|
HC Z DRIVER 2.2 SQ
|
Facility
IP
|
$754.39
|
|
| Hospital Charge Code |
41606746
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$565.79 |
| Max. Negotiated Rate |
$701.58 |
| Rate for Payer: Aetna Commercial |
$651.79
|
| Rate for Payer: Cash Price |
$467.72
|
| Rate for Payer: Cigna All Commercial |
$651.04
|
| Rate for Payer: CORVEL All Commercial |
$701.58
|
| Rate for Payer: Coventry All Commercial |
$663.86
|
| Rate for Payer: Encore All Commercial |
$694.42
|
| Rate for Payer: Frontpath All Commercial |
$694.04
|
| Rate for Payer: Humana ChoiceCare |
$651.57
|
| Rate for Payer: Lutheran Preferred All Commercial |
$678.95
|
| Rate for Payer: PHCS All Commercial |
$565.79
|
| Rate for Payer: PHP All Commercial |
$572.13
|
| Rate for Payer: Sagamore Health Network All Products |
$582.39
|
| Rate for Payer: Signature Care EPO |
$626.14
|
| Rate for Payer: Signature Care PPO |
$663.86
|
| Rate for Payer: United Healthcare Commercial |
$594.46
|
|
|
HC Z E1 HUMERAL BRG 44-36 RTNV+3
|
Facility
IP
|
$5,683.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605666
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,262.54 |
| Max. Negotiated Rate |
$5,285.55 |
| Rate for Payer: Aetna Commercial |
$4,910.45
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Cigna All Commercial |
$4,904.77
|
| Rate for Payer: CORVEL All Commercial |
$5,285.55
|
| Rate for Payer: Coventry All Commercial |
$5,001.38
|
| Rate for Payer: Encore All Commercial |
$5,231.56
|
| Rate for Payer: Frontpath All Commercial |
$5,228.72
|
| Rate for Payer: Humana ChoiceCare |
$4,908.74
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,115.05
|
| Rate for Payer: PHCS All Commercial |
$4,262.54
|
| Rate for Payer: PHP All Commercial |
$4,310.28
|
| Rate for Payer: Sagamore Health Network All Products |
$4,387.58
|
| Rate for Payer: Signature Care EPO |
$4,717.21
|
| Rate for Payer: Signature Care PPO |
$5,001.38
|
| Rate for Payer: United Healthcare Commercial |
$4,478.51
|
|
|
HC Z E1 HUMERAL BRG 44-36 RTNV+3
|
Facility
OP
|
$5,683.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605666
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,285.55 |
| Rate for Payer: Aetna Commercial |
$4,796.78
|
| Rate for Payer: Aetna Medicare |
$1,875.52
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,875.52
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,263.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,552.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,156.85
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,063.07
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Centivo All Commercial |
$2,898.53
|
| Rate for Payer: Cigna All Commercial |
$4,904.77
|
| Rate for Payer: CORVEL All Commercial |
$5,285.55
|
| Rate for Payer: Coventry All Commercial |
$5,001.38
|
| Rate for Payer: Encore All Commercial |
$5,231.56
|
| Rate for Payer: Frontpath All Commercial |
$5,228.72
|
| Rate for Payer: Humana ChoiceCare |
$4,908.74
|
| Rate for Payer: Humana Medicare |
$2,898.53
|
| Rate for Payer: Lucent All Commercial |
$2,898.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,115.05
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,262.54
|
| Rate for Payer: PHP All Commercial |
$4,310.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,216.52
|
| Rate for Payer: Sagamore Health Network All Products |
$4,387.58
|
| Rate for Payer: Signature Care EPO |
$4,717.21
|
| Rate for Payer: Signature Care PPO |
$5,001.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,830.88
|
| Rate for Payer: United Healthcare Commercial |
$4,478.51
|
| Rate for Payer: United Healthcare Medicare |
$1,875.52
|
|
|
HC Z E1 HUMERAL BRG 44-36 STD
|
Facility
OP
|
$5,683.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605664
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,285.55 |
| Rate for Payer: Aetna Commercial |
$4,796.78
|
| Rate for Payer: Aetna Medicare |
$1,875.52
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,875.52
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,263.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,552.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,156.85
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,063.07
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Centivo All Commercial |
$2,898.53
|
| Rate for Payer: Cigna All Commercial |
$4,904.77
|
| Rate for Payer: CORVEL All Commercial |
$5,285.55
|
| Rate for Payer: Coventry All Commercial |
$5,001.38
|
| Rate for Payer: Encore All Commercial |
$5,231.56
|
| Rate for Payer: Frontpath All Commercial |
$5,228.72
|
| Rate for Payer: Humana ChoiceCare |
$4,908.74
|
| Rate for Payer: Humana Medicare |
$2,898.53
|
| Rate for Payer: Lucent All Commercial |
$2,898.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,115.05
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,262.54
|
| Rate for Payer: PHP All Commercial |
$4,310.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,216.52
|
| Rate for Payer: Sagamore Health Network All Products |
$4,387.58
|
| Rate for Payer: Signature Care EPO |
$4,717.21
|
| Rate for Payer: Signature Care PPO |
$5,001.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,830.88
|
| Rate for Payer: United Healthcare Commercial |
$4,478.51
|
| Rate for Payer: United Healthcare Medicare |
$1,875.52
|
|
|
HC Z E1 HUMERAL BRG 44-36 STD
|
Facility
IP
|
$5,683.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605664
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,262.54 |
| Max. Negotiated Rate |
$5,285.55 |
| Rate for Payer: Aetna Commercial |
$4,910.45
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Cigna All Commercial |
$4,904.77
|
| Rate for Payer: CORVEL All Commercial |
$5,285.55
|
| Rate for Payer: Coventry All Commercial |
$5,001.38
|
| Rate for Payer: Encore All Commercial |
$5,231.56
|
| Rate for Payer: Frontpath All Commercial |
$5,228.72
|
| Rate for Payer: Humana ChoiceCare |
$4,908.74
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,115.05
|
| Rate for Payer: PHCS All Commercial |
$4,262.54
|
| Rate for Payer: PHP All Commercial |
$4,310.28
|
| Rate for Payer: Sagamore Health Network All Products |
$4,387.58
|
| Rate for Payer: Signature Care EPO |
$4,717.21
|
| Rate for Payer: Signature Care PPO |
$5,001.38
|
| Rate for Payer: United Healthcare Commercial |
$4,478.51
|
|
|
HC Z E1 HUMERAL BRG 44-36 STD +3
|
Facility
OP
|
$5,683.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605665
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,285.55 |
| Rate for Payer: Aetna Commercial |
$4,796.78
|
| Rate for Payer: Aetna Medicare |
$1,875.52
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,875.52
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,263.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,552.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,156.85
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,063.07
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Centivo All Commercial |
$2,898.53
|
| Rate for Payer: Cigna All Commercial |
$4,904.77
|
| Rate for Payer: CORVEL All Commercial |
$5,285.55
|
| Rate for Payer: Coventry All Commercial |
$5,001.38
|
| Rate for Payer: Encore All Commercial |
$5,231.56
|
| Rate for Payer: Frontpath All Commercial |
$5,228.72
|
| Rate for Payer: Humana ChoiceCare |
$4,908.74
|
| Rate for Payer: Humana Medicare |
$2,898.53
|
| Rate for Payer: Lucent All Commercial |
$2,898.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,115.05
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,262.54
|
| Rate for Payer: PHP All Commercial |
$4,310.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,216.52
|
| Rate for Payer: Sagamore Health Network All Products |
$4,387.58
|
| Rate for Payer: Signature Care EPO |
$4,717.21
|
| Rate for Payer: Signature Care PPO |
$5,001.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,830.88
|
| Rate for Payer: United Healthcare Commercial |
$4,478.51
|
| Rate for Payer: United Healthcare Medicare |
$1,875.52
|
|
|
HC Z E1 HUMERAL BRG 44-36 STD +3
|
Facility
IP
|
$5,683.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605665
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,262.54 |
| Max. Negotiated Rate |
$5,285.55 |
| Rate for Payer: Aetna Commercial |
$4,910.45
|
| Rate for Payer: Cash Price |
$3,523.70
|
| Rate for Payer: Cigna All Commercial |
$4,904.77
|
| Rate for Payer: CORVEL All Commercial |
$5,285.55
|
| Rate for Payer: Coventry All Commercial |
$5,001.38
|
| Rate for Payer: Encore All Commercial |
$5,231.56
|
| Rate for Payer: Frontpath All Commercial |
$5,228.72
|
| Rate for Payer: Humana ChoiceCare |
$4,908.74
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,115.05
|
| Rate for Payer: PHCS All Commercial |
$4,262.54
|
| Rate for Payer: PHP All Commercial |
$4,310.28
|
| Rate for Payer: Sagamore Health Network All Products |
$4,387.58
|
| Rate for Payer: Signature Care EPO |
$4,717.21
|
| Rate for Payer: Signature Care PPO |
$5,001.38
|
| Rate for Payer: United Healthcare Commercial |
$4,478.51
|
|
|
HC Z E1 VNGD AS TIB BRG 1
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41604002
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 1
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41604002
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 10X67
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603521
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 10X67
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603521
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 10X71
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603514
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 10X71
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603514
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 10X75
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603870
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 10X75
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603870
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 10X79
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603708
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 10X79
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603708
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 10X83
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603565
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 10X83
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603565
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 10X87
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606639
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 10X87
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41606639
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 12X63
|
Facility
OP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603556
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,351.13
|
| Rate for Payer: Aetna Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,483.26
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,321.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,703.90
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,855.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,731.59
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Centivo All Commercial |
$3,837.77
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Humana Medicare |
$3,837.77
|
| Rate for Payer: Lucent All Commercial |
$3,837.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,934.77
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,396.28
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
| Rate for Payer: United Healthcare Medicare |
$2,483.26
|
|
|
HC Z E1 VNGD AS TIB BRG 12X63
|
Facility
IP
|
$7,525.04
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603556
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,643.78 |
| Max. Negotiated Rate |
$6,998.29 |
| Rate for Payer: Aetna Commercial |
$6,501.63
|
| Rate for Payer: Cash Price |
$4,665.53
|
| Rate for Payer: Cigna All Commercial |
$6,494.11
|
| Rate for Payer: CORVEL All Commercial |
$6,998.29
|
| Rate for Payer: Coventry All Commercial |
$6,622.04
|
| Rate for Payer: Encore All Commercial |
$6,926.80
|
| Rate for Payer: Frontpath All Commercial |
$6,923.04
|
| Rate for Payer: Humana ChoiceCare |
$6,499.38
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,772.54
|
| Rate for Payer: PHCS All Commercial |
$5,643.78
|
| Rate for Payer: PHP All Commercial |
$5,706.99
|
| Rate for Payer: Sagamore Health Network All Products |
$5,809.33
|
| Rate for Payer: Signature Care EPO |
$6,245.78
|
| Rate for Payer: Signature Care PPO |
$6,622.04
|
| Rate for Payer: United Healthcare Commercial |
$5,929.73
|
|
|
HC Z E1 VNGD AS TIB BRG 12X67
|
Facility
IP
|
$8,260.56
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603504
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,195.42 |
| Max. Negotiated Rate |
$7,682.32 |
| Rate for Payer: Aetna Commercial |
$7,137.12
|
| Rate for Payer: Cash Price |
$5,121.55
|
| Rate for Payer: Cigna All Commercial |
$7,128.86
|
| Rate for Payer: CORVEL All Commercial |
$7,682.32
|
| Rate for Payer: Coventry All Commercial |
$7,269.29
|
| Rate for Payer: Encore All Commercial |
$7,603.85
|
| Rate for Payer: Frontpath All Commercial |
$7,599.72
|
| Rate for Payer: Humana ChoiceCare |
$7,134.65
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,434.50
|
| Rate for Payer: PHCS All Commercial |
$6,195.42
|
| Rate for Payer: PHP All Commercial |
$6,264.81
|
| Rate for Payer: Sagamore Health Network All Products |
$6,377.15
|
| Rate for Payer: Signature Care EPO |
$6,856.26
|
| Rate for Payer: Signature Care PPO |
$7,269.29
|
| Rate for Payer: United Healthcare Commercial |
$6,509.32
|
|
|
HC Z E1 VNGD AS TIB BRG 12X67
|
Facility
OP
|
$8,260.56
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41603504
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$7,682.32 |
| Rate for Payer: Aetna Commercial |
$6,971.91
|
| Rate for Payer: Aetna Medicare |
$2,725.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,725.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,744.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,163.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,134.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,998.58
|
| Rate for Payer: Cash Price |
$5,121.55
|
| Rate for Payer: Cash Price |
$5,121.55
|
| Rate for Payer: Centivo All Commercial |
$4,212.89
|
| Rate for Payer: Cigna All Commercial |
$7,128.86
|
| Rate for Payer: CORVEL All Commercial |
$7,682.32
|
| Rate for Payer: Coventry All Commercial |
$7,269.29
|
| Rate for Payer: Encore All Commercial |
$7,603.85
|
| Rate for Payer: Frontpath All Commercial |
$7,599.72
|
| Rate for Payer: Humana ChoiceCare |
$7,134.65
|
| Rate for Payer: Humana Medicare |
$4,212.89
|
| Rate for Payer: Lucent All Commercial |
$4,212.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,434.50
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$6,195.42
|
| Rate for Payer: PHP All Commercial |
$6,264.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,221.62
|
| Rate for Payer: Sagamore Health Network All Products |
$6,377.15
|
| Rate for Payer: Signature Care EPO |
$6,856.26
|
| Rate for Payer: Signature Care PPO |
$7,269.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,021.48
|
| Rate for Payer: United Healthcare Commercial |
$6,509.32
|
| Rate for Payer: United Healthcare Medicare |
$2,725.98
|
|
