|
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$31,916.61
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$17,559.49 |
| Max. Negotiated Rate |
$31,916.61 |
| Rate for Payer: Aetna Medicare |
$18,483.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,104.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,104.59
|
| Rate for Payer: BCBS MAPPO |
$18,483.67
|
| Rate for Payer: BCN Medicare Advantage |
$18,483.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,483.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,483.67
|
| Rate for Payer: Mclaren Medicare |
$18,483.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,407.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,256.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,332.04
|
| Rate for Payer: PACE Medicare |
$17,559.49
|
| Rate for Payer: PACE SWMI |
$18,483.67
|
| Rate for Payer: PHP Commercial |
$20,332.04
|
| Rate for Payer: PHP Medicare Advantage |
$18,483.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$31,916.61
|
| Rate for Payer: Priority Health Medicare |
$18,483.67
|
| Rate for Payer: Priority Health Narrow Network |
$25,533.29
|
| Rate for Payer: Railroad Medicare Medicare |
$18,483.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,483.67
|
| Rate for Payer: UHC Exchange |
$28,649.69
|
| Rate for Payer: UHCCP DNSP |
$18,483.67
|
| Rate for Payer: VA VA |
$18,483.67
|
|
|
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$17,799.99
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$10,530.18 |
| Max. Negotiated Rate |
$17,799.99 |
| Rate for Payer: Aetna Medicare |
$11,084.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,855.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,855.50
|
| Rate for Payer: BCBS MAPPO |
$11,084.40
|
| Rate for Payer: BCN Medicare Advantage |
$11,084.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,084.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,084.40
|
| Rate for Payer: Mclaren Medicare |
$11,084.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,638.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,747.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,192.84
|
| Rate for Payer: PACE Medicare |
$10,530.18
|
| Rate for Payer: PACE SWMI |
$11,084.40
|
| Rate for Payer: PHP Commercial |
$12,192.84
|
| Rate for Payer: PHP Medicare Advantage |
$11,084.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$17,799.99
|
| Rate for Payer: Priority Health Medicare |
$11,084.40
|
| Rate for Payer: Priority Health Narrow Network |
$14,239.99
|
| Rate for Payer: Railroad Medicare Medicare |
$11,084.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,084.40
|
| Rate for Payer: UHC Exchange |
$17,180.82
|
| Rate for Payer: UHCCP DNSP |
$11,084.40
|
| Rate for Payer: VA VA |
$11,084.40
|
|
|
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
|
Facility
|
OP
|
$8,340.65
|
|
|
Service Code
|
HCPCS J0897
|
| Hospital Charge Code |
106804
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.43 |
| Max. Negotiated Rate |
$8,340.65 |
| Rate for Payer: Aetna Commercial |
$7,506.58
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.89
|
| Rate for Payer: ASR ASR |
$8,090.43
|
| Rate for Payer: BCBS Complete |
$16.21
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS Trust/PPO |
$6,876.86
|
| Rate for Payer: BCN Commercial |
$6,876.86
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: Cash Price |
$6,672.52
|
| Rate for Payer: Cash Price |
$6,672.52
|
| Rate for Payer: Cofinity Commercial |
$7,840.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,672.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Healthscope Commercial |
$8,090.43
|
| Rate for Payer: Healthscope Whirlpool |
$8,340.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$29.51
|
| Rate for Payer: Mclaren Commercial |
$7,506.58
|
| Rate for Payer: Mclaren Medicaid |
$29.51
|
| Rate for Payer: Mclaren Medicare |
$29.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Medicaid |
$16.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,089.55
|
| Rate for Payer: Nomi Health Commercial |
$6,839.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,255.49
|
| Rate for Payer: PACE Medicare |
$28.03
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PHP Commercial |
$32.46
|
| Rate for Payer: PHP Medicaid |
$15.82
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$30.57
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Narrow Network |
$24.46
|
| Rate for Payer: Railroad Medicare Medicare |
$29.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,339.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Exchange |
$45.74
|
| Rate for Payer: UHC Medicaid |
$15.43
|
| Rate for Payer: UHCCP DNSP |
$29.51
|
| Rate for Payer: UHCCP Medicaid |
$15.43
|
| Rate for Payer: VA VA |
$29.51
|
|
|
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
|
Facility
|
IP
|
$8,340.65
|
|
|
Service Code
|
HCPCS J0897
|
| Hospital Charge Code |
106804
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6,255.49 |
| Max. Negotiated Rate |
$8,340.65 |
| Rate for Payer: Aetna Commercial |
$7,506.58
|
| Rate for Payer: ASR ASR |
$8,090.43
|
| Rate for Payer: BCBS Trust/PPO |
$6,849.34
|
| Rate for Payer: BCN Commercial |
$6,849.34
|
| Rate for Payer: Cash Price |
$6,672.52
|
| Rate for Payer: Cofinity Commercial |
$7,840.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,672.52
|
| Rate for Payer: Healthscope Commercial |
$8,090.43
|
| Rate for Payer: Healthscope Whirlpool |
$8,340.65
|
| Rate for Payer: Mclaren Commercial |
$7,506.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,089.55
|
| Rate for Payer: Nomi Health Commercial |
$6,839.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,255.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,339.77
|
|
|
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$5,581.28
|
|
|
Service Code
|
HCPCS J0897
|
| Hospital Charge Code |
105502
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4,185.96 |
| Max. Negotiated Rate |
$5,581.28 |
| Rate for Payer: Aetna Commercial |
$5,023.15
|
| Rate for Payer: Aetna Commercial |
$5,173.34
|
| Rate for Payer: ASR ASR |
$5,413.84
|
| Rate for Payer: ASR ASR |
$5,575.72
|
| Rate for Payer: BCBS Trust/PPO |
$4,583.35
|
| Rate for Payer: BCBS Trust/PPO |
$4,720.39
|
| Rate for Payer: BCN Commercial |
$4,583.35
|
| Rate for Payer: BCN Commercial |
$4,720.39
|
| Rate for Payer: Cash Price |
$4,598.53
|
| Rate for Payer: Cash Price |
$4,465.02
|
| Rate for Payer: Cofinity Commercial |
$5,403.27
|
| Rate for Payer: Cofinity Commercial |
$5,246.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,465.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,598.53
|
| Rate for Payer: Healthscope Commercial |
$5,413.84
|
| Rate for Payer: Healthscope Commercial |
$5,575.72
|
| Rate for Payer: Healthscope Whirlpool |
$5,748.16
|
| Rate for Payer: Healthscope Whirlpool |
$5,581.28
|
| Rate for Payer: Mclaren Commercial |
$5,173.34
|
| Rate for Payer: Mclaren Commercial |
$5,023.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,885.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,744.09
|
| Rate for Payer: Nomi Health Commercial |
$4,713.49
|
| Rate for Payer: Nomi Health Commercial |
$4,576.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,185.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,311.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,058.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,911.53
|
|
|
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$5,581.28
|
|
|
Service Code
|
HCPCS J0897
|
| Hospital Charge Code |
105502
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.43 |
| Max. Negotiated Rate |
$5,581.28 |
| Rate for Payer: Aetna Commercial |
$5,023.15
|
| Rate for Payer: Aetna Commercial |
$5,173.34
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.89
|
| Rate for Payer: ASR ASR |
$5,413.84
|
| Rate for Payer: ASR ASR |
$5,575.72
|
| Rate for Payer: BCBS Complete |
$16.21
|
| Rate for Payer: BCBS Complete |
$16.21
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS Trust/PPO |
$4,739.36
|
| Rate for Payer: BCBS Trust/PPO |
$4,601.77
|
| Rate for Payer: BCN Commercial |
$4,739.36
|
| Rate for Payer: BCN Commercial |
$4,601.77
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: Cash Price |
$4,465.02
|
| Rate for Payer: Cash Price |
$4,465.02
|
| Rate for Payer: Cash Price |
$4,598.53
|
| Rate for Payer: Cash Price |
$4,598.53
|
| Rate for Payer: Cofinity Commercial |
$5,246.40
|
| Rate for Payer: Cofinity Commercial |
$5,403.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,598.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,465.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Healthscope Commercial |
$5,413.84
|
| Rate for Payer: Healthscope Commercial |
$5,575.72
|
| Rate for Payer: Healthscope Whirlpool |
$5,581.28
|
| Rate for Payer: Healthscope Whirlpool |
$5,748.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$29.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$29.51
|
| Rate for Payer: Mclaren Commercial |
$5,173.34
|
| Rate for Payer: Mclaren Commercial |
$5,023.15
|
| Rate for Payer: Mclaren Medicaid |
$29.51
|
| Rate for Payer: Mclaren Medicaid |
$29.51
|
| Rate for Payer: Mclaren Medicare |
$29.51
|
| Rate for Payer: Mclaren Medicare |
$29.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Medicaid |
$16.21
|
| Rate for Payer: Meridian Medicaid |
$16.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,744.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,885.94
|
| Rate for Payer: Nomi Health Commercial |
$4,713.49
|
| Rate for Payer: Nomi Health Commercial |
$4,576.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,185.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,311.12
|
| Rate for Payer: PACE Medicare |
$28.03
|
| Rate for Payer: PACE Medicare |
$28.03
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PHP Commercial |
$32.46
|
| Rate for Payer: PHP Commercial |
$32.46
|
| Rate for Payer: PHP Medicaid |
$15.82
|
| Rate for Payer: PHP Medicaid |
$15.82
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$30.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$30.57
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Narrow Network |
$24.46
|
| Rate for Payer: Priority Health Narrow Network |
$24.46
|
| Rate for Payer: Railroad Medicare Medicare |
$29.51
|
| Rate for Payer: Railroad Medicare Medicare |
$29.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,058.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,911.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Exchange |
$45.74
|
| Rate for Payer: UHC Exchange |
$45.74
|
| Rate for Payer: UHC Medicaid |
$15.43
|
| Rate for Payer: UHC Medicaid |
$15.43
|
| Rate for Payer: UHCCP DNSP |
$29.51
|
| Rate for Payer: UHCCP DNSP |
$29.51
|
| Rate for Payer: UHCCP Medicaid |
$15.43
|
| Rate for Payer: UHCCP Medicaid |
$15.43
|
| Rate for Payer: VA VA |
$29.51
|
| Rate for Payer: VA VA |
$29.51
|
|
|
DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$4,825.02
|
|
|
Service Code
|
HCPCS Q5157
|
| Hospital Charge Code |
211788
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3,618.77 |
| Max. Negotiated Rate |
$4,825.02 |
| Rate for Payer: Aetna Commercial |
$4,342.52
|
| Rate for Payer: ASR ASR |
$4,680.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,962.31
|
| Rate for Payer: BCN Commercial |
$3,962.31
|
| Rate for Payer: Cash Price |
$3,860.02
|
| Rate for Payer: Cofinity Commercial |
$4,535.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,860.02
|
| Rate for Payer: Healthscope Commercial |
$4,680.27
|
| Rate for Payer: Healthscope Whirlpool |
$4,825.02
|
| Rate for Payer: Mclaren Commercial |
$4,342.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,101.27
|
| Rate for Payer: Nomi Health Commercial |
$3,956.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,618.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,246.02
|
|
|
DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$4,825.02
|
|
|
Service Code
|
HCPCS Q5157
|
| Hospital Charge Code |
211788
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.71 |
| Max. Negotiated Rate |
$4,825.02 |
| Rate for Payer: Aetna Commercial |
$4,342.52
|
| Rate for Payer: Aetna Medicare |
$26.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.76
|
| Rate for Payer: ASR ASR |
$4,680.27
|
| Rate for Payer: BCBS Complete |
$14.39
|
| Rate for Payer: BCBS MAPPO |
$26.21
|
| Rate for Payer: BCBS Trust/PPO |
$3,978.23
|
| Rate for Payer: BCN Commercial |
$3,978.23
|
| Rate for Payer: BCN Medicare Advantage |
$26.21
|
| Rate for Payer: Cash Price |
$3,860.02
|
| Rate for Payer: Cash Price |
$3,860.02
|
| Rate for Payer: Cofinity Commercial |
$4,535.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,860.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.21
|
| Rate for Payer: Healthscope Commercial |
$4,680.27
|
| Rate for Payer: Healthscope Whirlpool |
$4,825.02
|
| Rate for Payer: Humana Choice PPO Medicare |
$26.21
|
| Rate for Payer: Mclaren Commercial |
$4,342.52
|
| Rate for Payer: Mclaren Medicaid |
$26.21
|
| Rate for Payer: Mclaren Medicare |
$26.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.52
|
| Rate for Payer: Meridian Medicaid |
$14.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,101.27
|
| Rate for Payer: Nomi Health Commercial |
$3,956.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,618.77
|
| Rate for Payer: PACE Medicare |
$24.90
|
| Rate for Payer: PACE SWMI |
$26.21
|
| Rate for Payer: PHP Commercial |
$28.83
|
| Rate for Payer: PHP Medicaid |
$14.05
|
| Rate for Payer: PHP Medicare Advantage |
$26.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$29.07
|
| Rate for Payer: Priority Health Medicare |
$26.21
|
| Rate for Payer: Priority Health Narrow Network |
$23.26
|
| Rate for Payer: Railroad Medicare Medicare |
$26.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,246.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.21
|
| Rate for Payer: UHC Exchange |
$40.63
|
| Rate for Payer: UHC Medicaid |
$13.71
|
| Rate for Payer: UHCCP DNSP |
$26.21
|
| Rate for Payer: UHCCP Medicaid |
$13.71
|
| Rate for Payer: VA VA |
$26.21
|
|
|
DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$12,874.52
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$7,890.83 |
| Max. Negotiated Rate |
$12,874.52 |
| Rate for Payer: Aetna Medicare |
$8,306.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,382.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,382.67
|
| Rate for Payer: BCBS MAPPO |
$8,306.14
|
| Rate for Payer: BCN Medicare Advantage |
$8,306.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,306.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,306.14
|
| Rate for Payer: Mclaren Medicare |
$8,306.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,721.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,552.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,136.75
|
| Rate for Payer: PACE Medicare |
$7,890.83
|
| Rate for Payer: PACE SWMI |
$8,306.14
|
| Rate for Payer: PHP Commercial |
$9,136.75
|
| Rate for Payer: PHP Medicare Advantage |
$8,306.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,499.56
|
| Rate for Payer: Priority Health Medicare |
$8,306.14
|
| Rate for Payer: Priority Health Narrow Network |
$9,999.65
|
| Rate for Payer: Railroad Medicare Medicare |
$8,306.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,306.14
|
| Rate for Payer: UHC Exchange |
$12,874.52
|
| Rate for Payer: UHCCP DNSP |
$8,306.14
|
| Rate for Payer: VA VA |
$8,306.14
|
|
|
DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$23,586.77
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$13,411.67 |
| Max. Negotiated Rate |
$23,586.77 |
| Rate for Payer: Aetna Medicare |
$14,117.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,646.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,646.94
|
| Rate for Payer: BCBS MAPPO |
$14,117.55
|
| Rate for Payer: BCN Medicare Advantage |
$14,117.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,117.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,117.55
|
| Rate for Payer: Mclaren Medicare |
$14,117.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,823.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,235.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,529.31
|
| Rate for Payer: PACE Medicare |
$13,411.67
|
| Rate for Payer: PACE SWMI |
$14,117.55
|
| Rate for Payer: PHP Commercial |
$15,529.31
|
| Rate for Payer: PHP Medicare Advantage |
$14,117.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$23,586.77
|
| Rate for Payer: Priority Health Medicare |
$14,117.55
|
| Rate for Payer: Priority Health Narrow Network |
$18,869.42
|
| Rate for Payer: Railroad Medicare Medicare |
$14,117.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,117.55
|
| Rate for Payer: UHC Exchange |
$21,882.20
|
| Rate for Payer: UHCCP DNSP |
$14,117.55
|
| Rate for Payer: VA VA |
$14,117.55
|
|
|
DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,627.64
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$6,513.71 |
| Max. Negotiated Rate |
$10,627.64 |
| Rate for Payer: Aetna Medicare |
$6,856.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,570.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,570.67
|
| Rate for Payer: BCBS MAPPO |
$6,856.54
|
| Rate for Payer: BCN Medicare Advantage |
$6,856.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,856.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,856.54
|
| Rate for Payer: Mclaren Medicare |
$6,856.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,199.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,885.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,542.19
|
| Rate for Payer: PACE Medicare |
$6,513.71
|
| Rate for Payer: PACE SWMI |
$6,856.54
|
| Rate for Payer: PHP Commercial |
$7,542.19
|
| Rate for Payer: PHP Medicare Advantage |
$6,856.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$9,733.94
|
| Rate for Payer: Priority Health Medicare |
$6,856.54
|
| Rate for Payer: Priority Health Narrow Network |
$7,787.15
|
| Rate for Payer: Railroad Medicare Medicare |
$6,856.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,856.54
|
| Rate for Payer: UHC Exchange |
$10,627.64
|
| Rate for Payer: UHCCP DNSP |
$6,856.54
|
| Rate for Payer: VA VA |
$6,856.54
|
|
|
DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$14,449.35
|
|
|
Service Code
|
APR-DRG 1144
|
| Min. Negotiated Rate |
$13,063.94 |
| Max. Negotiated Rate |
$14,449.35 |
| Rate for Payer: BCBS Complete |
$14,449.35
|
| Rate for Payer: Mclaren Medicaid |
$13,761.28
|
| Rate for Payer: Meridian Medicaid |
$14,449.35
|
| Rate for Payer: PHP Medicaid |
$13,063.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,761.28
|
| Rate for Payer: UHC Medicaid |
$13,761.28
|
| Rate for Payer: UHCCP Medicaid |
$13,761.28
|
|
|
DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,142.18
|
|
|
Service Code
|
APR-DRG 1141
|
| Min. Negotiated Rate |
$2,840.91 |
| Max. Negotiated Rate |
$3,142.18 |
| Rate for Payer: BCBS Complete |
$3,142.18
|
| Rate for Payer: Mclaren Medicaid |
$2,992.55
|
| Rate for Payer: Meridian Medicaid |
$3,142.18
|
| Rate for Payer: PHP Medicaid |
$2,840.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,992.55
|
| Rate for Payer: UHC Medicaid |
$2,992.55
|
| Rate for Payer: UHCCP Medicaid |
$2,992.55
|
|
|
DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$5,926.33
|
|
|
Service Code
|
APR-DRG 1143
|
| Min. Negotiated Rate |
$5,358.11 |
| Max. Negotiated Rate |
$5,926.33 |
| Rate for Payer: BCBS Complete |
$5,926.33
|
| Rate for Payer: Mclaren Medicaid |
$5,644.12
|
| Rate for Payer: Meridian Medicaid |
$5,926.33
|
| Rate for Payer: PHP Medicaid |
$5,358.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,644.12
|
| Rate for Payer: UHC Medicaid |
$5,644.12
|
| Rate for Payer: UHCCP Medicaid |
$5,644.12
|
|
|
DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,223.38
|
|
|
Service Code
|
APR-DRG 1142
|
| Min. Negotiated Rate |
$2,914.32 |
| Max. Negotiated Rate |
$3,223.38 |
| Rate for Payer: BCBS Complete |
$3,223.38
|
| Rate for Payer: Mclaren Medicaid |
$3,069.89
|
| Rate for Payer: Meridian Medicaid |
$3,223.38
|
| Rate for Payer: PHP Medicaid |
$2,914.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,069.89
|
| Rate for Payer: UHC Medicaid |
$3,069.89
|
| Rate for Payer: UHCCP Medicaid |
$3,069.89
|
|
|
DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$4,814.09
|
|
|
Service Code
|
APR-DRG 7513
|
| Min. Negotiated Rate |
$4,352.51 |
| Max. Negotiated Rate |
$4,814.09 |
| Rate for Payer: BCBS Complete |
$4,814.09
|
| Rate for Payer: Mclaren Medicaid |
$4,584.85
|
| Rate for Payer: Meridian Medicaid |
$4,814.09
|
| Rate for Payer: PHP Medicaid |
$4,352.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,584.85
|
| Rate for Payer: UHC Medicaid |
$4,584.85
|
| Rate for Payer: UHCCP Medicaid |
$4,584.85
|
|
|
DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$3,136.73
|
|
|
Service Code
|
APR-DRG 7512
|
| Min. Negotiated Rate |
$2,835.98 |
| Max. Negotiated Rate |
$3,136.73 |
| Rate for Payer: BCBS Complete |
$3,136.73
|
| Rate for Payer: Mclaren Medicaid |
$2,987.36
|
| Rate for Payer: Meridian Medicaid |
$3,136.73
|
| Rate for Payer: PHP Medicaid |
$2,835.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,987.36
|
| Rate for Payer: UHC Medicaid |
$2,987.36
|
| Rate for Payer: UHCCP Medicaid |
$2,987.36
|
|
|
DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$9,981.30
|
|
|
Service Code
|
APR-DRG 7514
|
| Min. Negotiated Rate |
$9,024.29 |
| Max. Negotiated Rate |
$9,981.30 |
| Rate for Payer: BCBS Complete |
$9,981.30
|
| Rate for Payer: Mclaren Medicaid |
$9,506.00
|
| Rate for Payer: Meridian Medicaid |
$9,981.30
|
| Rate for Payer: PHP Medicaid |
$9,024.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,506.00
|
| Rate for Payer: UHC Medicaid |
$9,506.00
|
| Rate for Payer: UHCCP Medicaid |
$9,506.00
|
|
|
DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$2,730.20
|
|
|
Service Code
|
APR-DRG 7511
|
| Min. Negotiated Rate |
$2,468.43 |
| Max. Negotiated Rate |
$2,730.20 |
| Rate for Payer: BCBS Complete |
$2,730.20
|
| Rate for Payer: Mclaren Medicaid |
$2,600.19
|
| Rate for Payer: Meridian Medicaid |
$2,730.20
|
| Rate for Payer: PHP Medicaid |
$2,468.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,600.19
|
| Rate for Payer: UHC Medicaid |
$2,600.19
|
| Rate for Payer: UHCCP Medicaid |
$2,600.19
|
|
|
DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$13,221.67
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$8,103.60 |
| Max. Negotiated Rate |
$13,221.67 |
| Rate for Payer: Aetna Medicare |
$8,530.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,662.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,662.64
|
| Rate for Payer: BCBS MAPPO |
$8,530.11
|
| Rate for Payer: BCN Medicare Advantage |
$8,530.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,530.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,530.11
|
| Rate for Payer: Mclaren Medicare |
$8,530.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,956.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,809.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,383.12
|
| Rate for Payer: PACE Medicare |
$8,103.60
|
| Rate for Payer: PACE SWMI |
$8,530.11
|
| Rate for Payer: PHP Commercial |
$9,383.12
|
| Rate for Payer: PHP Medicare Advantage |
$8,530.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,926.84
|
| Rate for Payer: Priority Health Medicare |
$8,530.11
|
| Rate for Payer: Priority Health Narrow Network |
$10,341.47
|
| Rate for Payer: Railroad Medicare Medicare |
$8,530.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,530.11
|
| Rate for Payer: UHC Exchange |
$13,221.67
|
| Rate for Payer: UHCCP DNSP |
$8,530.11
|
| Rate for Payer: VA VA |
$8,530.11
|
|
|
DERMABOND SKIN ADHESIVE
|
Facility
|
OP
|
$86.16
|
|
|
Service Code
|
NDC 9900000199
|
| Hospital Charge Code |
158456
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$31.88 |
| Max. Negotiated Rate |
$86.16 |
| Rate for Payer: Aetna Commercial |
$77.54
|
| Rate for Payer: Aetna Medicare |
$31.88
|
| Rate for Payer: ASR ASR |
$83.57
|
| Rate for Payer: BCBS Complete |
$34.46
|
| Rate for Payer: BCBS Trust/PPO |
$71.04
|
| Rate for Payer: BCN Commercial |
$71.04
|
| Rate for Payer: Cash Price |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$80.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.93
|
| Rate for Payer: Healthscope Commercial |
$83.57
|
| Rate for Payer: Healthscope Whirlpool |
$86.16
|
| Rate for Payer: Mclaren Commercial |
$77.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.24
|
| Rate for Payer: Nomi Health Commercial |
$70.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$75.49
|
| Rate for Payer: Priority Health Narrow Network |
$60.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$75.82
|
|
|
DERMABOND SKIN ADHESIVE
|
Facility
|
IP
|
$86.16
|
|
|
Service Code
|
NDC 9900000199
|
| Hospital Charge Code |
158456
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$64.62 |
| Max. Negotiated Rate |
$86.16 |
| Rate for Payer: Aetna Commercial |
$77.54
|
| Rate for Payer: ASR ASR |
$83.57
|
| Rate for Payer: BCBS Trust/PPO |
$70.75
|
| Rate for Payer: BCN Commercial |
$70.75
|
| Rate for Payer: Cash Price |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$80.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.93
|
| Rate for Payer: Healthscope Commercial |
$83.57
|
| Rate for Payer: Healthscope Whirlpool |
$86.16
|
| Rate for Payer: Mclaren Commercial |
$77.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.24
|
| Rate for Payer: Nomi Health Commercial |
$70.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$75.82
|
|
|
DERMAPLANNING
|
Professional
|
Both
|
$42.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$31.50 |
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
|
|
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$82.77
|
|
|
Service Code
|
HCPCS J2597
|
| Hospital Charge Code |
9748
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$62.08 |
| Max. Negotiated Rate |
$82.77 |
| Rate for Payer: Aetna Commercial |
$74.49
|
| Rate for Payer: Aetna Commercial |
$54.90
|
| Rate for Payer: Aetna Commercial |
$81.65
|
| Rate for Payer: Aetna Commercial |
$1,768.56
|
| Rate for Payer: ASR ASR |
$88.00
|
| Rate for Payer: ASR ASR |
$80.29
|
| Rate for Payer: ASR ASR |
$59.17
|
| Rate for Payer: ASR ASR |
$1,906.11
|
| Rate for Payer: BCBS Trust/PPO |
$67.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,613.71
|
| Rate for Payer: BCBS Trust/PPO |
$50.09
|
| Rate for Payer: BCBS Trust/PPO |
$74.50
|
| Rate for Payer: BCN Commercial |
$1,613.71
|
| Rate for Payer: BCN Commercial |
$74.50
|
| Rate for Payer: BCN Commercial |
$50.09
|
| Rate for Payer: BCN Commercial |
$67.97
|
| Rate for Payer: Cash Price |
$72.58
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$66.22
|
| Rate for Payer: Cash Price |
$1,572.05
|
| Rate for Payer: Cofinity Commercial |
$77.80
|
| Rate for Payer: Cofinity Commercial |
$1,847.16
|
| Rate for Payer: Cofinity Commercial |
$85.28
|
| Rate for Payer: Cofinity Commercial |
$57.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,572.05
|
| Rate for Payer: Healthscope Commercial |
$80.29
|
| Rate for Payer: Healthscope Commercial |
$1,906.11
|
| Rate for Payer: Healthscope Commercial |
$59.17
|
| Rate for Payer: Healthscope Commercial |
$88.00
|
| Rate for Payer: Healthscope Whirlpool |
$82.77
|
| Rate for Payer: Healthscope Whirlpool |
$90.72
|
| Rate for Payer: Healthscope Whirlpool |
$1,965.07
|
| Rate for Payer: Healthscope Whirlpool |
$61.00
|
| Rate for Payer: Mclaren Commercial |
$1,768.56
|
| Rate for Payer: Mclaren Commercial |
$81.65
|
| Rate for Payer: Mclaren Commercial |
$54.90
|
| Rate for Payer: Mclaren Commercial |
$74.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,670.31
|
| Rate for Payer: Nomi Health Commercial |
$50.02
|
| Rate for Payer: Nomi Health Commercial |
$74.39
|
| Rate for Payer: Nomi Health Commercial |
$67.87
|
| Rate for Payer: Nomi Health Commercial |
$1,611.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,473.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,729.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$72.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$79.84
|
|
|
DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$90.72
|
|
|
Service Code
|
HCPCS J2597
|
| Hospital Charge Code |
9748
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.83 |
| Max. Negotiated Rate |
$90.72 |
| Rate for Payer: Aetna Commercial |
$81.65
|
| Rate for Payer: Aetna Commercial |
$54.90
|
| Rate for Payer: Aetna Commercial |
$74.49
|
| Rate for Payer: Aetna Commercial |
$1,768.56
|
| Rate for Payer: Aetna Medicare |
$727.07
|
| Rate for Payer: Aetna Medicare |
$33.57
|
| Rate for Payer: Aetna Medicare |
$30.62
|
| Rate for Payer: Aetna Medicare |
$22.57
|
| Rate for Payer: ASR ASR |
$80.29
|
| Rate for Payer: ASR ASR |
$59.17
|
| Rate for Payer: ASR ASR |
$1,906.11
|
| Rate for Payer: ASR ASR |
$88.00
|
| Rate for Payer: BCBS Complete |
$33.11
|
| Rate for Payer: BCBS Complete |
$786.03
|
| Rate for Payer: BCBS Complete |
$36.29
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: BCBS Trust/PPO |
$50.30
|
| Rate for Payer: BCBS Trust/PPO |
$74.80
|
| Rate for Payer: BCBS Trust/PPO |
$68.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,620.20
|
| Rate for Payer: BCN Commercial |
$74.80
|
| Rate for Payer: BCN Commercial |
$68.24
|
| Rate for Payer: BCN Commercial |
$1,620.20
|
| Rate for Payer: BCN Commercial |
$50.30
|
| Rate for Payer: Cash Price |
$1,572.05
|
| Rate for Payer: Cash Price |
$66.22
|
| Rate for Payer: Cash Price |
$72.58
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$1,572.05
|
| Rate for Payer: Cash Price |
$72.58
|
| Rate for Payer: Cash Price |
$66.22
|
| Rate for Payer: Cofinity Commercial |
$85.28
|
| Rate for Payer: Cofinity Commercial |
$1,847.16
|
| Rate for Payer: Cofinity Commercial |
$77.80
|
| Rate for Payer: Cofinity Commercial |
$57.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,572.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.22
|
| Rate for Payer: Healthscope Commercial |
$88.00
|
| Rate for Payer: Healthscope Commercial |
$1,906.11
|
| Rate for Payer: Healthscope Commercial |
$59.17
|
| Rate for Payer: Healthscope Commercial |
$80.29
|
| Rate for Payer: Healthscope Whirlpool |
$1,965.07
|
| Rate for Payer: Healthscope Whirlpool |
$82.77
|
| Rate for Payer: Healthscope Whirlpool |
$90.72
|
| Rate for Payer: Healthscope Whirlpool |
$61.00
|
| Rate for Payer: Mclaren Commercial |
$74.49
|
| Rate for Payer: Mclaren Commercial |
$54.90
|
| Rate for Payer: Mclaren Commercial |
$1,768.56
|
| Rate for Payer: Mclaren Commercial |
$81.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,572.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$72.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,670.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.11
|
| Rate for Payer: Nomi Health Commercial |
$1,611.35
|
| Rate for Payer: Nomi Health Commercial |
$67.87
|
| Rate for Payer: Nomi Health Commercial |
$74.39
|
| Rate for Payer: Nomi Health Commercial |
$50.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,473.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.54
|
| Rate for Payer: Priority Health Narrow Network |
$2.83
|
| Rate for Payer: Priority Health Narrow Network |
$2.83
|
| Rate for Payer: Priority Health Narrow Network |
$2.83
|
| Rate for Payer: Priority Health Narrow Network |
$2.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$72.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$79.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,729.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.68
|
|
