|
HC Z DRILL BIT 3.8 LG FRAG
|
Facility
|
OP
|
$855.47
|
|
| Hospital Charge Code |
41607865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$795.59 |
| Rate for Payer: Aetna Commercial |
$722.02
|
| Rate for Payer: Aetna Medicare |
$273.75
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$265.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$491.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$534.75
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$314.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$301.13
|
| Rate for Payer: Cash Price |
$513.28
|
| Rate for Payer: Cash Price |
$513.28
|
| Rate for Payer: Centivo All Commercial |
$465.38
|
| Rate for Payer: Cigna All Commercial |
$738.27
|
| Rate for Payer: CORVEL All Commercial |
$795.59
|
| Rate for Payer: Coventry All Commercial |
$752.81
|
| Rate for Payer: Encore All Commercial |
$787.46
|
| Rate for Payer: Frontpath All Commercial |
$787.03
|
| Rate for Payer: Humana ChoiceCare |
$738.87
|
| Rate for Payer: Humana Medicare |
$273.75
|
| Rate for Payer: Lucent All Commercial |
$465.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.92
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$641.60
|
| Rate for Payer: PHP All Commercial |
$648.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$333.63
|
| Rate for Payer: Sagamore Health Network All Products |
$660.42
|
| Rate for Payer: Signature Care EPO |
$710.04
|
| Rate for Payer: Signature Care PPO |
$752.81
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$727.15
|
| Rate for Payer: United Healthcare Commercial |
$674.11
|
| Rate for Payer: United Healthcare Medicare |
$273.75
|
|
|
HC Z DRILL BIT 4.3 L 24
|
Facility
|
IP
|
$722.40
|
|
| Hospital Charge Code |
41606617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$541.80 |
| Max. Negotiated Rate |
$671.83 |
| Rate for Payer: Aetna Commercial |
$624.15
|
| Rate for Payer: Cash Price |
$433.44
|
| Rate for Payer: Cigna All Commercial |
$623.43
|
| Rate for Payer: CORVEL All Commercial |
$671.83
|
| Rate for Payer: Coventry All Commercial |
$635.71
|
| Rate for Payer: Encore All Commercial |
$664.97
|
| Rate for Payer: Frontpath All Commercial |
$664.61
|
| Rate for Payer: Humana ChoiceCare |
$623.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$650.16
|
| Rate for Payer: PHCS All Commercial |
$541.80
|
| Rate for Payer: PHP All Commercial |
$547.87
|
| Rate for Payer: Sagamore Health Network All Products |
$557.69
|
| Rate for Payer: Signature Care EPO |
$599.59
|
| Rate for Payer: Signature Care PPO |
$635.71
|
| Rate for Payer: United Healthcare Commercial |
$569.25
|
|
|
HC Z DRILL BIT 4.3 L 24
|
Facility
|
OP
|
$722.40
|
|
| Hospital Charge Code |
41606617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$671.83 |
| Rate for Payer: Aetna Commercial |
$609.71
|
| Rate for Payer: Aetna Medicare |
$231.17
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$223.94
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$414.87
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$451.57
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$265.84
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$254.28
|
| Rate for Payer: Cash Price |
$433.44
|
| Rate for Payer: Cash Price |
$433.44
|
| Rate for Payer: Centivo All Commercial |
$392.99
|
| Rate for Payer: Cigna All Commercial |
$623.43
|
| Rate for Payer: CORVEL All Commercial |
$671.83
|
| Rate for Payer: Coventry All Commercial |
$635.71
|
| Rate for Payer: Encore All Commercial |
$664.97
|
| Rate for Payer: Frontpath All Commercial |
$664.61
|
| Rate for Payer: Humana ChoiceCare |
$623.94
|
| Rate for Payer: Humana Medicare |
$231.17
|
| Rate for Payer: Lucent All Commercial |
$392.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$650.16
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$541.80
|
| Rate for Payer: PHP All Commercial |
$547.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$281.74
|
| Rate for Payer: Sagamore Health Network All Products |
$557.69
|
| Rate for Payer: Signature Care EPO |
$599.59
|
| Rate for Payer: Signature Care PPO |
$635.71
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$614.04
|
| Rate for Payer: United Healthcare Commercial |
$569.25
|
| Rate for Payer: United Healthcare Medicare |
$231.17
|
|
|
HC Z DRILL CALB TIB 4.3
|
Facility
|
OP
|
$1,032.00
|
|
| Hospital Charge Code |
41603899
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$959.76 |
| Rate for Payer: Aetna Commercial |
$871.01
|
| Rate for Payer: Aetna Medicare |
$330.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$319.92
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$592.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$645.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$379.78
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$363.26
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Centivo All Commercial |
$561.41
|
| Rate for Payer: Cigna All Commercial |
$890.62
|
| Rate for Payer: CORVEL All Commercial |
$959.76
|
| Rate for Payer: Coventry All Commercial |
$908.16
|
| Rate for Payer: Encore All Commercial |
$949.96
|
| Rate for Payer: Frontpath All Commercial |
$949.44
|
| Rate for Payer: Humana ChoiceCare |
$891.34
|
| Rate for Payer: Humana Medicare |
$330.24
|
| Rate for Payer: Lucent All Commercial |
$561.41
|
| Rate for Payer: Lutheran Preferred All Commercial |
$928.80
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$774.00
|
| Rate for Payer: PHP All Commercial |
$782.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$402.48
|
| Rate for Payer: Sagamore Health Network All Products |
$796.70
|
| Rate for Payer: Signature Care EPO |
$856.56
|
| Rate for Payer: Signature Care PPO |
$908.16
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$877.20
|
| Rate for Payer: United Healthcare Commercial |
$813.22
|
| Rate for Payer: United Healthcare Medicare |
$330.24
|
|
|
HC Z DRILL CALB TIB 4.3
|
Facility
|
IP
|
$1,032.00
|
|
| Hospital Charge Code |
41603899
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$774.00 |
| Max. Negotiated Rate |
$959.76 |
| Rate for Payer: Aetna Commercial |
$891.65
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Cigna All Commercial |
$890.62
|
| Rate for Payer: CORVEL All Commercial |
$959.76
|
| Rate for Payer: Coventry All Commercial |
$908.16
|
| Rate for Payer: Encore All Commercial |
$949.96
|
| Rate for Payer: Frontpath All Commercial |
$949.44
|
| Rate for Payer: Humana ChoiceCare |
$891.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$928.80
|
| Rate for Payer: PHCS All Commercial |
$774.00
|
| Rate for Payer: PHP All Commercial |
$782.67
|
| Rate for Payer: Sagamore Health Network All Products |
$796.70
|
| Rate for Payer: Signature Care EPO |
$856.56
|
| Rate for Payer: Signature Care PPO |
$908.16
|
| Rate for Payer: United Healthcare Commercial |
$813.22
|
|
|
HC Z DRILL FREE HAND TARG 3.3
|
Facility
|
IP
|
$848.90
|
|
| Hospital Charge Code |
41603897
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$636.67 |
| Max. Negotiated Rate |
$789.48 |
| Rate for Payer: Aetna Commercial |
$733.45
|
| Rate for Payer: Cash Price |
$509.34
|
| Rate for Payer: Cigna All Commercial |
$732.60
|
| Rate for Payer: CORVEL All Commercial |
$789.48
|
| Rate for Payer: Coventry All Commercial |
$747.03
|
| Rate for Payer: Encore All Commercial |
$781.41
|
| Rate for Payer: Frontpath All Commercial |
$780.99
|
| Rate for Payer: Humana ChoiceCare |
$733.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$764.01
|
| Rate for Payer: PHCS All Commercial |
$636.67
|
| Rate for Payer: PHP All Commercial |
$643.81
|
| Rate for Payer: Sagamore Health Network All Products |
$655.35
|
| Rate for Payer: Signature Care EPO |
$704.59
|
| Rate for Payer: Signature Care PPO |
$747.03
|
| Rate for Payer: United Healthcare Commercial |
$668.93
|
|
|
HC Z DRILL FREE HAND TARG 3.3
|
Facility
|
OP
|
$848.90
|
|
| Hospital Charge Code |
41603897
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$789.48 |
| Rate for Payer: Aetna Commercial |
$716.47
|
| Rate for Payer: Aetna Medicare |
$271.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$263.16
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$487.52
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$530.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$312.40
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$298.81
|
| Rate for Payer: Cash Price |
$509.34
|
| Rate for Payer: Cash Price |
$509.34
|
| Rate for Payer: Centivo All Commercial |
$461.80
|
| Rate for Payer: Cigna All Commercial |
$732.60
|
| Rate for Payer: CORVEL All Commercial |
$789.48
|
| Rate for Payer: Coventry All Commercial |
$747.03
|
| Rate for Payer: Encore All Commercial |
$781.41
|
| Rate for Payer: Frontpath All Commercial |
$780.99
|
| Rate for Payer: Humana ChoiceCare |
$733.19
|
| Rate for Payer: Humana Medicare |
$271.65
|
| Rate for Payer: Lucent All Commercial |
$461.80
|
| Rate for Payer: Lutheran Preferred All Commercial |
$764.01
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$636.67
|
| Rate for Payer: PHP All Commercial |
$643.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$331.07
|
| Rate for Payer: Sagamore Health Network All Products |
$655.35
|
| Rate for Payer: Signature Care EPO |
$704.59
|
| Rate for Payer: Signature Care PPO |
$747.03
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$721.57
|
| Rate for Payer: United Healthcare Commercial |
$668.93
|
| Rate for Payer: United Healthcare Medicare |
$271.65
|
|
|
HC Z DRILL FREE HAND TARG 4.3
|
Facility
|
IP
|
$629.23
|
|
| Hospital Charge Code |
41603456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$471.92 |
| Max. Negotiated Rate |
$585.18 |
| Rate for Payer: Aetna Commercial |
$543.65
|
| Rate for Payer: Cash Price |
$377.54
|
| Rate for Payer: Cigna All Commercial |
$543.03
|
| Rate for Payer: CORVEL All Commercial |
$585.18
|
| Rate for Payer: Coventry All Commercial |
$553.72
|
| Rate for Payer: Encore All Commercial |
$579.21
|
| Rate for Payer: Frontpath All Commercial |
$578.89
|
| Rate for Payer: Humana ChoiceCare |
$543.47
|
| Rate for Payer: Lutheran Preferred All Commercial |
$566.31
|
| Rate for Payer: PHCS All Commercial |
$471.92
|
| Rate for Payer: PHP All Commercial |
$477.21
|
| Rate for Payer: Sagamore Health Network All Products |
$485.77
|
| Rate for Payer: Signature Care EPO |
$522.26
|
| Rate for Payer: Signature Care PPO |
$553.72
|
| Rate for Payer: United Healthcare Commercial |
$495.83
|
|
|
HC Z DRILL FREE HAND TARG 4.3
|
Facility
|
OP
|
$629.23
|
|
| Hospital Charge Code |
41603456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$585.18 |
| Rate for Payer: Aetna Commercial |
$531.07
|
| Rate for Payer: Aetna Medicare |
$201.35
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$195.06
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$361.37
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$393.33
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$231.56
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$221.49
|
| Rate for Payer: Cash Price |
$377.54
|
| Rate for Payer: Cash Price |
$377.54
|
| Rate for Payer: Centivo All Commercial |
$342.30
|
| Rate for Payer: Cigna All Commercial |
$543.03
|
| Rate for Payer: CORVEL All Commercial |
$585.18
|
| Rate for Payer: Coventry All Commercial |
$553.72
|
| Rate for Payer: Encore All Commercial |
$579.21
|
| Rate for Payer: Frontpath All Commercial |
$578.89
|
| Rate for Payer: Humana ChoiceCare |
$543.47
|
| Rate for Payer: Humana Medicare |
$201.35
|
| Rate for Payer: Lucent All Commercial |
$342.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$566.31
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$471.92
|
| Rate for Payer: PHP All Commercial |
$477.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$245.40
|
| Rate for Payer: Sagamore Health Network All Products |
$485.77
|
| Rate for Payer: Signature Care EPO |
$522.26
|
| Rate for Payer: Signature Care PPO |
$553.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$534.85
|
| Rate for Payer: United Healthcare Commercial |
$495.83
|
| Rate for Payer: United Healthcare Medicare |
$201.35
|
|
|
HC Z DRILL LAG SCREW
|
Facility
|
IP
|
$3,417.84
|
|
| Hospital Charge Code |
41606241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,563.38 |
| Max. Negotiated Rate |
$3,178.59 |
| Rate for Payer: Aetna Commercial |
$2,953.01
|
| Rate for Payer: Cash Price |
$2,050.70
|
| Rate for Payer: Cigna All Commercial |
$2,949.60
|
| Rate for Payer: CORVEL All Commercial |
$3,178.59
|
| Rate for Payer: Coventry All Commercial |
$3,007.70
|
| Rate for Payer: Encore All Commercial |
$3,146.12
|
| Rate for Payer: Frontpath All Commercial |
$3,144.41
|
| Rate for Payer: Humana ChoiceCare |
$2,951.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,076.06
|
| Rate for Payer: PHCS All Commercial |
$2,563.38
|
| Rate for Payer: PHP All Commercial |
$2,592.09
|
| Rate for Payer: Sagamore Health Network All Products |
$2,638.57
|
| Rate for Payer: Signature Care EPO |
$2,836.81
|
| Rate for Payer: Signature Care PPO |
$3,007.70
|
| Rate for Payer: United Healthcare Commercial |
$2,693.26
|
|
|
HC Z DRILL LAG SCREW
|
Facility
|
OP
|
$3,417.84
|
|
| Hospital Charge Code |
41606241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$3,178.59 |
| Rate for Payer: Aetna Commercial |
$2,884.66
|
| Rate for Payer: Aetna Medicare |
$1,093.71
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,059.53
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,962.87
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$2,136.49
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,257.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,203.08
|
| Rate for Payer: Cash Price |
$2,050.70
|
| Rate for Payer: Cash Price |
$2,050.70
|
| Rate for Payer: Centivo All Commercial |
$1,859.30
|
| Rate for Payer: Cigna All Commercial |
$2,949.60
|
| Rate for Payer: CORVEL All Commercial |
$3,178.59
|
| Rate for Payer: Coventry All Commercial |
$3,007.70
|
| Rate for Payer: Encore All Commercial |
$3,146.12
|
| Rate for Payer: Frontpath All Commercial |
$3,144.41
|
| Rate for Payer: Humana ChoiceCare |
$2,951.99
|
| Rate for Payer: Humana Medicare |
$1,093.71
|
| Rate for Payer: Lucent All Commercial |
$1,859.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$3,076.06
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$2,563.38
|
| Rate for Payer: PHP All Commercial |
$2,592.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,332.96
|
| Rate for Payer: Sagamore Health Network All Products |
$2,638.57
|
| Rate for Payer: Signature Care EPO |
$2,836.81
|
| Rate for Payer: Signature Care PPO |
$3,007.70
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,905.16
|
| Rate for Payer: United Healthcare Commercial |
$2,693.26
|
| Rate for Payer: United Healthcare Medicare |
$1,093.71
|
|
|
HC Z DRILL TWIST SCP 3.5X70
|
Facility
|
IP
|
$735.28
|
|
| Hospital Charge Code |
41606743
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$551.46 |
| Max. Negotiated Rate |
$683.81 |
| Rate for Payer: Aetna Commercial |
$635.28
|
| Rate for Payer: Cash Price |
$441.17
|
| Rate for Payer: Cigna All Commercial |
$634.55
|
| Rate for Payer: CORVEL All Commercial |
$683.81
|
| Rate for Payer: Coventry All Commercial |
$647.05
|
| Rate for Payer: Encore All Commercial |
$676.83
|
| Rate for Payer: Frontpath All Commercial |
$676.46
|
| Rate for Payer: Humana ChoiceCare |
$635.06
|
| Rate for Payer: Lutheran Preferred All Commercial |
$661.75
|
| Rate for Payer: PHCS All Commercial |
$551.46
|
| Rate for Payer: PHP All Commercial |
$557.64
|
| Rate for Payer: Sagamore Health Network All Products |
$567.64
|
| Rate for Payer: Signature Care EPO |
$610.28
|
| Rate for Payer: Signature Care PPO |
$647.05
|
| Rate for Payer: United Healthcare Commercial |
$579.40
|
|
|
HC Z DRILL TWIST SCP 3.5X70
|
Facility
|
OP
|
$735.28
|
|
| Hospital Charge Code |
41606743
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$683.81 |
| Rate for Payer: Aetna Commercial |
$620.58
|
| Rate for Payer: Aetna Medicare |
$235.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$227.94
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$422.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$459.62
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$270.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$258.82
|
| Rate for Payer: Cash Price |
$441.17
|
| Rate for Payer: Cash Price |
$441.17
|
| Rate for Payer: Centivo All Commercial |
$399.99
|
| Rate for Payer: Cigna All Commercial |
$634.55
|
| Rate for Payer: CORVEL All Commercial |
$683.81
|
| Rate for Payer: Coventry All Commercial |
$647.05
|
| Rate for Payer: Encore All Commercial |
$676.83
|
| Rate for Payer: Frontpath All Commercial |
$676.46
|
| Rate for Payer: Humana ChoiceCare |
$635.06
|
| Rate for Payer: Humana Medicare |
$235.29
|
| Rate for Payer: Lucent All Commercial |
$399.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$661.75
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$551.46
|
| Rate for Payer: PHP All Commercial |
$557.64
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$286.76
|
| Rate for Payer: Sagamore Health Network All Products |
$567.64
|
| Rate for Payer: Signature Care EPO |
$610.28
|
| Rate for Payer: Signature Care PPO |
$647.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$624.99
|
| Rate for Payer: United Healthcare Commercial |
$579.40
|
| Rate for Payer: United Healthcare Medicare |
$235.29
|
|
|
HC Z EZ PASS 30 DEG L
|
Facility
|
IP
|
$1,435.00
|
|
| Hospital Charge Code |
41608165
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,076.25 |
| Max. Negotiated Rate |
$1,334.55 |
| Rate for Payer: Aetna Commercial |
$1,239.84
|
| Rate for Payer: Cash Price |
$861.00
|
| Rate for Payer: Cigna All Commercial |
$1,238.40
|
| Rate for Payer: CORVEL All Commercial |
$1,334.55
|
| Rate for Payer: Coventry All Commercial |
$1,262.80
|
| Rate for Payer: Encore All Commercial |
$1,320.92
|
| Rate for Payer: Frontpath All Commercial |
$1,320.20
|
| Rate for Payer: Humana ChoiceCare |
$1,239.41
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,291.50
|
| Rate for Payer: PHCS All Commercial |
$1,076.25
|
| Rate for Payer: PHP All Commercial |
$1,088.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,107.82
|
| Rate for Payer: Signature Care EPO |
$1,191.05
|
| Rate for Payer: Signature Care PPO |
$1,262.80
|
| Rate for Payer: United Healthcare Commercial |
$1,130.78
|
|
|
HC Z EZ PASS 30 DEG L
|
Facility
|
OP
|
$1,435.00
|
|
| Hospital Charge Code |
41608165
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$1,334.55 |
| Rate for Payer: Aetna Commercial |
$1,211.14
|
| Rate for Payer: Aetna Medicare |
$459.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$444.85
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$824.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$897.02
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$528.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$505.12
|
| Rate for Payer: Cash Price |
$861.00
|
| Rate for Payer: Cash Price |
$861.00
|
| Rate for Payer: Centivo All Commercial |
$780.64
|
| Rate for Payer: Cigna All Commercial |
$1,238.40
|
| Rate for Payer: CORVEL All Commercial |
$1,334.55
|
| Rate for Payer: Coventry All Commercial |
$1,262.80
|
| Rate for Payer: Encore All Commercial |
$1,320.92
|
| Rate for Payer: Frontpath All Commercial |
$1,320.20
|
| Rate for Payer: Humana ChoiceCare |
$1,239.41
|
| Rate for Payer: Humana Medicare |
$459.20
|
| Rate for Payer: Lucent All Commercial |
$780.64
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,291.50
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$1,076.25
|
| Rate for Payer: PHP All Commercial |
$1,088.30
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$559.65
|
| Rate for Payer: Sagamore Health Network All Products |
$1,107.82
|
| Rate for Payer: Signature Care EPO |
$1,191.05
|
| Rate for Payer: Signature Care PPO |
$1,262.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,219.75
|
| Rate for Payer: United Healthcare Commercial |
$1,130.78
|
| Rate for Payer: United Healthcare Medicare |
$459.20
|
|
|
HC Z EZ PASS 30 DEG R
|
Facility
|
OP
|
$1,435.00
|
|
| Hospital Charge Code |
41608166
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$1,334.55 |
| Rate for Payer: Aetna Commercial |
$1,211.14
|
| Rate for Payer: Aetna Medicare |
$459.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$31.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$444.85
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$824.12
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$897.02
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$31.20
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$528.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$505.12
|
| Rate for Payer: Cash Price |
$861.00
|
| Rate for Payer: Cash Price |
$861.00
|
| Rate for Payer: Centivo All Commercial |
$780.64
|
| Rate for Payer: Cigna All Commercial |
$1,238.40
|
| Rate for Payer: CORVEL All Commercial |
$1,334.55
|
| Rate for Payer: Coventry All Commercial |
$1,262.80
|
| Rate for Payer: Encore All Commercial |
$1,320.92
|
| Rate for Payer: Frontpath All Commercial |
$1,320.20
|
| Rate for Payer: Humana ChoiceCare |
$1,239.41
|
| Rate for Payer: Humana Medicare |
$459.20
|
| Rate for Payer: Lucent All Commercial |
$780.64
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,291.50
|
| Rate for Payer: Managed Health Services Medicaid |
$31.20
|
| Rate for Payer: MDWise Medicaid |
$31.20
|
| Rate for Payer: PHCS All Commercial |
$1,076.25
|
| Rate for Payer: PHP All Commercial |
$1,088.30
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$559.65
|
| Rate for Payer: Sagamore Health Network All Products |
$1,107.82
|
| Rate for Payer: Signature Care EPO |
$1,191.05
|
| Rate for Payer: Signature Care PPO |
$1,262.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,219.75
|
| Rate for Payer: United Healthcare Commercial |
$1,130.78
|
| Rate for Payer: United Healthcare Medicare |
$459.20
|
|
|
HC Z EZ PASS 30 DEG R
|
Facility
|
IP
|
$1,435.00
|
|
| Hospital Charge Code |
41608166
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,076.25 |
| Max. Negotiated Rate |
$1,334.55 |
| Rate for Payer: Aetna Commercial |
$1,239.84
|
| Rate for Payer: Cash Price |
$861.00
|
| Rate for Payer: Cigna All Commercial |
$1,238.40
|
| Rate for Payer: CORVEL All Commercial |
$1,334.55
|
| Rate for Payer: Coventry All Commercial |
$1,262.80
|
| Rate for Payer: Encore All Commercial |
$1,320.92
|
| Rate for Payer: Frontpath All Commercial |
$1,320.20
|
| Rate for Payer: Humana ChoiceCare |
$1,239.41
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,291.50
|
| Rate for Payer: PHCS All Commercial |
$1,076.25
|
| Rate for Payer: PHP All Commercial |
$1,088.30
|
| Rate for Payer: Sagamore Health Network All Products |
$1,107.82
|
| Rate for Payer: Signature Care EPO |
$1,191.05
|
| Rate for Payer: Signature Care PPO |
$1,262.80
|
| Rate for Payer: United Healthcare Commercial |
$1,130.78
|
|
|
HC Z FEM 10 CR STD L
|
Facility
|
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605500
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,203.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,071.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,623.66
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Centivo All Commercial |
$7,145.65
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Humana Medicare |
$4,203.32
|
| Rate for Payer: Lucent All Commercial |
$7,145.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,122.80
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$11,165.08
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
| Rate for Payer: United Healthcare Medicare |
$4,203.32
|
|
|
HC Z FEM 10 CR STD L
|
Facility
|
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605500
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,851.54 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,348.98
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
|
|
HC Z FEM 11 CR STD R
|
Facility
|
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605503
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,851.54 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,348.98
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
|
|
HC Z FEM 11 CR STD R
|
Facility
|
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605503
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,203.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,071.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,623.66
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Centivo All Commercial |
$7,145.65
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Humana Medicare |
$4,203.32
|
| Rate for Payer: Lucent All Commercial |
$7,145.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,122.80
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$11,165.08
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
| Rate for Payer: United Healthcare Medicare |
$4,203.32
|
|
|
HC Z FEM 5 CR STD R
|
Facility
|
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605491
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,851.54 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,348.98
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
|
|
HC Z FEM 5 CR STD R
|
Facility
|
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605491
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,203.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,071.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,623.66
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Centivo All Commercial |
$7,145.65
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Humana Medicare |
$4,203.32
|
| Rate for Payer: Lucent All Commercial |
$7,145.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,122.80
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$11,165.08
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
| Rate for Payer: United Healthcare Medicare |
$4,203.32
|
|
|
HC Z FEM 6 CR STD L
|
Facility
|
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605492
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9,851.54 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,348.98
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
|
|
HC Z FEM 6 CR STD L
|
Facility
|
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605492
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,203.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,071.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,833.82
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,623.66
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Cash Price |
$7,881.23
|
| Rate for Payer: Centivo All Commercial |
$7,145.65
|
| Rate for Payer: Cigna All Commercial |
$11,335.84
|
| Rate for Payer: CORVEL All Commercial |
$12,215.91
|
| Rate for Payer: Coventry All Commercial |
$11,559.14
|
| Rate for Payer: Encore All Commercial |
$12,091.13
|
| Rate for Payer: Frontpath All Commercial |
$12,084.56
|
| Rate for Payer: Humana ChoiceCare |
$11,345.04
|
| Rate for Payer: Humana Medicare |
$4,203.32
|
| Rate for Payer: Lucent All Commercial |
$7,145.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$9,851.54
|
| Rate for Payer: PHP All Commercial |
$9,961.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,122.80
|
| Rate for Payer: Sagamore Health Network All Products |
$10,140.52
|
| Rate for Payer: Signature Care EPO |
$10,902.37
|
| Rate for Payer: Signature Care PPO |
$11,559.14
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$11,165.08
|
| Rate for Payer: United Healthcare Commercial |
$10,350.69
|
| Rate for Payer: United Healthcare Medicare |
$4,203.32
|
|
