|
HC Z PLATE WIDE LOCK L
|
Facility
OP
|
$2,977.88
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606416
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,769.43 |
| Rate for Payer: Aetna Commercial |
$2,513.33
|
| Rate for Payer: Aetna Medicare |
$982.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$982.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,710.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,861.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,130.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,080.97
|
| Rate for Payer: Cash Price |
$1,846.29
|
| Rate for Payer: Cash Price |
$1,846.29
|
| Rate for Payer: Centivo All Commercial |
$1,518.72
|
| Rate for Payer: Cigna All Commercial |
$2,569.91
|
| Rate for Payer: CORVEL All Commercial |
$2,769.43
|
| Rate for Payer: Coventry All Commercial |
$2,620.53
|
| Rate for Payer: Encore All Commercial |
$2,741.14
|
| Rate for Payer: Frontpath All Commercial |
$2,739.65
|
| Rate for Payer: Humana ChoiceCare |
$2,571.99
|
| Rate for Payer: Humana Medicare |
$1,518.72
|
| Rate for Payer: Lucent All Commercial |
$1,518.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,680.09
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,233.41
|
| Rate for Payer: PHP All Commercial |
$2,258.42
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,161.37
|
| Rate for Payer: Sagamore Health Network All Products |
$2,298.92
|
| Rate for Payer: Signature Care EPO |
$2,471.64
|
| Rate for Payer: Signature Care PPO |
$2,620.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,531.20
|
| Rate for Payer: United Healthcare Commercial |
$2,346.57
|
| Rate for Payer: United Healthcare Medicare |
$982.70
|
|
|
HC Z PLATE WIDE LOCK L
|
Facility
IP
|
$2,977.88
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606416
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,233.41 |
| Max. Negotiated Rate |
$2,769.43 |
| Rate for Payer: Aetna Commercial |
$2,572.89
|
| Rate for Payer: Cash Price |
$1,846.29
|
| Rate for Payer: Cigna All Commercial |
$2,569.91
|
| Rate for Payer: CORVEL All Commercial |
$2,769.43
|
| Rate for Payer: Coventry All Commercial |
$2,620.53
|
| Rate for Payer: Encore All Commercial |
$2,741.14
|
| Rate for Payer: Frontpath All Commercial |
$2,739.65
|
| Rate for Payer: Humana ChoiceCare |
$2,571.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,680.09
|
| Rate for Payer: PHCS All Commercial |
$2,233.41
|
| Rate for Payer: PHP All Commercial |
$2,258.42
|
| Rate for Payer: Sagamore Health Network All Products |
$2,298.92
|
| Rate for Payer: Signature Care EPO |
$2,471.64
|
| Rate for Payer: Signature Care PPO |
$2,620.53
|
| Rate for Payer: United Healthcare Commercial |
$2,346.57
|
|
|
HC Z PLATE WIDE LOCK L ST
|
Facility
OP
|
$2,857.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606417
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,657.85 |
| Rate for Payer: Aetna Commercial |
$2,412.07
|
| Rate for Payer: Aetna Medicare |
$943.11
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$943.11
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,641.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,786.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,084.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,037.42
|
| Rate for Payer: Cash Price |
$1,771.90
|
| Rate for Payer: Cash Price |
$1,771.90
|
| Rate for Payer: Centivo All Commercial |
$1,457.53
|
| Rate for Payer: Cigna All Commercial |
$2,466.37
|
| Rate for Payer: CORVEL All Commercial |
$2,657.85
|
| Rate for Payer: Coventry All Commercial |
$2,514.95
|
| Rate for Payer: Encore All Commercial |
$2,630.70
|
| Rate for Payer: Frontpath All Commercial |
$2,629.27
|
| Rate for Payer: Humana ChoiceCare |
$2,468.37
|
| Rate for Payer: Humana Medicare |
$1,457.53
|
| Rate for Payer: Lucent All Commercial |
$1,457.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,572.11
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,143.42
|
| Rate for Payer: PHP All Commercial |
$2,167.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,114.58
|
| Rate for Payer: Sagamore Health Network All Products |
$2,206.30
|
| Rate for Payer: Signature Care EPO |
$2,372.06
|
| Rate for Payer: Signature Care PPO |
$2,514.95
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,429.22
|
| Rate for Payer: United Healthcare Commercial |
$2,252.03
|
| Rate for Payer: United Healthcare Medicare |
$943.11
|
|
|
HC Z PLATE WIDE LOCK L ST
|
Facility
IP
|
$2,857.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606417
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,143.42 |
| Max. Negotiated Rate |
$2,657.85 |
| Rate for Payer: Aetna Commercial |
$2,469.23
|
| Rate for Payer: Cash Price |
$1,771.90
|
| Rate for Payer: Cigna All Commercial |
$2,466.37
|
| Rate for Payer: CORVEL All Commercial |
$2,657.85
|
| Rate for Payer: Coventry All Commercial |
$2,514.95
|
| Rate for Payer: Encore All Commercial |
$2,630.70
|
| Rate for Payer: Frontpath All Commercial |
$2,629.27
|
| Rate for Payer: Humana ChoiceCare |
$2,468.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,572.11
|
| Rate for Payer: PHCS All Commercial |
$2,143.42
|
| Rate for Payer: PHP All Commercial |
$2,167.43
|
| Rate for Payer: Sagamore Health Network All Products |
$2,206.30
|
| Rate for Payer: Signature Care EPO |
$2,372.06
|
| Rate for Payer: Signature Care PPO |
$2,514.95
|
| Rate for Payer: United Healthcare Commercial |
$2,252.03
|
|
|
HC Z PLATE WIDE LOCK R
|
Facility
IP
|
$2,977.88
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606394
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,233.41 |
| Max. Negotiated Rate |
$2,769.43 |
| Rate for Payer: Aetna Commercial |
$2,572.89
|
| Rate for Payer: Cash Price |
$1,846.29
|
| Rate for Payer: Cigna All Commercial |
$2,569.91
|
| Rate for Payer: CORVEL All Commercial |
$2,769.43
|
| Rate for Payer: Coventry All Commercial |
$2,620.53
|
| Rate for Payer: Encore All Commercial |
$2,741.14
|
| Rate for Payer: Frontpath All Commercial |
$2,739.65
|
| Rate for Payer: Humana ChoiceCare |
$2,571.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,680.09
|
| Rate for Payer: PHCS All Commercial |
$2,233.41
|
| Rate for Payer: PHP All Commercial |
$2,258.42
|
| Rate for Payer: Sagamore Health Network All Products |
$2,298.92
|
| Rate for Payer: Signature Care EPO |
$2,471.64
|
| Rate for Payer: Signature Care PPO |
$2,620.53
|
| Rate for Payer: United Healthcare Commercial |
$2,346.57
|
|
|
HC Z PLATE WIDE LOCK R
|
Facility
OP
|
$2,977.88
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606394
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,769.43 |
| Rate for Payer: Aetna Commercial |
$2,513.33
|
| Rate for Payer: Aetna Medicare |
$982.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$982.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,710.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,861.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,130.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,080.97
|
| Rate for Payer: Cash Price |
$1,846.29
|
| Rate for Payer: Cash Price |
$1,846.29
|
| Rate for Payer: Centivo All Commercial |
$1,518.72
|
| Rate for Payer: Cigna All Commercial |
$2,569.91
|
| Rate for Payer: CORVEL All Commercial |
$2,769.43
|
| Rate for Payer: Coventry All Commercial |
$2,620.53
|
| Rate for Payer: Encore All Commercial |
$2,741.14
|
| Rate for Payer: Frontpath All Commercial |
$2,739.65
|
| Rate for Payer: Humana ChoiceCare |
$2,571.99
|
| Rate for Payer: Humana Medicare |
$1,518.72
|
| Rate for Payer: Lucent All Commercial |
$1,518.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,680.09
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,233.41
|
| Rate for Payer: PHP All Commercial |
$2,258.42
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,161.37
|
| Rate for Payer: Sagamore Health Network All Products |
$2,298.92
|
| Rate for Payer: Signature Care EPO |
$2,471.64
|
| Rate for Payer: Signature Care PPO |
$2,620.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,531.20
|
| Rate for Payer: United Healthcare Commercial |
$2,346.57
|
| Rate for Payer: United Healthcare Medicare |
$982.70
|
|
|
HC Z PLATE WIDE LOCK R ST
|
Facility
IP
|
$2,857.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606395
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,143.42 |
| Max. Negotiated Rate |
$2,657.85 |
| Rate for Payer: Aetna Commercial |
$2,469.23
|
| Rate for Payer: Cash Price |
$1,771.90
|
| Rate for Payer: Cigna All Commercial |
$2,466.37
|
| Rate for Payer: CORVEL All Commercial |
$2,657.85
|
| Rate for Payer: Coventry All Commercial |
$2,514.95
|
| Rate for Payer: Encore All Commercial |
$2,630.70
|
| Rate for Payer: Frontpath All Commercial |
$2,629.27
|
| Rate for Payer: Humana ChoiceCare |
$2,468.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,572.11
|
| Rate for Payer: PHCS All Commercial |
$2,143.42
|
| Rate for Payer: PHP All Commercial |
$2,167.43
|
| Rate for Payer: Sagamore Health Network All Products |
$2,206.30
|
| Rate for Payer: Signature Care EPO |
$2,372.06
|
| Rate for Payer: Signature Care PPO |
$2,514.95
|
| Rate for Payer: United Healthcare Commercial |
$2,252.03
|
|
|
HC Z PLATE WIDE LOCK R ST
|
Facility
OP
|
$2,857.90
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606395
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,657.85 |
| Rate for Payer: Aetna Commercial |
$2,412.07
|
| Rate for Payer: Aetna Medicare |
$943.11
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$943.11
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,641.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,786.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,084.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,037.42
|
| Rate for Payer: Cash Price |
$1,771.90
|
| Rate for Payer: Cash Price |
$1,771.90
|
| Rate for Payer: Centivo All Commercial |
$1,457.53
|
| Rate for Payer: Cigna All Commercial |
$2,466.37
|
| Rate for Payer: CORVEL All Commercial |
$2,657.85
|
| Rate for Payer: Coventry All Commercial |
$2,514.95
|
| Rate for Payer: Encore All Commercial |
$2,630.70
|
| Rate for Payer: Frontpath All Commercial |
$2,629.27
|
| Rate for Payer: Humana ChoiceCare |
$2,468.37
|
| Rate for Payer: Humana Medicare |
$1,457.53
|
| Rate for Payer: Lucent All Commercial |
$1,457.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,572.11
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$2,143.42
|
| Rate for Payer: PHP All Commercial |
$2,167.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,114.58
|
| Rate for Payer: Sagamore Health Network All Products |
$2,206.30
|
| Rate for Payer: Signature Care EPO |
$2,372.06
|
| Rate for Payer: Signature Care PPO |
$2,514.95
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,429.22
|
| Rate for Payer: United Healthcare Commercial |
$2,252.03
|
| Rate for Payer: United Healthcare Medicare |
$943.11
|
|
|
HC Z POST TIBIA GRAFT FZ
|
Facility
OP
|
$6,712.88
|
|
|
Service Code
|
CPT C1762
|
| Hospital Charge Code |
41605859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$6,242.98 |
| Rate for Payer: Aetna Commercial |
$5,665.67
|
| Rate for Payer: Aetna Medicare |
$2,215.25
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,215.25
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,855.21
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$4,196.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,547.54
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,436.78
|
| Rate for Payer: Cash Price |
$4,161.99
|
| Rate for Payer: Cash Price |
$4,161.99
|
| Rate for Payer: Centivo All Commercial |
$3,423.57
|
| Rate for Payer: Cigna All Commercial |
$5,793.22
|
| Rate for Payer: CORVEL All Commercial |
$6,242.98
|
| Rate for Payer: Coventry All Commercial |
$5,907.33
|
| Rate for Payer: Encore All Commercial |
$6,179.21
|
| Rate for Payer: Frontpath All Commercial |
$6,175.85
|
| Rate for Payer: Humana ChoiceCare |
$5,797.91
|
| Rate for Payer: Humana Medicare |
$3,423.57
|
| Rate for Payer: Lucent All Commercial |
$3,423.57
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,041.59
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$5,034.66
|
| Rate for Payer: PHP All Commercial |
$5,091.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,618.02
|
| Rate for Payer: Sagamore Health Network All Products |
$5,182.34
|
| Rate for Payer: Signature Care EPO |
$5,571.69
|
| Rate for Payer: Signature Care PPO |
$5,907.33
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,705.95
|
| Rate for Payer: United Healthcare Commercial |
$5,289.75
|
| Rate for Payer: United Healthcare Medicare |
$2,215.25
|
|
|
HC Z POST TIBIA GRAFT FZ
|
Facility
IP
|
$6,712.88
|
|
|
Service Code
|
CPT C1762
|
| Hospital Charge Code |
41605859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,034.66 |
| Max. Negotiated Rate |
$6,242.98 |
| Rate for Payer: Aetna Commercial |
$5,799.93
|
| Rate for Payer: Cash Price |
$4,161.99
|
| Rate for Payer: Cigna All Commercial |
$5,793.22
|
| Rate for Payer: CORVEL All Commercial |
$6,242.98
|
| Rate for Payer: Coventry All Commercial |
$5,907.33
|
| Rate for Payer: Encore All Commercial |
$6,179.21
|
| Rate for Payer: Frontpath All Commercial |
$6,175.85
|
| Rate for Payer: Humana ChoiceCare |
$5,797.91
|
| Rate for Payer: Lutheran Preferred All Commercial |
$6,041.59
|
| Rate for Payer: PHCS All Commercial |
$5,034.66
|
| Rate for Payer: PHP All Commercial |
$5,091.05
|
| Rate for Payer: Sagamore Health Network All Products |
$5,182.34
|
| Rate for Payer: Signature Care EPO |
$5,571.69
|
| Rate for Payer: Signature Care PPO |
$5,907.33
|
| Rate for Payer: United Healthcare Commercial |
$5,289.75
|
|
|
HC Z PSN CR GUIDE SET
|
Facility
IP
|
$2,980.80
|
|
| Hospital Charge Code |
41607528
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,235.60 |
| Max. Negotiated Rate |
$2,772.14 |
| Rate for Payer: Aetna Commercial |
$2,575.41
|
| Rate for Payer: Cash Price |
$1,848.10
|
| Rate for Payer: Cigna All Commercial |
$2,572.43
|
| Rate for Payer: CORVEL All Commercial |
$2,772.14
|
| Rate for Payer: Coventry All Commercial |
$2,623.10
|
| Rate for Payer: Encore All Commercial |
$2,743.83
|
| Rate for Payer: Frontpath All Commercial |
$2,742.34
|
| Rate for Payer: Humana ChoiceCare |
$2,574.52
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,682.72
|
| Rate for Payer: PHCS All Commercial |
$2,235.60
|
| Rate for Payer: PHP All Commercial |
$2,260.64
|
| Rate for Payer: Sagamore Health Network All Products |
$2,301.18
|
| Rate for Payer: Signature Care EPO |
$2,474.06
|
| Rate for Payer: Signature Care PPO |
$2,623.10
|
| Rate for Payer: United Healthcare Commercial |
$2,348.87
|
|
|
HC Z PSN CR GUIDE SET
|
Facility
OP
|
$2,980.80
|
|
| Hospital Charge Code |
41607528
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$2,772.14 |
| Rate for Payer: Aetna Commercial |
$2,515.80
|
| Rate for Payer: Aetna Medicare |
$983.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$983.66
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,711.87
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,863.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,131.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,082.03
|
| Rate for Payer: Cash Price |
$1,848.10
|
| Rate for Payer: Cash Price |
$1,848.10
|
| Rate for Payer: Centivo All Commercial |
$1,520.21
|
| Rate for Payer: Cigna All Commercial |
$2,572.43
|
| Rate for Payer: CORVEL All Commercial |
$2,772.14
|
| Rate for Payer: Coventry All Commercial |
$2,623.10
|
| Rate for Payer: Encore All Commercial |
$2,743.83
|
| Rate for Payer: Frontpath All Commercial |
$2,742.34
|
| Rate for Payer: Humana ChoiceCare |
$2,574.52
|
| Rate for Payer: Humana Medicare |
$1,520.21
|
| Rate for Payer: Lucent All Commercial |
$1,520.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,682.72
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$2,235.60
|
| Rate for Payer: PHP All Commercial |
$2,260.64
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,162.51
|
| Rate for Payer: Sagamore Health Network All Products |
$2,301.18
|
| Rate for Payer: Signature Care EPO |
$2,474.06
|
| Rate for Payer: Signature Care PPO |
$2,623.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,533.68
|
| Rate for Payer: United Healthcare Commercial |
$2,348.87
|
| Rate for Payer: United Healthcare Medicare |
$983.66
|
|
|
HC Z PSN FEM 10 CR STD L
|
Facility
IP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608055
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,093.54 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,779.76
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
|
|
HC Z PSN FEM 10 CR STD L
|
Facility
OP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608055
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,483.93
|
| Rate for Payer: Aetna Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$8,494.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$9,246.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$5,613.33
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,369.27
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Centivo All Commercial |
$7,543.61
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Humana Medicare |
$7,543.61
|
| Rate for Payer: Lucent All Commercial |
$7,543.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,768.64
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,572.68
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
| Rate for Payer: United Healthcare Medicare |
$4,881.16
|
|
|
HC Z PSN FEM 10 CR STD R
|
Facility
OP
|
$16,077.60
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607136
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$14,952.17 |
| Rate for Payer: Aetna Commercial |
$13,569.49
|
| Rate for Payer: Aetna Medicare |
$5,305.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$5,305.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$9,233.37
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$10,050.11
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$6,101.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,836.17
|
| Rate for Payer: Cash Price |
$9,968.11
|
| Rate for Payer: Cash Price |
$9,968.11
|
| Rate for Payer: Centivo All Commercial |
$8,199.58
|
| Rate for Payer: Cigna All Commercial |
$13,874.97
|
| Rate for Payer: CORVEL All Commercial |
$14,952.17
|
| Rate for Payer: Coventry All Commercial |
$14,148.29
|
| Rate for Payer: Encore All Commercial |
$14,799.43
|
| Rate for Payer: Frontpath All Commercial |
$14,791.39
|
| Rate for Payer: Humana ChoiceCare |
$13,886.22
|
| Rate for Payer: Humana Medicare |
$8,199.58
|
| Rate for Payer: Lucent All Commercial |
$8,199.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$14,469.84
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$12,058.20
|
| Rate for Payer: PHP All Commercial |
$12,193.25
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$6,270.26
|
| Rate for Payer: Sagamore Health Network All Products |
$12,411.91
|
| Rate for Payer: Signature Care EPO |
$13,344.41
|
| Rate for Payer: Signature Care PPO |
$14,148.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$13,665.96
|
| Rate for Payer: United Healthcare Commercial |
$12,669.15
|
| Rate for Payer: United Healthcare Medicare |
$5,305.61
|
|
|
HC Z PSN FEM 10 CR STD R
|
Facility
OP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607763
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,483.93
|
| Rate for Payer: Aetna Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$8,494.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$9,246.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$5,613.33
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,369.27
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Centivo All Commercial |
$7,543.61
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Humana Medicare |
$7,543.61
|
| Rate for Payer: Lucent All Commercial |
$7,543.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,768.64
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,572.68
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
| Rate for Payer: United Healthcare Medicare |
$4,881.16
|
|
|
HC Z PSN FEM 10 CR STD R
|
Facility
IP
|
$16,077.60
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607136
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$12,058.20 |
| Max. Negotiated Rate |
$14,952.17 |
| Rate for Payer: Aetna Commercial |
$13,891.05
|
| Rate for Payer: Cash Price |
$9,968.11
|
| Rate for Payer: Cigna All Commercial |
$13,874.97
|
| Rate for Payer: CORVEL All Commercial |
$14,952.17
|
| Rate for Payer: Coventry All Commercial |
$14,148.29
|
| Rate for Payer: Encore All Commercial |
$14,799.43
|
| Rate for Payer: Frontpath All Commercial |
$14,791.39
|
| Rate for Payer: Humana ChoiceCare |
$13,886.22
|
| Rate for Payer: Lutheran Preferred All Commercial |
$14,469.84
|
| Rate for Payer: PHCS All Commercial |
$12,058.20
|
| Rate for Payer: PHP All Commercial |
$12,193.25
|
| Rate for Payer: Sagamore Health Network All Products |
$12,411.91
|
| Rate for Payer: Signature Care EPO |
$13,344.41
|
| Rate for Payer: Signature Care PPO |
$14,148.29
|
| Rate for Payer: United Healthcare Commercial |
$12,669.15
|
|
|
HC Z PSN FEM 10 CR STD R
|
Facility
IP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607763
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,093.54 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,779.76
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
|
|
HC Z PSN FEM 11 CR CMT L
|
Facility
OP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607527
|
|
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 PSN FEM 11 CR CMT L
|
Facility
IP
|
$13,135.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607527
|
|
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 PSN FEM 11 CR STD L
|
Facility
OP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607612
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,483.93
|
| Rate for Payer: Aetna Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$8,494.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$9,246.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$5,613.33
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,369.27
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Centivo All Commercial |
$7,543.61
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Humana Medicare |
$7,543.61
|
| Rate for Payer: Lucent All Commercial |
$7,543.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,768.64
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,572.68
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
| Rate for Payer: United Healthcare Medicare |
$4,881.16
|
|
|
HC Z PSN FEM 11 CR STD L
|
Facility
IP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607612
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,093.54 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,779.76
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
|
|
HC Z PSN FEM 11 CR STD R
|
Facility
OP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608168
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,483.93
|
| Rate for Payer: Aetna Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$4,881.16
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$8,494.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$9,246.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$5,613.33
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$5,369.27
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Centivo All Commercial |
$7,543.61
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Humana Medicare |
$7,543.61
|
| Rate for Payer: Lucent All Commercial |
$7,543.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$5,768.64
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$12,572.68
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
| Rate for Payer: United Healthcare Medicare |
$4,881.16
|
|
|
HC Z PSN FEM 11 CR STD R
|
Facility
IP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608168
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,093.54 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,779.76
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
|
|
HC Z PSN FEM 12 CR STD R
|
Facility
IP
|
$14,791.39
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41608197
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11,093.54 |
| Max. Negotiated Rate |
$13,755.99 |
| Rate for Payer: Aetna Commercial |
$12,779.76
|
| Rate for Payer: Cash Price |
$9,170.66
|
| Rate for Payer: Cigna All Commercial |
$12,764.97
|
| Rate for Payer: CORVEL All Commercial |
$13,755.99
|
| Rate for Payer: Coventry All Commercial |
$13,016.42
|
| Rate for Payer: Encore All Commercial |
$13,615.47
|
| Rate for Payer: Frontpath All Commercial |
$13,608.08
|
| Rate for Payer: Humana ChoiceCare |
$12,775.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$13,312.25
|
| Rate for Payer: PHCS All Commercial |
$11,093.54
|
| Rate for Payer: PHP All Commercial |
$11,217.79
|
| Rate for Payer: Sagamore Health Network All Products |
$11,418.95
|
| Rate for Payer: Signature Care EPO |
$12,276.85
|
| Rate for Payer: Signature Care PPO |
$13,016.42
|
| Rate for Payer: United Healthcare Commercial |
$11,655.62
|
|
