|
HC Z FEM 6 CR STD R
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605493
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 6 CR STD R
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605493
|
|
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 |
$8,143.94
|
| 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 7 CR STD L
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605494
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 7 CR STD L
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605494
|
|
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 |
$8,143.94
|
| 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 7 CR STD R
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605495
|
|
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 |
$8,143.94
|
| 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 7 CR STD R
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605495
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 8 CR STD L
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605496
|
|
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 |
$8,143.94
|
| 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 8 CR STD L
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605496
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 8 CR STD R
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605497
|
|
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 |
$8,143.94
|
| 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 8 CR STD R
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605497
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 9 CR STD L
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605498
|
|
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 |
$8,143.94
|
| 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 9 CR STD L
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605498
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 9 CR STD R
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605499
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$12,215.91 |
| Rate for Payer: Aetna Commercial |
$11,086.27
|
| Rate for Payer: Aetna Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,334.68
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$7,543.65
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$8,210.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$4,984.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$4,768.15
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Cash Price |
$8,143.94
|
| Rate for Payer: Centivo All Commercial |
$6,699.05
|
| 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 |
$6,699.05
|
| Rate for Payer: Lucent All Commercial |
$6,699.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$11,821.85
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 |
$4,334.68
|
|
|
HC Z FEM 9 CR STD R
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41605499
|
|
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 |
$8,143.94
|
| 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 HD CER 12/14 +3.5X28 L
|
Facility
IP
|
$7,491.74
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608338
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,618.80 |
| Max. Negotiated Rate |
$6,967.32 |
| Rate for Payer: Aetna Commercial |
$6,472.86
|
| Rate for Payer: Cash Price |
$4,644.88
|
| Rate for Payer: Cigna All Commercial |
$6,465.37
|
| Rate for Payer: CORVEL All Commercial |
$6,967.32
|
| Rate for Payer: Coventry All Commercial |
$6,592.73
|
| Rate for Payer: Encore All Commercial |
$6,896.15
|
| Rate for Payer: Frontpath All Commercial |
$6,892.40
|
| Rate for Payer: Humana ChoiceCare |
$6,470.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,742.57
|
| Rate for Payer: PHCS All Commercial |
$5,618.80
|
| Rate for Payer: PHP All Commercial |
$5,681.74
|
| Rate for Payer: Sagamore Health Network All Products |
$5,783.62
|
| Rate for Payer: Signature Care EPO |
$6,218.14
|
| Rate for Payer: Signature Care PPO |
$6,592.73
|
| Rate for Payer: United Healthcare Commercial |
$5,903.49
|
|
|
HC Z FEM HD CER 12/14 +3.5X28 L
|
Facility
OP
|
$7,491.74
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608338
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,967.32 |
| Rate for Payer: Aetna Commercial |
$6,323.03
|
| Rate for Payer: Aetna Medicare |
$2,472.27
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,472.27
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,302.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,683.09
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,843.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,719.50
|
| Rate for Payer: Cash Price |
$4,644.88
|
| Rate for Payer: Cash Price |
$4,644.88
|
| Rate for Payer: Centivo All Commercial |
$3,820.79
|
| Rate for Payer: Cigna All Commercial |
$6,465.37
|
| Rate for Payer: CORVEL All Commercial |
$6,967.32
|
| Rate for Payer: Coventry All Commercial |
$6,592.73
|
| Rate for Payer: Encore All Commercial |
$6,896.15
|
| Rate for Payer: Frontpath All Commercial |
$6,892.40
|
| Rate for Payer: Humana ChoiceCare |
$6,470.62
|
| Rate for Payer: Humana Medicare |
$3,820.79
|
| Rate for Payer: Lucent All Commercial |
$3,820.79
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,742.57
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,618.80
|
| Rate for Payer: PHP All Commercial |
$5,681.74
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,921.78
|
| Rate for Payer: Sagamore Health Network All Products |
$5,783.62
|
| Rate for Payer: Signature Care EPO |
$6,218.14
|
| Rate for Payer: Signature Care PPO |
$6,592.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,367.98
|
| Rate for Payer: United Healthcare Commercial |
$5,903.49
|
| Rate for Payer: United Healthcare Medicare |
$2,472.27
|
|
|
HC Z FEMORAL COMP 1-LT
|
Facility
IP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605829
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13,100.62 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$15,091.91
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
|
|
HC Z FEMORAL COMP 1-LT
|
Facility
OP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605829
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$14,742.56
|
| Rate for Payer: Aetna Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$10,031.58
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$10,918.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$6,628.91
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$6,340.70
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Centivo All Commercial |
$8,908.42
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Humana Medicare |
$8,908.42
|
| Rate for Payer: Lucent All Commercial |
$8,908.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6,812.32
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$14,847.37
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
| Rate for Payer: United Healthcare Medicare |
$5,764.27
|
|
|
HC Z FEMORAL COMP 1-RT
|
Facility
IP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605830
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13,100.62 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$15,091.91
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
|
|
HC Z FEMORAL COMP 1-RT
|
Facility
OP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605830
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$14,742.56
|
| Rate for Payer: Aetna Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$10,031.58
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$10,918.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$6,628.91
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$6,340.70
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Centivo All Commercial |
$8,908.42
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Humana Medicare |
$8,908.42
|
| Rate for Payer: Lucent All Commercial |
$8,908.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6,812.32
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$14,847.37
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
| Rate for Payer: United Healthcare Medicare |
$5,764.27
|
|
|
HC Z FEMORAL COMP 2-LT
|
Facility
IP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605831
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13,100.62 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$15,091.91
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
|
|
HC Z FEMORAL COMP 2-LT
|
Facility
OP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605831
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$14,742.56
|
| Rate for Payer: Aetna Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$10,031.58
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$10,918.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$6,628.91
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$6,340.70
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Centivo All Commercial |
$8,908.42
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Humana Medicare |
$8,908.42
|
| Rate for Payer: Lucent All Commercial |
$8,908.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6,812.32
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$14,847.37
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
| Rate for Payer: United Healthcare Medicare |
$5,764.27
|
|
|
HC Z FEMORAL COMP 2-RT
|
Facility
IP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605832
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13,100.62 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$15,091.91
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
|
|
HC Z FEMORAL COMP 2-RT
|
Facility
OP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605832
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$14,742.56
|
| Rate for Payer: Aetna Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$5,764.27
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$10,031.58
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$10,918.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$6,628.91
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$6,340.70
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Centivo All Commercial |
$8,908.42
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Humana Medicare |
$8,908.42
|
| Rate for Payer: Lucent All Commercial |
$8,908.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6,812.32
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$14,847.37
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
| Rate for Payer: United Healthcare Medicare |
$5,764.27
|
|
|
HC Z FEMORAL COMP 3-LT
|
Facility
IP
|
$17,467.49
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41605833
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13,100.62 |
| Max. Negotiated Rate |
$16,244.77 |
| Rate for Payer: Aetna Commercial |
$15,091.91
|
| Rate for Payer: Cash Price |
$10,829.84
|
| Rate for Payer: Cigna All Commercial |
$15,074.44
|
| Rate for Payer: CORVEL All Commercial |
$16,244.77
|
| Rate for Payer: Coventry All Commercial |
$15,371.39
|
| Rate for Payer: Encore All Commercial |
$16,078.82
|
| Rate for Payer: Frontpath All Commercial |
$16,070.09
|
| Rate for Payer: Humana ChoiceCare |
$15,086.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$15,720.74
|
| Rate for Payer: PHCS All Commercial |
$13,100.62
|
| Rate for Payer: PHP All Commercial |
$13,247.34
|
| Rate for Payer: Sagamore Health Network All Products |
$13,484.90
|
| Rate for Payer: Signature Care EPO |
$14,498.02
|
| Rate for Payer: Signature Care PPO |
$15,371.39
|
| Rate for Payer: United Healthcare Commercial |
$13,764.38
|
|
