|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,855.00
|
|
|
Service Code
|
CPT 49594
|
| Hospital Charge Code |
49594
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,205.75 |
| Max. Negotiated Rate |
$1,855.00 |
| Rate for Payer: Aetna Commercial |
$1,669.50
|
| Rate for Payer: ASR ASR |
$1,799.35
|
| Rate for Payer: ASR Commercial |
$1,799.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,511.64
|
| Rate for Payer: BCN Commercial |
$1,438.18
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$1,743.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,484.00
|
| Rate for Payer: Healthscope Commercial |
$1,855.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,799.35
|
| Rate for Payer: Mclaren Commercial |
$1,669.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,576.75
|
| Rate for Payer: Nomi Health Commercial |
$1,521.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,632.40
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,855.00
|
|
|
Service Code
|
HCPCS 49594
|
| Hospital Charge Code |
49594
|
| Min. Negotiated Rate |
$728.48 |
| Max. Negotiated Rate |
$1,205.75 |
| Rate for Payer: Aetna Commercial |
$976.16
|
| Rate for Payer: Aetna Medicare |
$728.48
|
| Rate for Payer: BCBS Complete |
$742.00
|
| Rate for Payer: BCBS MAPPO |
$728.48
|
| Rate for Payer: BCN Medicare Advantage |
$728.48
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cash Price |
$1,484.00
|
| Rate for Payer: Cofinity Commercial |
$976.16
|
| Rate for Payer: Cofinity Commercial |
$1,049.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.48
|
| Rate for Payer: Healthscope Commercial |
$874.18
|
| Rate for Payer: Healthscope Whirlpool |
$874.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.90
|
| Rate for Payer: Nomi Health Commercial |
$874.18
|
| Rate for Payer: PACE SWMI |
$728.48
|
| Rate for Payer: PHP Medicare Advantage |
$728.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,205.75
|
| Rate for Payer: Priority Health Medicare |
$728.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.48
|
| Rate for Payer: UHC Medicare Advantage |
$728.48
|
| Rate for Payer: UHCCP DNSP |
$728.48
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,423.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$924.95 |
| Max. Negotiated Rate |
$9,432.52 |
| Rate for Payer: Aetna Commercial |
$1,280.70
|
| Rate for Payer: Aetna Medicare |
$6,085.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,606.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,606.88
|
| Rate for Payer: ASR ASR |
$1,380.31
|
| Rate for Payer: ASR Commercial |
$1,380.31
|
| Rate for Payer: BCBS Complete |
$3,424.92
|
| Rate for Payer: BCBS MAPPO |
$6,085.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,165.29
|
| Rate for Payer: BCN Commercial |
$1,103.25
|
| Rate for Payer: BCN Medicare Advantage |
$6,085.50
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$1,337.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,138.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,085.50
|
| Rate for Payer: Healthscope Commercial |
$1,423.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,380.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,085.50
|
| Rate for Payer: Mclaren Commercial |
$1,280.70
|
| Rate for Payer: Mclaren Medicaid |
$3,261.83
|
| Rate for Payer: Mclaren Medicare |
$6,085.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,389.77
|
| Rate for Payer: Meridian Medicaid |
$3,424.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,998.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.55
|
| Rate for Payer: Nomi Health Commercial |
$1,166.86
|
| Rate for Payer: PACE Medicare |
$5,781.23
|
| Rate for Payer: PACE SWMI |
$6,085.50
|
| Rate for Payer: PHP Commercial |
$6,694.05
|
| Rate for Payer: PHP Medicaid |
$3,261.83
|
| Rate for Payer: PHP Medicare Advantage |
$6,085.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,261.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,246.83
|
| Rate for Payer: Priority Health Medicare |
$6,085.50
|
| Rate for Payer: Priority Health Narrow Network |
$997.52
|
| Rate for Payer: Railroad Medicare Medicare |
$6,085.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,252.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,085.50
|
| Rate for Payer: UHC Exchange |
$9,432.52
|
| Rate for Payer: UHC Medicare Advantage |
$6,085.50
|
| Rate for Payer: UHCCP DNSP |
$6,085.50
|
| Rate for Payer: UHCCP Medicaid |
$3,261.83
|
| Rate for Payer: VA VA |
$6,085.50
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,423.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$559.46 |
| Max. Negotiated Rate |
$924.95 |
| Rate for Payer: Aetna Commercial |
$749.68
|
| Rate for Payer: Aetna Medicare |
$559.46
|
| Rate for Payer: BCBS Complete |
$569.20
|
| Rate for Payer: BCBS MAPPO |
$559.46
|
| Rate for Payer: BCN Medicare Advantage |
$559.46
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$805.62
|
| Rate for Payer: Cofinity Commercial |
$749.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.46
|
| Rate for Payer: Healthscope Commercial |
$671.35
|
| Rate for Payer: Healthscope Whirlpool |
$671.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.43
|
| Rate for Payer: Nomi Health Commercial |
$671.35
|
| Rate for Payer: PACE SWMI |
$559.46
|
| Rate for Payer: PHP Medicare Advantage |
$559.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health Medicare |
$559.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$559.46
|
| Rate for Payer: UHC Medicare Advantage |
$559.46
|
| Rate for Payer: UHCCP DNSP |
$559.46
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,423.00
|
|
|
Service Code
|
HCPCS 49593
|
| Min. Negotiated Rate |
$559.46 |
| Max. Negotiated Rate |
$924.95 |
| Rate for Payer: Aetna Commercial |
$749.68
|
| Rate for Payer: Aetna Medicare |
$559.46
|
| Rate for Payer: BCBS Complete |
$569.20
|
| Rate for Payer: BCBS MAPPO |
$559.46
|
| Rate for Payer: BCN Medicare Advantage |
$559.46
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$805.62
|
| Rate for Payer: Cofinity Commercial |
$749.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.46
|
| Rate for Payer: Healthscope Commercial |
$671.35
|
| Rate for Payer: Healthscope Whirlpool |
$671.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.43
|
| Rate for Payer: Nomi Health Commercial |
$671.35
|
| Rate for Payer: PACE SWMI |
$559.46
|
| Rate for Payer: PHP Medicare Advantage |
$559.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: Priority Health Medicare |
$559.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$559.46
|
| Rate for Payer: UHC Medicare Advantage |
$559.46
|
| Rate for Payer: UHCCP DNSP |
$559.46
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,423.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$924.95 |
| Max. Negotiated Rate |
$1,423.00 |
| Rate for Payer: Aetna Commercial |
$1,280.70
|
| Rate for Payer: ASR ASR |
$1,380.31
|
| Rate for Payer: ASR Commercial |
$1,380.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,159.60
|
| Rate for Payer: BCN Commercial |
$1,103.25
|
| Rate for Payer: Cash Price |
$1,138.40
|
| Rate for Payer: Cofinity Commercial |
$1,337.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,138.40
|
| Rate for Payer: Healthscope Commercial |
$1,423.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,380.31
|
| Rate for Payer: Mclaren Commercial |
$1,280.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.55
|
| Rate for Payer: Nomi Health Commercial |
$1,166.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$924.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,252.24
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$464.97 |
| Max. Negotiated Rate |
$768.30 |
| Rate for Payer: Aetna Commercial |
$623.06
|
| Rate for Payer: Aetna Medicare |
$464.97
|
| Rate for Payer: BCBS Complete |
$472.80
|
| Rate for Payer: BCBS MAPPO |
$464.97
|
| Rate for Payer: BCN Medicare Advantage |
$464.97
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$669.56
|
| Rate for Payer: Cofinity Commercial |
$623.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.97
|
| Rate for Payer: Healthscope Commercial |
$557.96
|
| Rate for Payer: Healthscope Whirlpool |
$557.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.22
|
| Rate for Payer: Nomi Health Commercial |
$557.96
|
| Rate for Payer: PACE SWMI |
$464.97
|
| Rate for Payer: PHP Medicare Advantage |
$464.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health Medicare |
$464.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$464.97
|
| Rate for Payer: UHC Medicare Advantage |
$464.97
|
| Rate for Payer: UHCCP DNSP |
$464.97
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,182.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$768.30 |
| Max. Negotiated Rate |
$1,182.00 |
| Rate for Payer: Aetna Commercial |
$1,063.80
|
| Rate for Payer: ASR ASR |
$1,146.54
|
| Rate for Payer: ASR Commercial |
$1,146.54
|
| Rate for Payer: BCBS Trust/PPO |
$963.21
|
| Rate for Payer: BCN Commercial |
$916.40
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$1,111.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Healthscope Commercial |
$1,182.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.54
|
| Rate for Payer: Mclaren Commercial |
$1,063.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,004.70
|
| Rate for Payer: Nomi Health Commercial |
$969.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.16
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,182.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$768.30 |
| Max. Negotiated Rate |
$8,819.70 |
| Rate for Payer: Aetna Commercial |
$1,063.80
|
| Rate for Payer: Aetna Medicare |
$5,690.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: ASR ASR |
$1,146.54
|
| Rate for Payer: ASR Commercial |
$1,146.54
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCBS Trust/PPO |
$967.94
|
| Rate for Payer: BCN Commercial |
$916.40
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$1,111.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$1,182.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,690.13
|
| Rate for Payer: Mclaren Commercial |
$1,063.80
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,004.70
|
| Rate for Payer: Nomi Health Commercial |
$969.24
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$6,259.14
|
| Rate for Payer: PHP Medicaid |
$3,049.91
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,035.67
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health Narrow Network |
$828.58
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$8,819.70
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP DNSP |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: VA VA |
$5,690.13
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 49592
|
| Min. Negotiated Rate |
$464.97 |
| Max. Negotiated Rate |
$768.30 |
| Rate for Payer: Aetna Commercial |
$623.06
|
| Rate for Payer: Aetna Medicare |
$464.97
|
| Rate for Payer: BCBS Complete |
$472.80
|
| Rate for Payer: BCBS MAPPO |
$464.97
|
| Rate for Payer: BCN Medicare Advantage |
$464.97
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$669.56
|
| Rate for Payer: Cofinity Commercial |
$623.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.97
|
| Rate for Payer: Healthscope Commercial |
$557.96
|
| Rate for Payer: Healthscope Whirlpool |
$557.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.22
|
| Rate for Payer: Nomi Health Commercial |
$557.96
|
| Rate for Payer: PACE SWMI |
$464.97
|
| Rate for Payer: PHP Medicare Advantage |
$464.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health Medicare |
$464.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$464.97
|
| Rate for Payer: UHC Medicare Advantage |
$464.97
|
| Rate for Payer: UHCCP DNSP |
$464.97
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$333.43 |
| Max. Negotiated Rate |
$564.85 |
| Rate for Payer: Aetna Commercial |
$446.80
|
| Rate for Payer: Aetna Medicare |
$333.43
|
| Rate for Payer: BCBS Complete |
$347.60
|
| Rate for Payer: BCBS MAPPO |
$333.43
|
| Rate for Payer: BCN Medicare Advantage |
$333.43
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$480.14
|
| Rate for Payer: Cofinity Commercial |
$446.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.43
|
| Rate for Payer: Healthscope Commercial |
$400.12
|
| Rate for Payer: Healthscope Whirlpool |
$400.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.10
|
| Rate for Payer: Nomi Health Commercial |
$400.12
|
| Rate for Payer: PACE SWMI |
$333.43
|
| Rate for Payer: PHP Medicare Advantage |
$333.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health Medicare |
$333.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.43
|
| Rate for Payer: UHC Medicare Advantage |
$333.43
|
| Rate for Payer: UHCCP DNSP |
$333.43
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 49591
|
| Min. Negotiated Rate |
$333.43 |
| Max. Negotiated Rate |
$564.85 |
| Rate for Payer: Aetna Commercial |
$446.80
|
| Rate for Payer: Aetna Medicare |
$333.43
|
| Rate for Payer: BCBS Complete |
$347.60
|
| Rate for Payer: BCBS MAPPO |
$333.43
|
| Rate for Payer: BCN Medicare Advantage |
$333.43
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$480.14
|
| Rate for Payer: Cofinity Commercial |
$446.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.43
|
| Rate for Payer: Healthscope Commercial |
$400.12
|
| Rate for Payer: Healthscope Whirlpool |
$400.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.10
|
| Rate for Payer: Nomi Health Commercial |
$400.12
|
| Rate for Payer: PACE SWMI |
$333.43
|
| Rate for Payer: PHP Medicare Advantage |
$333.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health Medicare |
$333.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.43
|
| Rate for Payer: UHC Medicare Advantage |
$333.43
|
| Rate for Payer: UHCCP DNSP |
$333.43
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
IP
|
$869.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$564.85 |
| Max. Negotiated Rate |
$869.00 |
| Rate for Payer: Aetna Commercial |
$782.10
|
| Rate for Payer: ASR ASR |
$842.93
|
| Rate for Payer: ASR Commercial |
$842.93
|
| Rate for Payer: BCBS Trust/PPO |
$708.15
|
| Rate for Payer: BCN Commercial |
$673.74
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$816.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$695.20
|
| Rate for Payer: Healthscope Commercial |
$869.00
|
| Rate for Payer: Healthscope Whirlpool |
$842.93
|
| Rate for Payer: Mclaren Commercial |
$782.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$738.65
|
| Rate for Payer: Nomi Health Commercial |
$712.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$764.72
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
OP
|
$869.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$564.85 |
| Max. Negotiated Rate |
$5,334.82 |
| Rate for Payer: Aetna Commercial |
$782.10
|
| Rate for Payer: Aetna Medicare |
$3,441.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,302.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,302.27
|
| Rate for Payer: ASR ASR |
$842.93
|
| Rate for Payer: ASR Commercial |
$842.93
|
| Rate for Payer: BCBS Complete |
$1,937.06
|
| Rate for Payer: BCBS MAPPO |
$3,441.82
|
| Rate for Payer: BCBS Trust/PPO |
$711.62
|
| Rate for Payer: BCN Commercial |
$673.74
|
| Rate for Payer: BCN Medicare Advantage |
$3,441.82
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$816.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$695.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,441.82
|
| Rate for Payer: Healthscope Commercial |
$869.00
|
| Rate for Payer: Healthscope Whirlpool |
$842.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,441.82
|
| Rate for Payer: Mclaren Commercial |
$782.10
|
| Rate for Payer: Mclaren Medicaid |
$1,844.82
|
| Rate for Payer: Mclaren Medicare |
$3,441.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,613.91
|
| Rate for Payer: Meridian Medicaid |
$1,937.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,958.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$738.65
|
| Rate for Payer: Nomi Health Commercial |
$712.58
|
| Rate for Payer: PACE Medicare |
$3,269.73
|
| Rate for Payer: PACE SWMI |
$3,441.82
|
| Rate for Payer: PHP Commercial |
$3,786.00
|
| Rate for Payer: PHP Medicaid |
$1,844.82
|
| Rate for Payer: PHP Medicare Advantage |
$3,441.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,844.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$761.42
|
| Rate for Payer: Priority Health Medicare |
$3,441.82
|
| Rate for Payer: Priority Health Narrow Network |
$609.17
|
| Rate for Payer: Railroad Medicare Medicare |
$3,441.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$764.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,441.82
|
| Rate for Payer: UHC Exchange |
$5,334.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,441.82
|
| Rate for Payer: UHCCP DNSP |
$3,441.82
|
| Rate for Payer: UHCCP Medicaid |
$1,844.82
|
| Rate for Payer: VA VA |
$3,441.82
|
|
|
PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$3,161.00
|
|
|
Service Code
|
HCPCS 49618
|
| Min. Negotiated Rate |
$1,215.78 |
| Max. Negotiated Rate |
$2,054.65 |
| Rate for Payer: Aetna Commercial |
$1,629.15
|
| Rate for Payer: Aetna Medicare |
$1,215.78
|
| Rate for Payer: BCBS Complete |
$1,264.40
|
| Rate for Payer: BCBS MAPPO |
$1,215.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,215.78
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cofinity Commercial |
$1,750.72
|
| Rate for Payer: Cofinity Commercial |
$1,629.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,215.78
|
| Rate for Payer: Healthscope Commercial |
$1,458.94
|
| Rate for Payer: Healthscope Whirlpool |
$1,458.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,276.57
|
| Rate for Payer: Nomi Health Commercial |
$1,458.94
|
| Rate for Payer: PACE SWMI |
$1,215.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,215.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,054.65
|
| Rate for Payer: Priority Health Medicare |
$1,215.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,215.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,215.78
|
| Rate for Payer: UHCCP DNSP |
$1,215.78
|
|
|
PR RPR AA HERNIA RECR > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,848.00
|
|
|
Service Code
|
HCPCS 49617
|
| Min. Negotiated Rate |
$739.20 |
| Max. Negotiated Rate |
$1,247.75 |
| Rate for Payer: Aetna Commercial |
$1,161.10
|
| Rate for Payer: Aetna Medicare |
$866.49
|
| Rate for Payer: BCBS Complete |
$739.20
|
| Rate for Payer: BCBS MAPPO |
$866.49
|
| Rate for Payer: BCN Medicare Advantage |
$866.49
|
| Rate for Payer: Cash Price |
$1,478.40
|
| Rate for Payer: Cash Price |
$1,478.40
|
| Rate for Payer: Cofinity Commercial |
$1,247.75
|
| Rate for Payer: Cofinity Commercial |
$1,161.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$866.49
|
| Rate for Payer: Healthscope Commercial |
$1,039.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,039.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$909.81
|
| Rate for Payer: Nomi Health Commercial |
$1,039.79
|
| Rate for Payer: PACE SWMI |
$866.49
|
| Rate for Payer: PHP Medicare Advantage |
$866.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,201.20
|
| Rate for Payer: Priority Health Medicare |
$866.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$866.49
|
| Rate for Payer: UHC Medicare Advantage |
$866.49
|
| Rate for Payer: UHCCP DNSP |
$866.49
|
|
|
PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,751.00
|
|
|
Service Code
|
HCPCS 49616
|
| Min. Negotiated Rate |
$700.40 |
| Max. Negotiated Rate |
$1,207.20 |
| Rate for Payer: Aetna Commercial |
$1,123.36
|
| Rate for Payer: Aetna Medicare |
$838.33
|
| Rate for Payer: BCBS Complete |
$700.40
|
| Rate for Payer: BCBS MAPPO |
$838.33
|
| Rate for Payer: BCN Medicare Advantage |
$838.33
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,207.20
|
| Rate for Payer: Cofinity Commercial |
$1,123.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$838.33
|
| Rate for Payer: Healthscope Commercial |
$1,006.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,006.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$880.25
|
| Rate for Payer: Nomi Health Commercial |
$1,006.00
|
| Rate for Payer: PACE SWMI |
$838.33
|
| Rate for Payer: PHP Medicare Advantage |
$838.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,138.15
|
| Rate for Payer: Priority Health Medicare |
$838.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$838.33
|
| Rate for Payer: UHC Medicare Advantage |
$838.33
|
| Rate for Payer: UHCCP DNSP |
$838.33
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,589.00
|
|
|
Service Code
|
HCPCS 49615
|
| Min. Negotiated Rate |
$623.55 |
| Max. Negotiated Rate |
$1,032.85 |
| Rate for Payer: Aetna Commercial |
$835.56
|
| Rate for Payer: Aetna Medicare |
$623.55
|
| Rate for Payer: BCBS Complete |
$635.60
|
| Rate for Payer: BCBS MAPPO |
$623.55
|
| Rate for Payer: BCN Medicare Advantage |
$623.55
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$897.91
|
| Rate for Payer: Cofinity Commercial |
$835.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$623.55
|
| Rate for Payer: Healthscope Commercial |
$748.26
|
| Rate for Payer: Healthscope Whirlpool |
$748.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$654.73
|
| Rate for Payer: Nomi Health Commercial |
$748.26
|
| Rate for Payer: PACE SWMI |
$623.55
|
| Rate for Payer: PHP Medicare Advantage |
$623.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health Medicare |
$623.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$623.55
|
| Rate for Payer: UHC Medicare Advantage |
$623.55
|
| Rate for Payer: UHCCP DNSP |
$623.55
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,589.00
|
|
|
Service Code
|
HCPCS 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$623.55 |
| Max. Negotiated Rate |
$1,032.85 |
| Rate for Payer: Aetna Commercial |
$835.56
|
| Rate for Payer: Aetna Medicare |
$623.55
|
| Rate for Payer: BCBS Complete |
$635.60
|
| Rate for Payer: BCBS MAPPO |
$623.55
|
| Rate for Payer: BCN Medicare Advantage |
$623.55
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$897.91
|
| Rate for Payer: Cofinity Commercial |
$835.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$623.55
|
| Rate for Payer: Healthscope Commercial |
$748.26
|
| Rate for Payer: Healthscope Whirlpool |
$748.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$654.73
|
| Rate for Payer: Nomi Health Commercial |
$748.26
|
| Rate for Payer: PACE SWMI |
$623.55
|
| Rate for Payer: PHP Medicare Advantage |
$623.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health Medicare |
$623.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$623.55
|
| Rate for Payer: UHC Medicare Advantage |
$623.55
|
| Rate for Payer: UHCCP DNSP |
$623.55
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,589.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$1,032.85 |
| Max. Negotiated Rate |
$9,432.52 |
| Rate for Payer: Aetna Commercial |
$1,430.10
|
| Rate for Payer: Aetna Medicare |
$6,085.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,606.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,606.88
|
| Rate for Payer: ASR ASR |
$1,541.33
|
| Rate for Payer: ASR Commercial |
$1,541.33
|
| Rate for Payer: BCBS Complete |
$3,424.92
|
| Rate for Payer: BCBS MAPPO |
$6,085.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,301.23
|
| Rate for Payer: BCN Commercial |
$1,231.95
|
| Rate for Payer: BCN Medicare Advantage |
$6,085.50
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$1,493.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,271.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,085.50
|
| Rate for Payer: Healthscope Commercial |
$1,589.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,541.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,085.50
|
| Rate for Payer: Mclaren Commercial |
$1,430.10
|
| Rate for Payer: Mclaren Medicaid |
$3,261.83
|
| Rate for Payer: Mclaren Medicare |
$6,085.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,389.77
|
| Rate for Payer: Meridian Medicaid |
$3,424.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,998.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,350.65
|
| Rate for Payer: Nomi Health Commercial |
$1,302.98
|
| Rate for Payer: PACE Medicare |
$5,781.23
|
| Rate for Payer: PACE SWMI |
$6,085.50
|
| Rate for Payer: PHP Commercial |
$6,694.05
|
| Rate for Payer: PHP Medicaid |
$3,261.83
|
| Rate for Payer: PHP Medicare Advantage |
$6,085.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,261.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,392.28
|
| Rate for Payer: Priority Health Medicare |
$6,085.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,113.89
|
| Rate for Payer: Railroad Medicare Medicare |
$6,085.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,398.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,085.50
|
| Rate for Payer: UHC Exchange |
$9,432.52
|
| Rate for Payer: UHC Medicare Advantage |
$6,085.50
|
| Rate for Payer: UHCCP DNSP |
$6,085.50
|
| Rate for Payer: UHCCP Medicaid |
$3,261.83
|
| Rate for Payer: VA VA |
$6,085.50
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,589.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$1,032.85 |
| Max. Negotiated Rate |
$1,589.00 |
| Rate for Payer: Aetna Commercial |
$1,430.10
|
| Rate for Payer: ASR ASR |
$1,541.33
|
| Rate for Payer: ASR Commercial |
$1,541.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,294.88
|
| Rate for Payer: BCN Commercial |
$1,231.95
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$1,493.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,271.20
|
| Rate for Payer: Healthscope Commercial |
$1,589.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,541.33
|
| Rate for Payer: Mclaren Commercial |
$1,430.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,350.65
|
| Rate for Payer: Nomi Health Commercial |
$1,302.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,398.32
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,165.00
|
|
|
Service Code
|
HCPCS 49614
|
| Min. Negotiated Rate |
$466.00 |
| Max. Negotiated Rate |
$803.22 |
| Rate for Payer: Aetna Commercial |
$747.44
|
| Rate for Payer: Aetna Medicare |
$557.79
|
| Rate for Payer: BCBS Complete |
$466.00
|
| Rate for Payer: BCBS MAPPO |
$557.79
|
| Rate for Payer: BCN Medicare Advantage |
$557.79
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$803.22
|
| Rate for Payer: Cofinity Commercial |
$747.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.79
|
| Rate for Payer: Healthscope Commercial |
$669.35
|
| Rate for Payer: Healthscope Whirlpool |
$669.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.68
|
| Rate for Payer: Nomi Health Commercial |
$669.35
|
| Rate for Payer: PACE SWMI |
$557.79
|
| Rate for Payer: PHP Medicare Advantage |
$557.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health Medicare |
$557.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.79
|
| Rate for Payer: UHC Medicare Advantage |
$557.79
|
| Rate for Payer: UHCCP DNSP |
$557.79
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,165.00
|
|
|
Service Code
|
HCPCS 49614
|
| Hospital Charge Code |
49614
|
| Min. Negotiated Rate |
$466.00 |
| Max. Negotiated Rate |
$803.22 |
| Rate for Payer: Aetna Commercial |
$747.44
|
| Rate for Payer: Aetna Medicare |
$557.79
|
| Rate for Payer: BCBS Complete |
$466.00
|
| Rate for Payer: BCBS MAPPO |
$557.79
|
| Rate for Payer: BCN Medicare Advantage |
$557.79
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$803.22
|
| Rate for Payer: Cofinity Commercial |
$747.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.79
|
| Rate for Payer: Healthscope Commercial |
$669.35
|
| Rate for Payer: Healthscope Whirlpool |
$669.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.68
|
| Rate for Payer: Nomi Health Commercial |
$669.35
|
| Rate for Payer: PACE SWMI |
$557.79
|
| Rate for Payer: PHP Medicare Advantage |
$557.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health Medicare |
$557.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.79
|
| Rate for Payer: UHC Medicare Advantage |
$557.79
|
| Rate for Payer: UHCCP DNSP |
$557.79
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,165.00
|
|
|
Service Code
|
CPT 49614
|
| Hospital Charge Code |
49614
|
| Min. Negotiated Rate |
$757.25 |
| Max. Negotiated Rate |
$1,165.00 |
| Rate for Payer: Aetna Commercial |
$1,048.50
|
| Rate for Payer: ASR ASR |
$1,130.05
|
| Rate for Payer: ASR Commercial |
$1,130.05
|
| Rate for Payer: BCBS Trust/PPO |
$949.36
|
| Rate for Payer: BCN Commercial |
$903.22
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$1,095.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$932.00
|
| Rate for Payer: Healthscope Commercial |
$1,165.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,130.05
|
| Rate for Payer: Mclaren Commercial |
$1,048.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$990.25
|
| Rate for Payer: Nomi Health Commercial |
$955.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,025.20
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,165.00
|
|
|
Service Code
|
CPT 49614
|
| Hospital Charge Code |
49614
|
| Min. Negotiated Rate |
$757.25 |
| Max. Negotiated Rate |
$8,819.70 |
| Rate for Payer: Aetna Commercial |
$1,048.50
|
| Rate for Payer: Aetna Medicare |
$5,690.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: ASR ASR |
$1,130.05
|
| Rate for Payer: ASR Commercial |
$1,130.05
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCBS Trust/PPO |
$954.02
|
| Rate for Payer: BCN Commercial |
$903.22
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$1,095.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$932.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$1,165.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,130.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,690.13
|
| Rate for Payer: Mclaren Commercial |
$1,048.50
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$990.25
|
| Rate for Payer: Nomi Health Commercial |
$955.30
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$6,259.14
|
| Rate for Payer: PHP Medicaid |
$3,049.91
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,020.77
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health Narrow Network |
$816.66
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,025.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Exchange |
$8,819.70
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP DNSP |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,049.91
|
| Rate for Payer: VA VA |
$5,690.13
|
|
