|
HC S FEM COMP 2 CR TRI L
|
Facility
IP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607500
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,838.53 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,725.99
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
|
|
HC S FEM COMP 2 CR TRI R
|
Facility
OP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607952
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,570.30
|
| Rate for Payer: Aetna Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,470.76
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,866.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,954.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,825.85
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Centivo All Commercial |
$3,970.20
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Humana Medicare |
$3,970.20
|
| Rate for Payer: Lucent All Commercial |
$3,970.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,036.04
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,617.00
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
| Rate for Payer: United Healthcare Medicare |
$2,568.95
|
|
|
HC S FEM COMP 2 CR TRI R
|
Facility
IP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607952
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,838.53 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,725.99
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
|
|
HC S FEM COMP 3 CR TRI CEM R
|
Facility
IP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607741
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,838.53 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,725.99
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
|
|
HC S FEM COMP 3 CR TRI CEM R
|
Facility
OP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607741
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,570.30
|
| Rate for Payer: Aetna Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,470.76
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,866.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,954.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,825.85
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Centivo All Commercial |
$3,970.20
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Humana Medicare |
$3,970.20
|
| Rate for Payer: Lucent All Commercial |
$3,970.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,036.04
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,617.00
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
| Rate for Payer: United Healthcare Medicare |
$2,568.95
|
|
|
HC S FEM COMP 3 CR TRI L
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608039
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 3 CR TRI L
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608039
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 3 CR TRI R
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607531
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 3 CR TRI R
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607531
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 4 CR TRI CEM L
|
Facility
OP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607405
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,570.30
|
| Rate for Payer: Aetna Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,470.76
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,866.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,954.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,825.85
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Centivo All Commercial |
$3,970.20
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Humana Medicare |
$3,970.20
|
| Rate for Payer: Lucent All Commercial |
$3,970.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,036.04
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,617.00
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
| Rate for Payer: United Healthcare Medicare |
$2,568.95
|
|
|
HC S FEM COMP 4 CR TRI CEM L
|
Facility
IP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607405
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,838.53 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,725.99
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
|
|
HC S FEM COMP 4 CR TRI L
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607404
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 4 CR TRI L
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607404
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 4 CR TRI R
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607939
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 4 CR TRI R
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607939
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 5 CR TRI L
|
Facility
OP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607080
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,570.30
|
| Rate for Payer: Aetna Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,568.95
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,470.76
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,866.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,954.30
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,825.85
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Centivo All Commercial |
$3,970.20
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Humana Medicare |
$3,970.20
|
| Rate for Payer: Lucent All Commercial |
$3,970.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,036.04
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,617.00
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
| Rate for Payer: United Healthcare Medicare |
$2,568.95
|
|
|
HC S FEM COMP 5 CR TRI L
|
Facility
IP
|
$7,784.71
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607080
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,838.53 |
| Max. Negotiated Rate |
$7,239.78 |
| Rate for Payer: Aetna Commercial |
$6,725.99
|
| Rate for Payer: Cash Price |
$4,826.52
|
| Rate for Payer: Cigna All Commercial |
$6,718.20
|
| Rate for Payer: CORVEL All Commercial |
$7,239.78
|
| Rate for Payer: Coventry All Commercial |
$6,850.54
|
| Rate for Payer: Encore All Commercial |
$7,165.83
|
| Rate for Payer: Frontpath All Commercial |
$7,161.93
|
| Rate for Payer: Humana ChoiceCare |
$6,723.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,006.24
|
| Rate for Payer: PHCS All Commercial |
$5,838.53
|
| Rate for Payer: PHP All Commercial |
$5,903.92
|
| Rate for Payer: Sagamore Health Network All Products |
$6,009.80
|
| Rate for Payer: Signature Care EPO |
$6,461.31
|
| Rate for Payer: Signature Care PPO |
$6,850.54
|
| Rate for Payer: United Healthcare Commercial |
$6,134.35
|
|
|
HC S FEM COMP 5 CR TRI R
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607457
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 5 CR TRI R
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607457
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 6 CR TRI
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 6 CR TRI
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607028
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 7 CR TRI L
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608015
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 7 CR TRI L
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608015
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
|
HC S FEM COMP 7 CR TRI R
|
Facility
OP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607724
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,034.17
|
| Rate for Payer: Aetna Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$3,532.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$6,147.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$6,691.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,062.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,885.55
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Centivo All Commercial |
$5,459.03
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Humana Medicare |
$5,459.03
|
| Rate for Payer: Lucent All Commercial |
$5,459.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$4,174.56
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$9,098.39
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
| Rate for Payer: United Healthcare Medicare |
$3,532.32
|
|
|
HC S FEM COMP 7 CR TRI R
|
Facility
IP
|
$10,703.99
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607724
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8,027.99 |
| Max. Negotiated Rate |
$9,954.71 |
| Rate for Payer: Aetna Commercial |
$9,248.25
|
| Rate for Payer: Cash Price |
$6,636.47
|
| Rate for Payer: Cigna All Commercial |
$9,237.54
|
| Rate for Payer: CORVEL All Commercial |
$9,954.71
|
| Rate for Payer: Coventry All Commercial |
$9,419.51
|
| Rate for Payer: Encore All Commercial |
$9,853.02
|
| Rate for Payer: Frontpath All Commercial |
$9,847.67
|
| Rate for Payer: Humana ChoiceCare |
$9,245.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$9,633.59
|
| Rate for Payer: PHCS All Commercial |
$8,027.99
|
| Rate for Payer: PHP All Commercial |
$8,117.91
|
| Rate for Payer: Sagamore Health Network All Products |
$8,263.48
|
| Rate for Payer: Signature Care EPO |
$8,884.31
|
| Rate for Payer: Signature Care PPO |
$9,419.51
|
| Rate for Payer: United Healthcare Commercial |
$8,434.74
|
|
