|
HC Z LAG SCREW 4.0X50 CANN
|
Facility
OP
|
$1,000.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606357
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$330.00 |
| Max. Negotiated Rate |
$930.00 |
| Rate for Payer: Aetna Commercial |
$844.00
|
| Rate for Payer: Aetna Medicare |
$330.00
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$330.00
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$574.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$625.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$379.50
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$363.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Centivo All Commercial |
$510.00
|
| Rate for Payer: Cigna All Commercial |
$863.00
|
| Rate for Payer: CORVEL All Commercial |
$930.00
|
| Rate for Payer: Coventry All Commercial |
$880.00
|
| Rate for Payer: Encore All Commercial |
$920.50
|
| Rate for Payer: Frontpath All Commercial |
$920.00
|
| Rate for Payer: Humana ChoiceCare |
$863.70
|
| Rate for Payer: Humana Medicare |
$510.00
|
| Rate for Payer: Lucent All Commercial |
$510.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$900.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$750.00
|
| Rate for Payer: PHP All Commercial |
$758.40
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$390.00
|
| Rate for Payer: Sagamore Health Network All Products |
$772.00
|
| Rate for Payer: Signature Care EPO |
$830.00
|
| Rate for Payer: Signature Care PPO |
$880.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$850.00
|
| Rate for Payer: United Healthcare Commercial |
$788.00
|
| Rate for Payer: United Healthcare Medicare |
$330.00
|
|
|
HC Z LAG SCREW 4.0X50 CANN
|
Facility
IP
|
$1,000.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606357
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$750.00 |
| Max. Negotiated Rate |
$930.00 |
| Rate for Payer: Aetna Commercial |
$864.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cigna All Commercial |
$863.00
|
| Rate for Payer: CORVEL All Commercial |
$930.00
|
| Rate for Payer: Coventry All Commercial |
$880.00
|
| Rate for Payer: Encore All Commercial |
$920.50
|
| Rate for Payer: Frontpath All Commercial |
$920.00
|
| Rate for Payer: Humana ChoiceCare |
$863.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$900.00
|
| Rate for Payer: PHCS All Commercial |
$750.00
|
| Rate for Payer: PHP All Commercial |
$758.40
|
| Rate for Payer: Sagamore Health Network All Products |
$772.00
|
| Rate for Payer: Signature Care EPO |
$830.00
|
| Rate for Payer: Signature Care PPO |
$880.00
|
| Rate for Payer: United Healthcare Commercial |
$788.00
|
|
|
HC Z LAG SCREW DRIVER
|
Facility
OP
|
$1,879.81
|
|
| Hospital Charge Code |
41607740
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$1,748.22 |
| Rate for Payer: Aetna Commercial |
$1,586.56
|
| Rate for Payer: Aetna Medicare |
$620.34
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$620.34
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,079.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,175.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$713.39
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$682.37
|
| Rate for Payer: Cash Price |
$1,165.48
|
| Rate for Payer: Cash Price |
$1,165.48
|
| Rate for Payer: Centivo All Commercial |
$958.70
|
| Rate for Payer: Cigna All Commercial |
$1,622.28
|
| Rate for Payer: CORVEL All Commercial |
$1,748.22
|
| Rate for Payer: Coventry All Commercial |
$1,654.23
|
| Rate for Payer: Encore All Commercial |
$1,730.37
|
| Rate for Payer: Frontpath All Commercial |
$1,729.43
|
| Rate for Payer: Humana ChoiceCare |
$1,623.59
|
| Rate for Payer: Humana Medicare |
$958.70
|
| Rate for Payer: Lucent All Commercial |
$958.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,691.83
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,409.86
|
| Rate for Payer: PHP All Commercial |
$1,425.65
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$733.13
|
| Rate for Payer: Sagamore Health Network All Products |
$1,451.21
|
| Rate for Payer: Signature Care EPO |
$1,560.24
|
| Rate for Payer: Signature Care PPO |
$1,654.23
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,597.84
|
| Rate for Payer: United Healthcare Commercial |
$1,481.29
|
| Rate for Payer: United Healthcare Medicare |
$620.34
|
|
|
HC Z LAG SCREW DRIVER
|
Facility
IP
|
$1,879.81
|
|
| Hospital Charge Code |
41607740
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,409.86 |
| Max. Negotiated Rate |
$1,748.22 |
| Rate for Payer: Aetna Commercial |
$1,624.16
|
| Rate for Payer: Cash Price |
$1,165.48
|
| Rate for Payer: Cigna All Commercial |
$1,622.28
|
| Rate for Payer: CORVEL All Commercial |
$1,748.22
|
| Rate for Payer: Coventry All Commercial |
$1,654.23
|
| Rate for Payer: Encore All Commercial |
$1,730.37
|
| Rate for Payer: Frontpath All Commercial |
$1,729.43
|
| Rate for Payer: Humana ChoiceCare |
$1,623.59
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,691.83
|
| Rate for Payer: PHCS All Commercial |
$1,409.86
|
| Rate for Payer: PHP All Commercial |
$1,425.65
|
| Rate for Payer: Sagamore Health Network All Products |
$1,451.21
|
| Rate for Payer: Signature Care EPO |
$1,560.24
|
| Rate for Payer: Signature Care PPO |
$1,654.23
|
| Rate for Payer: United Healthcare Commercial |
$1,481.29
|
|
|
HC Z LAT FIB PLATE 4-H 80 L LOCK
|
Facility
IP
|
$2,241.07
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603910
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,680.80 |
| Max. Negotiated Rate |
$2,084.20 |
| Rate for Payer: Aetna Commercial |
$1,936.28
|
| Rate for Payer: Cash Price |
$1,389.46
|
| Rate for Payer: Cigna All Commercial |
$1,934.04
|
| Rate for Payer: CORVEL All Commercial |
$2,084.20
|
| Rate for Payer: Coventry All Commercial |
$1,972.14
|
| Rate for Payer: Encore All Commercial |
$2,062.90
|
| Rate for Payer: Frontpath All Commercial |
$2,061.78
|
| Rate for Payer: Humana ChoiceCare |
$1,935.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,016.96
|
| Rate for Payer: PHCS All Commercial |
$1,680.80
|
| Rate for Payer: PHP All Commercial |
$1,699.63
|
| Rate for Payer: Sagamore Health Network All Products |
$1,730.11
|
| Rate for Payer: Signature Care EPO |
$1,860.09
|
| Rate for Payer: Signature Care PPO |
$1,972.14
|
| Rate for Payer: United Healthcare Commercial |
$1,765.96
|
|
|
HC Z LAT FIB PLATE 4-H 80 L LOCK
|
Facility
OP
|
$2,241.07
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603910
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,084.20 |
| Rate for Payer: Aetna Commercial |
$1,891.46
|
| Rate for Payer: Aetna Medicare |
$739.55
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$739.55
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,287.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,400.89
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$850.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$813.51
|
| Rate for Payer: Cash Price |
$1,389.46
|
| Rate for Payer: Cash Price |
$1,389.46
|
| Rate for Payer: Centivo All Commercial |
$1,142.95
|
| Rate for Payer: Cigna All Commercial |
$1,934.04
|
| Rate for Payer: CORVEL All Commercial |
$2,084.20
|
| Rate for Payer: Coventry All Commercial |
$1,972.14
|
| Rate for Payer: Encore All Commercial |
$2,062.90
|
| Rate for Payer: Frontpath All Commercial |
$2,061.78
|
| Rate for Payer: Humana ChoiceCare |
$1,935.61
|
| Rate for Payer: Humana Medicare |
$1,142.95
|
| Rate for Payer: Lucent All Commercial |
$1,142.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,016.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,680.80
|
| Rate for Payer: PHP All Commercial |
$1,699.63
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$874.02
|
| Rate for Payer: Sagamore Health Network All Products |
$1,730.11
|
| Rate for Payer: Signature Care EPO |
$1,860.09
|
| Rate for Payer: Signature Care PPO |
$1,972.14
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,904.91
|
| Rate for Payer: United Healthcare Commercial |
$1,765.96
|
| Rate for Payer: United Healthcare Medicare |
$739.55
|
|
|
HC Z LG AUG BASEPLATE
|
Facility
OP
|
$5,227.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606581
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$4,861.30 |
| Rate for Payer: Aetna Commercial |
$4,411.76
|
| Rate for Payer: Aetna Medicare |
$1,724.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,724.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,001.98
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,267.52
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,983.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,897.47
|
| Rate for Payer: Cash Price |
$3,240.86
|
| Rate for Payer: Cash Price |
$3,240.86
|
| Rate for Payer: Centivo All Commercial |
$2,665.87
|
| Rate for Payer: Cigna All Commercial |
$4,511.07
|
| Rate for Payer: CORVEL All Commercial |
$4,861.30
|
| Rate for Payer: Coventry All Commercial |
$4,599.94
|
| Rate for Payer: Encore All Commercial |
$4,811.64
|
| Rate for Payer: Frontpath All Commercial |
$4,809.02
|
| Rate for Payer: Humana ChoiceCare |
$4,514.73
|
| Rate for Payer: Humana Medicare |
$2,665.87
|
| Rate for Payer: Lucent All Commercial |
$2,665.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,704.48
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$3,920.40
|
| Rate for Payer: PHP All Commercial |
$3,964.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,038.61
|
| Rate for Payer: Sagamore Health Network All Products |
$4,035.40
|
| Rate for Payer: Signature Care EPO |
$4,338.58
|
| Rate for Payer: Signature Care PPO |
$4,599.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,443.12
|
| Rate for Payer: United Healthcare Commercial |
$4,119.03
|
| Rate for Payer: United Healthcare Medicare |
$1,724.98
|
|
|
HC Z LG AUG BASEPLATE
|
Facility
IP
|
$5,227.20
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606581
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,920.40 |
| Max. Negotiated Rate |
$4,861.30 |
| Rate for Payer: Aetna Commercial |
$4,516.30
|
| Rate for Payer: Cash Price |
$3,240.86
|
| Rate for Payer: Cigna All Commercial |
$4,511.07
|
| Rate for Payer: CORVEL All Commercial |
$4,861.30
|
| Rate for Payer: Coventry All Commercial |
$4,599.94
|
| Rate for Payer: Encore All Commercial |
$4,811.64
|
| Rate for Payer: Frontpath All Commercial |
$4,809.02
|
| Rate for Payer: Humana ChoiceCare |
$4,514.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,704.48
|
| Rate for Payer: PHCS All Commercial |
$3,920.40
|
| Rate for Payer: PHP All Commercial |
$3,964.31
|
| Rate for Payer: Sagamore Health Network All Products |
$4,035.40
|
| Rate for Payer: Signature Care EPO |
$4,338.58
|
| Rate for Payer: Signature Care PPO |
$4,599.94
|
| Rate for Payer: United Healthcare Commercial |
$4,119.03
|
|
|
HC Z LO PLATE HUM PXML 133 7-H L
|
Facility
IP
|
$6,297.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603749
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,723.16 |
| Max. Negotiated Rate |
$5,856.72 |
| Rate for Payer: Aetna Commercial |
$5,441.08
|
| Rate for Payer: Cash Price |
$3,904.48
|
| Rate for Payer: Cigna All Commercial |
$5,434.79
|
| Rate for Payer: CORVEL All Commercial |
$5,856.72
|
| Rate for Payer: Coventry All Commercial |
$5,541.84
|
| Rate for Payer: Encore All Commercial |
$5,796.89
|
| Rate for Payer: Frontpath All Commercial |
$5,793.75
|
| Rate for Payer: Humana ChoiceCare |
$5,439.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,667.80
|
| Rate for Payer: PHCS All Commercial |
$4,723.16
|
| Rate for Payer: PHP All Commercial |
$4,776.06
|
| Rate for Payer: Sagamore Health Network All Products |
$4,861.71
|
| Rate for Payer: Signature Care EPO |
$5,226.97
|
| Rate for Payer: Signature Care PPO |
$5,541.84
|
| Rate for Payer: United Healthcare Commercial |
$4,962.47
|
|
|
HC Z LO PLATE HUM PXML 133 7-H L
|
Facility
OP
|
$6,297.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603749
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,856.72 |
| Rate for Payer: Aetna Commercial |
$5,315.13
|
| Rate for Payer: Aetna Medicare |
$2,078.19
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,078.19
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,616.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,936.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,389.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,286.01
|
| Rate for Payer: Cash Price |
$3,904.48
|
| Rate for Payer: Cash Price |
$3,904.48
|
| Rate for Payer: Centivo All Commercial |
$3,211.75
|
| Rate for Payer: Cigna All Commercial |
$5,434.79
|
| Rate for Payer: CORVEL All Commercial |
$5,856.72
|
| Rate for Payer: Coventry All Commercial |
$5,541.84
|
| Rate for Payer: Encore All Commercial |
$5,796.89
|
| Rate for Payer: Frontpath All Commercial |
$5,793.75
|
| Rate for Payer: Humana ChoiceCare |
$5,439.19
|
| Rate for Payer: Humana Medicare |
$3,211.75
|
| Rate for Payer: Lucent All Commercial |
$3,211.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,667.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,723.16
|
| Rate for Payer: PHP All Commercial |
$4,776.06
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,456.04
|
| Rate for Payer: Sagamore Health Network All Products |
$4,861.71
|
| Rate for Payer: Signature Care EPO |
$5,226.97
|
| Rate for Payer: Signature Care PPO |
$5,541.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,352.92
|
| Rate for Payer: United Healthcare Commercial |
$4,962.47
|
| Rate for Payer: United Healthcare Medicare |
$2,078.19
|
|
|
HC Z LO PLATE HUM PXML 133 7-H R
|
Facility
IP
|
$6,297.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603744
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,723.16 |
| Max. Negotiated Rate |
$5,856.72 |
| Rate for Payer: Aetna Commercial |
$5,441.08
|
| Rate for Payer: Cash Price |
$3,904.48
|
| Rate for Payer: Cigna All Commercial |
$5,434.79
|
| Rate for Payer: CORVEL All Commercial |
$5,856.72
|
| Rate for Payer: Coventry All Commercial |
$5,541.84
|
| Rate for Payer: Encore All Commercial |
$5,796.89
|
| Rate for Payer: Frontpath All Commercial |
$5,793.75
|
| Rate for Payer: Humana ChoiceCare |
$5,439.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,667.80
|
| Rate for Payer: PHCS All Commercial |
$4,723.16
|
| Rate for Payer: PHP All Commercial |
$4,776.06
|
| Rate for Payer: Sagamore Health Network All Products |
$4,861.71
|
| Rate for Payer: Signature Care EPO |
$5,226.97
|
| Rate for Payer: Signature Care PPO |
$5,541.84
|
| Rate for Payer: United Healthcare Commercial |
$4,962.47
|
|
|
HC Z LO PLATE HUM PXML 133 7-H R
|
Facility
OP
|
$6,297.55
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603744
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,856.72 |
| Rate for Payer: Aetna Commercial |
$5,315.13
|
| Rate for Payer: Aetna Medicare |
$2,078.19
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,078.19
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,616.68
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,936.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,389.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,286.01
|
| Rate for Payer: Cash Price |
$3,904.48
|
| Rate for Payer: Cash Price |
$3,904.48
|
| Rate for Payer: Centivo All Commercial |
$3,211.75
|
| Rate for Payer: Cigna All Commercial |
$5,434.79
|
| Rate for Payer: CORVEL All Commercial |
$5,856.72
|
| Rate for Payer: Coventry All Commercial |
$5,541.84
|
| Rate for Payer: Encore All Commercial |
$5,796.89
|
| Rate for Payer: Frontpath All Commercial |
$5,793.75
|
| Rate for Payer: Humana ChoiceCare |
$5,439.19
|
| Rate for Payer: Humana Medicare |
$3,211.75
|
| Rate for Payer: Lucent All Commercial |
$3,211.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,667.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,723.16
|
| Rate for Payer: PHP All Commercial |
$4,776.06
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,456.04
|
| Rate for Payer: Sagamore Health Network All Products |
$4,861.71
|
| Rate for Payer: Signature Care EPO |
$5,226.97
|
| Rate for Payer: Signature Care PPO |
$5,541.84
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,352.92
|
| Rate for Payer: United Healthcare Commercial |
$4,962.47
|
| Rate for Payer: United Healthcare Medicare |
$2,078.19
|
|
|
HC Z LO PLATE HUM PXML 190 11-H L
|
Facility
OP
|
$7,039.30
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603748
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,546.55 |
| Rate for Payer: Aetna Commercial |
$5,941.17
|
| Rate for Payer: Aetna Medicare |
$2,322.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,322.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,042.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,400.27
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,671.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,555.27
|
| Rate for Payer: Cash Price |
$4,364.37
|
| Rate for Payer: Cash Price |
$4,364.37
|
| Rate for Payer: Centivo All Commercial |
$3,590.04
|
| Rate for Payer: Cigna All Commercial |
$6,074.92
|
| Rate for Payer: CORVEL All Commercial |
$6,546.55
|
| Rate for Payer: Coventry All Commercial |
$6,194.58
|
| Rate for Payer: Encore All Commercial |
$6,479.68
|
| Rate for Payer: Frontpath All Commercial |
$6,476.16
|
| Rate for Payer: Humana ChoiceCare |
$6,079.84
|
| Rate for Payer: Humana Medicare |
$3,590.04
|
| Rate for Payer: Lucent All Commercial |
$3,590.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,335.37
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,279.48
|
| Rate for Payer: PHP All Commercial |
$5,338.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,745.33
|
| Rate for Payer: Sagamore Health Network All Products |
$5,434.34
|
| Rate for Payer: Signature Care EPO |
$5,842.62
|
| Rate for Payer: Signature Care PPO |
$6,194.58
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,983.40
|
| Rate for Payer: United Healthcare Commercial |
$5,546.97
|
| Rate for Payer: United Healthcare Medicare |
$2,322.97
|
|
|
HC Z LO PLATE HUM PXML 190 11-H L
|
Facility
IP
|
$7,039.30
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603748
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,279.48 |
| Max. Negotiated Rate |
$6,546.55 |
| Rate for Payer: Aetna Commercial |
$6,081.96
|
| Rate for Payer: Cash Price |
$4,364.37
|
| Rate for Payer: Cigna All Commercial |
$6,074.92
|
| Rate for Payer: CORVEL All Commercial |
$6,546.55
|
| Rate for Payer: Coventry All Commercial |
$6,194.58
|
| Rate for Payer: Encore All Commercial |
$6,479.68
|
| Rate for Payer: Frontpath All Commercial |
$6,476.16
|
| Rate for Payer: Humana ChoiceCare |
$6,079.84
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,335.37
|
| Rate for Payer: PHCS All Commercial |
$5,279.48
|
| Rate for Payer: PHP All Commercial |
$5,338.61
|
| Rate for Payer: Sagamore Health Network All Products |
$5,434.34
|
| Rate for Payer: Signature Care EPO |
$5,842.62
|
| Rate for Payer: Signature Care PPO |
$6,194.58
|
| Rate for Payer: United Healthcare Commercial |
$5,546.97
|
|
|
HC Z LO PLATE HUM PXML 190 11-H R
|
Facility
IP
|
$7,039.30
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603743
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,279.48 |
| Max. Negotiated Rate |
$6,546.55 |
| Rate for Payer: Aetna Commercial |
$6,081.96
|
| Rate for Payer: Cash Price |
$4,364.37
|
| Rate for Payer: Cigna All Commercial |
$6,074.92
|
| Rate for Payer: CORVEL All Commercial |
$6,546.55
|
| Rate for Payer: Coventry All Commercial |
$6,194.58
|
| Rate for Payer: Encore All Commercial |
$6,479.68
|
| Rate for Payer: Frontpath All Commercial |
$6,476.16
|
| Rate for Payer: Humana ChoiceCare |
$6,079.84
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,335.37
|
| Rate for Payer: PHCS All Commercial |
$5,279.48
|
| Rate for Payer: PHP All Commercial |
$5,338.61
|
| Rate for Payer: Sagamore Health Network All Products |
$5,434.34
|
| Rate for Payer: Signature Care EPO |
$5,842.62
|
| Rate for Payer: Signature Care PPO |
$6,194.58
|
| Rate for Payer: United Healthcare Commercial |
$5,546.97
|
|
|
HC Z LO PLATE HUM PXML 190 11-H R
|
Facility
OP
|
$7,039.30
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603743
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,546.55 |
| Rate for Payer: Aetna Commercial |
$5,941.17
|
| Rate for Payer: Aetna Medicare |
$2,322.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,322.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,042.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,400.27
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,671.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,555.27
|
| Rate for Payer: Cash Price |
$4,364.37
|
| Rate for Payer: Cash Price |
$4,364.37
|
| Rate for Payer: Centivo All Commercial |
$3,590.04
|
| Rate for Payer: Cigna All Commercial |
$6,074.92
|
| Rate for Payer: CORVEL All Commercial |
$6,546.55
|
| Rate for Payer: Coventry All Commercial |
$6,194.58
|
| Rate for Payer: Encore All Commercial |
$6,479.68
|
| Rate for Payer: Frontpath All Commercial |
$6,476.16
|
| Rate for Payer: Humana ChoiceCare |
$6,079.84
|
| Rate for Payer: Humana Medicare |
$3,590.04
|
| Rate for Payer: Lucent All Commercial |
$3,590.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,335.37
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,279.48
|
| Rate for Payer: PHP All Commercial |
$5,338.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,745.33
|
| Rate for Payer: Sagamore Health Network All Products |
$5,434.34
|
| Rate for Payer: Signature Care EPO |
$5,842.62
|
| Rate for Payer: Signature Care PPO |
$6,194.58
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,983.40
|
| Rate for Payer: United Healthcare Commercial |
$5,546.97
|
| Rate for Payer: United Healthcare Medicare |
$2,322.97
|
|
|
HC Z LO PLATE HUM PXML 227 14-H L
|
Facility
IP
|
$7,417.44
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603747
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,563.08 |
| Max. Negotiated Rate |
$6,898.22 |
| Rate for Payer: Aetna Commercial |
$6,408.67
|
| Rate for Payer: Cash Price |
$4,598.81
|
| Rate for Payer: Cigna All Commercial |
$6,401.25
|
| Rate for Payer: CORVEL All Commercial |
$6,898.22
|
| Rate for Payer: Coventry All Commercial |
$6,527.35
|
| Rate for Payer: Encore All Commercial |
$6,827.75
|
| Rate for Payer: Frontpath All Commercial |
$6,824.04
|
| Rate for Payer: Humana ChoiceCare |
$6,406.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,675.70
|
| Rate for Payer: PHCS All Commercial |
$5,563.08
|
| Rate for Payer: PHP All Commercial |
$5,625.39
|
| Rate for Payer: Sagamore Health Network All Products |
$5,726.26
|
| Rate for Payer: Signature Care EPO |
$6,156.48
|
| Rate for Payer: Signature Care PPO |
$6,527.35
|
| Rate for Payer: United Healthcare Commercial |
$5,844.94
|
|
|
HC Z LO PLATE HUM PXML 227 14-H L
|
Facility
OP
|
$7,417.44
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603747
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,898.22 |
| Rate for Payer: Aetna Commercial |
$6,260.32
|
| Rate for Payer: Aetna Medicare |
$2,447.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,447.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,259.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,636.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,814.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,692.53
|
| Rate for Payer: Cash Price |
$4,598.81
|
| Rate for Payer: Cash Price |
$4,598.81
|
| Rate for Payer: Centivo All Commercial |
$3,782.89
|
| Rate for Payer: Cigna All Commercial |
$6,401.25
|
| Rate for Payer: CORVEL All Commercial |
$6,898.22
|
| Rate for Payer: Coventry All Commercial |
$6,527.35
|
| Rate for Payer: Encore All Commercial |
$6,827.75
|
| Rate for Payer: Frontpath All Commercial |
$6,824.04
|
| Rate for Payer: Humana ChoiceCare |
$6,406.44
|
| Rate for Payer: Humana Medicare |
$3,782.89
|
| Rate for Payer: Lucent All Commercial |
$3,782.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,675.70
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,563.08
|
| Rate for Payer: PHP All Commercial |
$5,625.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,892.80
|
| Rate for Payer: Sagamore Health Network All Products |
$5,726.26
|
| Rate for Payer: Signature Care EPO |
$6,156.48
|
| Rate for Payer: Signature Care PPO |
$6,527.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,304.82
|
| Rate for Payer: United Healthcare Commercial |
$5,844.94
|
| Rate for Payer: United Healthcare Medicare |
$2,447.76
|
|
|
HC Z LO PLATE HUM PXML 227 14-H R
|
Facility
IP
|
$7,417.44
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,563.08 |
| Max. Negotiated Rate |
$6,898.22 |
| Rate for Payer: Aetna Commercial |
$6,408.67
|
| Rate for Payer: Cash Price |
$4,598.81
|
| Rate for Payer: Cigna All Commercial |
$6,401.25
|
| Rate for Payer: CORVEL All Commercial |
$6,898.22
|
| Rate for Payer: Coventry All Commercial |
$6,527.35
|
| Rate for Payer: Encore All Commercial |
$6,827.75
|
| Rate for Payer: Frontpath All Commercial |
$6,824.04
|
| Rate for Payer: Humana ChoiceCare |
$6,406.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,675.70
|
| Rate for Payer: PHCS All Commercial |
$5,563.08
|
| Rate for Payer: PHP All Commercial |
$5,625.39
|
| Rate for Payer: Sagamore Health Network All Products |
$5,726.26
|
| Rate for Payer: Signature Care EPO |
$6,156.48
|
| Rate for Payer: Signature Care PPO |
$6,527.35
|
| Rate for Payer: United Healthcare Commercial |
$5,844.94
|
|
|
HC Z LO PLATE HUM PXML 227 14-H R
|
Facility
OP
|
$7,417.44
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,898.22 |
| Rate for Payer: Aetna Commercial |
$6,260.32
|
| Rate for Payer: Aetna Medicare |
$2,447.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,447.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,259.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,636.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,814.92
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,692.53
|
| Rate for Payer: Cash Price |
$4,598.81
|
| Rate for Payer: Cash Price |
$4,598.81
|
| Rate for Payer: Centivo All Commercial |
$3,782.89
|
| Rate for Payer: Cigna All Commercial |
$6,401.25
|
| Rate for Payer: CORVEL All Commercial |
$6,898.22
|
| Rate for Payer: Coventry All Commercial |
$6,527.35
|
| Rate for Payer: Encore All Commercial |
$6,827.75
|
| Rate for Payer: Frontpath All Commercial |
$6,824.04
|
| Rate for Payer: Humana ChoiceCare |
$6,406.44
|
| Rate for Payer: Humana Medicare |
$3,782.89
|
| Rate for Payer: Lucent All Commercial |
$3,782.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,675.70
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,563.08
|
| Rate for Payer: PHP All Commercial |
$5,625.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,892.80
|
| Rate for Payer: Sagamore Health Network All Products |
$5,726.26
|
| Rate for Payer: Signature Care EPO |
$6,156.48
|
| Rate for Payer: Signature Care PPO |
$6,527.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,304.82
|
| Rate for Payer: United Healthcare Commercial |
$5,844.94
|
| Rate for Payer: United Healthcare Medicare |
$2,447.76
|
|
|
HC Z LO PLATE HUM PXML 73 3-H L
|
Facility
OP
|
$5,239.48
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603751
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$4,872.72 |
| Rate for Payer: Aetna Commercial |
$4,422.12
|
| Rate for Payer: Aetna Medicare |
$1,729.03
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,729.03
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,009.03
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,275.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,988.38
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,901.93
|
| Rate for Payer: Cash Price |
$3,248.48
|
| Rate for Payer: Cash Price |
$3,248.48
|
| Rate for Payer: Centivo All Commercial |
$2,672.13
|
| Rate for Payer: Cigna All Commercial |
$4,521.67
|
| Rate for Payer: CORVEL All Commercial |
$4,872.72
|
| Rate for Payer: Coventry All Commercial |
$4,610.74
|
| Rate for Payer: Encore All Commercial |
$4,822.94
|
| Rate for Payer: Frontpath All Commercial |
$4,820.32
|
| Rate for Payer: Humana ChoiceCare |
$4,525.34
|
| Rate for Payer: Humana Medicare |
$2,672.13
|
| Rate for Payer: Lucent All Commercial |
$2,672.13
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,715.53
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$3,929.61
|
| Rate for Payer: PHP All Commercial |
$3,973.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,043.40
|
| Rate for Payer: Sagamore Health Network All Products |
$4,044.88
|
| Rate for Payer: Signature Care EPO |
$4,348.77
|
| Rate for Payer: Signature Care PPO |
$4,610.74
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,453.56
|
| Rate for Payer: United Healthcare Commercial |
$4,128.71
|
| Rate for Payer: United Healthcare Medicare |
$1,729.03
|
|
|
HC Z LO PLATE HUM PXML 73 3-H L
|
Facility
IP
|
$5,239.48
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603751
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,929.61 |
| Max. Negotiated Rate |
$4,872.72 |
| Rate for Payer: Aetna Commercial |
$4,526.91
|
| Rate for Payer: Cash Price |
$3,248.48
|
| Rate for Payer: Cigna All Commercial |
$4,521.67
|
| Rate for Payer: CORVEL All Commercial |
$4,872.72
|
| Rate for Payer: Coventry All Commercial |
$4,610.74
|
| Rate for Payer: Encore All Commercial |
$4,822.94
|
| Rate for Payer: Frontpath All Commercial |
$4,820.32
|
| Rate for Payer: Humana ChoiceCare |
$4,525.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,715.53
|
| Rate for Payer: PHCS All Commercial |
$3,929.61
|
| Rate for Payer: PHP All Commercial |
$3,973.62
|
| Rate for Payer: Sagamore Health Network All Products |
$4,044.88
|
| Rate for Payer: Signature Care EPO |
$4,348.77
|
| Rate for Payer: Signature Care PPO |
$4,610.74
|
| Rate for Payer: United Healthcare Commercial |
$4,128.71
|
|
|
HC Z LO PLATE HUM PXML 73 3-H R
|
Facility
OP
|
$5,239.48
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603746
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$4,872.72 |
| Rate for Payer: Aetna Commercial |
$4,422.12
|
| Rate for Payer: Aetna Medicare |
$1,729.03
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,729.03
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,009.03
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,275.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,988.38
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,901.93
|
| Rate for Payer: Cash Price |
$3,248.48
|
| Rate for Payer: Cash Price |
$3,248.48
|
| Rate for Payer: Centivo All Commercial |
$2,672.13
|
| Rate for Payer: Cigna All Commercial |
$4,521.67
|
| Rate for Payer: CORVEL All Commercial |
$4,872.72
|
| Rate for Payer: Coventry All Commercial |
$4,610.74
|
| Rate for Payer: Encore All Commercial |
$4,822.94
|
| Rate for Payer: Frontpath All Commercial |
$4,820.32
|
| Rate for Payer: Humana ChoiceCare |
$4,525.34
|
| Rate for Payer: Humana Medicare |
$2,672.13
|
| Rate for Payer: Lucent All Commercial |
$2,672.13
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,715.53
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$3,929.61
|
| Rate for Payer: PHP All Commercial |
$3,973.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,043.40
|
| Rate for Payer: Sagamore Health Network All Products |
$4,044.88
|
| Rate for Payer: Signature Care EPO |
$4,348.77
|
| Rate for Payer: Signature Care PPO |
$4,610.74
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,453.56
|
| Rate for Payer: United Healthcare Commercial |
$4,128.71
|
| Rate for Payer: United Healthcare Medicare |
$1,729.03
|
|
|
HC Z LO PLATE HUM PXML 73 3-H R
|
Facility
IP
|
$5,239.48
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603746
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,929.61 |
| Max. Negotiated Rate |
$4,872.72 |
| Rate for Payer: Aetna Commercial |
$4,526.91
|
| Rate for Payer: Cash Price |
$3,248.48
|
| Rate for Payer: Cigna All Commercial |
$4,521.67
|
| Rate for Payer: CORVEL All Commercial |
$4,872.72
|
| Rate for Payer: Coventry All Commercial |
$4,610.74
|
| Rate for Payer: Encore All Commercial |
$4,822.94
|
| Rate for Payer: Frontpath All Commercial |
$4,820.32
|
| Rate for Payer: Humana ChoiceCare |
$4,525.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,715.53
|
| Rate for Payer: PHCS All Commercial |
$3,929.61
|
| Rate for Payer: PHP All Commercial |
$3,973.62
|
| Rate for Payer: Sagamore Health Network All Products |
$4,044.88
|
| Rate for Payer: Signature Care EPO |
$4,348.77
|
| Rate for Payer: Signature Care PPO |
$4,610.74
|
| Rate for Payer: United Healthcare Commercial |
$4,128.71
|
|
|
HC Z LO PLATE HUM PXML 83 4-H L
|
Facility
IP
|
$5,399.46
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603750
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,049.60 |
| Max. Negotiated Rate |
$5,021.50 |
| Rate for Payer: Aetna Commercial |
$4,665.13
|
| Rate for Payer: Cash Price |
$3,347.67
|
| Rate for Payer: Cigna All Commercial |
$4,659.73
|
| Rate for Payer: CORVEL All Commercial |
$5,021.50
|
| Rate for Payer: Coventry All Commercial |
$4,751.52
|
| Rate for Payer: Encore All Commercial |
$4,970.20
|
| Rate for Payer: Frontpath All Commercial |
$4,967.50
|
| Rate for Payer: Humana ChoiceCare |
$4,663.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,859.51
|
| Rate for Payer: PHCS All Commercial |
$4,049.60
|
| Rate for Payer: PHP All Commercial |
$4,094.95
|
| Rate for Payer: Sagamore Health Network All Products |
$4,168.38
|
| Rate for Payer: Signature Care EPO |
$4,481.55
|
| Rate for Payer: Signature Care PPO |
$4,751.52
|
| Rate for Payer: United Healthcare Commercial |
$4,254.77
|
|
