|
ROPINIROLE 0.5 MG TABLET
|
Facility
|
IP
|
$3.44
|
|
|
Service Code
|
NDC 50268074211
|
| Hospital Charge Code |
21800
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.17 |
| Max. Negotiated Rate |
$3.10 |
| Rate for Payer: Aetna Commercial |
$2.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.24
|
| Rate for Payer: Cash Price |
$2.75
|
| Rate for Payer: Cofinity Advantage |
$2.41
|
| Rate for Payer: Cofinity Commercial |
$2.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.75
|
| Rate for Payer: Healthscope Commercial |
$3.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.58
|
| Rate for Payer: PHP Commercial |
$2.92
|
| Rate for Payer: Priority Health SBD |
$2.17
|
|
|
ROPINIROLE 0.5 MG TABLET
|
Facility
|
IP
|
$82.25
|
|
|
Service Code
|
NDC 43547026910
|
| Hospital Charge Code |
21800
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$51.82 |
| Max. Negotiated Rate |
$74.03 |
| Rate for Payer: Aetna Commercial |
$69.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.46
|
| Rate for Payer: Cash Price |
$65.80
|
| Rate for Payer: Cofinity Advantage |
$57.58
|
| Rate for Payer: Cofinity Commercial |
$70.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.80
|
| Rate for Payer: Healthscope Commercial |
$74.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.69
|
| Rate for Payer: PHP Commercial |
$69.91
|
| Rate for Payer: Priority Health SBD |
$51.82
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
OP
|
$360.05
|
|
|
Service Code
|
NDC 00904637461
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$141.50 |
| Max. Negotiated Rate |
$324.05 |
| Rate for Payer: Aetna Commercial |
$306.04
|
| Rate for Payer: Aetna Medicare |
$180.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.03
|
| Rate for Payer: BCBS Complete |
$144.02
|
| Rate for Payer: Cash Price |
$288.04
|
| Rate for Payer: Cofinity Advantage |
$252.03
|
| Rate for Payer: Cofinity Commercial |
$309.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.04
|
| Rate for Payer: Healthscope Commercial |
$324.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$288.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.04
|
| Rate for Payer: PHP Commercial |
$306.04
|
| Rate for Payer: Priority Health SBD |
$226.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.03
|
| Rate for Payer: UHC Core |
$187.59
|
| Rate for Payer: UHC Exchange |
$141.50
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
IP
|
$360.05
|
|
|
Service Code
|
NDC 00904637461
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$226.83 |
| Max. Negotiated Rate |
$324.05 |
| Rate for Payer: Aetna Commercial |
$306.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.03
|
| Rate for Payer: Cash Price |
$288.04
|
| Rate for Payer: Cofinity Advantage |
$252.03
|
| Rate for Payer: Cofinity Commercial |
$309.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.04
|
| Rate for Payer: Healthscope Commercial |
$324.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.04
|
| Rate for Payer: PHP Commercial |
$306.04
|
| Rate for Payer: Priority Health SBD |
$226.83
|
|
|
ROPINIROLE 2 MG TABLET
|
Facility
|
OP
|
$179.08
|
|
|
Service Code
|
NDC 50268074415
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$70.38 |
| Max. Negotiated Rate |
$161.17 |
| Rate for Payer: Aetna Commercial |
$152.22
|
| Rate for Payer: Aetna Medicare |
$89.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.40
|
| Rate for Payer: BCBS Complete |
$71.63
|
| Rate for Payer: Cash Price |
$143.26
|
| Rate for Payer: Cofinity Advantage |
$125.36
|
| Rate for Payer: Cofinity Commercial |
$154.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.26
|
| Rate for Payer: Healthscope Commercial |
$161.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$143.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.31
|
| Rate for Payer: PHP Commercial |
$152.22
|
| Rate for Payer: Priority Health SBD |
$112.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.40
|
| Rate for Payer: UHC Core |
$93.30
|
| Rate for Payer: UHC Exchange |
$70.38
|
|
|
ROPINIROLE 2 MG TABLET
|
Facility
|
IP
|
$179.08
|
|
|
Service Code
|
NDC 50268074415
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$112.82 |
| Max. Negotiated Rate |
$161.17 |
| Rate for Payer: Aetna Commercial |
$152.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.40
|
| Rate for Payer: Cash Price |
$143.26
|
| Rate for Payer: Cofinity Advantage |
$125.36
|
| Rate for Payer: Cofinity Commercial |
$154.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.26
|
| Rate for Payer: Healthscope Commercial |
$161.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.31
|
| Rate for Payer: PHP Commercial |
$152.22
|
| Rate for Payer: Priority Health SBD |
$112.82
|
|
|
ROPINIROLE 2 MG TABLET
|
Facility
|
IP
|
$3.59
|
|
|
Service Code
|
NDC 50268074411
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.26 |
| Max. Negotiated Rate |
$3.23 |
| Rate for Payer: Aetna Commercial |
$3.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.33
|
| Rate for Payer: Cash Price |
$2.87
|
| Rate for Payer: Cofinity Advantage |
$2.51
|
| Rate for Payer: Cofinity Commercial |
$3.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.87
|
| Rate for Payer: Healthscope Commercial |
$3.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.69
|
| Rate for Payer: PHP Commercial |
$3.05
|
| Rate for Payer: Priority Health SBD |
$2.26
|
|
|
ROPINIROLE 2 MG TABLET
|
Facility
|
IP
|
$173.90
|
|
|
Service Code
|
NDC 43547027110
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$109.56 |
| Max. Negotiated Rate |
$156.51 |
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.03
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cofinity Advantage |
$121.73
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.43
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: Priority Health SBD |
$109.56
|
|
|
ROPINIROLE 2 MG TABLET
|
Facility
|
OP
|
$173.90
|
|
|
Service Code
|
NDC 43547027110
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$68.34 |
| Max. Negotiated Rate |
$156.51 |
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna Medicare |
$86.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.03
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cofinity Advantage |
$121.73
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.43
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: Priority Health SBD |
$109.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$113.03
|
| Rate for Payer: UHC Core |
$90.60
|
| Rate for Payer: UHC Exchange |
$68.34
|
|
|
ROPINIROLE 2 MG TABLET
|
Facility
|
OP
|
$3.59
|
|
|
Service Code
|
NDC 50268074411
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.41 |
| Max. Negotiated Rate |
$3.23 |
| Rate for Payer: Aetna Commercial |
$3.05
|
| Rate for Payer: Aetna Medicare |
$1.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.33
|
| Rate for Payer: BCBS Complete |
$1.44
|
| Rate for Payer: Cash Price |
$2.87
|
| Rate for Payer: Cofinity Advantage |
$2.51
|
| Rate for Payer: Cofinity Commercial |
$3.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.87
|
| Rate for Payer: Healthscope Commercial |
$3.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.69
|
| Rate for Payer: PHP Commercial |
$3.05
|
| Rate for Payer: Priority Health SBD |
$2.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC Core |
$1.87
|
| Rate for Payer: UHC Exchange |
$1.41
|
|
|
ROPIVACAINE 0.2 % FOR NERVE BLOCK INJECTION
|
Facility
|
IP
|
$96.98
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
161560
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$61.10 |
| Max. Negotiated Rate |
$87.28 |
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cofinity Advantage |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.73
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: Priority Health SBD |
$61.10
|
|
|
ROPIVACAINE 0.2 % FOR NERVE BLOCK INJECTION
|
Facility
|
OP
|
$96.98
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
161560
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$87.28 |
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Medicare |
$48.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: BCBS Complete |
$38.79
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cofinity Advantage |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$77.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.73
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
|
|
ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM INJECTION SOLUTION
|
Facility
|
OP
|
$758.34
|
|
|
Service Code
|
HCPCS j7999
|
| Hospital Charge Code |
189538
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$303.34 |
| Max. Negotiated Rate |
$682.51 |
| Rate for Payer: Aetna Commercial |
$644.59
|
| Rate for Payer: Aetna Commercial |
$197.20
|
| Rate for Payer: Aetna Medicare |
$116.00
|
| Rate for Payer: Aetna Medicare |
$379.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.92
|
| Rate for Payer: BCBS Complete |
$303.34
|
| Rate for Payer: BCBS Complete |
$92.80
|
| Rate for Payer: Cash Price |
$185.60
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cofinity Advantage |
$530.84
|
| Rate for Payer: Cofinity Advantage |
$162.40
|
| Rate for Payer: Cofinity Commercial |
$199.52
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.60
|
| Rate for Payer: Healthscope Commercial |
$208.80
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$185.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$606.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$174.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$568.75
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: PHP Commercial |
$197.20
|
| Rate for Payer: Priority Health SBD |
$146.16
|
| Rate for Payer: Priority Health SBD |
$477.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.17
|
| Rate for Payer: UHC Core |
$116.00
|
| Rate for Payer: UHC Core |
$379.17
|
| Rate for Payer: UHC Exchange |
$116.00
|
| Rate for Payer: UHC Exchange |
$379.17
|
|
|
ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM INJECTION SOLUTION
|
Facility
|
IP
|
$758.34
|
|
|
Service Code
|
HCPCS j7999
|
| Hospital Charge Code |
189538
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$477.75 |
| Max. Negotiated Rate |
$682.51 |
| Rate for Payer: Aetna Commercial |
$644.59
|
| Rate for Payer: Aetna Commercial |
$197.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.92
|
| Rate for Payer: Cash Price |
$185.60
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cofinity Advantage |
$162.40
|
| Rate for Payer: Cofinity Advantage |
$530.84
|
| Rate for Payer: Cofinity Commercial |
$199.52
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.60
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: Healthscope Commercial |
$208.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$174.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$568.75
|
| Rate for Payer: PHP Commercial |
$197.20
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: Priority Health SBD |
$146.16
|
| Rate for Payer: Priority Health SBD |
$477.75
|
|
|
ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM SOLUTION WRAPPER
|
Facility
|
IP
|
$464.00
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
301466
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$292.32 |
| Max. Negotiated Rate |
$417.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Commercial |
$644.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$301.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.92
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cofinity Advantage |
$324.80
|
| Rate for Payer: Cofinity Advantage |
$530.84
|
| Rate for Payer: Cofinity Commercial |
$399.04
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: Healthscope Commercial |
$417.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$394.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$348.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$568.75
|
| Rate for Payer: PHP Commercial |
$394.40
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: Priority Health SBD |
$292.32
|
| Rate for Payer: Priority Health SBD |
$477.75
|
|
|
ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM SOLUTION WRAPPER
|
Facility
|
OP
|
$758.34
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
301466
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$682.51 |
| Rate for Payer: Aetna Commercial |
$644.59
|
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$379.17
|
| Rate for Payer: Aetna Medicare |
$232.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$301.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.92
|
| Rate for Payer: BCBS Complete |
$303.34
|
| Rate for Payer: BCBS Complete |
$185.60
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cofinity Advantage |
$324.80
|
| Rate for Payer: Cofinity Advantage |
$530.84
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Cofinity Commercial |
$399.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Healthscope Commercial |
$417.60
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$606.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$371.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$394.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$348.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$568.75
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: PHP Commercial |
$394.40
|
| Rate for Payer: Priority Health SBD |
$292.32
|
| Rate for Payer: Priority Health SBD |
$477.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
|
|
ROPIVACAINE (PF) 0.2 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION
|
Facility
|
OP
|
$355.00
|
|
|
Service Code
|
HCPCS J7999
|
| Hospital Charge Code |
116044
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$142.00 |
| Max. Negotiated Rate |
$319.50 |
| Rate for Payer: Aetna Commercial |
$301.75
|
| Rate for Payer: Aetna Medicare |
$177.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.75
|
| Rate for Payer: BCBS Complete |
$142.00
|
| Rate for Payer: Cash Price |
$284.00
|
| Rate for Payer: Cofinity Advantage |
$248.50
|
| Rate for Payer: Cofinity Commercial |
$305.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$284.00
|
| Rate for Payer: Healthscope Commercial |
$319.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$301.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$266.25
|
| Rate for Payer: PHP Commercial |
$301.75
|
| Rate for Payer: Priority Health SBD |
$223.65
|
|
|
ROPIVACAINE (PF) 0.2 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION
|
Facility
|
IP
|
$355.00
|
|
|
Service Code
|
HCPCS J7999
|
| Hospital Charge Code |
116044
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$223.65 |
| Max. Negotiated Rate |
$319.50 |
| Rate for Payer: Aetna Commercial |
$301.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.75
|
| Rate for Payer: Cash Price |
$284.00
|
| Rate for Payer: Cofinity Advantage |
$248.50
|
| Rate for Payer: Cofinity Commercial |
$305.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$284.00
|
| Rate for Payer: Healthscope Commercial |
$319.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$301.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$266.25
|
| Rate for Payer: PHP Commercial |
$301.75
|
| Rate for Payer: Priority Health SBD |
$223.65
|
|
|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
IP
|
$64.76
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$40.80 |
| Max. Negotiated Rate |
$58.28 |
| Rate for Payer: Aetna Commercial |
$55.05
|
| Rate for Payer: Aetna Commercial |
$51.52
|
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Commercial |
$34.17
|
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna Commercial |
$50.98
|
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Commercial |
$53.97
|
| Rate for Payer: Aetna Commercial |
$72.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Cash Price |
$51.81
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$50.79
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cash Price |
$47.98
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$68.30
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Advantage |
$41.99
|
| Rate for Payer: Cofinity Advantage |
$52.57
|
| Rate for Payer: Cofinity Advantage |
$42.43
|
| Rate for Payer: Cofinity Advantage |
$51.80
|
| Rate for Payer: Cofinity Advantage |
$56.72
|
| Rate for Payer: Cofinity Advantage |
$100.81
|
| Rate for Payer: Cofinity Advantage |
$45.33
|
| Rate for Payer: Cofinity Advantage |
$59.77
|
| Rate for Payer: Cofinity Advantage |
$28.14
|
| Rate for Payer: Cofinity Advantage |
$44.44
|
| Rate for Payer: Cofinity Commercial |
$54.60
|
| Rate for Payer: Cofinity Commercial |
$51.58
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$34.57
|
| Rate for Payer: Cofinity Commercial |
$73.43
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Cofinity Commercial |
$55.69
|
| Rate for Payer: Cofinity Commercial |
$52.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.16
|
| Rate for Payer: Healthscope Commercial |
$36.18
|
| Rate for Payer: Healthscope Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$58.28
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Healthscope Commercial |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$76.84
|
| Rate for Payer: Healthscope Commercial |
$53.98
|
| Rate for Payer: Healthscope Commercial |
$54.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$108.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.98
|
| Rate for Payer: PHP Commercial |
$72.57
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$55.05
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: PHP Commercial |
$50.98
|
| Rate for Payer: PHP Commercial |
$53.97
|
| Rate for Payer: PHP Commercial |
$34.17
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$51.52
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: Priority Health SBD |
$40.80
|
| Rate for Payer: Priority Health SBD |
$37.79
|
| Rate for Payer: Priority Health SBD |
$38.18
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health SBD |
$40.00
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$53.79
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: Priority Health SBD |
$51.05
|
| Rate for Payer: Priority Health SBD |
$25.33
|
|
|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
OP
|
$63.49
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$57.14 |
| Rate for Payer: Aetna Commercial |
$53.97
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Commercial |
$34.17
|
| Rate for Payer: Aetna Commercial |
$50.98
|
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Commercial |
$72.57
|
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna Commercial |
$51.52
|
| Rate for Payer: Aetna Commercial |
$55.05
|
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Medicare |
$42.69
|
| Rate for Payer: Aetna Medicare |
$20.10
|
| Rate for Payer: Aetna Medicare |
$72.00
|
| Rate for Payer: Aetna Medicare |
$31.75
|
| Rate for Payer: Aetna Medicare |
$37.55
|
| Rate for Payer: Aetna Medicare |
$32.38
|
| Rate for Payer: Aetna Medicare |
$37.00
|
| Rate for Payer: Aetna Medicare |
$40.52
|
| Rate for Payer: Aetna Medicare |
$29.99
|
| Rate for Payer: Aetna Medicare |
$30.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.13
|
| Rate for Payer: BCBS Complete |
$34.15
|
| Rate for Payer: BCBS Complete |
$32.41
|
| Rate for Payer: BCBS Complete |
$16.08
|
| Rate for Payer: BCBS Complete |
$57.60
|
| Rate for Payer: BCBS Complete |
$23.99
|
| Rate for Payer: BCBS Complete |
$25.90
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS Complete |
$25.40
|
| Rate for Payer: BCBS Complete |
$30.04
|
| Rate for Payer: BCBS Complete |
$24.24
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cash Price |
$50.79
|
| Rate for Payer: Cash Price |
$50.79
|
| Rate for Payer: Cash Price |
$51.81
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$68.30
|
| Rate for Payer: Cash Price |
$68.30
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$48.49
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$51.81
|
| Rate for Payer: Cash Price |
$47.98
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$47.98
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cofinity Advantage |
$44.44
|
| Rate for Payer: Cofinity Advantage |
$52.57
|
| Rate for Payer: Cofinity Advantage |
$59.77
|
| Rate for Payer: Cofinity Advantage |
$42.43
|
| Rate for Payer: Cofinity Advantage |
$100.81
|
| Rate for Payer: Cofinity Advantage |
$41.99
|
| Rate for Payer: Cofinity Advantage |
$28.14
|
| Rate for Payer: Cofinity Advantage |
$51.80
|
| Rate for Payer: Cofinity Advantage |
$45.33
|
| Rate for Payer: Cofinity Advantage |
$56.72
|
| Rate for Payer: Cofinity Commercial |
$55.69
|
| Rate for Payer: Cofinity Commercial |
$54.60
|
| Rate for Payer: Cofinity Commercial |
$51.58
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$73.43
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$34.57
|
| Rate for Payer: Cofinity Commercial |
$52.12
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Healthscope Commercial |
$36.18
|
| Rate for Payer: Healthscope Commercial |
$53.98
|
| Rate for Payer: Healthscope Commercial |
$54.55
|
| Rate for Payer: Healthscope Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$58.28
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$76.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$108.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.33
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$50.98
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: PHP Commercial |
$72.57
|
| Rate for Payer: PHP Commercial |
$53.97
|
| Rate for Payer: PHP Commercial |
$51.52
|
| Rate for Payer: PHP Commercial |
$34.17
|
| Rate for Payer: PHP Commercial |
$55.05
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: Priority Health SBD |
$40.80
|
| Rate for Payer: Priority Health SBD |
$40.00
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: Priority Health SBD |
$38.18
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health SBD |
$37.79
|
| Rate for Payer: Priority Health SBD |
$25.33
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$51.05
|
| Rate for Payer: Priority Health SBD |
$53.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$83.18
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$74.86 |
| Rate for Payer: Aetna Commercial |
$70.70
|
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$35.25
|
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$41.22
|
| Rate for Payer: Aetna Commercial |
$44.20
|
| Rate for Payer: Aetna Commercial |
$52.06
|
| Rate for Payer: Aetna Commercial |
$63.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.96
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$59.46
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$33.18
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cash Price |
$49.00
|
| Rate for Payer: Cofinity Advantage |
$29.03
|
| Rate for Payer: Cofinity Advantage |
$52.03
|
| Rate for Payer: Cofinity Advantage |
$114.98
|
| Rate for Payer: Cofinity Advantage |
$42.88
|
| Rate for Payer: Cofinity Advantage |
$36.40
|
| Rate for Payer: Cofinity Advantage |
$213.72
|
| Rate for Payer: Cofinity Advantage |
$33.94
|
| Rate for Payer: Cofinity Advantage |
$216.97
|
| Rate for Payer: Cofinity Advantage |
$118.88
|
| Rate for Payer: Cofinity Advantage |
$91.59
|
| Rate for Payer: Cofinity Advantage |
$67.89
|
| Rate for Payer: Cofinity Advantage |
$85.43
|
| Rate for Payer: Cofinity Advantage |
$58.23
|
| Rate for Payer: Cofinity Advantage |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$266.57
|
| Rate for Payer: Cofinity Commercial |
$35.66
|
| Rate for Payer: Cofinity Commercial |
$41.70
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Cofinity Commercial |
$52.67
|
| Rate for Payer: Cofinity Commercial |
$63.92
|
| Rate for Payer: Cofinity Commercial |
$71.53
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$278.96
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Commercial |
$37.32
|
| Rate for Payer: Healthscope Commercial |
$43.64
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$46.80
|
| Rate for Payer: Healthscope Commercial |
$55.12
|
| Rate for Payer: Healthscope Commercial |
$66.90
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$117.77
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$74.86
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$232.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.38
|
| Rate for Payer: PHP Commercial |
$41.22
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$44.20
|
| Rate for Payer: PHP Commercial |
$52.06
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$63.18
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Commercial |
$70.70
|
| Rate for Payer: PHP Commercial |
$35.25
|
| Rate for Payer: PHP Commercial |
$263.47
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: Priority Health SBD |
$38.59
|
| Rate for Payer: Priority Health SBD |
$52.40
|
| Rate for Payer: Priority Health SBD |
$195.27
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$26.13
|
| Rate for Payer: Priority Health SBD |
$32.76
|
| Rate for Payer: Priority Health SBD |
$30.55
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$46.83
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$305.32
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
169800
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$192.35 |
| Max. Negotiated Rate |
$274.79 |
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cofinity Advantage |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.99
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health SBD |
$192.35
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$41.47
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$37.32 |
| Rate for Payer: Aetna Commercial |
$35.25
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Commercial |
$44.20
|
| Rate for Payer: Aetna Commercial |
$41.22
|
| Rate for Payer: Aetna Commercial |
$52.06
|
| Rate for Payer: Aetna Commercial |
$70.70
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$63.18
|
| Rate for Payer: Aetna Medicare |
$59.66
|
| Rate for Payer: Aetna Medicare |
$41.59
|
| Rate for Payer: Aetna Medicare |
$65.42
|
| Rate for Payer: Aetna Medicare |
$37.16
|
| Rate for Payer: Aetna Medicare |
$84.92
|
| Rate for Payer: Aetna Medicare |
$61.02
|
| Rate for Payer: Aetna Medicare |
$24.25
|
| Rate for Payer: Aetna Medicare |
$30.62
|
| Rate for Payer: Aetna Medicare |
$26.00
|
| Rate for Payer: Aetna Medicare |
$20.73
|
| Rate for Payer: Aetna Medicare |
$152.66
|
| Rate for Payer: Aetna Medicare |
$48.49
|
| Rate for Payer: Aetna Medicare |
$82.13
|
| Rate for Payer: Aetna Medicare |
$154.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.07
|
| Rate for Payer: BCBS Complete |
$52.34
|
| Rate for Payer: BCBS Complete |
$33.27
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS Complete |
$16.59
|
| Rate for Payer: BCBS Complete |
$47.73
|
| Rate for Payer: BCBS Complete |
$65.70
|
| Rate for Payer: BCBS Complete |
$29.73
|
| Rate for Payer: BCBS Complete |
$123.98
|
| Rate for Payer: BCBS Complete |
$48.82
|
| Rate for Payer: BCBS Complete |
$38.79
|
| Rate for Payer: BCBS Complete |
$19.40
|
| Rate for Payer: BCBS Complete |
$24.50
|
| Rate for Payer: BCBS Complete |
$122.13
|
| Rate for Payer: BCBS Complete |
$67.93
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$59.46
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$59.46
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$49.00
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$49.00
|
| Rate for Payer: Cash Price |
$33.18
|
| Rate for Payer: Cash Price |
$33.18
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Advantage |
$36.40
|
| Rate for Payer: Cofinity Advantage |
$213.72
|
| Rate for Payer: Cofinity Advantage |
$52.03
|
| Rate for Payer: Cofinity Advantage |
$67.89
|
| Rate for Payer: Cofinity Advantage |
$85.43
|
| Rate for Payer: Cofinity Advantage |
$216.97
|
| Rate for Payer: Cofinity Advantage |
$91.59
|
| Rate for Payer: Cofinity Advantage |
$42.88
|
| Rate for Payer: Cofinity Advantage |
$118.88
|
| Rate for Payer: Cofinity Advantage |
$33.94
|
| Rate for Payer: Cofinity Advantage |
$29.03
|
| Rate for Payer: Cofinity Advantage |
$83.53
|
| Rate for Payer: Cofinity Advantage |
$114.98
|
| Rate for Payer: Cofinity Advantage |
$58.23
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$35.66
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Cofinity Commercial |
$63.92
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$71.53
|
| Rate for Payer: Cofinity Commercial |
$52.67
|
| Rate for Payer: Cofinity Commercial |
$266.57
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Commercial |
$41.70
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.00
|
| Rate for Payer: Healthscope Commercial |
$37.32
|
| Rate for Payer: Healthscope Commercial |
$117.77
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Commercial |
$46.80
|
| Rate for Payer: Healthscope Commercial |
$66.90
|
| Rate for Payer: Healthscope Commercial |
$55.12
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$278.96
|
| Rate for Payer: Healthscope Commercial |
$74.86
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$43.64
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$95.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$97.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$131.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$135.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$244.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$247.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$77.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$232.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.75
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$35.25
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$263.47
|
| Rate for Payer: PHP Commercial |
$44.20
|
| Rate for Payer: PHP Commercial |
$41.22
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$52.06
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Commercial |
$63.18
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$70.70
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: Priority Health SBD |
$38.59
|
| Rate for Payer: Priority Health SBD |
$26.13
|
| Rate for Payer: Priority Health SBD |
$195.27
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: Priority Health SBD |
$32.76
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$46.83
|
| Rate for Payer: Priority Health SBD |
$52.40
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$30.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$305.32
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
169800
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$274.79 |
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Medicare |
$152.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: BCBS Complete |
$122.13
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cofinity Advantage |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$244.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.99
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
OP
|
$22.87
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$20.58 |
| Rate for Payer: Aetna Commercial |
$19.44
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$21.51
|
| Rate for Payer: Aetna Commercial |
$28.14
|
| Rate for Payer: Aetna Medicare |
$10.28
|
| Rate for Payer: Aetna Medicare |
$11.44
|
| Rate for Payer: Aetna Medicare |
$12.44
|
| Rate for Payer: Aetna Medicare |
$16.55
|
| Rate for Payer: Aetna Medicare |
$16.82
|
| Rate for Payer: Aetna Medicare |
$12.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: BCBS Complete |
$9.95
|
| Rate for Payer: BCBS Complete |
$13.46
|
| Rate for Payer: BCBS Complete |
$13.24
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS Complete |
$10.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: BCN Commercial |
$0.12
|
| Rate for Payer: Cash Price |
$26.49
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$18.30
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cash Price |
$26.49
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$18.30
|
| Rate for Payer: Cofinity Advantage |
$14.39
|
| Rate for Payer: Cofinity Advantage |
$23.18
|
| Rate for Payer: Cofinity Advantage |
$17.72
|
| Rate for Payer: Cofinity Advantage |
$23.55
|
| Rate for Payer: Cofinity Advantage |
$17.41
|
| Rate for Payer: Cofinity Advantage |
$16.01
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$19.67
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Commercial |
$21.77
|
| Rate for Payer: Cofinity Commercial |
$28.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.49
|
| Rate for Payer: Healthscope Commercial |
$30.29
|
| Rate for Payer: Healthscope Commercial |
$29.80
|
| Rate for Payer: Healthscope Commercial |
$22.78
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$20.58
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.24
|
| Rate for Payer: PHP Commercial |
$21.51
|
| Rate for Payer: PHP Commercial |
$19.44
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$28.14
|
| Rate for Payer: Priority Health SBD |
$20.86
|
| Rate for Payer: Priority Health SBD |
$14.41
|
| Rate for Payer: Priority Health SBD |
$21.20
|
| Rate for Payer: Priority Health SBD |
$15.95
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Core |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
| Rate for Payer: UHC Exchange |
$0.08
|
|
