|
HC CTA-UPPER EXTREMITY RIGHT
|
Facility
IP
|
$2,805.00
|
|
|
Service Code
|
CPT 73206 RT
|
| Hospital Charge Code |
11663206
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$2,103.75 |
| Max. Negotiated Rate |
$2,608.65 |
| Rate for Payer: Aetna Commercial |
$2,423.52
|
| Rate for Payer: Cash Price |
$1,739.10
|
| Rate for Payer: Cigna All Commercial |
$2,420.72
|
| Rate for Payer: CORVEL All Commercial |
$2,608.65
|
| Rate for Payer: Coventry All Commercial |
$2,468.40
|
| Rate for Payer: Encore All Commercial |
$2,582.00
|
| Rate for Payer: Frontpath All Commercial |
$2,580.60
|
| Rate for Payer: Humana ChoiceCare |
$2,422.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,524.50
|
| Rate for Payer: PHCS All Commercial |
$2,103.75
|
| Rate for Payer: PHP All Commercial |
$2,127.31
|
| Rate for Payer: Sagamore Health Network All Products |
$2,165.46
|
| Rate for Payer: Signature Care EPO |
$2,328.15
|
| Rate for Payer: Signature Care PPO |
$2,468.40
|
| Rate for Payer: United Healthcare Commercial |
$2,210.34
|
|
|
HC CTA-UPPER EXTREMITY RIGHT
|
Facility
OP
|
$2,805.00
|
|
|
Service Code
|
CPT 73206 RT
|
| Hospital Charge Code |
11663206
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$925.65 |
| Max. Negotiated Rate |
$2,608.65 |
| Rate for Payer: Aetna Commercial |
$2,367.42
|
| Rate for Payer: Aetna Medicare |
$925.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$925.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,610.91
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,753.41
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,064.50
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,018.22
|
| Rate for Payer: Cash Price |
$1,739.10
|
| Rate for Payer: Centivo All Commercial |
$1,430.55
|
| Rate for Payer: Cigna All Commercial |
$2,420.72
|
| Rate for Payer: CORVEL All Commercial |
$2,608.65
|
| Rate for Payer: Coventry All Commercial |
$2,468.40
|
| Rate for Payer: Encore All Commercial |
$2,582.00
|
| Rate for Payer: Frontpath All Commercial |
$2,580.60
|
| Rate for Payer: Humana ChoiceCare |
$2,422.68
|
| Rate for Payer: Humana Medicare |
$1,430.55
|
| Rate for Payer: Lucent All Commercial |
$1,430.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,524.50
|
| Rate for Payer: PHCS All Commercial |
$2,103.75
|
| Rate for Payer: PHP All Commercial |
$2,127.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,093.95
|
| Rate for Payer: Sagamore Health Network All Products |
$2,165.46
|
| Rate for Payer: Signature Care EPO |
$2,328.15
|
| Rate for Payer: Signature Care PPO |
$2,468.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,384.25
|
| Rate for Payer: United Healthcare Commercial |
$2,210.34
|
| Rate for Payer: United Healthcare Medicare |
$925.65
|
|
|
HC CT BIOPSY LIVER
|
Facility
OP
|
$2,936.07
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
01667000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$968.90 |
| Max. Negotiated Rate |
$4,315.74 |
| Rate for Payer: Aetna Commercial |
$2,478.04
|
| Rate for Payer: Aetna Medicare |
$968.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$968.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,686.19
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,835.34
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$4,315.74
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,114.24
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,065.79
|
| Rate for Payer: Cash Price |
$1,820.36
|
| Rate for Payer: Cash Price |
$1,820.36
|
| Rate for Payer: Centivo All Commercial |
$1,497.40
|
| Rate for Payer: Cigna All Commercial |
$2,533.83
|
| Rate for Payer: CORVEL All Commercial |
$2,730.55
|
| Rate for Payer: Coventry All Commercial |
$2,583.74
|
| Rate for Payer: Encore All Commercial |
$2,702.65
|
| Rate for Payer: Frontpath All Commercial |
$2,701.18
|
| Rate for Payer: Humana ChoiceCare |
$2,535.88
|
| Rate for Payer: Humana Medicare |
$1,497.40
|
| Rate for Payer: Lucent All Commercial |
$1,497.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,642.46
|
| Rate for Payer: Managed Health Services Medicaid |
$4,315.74
|
| Rate for Payer: MDWise Medicaid |
$4,315.74
|
| Rate for Payer: PHCS All Commercial |
$2,202.05
|
| Rate for Payer: PHP All Commercial |
$2,226.72
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,145.07
|
| Rate for Payer: Sagamore Health Network All Products |
$2,266.65
|
| Rate for Payer: Signature Care EPO |
$2,436.94
|
| Rate for Payer: Signature Care PPO |
$2,583.74
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,495.66
|
| Rate for Payer: United Healthcare Commercial |
$2,313.62
|
| Rate for Payer: United Healthcare Medicare |
$968.90
|
|
|
HC CT BIOPSY LIVER
|
Facility
IP
|
$2,936.07
|
|
|
Service Code
|
CPT 47000
|
| Hospital Charge Code |
01667000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,202.05 |
| Max. Negotiated Rate |
$2,730.55 |
| Rate for Payer: Aetna Commercial |
$2,536.76
|
| Rate for Payer: Cash Price |
$1,820.36
|
| Rate for Payer: Cigna All Commercial |
$2,533.83
|
| Rate for Payer: CORVEL All Commercial |
$2,730.55
|
| Rate for Payer: Coventry All Commercial |
$2,583.74
|
| Rate for Payer: Encore All Commercial |
$2,702.65
|
| Rate for Payer: Frontpath All Commercial |
$2,701.18
|
| Rate for Payer: Humana ChoiceCare |
$2,535.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,642.46
|
| Rate for Payer: PHCS All Commercial |
$2,202.05
|
| Rate for Payer: PHP All Commercial |
$2,226.72
|
| Rate for Payer: Sagamore Health Network All Products |
$2,266.65
|
| Rate for Payer: Signature Care EPO |
$2,436.94
|
| Rate for Payer: Signature Care PPO |
$2,583.74
|
| Rate for Payer: United Healthcare Commercial |
$2,313.62
|
|
|
HC CT BIOPSY - UNLISTED
|
Facility
IP
|
$1,083.43
|
|
| Hospital Charge Code |
01669000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$812.58 |
| Max. Negotiated Rate |
$1,007.59 |
| Rate for Payer: Aetna Commercial |
$936.09
|
| Rate for Payer: Cash Price |
$671.73
|
| Rate for Payer: Cigna All Commercial |
$935.00
|
| Rate for Payer: CORVEL All Commercial |
$1,007.59
|
| Rate for Payer: Coventry All Commercial |
$953.42
|
| Rate for Payer: Encore All Commercial |
$997.30
|
| Rate for Payer: Frontpath All Commercial |
$996.76
|
| Rate for Payer: Humana ChoiceCare |
$935.76
|
| Rate for Payer: Lutheran Preferred All Commercial |
$975.09
|
| Rate for Payer: PHCS All Commercial |
$812.58
|
| Rate for Payer: PHP All Commercial |
$821.68
|
| Rate for Payer: Sagamore Health Network All Products |
$836.41
|
| Rate for Payer: Signature Care EPO |
$899.25
|
| Rate for Payer: Signature Care PPO |
$953.42
|
| Rate for Payer: United Healthcare Commercial |
$853.75
|
|
|
HC CT BIOPSY - UNLISTED
|
Facility
OP
|
$1,083.43
|
|
| Hospital Charge Code |
01669000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$357.53 |
| Max. Negotiated Rate |
$1,007.59 |
| Rate for Payer: Aetna Commercial |
$914.42
|
| Rate for Payer: Aetna Medicare |
$357.53
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$357.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$622.22
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$677.25
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$411.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$393.29
|
| Rate for Payer: Cash Price |
$671.73
|
| Rate for Payer: Centivo All Commercial |
$552.55
|
| Rate for Payer: Cigna All Commercial |
$935.00
|
| Rate for Payer: CORVEL All Commercial |
$1,007.59
|
| Rate for Payer: Coventry All Commercial |
$953.42
|
| Rate for Payer: Encore All Commercial |
$997.30
|
| Rate for Payer: Frontpath All Commercial |
$996.76
|
| Rate for Payer: Humana ChoiceCare |
$935.76
|
| Rate for Payer: Humana Medicare |
$552.55
|
| Rate for Payer: Lucent All Commercial |
$552.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$975.09
|
| Rate for Payer: PHCS All Commercial |
$812.58
|
| Rate for Payer: PHP All Commercial |
$821.68
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$422.54
|
| Rate for Payer: Sagamore Health Network All Products |
$836.41
|
| Rate for Payer: Signature Care EPO |
$899.25
|
| Rate for Payer: Signature Care PPO |
$953.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$920.92
|
| Rate for Payer: United Healthcare Commercial |
$853.75
|
| Rate for Payer: United Healthcare Medicare |
$357.53
|
|
|
HC CT BX PERC NDL ABD/PERIT MASS
|
Facility
OP
|
$2,830.50
|
|
| Hospital Charge Code |
01669180
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$934.06 |
| Max. Negotiated Rate |
$2,632.36 |
| Rate for Payer: Aetna Commercial |
$2,388.94
|
| Rate for Payer: Aetna Medicare |
$934.06
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$934.06
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,625.56
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,769.35
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,074.17
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,027.47
|
| Rate for Payer: Cash Price |
$1,754.91
|
| Rate for Payer: Centivo All Commercial |
$1,443.56
|
| Rate for Payer: Cigna All Commercial |
$2,442.72
|
| Rate for Payer: CORVEL All Commercial |
$2,632.36
|
| Rate for Payer: Coventry All Commercial |
$2,490.84
|
| Rate for Payer: Encore All Commercial |
$2,605.48
|
| Rate for Payer: Frontpath All Commercial |
$2,604.06
|
| Rate for Payer: Humana ChoiceCare |
$2,444.70
|
| Rate for Payer: Humana Medicare |
$1,443.56
|
| Rate for Payer: Lucent All Commercial |
$1,443.56
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,547.45
|
| Rate for Payer: PHCS All Commercial |
$2,122.88
|
| Rate for Payer: PHP All Commercial |
$2,146.65
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,103.90
|
| Rate for Payer: Sagamore Health Network All Products |
$2,185.15
|
| Rate for Payer: Signature Care EPO |
$2,349.32
|
| Rate for Payer: Signature Care PPO |
$2,490.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,405.92
|
| Rate for Payer: United Healthcare Commercial |
$2,230.43
|
| Rate for Payer: United Healthcare Medicare |
$934.06
|
|
|
HC CT BX PERC NDL ABD/PERIT MASS
|
Facility
IP
|
$2,830.50
|
|
| Hospital Charge Code |
01669180
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,122.88 |
| Max. Negotiated Rate |
$2,632.36 |
| Rate for Payer: Aetna Commercial |
$2,445.55
|
| Rate for Payer: Cash Price |
$1,754.91
|
| Rate for Payer: Cigna All Commercial |
$2,442.72
|
| Rate for Payer: CORVEL All Commercial |
$2,632.36
|
| Rate for Payer: Coventry All Commercial |
$2,490.84
|
| Rate for Payer: Encore All Commercial |
$2,605.48
|
| Rate for Payer: Frontpath All Commercial |
$2,604.06
|
| Rate for Payer: Humana ChoiceCare |
$2,444.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,547.45
|
| Rate for Payer: PHCS All Commercial |
$2,122.88
|
| Rate for Payer: PHP All Commercial |
$2,146.65
|
| Rate for Payer: Sagamore Health Network All Products |
$2,185.15
|
| Rate for Payer: Signature Care EPO |
$2,349.32
|
| Rate for Payer: Signature Care PPO |
$2,490.84
|
| Rate for Payer: United Healthcare Commercial |
$2,230.43
|
|
|
HC CT CERVICAL SPINE W/CONTRAST
|
Facility
IP
|
$2,038.98
|
|
|
Service Code
|
CPT 72126
|
| Hospital Charge Code |
01662126
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,529.24 |
| Max. Negotiated Rate |
$1,896.25 |
| Rate for Payer: Aetna Commercial |
$1,761.68
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Cigna All Commercial |
$1,759.64
|
| Rate for Payer: CORVEL All Commercial |
$1,896.25
|
| Rate for Payer: Coventry All Commercial |
$1,794.30
|
| Rate for Payer: Encore All Commercial |
$1,876.88
|
| Rate for Payer: Frontpath All Commercial |
$1,875.86
|
| Rate for Payer: Humana ChoiceCare |
$1,761.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,835.08
|
| Rate for Payer: PHCS All Commercial |
$1,529.24
|
| Rate for Payer: PHP All Commercial |
$1,546.36
|
| Rate for Payer: Sagamore Health Network All Products |
$1,574.09
|
| Rate for Payer: Signature Care EPO |
$1,692.35
|
| Rate for Payer: Signature Care PPO |
$1,794.30
|
| Rate for Payer: United Healthcare Commercial |
$1,606.72
|
|
|
HC CT CERVICAL SPINE W/CONTRAST
|
Facility
OP
|
$2,038.98
|
|
|
Service Code
|
CPT 72126
|
| Hospital Charge Code |
01662126
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$483.68 |
| Max. Negotiated Rate |
$1,896.25 |
| Rate for Payer: Aetna Commercial |
$1,720.90
|
| Rate for Payer: Aetna Medicare |
$672.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$672.86
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,170.99
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,274.57
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$483.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$773.79
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$740.15
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Centivo All Commercial |
$1,039.88
|
| Rate for Payer: Cigna All Commercial |
$1,759.64
|
| Rate for Payer: CORVEL All Commercial |
$1,896.25
|
| Rate for Payer: Coventry All Commercial |
$1,794.30
|
| Rate for Payer: Encore All Commercial |
$1,876.88
|
| Rate for Payer: Frontpath All Commercial |
$1,875.86
|
| Rate for Payer: Humana ChoiceCare |
$1,761.07
|
| Rate for Payer: Humana Medicare |
$1,039.88
|
| Rate for Payer: Lucent All Commercial |
$1,039.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,835.08
|
| Rate for Payer: Managed Health Services Medicaid |
$483.68
|
| Rate for Payer: MDWise Medicaid |
$483.68
|
| Rate for Payer: PHCS All Commercial |
$1,529.24
|
| Rate for Payer: PHP All Commercial |
$1,546.36
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$795.20
|
| Rate for Payer: Sagamore Health Network All Products |
$1,574.09
|
| Rate for Payer: Signature Care EPO |
$1,692.35
|
| Rate for Payer: Signature Care PPO |
$1,794.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,733.13
|
| Rate for Payer: United Healthcare Commercial |
$1,606.72
|
| Rate for Payer: United Healthcare Medicare |
$672.86
|
|
|
HC CT CERVICAL SPINE W/O CONTRAST
|
Facility
IP
|
$1,734.00
|
|
|
Service Code
|
CPT 72125
|
| Hospital Charge Code |
01662148
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,300.50 |
| Max. Negotiated Rate |
$1,612.62 |
| Rate for Payer: Aetna Commercial |
$1,498.18
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Cigna All Commercial |
$1,496.44
|
| Rate for Payer: CORVEL All Commercial |
$1,612.62
|
| Rate for Payer: Coventry All Commercial |
$1,525.92
|
| Rate for Payer: Encore All Commercial |
$1,596.15
|
| Rate for Payer: Frontpath All Commercial |
$1,595.28
|
| Rate for Payer: Humana ChoiceCare |
$1,497.66
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,560.60
|
| Rate for Payer: PHCS All Commercial |
$1,300.50
|
| Rate for Payer: PHP All Commercial |
$1,315.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,338.65
|
| Rate for Payer: Signature Care EPO |
$1,439.22
|
| Rate for Payer: Signature Care PPO |
$1,525.92
|
| Rate for Payer: United Healthcare Commercial |
$1,366.39
|
|
|
HC CT CERVICAL SPINE W/O CONTRAST
|
Facility
OP
|
$1,734.00
|
|
|
Service Code
|
CPT 72125
|
| Hospital Charge Code |
01662148
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$386.10 |
| Max. Negotiated Rate |
$1,612.62 |
| Rate for Payer: Aetna Commercial |
$1,463.50
|
| Rate for Payer: Aetna Medicare |
$572.22
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$572.22
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,177.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,177.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$386.10
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$658.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$629.44
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Centivo All Commercial |
$884.34
|
| Rate for Payer: Cigna All Commercial |
$1,496.44
|
| Rate for Payer: CORVEL All Commercial |
$1,612.62
|
| Rate for Payer: Coventry All Commercial |
$1,525.92
|
| Rate for Payer: Encore All Commercial |
$1,596.15
|
| Rate for Payer: Frontpath All Commercial |
$1,595.28
|
| Rate for Payer: Humana ChoiceCare |
$1,497.66
|
| Rate for Payer: Humana Medicare |
$884.34
|
| Rate for Payer: Lucent All Commercial |
$884.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,560.60
|
| Rate for Payer: Managed Health Services Medicaid |
$386.10
|
| Rate for Payer: MDWise Medicaid |
$386.10
|
| Rate for Payer: PHCS All Commercial |
$1,300.50
|
| Rate for Payer: PHP All Commercial |
$1,315.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$676.26
|
| Rate for Payer: Sagamore Health Network All Products |
$1,338.65
|
| Rate for Payer: Signature Care EPO |
$1,439.22
|
| Rate for Payer: Signature Care PPO |
$1,525.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,473.90
|
| Rate for Payer: United Healthcare Commercial |
$1,366.39
|
| Rate for Payer: United Healthcare Medicare |
$572.22
|
|
|
HC CT CERVICAL SPINE W/WO CON
|
Facility
OP
|
$3,009.00
|
|
|
Service Code
|
CPT 72127
|
| Hospital Charge Code |
01662127
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$601.54 |
| Max. Negotiated Rate |
$2,798.37 |
| Rate for Payer: Aetna Commercial |
$2,539.60
|
| Rate for Payer: Aetna Medicare |
$992.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$992.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,728.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,880.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$601.54
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,141.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,092.27
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Centivo All Commercial |
$1,534.59
|
| Rate for Payer: Cigna All Commercial |
$2,596.77
|
| Rate for Payer: CORVEL All Commercial |
$2,798.37
|
| Rate for Payer: Coventry All Commercial |
$2,647.92
|
| Rate for Payer: Encore All Commercial |
$2,769.78
|
| Rate for Payer: Frontpath All Commercial |
$2,768.28
|
| Rate for Payer: Humana ChoiceCare |
$2,598.87
|
| Rate for Payer: Humana Medicare |
$1,534.59
|
| Rate for Payer: Lucent All Commercial |
$1,534.59
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,708.10
|
| Rate for Payer: Managed Health Services Medicaid |
$601.54
|
| Rate for Payer: MDWise Medicaid |
$601.54
|
| Rate for Payer: PHCS All Commercial |
$2,256.75
|
| Rate for Payer: PHP All Commercial |
$2,282.03
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,173.51
|
| Rate for Payer: Sagamore Health Network All Products |
$2,322.95
|
| Rate for Payer: Signature Care EPO |
$2,497.47
|
| Rate for Payer: Signature Care PPO |
$2,647.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,557.65
|
| Rate for Payer: United Healthcare Commercial |
$2,371.09
|
| Rate for Payer: United Healthcare Medicare |
$992.97
|
|
|
HC CT CERVICAL SPINE W/WO CON
|
Facility
IP
|
$3,009.00
|
|
|
Service Code
|
CPT 72127
|
| Hospital Charge Code |
01662127
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$2,256.75 |
| Max. Negotiated Rate |
$2,798.37 |
| Rate for Payer: Aetna Commercial |
$2,599.78
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Cigna All Commercial |
$2,596.77
|
| Rate for Payer: CORVEL All Commercial |
$2,798.37
|
| Rate for Payer: Coventry All Commercial |
$2,647.92
|
| Rate for Payer: Encore All Commercial |
$2,769.78
|
| Rate for Payer: Frontpath All Commercial |
$2,768.28
|
| Rate for Payer: Humana ChoiceCare |
$2,598.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,708.10
|
| Rate for Payer: PHCS All Commercial |
$2,256.75
|
| Rate for Payer: PHP All Commercial |
$2,282.03
|
| Rate for Payer: Sagamore Health Network All Products |
$2,322.95
|
| Rate for Payer: Signature Care EPO |
$2,497.47
|
| Rate for Payer: Signature Care PPO |
$2,647.92
|
| Rate for Payer: United Healthcare Commercial |
$2,371.09
|
|
|
HC CT CHEST W/CONTRAST
|
Facility
OP
|
$2,038.98
|
|
|
Service Code
|
CPT 71260
|
| Hospital Charge Code |
01661260
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$480.79 |
| Max. Negotiated Rate |
$1,896.25 |
| Rate for Payer: Aetna Commercial |
$1,720.90
|
| Rate for Payer: Aetna Medicare |
$672.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$672.86
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,177.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,177.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$480.79
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$773.79
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$740.15
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Centivo All Commercial |
$1,039.88
|
| Rate for Payer: Cigna All Commercial |
$1,759.64
|
| Rate for Payer: CORVEL All Commercial |
$1,896.25
|
| Rate for Payer: Coventry All Commercial |
$1,794.30
|
| Rate for Payer: Encore All Commercial |
$1,876.88
|
| Rate for Payer: Frontpath All Commercial |
$1,875.86
|
| Rate for Payer: Humana ChoiceCare |
$1,761.07
|
| Rate for Payer: Humana Medicare |
$1,039.88
|
| Rate for Payer: Lucent All Commercial |
$1,039.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,835.08
|
| Rate for Payer: Managed Health Services Medicaid |
$480.79
|
| Rate for Payer: MDWise Medicaid |
$480.79
|
| Rate for Payer: PHCS All Commercial |
$1,529.24
|
| Rate for Payer: PHP All Commercial |
$1,546.36
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$795.20
|
| Rate for Payer: Sagamore Health Network All Products |
$1,574.09
|
| Rate for Payer: Signature Care EPO |
$1,692.35
|
| Rate for Payer: Signature Care PPO |
$1,794.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,733.13
|
| Rate for Payer: United Healthcare Commercial |
$1,606.72
|
| Rate for Payer: United Healthcare Medicare |
$672.86
|
|
|
HC CT CHEST W/CONTRAST
|
Facility
IP
|
$2,038.98
|
|
|
Service Code
|
CPT 71260
|
| Hospital Charge Code |
01661260
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,529.24 |
| Max. Negotiated Rate |
$1,896.25 |
| Rate for Payer: Aetna Commercial |
$1,761.68
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Cigna All Commercial |
$1,759.64
|
| Rate for Payer: CORVEL All Commercial |
$1,896.25
|
| Rate for Payer: Coventry All Commercial |
$1,794.30
|
| Rate for Payer: Encore All Commercial |
$1,876.88
|
| Rate for Payer: Frontpath All Commercial |
$1,875.86
|
| Rate for Payer: Humana ChoiceCare |
$1,761.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,835.08
|
| Rate for Payer: PHCS All Commercial |
$1,529.24
|
| Rate for Payer: PHP All Commercial |
$1,546.36
|
| Rate for Payer: Sagamore Health Network All Products |
$1,574.09
|
| Rate for Payer: Signature Care EPO |
$1,692.35
|
| Rate for Payer: Signature Care PPO |
$1,794.30
|
| Rate for Payer: United Healthcare Commercial |
$1,606.72
|
|
|
HC CT CHEST W/O CONTRAST
|
Facility
IP
|
$1,734.00
|
|
|
Service Code
|
CPT 71250
|
| Hospital Charge Code |
01661250
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$1,300.50 |
| Max. Negotiated Rate |
$1,612.62 |
| Rate for Payer: Aetna Commercial |
$1,498.18
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Cigna All Commercial |
$1,496.44
|
| Rate for Payer: CORVEL All Commercial |
$1,612.62
|
| Rate for Payer: Coventry All Commercial |
$1,525.92
|
| Rate for Payer: Encore All Commercial |
$1,596.15
|
| Rate for Payer: Frontpath All Commercial |
$1,595.28
|
| Rate for Payer: Humana ChoiceCare |
$1,497.66
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,560.60
|
| Rate for Payer: PHCS All Commercial |
$1,300.50
|
| Rate for Payer: PHP All Commercial |
$1,315.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,338.65
|
| Rate for Payer: Signature Care EPO |
$1,439.22
|
| Rate for Payer: Signature Care PPO |
$1,525.92
|
| Rate for Payer: United Healthcare Commercial |
$1,366.39
|
|
|
HC CT CHEST W/O CONTRAST
|
Facility
OP
|
$1,734.00
|
|
|
Service Code
|
CPT 71250
|
| Hospital Charge Code |
01661250
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$381.26 |
| Max. Negotiated Rate |
$1,612.62 |
| Rate for Payer: Aetna Commercial |
$1,463.50
|
| Rate for Payer: Aetna Medicare |
$572.22
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$572.22
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,177.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,177.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$381.26
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$658.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$629.44
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Centivo All Commercial |
$884.34
|
| Rate for Payer: Cigna All Commercial |
$1,496.44
|
| Rate for Payer: CORVEL All Commercial |
$1,612.62
|
| Rate for Payer: Coventry All Commercial |
$1,525.92
|
| Rate for Payer: Encore All Commercial |
$1,596.15
|
| Rate for Payer: Frontpath All Commercial |
$1,595.28
|
| Rate for Payer: Humana ChoiceCare |
$1,497.66
|
| Rate for Payer: Humana Medicare |
$884.34
|
| Rate for Payer: Lucent All Commercial |
$884.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,560.60
|
| Rate for Payer: Managed Health Services Medicaid |
$381.26
|
| Rate for Payer: MDWise Medicaid |
$381.26
|
| Rate for Payer: PHCS All Commercial |
$1,300.50
|
| Rate for Payer: PHP All Commercial |
$1,315.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$676.26
|
| Rate for Payer: Sagamore Health Network All Products |
$1,338.65
|
| Rate for Payer: Signature Care EPO |
$1,439.22
|
| Rate for Payer: Signature Care PPO |
$1,525.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,473.90
|
| Rate for Payer: United Healthcare Commercial |
$1,366.39
|
| Rate for Payer: United Healthcare Medicare |
$572.22
|
|
|
HC CT CHEST W/WO CONTRAST
|
Facility
OP
|
$3,009.00
|
|
|
Service Code
|
CPT 71270
|
| Hospital Charge Code |
01661270
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$597.68 |
| Max. Negotiated Rate |
$2,798.37 |
| Rate for Payer: Aetna Commercial |
$2,539.60
|
| Rate for Payer: Aetna Medicare |
$992.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$992.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,728.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,880.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$597.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,141.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,092.27
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Centivo All Commercial |
$1,534.59
|
| Rate for Payer: Cigna All Commercial |
$2,596.77
|
| Rate for Payer: CORVEL All Commercial |
$2,798.37
|
| Rate for Payer: Coventry All Commercial |
$2,647.92
|
| Rate for Payer: Encore All Commercial |
$2,769.78
|
| Rate for Payer: Frontpath All Commercial |
$2,768.28
|
| Rate for Payer: Humana ChoiceCare |
$2,598.87
|
| Rate for Payer: Humana Medicare |
$1,534.59
|
| Rate for Payer: Lucent All Commercial |
$1,534.59
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,708.10
|
| Rate for Payer: Managed Health Services Medicaid |
$597.68
|
| Rate for Payer: MDWise Medicaid |
$597.68
|
| Rate for Payer: PHCS All Commercial |
$2,256.75
|
| Rate for Payer: PHP All Commercial |
$2,282.03
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,173.51
|
| Rate for Payer: Sagamore Health Network All Products |
$2,322.95
|
| Rate for Payer: Signature Care EPO |
$2,497.47
|
| Rate for Payer: Signature Care PPO |
$2,647.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,557.65
|
| Rate for Payer: United Healthcare Commercial |
$2,371.09
|
| Rate for Payer: United Healthcare Medicare |
$992.97
|
|
|
HC CT CHEST W/WO CONTRAST
|
Facility
IP
|
$3,009.00
|
|
|
Service Code
|
CPT 71270
|
| Hospital Charge Code |
01661270
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$2,256.75 |
| Max. Negotiated Rate |
$2,798.37 |
| Rate for Payer: Aetna Commercial |
$2,599.78
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Cigna All Commercial |
$2,596.77
|
| Rate for Payer: CORVEL All Commercial |
$2,798.37
|
| Rate for Payer: Coventry All Commercial |
$2,647.92
|
| Rate for Payer: Encore All Commercial |
$2,769.78
|
| Rate for Payer: Frontpath All Commercial |
$2,768.28
|
| Rate for Payer: Humana ChoiceCare |
$2,598.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,708.10
|
| Rate for Payer: PHCS All Commercial |
$2,256.75
|
| Rate for Payer: PHP All Commercial |
$2,282.03
|
| Rate for Payer: Sagamore Health Network All Products |
$2,322.95
|
| Rate for Payer: Signature Care EPO |
$2,497.47
|
| Rate for Payer: Signature Care PPO |
$2,647.92
|
| Rate for Payer: United Healthcare Commercial |
$2,371.09
|
|
|
HC CT FACE W/CONTRAST
|
Facility
OP
|
$2,038.98
|
|
|
Service Code
|
CPT 70487
|
| Hospital Charge Code |
01660463
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$503.02 |
| Max. Negotiated Rate |
$1,896.25 |
| Rate for Payer: Aetna Commercial |
$1,720.90
|
| Rate for Payer: Aetna Medicare |
$672.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$672.86
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,177.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,177.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$503.02
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$773.79
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$740.15
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Centivo All Commercial |
$1,039.88
|
| Rate for Payer: Cigna All Commercial |
$1,759.64
|
| Rate for Payer: CORVEL All Commercial |
$1,896.25
|
| Rate for Payer: Coventry All Commercial |
$1,794.30
|
| Rate for Payer: Encore All Commercial |
$1,876.88
|
| Rate for Payer: Frontpath All Commercial |
$1,875.86
|
| Rate for Payer: Humana ChoiceCare |
$1,761.07
|
| Rate for Payer: Humana Medicare |
$1,039.88
|
| Rate for Payer: Lucent All Commercial |
$1,039.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,835.08
|
| Rate for Payer: Managed Health Services Medicaid |
$503.02
|
| Rate for Payer: MDWise Medicaid |
$503.02
|
| Rate for Payer: PHCS All Commercial |
$1,529.24
|
| Rate for Payer: PHP All Commercial |
$1,546.36
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$795.20
|
| Rate for Payer: Sagamore Health Network All Products |
$1,574.09
|
| Rate for Payer: Signature Care EPO |
$1,692.35
|
| Rate for Payer: Signature Care PPO |
$1,794.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,733.13
|
| Rate for Payer: United Healthcare Commercial |
$1,606.72
|
| Rate for Payer: United Healthcare Medicare |
$672.86
|
|
|
HC CT FACE W/CONTRAST
|
Facility
IP
|
$2,038.98
|
|
|
Service Code
|
CPT 70487
|
| Hospital Charge Code |
01660463
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$1,529.24 |
| Max. Negotiated Rate |
$1,896.25 |
| Rate for Payer: Aetna Commercial |
$1,761.68
|
| Rate for Payer: Cash Price |
$1,264.17
|
| Rate for Payer: Cigna All Commercial |
$1,759.64
|
| Rate for Payer: CORVEL All Commercial |
$1,896.25
|
| Rate for Payer: Coventry All Commercial |
$1,794.30
|
| Rate for Payer: Encore All Commercial |
$1,876.88
|
| Rate for Payer: Frontpath All Commercial |
$1,875.86
|
| Rate for Payer: Humana ChoiceCare |
$1,761.07
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,835.08
|
| Rate for Payer: PHCS All Commercial |
$1,529.24
|
| Rate for Payer: PHP All Commercial |
$1,546.36
|
| Rate for Payer: Sagamore Health Network All Products |
$1,574.09
|
| Rate for Payer: Signature Care EPO |
$1,692.35
|
| Rate for Payer: Signature Care PPO |
$1,794.30
|
| Rate for Payer: United Healthcare Commercial |
$1,606.72
|
|
|
HC CT FACE W/O CONTRAST
|
Facility
IP
|
$1,734.00
|
|
|
Service Code
|
CPT 70486
|
| Hospital Charge Code |
01660453
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$1,300.50 |
| Max. Negotiated Rate |
$1,612.62 |
| Rate for Payer: Aetna Commercial |
$1,498.18
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Cigna All Commercial |
$1,496.44
|
| Rate for Payer: CORVEL All Commercial |
$1,612.62
|
| Rate for Payer: Coventry All Commercial |
$1,525.92
|
| Rate for Payer: Encore All Commercial |
$1,596.15
|
| Rate for Payer: Frontpath All Commercial |
$1,595.28
|
| Rate for Payer: Humana ChoiceCare |
$1,497.66
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,560.60
|
| Rate for Payer: PHCS All Commercial |
$1,300.50
|
| Rate for Payer: PHP All Commercial |
$1,315.07
|
| Rate for Payer: Sagamore Health Network All Products |
$1,338.65
|
| Rate for Payer: Signature Care EPO |
$1,439.22
|
| Rate for Payer: Signature Care PPO |
$1,525.92
|
| Rate for Payer: United Healthcare Commercial |
$1,366.39
|
|
|
HC CT FACE W/O CONTRAST
|
Facility
OP
|
$1,734.00
|
|
|
Service Code
|
CPT 70486
|
| Hospital Charge Code |
01660453
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$406.42 |
| Max. Negotiated Rate |
$1,612.62 |
| Rate for Payer: Aetna Commercial |
$1,463.50
|
| Rate for Payer: Aetna Medicare |
$572.22
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$572.22
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,177.00
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,177.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$406.42
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$658.05
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$629.44
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Cash Price |
$1,075.08
|
| Rate for Payer: Centivo All Commercial |
$884.34
|
| Rate for Payer: Cigna All Commercial |
$1,496.44
|
| Rate for Payer: CORVEL All Commercial |
$1,612.62
|
| Rate for Payer: Coventry All Commercial |
$1,525.92
|
| Rate for Payer: Encore All Commercial |
$1,596.15
|
| Rate for Payer: Frontpath All Commercial |
$1,595.28
|
| Rate for Payer: Humana ChoiceCare |
$1,497.66
|
| Rate for Payer: Humana Medicare |
$884.34
|
| Rate for Payer: Lucent All Commercial |
$884.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,560.60
|
| Rate for Payer: Managed Health Services Medicaid |
$406.42
|
| Rate for Payer: MDWise Medicaid |
$406.42
|
| Rate for Payer: PHCS All Commercial |
$1,300.50
|
| Rate for Payer: PHP All Commercial |
$1,315.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$676.26
|
| Rate for Payer: Sagamore Health Network All Products |
$1,338.65
|
| Rate for Payer: Signature Care EPO |
$1,439.22
|
| Rate for Payer: Signature Care PPO |
$1,525.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,473.90
|
| Rate for Payer: United Healthcare Commercial |
$1,366.39
|
| Rate for Payer: United Healthcare Medicare |
$572.22
|
|
|
HC CT FACE W/WO CONTRAST
|
Facility
OP
|
$3,009.00
|
|
|
Service Code
|
CPT 70488
|
| Hospital Charge Code |
01660473
|
|
Hospital Revenue Code
|
351
|
| Min. Negotiated Rate |
$620.88 |
| Max. Negotiated Rate |
$2,798.37 |
| Rate for Payer: Aetna Commercial |
$2,539.60
|
| Rate for Payer: Aetna Medicare |
$992.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$992.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,728.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,880.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$620.88
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,141.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,092.27
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Cash Price |
$1,865.58
|
| Rate for Payer: Centivo All Commercial |
$1,534.59
|
| Rate for Payer: Cigna All Commercial |
$2,596.77
|
| Rate for Payer: CORVEL All Commercial |
$2,798.37
|
| Rate for Payer: Coventry All Commercial |
$2,647.92
|
| Rate for Payer: Encore All Commercial |
$2,769.78
|
| Rate for Payer: Frontpath All Commercial |
$2,768.28
|
| Rate for Payer: Humana ChoiceCare |
$2,598.87
|
| Rate for Payer: Humana Medicare |
$1,534.59
|
| Rate for Payer: Lucent All Commercial |
$1,534.59
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,708.10
|
| Rate for Payer: Managed Health Services Medicaid |
$620.88
|
| Rate for Payer: MDWise Medicaid |
$620.88
|
| Rate for Payer: PHCS All Commercial |
$2,256.75
|
| Rate for Payer: PHP All Commercial |
$2,282.03
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,173.51
|
| Rate for Payer: Sagamore Health Network All Products |
$2,322.95
|
| Rate for Payer: Signature Care EPO |
$2,497.47
|
| Rate for Payer: Signature Care PPO |
$2,647.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,557.65
|
| Rate for Payer: United Healthcare Commercial |
$2,371.09
|
| Rate for Payer: United Healthcare Medicare |
$992.97
|
|
