80
|
| Rate for Payer: Cash Price |
$2,044.80
|
| Rate for Payer: Cofinity Commercial |
$1,184.37
|
| Rate for Payer: Cofinity Commercial |
$1,102.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.48
|
| Rate for Payer: Healthscope Commercial |
$986.98
|
| Rate for Payer: Healthscope Whirlpool |
$986.98
|
| Rate for Payer: Meridian Medicaid |
$547.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$863.60
|
| Rate for Payer: PACE SWMI |
$822.48
|
| Rate for Payer: PHP Medicare Advantage |
$822.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$521.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,789.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,297.98
|
| Rate for Payer: Priority Health Medicare |
$822.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,297.98
|
| Rate for Payer: UHC Medicare Advantage |
$847.15
|
|
|
PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 33952
|
| Min. Negotiated Rate |
$266.25 |
| Max. Negotiated Rate |
$3,277.57 |
| Rate for Payer: Aetna Commercial |
$562.61
|
| Rate for Payer: Aetna Medicare |
$419.86
|
| Rate for Payer: BCBS Complete |
$279.56
|
| Rate for Payer: BCBS MAPPO |
$419.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,277.57
|
| Rate for Payer: BCN Commercial |
$609.87
|
| Rate for Payer: BCN Medicare Advantage |
$419.86
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cofinity Commercial |
$604.60
|
| Rate for Payer: Cofinity Commercial |
$562.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$419.86
|
| Rate for Payer: Healthscope Commercial |
$503.83
|
| Rate for Payer: Healthscope Whirlpool |
$503.83
|
| Rate for Payer: Meridian Medicaid |
$279.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$440.85
|
| Rate for Payer: PACE SWMI |
$419.86
|
| Rate for Payer: PHP Medicare Advantage |
$419.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$663.88
|
| Rate for Payer: Priority Health Medicare |
$419.86
|
| Rate for Payer: Priority Health Narrow Network |
$663.88
|
| Rate for Payer: UHC Medicare Advantage |
$432.46
|
|
|
PR ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 33953
|
| Min. Negotiated Rate |
$292.88 |
| Max. Negotiated Rate |
$3,959.61 |
| Rate for Payer: Aetna Commercial |
$621.80
|
| Rate for Payer: Aetna Medicare |
$464.03
|
| Rate for Payer: BCBS Complete |
$307.52
|
| Rate for Payer: BCBS MAPPO |
$464.03
|
| Rate for Payer: BCBS Trust/PPO |
$3,959.61
|
| Rate for Payer: BCN Commercial |
$672.91
|
| Rate for Payer: BCN Medicare Advantage |
$464.03
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cofinity Commercial |
$621.80
|
| Rate for Payer: Cofinity Commercial |
$668.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.03
|
| Rate for Payer: Healthscope Commercial |
$556.84
|
| Rate for Payer: Healthscope Whirlpool |
$556.84
|
| Rate for Payer: Meridian Medicaid |
$307.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$487.23
|
| Rate for Payer: PACE SWMI |
$464.03
|
| Rate for Payer: PHP Medicare Advantage |
$464.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$732.51
|
| Rate for Payer: Priority Health Medicare |
$464.03
|
| Rate for Payer: Priority Health Narrow Network |
$732.51
|
| Rate for Payer: UHC Medicare Advantage |
$477.95
|
|
|
PR ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER
|
Professional
|
Both
|
$1,078.00
|
|
|
Service Code
|
HCPCS 33986
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$813.37 |
| Rate for Payer: Aetna Commercial |
$690.30
|
| Rate for Payer: Aetna Medicare |
$515.15
|
| Rate for Payer: BCBS Complete |
$342.64
|
| Rate for Payer: BCBS MAPPO |
$515.15
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$747.19
|
| Rate for Payer: BCN Medicare Advantage |
$515.15
|
| Rate for Payer: Cash Price |
$862.40
|
| Rate for Payer: Cash Price |
$862.40
|
| Rate for Payer: Cofinity Commercial |
$741.82
|
| Rate for Payer: Cofinity Commercial |
$690.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$515.15
|
| Rate for Payer: Healthscope Commercial |
$618.18
|
| Rate for Payer: Healthscope Whirlpool |
$618.18
|
| Rate for Payer: Meridian Medicaid |
$342.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$540.91
|
| Rate for Payer: PACE SWMI |
$515.15
|
| Rate for Payer: PHP Medicare Advantage |
$515.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$813.37
|
| Rate for Payer: Priority Health Medicare |
$515.15
|
| Rate for Payer: Priority Health Narrow Network |
$813.37
|
| Rate for Payer: UHC Medicare Advantage |
$530.60
|
|
|
PR ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS
|
Professional
|
Both
|
$225.00
|
|
|
Service Code
|
HCPCS 95836
|
| Min. Negotiated Rate |
$66.67 |
| Max. Negotiated Rate |
$658.26 |
| Rate for Payer: Aetna Commercial |
$138.42
|
| Rate for Payer: Aetna Medicare |
$103.30
|
| Rate for Payer: BCBS Complete |
$70.00
|
| Rate for Payer: BCBS MAPPO |
$103.30
|
| Rate for Payer: BCBS Trust/PPO |
$658.26
|
| Rate for Payer: BCN Commercial |
$152.47
|
| Rate for Payer: BCN Medicare Advantage |
$103.30
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cofinity Commercial |
$148.75
|
| Rate for Payer: Cofinity Commercial |
$138.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.30
|
| Rate for Payer: Healthscope Commercial |
$123.96
|
| Rate for Payer: Healthscope Whirlpool |
$123.96
|
| Rate for Payer: Meridian Medicaid |
$70.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.46
|
| Rate for Payer: PACE SWMI |
$103.30
|
| Rate for Payer: PHP Medicare Advantage |
$103.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$140.14
|
| Rate for Payer: Priority Health Medicare |
$103.30
|
| Rate for Payer: Priority Health Narrow Network |
$140.14
|
| Rate for Payer: UHC Medicare Advantage |
$106.40
|
|
|
PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM
|
Professional
|
Both
|
$978.00
|
|
|
Service Code
|
HCPCS 43259
|
| Min. Negotiated Rate |
$141.65 |
| Max. Negotiated Rate |
$946.19 |
| Rate for Payer: Aetna Commercial |
$292.64
|
| Rate for Payer: Aetna Medicare |
$218.39
|
| Rate for Payer: BCBS Complete |
$148.73
|
| Rate for Payer: BCBS MAPPO |
$218.39
|
| Rate for Payer: BCBS Trust/PPO |
$946.19
|
| Rate for Payer: BCN Commercial |
$322.53
|
| Rate for Payer: BCN Medicare Advantage |
$218.39
|
| Rate for Payer: Cash Price |
$782.40
|
| Rate for Payer: Cash Price |
$782.40
|
| Rate for Payer: Cofinity Commercial |
$292.64
|
| Rate for Payer: Cofinity Commercial |
$314.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.39
|
| Rate for Payer: Healthscope Commercial |
$262.07
|
| Rate for Payer: Healthscope Whirlpool |
$262.07
|
| Rate for Payer: Meridian Medicaid |
$148.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$229.31
|
| Rate for Payer: PACE SWMI |
$218.39
|
| Rate for Payer: PHP Medicare Advantage |
$218.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$141.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$684.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$388.07
|
| Rate for Payer: Priority Health Medicare |
$218.39
|
| Rate for Payer: Priority Health Narrow Network |
$388.07
|
| Rate for Payer: UHC Medicare Advantage |
$224.94
|
|
|
PREDNISOLONE 15 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$5.99
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
11117
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.19 |
| Max. Negotiated Rate |
$5.99 |
| Rate for Payer: Aetna Commercial |
$5.39
|
| Rate for Payer: ASR ASR |
$5.81
|
| Rate for Payer: BCBS Trust/PPO |
$4.64
|
| Rate for Payer: BCN Commercial |
$4.64
|
| Rate for Payer: Cash Price |
$4.79
|
| Rate for Payer: Cofinity Commercial |
$5.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.79
|
| Rate for Payer: Healthscope Commercial |
$5.99
|
| Rate for Payer: Healthscope Whirlpool |
$5.81
|
| Rate for Payer: Mclaren Commercial |
$5.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.27
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$143.22
|
|
|
Service Code
|
NDC 60758-119-05
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$100.25 |
| Max. Negotiated Rate |
$143.22 |
| Rate for Payer: Aetna Commercial |
$128.90
|
| Rate for Payer: ASR ASR |
$138.92
|
| Rate for Payer: BCBS Trust/PPO |
$111.04
|
| Rate for Payer: BCN Commercial |
$111.04
|
| Rate for Payer: Cash Price |
$114.58
|
| Rate for Payer: Cofinity Commercial |
$134.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.58
|
| Rate for Payer: Healthscope Commercial |
$143.22
|
| Rate for Payer: Healthscope Whirlpool |
$138.92
|
| Rate for Payer: Mclaren Commercial |
$128.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$121.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.03
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$100.87
|
|
|
Service Code
|
NDC 61314-637-05
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$70.61 |
| Max. Negotiated Rate |
$100.87 |
| Rate for Payer: Aetna Commercial |
$90.78
|
| Rate for Payer: ASR ASR |
$97.84
|
| Rate for Payer: BCBS Trust/PPO |
$78.20
|
| Rate for Payer: BCN Commercial |
$78.20
|
| Rate for Payer: Cash Price |
$80.70
|
| Rate for Payer: Cofinity Commercial |
$94.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.70
|
| Rate for Payer: Healthscope Commercial |
$100.87
|
| Rate for Payer: Healthscope Whirlpool |
$97.84
|
| Rate for Payer: Mclaren Commercial |
$90.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$85.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$88.77
|
|
