|
HC IBD CHEMILUMISCENT ASSAY
|
Facility
IP
|
$161.16
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
63001488
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$120.87 |
| Max. Negotiated Rate |
$149.88 |
| Rate for Payer: Aetna Commercial |
$139.24
|
| Rate for Payer: Cash Price |
$99.92
|
| Rate for Payer: Cigna All Commercial |
$139.08
|
| Rate for Payer: CORVEL All Commercial |
$149.88
|
| Rate for Payer: Coventry All Commercial |
$141.82
|
| Rate for Payer: Encore All Commercial |
$148.35
|
| Rate for Payer: Frontpath All Commercial |
$148.27
|
| Rate for Payer: Humana ChoiceCare |
$139.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$145.04
|
| Rate for Payer: PHCS All Commercial |
$120.87
|
| Rate for Payer: PHP All Commercial |
$122.22
|
| Rate for Payer: Sagamore Health Network All Products |
$124.42
|
| Rate for Payer: Signature Care EPO |
$133.76
|
| Rate for Payer: Signature Care PPO |
$141.82
|
| Rate for Payer: United Healthcare Commercial |
$126.99
|
|
|
HC IBD CHEMILUMISCENT ASSAY
|
Facility
OP
|
$161.16
|
|
|
Service Code
|
CPT 82397
|
| Hospital Charge Code |
63001488
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.16 |
| Max. Negotiated Rate |
$149.88 |
| Rate for Payer: Aetna Commercial |
$136.02
|
| Rate for Payer: Aetna Medicare |
$53.18
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$53.18
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$74.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$74.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$12.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$61.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$58.50
|
| Rate for Payer: Cash Price |
$99.92
|
| Rate for Payer: Cash Price |
$99.92
|
| Rate for Payer: Centivo All Commercial |
$82.19
|
| Rate for Payer: Cigna All Commercial |
$139.08
|
| Rate for Payer: CORVEL All Commercial |
$149.88
|
| Rate for Payer: Coventry All Commercial |
$141.82
|
| Rate for Payer: Encore All Commercial |
$148.35
|
| Rate for Payer: Frontpath All Commercial |
$148.27
|
| Rate for Payer: Humana ChoiceCare |
$139.19
|
| Rate for Payer: Humana Medicare |
$82.19
|
| Rate for Payer: Lucent All Commercial |
$82.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$145.04
|
| Rate for Payer: Managed Health Services Medicaid |
$12.16
|
| Rate for Payer: MDWise Medicaid |
$12.16
|
| Rate for Payer: PHCS All Commercial |
$120.87
|
| Rate for Payer: PHP All Commercial |
$122.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$62.85
|
| Rate for Payer: Sagamore Health Network All Products |
$124.42
|
| Rate for Payer: Signature Care EPO |
$133.76
|
| Rate for Payer: Signature Care PPO |
$141.82
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$136.99
|
| Rate for Payer: United Healthcare Commercial |
$126.99
|
| Rate for Payer: United Healthcare Medicare |
$53.18
|
|
|
HC ICD DC DYNAGEN EL DR
|
Facility
IP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607209
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$35,280.00 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$40,642.56
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
|
|
HC ICD DC DYNAGEN EL DR
|
Facility
OP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607209
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$39,701.76
|
| Rate for Payer: Aetna Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$27,015.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$29,404.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17,851.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$17,075.52
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Centivo All Commercial |
$23,990.40
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Humana Medicare |
$23,990.40
|
| Rate for Payer: Lucent All Commercial |
$23,990.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$18,345.60
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$39,984.00
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
| Rate for Payer: United Healthcare Medicare |
$15,523.20
|
|
|
HC ICD DC DYNAGEN EL DR DF4
|
Facility
OP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607208
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$39,701.76
|
| Rate for Payer: Aetna Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$27,015.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$29,404.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17,851.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$17,075.52
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Centivo All Commercial |
$23,990.40
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Humana Medicare |
$23,990.40
|
| Rate for Payer: Lucent All Commercial |
$23,990.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$18,345.60
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$39,984.00
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
| Rate for Payer: United Healthcare Medicare |
$15,523.20
|
|
|
HC ICD DC DYNAGEN EL DR DF4
|
Facility
IP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607208
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$35,280.00 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$40,642.56
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
|
|
HC ICD DC DYNAGEN MINI DR
|
Facility
OP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607211
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$39,701.76
|
| Rate for Payer: Aetna Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$27,015.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$29,404.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17,851.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$17,075.52
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Centivo All Commercial |
$23,990.40
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Humana Medicare |
$23,990.40
|
| Rate for Payer: Lucent All Commercial |
$23,990.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$18,345.60
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$39,984.00
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
| Rate for Payer: United Healthcare Medicare |
$15,523.20
|
|
|
HC ICD DC DYNAGEN MINI DR
|
Facility
IP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607211
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$35,280.00 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$40,642.56
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
|
|
HC ICD DC DYNAGEN MINI DR DF4
|
Facility
IP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607210
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$35,280.00 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$40,642.56
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
|
|
HC ICD DC DYNAGEN MINI DR DF4
|
Facility
OP
|
$47,040.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607210
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$43,747.20 |
| Rate for Payer: Aetna Commercial |
$39,701.76
|
| Rate for Payer: Aetna Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15,523.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$27,015.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$29,404.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17,851.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$17,075.52
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Cash Price |
$29,164.80
|
| Rate for Payer: Centivo All Commercial |
$23,990.40
|
| Rate for Payer: Cigna All Commercial |
$40,595.52
|
| Rate for Payer: CORVEL All Commercial |
$43,747.20
|
| Rate for Payer: Coventry All Commercial |
$41,395.20
|
| Rate for Payer: Encore All Commercial |
$43,300.32
|
| Rate for Payer: Frontpath All Commercial |
$43,276.80
|
| Rate for Payer: Humana ChoiceCare |
$40,628.45
|
| Rate for Payer: Humana Medicare |
$23,990.40
|
| Rate for Payer: Lucent All Commercial |
$23,990.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$42,336.00
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$35,280.00
|
| Rate for Payer: PHP All Commercial |
$35,675.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$18,345.60
|
| Rate for Payer: Sagamore Health Network All Products |
$36,314.88
|
| Rate for Payer: Signature Care EPO |
$39,043.20
|
| Rate for Payer: Signature Care PPO |
$41,395.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$39,984.00
|
| Rate for Payer: United Healthcare Commercial |
$37,067.52
|
| Rate for Payer: United Healthcare Medicare |
$15,523.20
|
|
|
HC ICD DC ELLI DR 36
|
Facility
OP
|
$39,406.50
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607555
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$36,648.04 |
| Rate for Payer: Aetna Commercial |
$33,259.09
|
| Rate for Payer: Aetna Medicare |
$13,004.14
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$13,004.14
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$22,631.15
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$24,633.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$14,954.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$14,304.56
|
| Rate for Payer: Cash Price |
$24,432.03
|
| Rate for Payer: Cash Price |
$24,432.03
|
| Rate for Payer: Centivo All Commercial |
$20,097.32
|
| Rate for Payer: Cigna All Commercial |
$34,007.81
|
| Rate for Payer: CORVEL All Commercial |
$36,648.04
|
| Rate for Payer: Coventry All Commercial |
$34,677.72
|
| Rate for Payer: Encore All Commercial |
$36,273.68
|
| Rate for Payer: Frontpath All Commercial |
$36,253.98
|
| Rate for Payer: Humana ChoiceCare |
$34,035.39
|
| Rate for Payer: Humana Medicare |
$20,097.32
|
| Rate for Payer: Lucent All Commercial |
$20,097.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$35,465.85
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$29,554.88
|
| Rate for Payer: PHP All Commercial |
$29,885.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$15,368.54
|
| Rate for Payer: Sagamore Health Network All Products |
$30,421.82
|
| Rate for Payer: Signature Care EPO |
$32,707.40
|
| Rate for Payer: Signature Care PPO |
$34,677.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$33,495.52
|
| Rate for Payer: United Healthcare Commercial |
$31,052.32
|
| Rate for Payer: United Healthcare Medicare |
$13,004.14
|
|
|
HC ICD DC ELLI DR 36
|
Facility
IP
|
$39,406.50
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607555
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$29,554.88 |
| Max. Negotiated Rate |
$36,648.04 |
| Rate for Payer: Aetna Commercial |
$34,047.22
|
| Rate for Payer: Cash Price |
$24,432.03
|
| Rate for Payer: Cigna All Commercial |
$34,007.81
|
| Rate for Payer: CORVEL All Commercial |
$36,648.04
|
| Rate for Payer: Coventry All Commercial |
$34,677.72
|
| Rate for Payer: Encore All Commercial |
$36,273.68
|
| Rate for Payer: Frontpath All Commercial |
$36,253.98
|
| Rate for Payer: Humana ChoiceCare |
$34,035.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$35,465.85
|
| Rate for Payer: PHCS All Commercial |
$29,554.88
|
| Rate for Payer: PHP All Commercial |
$29,885.89
|
| Rate for Payer: Sagamore Health Network All Products |
$30,421.82
|
| Rate for Payer: Signature Care EPO |
$32,707.40
|
| Rate for Payer: Signature Care PPO |
$34,677.72
|
| Rate for Payer: United Healthcare Commercial |
$31,052.32
|
|
|
HC ICD DC ELLI MRI DR 36 DF4 CONN
|
Facility
OP
|
$39,406.50
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607556
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$36,648.04 |
| Rate for Payer: Aetna Commercial |
$33,259.09
|
| Rate for Payer: Aetna Medicare |
$13,004.14
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$13,004.14
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$22,631.15
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$24,633.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$14,954.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$14,304.56
|
| Rate for Payer: Cash Price |
$24,432.03
|
| Rate for Payer: Cash Price |
$24,432.03
|
| Rate for Payer: Centivo All Commercial |
$20,097.32
|
| Rate for Payer: Cigna All Commercial |
$34,007.81
|
| Rate for Payer: CORVEL All Commercial |
$36,648.04
|
| Rate for Payer: Coventry All Commercial |
$34,677.72
|
| Rate for Payer: Encore All Commercial |
$36,273.68
|
| Rate for Payer: Frontpath All Commercial |
$36,253.98
|
| Rate for Payer: Humana ChoiceCare |
$34,035.39
|
| Rate for Payer: Humana Medicare |
$20,097.32
|
| Rate for Payer: Lucent All Commercial |
$20,097.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$35,465.85
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$29,554.88
|
| Rate for Payer: PHP All Commercial |
$29,885.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$15,368.54
|
| Rate for Payer: Sagamore Health Network All Products |
$30,421.82
|
| Rate for Payer: Signature Care EPO |
$32,707.40
|
| Rate for Payer: Signature Care PPO |
$34,677.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$33,495.52
|
| Rate for Payer: United Healthcare Commercial |
$31,052.32
|
| Rate for Payer: United Healthcare Medicare |
$13,004.14
|
|
|
HC ICD DC ELLI MRI DR 36 DF4 CONN
|
Facility
IP
|
$39,406.50
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607556
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$29,554.88 |
| Max. Negotiated Rate |
$36,648.04 |
| Rate for Payer: Aetna Commercial |
$34,047.22
|
| Rate for Payer: Cash Price |
$24,432.03
|
| Rate for Payer: Cigna All Commercial |
$34,007.81
|
| Rate for Payer: CORVEL All Commercial |
$36,648.04
|
| Rate for Payer: Coventry All Commercial |
$34,677.72
|
| Rate for Payer: Encore All Commercial |
$36,273.68
|
| Rate for Payer: Frontpath All Commercial |
$36,253.98
|
| Rate for Payer: Humana ChoiceCare |
$34,035.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$35,465.85
|
| Rate for Payer: PHCS All Commercial |
$29,554.88
|
| Rate for Payer: PHP All Commercial |
$29,885.89
|
| Rate for Payer: Sagamore Health Network All Products |
$30,421.82
|
| Rate for Payer: Signature Care EPO |
$32,707.40
|
| Rate for Payer: Signature Care PPO |
$34,677.72
|
| Rate for Payer: United Healthcare Commercial |
$31,052.32
|
|
|
HC ICD DC ENTRANT DR
|
Facility
OP
|
$45,360.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607551
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$42,184.80 |
| Rate for Payer: Aetna Commercial |
$38,283.84
|
| Rate for Payer: Aetna Medicare |
$14,968.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$14,968.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$26,050.25
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$28,354.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17,214.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$16,465.68
|
| Rate for Payer: Cash Price |
$28,123.20
|
| Rate for Payer: Cash Price |
$28,123.20
|
| Rate for Payer: Centivo All Commercial |
$23,133.60
|
| Rate for Payer: Cigna All Commercial |
$39,145.68
|
| Rate for Payer: CORVEL All Commercial |
$42,184.80
|
| Rate for Payer: Coventry All Commercial |
$39,916.80
|
| Rate for Payer: Encore All Commercial |
$41,753.88
|
| Rate for Payer: Frontpath All Commercial |
$41,731.20
|
| Rate for Payer: Humana ChoiceCare |
$39,177.43
|
| Rate for Payer: Humana Medicare |
$23,133.60
|
| Rate for Payer: Lucent All Commercial |
$23,133.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$40,824.00
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$34,020.00
|
| Rate for Payer: PHP All Commercial |
$34,401.02
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$17,690.40
|
| Rate for Payer: Sagamore Health Network All Products |
$35,017.92
|
| Rate for Payer: Signature Care EPO |
$37,648.80
|
| Rate for Payer: Signature Care PPO |
$39,916.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$38,556.00
|
| Rate for Payer: United Healthcare Commercial |
$35,743.68
|
| Rate for Payer: United Healthcare Medicare |
$14,968.80
|
|
|
HC ICD DC ENTRANT DR
|
Facility
IP
|
$45,360.00
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607551
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$34,020.00 |
| Max. Negotiated Rate |
$42,184.80 |
| Rate for Payer: Aetna Commercial |
$39,191.04
|
| Rate for Payer: Cash Price |
$28,123.20
|
| Rate for Payer: Cigna All Commercial |
$39,145.68
|
| Rate for Payer: CORVEL All Commercial |
$42,184.80
|
| Rate for Payer: Coventry All Commercial |
$39,916.80
|
| Rate for Payer: Encore All Commercial |
$41,753.88
|
| Rate for Payer: Frontpath All Commercial |
$41,731.20
|
| Rate for Payer: Humana ChoiceCare |
$39,177.43
|
| Rate for Payer: Lutheran Preferred All Commercial |
$40,824.00
|
| Rate for Payer: PHCS All Commercial |
$34,020.00
|
| Rate for Payer: PHP All Commercial |
$34,401.02
|
| Rate for Payer: Sagamore Health Network All Products |
$35,017.92
|
| Rate for Payer: Signature Care EPO |
$37,648.80
|
| Rate for Payer: Signature Care PPO |
$39,916.80
|
| Rate for Payer: United Healthcare Commercial |
$35,743.68
|
|
|
HC ICD DC EVERA MRI S DR
|
Facility
OP
|
$45,783.50
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607343
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$42,578.66 |
| Rate for Payer: Aetna Commercial |
$38,641.27
|
| Rate for Payer: Aetna Medicare |
$15,108.56
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$15,108.56
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$26,293.46
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$28,619.27
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$17,374.84
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$16,619.41
|
| Rate for Payer: Cash Price |
$28,385.77
|
| Rate for Payer: Cash Price |
$28,385.77
|
| Rate for Payer: Centivo All Commercial |
$23,349.58
|
| Rate for Payer: Cigna All Commercial |
$39,511.16
|
| Rate for Payer: CORVEL All Commercial |
$42,578.66
|
| Rate for Payer: Coventry All Commercial |
$40,289.48
|
| Rate for Payer: Encore All Commercial |
$42,143.71
|
| Rate for Payer: Frontpath All Commercial |
$42,120.82
|
| Rate for Payer: Humana ChoiceCare |
$39,543.21
|
| Rate for Payer: Humana Medicare |
$23,349.58
|
| Rate for Payer: Lucent All Commercial |
$23,349.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$41,205.15
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$34,337.62
|
| Rate for Payer: PHP All Commercial |
$34,722.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$17,855.56
|
| Rate for Payer: Sagamore Health Network All Products |
$35,344.86
|
| Rate for Payer: Signature Care EPO |
$38,000.30
|
| Rate for Payer: Signature Care PPO |
$40,289.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$38,915.98
|
| Rate for Payer: United Healthcare Commercial |
$36,077.40
|
| Rate for Payer: United Healthcare Medicare |
$15,108.56
|
|
|
HC ICD DC EVERA MRI S DR
|
Facility
IP
|
$45,783.50
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607343
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$34,337.62 |
| Max. Negotiated Rate |
$42,578.66 |
| Rate for Payer: Aetna Commercial |
$39,556.94
|
| Rate for Payer: Cash Price |
$28,385.77
|
| Rate for Payer: Cigna All Commercial |
$39,511.16
|
| Rate for Payer: CORVEL All Commercial |
$42,578.66
|
| Rate for Payer: Coventry All Commercial |
$40,289.48
|
| Rate for Payer: Encore All Commercial |
$42,143.71
|
| Rate for Payer: Frontpath All Commercial |
$42,120.82
|
| Rate for Payer: Humana ChoiceCare |
$39,543.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$41,205.15
|
| Rate for Payer: PHCS All Commercial |
$34,337.62
|
| Rate for Payer: PHP All Commercial |
$34,722.21
|
| Rate for Payer: Sagamore Health Network All Products |
$35,344.86
|
| Rate for Payer: Signature Care EPO |
$38,000.30
|
| Rate for Payer: Signature Care PPO |
$40,289.48
|
| Rate for Payer: United Healthcare Commercial |
$36,077.40
|
|
|
HC ICD DC EVERA MRI XT DR D1
|
Facility
OP
|
$53,768.58
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607341
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$50,004.78 |
| Rate for Payer: Aetna Commercial |
$45,380.68
|
| Rate for Payer: Aetna Medicare |
$17,743.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$17,743.63
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$30,879.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$33,610.74
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$20,405.18
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$19,517.99
|
| Rate for Payer: Cash Price |
$33,336.52
|
| Rate for Payer: Cash Price |
$33,336.52
|
| Rate for Payer: Centivo All Commercial |
$27,421.98
|
| Rate for Payer: Cigna All Commercial |
$46,402.28
|
| Rate for Payer: CORVEL All Commercial |
$50,004.78
|
| Rate for Payer: Coventry All Commercial |
$47,316.35
|
| Rate for Payer: Encore All Commercial |
$49,493.98
|
| Rate for Payer: Frontpath All Commercial |
$49,467.09
|
| Rate for Payer: Humana ChoiceCare |
$46,439.92
|
| Rate for Payer: Humana Medicare |
$27,421.98
|
| Rate for Payer: Lucent All Commercial |
$27,421.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$48,391.72
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$40,326.44
|
| Rate for Payer: PHP All Commercial |
$40,778.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$20,969.75
|
| Rate for Payer: Sagamore Health Network All Products |
$41,509.34
|
| Rate for Payer: Signature Care EPO |
$44,627.92
|
| Rate for Payer: Signature Care PPO |
$47,316.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$45,703.29
|
| Rate for Payer: United Healthcare Commercial |
$42,369.64
|
| Rate for Payer: United Healthcare Medicare |
$17,743.63
|
|
|
HC ICD DC EVERA MRI XT DR D1
|
Facility
IP
|
$53,768.58
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607341
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$40,326.44 |
| Max. Negotiated Rate |
$50,004.78 |
| Rate for Payer: Aetna Commercial |
$46,456.05
|
| Rate for Payer: Cash Price |
$33,336.52
|
| Rate for Payer: Cigna All Commercial |
$46,402.28
|
| Rate for Payer: CORVEL All Commercial |
$50,004.78
|
| Rate for Payer: Coventry All Commercial |
$47,316.35
|
| Rate for Payer: Encore All Commercial |
$49,493.98
|
| Rate for Payer: Frontpath All Commercial |
$49,467.09
|
| Rate for Payer: Humana ChoiceCare |
$46,439.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$48,391.72
|
| Rate for Payer: PHCS All Commercial |
$40,326.44
|
| Rate for Payer: PHP All Commercial |
$40,778.09
|
| Rate for Payer: Sagamore Health Network All Products |
$41,509.34
|
| Rate for Payer: Signature Care EPO |
$44,627.92
|
| Rate for Payer: Signature Care PPO |
$47,316.35
|
| Rate for Payer: United Healthcare Commercial |
$42,369.64
|
|
|
HC ICD DC EVERA MRI XT DR D4
|
Facility
OP
|
$53,768.58
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607342
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$50,004.78 |
| Rate for Payer: Aetna Commercial |
$45,380.68
|
| Rate for Payer: Aetna Medicare |
$17,743.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$17,743.63
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$30,879.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$33,610.74
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$20,405.18
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$19,517.99
|
| Rate for Payer: Cash Price |
$33,336.52
|
| Rate for Payer: Cash Price |
$33,336.52
|
| Rate for Payer: Centivo All Commercial |
$27,421.98
|
| Rate for Payer: Cigna All Commercial |
$46,402.28
|
| Rate for Payer: CORVEL All Commercial |
$50,004.78
|
| Rate for Payer: Coventry All Commercial |
$47,316.35
|
| Rate for Payer: Encore All Commercial |
$49,493.98
|
| Rate for Payer: Frontpath All Commercial |
$49,467.09
|
| Rate for Payer: Humana ChoiceCare |
$46,439.92
|
| Rate for Payer: Humana Medicare |
$27,421.98
|
| Rate for Payer: Lucent All Commercial |
$27,421.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$48,391.72
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$40,326.44
|
| Rate for Payer: PHP All Commercial |
$40,778.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$20,969.75
|
| Rate for Payer: Sagamore Health Network All Products |
$41,509.34
|
| Rate for Payer: Signature Care EPO |
$44,627.92
|
| Rate for Payer: Signature Care PPO |
$47,316.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$45,703.29
|
| Rate for Payer: United Healthcare Commercial |
$42,369.64
|
| Rate for Payer: United Healthcare Medicare |
$17,743.63
|
|
|
HC ICD DC EVERA MRI XT DR D4
|
Facility
IP
|
$53,768.58
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607342
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$40,326.44 |
| Max. Negotiated Rate |
$50,004.78 |
| Rate for Payer: Aetna Commercial |
$46,456.05
|
| Rate for Payer: Cash Price |
$33,336.52
|
| Rate for Payer: Cigna All Commercial |
$46,402.28
|
| Rate for Payer: CORVEL All Commercial |
$50,004.78
|
| Rate for Payer: Coventry All Commercial |
$47,316.35
|
| Rate for Payer: Encore All Commercial |
$49,493.98
|
| Rate for Payer: Frontpath All Commercial |
$49,467.09
|
| Rate for Payer: Humana ChoiceCare |
$46,439.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$48,391.72
|
| Rate for Payer: PHCS All Commercial |
$40,326.44
|
| Rate for Payer: PHP All Commercial |
$40,778.09
|
| Rate for Payer: Sagamore Health Network All Products |
$41,509.34
|
| Rate for Payer: Signature Care EPO |
$44,627.92
|
| Rate for Payer: Signature Care PPO |
$47,316.35
|
| Rate for Payer: United Healthcare Commercial |
$42,369.64
|
|
|
HC ICD DC FORT ASS DR 40
|
Facility
OP
|
$41,534.64
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607553
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$82.84 |
| Max. Negotiated Rate |
$38,627.22 |
| Rate for Payer: Aetna Commercial |
$35,055.24
|
| Rate for Payer: Aetna Medicare |
$13,706.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$13,706.43
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$23,853.34
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$25,963.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$82.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$15,762.40
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$15,077.07
|
| Rate for Payer: Cash Price |
$25,751.48
|
| Rate for Payer: Cash Price |
$25,751.48
|
| Rate for Payer: Centivo All Commercial |
$21,182.67
|
| Rate for Payer: Cigna All Commercial |
$35,844.39
|
| Rate for Payer: CORVEL All Commercial |
$38,627.22
|
| Rate for Payer: Coventry All Commercial |
$36,550.48
|
| Rate for Payer: Encore All Commercial |
$38,232.64
|
| Rate for Payer: Frontpath All Commercial |
$38,211.87
|
| Rate for Payer: Humana ChoiceCare |
$35,873.47
|
| Rate for Payer: Humana Medicare |
$21,182.67
|
| Rate for Payer: Lucent All Commercial |
$21,182.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$37,381.18
|
| Rate for Payer: Managed Health Services Medicaid |
$82.84
|
| Rate for Payer: MDWise Medicaid |
$82.84
|
| Rate for Payer: PHCS All Commercial |
$31,150.98
|
| Rate for Payer: PHP All Commercial |
$31,499.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$16,198.51
|
| Rate for Payer: Sagamore Health Network All Products |
$32,064.74
|
| Rate for Payer: Signature Care EPO |
$34,473.75
|
| Rate for Payer: Signature Care PPO |
$36,550.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$35,304.44
|
| Rate for Payer: United Healthcare Commercial |
$32,729.30
|
| Rate for Payer: United Healthcare Medicare |
$13,706.43
|
|
|
HC ICD DC FORT ASS DR 40
|
Facility
IP
|
$41,534.64
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607553
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$31,150.98 |
| Max. Negotiated Rate |
$38,627.22 |
| Rate for Payer: Aetna Commercial |
$35,885.93
|
| Rate for Payer: Cash Price |
$25,751.48
|
| Rate for Payer: Cigna All Commercial |
$35,844.39
|
| Rate for Payer: CORVEL All Commercial |
$38,627.22
|
| Rate for Payer: Coventry All Commercial |
$36,550.48
|
| Rate for Payer: Encore All Commercial |
$38,232.64
|
| Rate for Payer: Frontpath All Commercial |
$38,211.87
|
| Rate for Payer: Humana ChoiceCare |
$35,873.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$37,381.18
|
| Rate for Payer: PHCS All Commercial |
$31,150.98
|
| Rate for Payer: PHP All Commercial |
$31,499.87
|
| Rate for Payer: Sagamore Health Network All Products |
$32,064.74
|
| Rate for Payer: Signature Care EPO |
$34,473.75
|
| Rate for Payer: Signature Care PPO |
$36,550.48
|
| Rate for Payer: United Healthcare Commercial |
$32,729.30
|
|
|
HC ICD DC FORT ASS DR 40 DF4 CONN
|
Facility
IP
|
$41,534.64
|
|
|
Service Code
|
CPT C1721
|
| Hospital Charge Code |
41607554
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$31,150.98 |
| Max. Negotiated Rate |
$38,627.22 |
| Rate for Payer: Aetna Commercial |
$35,885.93
|
| Rate for Payer: Cash Price |
$25,751.48
|
| Rate for Payer: Cigna All Commercial |
$35,844.39
|
| Rate for Payer: CORVEL All Commercial |
$38,627.22
|
| Rate for Payer: Coventry All Commercial |
$36,550.48
|
| Rate for Payer: Encore All Commercial |
$38,232.64
|
| Rate for Payer: Frontpath All Commercial |
$38,211.87
|
| Rate for Payer: Humana ChoiceCare |
$35,873.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$37,381.18
|
| Rate for Payer: PHCS All Commercial |
$31,150.98
|
| Rate for Payer: PHP All Commercial |
$31,499.87
|
| Rate for Payer: Sagamore Health Network All Products |
$32,064.74
|
| Rate for Payer: Signature Care EPO |
$34,473.75
|
| Rate for Payer: Signature Care PPO |
$36,550.48
|
| Rate for Payer: United Healthcare Commercial |
$32,729.30
|
|
