|
ROPINIROLE 2 MG TABLET
|
Facility
|
IP
|
$4.07
|
|
|
Service Code
|
NDC 50268074411
|
| Hospital Charge Code |
21690
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$3.66 |
| Rate for Payer: Aetna Commercial |
$3.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.65
|
| Rate for Payer: Cash Price |
$3.26
|
| Rate for Payer: Cofinity Commercial |
$2.85
|
| Rate for Payer: Cofinity Commercial |
$3.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.26
|
| Rate for Payer: Healthscope Commercial |
$3.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.46
|
| Rate for Payer: PHP Commercial |
$3.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.65
|
| Rate for Payer: Priority Health SBD |
$2.56
|
|
|
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 |
$0.17 |
| 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 |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cofinity Commercial |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.89
|
| 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: PHP Commercial |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.04
|
| Rate for Payer: Priority Health SBD |
$61.10
|
|
|
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 Commercial |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.89
|
| 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: PHP Commercial |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.04
|
| Rate for Payer: Priority Health SBD |
$61.10
|
|
|
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) |
$492.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.80
|
| Rate for Payer: BCBS Complete |
$303.34
|
| Rate for Payer: BCBS Complete |
$92.80
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cash Price |
$185.60
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Cofinity Commercial |
$162.40
|
| Rate for Payer: Cofinity Commercial |
$199.52
|
| Rate for Payer: Cofinity Commercial |
$530.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$530.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: Healthscope Commercial |
$208.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.20
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: PHP Commercial |
$197.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.92
|
| 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 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) |
$492.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.80
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cash Price |
$185.60
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Cofinity Commercial |
$162.40
|
| Rate for Payer: Cofinity Commercial |
$199.52
|
| Rate for Payer: Cofinity Commercial |
$530.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$530.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: Healthscope Commercial |
$208.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.20
|
| Rate for Payer: PHP Commercial |
$197.20
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.92
|
| Rate for Payer: Priority Health SBD |
$477.75
|
| Rate for Payer: Priority Health SBD |
$146.16
|
|
|
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 Commercial |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$530.84
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Cofinity Commercial |
$399.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$530.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$324.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Healthscope Commercial |
$417.60
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$394.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: PHP Commercial |
$394.40
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.60
|
| Rate for Payer: Priority Health SBD |
$477.75
|
| Rate for Payer: Priority Health SBD |
$292.32
|
|
|
ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM SOLUTION WRAPPER
|
Facility
|
OP
|
$464.00
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
301466
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$417.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Commercial |
$644.59
|
| 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 |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cash Price |
$606.67
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$652.17
|
| Rate for Payer: Cofinity Commercial |
$530.84
|
| Rate for Payer: Cofinity Commercial |
$399.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$530.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$324.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$606.67
|
| Rate for Payer: Healthscope Commercial |
$417.60
|
| Rate for Payer: Healthscope Commercial |
$682.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$394.40
|
| Rate for Payer: PHP Commercial |
$644.59
|
| Rate for Payer: PHP Commercial |
$394.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.92
|
| Rate for Payer: Priority Health SBD |
$477.75
|
| Rate for Payer: Priority Health SBD |
$292.32
|
|
|
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 Commercial |
$248.50
|
| Rate for Payer: Cofinity Commercial |
$305.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$248.50
|
| 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: PHP Commercial |
$301.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.75
|
| 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 Commercial |
$248.50
|
| Rate for Payer: Cofinity Commercial |
$305.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$248.50
|
| 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: PHP Commercial |
$301.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.75
|
| Rate for Payer: Priority Health SBD |
$223.65
|
|
|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
IP
|
$81.03
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$51.05 |
| Max. Negotiated Rate |
$72.93 |
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Commercial |
$34.17
|
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna Commercial |
$62.36
|
| Rate for Payer: Aetna Commercial |
$81.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.82
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$76.56
|
| Rate for Payer: Cash Price |
$58.70
|
| Rate for Payer: Cofinity Commercial |
$66.99
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$100.81
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$28.14
|
| Rate for Payer: Cofinity Commercial |
$34.57
|
| Rate for Payer: Cofinity Commercial |
$51.36
|
| Rate for Payer: Cofinity Commercial |
$63.10
|
| Rate for Payer: Cofinity Commercial |
$51.80
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Cofinity Commercial |
$82.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$28.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$66.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Healthscope Commercial |
$36.18
|
| Rate for Payer: Healthscope Commercial |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Healthscope Commercial |
$86.13
|
| 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 |
$62.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.17
|
| 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 |
$81.34
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$62.36
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: PHP Commercial |
$34.17
|
| Rate for Payer: PHP Commercial |
$81.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.13
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health SBD |
$25.33
|
| Rate for Payer: Priority Health SBD |
$60.29
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$46.22
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: Priority Health SBD |
$51.05
|
|
|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
OP
|
$74.00
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$66.60 |
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Commercial |
$62.36
|
| Rate for Payer: Aetna Commercial |
$81.34
|
| Rate for Payer: Aetna Commercial |
$34.17
|
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Medicare |
$37.55
|
| Rate for Payer: Aetna Medicare |
$36.68
|
| Rate for Payer: Aetna Medicare |
$72.00
|
| Rate for Payer: Aetna Medicare |
$37.00
|
| Rate for Payer: Aetna Medicare |
$20.10
|
| Rate for Payer: Aetna Medicare |
$47.85
|
| Rate for Payer: Aetna Medicare |
$40.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.20
|
| Rate for Payer: BCBS Complete |
$16.08
|
| Rate for Payer: BCBS Complete |
$57.60
|
| Rate for Payer: BCBS Complete |
$30.04
|
| Rate for Payer: BCBS Complete |
$32.41
|
| Rate for Payer: BCBS Complete |
$38.28
|
| Rate for Payer: BCBS Complete |
$29.35
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$76.56
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$58.70
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$58.70
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$76.56
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$100.81
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$28.14
|
| Rate for Payer: Cofinity Commercial |
$34.57
|
| Rate for Payer: Cofinity Commercial |
$51.36
|
| Rate for Payer: Cofinity Commercial |
$63.10
|
| Rate for Payer: Cofinity Commercial |
$51.80
|
| Rate for Payer: Cofinity Commercial |
$82.30
|
| Rate for Payer: Cofinity Commercial |
$66.99
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$28.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$66.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.56
|
| 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 |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$86.13
|
| Rate for Payer: Healthscope Commercial |
$36.18
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.36
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: PHP Commercial |
$34.17
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$81.34
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$62.36
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.61
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health SBD |
$51.05
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: Priority Health SBD |
$46.22
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$25.33
|
| Rate for Payer: Priority Health SBD |
$60.29
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$55.94
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$35.24 |
| Max. Negotiated Rate |
$50.35 |
| Rate for Payer: Aetna Commercial |
$47.55
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$43.66
|
| Rate for Payer: Aetna Commercial |
$74.30
|
| Rate for Payer: Aetna Commercial |
$47.18
|
| Rate for Payer: Aetna Commercial |
$93.28
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Commercial |
$41.22
|
| Rate for Payer: Aetna Commercial |
$70.70
|
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$87.79
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$69.93
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cash Price |
$44.75
|
| Rate for Payer: Cash Price |
$44.41
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$41.09
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cofinity Commercial |
$38.86
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$61.19
|
| Rate for Payer: Cofinity Commercial |
$75.17
|
| Rate for Payer: Cofinity Commercial |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$266.57
|
| Rate for Payer: Cofinity Commercial |
$114.98
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Commercial |
$44.17
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$216.97
|
| Rate for Payer: Cofinity Commercial |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$91.60
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Cofinity Commercial |
$41.70
|
| Rate for Payer: Cofinity Commercial |
$33.94
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$48.11
|
| Rate for Payer: Cofinity Commercial |
$39.16
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$58.23
|
| Rate for Payer: Cofinity Commercial |
$71.53
|
| Rate for Payer: Cofinity Commercial |
$47.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$76.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$83.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$114.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$216.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$35.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$39.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$58.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.93
|
| 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 |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.41
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$278.96
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Commercial |
$43.64
|
| Rate for Payer: Healthscope Commercial |
$46.22
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$49.96
|
| Rate for Payer: Healthscope Commercial |
$50.35
|
| Rate for Payer: Healthscope Commercial |
$74.86
|
| Rate for Payer: Healthscope Commercial |
$117.76
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$98.77
|
| Rate for Payer: Healthscope Commercial |
$78.67
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| 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 |
$144.36
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Commercial |
$70.70
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$47.18
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$41.22
|
| Rate for Payer: PHP Commercial |
$74.30
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$263.47
|
| Rate for Payer: PHP Commercial |
$47.55
|
| Rate for Payer: PHP Commercial |
$43.66
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$93.28
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.38
|
| Rate for Payer: Priority Health SBD |
$195.27
|
| Rate for Payer: Priority Health SBD |
$32.36
|
| Rate for Payer: Priority Health SBD |
$55.07
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$30.55
|
| Rate for Payer: Priority Health SBD |
$52.40
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$35.24
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: Priority Health SBD |
$34.97
|
|
|
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 Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| 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: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health SBD |
$192.35
|
|
|
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 |
$0.17 |
| 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 |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| 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: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health SBD |
$192.35
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$55.51
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$49.96 |
| Rate for Payer: Aetna Commercial |
$47.18
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$47.55
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$70.70
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$74.30
|
| Rate for Payer: Aetna Commercial |
$41.22
|
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Commercial |
$93.28
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$43.66
|
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Medicare |
$65.42
|
| Rate for Payer: Aetna Medicare |
$48.49
|
| Rate for Payer: Aetna Medicare |
$154.98
|
| Rate for Payer: Aetna Medicare |
$84.92
|
| Rate for Payer: Aetna Medicare |
$152.66
|
| Rate for Payer: Aetna Medicare |
$24.24
|
| Rate for Payer: Aetna Medicare |
$82.13
|
| Rate for Payer: Aetna Medicare |
$25.68
|
| Rate for Payer: Aetna Medicare |
$27.76
|
| Rate for Payer: Aetna Medicare |
$27.97
|
| Rate for Payer: Aetna Medicare |
$41.59
|
| Rate for Payer: Aetna Medicare |
$43.70
|
| Rate for Payer: Aetna Medicare |
$61.02
|
| Rate for Payer: Aetna Medicare |
$54.87
|
| Rate for Payer: Aetna Medicare |
$59.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.33
|
| Rate for Payer: BCBS Complete |
$38.79
|
| Rate for Payer: BCBS Complete |
$22.38
|
| Rate for Payer: BCBS Complete |
$20.54
|
| Rate for Payer: BCBS Complete |
$67.93
|
| Rate for Payer: BCBS Complete |
$47.73
|
| Rate for Payer: BCBS Complete |
$52.34
|
| Rate for Payer: BCBS Complete |
$19.40
|
| Rate for Payer: BCBS Complete |
$34.96
|
| Rate for Payer: BCBS Complete |
$122.13
|
| Rate for Payer: BCBS Complete |
$65.70
|
| Rate for Payer: BCBS Complete |
$22.20
|
| Rate for Payer: BCBS Complete |
$48.82
|
| Rate for Payer: BCBS Complete |
$123.98
|
| Rate for Payer: BCBS Complete |
$33.27
|
| Rate for Payer: BCBS Complete |
$43.90
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$87.79
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$87.79
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$41.09
|
| Rate for Payer: Cash Price |
$41.09
|
| Rate for Payer: Cash Price |
$44.41
|
| Rate for Payer: Cash Price |
$44.41
|
| Rate for Payer: Cash Price |
$44.75
|
| Rate for Payer: Cash Price |
$44.75
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cash Price |
$69.93
|
| Rate for Payer: Cash Price |
$69.93
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cofinity Commercial |
$91.60
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$61.19
|
| Rate for Payer: Cofinity Commercial |
$75.17
|
| Rate for Payer: Cofinity Commercial |
$48.11
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Commercial |
$47.74
|
| Rate for Payer: Cofinity Commercial |
$38.86
|
| Rate for Payer: Cofinity Commercial |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$58.23
|
| Rate for Payer: Cofinity Commercial |
$71.53
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$39.16
|
| Rate for Payer: Cofinity Commercial |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$44.17
|
| Rate for Payer: Cofinity Commercial |
$266.57
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$114.98
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$33.94
|
| Rate for Payer: Cofinity Commercial |
$41.70
|
| Rate for Payer: Cofinity Commercial |
$216.97
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$39.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$216.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$114.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$35.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$76.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$83.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$58.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.09
|
| Rate for Payer: Healthscope Commercial |
$98.77
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$50.35
|
| Rate for Payer: Healthscope Commercial |
$74.86
|
| Rate for Payer: Healthscope Commercial |
$278.96
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$117.76
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$46.22
|
| Rate for Payer: Healthscope Commercial |
$49.96
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Healthscope Commercial |
$78.67
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Commercial |
$43.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$93.28
|
| Rate for Payer: PHP Commercial |
$41.22
|
| Rate for Payer: PHP Commercial |
$263.47
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$47.55
|
| Rate for Payer: PHP Commercial |
$43.66
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$70.70
|
| Rate for Payer: PHP Commercial |
$74.30
|
| Rate for Payer: PHP Commercial |
$47.18
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.08
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$52.40
|
| Rate for Payer: Priority Health SBD |
$32.36
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$30.55
|
| Rate for Payer: Priority Health SBD |
$55.07
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: Priority Health SBD |
$195.27
|
| Rate for Payer: Priority Health SBD |
$35.24
|
| Rate for Payer: Priority Health SBD |
$34.97
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
OP
|
$20.56
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$18.50 |
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$17.37
|
| Rate for Payer: Aetna Commercial |
$24.17
|
| Rate for Payer: Aetna Commercial |
$24.91
|
| Rate for Payer: Aetna Medicare |
$10.22
|
| Rate for Payer: Aetna Medicare |
$12.44
|
| Rate for Payer: Aetna Medicare |
$16.82
|
| Rate for Payer: Aetna Medicare |
$14.66
|
| Rate for Payer: Aetna Medicare |
$10.28
|
| Rate for Payer: Aetna Medicare |
$14.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: BCBS Complete |
$9.95
|
| Rate for Payer: BCBS Complete |
$11.72
|
| Rate for Payer: BCBS Complete |
$11.38
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS Complete |
$8.17
|
| Rate for Payer: BCBS Complete |
$13.46
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cash Price |
$16.34
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$16.34
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cofinity Commercial |
$25.21
|
| Rate for Payer: Cofinity Commercial |
$14.30
|
| Rate for Payer: Cofinity Commercial |
$17.57
|
| Rate for Payer: Cofinity Commercial |
$14.39
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$20.52
|
| Rate for Payer: Cofinity Commercial |
$23.56
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.45
|
| 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 |
$26.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.34
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$26.38
|
| Rate for Payer: Healthscope Commercial |
$30.28
|
| Rate for Payer: Healthscope Commercial |
$18.39
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$25.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: PHP Commercial |
$17.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: Priority Health SBD |
$17.92
|
| Rate for Payer: Priority Health SBD |
$18.47
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$21.20
|
| Rate for Payer: Priority Health SBD |
$12.87
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
IP
|
$28.44
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.92 |
| Max. Negotiated Rate |
$25.60 |
| Rate for Payer: Aetna Commercial |
$24.17
|
| Rate for Payer: Aetna Commercial |
$17.37
|
| Rate for Payer: Aetna Commercial |
$24.91
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.05
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$16.34
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$14.39
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Commercial |
$23.56
|
| Rate for Payer: Cofinity Commercial |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$17.57
|
| Rate for Payer: Cofinity Commercial |
$14.30
|
| Rate for Payer: Cofinity Commercial |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$25.21
|
| Rate for Payer: Cofinity Commercial |
$20.52
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.92
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$25.60
|
| Rate for Payer: Healthscope Commercial |
$30.28
|
| Rate for Payer: Healthscope Commercial |
$18.39
|
| Rate for Payer: Healthscope Commercial |
$26.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$17.37
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.36
|
| Rate for Payer: Priority Health SBD |
$18.47
|
| Rate for Payer: Priority Health SBD |
$17.92
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$12.87
|
| Rate for Payer: Priority Health SBD |
$21.20
|
|
|
ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION
|
Facility
|
OP
|
$18.87
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$16.98 |
| Rate for Payer: Aetna Commercial |
$16.04
|
| Rate for Payer: Aetna Commercial |
$22.77
|
| Rate for Payer: Aetna Medicare |
$13.40
|
| Rate for Payer: Aetna Medicare |
$9.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.41
|
| Rate for Payer: BCBS Complete |
$10.72
|
| Rate for Payer: BCBS Complete |
$7.55
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCBS Trust/PPO |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: BCN Commercial |
$0.17
|
| Rate for Payer: Cash Price |
$21.43
|
| Rate for Payer: Cash Price |
$21.43
|
| Rate for Payer: Cash Price |
$15.10
|
| Rate for Payer: Cash Price |
$15.10
|
| Rate for Payer: Cofinity Commercial |
$13.21
|
| Rate for Payer: Cofinity Commercial |
$23.04
|
| Rate for Payer: Cofinity Commercial |
$18.75
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.43
|
| Rate for Payer: Healthscope Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$24.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.04
|
| Rate for Payer: PHP Commercial |
$22.77
|
| Rate for Payer: PHP Commercial |
$16.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.41
|
| Rate for Payer: Priority Health SBD |
$16.88
|
| Rate for Payer: Priority Health SBD |
$11.89
|
|
|
ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION
|
Facility
|
IP
|
$18.87
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.89 |
| Max. Negotiated Rate |
$16.98 |
| Rate for Payer: Aetna Commercial |
$16.04
|
| Rate for Payer: Aetna Commercial |
$22.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.41
|
| Rate for Payer: Cash Price |
$15.10
|
| Rate for Payer: Cash Price |
$21.43
|
| Rate for Payer: Cofinity Commercial |
$13.21
|
| Rate for Payer: Cofinity Commercial |
$18.75
|
| Rate for Payer: Cofinity Commercial |
$23.04
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.43
|
| Rate for Payer: Healthscope Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$24.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.77
|
| Rate for Payer: PHP Commercial |
$16.04
|
| Rate for Payer: PHP Commercial |
$22.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.27
|
| Rate for Payer: Priority Health SBD |
$16.88
|
| Rate for Payer: Priority Health SBD |
$11.89
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$310.87 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.74
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.74
|
| Rate for Payer: Priority Health SBD |
$310.87
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$197.38 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna Medicare |
$246.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.74
|
| Rate for Payer: BCBS Complete |
$197.38
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.74
|
| Rate for Payer: Priority Health SBD |
$310.87
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
OP
|
$179.76
|
|
|
Service Code
|
NDC 50268071115
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$71.90 |
| Max. Negotiated Rate |
$161.78 |
| Rate for Payer: Aetna Commercial |
$152.80
|
| Rate for Payer: Aetna Medicare |
$89.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.84
|
| Rate for Payer: BCBS Complete |
$71.90
|
| Rate for Payer: Cash Price |
$143.81
|
| Rate for Payer: Cofinity Commercial |
$125.83
|
| Rate for Payer: Cofinity Commercial |
$154.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$125.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.81
|
| Rate for Payer: Healthscope Commercial |
$161.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.80
|
| Rate for Payer: PHP Commercial |
$152.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.84
|
| Rate for Payer: Priority Health SBD |
$113.25
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
OP
|
$3.60
|
|
|
Service Code
|
NDC 50268071111
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Aetna Commercial |
$3.06
|
| Rate for Payer: Aetna Medicare |
$1.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.34
|
| Rate for Payer: BCBS Complete |
$1.44
|
| Rate for Payer: Cash Price |
$2.88
|
| Rate for Payer: Cofinity Commercial |
$2.52
|
| Rate for Payer: Cofinity Commercial |
$3.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.88
|
| Rate for Payer: Healthscope Commercial |
$3.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.06
|
| Rate for Payer: PHP Commercial |
$3.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.34
|
| Rate for Payer: Priority Health SBD |
$2.27
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
IP
|
$3.60
|
|
|
Service Code
|
NDC 50268071111
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.27 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Aetna Commercial |
$3.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.34
|
| Rate for Payer: Cash Price |
$2.88
|
| Rate for Payer: Cofinity Commercial |
$2.52
|
| Rate for Payer: Cofinity Commercial |
$3.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.88
|
| Rate for Payer: Healthscope Commercial |
$3.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.06
|
| Rate for Payer: PHP Commercial |
$3.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.34
|
| Rate for Payer: Priority Health SBD |
$2.27
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
IP
|
$179.76
|
|
|
Service Code
|
NDC 50268071115
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$113.25 |
| Max. Negotiated Rate |
$161.78 |
| Rate for Payer: Aetna Commercial |
$152.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.84
|
| Rate for Payer: Cash Price |
$143.81
|
| Rate for Payer: Cofinity Commercial |
$125.83
|
| Rate for Payer: Cofinity Commercial |
$154.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$125.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.81
|
| Rate for Payer: Healthscope Commercial |
$161.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.80
|
| Rate for Payer: PHP Commercial |
$152.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.84
|
| Rate for Payer: Priority Health SBD |
$113.25
|
|
