|
HC SN SCREW PL 5.7X45 CANN
|
Facility
OP
|
$1,329.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603261
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$438.69 |
| Max. Negotiated Rate |
$1,236.30 |
| Rate for Payer: Aetna Commercial |
$1,121.97
|
| Rate for Payer: Aetna Medicare |
$438.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$438.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$763.45
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$830.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$504.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$482.55
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Centivo All Commercial |
$677.97
|
| Rate for Payer: Cigna All Commercial |
$1,147.23
|
| Rate for Payer: CORVEL All Commercial |
$1,236.30
|
| Rate for Payer: Coventry All Commercial |
$1,169.83
|
| Rate for Payer: Encore All Commercial |
$1,223.67
|
| Rate for Payer: Frontpath All Commercial |
$1,223.00
|
| Rate for Payer: Humana ChoiceCare |
$1,148.16
|
| Rate for Payer: Humana Medicare |
$677.97
|
| Rate for Payer: Lucent All Commercial |
$677.97
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,196.42
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$997.01
|
| Rate for Payer: PHP All Commercial |
$1,008.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$518.45
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.26
|
| Rate for Payer: Signature Care EPO |
$1,103.36
|
| Rate for Payer: Signature Care PPO |
$1,169.83
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,129.95
|
| Rate for Payer: United Healthcare Commercial |
$1,047.53
|
| Rate for Payer: United Healthcare Medicare |
$438.69
|
|
|
HC SN SCREW PL 5.7X45 CANN
|
Facility
IP
|
$1,329.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603261
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$997.01 |
| Max. Negotiated Rate |
$1,236.30 |
| Rate for Payer: Aetna Commercial |
$1,148.56
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Cigna All Commercial |
$1,147.23
|
| Rate for Payer: CORVEL All Commercial |
$1,236.30
|
| Rate for Payer: Coventry All Commercial |
$1,169.83
|
| Rate for Payer: Encore All Commercial |
$1,223.67
|
| Rate for Payer: Frontpath All Commercial |
$1,223.00
|
| Rate for Payer: Humana ChoiceCare |
$1,148.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,196.42
|
| Rate for Payer: PHCS All Commercial |
$997.01
|
| Rate for Payer: PHP All Commercial |
$1,008.18
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.26
|
| Rate for Payer: Signature Care EPO |
$1,103.36
|
| Rate for Payer: Signature Care PPO |
$1,169.83
|
| Rate for Payer: United Healthcare Commercial |
$1,047.53
|
|
|
HC SN SCREW PL 5.7X50 CANN
|
Facility
OP
|
$1,329.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603262
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$438.69 |
| Max. Negotiated Rate |
$1,236.30 |
| Rate for Payer: Aetna Commercial |
$1,121.97
|
| Rate for Payer: Aetna Medicare |
$438.69
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$438.69
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$763.45
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$830.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$504.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$482.55
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Centivo All Commercial |
$677.97
|
| Rate for Payer: Cigna All Commercial |
$1,147.23
|
| Rate for Payer: CORVEL All Commercial |
$1,236.30
|
| Rate for Payer: Coventry All Commercial |
$1,169.83
|
| Rate for Payer: Encore All Commercial |
$1,223.67
|
| Rate for Payer: Frontpath All Commercial |
$1,223.00
|
| Rate for Payer: Humana ChoiceCare |
$1,148.16
|
| Rate for Payer: Humana Medicare |
$677.97
|
| Rate for Payer: Lucent All Commercial |
$677.97
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,196.42
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$997.01
|
| Rate for Payer: PHP All Commercial |
$1,008.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$518.45
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.26
|
| Rate for Payer: Signature Care EPO |
$1,103.36
|
| Rate for Payer: Signature Care PPO |
$1,169.83
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,129.95
|
| Rate for Payer: United Healthcare Commercial |
$1,047.53
|
| Rate for Payer: United Healthcare Medicare |
$438.69
|
|
|
HC SN SCREW PL 5.7X50 CANN
|
Facility
IP
|
$1,329.35
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603262
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$997.01 |
| Max. Negotiated Rate |
$1,236.30 |
| Rate for Payer: Aetna Commercial |
$1,148.56
|
| Rate for Payer: Cash Price |
$824.20
|
| Rate for Payer: Cigna All Commercial |
$1,147.23
|
| Rate for Payer: CORVEL All Commercial |
$1,236.30
|
| Rate for Payer: Coventry All Commercial |
$1,169.83
|
| Rate for Payer: Encore All Commercial |
$1,223.67
|
| Rate for Payer: Frontpath All Commercial |
$1,223.00
|
| Rate for Payer: Humana ChoiceCare |
$1,148.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,196.42
|
| Rate for Payer: PHCS All Commercial |
$997.01
|
| Rate for Payer: PHP All Commercial |
$1,008.18
|
| Rate for Payer: Sagamore Health Network All Products |
$1,026.26
|
| Rate for Payer: Signature Care EPO |
$1,103.36
|
| Rate for Payer: Signature Care PPO |
$1,169.83
|
| Rate for Payer: United Healthcare Commercial |
$1,047.53
|
|
|
HC SN STAPLE FIX SHT MED W/O SPIKE
|
Facility
IP
|
$1,651.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,238.66 |
| Max. Negotiated Rate |
$1,535.94 |
| Rate for Payer: Aetna Commercial |
$1,426.94
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Cigna All Commercial |
$1,425.29
|
| Rate for Payer: CORVEL All Commercial |
$1,535.94
|
| Rate for Payer: Coventry All Commercial |
$1,453.36
|
| Rate for Payer: Encore All Commercial |
$1,520.25
|
| Rate for Payer: Frontpath All Commercial |
$1,519.43
|
| Rate for Payer: Humana ChoiceCare |
$1,426.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,486.40
|
| Rate for Payer: PHCS All Commercial |
$1,238.66
|
| Rate for Payer: PHP All Commercial |
$1,252.54
|
| Rate for Payer: Sagamore Health Network All Products |
$1,275.00
|
| Rate for Payer: Signature Care EPO |
$1,370.79
|
| Rate for Payer: Signature Care PPO |
$1,453.36
|
| Rate for Payer: United Healthcare Commercial |
$1,301.42
|
|
|
HC SN STAPLE FIX SHT MED W/O SPIKE
|
Facility
OP
|
$1,651.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,535.94 |
| Rate for Payer: Aetna Commercial |
$1,393.91
|
| Rate for Payer: Aetna Medicare |
$545.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$545.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$948.49
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,032.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$626.76
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$599.51
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Centivo All Commercial |
$842.29
|
| Rate for Payer: Cigna All Commercial |
$1,425.29
|
| Rate for Payer: CORVEL All Commercial |
$1,535.94
|
| Rate for Payer: Coventry All Commercial |
$1,453.36
|
| Rate for Payer: Encore All Commercial |
$1,520.25
|
| Rate for Payer: Frontpath All Commercial |
$1,519.43
|
| Rate for Payer: Humana ChoiceCare |
$1,426.44
|
| Rate for Payer: Humana Medicare |
$842.29
|
| Rate for Payer: Lucent All Commercial |
$842.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,486.40
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,238.66
|
| Rate for Payer: PHP All Commercial |
$1,252.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$644.10
|
| Rate for Payer: Sagamore Health Network All Products |
$1,275.00
|
| Rate for Payer: Signature Care EPO |
$1,370.79
|
| Rate for Payer: Signature Care PPO |
$1,453.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,403.82
|
| Rate for Payer: United Healthcare Commercial |
$1,301.42
|
| Rate for Payer: United Healthcare Medicare |
$545.01
|
|
|
HC SN STAPLE R TABLE FIX MED 16
|
Facility
OP
|
$2,210.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601385
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$96.84 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Commercial |
$1,865.24
|
| Rate for Payer: Aetna Medicare |
$729.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$729.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,269.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,381.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$96.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.23
|
| Rate for Payer: Cash Price |
$1,370.20
|
| Rate for Payer: Cash Price |
$1,370.20
|
| Rate for Payer: Centivo All Commercial |
$1,127.10
|
| Rate for Payer: Cigna All Commercial |
$1,907.23
|
| Rate for Payer: CORVEL All Commercial |
$2,055.30
|
| Rate for Payer: Coventry All Commercial |
$1,944.80
|
| Rate for Payer: Encore All Commercial |
$2,034.30
|
| Rate for Payer: Frontpath All Commercial |
$2,033.20
|
| Rate for Payer: Humana ChoiceCare |
$1,908.78
|
| Rate for Payer: Humana Medicare |
$1,127.10
|
| Rate for Payer: Lucent All Commercial |
$1,127.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,989.00
|
| Rate for Payer: Managed Health Services Medicaid |
$96.84
|
| Rate for Payer: MDWise Medicaid |
$96.84
|
| Rate for Payer: PHCS All Commercial |
$1,657.50
|
| Rate for Payer: PHP All Commercial |
$1,676.06
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$861.90
|
| Rate for Payer: Sagamore Health Network All Products |
$1,706.12
|
| Rate for Payer: Signature Care EPO |
$1,834.30
|
| Rate for Payer: Signature Care PPO |
$1,944.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,878.50
|
| Rate for Payer: United Healthcare Commercial |
$1,741.48
|
| Rate for Payer: United Healthcare Medicare |
$729.30
|
|
|
HC SN STAPLE R TABLE FIX MED 16
|
Facility
IP
|
$2,210.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601385
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,657.50 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Commercial |
$1,909.44
|
| Rate for Payer: Cash Price |
$1,370.20
|
| Rate for Payer: Cigna All Commercial |
$1,907.23
|
| Rate for Payer: CORVEL All Commercial |
$2,055.30
|
| Rate for Payer: Coventry All Commercial |
$1,944.80
|
| Rate for Payer: Encore All Commercial |
$2,034.30
|
| Rate for Payer: Frontpath All Commercial |
$2,033.20
|
| Rate for Payer: Humana ChoiceCare |
$1,908.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,989.00
|
| Rate for Payer: PHCS All Commercial |
$1,657.50
|
| Rate for Payer: PHP All Commercial |
$1,676.06
|
| Rate for Payer: Sagamore Health Network All Products |
$1,706.12
|
| Rate for Payer: Signature Care EPO |
$1,834.30
|
| Rate for Payer: Signature Care PPO |
$1,944.80
|
| Rate for Payer: United Healthcare Commercial |
$1,741.48
|
|
|
HC SN STAPLE R TABLE FIX SM 13
|
Facility
OP
|
$2,210.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601386
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$96.84 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Commercial |
$1,865.24
|
| Rate for Payer: Aetna Medicare |
$729.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$729.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,269.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,381.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$96.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.23
|
| Rate for Payer: Cash Price |
$1,370.20
|
| Rate for Payer: Cash Price |
$1,370.20
|
| Rate for Payer: Centivo All Commercial |
$1,127.10
|
| Rate for Payer: Cigna All Commercial |
$1,907.23
|
| Rate for Payer: CORVEL All Commercial |
$2,055.30
|
| Rate for Payer: Coventry All Commercial |
$1,944.80
|
| Rate for Payer: Encore All Commercial |
$2,034.30
|
| Rate for Payer: Frontpath All Commercial |
$2,033.20
|
| Rate for Payer: Humana ChoiceCare |
$1,908.78
|
| Rate for Payer: Humana Medicare |
$1,127.10
|
| Rate for Payer: Lucent All Commercial |
$1,127.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,989.00
|
| Rate for Payer: Managed Health Services Medicaid |
$96.84
|
| Rate for Payer: MDWise Medicaid |
$96.84
|
| Rate for Payer: PHCS All Commercial |
$1,657.50
|
| Rate for Payer: PHP All Commercial |
$1,676.06
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$861.90
|
| Rate for Payer: Sagamore Health Network All Products |
$1,706.12
|
| Rate for Payer: Signature Care EPO |
$1,834.30
|
| Rate for Payer: Signature Care PPO |
$1,944.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,878.50
|
| Rate for Payer: United Healthcare Commercial |
$1,741.48
|
| Rate for Payer: United Healthcare Medicare |
$729.30
|
|
|
HC SN STAPLE R TABLE FIX SM 13
|
Facility
IP
|
$2,210.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601386
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,657.50 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Commercial |
$1,909.44
|
| Rate for Payer: Cash Price |
$1,370.20
|
| Rate for Payer: Cigna All Commercial |
$1,907.23
|
| Rate for Payer: CORVEL All Commercial |
$2,055.30
|
| Rate for Payer: Coventry All Commercial |
$1,944.80
|
| Rate for Payer: Encore All Commercial |
$2,034.30
|
| Rate for Payer: Frontpath All Commercial |
$2,033.20
|
| Rate for Payer: Humana ChoiceCare |
$1,908.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,989.00
|
| Rate for Payer: PHCS All Commercial |
$1,657.50
|
| Rate for Payer: PHP All Commercial |
$1,676.06
|
| Rate for Payer: Sagamore Health Network All Products |
$1,706.12
|
| Rate for Payer: Signature Care EPO |
$1,834.30
|
| Rate for Payer: Signature Care PPO |
$1,944.80
|
| Rate for Payer: United Healthcare Commercial |
$1,741.48
|
|
|
HC SN STAPLE SM SHT W/O SPIKE
|
Facility
IP
|
$1,651.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603394
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,238.66 |
| Max. Negotiated Rate |
$1,535.94 |
| Rate for Payer: Aetna Commercial |
$1,426.94
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Cigna All Commercial |
$1,425.29
|
| Rate for Payer: CORVEL All Commercial |
$1,535.94
|
| Rate for Payer: Coventry All Commercial |
$1,453.36
|
| Rate for Payer: Encore All Commercial |
$1,520.25
|
| Rate for Payer: Frontpath All Commercial |
$1,519.43
|
| Rate for Payer: Humana ChoiceCare |
$1,426.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,486.40
|
| Rate for Payer: PHCS All Commercial |
$1,238.66
|
| Rate for Payer: PHP All Commercial |
$1,252.54
|
| Rate for Payer: Sagamore Health Network All Products |
$1,275.00
|
| Rate for Payer: Signature Care EPO |
$1,370.79
|
| Rate for Payer: Signature Care PPO |
$1,453.36
|
| Rate for Payer: United Healthcare Commercial |
$1,301.42
|
|
|
HC SN STAPLE SM SHT W/O SPIKE
|
Facility
OP
|
$1,651.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603394
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,535.94 |
| Rate for Payer: Aetna Commercial |
$1,393.91
|
| Rate for Payer: Aetna Medicare |
$545.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$545.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$948.49
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,032.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$626.76
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$599.51
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Centivo All Commercial |
$842.29
|
| Rate for Payer: Cigna All Commercial |
$1,425.29
|
| Rate for Payer: CORVEL All Commercial |
$1,535.94
|
| Rate for Payer: Coventry All Commercial |
$1,453.36
|
| Rate for Payer: Encore All Commercial |
$1,520.25
|
| Rate for Payer: Frontpath All Commercial |
$1,519.43
|
| Rate for Payer: Humana ChoiceCare |
$1,426.44
|
| Rate for Payer: Humana Medicare |
$842.29
|
| Rate for Payer: Lucent All Commercial |
$842.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,486.40
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,238.66
|
| Rate for Payer: PHP All Commercial |
$1,252.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$644.10
|
| Rate for Payer: Sagamore Health Network All Products |
$1,275.00
|
| Rate for Payer: Signature Care EPO |
$1,370.79
|
| Rate for Payer: Signature Care PPO |
$1,453.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,403.82
|
| Rate for Payer: United Healthcare Commercial |
$1,301.42
|
| Rate for Payer: United Healthcare Medicare |
$545.01
|
|
|
HC SN STAPLE SM SHT W/SPIKE
|
Facility
IP
|
$1,651.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603393
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,238.66 |
| Max. Negotiated Rate |
$1,535.94 |
| Rate for Payer: Aetna Commercial |
$1,426.94
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Cigna All Commercial |
$1,425.29
|
| Rate for Payer: CORVEL All Commercial |
$1,535.94
|
| Rate for Payer: Coventry All Commercial |
$1,453.36
|
| Rate for Payer: Encore All Commercial |
$1,520.25
|
| Rate for Payer: Frontpath All Commercial |
$1,519.43
|
| Rate for Payer: Humana ChoiceCare |
$1,426.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,486.40
|
| Rate for Payer: PHCS All Commercial |
$1,238.66
|
| Rate for Payer: PHP All Commercial |
$1,252.54
|
| Rate for Payer: Sagamore Health Network All Products |
$1,275.00
|
| Rate for Payer: Signature Care EPO |
$1,370.79
|
| Rate for Payer: Signature Care PPO |
$1,453.36
|
| Rate for Payer: United Healthcare Commercial |
$1,301.42
|
|
|
HC SN STAPLE SM SHT W/SPIKE
|
Facility
OP
|
$1,651.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603393
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,535.94 |
| Rate for Payer: Aetna Commercial |
$1,393.91
|
| Rate for Payer: Aetna Medicare |
$545.01
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$545.01
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$948.49
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,032.38
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$626.76
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$599.51
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Cash Price |
$1,023.96
|
| Rate for Payer: Centivo All Commercial |
$842.29
|
| Rate for Payer: Cigna All Commercial |
$1,425.29
|
| Rate for Payer: CORVEL All Commercial |
$1,535.94
|
| Rate for Payer: Coventry All Commercial |
$1,453.36
|
| Rate for Payer: Encore All Commercial |
$1,520.25
|
| Rate for Payer: Frontpath All Commercial |
$1,519.43
|
| Rate for Payer: Humana ChoiceCare |
$1,426.44
|
| Rate for Payer: Humana Medicare |
$842.29
|
| Rate for Payer: Lucent All Commercial |
$842.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,486.40
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,238.66
|
| Rate for Payer: PHP All Commercial |
$1,252.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$644.10
|
| Rate for Payer: Sagamore Health Network All Products |
$1,275.00
|
| Rate for Payer: Signature Care EPO |
$1,370.79
|
| Rate for Payer: Signature Care PPO |
$1,453.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,403.82
|
| Rate for Payer: United Healthcare Commercial |
$1,301.42
|
| Rate for Payer: United Healthcare Medicare |
$545.01
|
|
|
HC SN STAPLE SPIKES SM 128692
|
Facility
IP
|
$1,767.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604366
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,325.36 |
| Max. Negotiated Rate |
$1,643.45 |
| Rate for Payer: Aetna Commercial |
$1,526.82
|
| Rate for Payer: Cash Price |
$1,095.63
|
| Rate for Payer: Cigna All Commercial |
$1,525.05
|
| Rate for Payer: CORVEL All Commercial |
$1,643.45
|
| Rate for Payer: Coventry All Commercial |
$1,555.09
|
| Rate for Payer: Encore All Commercial |
$1,626.66
|
| Rate for Payer: Frontpath All Commercial |
$1,625.78
|
| Rate for Payer: Humana ChoiceCare |
$1,526.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,590.44
|
| Rate for Payer: PHCS All Commercial |
$1,325.36
|
| Rate for Payer: PHP All Commercial |
$1,340.21
|
| Rate for Payer: Sagamore Health Network All Products |
$1,364.24
|
| Rate for Payer: Signature Care EPO |
$1,466.73
|
| Rate for Payer: Signature Care PPO |
$1,555.09
|
| Rate for Payer: United Healthcare Commercial |
$1,392.51
|
|
|
HC SN STAPLE SPIKES SM 128692
|
Facility
OP
|
$1,767.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604366
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,643.45 |
| Rate for Payer: Aetna Commercial |
$1,491.47
|
| Rate for Payer: Aetna Medicare |
$583.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$583.16
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,014.87
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,104.65
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$670.63
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$641.48
|
| Rate for Payer: Cash Price |
$1,095.63
|
| Rate for Payer: Cash Price |
$1,095.63
|
| Rate for Payer: Centivo All Commercial |
$901.25
|
| Rate for Payer: Cigna All Commercial |
$1,525.05
|
| Rate for Payer: CORVEL All Commercial |
$1,643.45
|
| Rate for Payer: Coventry All Commercial |
$1,555.09
|
| Rate for Payer: Encore All Commercial |
$1,626.66
|
| Rate for Payer: Frontpath All Commercial |
$1,625.78
|
| Rate for Payer: Humana ChoiceCare |
$1,526.29
|
| Rate for Payer: Humana Medicare |
$901.25
|
| Rate for Payer: Lucent All Commercial |
$901.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,590.44
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,325.36
|
| Rate for Payer: PHP All Commercial |
$1,340.21
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$689.19
|
| Rate for Payer: Sagamore Health Network All Products |
$1,364.24
|
| Rate for Payer: Signature Care EPO |
$1,466.73
|
| Rate for Payer: Signature Care PPO |
$1,555.09
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,502.08
|
| Rate for Payer: United Healthcare Commercial |
$1,392.51
|
| Rate for Payer: United Healthcare Medicare |
$583.16
|
|
|
HC SN SYNERGY FEM COMP 10 X 115
|
Facility
OP
|
$22,212.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603415
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$20,657.16 |
| Rate for Payer: Aetna Commercial |
$18,746.93
|
| Rate for Payer: Aetna Medicare |
$7,329.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$7,329.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$12,756.35
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$13,884.72
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$8,429.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$8,062.96
|
| Rate for Payer: Cash Price |
$13,771.44
|
| Rate for Payer: Cash Price |
$13,771.44
|
| Rate for Payer: Centivo All Commercial |
$11,328.12
|
| Rate for Payer: Cigna All Commercial |
$19,168.96
|
| Rate for Payer: CORVEL All Commercial |
$20,657.16
|
| Rate for Payer: Coventry All Commercial |
$19,546.56
|
| Rate for Payer: Encore All Commercial |
$20,446.15
|
| Rate for Payer: Frontpath All Commercial |
$20,435.04
|
| Rate for Payer: Humana ChoiceCare |
$19,184.50
|
| Rate for Payer: Humana Medicare |
$11,328.12
|
| Rate for Payer: Lucent All Commercial |
$11,328.12
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,990.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$16,659.00
|
| Rate for Payer: PHP All Commercial |
$16,845.58
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$8,662.68
|
| Rate for Payer: Sagamore Health Network All Products |
$17,147.66
|
| Rate for Payer: Signature Care EPO |
$18,435.96
|
| Rate for Payer: Signature Care PPO |
$19,546.56
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$18,880.20
|
| Rate for Payer: United Healthcare Commercial |
$17,503.06
|
| Rate for Payer: United Healthcare Medicare |
$7,329.96
|
|
|
HC SN SYNERGY FEM COMP 10 X 115
|
Facility
IP
|
$22,212.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603415
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16,659.00 |
| Max. Negotiated Rate |
$20,657.16 |
| Rate for Payer: Aetna Commercial |
$19,191.17
|
| Rate for Payer: Cash Price |
$13,771.44
|
| Rate for Payer: Cigna All Commercial |
$19,168.96
|
| Rate for Payer: CORVEL All Commercial |
$20,657.16
|
| Rate for Payer: Coventry All Commercial |
$19,546.56
|
| Rate for Payer: Encore All Commercial |
$20,446.15
|
| Rate for Payer: Frontpath All Commercial |
$20,435.04
|
| Rate for Payer: Humana ChoiceCare |
$19,184.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,990.80
|
| Rate for Payer: PHCS All Commercial |
$16,659.00
|
| Rate for Payer: PHP All Commercial |
$16,845.58
|
| Rate for Payer: Sagamore Health Network All Products |
$17,147.66
|
| Rate for Payer: Signature Care EPO |
$18,435.96
|
| Rate for Payer: Signature Care PPO |
$19,546.56
|
| Rate for Payer: United Healthcare Commercial |
$17,503.06
|
|
|
HC SN SYNERGY FEM COMP 12 X 125
|
Facility
OP
|
$21,150.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41602470
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$19,669.50 |
| Rate for Payer: Aetna Commercial |
$17,850.60
|
| Rate for Payer: Aetna Medicare |
$6,979.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$6,979.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$12,146.44
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$13,220.86
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$8,026.42
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$7,677.45
|
| Rate for Payer: Cash Price |
$13,113.00
|
| Rate for Payer: Cash Price |
$13,113.00
|
| Rate for Payer: Centivo All Commercial |
$10,786.50
|
| Rate for Payer: Cigna All Commercial |
$18,252.45
|
| Rate for Payer: CORVEL All Commercial |
$19,669.50
|
| Rate for Payer: Coventry All Commercial |
$18,612.00
|
| Rate for Payer: Encore All Commercial |
$19,468.58
|
| Rate for Payer: Frontpath All Commercial |
$19,458.00
|
| Rate for Payer: Humana ChoiceCare |
$18,267.26
|
| Rate for Payer: Humana Medicare |
$10,786.50
|
| Rate for Payer: Lucent All Commercial |
$10,786.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,035.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$15,862.50
|
| Rate for Payer: PHP All Commercial |
$16,040.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$8,248.50
|
| Rate for Payer: Sagamore Health Network All Products |
$16,327.80
|
| Rate for Payer: Signature Care EPO |
$17,554.50
|
| Rate for Payer: Signature Care PPO |
$18,612.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$17,977.50
|
| Rate for Payer: United Healthcare Commercial |
$16,666.20
|
| Rate for Payer: United Healthcare Medicare |
$6,979.50
|
|
|
HC SN SYNERGY FEM COMP 12 X 125
|
Facility
IP
|
$21,150.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41602470
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15,862.50 |
| Max. Negotiated Rate |
$19,669.50 |
| Rate for Payer: Aetna Commercial |
$18,273.60
|
| Rate for Payer: Cash Price |
$13,113.00
|
| Rate for Payer: Cigna All Commercial |
$18,252.45
|
| Rate for Payer: CORVEL All Commercial |
$19,669.50
|
| Rate for Payer: Coventry All Commercial |
$18,612.00
|
| Rate for Payer: Encore All Commercial |
$19,468.58
|
| Rate for Payer: Frontpath All Commercial |
$19,458.00
|
| Rate for Payer: Humana ChoiceCare |
$18,267.26
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,035.00
|
| Rate for Payer: PHCS All Commercial |
$15,862.50
|
| Rate for Payer: PHP All Commercial |
$16,040.16
|
| Rate for Payer: Sagamore Health Network All Products |
$16,327.80
|
| Rate for Payer: Signature Care EPO |
$17,554.50
|
| Rate for Payer: Signature Care PPO |
$18,612.00
|
| Rate for Payer: United Healthcare Commercial |
$16,666.20
|
|
|
HC SN SYNERGY FEM COMP 13 X 130
|
Facility
IP
|
$21,150.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41602553
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15,862.50 |
| Max. Negotiated Rate |
$19,669.50 |
| Rate for Payer: Aetna Commercial |
$18,273.60
|
| Rate for Payer: Cash Price |
$13,113.00
|
| Rate for Payer: Cigna All Commercial |
$18,252.45
|
| Rate for Payer: CORVEL All Commercial |
$19,669.50
|
| Rate for Payer: Coventry All Commercial |
$18,612.00
|
| Rate for Payer: Encore All Commercial |
$19,468.58
|
| Rate for Payer: Frontpath All Commercial |
$19,458.00
|
| Rate for Payer: Humana ChoiceCare |
$18,267.26
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,035.00
|
| Rate for Payer: PHCS All Commercial |
$15,862.50
|
| Rate for Payer: PHP All Commercial |
$16,040.16
|
| Rate for Payer: Sagamore Health Network All Products |
$16,327.80
|
| Rate for Payer: Signature Care EPO |
$17,554.50
|
| Rate for Payer: Signature Care PPO |
$18,612.00
|
| Rate for Payer: United Healthcare Commercial |
$16,666.20
|
|
|
HC SN SYNERGY FEM COMP 13 X 130
|
Facility
OP
|
$21,150.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41602553
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$19,669.50 |
| Rate for Payer: Aetna Commercial |
$17,850.60
|
| Rate for Payer: Aetna Medicare |
$6,979.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$6,979.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$12,146.44
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$13,220.86
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$8,026.42
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$7,677.45
|
| Rate for Payer: Cash Price |
$13,113.00
|
| Rate for Payer: Cash Price |
$13,113.00
|
| Rate for Payer: Centivo All Commercial |
$10,786.50
|
| Rate for Payer: Cigna All Commercial |
$18,252.45
|
| Rate for Payer: CORVEL All Commercial |
$19,669.50
|
| Rate for Payer: Coventry All Commercial |
$18,612.00
|
| Rate for Payer: Encore All Commercial |
$19,468.58
|
| Rate for Payer: Frontpath All Commercial |
$19,458.00
|
| Rate for Payer: Humana ChoiceCare |
$18,267.26
|
| Rate for Payer: Humana Medicare |
$10,786.50
|
| Rate for Payer: Lucent All Commercial |
$10,786.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,035.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$15,862.50
|
| Rate for Payer: PHP All Commercial |
$16,040.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$8,248.50
|
| Rate for Payer: Sagamore Health Network All Products |
$16,327.80
|
| Rate for Payer: Signature Care EPO |
$17,554.50
|
| Rate for Payer: Signature Care PPO |
$18,612.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$17,977.50
|
| Rate for Payer: United Healthcare Commercial |
$16,666.20
|
| Rate for Payer: United Healthcare Medicare |
$6,979.50
|
|
|
HC SN SYNERGY FEM COMP 14 X 135
|
Facility
IP
|
$22,212.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603284
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16,659.00 |
| Max. Negotiated Rate |
$20,657.16 |
| Rate for Payer: Aetna Commercial |
$19,191.17
|
| Rate for Payer: Cash Price |
$13,771.44
|
| Rate for Payer: Cigna All Commercial |
$19,168.96
|
| Rate for Payer: CORVEL All Commercial |
$20,657.16
|
| Rate for Payer: Coventry All Commercial |
$19,546.56
|
| Rate for Payer: Encore All Commercial |
$20,446.15
|
| Rate for Payer: Frontpath All Commercial |
$20,435.04
|
| Rate for Payer: Humana ChoiceCare |
$19,184.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,990.80
|
| Rate for Payer: PHCS All Commercial |
$16,659.00
|
| Rate for Payer: PHP All Commercial |
$16,845.58
|
| Rate for Payer: Sagamore Health Network All Products |
$17,147.66
|
| Rate for Payer: Signature Care EPO |
$18,435.96
|
| Rate for Payer: Signature Care PPO |
$19,546.56
|
| Rate for Payer: United Healthcare Commercial |
$17,503.06
|
|
|
HC SN SYNERGY FEM COMP 14 X 135
|
Facility
OP
|
$22,212.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603284
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$20,657.16 |
| Rate for Payer: Aetna Commercial |
$18,746.93
|
| Rate for Payer: Aetna Medicare |
$7,329.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$7,329.96
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$12,756.35
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$13,884.72
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$8,429.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$8,062.96
|
| Rate for Payer: Cash Price |
$13,771.44
|
| Rate for Payer: Cash Price |
$13,771.44
|
| Rate for Payer: Centivo All Commercial |
$11,328.12
|
| Rate for Payer: Cigna All Commercial |
$19,168.96
|
| Rate for Payer: CORVEL All Commercial |
$20,657.16
|
| Rate for Payer: Coventry All Commercial |
$19,546.56
|
| Rate for Payer: Encore All Commercial |
$20,446.15
|
| Rate for Payer: Frontpath All Commercial |
$20,435.04
|
| Rate for Payer: Humana ChoiceCare |
$19,184.50
|
| Rate for Payer: Humana Medicare |
$11,328.12
|
| Rate for Payer: Lucent All Commercial |
$11,328.12
|
| Rate for Payer: Lutheran Preferred All Commercial |
$19,990.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$16,659.00
|
| Rate for Payer: PHP All Commercial |
$16,845.58
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$8,662.68
|
| Rate for Payer: Sagamore Health Network All Products |
$17,147.66
|
| Rate for Payer: Signature Care EPO |
$18,435.96
|
| Rate for Payer: Signature Care PPO |
$19,546.56
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$18,880.20
|
| Rate for Payer: United Healthcare Commercial |
$17,503.06
|
| Rate for Payer: United Healthcare Medicare |
$7,329.96
|
|
|
HC SN SYNERGY POR FEM COMP 16X170
|
Facility
IP
|
$1,222.00
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603508
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$916.50 |
| Max. Negotiated Rate |
$1,136.46 |
| Rate for Payer: Aetna Commercial |
$1,055.81
|
| Rate for Payer: Cash Price |
$757.64
|
| Rate for Payer: Cigna All Commercial |
$1,054.59
|
| Rate for Payer: CORVEL All Commercial |
$1,136.46
|
| Rate for Payer: Coventry All Commercial |
$1,075.36
|
| Rate for Payer: Encore All Commercial |
$1,124.85
|
| Rate for Payer: Frontpath All Commercial |
$1,124.24
|
| Rate for Payer: Humana ChoiceCare |
$1,055.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,099.80
|
| Rate for Payer: PHCS All Commercial |
$916.50
|
| Rate for Payer: PHP All Commercial |
$926.76
|
| Rate for Payer: Sagamore Health Network All Products |
$943.38
|
| Rate for Payer: Signature Care EPO |
$1,014.26
|
| Rate for Payer: Signature Care PPO |
$1,075.36
|
| Rate for Payer: United Healthcare Commercial |
$962.94
|
|
