|
HC ARCTIC SUN UNIVERSAL PAD
|
Facility
|
OP
|
$1,096.44
|
|
| Hospital Charge Code |
27000617
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$438.58 |
| Max. Negotiated Rate |
$1,096.44 |
| Rate for Payer: Aetna Commercial |
$986.80
|
| Rate for Payer: ASR ASR |
$1,063.55
|
| Rate for Payer: BCBS Complete |
$438.58
|
| Rate for Payer: BCBS Trust/PPO |
$850.07
|
| Rate for Payer: BCN Commercial |
$850.07
|
| Rate for Payer: Cash Price |
$877.15
|
| Rate for Payer: Cofinity Commercial |
$1,030.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$877.15
|
| Rate for Payer: Healthscope Commercial |
$1,096.44
|
| Rate for Payer: Healthscope Whirlpool |
$1,063.55
|
| Rate for Payer: Mclaren Commercial |
$986.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$931.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$767.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$997.76
|
| Rate for Payer: Priority Health Narrow Network |
$778.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$964.87
|
|
|
HC ARCTIC SUN UNIVERSAL PAD
|
Facility
|
IP
|
$1,096.44
|
|
| Hospital Charge Code |
27000617
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$767.51 |
| Max. Negotiated Rate |
$1,096.44 |
| Rate for Payer: Aetna Commercial |
$986.80
|
| Rate for Payer: ASR ASR |
$1,063.55
|
| Rate for Payer: BCBS Trust/PPO |
$850.07
|
| Rate for Payer: BCN Commercial |
$850.07
|
| Rate for Payer: Cash Price |
$877.15
|
| Rate for Payer: Cofinity Commercial |
$1,030.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$877.15
|
| Rate for Payer: Healthscope Commercial |
$1,096.44
|
| Rate for Payer: Healthscope Whirlpool |
$1,063.55
|
| Rate for Payer: Mclaren Commercial |
$986.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$931.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$767.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$964.87
|
|
|
HC ARGON PLASMA COAGULATION
|
Facility
|
IP
|
$1,823.62
|
|
| Hospital Charge Code |
36000007
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,276.53 |
| Max. Negotiated Rate |
$1,823.62 |
| Rate for Payer: Aetna Commercial |
$1,641.26
|
| Rate for Payer: ASR ASR |
$1,768.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,413.85
|
| Rate for Payer: BCN Commercial |
$1,413.85
|
| Rate for Payer: Cash Price |
$1,458.90
|
| Rate for Payer: Cofinity Commercial |
$1,714.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.90
|
| Rate for Payer: Healthscope Commercial |
$1,823.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,768.91
|
| Rate for Payer: Mclaren Commercial |
$1,641.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,550.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,276.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,604.79
|
|
|
HC ARGON PLASMA COAGULATION
|
Facility
|
OP
|
$1,823.62
|
|
| Hospital Charge Code |
36000007
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$729.45 |
| Max. Negotiated Rate |
$1,823.62 |
| Rate for Payer: Aetna Commercial |
$1,641.26
|
| Rate for Payer: ASR ASR |
$1,768.91
|
| Rate for Payer: BCBS Complete |
$729.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,413.85
|
| Rate for Payer: BCN Commercial |
$1,413.85
|
| Rate for Payer: Cash Price |
$1,458.90
|
| Rate for Payer: Cofinity Commercial |
$1,714.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,458.90
|
| Rate for Payer: Healthscope Commercial |
$1,823.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,768.91
|
| Rate for Payer: Mclaren Commercial |
$1,641.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,550.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,276.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,659.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,294.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,604.79
|
|
|
HC ARISTA HEMOSTAT
|
Facility
|
IP
|
$1,119.28
|
|
| Hospital Charge Code |
27200111
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$783.50 |
| Max. Negotiated Rate |
$1,119.28 |
| Rate for Payer: Aetna Commercial |
$1,007.35
|
| Rate for Payer: ASR ASR |
$1,085.70
|
| Rate for Payer: BCBS Trust/PPO |
$867.78
|
| Rate for Payer: BCN Commercial |
$867.78
|
| Rate for Payer: Cash Price |
$895.42
|
| Rate for Payer: Cofinity Commercial |
$1,052.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.42
|
| Rate for Payer: Healthscope Commercial |
$1,119.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,085.70
|
| Rate for Payer: Mclaren Commercial |
$1,007.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$951.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$984.97
|
|
|
HC ARISTA HEMOSTAT
|
Facility
|
OP
|
$1,119.28
|
|
| Hospital Charge Code |
27200111
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$447.71 |
| Max. Negotiated Rate |
$1,119.28 |
| Rate for Payer: Aetna Commercial |
$1,007.35
|
| Rate for Payer: ASR ASR |
$1,085.70
|
| Rate for Payer: BCBS Complete |
$447.71
|
| Rate for Payer: BCBS Trust/PPO |
$867.78
|
| Rate for Payer: BCN Commercial |
$867.78
|
| Rate for Payer: Cash Price |
$895.42
|
| Rate for Payer: Cofinity Commercial |
$1,052.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$895.42
|
| Rate for Payer: Healthscope Commercial |
$1,119.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,085.70
|
| Rate for Payer: Mclaren Commercial |
$1,007.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$951.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,018.54
|
| Rate for Payer: Priority Health Narrow Network |
$794.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$984.97
|
|
|
HC ARRAY COMPARATIVE GENOMIC ACGH
|
Facility
|
IP
|
$1,565.70
|
|
|
Service Code
|
CPT 81228
|
| Hospital Charge Code |
31000094
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,095.99 |
| Max. Negotiated Rate |
$1,565.70 |
| Rate for Payer: Aetna Commercial |
$1,409.13
|
| Rate for Payer: ASR ASR |
$1,518.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,213.89
|
| Rate for Payer: BCN Commercial |
$1,213.89
|
| Rate for Payer: Cash Price |
$1,252.56
|
| Rate for Payer: Cofinity Commercial |
$1,471.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,252.56
|
| Rate for Payer: Healthscope Commercial |
$1,565.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,518.73
|
| Rate for Payer: Mclaren Commercial |
$1,409.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,330.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,095.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,377.82
|
|
|
HC ARRAY COMPARATIVE GENOMIC ACGH
|
Facility
|
OP
|
$1,565.70
|
|
|
Service Code
|
CPT 81228
|
| Hospital Charge Code |
31000094
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$371.62 |
| Max. Negotiated Rate |
$1,565.70 |
| Rate for Payer: Aetna Commercial |
$1,409.13
|
| Rate for Payer: Aetna Medicare |
$900.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,125.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,125.00
|
| Rate for Payer: ASR ASR |
$1,518.73
|
| Rate for Payer: BCBS Complete |
$516.96
|
| Rate for Payer: BCBS MAPPO |
$900.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,213.89
|
| Rate for Payer: BCN Commercial |
$1,213.89
|
| Rate for Payer: BCN Medicare Advantage |
$900.00
|
| Rate for Payer: Cash Price |
$1,252.56
|
| Rate for Payer: Cash Price |
$1,252.56
|
| Rate for Payer: Cofinity Commercial |
$1,471.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,252.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$900.00
|
| Rate for Payer: Healthscope Commercial |
$1,565.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,518.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$900.00
|
| Rate for Payer: Mclaren Commercial |
$1,409.13
|
| Rate for Payer: Mclaren Medicaid |
$492.30
|
| Rate for Payer: Mclaren Medicare |
$900.00
|
| Rate for Payer: Meridian Medicaid |
$516.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$945.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,035.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,330.84
|
| Rate for Payer: PACE Medicare |
$855.00
|
| Rate for Payer: PACE SWMI |
$900.00
|
| Rate for Payer: PHP Commercial |
$990.00
|
| Rate for Payer: PHP Medicaid |
$492.30
|
| Rate for Payer: PHP Medicare Advantage |
$900.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,095.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$464.53
|
| Rate for Payer: Priority Health Medicare |
$900.00
|
| Rate for Payer: Priority Health Narrow Network |
$371.62
|
| Rate for Payer: Railroad Medicare Medicare |
$900.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,377.82
|
| Rate for Payer: UHC Medicare Advantage |
$927.00
|
| Rate for Payer: VA VA |
$900.00
|
|
|
HC ARRAY COMPARATIVE GENOMIC CMPT
|
Facility
|
OP
|
$1,385.00
|
|
|
Service Code
|
CPT 88399
|
| Hospital Charge Code |
31000061
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$26.35 |
| Max. Negotiated Rate |
$1,385.00 |
| Rate for Payer: Aetna Commercial |
$1,246.50
|
| Rate for Payer: Aetna Medicare |
$48.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.21
|
| Rate for Payer: ASR ASR |
$1,343.45
|
| Rate for Payer: BCBS Complete |
$27.67
|
| Rate for Payer: BCBS MAPPO |
$48.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,073.79
|
| Rate for Payer: BCN Commercial |
$1,073.79
|
| Rate for Payer: BCN Medicare Advantage |
$48.17
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Cofinity Commercial |
$1,301.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,108.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.17
|
| Rate for Payer: Healthscope Commercial |
$1,385.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,343.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$48.17
|
| Rate for Payer: Mclaren Commercial |
$1,246.50
|
| Rate for Payer: Mclaren Medicaid |
$26.35
|
| Rate for Payer: Mclaren Medicare |
$48.17
|
| Rate for Payer: Meridian Medicaid |
$27.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,177.25
|
| Rate for Payer: PACE Medicare |
$45.76
|
| Rate for Payer: PACE SWMI |
$48.17
|
| Rate for Payer: PHP Commercial |
$52.99
|
| Rate for Payer: PHP Medicaid |
$26.35
|
| Rate for Payer: PHP Medicare Advantage |
$48.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$969.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,260.35
|
| Rate for Payer: Priority Health Medicare |
$48.17
|
| Rate for Payer: Priority Health Narrow Network |
$983.35
|
| Rate for Payer: Railroad Medicare Medicare |
$48.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,218.80
|
| Rate for Payer: UHC Medicare Advantage |
$49.62
|
| Rate for Payer: VA VA |
$48.17
|
|
|
HC ARRAY COMPARATIVE GENOMIC CMPT
|
Facility
|
IP
|
$1,385.00
|
|
|
Service Code
|
CPT 88399
|
| Hospital Charge Code |
31000061
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$969.50 |
| Max. Negotiated Rate |
$1,385.00 |
| Rate for Payer: Aetna Commercial |
$1,246.50
|
| Rate for Payer: ASR ASR |
$1,343.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,073.79
|
| Rate for Payer: BCN Commercial |
$1,073.79
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Cofinity Commercial |
$1,301.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,108.00
|
| Rate for Payer: Healthscope Commercial |
$1,385.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,343.45
|
| Rate for Payer: Mclaren Commercial |
$1,246.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,177.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$969.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,218.80
|
|
|
HC ARSENIC
|
Facility
|
OP
|
$192.20
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100108
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$192.20 |
| Rate for Payer: Aetna Commercial |
$172.98
|
| Rate for Payer: Aetna Medicare |
$18.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: ASR ASR |
$186.43
|
| Rate for Payer: BCBS Complete |
$10.90
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$149.01
|
| Rate for Payer: BCN Commercial |
$149.01
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$153.76
|
| Rate for Payer: Cash Price |
$153.76
|
| Rate for Payer: Cofinity Commercial |
$180.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$153.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$192.20
|
| Rate for Payer: Healthscope Whirlpool |
$186.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.97
|
| Rate for Payer: Mclaren Commercial |
$172.98
|
| Rate for Payer: Mclaren Medicaid |
$10.38
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Medicaid |
$10.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$163.37
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$20.87
|
| Rate for Payer: PHP Medicaid |
$10.38
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.83
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health Narrow Network |
$88.66
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$169.14
|
| Rate for Payer: UHC Medicare Advantage |
$19.54
|
| Rate for Payer: VA VA |
$18.97
|
|
|
HC ARSENIC
|
Facility
|
IP
|
$192.20
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100108
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$134.54 |
| Max. Negotiated Rate |
$192.20 |
| Rate for Payer: Aetna Commercial |
$172.98
|
| Rate for Payer: ASR ASR |
$186.43
|
| Rate for Payer: BCBS Trust/PPO |
$149.01
|
| Rate for Payer: BCN Commercial |
$149.01
|
| Rate for Payer: Cash Price |
$153.76
|
| Rate for Payer: Cofinity Commercial |
$180.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$153.76
|
| Rate for Payer: Healthscope Commercial |
$192.20
|
| Rate for Payer: Healthscope Whirlpool |
$186.43
|
| Rate for Payer: Mclaren Commercial |
$172.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$163.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$169.14
|
|
|
HC ARSENIC 24HR U
|
Facility
|
OP
|
$112.00
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100679
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$112.00 |
| Rate for Payer: Aetna Commercial |
$100.80
|
| Rate for Payer: Aetna Medicare |
$18.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: ASR ASR |
$108.64
|
| Rate for Payer: BCBS Complete |
$10.90
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$86.83
|
| Rate for Payer: BCN Commercial |
$86.83
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cofinity Commercial |
$105.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$112.00
|
| Rate for Payer: Healthscope Whirlpool |
$108.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.97
|
| Rate for Payer: Mclaren Commercial |
$100.80
|
| Rate for Payer: Mclaren Medicaid |
$10.38
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Medicaid |
$10.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$95.20
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$20.87
|
| Rate for Payer: PHP Medicaid |
$10.38
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.83
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health Narrow Network |
$88.66
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.56
|
| Rate for Payer: UHC Medicare Advantage |
$19.54
|
| Rate for Payer: VA VA |
$18.97
|
|
|
HC ARSENIC 24HR U
|
Facility
|
IP
|
$112.00
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100679
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$78.40 |
| Max. Negotiated Rate |
$112.00 |
| Rate for Payer: Aetna Commercial |
$100.80
|
| Rate for Payer: ASR ASR |
$108.64
|
| Rate for Payer: BCBS Trust/PPO |
$86.83
|
| Rate for Payer: BCN Commercial |
$86.83
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cofinity Commercial |
$105.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.60
|
| Rate for Payer: Healthscope Commercial |
$112.00
|
| Rate for Payer: Healthscope Whirlpool |
$108.64
|
| Rate for Payer: Mclaren Commercial |
$100.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$95.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.56
|
|
|
HC ARSENIC URINE
|
Facility
|
IP
|
$64.00
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.80 |
| Max. Negotiated Rate |
$64.00 |
| Rate for Payer: Aetna Commercial |
$57.60
|
| Rate for Payer: ASR ASR |
$62.08
|
| Rate for Payer: BCBS Trust/PPO |
$49.62
|
| Rate for Payer: BCN Commercial |
$49.62
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$60.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.20
|
| Rate for Payer: Healthscope Commercial |
$64.00
|
| Rate for Payer: Healthscope Whirlpool |
$62.08
|
| Rate for Payer: Mclaren Commercial |
$57.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$54.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.32
|
|
|
HC ARSENIC URINE
|
Facility
|
OP
|
$64.00
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$110.83 |
| Rate for Payer: Aetna Commercial |
$57.60
|
| Rate for Payer: Aetna Medicare |
$18.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: ASR ASR |
$62.08
|
| Rate for Payer: BCBS Complete |
$10.90
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$49.62
|
| Rate for Payer: BCN Commercial |
$49.62
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$60.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$64.00
|
| Rate for Payer: Healthscope Whirlpool |
$62.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$18.97
|
| Rate for Payer: Mclaren Commercial |
$57.60
|
| Rate for Payer: Mclaren Medicaid |
$10.38
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Medicaid |
$10.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$54.40
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$20.87
|
| Rate for Payer: PHP Medicaid |
$10.38
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.83
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health Narrow Network |
$88.66
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.32
|
| Rate for Payer: UHC Medicare Advantage |
$19.54
|
| Rate for Payer: VA VA |
$18.97
|
|
|
HC ART CATH INSERT
|
Facility
|
OP
|
$443.83
|
|
| Hospital Charge Code |
45000029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$177.53 |
| Max. Negotiated Rate |
$443.83 |
| Rate for Payer: Aetna Commercial |
$399.45
|
| Rate for Payer: ASR ASR |
$430.52
|
| Rate for Payer: BCBS Complete |
$177.53
|
| Rate for Payer: BCBS Trust/PPO |
$344.10
|
| Rate for Payer: BCN Commercial |
$344.10
|
| Rate for Payer: Cash Price |
$355.06
|
| Rate for Payer: Cofinity Commercial |
$417.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$355.06
|
| Rate for Payer: Healthscope Commercial |
$443.83
|
| Rate for Payer: Healthscope Whirlpool |
$430.52
|
| Rate for Payer: Mclaren Commercial |
$399.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$377.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$403.89
|
| Rate for Payer: Priority Health Narrow Network |
$315.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$390.57
|
|
|
HC ART CATH INSERT
|
Facility
|
IP
|
$443.83
|
|
| Hospital Charge Code |
45000029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$310.68 |
| Max. Negotiated Rate |
$443.83 |
| Rate for Payer: Aetna Commercial |
$399.45
|
| Rate for Payer: ASR ASR |
$430.52
|
| Rate for Payer: BCBS Trust/PPO |
$344.10
|
| Rate for Payer: BCN Commercial |
$344.10
|
| Rate for Payer: Cash Price |
$355.06
|
| Rate for Payer: Cofinity Commercial |
$417.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$355.06
|
| Rate for Payer: Healthscope Commercial |
$443.83
|
| Rate for Payer: Healthscope Whirlpool |
$430.52
|
| Rate for Payer: Mclaren Commercial |
$399.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$377.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$390.57
|
|
|
HC ARTERIAL DUPLEX IMAG BIL LOWER EXTREMITY
|
Facility
|
IP
|
$1,556.97
|
|
|
Service Code
|
CPT 93925
|
| Hospital Charge Code |
92100007
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$1,089.88 |
| Max. Negotiated Rate |
$1,556.97 |
| Rate for Payer: Aetna Commercial |
$1,401.27
|
| Rate for Payer: ASR ASR |
$1,510.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,207.12
|
| Rate for Payer: BCN Commercial |
$1,207.12
|
| Rate for Payer: Cash Price |
$1,245.58
|
| Rate for Payer: Cofinity Commercial |
$1,463.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.58
|
| Rate for Payer: Healthscope Commercial |
$1,556.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,510.26
|
| Rate for Payer: Mclaren Commercial |
$1,401.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,323.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,370.13
|
|
|
HC ARTERIAL DUPLEX IMAG BIL LOWER EXTREMITY
|
Facility
|
OP
|
$1,556.97
|
|
|
Service Code
|
CPT 93925
|
| Hospital Charge Code |
92100007
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,556.97 |
| Rate for Payer: Aetna Commercial |
$1,401.27
|
| Rate for Payer: Aetna Medicare |
$217.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: ASR ASR |
$1,510.26
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,207.12
|
| Rate for Payer: BCN Commercial |
$1,207.12
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,245.58
|
| Rate for Payer: Cash Price |
$1,245.58
|
| Rate for Payer: Cofinity Commercial |
$1,463.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,245.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,556.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,510.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$217.81
|
| Rate for Payer: Mclaren Commercial |
$1,401.27
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,323.42
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$239.59
|
| Rate for Payer: PHP Medicaid |
$119.14
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,416.84
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,105.45
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,370.13
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: VA VA |
$217.81
|
|
|
HC ARTERIAL DUPLEX IMAG BIL UPPER EXTREMITY
|
Facility
|
OP
|
$1,283.23
|
|
|
Service Code
|
CPT 93930
|
| Hospital Charge Code |
92100008
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$119.14 |
| Max. Negotiated Rate |
$1,283.23 |
| Rate for Payer: Aetna Commercial |
$1,154.91
|
| Rate for Payer: Aetna Medicare |
$217.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$272.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$272.26
|
| Rate for Payer: ASR ASR |
$1,244.73
|
| Rate for Payer: BCBS Complete |
$125.11
|
| Rate for Payer: BCBS MAPPO |
$217.81
|
| Rate for Payer: BCBS Trust/PPO |
$994.89
|
| Rate for Payer: BCN Commercial |
$994.89
|
| Rate for Payer: BCN Medicare Advantage |
$217.81
|
| Rate for Payer: Cash Price |
$1,026.58
|
| Rate for Payer: Cash Price |
$1,026.58
|
| Rate for Payer: Cofinity Commercial |
$1,206.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,026.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.81
|
| Rate for Payer: Healthscope Commercial |
$1,283.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,244.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$217.81
|
| Rate for Payer: Mclaren Commercial |
$1,154.91
|
| Rate for Payer: Mclaren Medicaid |
$119.14
|
| Rate for Payer: Mclaren Medicare |
$217.81
|
| Rate for Payer: Meridian Medicaid |
$125.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$228.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,090.75
|
| Rate for Payer: PACE Medicare |
$206.92
|
| Rate for Payer: PACE SWMI |
$217.81
|
| Rate for Payer: PHP Commercial |
$239.59
|
| Rate for Payer: PHP Medicaid |
$119.14
|
| Rate for Payer: PHP Medicare Advantage |
$217.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$898.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,167.74
|
| Rate for Payer: Priority Health Medicare |
$217.81
|
| Rate for Payer: Priority Health Narrow Network |
$911.09
|
| Rate for Payer: Railroad Medicare Medicare |
$217.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,129.24
|
| Rate for Payer: UHC Medicare Advantage |
$224.34
|
| Rate for Payer: VA VA |
$217.81
|
|
|
HC ARTERIAL DUPLEX IMAG BIL UPPER EXTREMITY
|
Facility
|
IP
|
$1,283.23
|
|
|
Service Code
|
CPT 93930
|
| Hospital Charge Code |
92100008
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$898.26 |
| Max. Negotiated Rate |
$1,283.23 |
| Rate for Payer: Aetna Commercial |
$1,154.91
|
| Rate for Payer: ASR ASR |
$1,244.73
|
| Rate for Payer: BCBS Trust/PPO |
$994.89
|
| Rate for Payer: BCN Commercial |
$994.89
|
| Rate for Payer: Cash Price |
$1,026.58
|
| Rate for Payer: Cofinity Commercial |
$1,206.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,026.58
|
| Rate for Payer: Healthscope Commercial |
$1,283.23
|
| Rate for Payer: Healthscope Whirlpool |
$1,244.73
|
| Rate for Payer: Mclaren Commercial |
$1,154.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,090.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$898.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,129.24
|
|
|
HC ARTERIAL PUNCTURE
|
Facility
|
OP
|
$129.42
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
36100442
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$35.30 |
| Max. Negotiated Rate |
$141.94 |
| Rate for Payer: Aetna Commercial |
$116.48
|
| Rate for Payer: Aetna Medicare |
$113.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$141.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$141.94
|
| Rate for Payer: ASR ASR |
$125.54
|
| Rate for Payer: BCBS Complete |
$65.22
|
| Rate for Payer: BCBS MAPPO |
$113.55
|
| Rate for Payer: BCBS Trust/PPO |
$100.34
|
| Rate for Payer: BCN Commercial |
$100.34
|
| Rate for Payer: BCN Medicare Advantage |
$113.55
|
| Rate for Payer: Cash Price |
$103.54
|
| Rate for Payer: Cash Price |
$103.54
|
| Rate for Payer: Cofinity Commercial |
$121.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.55
|
| Rate for Payer: Healthscope Commercial |
$129.42
|
| Rate for Payer: Healthscope Whirlpool |
$125.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$113.55
|
| Rate for Payer: Mclaren Commercial |
$116.48
|
| Rate for Payer: Mclaren Medicaid |
$62.11
|
| Rate for Payer: Mclaren Medicare |
$113.55
|
| Rate for Payer: Meridian Medicaid |
$65.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$119.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$110.01
|
| Rate for Payer: PACE Medicare |
$107.87
|
| Rate for Payer: PACE SWMI |
$113.55
|
| Rate for Payer: PHP Commercial |
$124.90
|
| Rate for Payer: PHP Medicaid |
$62.11
|
| Rate for Payer: PHP Medicare Advantage |
$113.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$62.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$90.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.13
|
| Rate for Payer: Priority Health Medicare |
$113.55
|
| Rate for Payer: Priority Health Narrow Network |
$35.30
|
| Rate for Payer: Railroad Medicare Medicare |
$113.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$113.89
|
| Rate for Payer: UHC Medicare Advantage |
$116.96
|
| Rate for Payer: VA VA |
$113.55
|
|
|
HC ARTERIAL PUNCTURE
|
Facility
|
IP
|
$129.42
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
36100442
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$90.59 |
| Max. Negotiated Rate |
$129.42 |
| Rate for Payer: Aetna Commercial |
$116.48
|
| Rate for Payer: ASR ASR |
$125.54
|
| Rate for Payer: BCBS Trust/PPO |
$100.34
|
| Rate for Payer: BCN Commercial |
$100.34
|
| Rate for Payer: Cash Price |
$103.54
|
| Rate for Payer: Cofinity Commercial |
$121.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.54
|
| Rate for Payer: Healthscope Commercial |
$129.42
|
| Rate for Payer: Healthscope Whirlpool |
$125.54
|
| Rate for Payer: Mclaren Commercial |
$116.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$110.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$90.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$113.89
|
|
|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$5,008.81
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$672.89 |
| Max. Negotiated Rate |
$6,105.86 |
| Rate for Payer: Aetna Commercial |
$4,507.93
|
| Rate for Payer: Aetna Medicare |
$4,884.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,105.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,105.86
|
| Rate for Payer: ASR ASR |
$4,858.55
|
| Rate for Payer: BCBS Complete |
$2,805.77
|
| Rate for Payer: BCBS MAPPO |
$4,884.69
|
| Rate for Payer: BCBS Trust/PPO |
$3,883.33
|
| Rate for Payer: BCN Commercial |
$3,883.33
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.69
|
| Rate for Payer: Cash Price |
$4,007.05
|
| Rate for Payer: Cash Price |
$4,007.05
|
| Rate for Payer: Cofinity Commercial |
$4,708.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,007.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.69
|
| Rate for Payer: Healthscope Commercial |
$5,008.81
|
| Rate for Payer: Healthscope Whirlpool |
$4,858.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$4,884.69
|
| Rate for Payer: Mclaren Commercial |
$4,507.93
|
| Rate for Payer: Mclaren Medicaid |
$2,671.93
|
| Rate for Payer: Mclaren Medicare |
$4,884.69
|
| Rate for Payer: Meridian Medicaid |
$2,805.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,128.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,617.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,257.49
|
| Rate for Payer: PACE Medicare |
$4,640.46
|
| Rate for Payer: PACE SWMI |
$4,884.69
|
| Rate for Payer: PHP Commercial |
$5,373.16
|
| Rate for Payer: PHP Medicaid |
$2,671.93
|
| Rate for Payer: PHP Medicare Advantage |
$4,884.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,671.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,506.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$841.11
|
| Rate for Payer: Priority Health Medicare |
$4,884.69
|
| Rate for Payer: Priority Health Narrow Network |
$672.89
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,407.75
|
| Rate for Payer: UHC Medicare Advantage |
$5,031.23
|
| Rate for Payer: VA VA |
$4,884.69
|
|
