Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$101.20

Service Code	NDC 51645085099
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$63.76
Max. Negotiated Rate	$91.08
Rate for Payer: Aetna Commercial	$86.02
Rate for Payer: Aetna New Business (MI Preferred)	$65.78
Rate for Payer: Cash Price	$80.96
Rate for Payer: Cofinity Commercial	$70.84
Rate for Payer: Cofinity Commercial	$87.03
Rate for Payer: Cofinity Medicare Advantage	$70.84
Rate for Payer: Encore Health Key Benefits Commercial	$80.96
Rate for Payer: Healthscope Commercial	$91.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$86.02
Rate for Payer: PHP Commercial	$86.02
Rate for Payer: Priority Health Cigna Priority Health	$65.78
Rate for Payer: Priority Health SBD	$63.76

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$44.52

Service Code	NDC 67618031030
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$40.07
Rate for Payer: Aetna Commercial	$37.84
Rate for Payer: Aetna Medicare	$22.26
Rate for Payer: Aetna New Business (MI Preferred)	$28.94
Rate for Payer: BCBS Complete	$17.81
Rate for Payer: Cash Price	$35.62
Rate for Payer: Cofinity Commercial	$31.16
Rate for Payer: Cofinity Commercial	$38.29
Rate for Payer: Cofinity Medicare Advantage	$31.16
Rate for Payer: Encore Health Key Benefits Commercial	$35.62
Rate for Payer: Healthscope Commercial	$40.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$37.84
Rate for Payer: PHP Commercial	$37.84
Rate for Payer: Priority Health Cigna Priority Health	$28.94
Rate for Payer: Priority Health SBD	$28.05

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$1.60

Service Code	NDC 60687062211
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$1.44
Rate for Payer: Aetna Commercial	$1.36
Rate for Payer: Aetna New Business (MI Preferred)	$1.04
Rate for Payer: Cash Price	$1.28
Rate for Payer: Cofinity Commercial	$1.12
Rate for Payer: Cofinity Commercial	$1.38
Rate for Payer: Cofinity Medicare Advantage	$1.12
Rate for Payer: Encore Health Key Benefits Commercial	$1.28
Rate for Payer: Healthscope Commercial	$1.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.36
Rate for Payer: PHP Commercial	$1.36
Rate for Payer: Priority Health Cigna Priority Health	$1.04
Rate for Payer: Priority Health SBD	$1.01

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$44.52

Service Code	NDC 67618031030
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$40.07
Rate for Payer: Aetna Commercial	$37.84
Rate for Payer: Aetna New Business (MI Preferred)	$28.94
Rate for Payer: Cash Price	$35.62
Rate for Payer: Cofinity Commercial	$31.16
Rate for Payer: Cofinity Commercial	$38.29
Rate for Payer: Cofinity Medicare Advantage	$31.16
Rate for Payer: Encore Health Key Benefits Commercial	$35.62
Rate for Payer: Healthscope Commercial	$40.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$37.84
Rate for Payer: PHP Commercial	$37.84
Rate for Payer: Priority Health Cigna Priority Health	$28.94
Rate for Payer: Priority Health SBD	$28.05

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$103.62

Service Code	NDC 60258095106
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$65.28
Max. Negotiated Rate	$93.26
Rate for Payer: Aetna Commercial	$88.08
Rate for Payer: Aetna New Business (MI Preferred)	$67.35
Rate for Payer: Cash Price	$82.90
Rate for Payer: Cofinity Commercial	$72.53
Rate for Payer: Cofinity Commercial	$89.11
Rate for Payer: Cofinity Medicare Advantage	$72.53
Rate for Payer: Encore Health Key Benefits Commercial	$82.90
Rate for Payer: Healthscope Commercial	$93.26
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$88.08
Rate for Payer: PHP Commercial	$88.08
Rate for Payer: Priority Health Cigna Priority Health	$67.35
Rate for Payer: Priority Health SBD	$65.28

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$84.63

Service Code	NDC 67618011030
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$76.17
Rate for Payer: Aetna Commercial	$71.94
Rate for Payer: Aetna Medicare	$42.32
Rate for Payer: Aetna New Business (MI Preferred)	$55.01
Rate for Payer: BCBS Complete	$33.85
Rate for Payer: Cash Price	$67.70
Rate for Payer: Cofinity Commercial	$59.24
Rate for Payer: Cofinity Commercial	$72.78
Rate for Payer: Cofinity Medicare Advantage	$59.24
Rate for Payer: Encore Health Key Benefits Commercial	$67.70
Rate for Payer: Healthscope Commercial	$76.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$71.94
Rate for Payer: PHP Commercial	$71.94
Rate for Payer: Priority Health Cigna Priority Health	$55.01
Rate for Payer: Priority Health SBD	$53.32

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$84.63

Service Code	NDC 67618011030
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$53.32
Max. Negotiated Rate	$76.17
Rate for Payer: Aetna Commercial	$71.94
Rate for Payer: Aetna New Business (MI Preferred)	$55.01
Rate for Payer: Cash Price	$67.70
Rate for Payer: Cofinity Commercial	$59.24
Rate for Payer: Cofinity Commercial	$72.78
Rate for Payer: Cofinity Medicare Advantage	$59.24
Rate for Payer: Encore Health Key Benefits Commercial	$67.70
Rate for Payer: Healthscope Commercial	$76.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$71.94
Rate for Payer: PHP Commercial	$71.94
Rate for Payer: Priority Health Cigna Priority Health	$55.01
Rate for Payer: Priority Health SBD	$53.32

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$94.50

Service Code	NDC 70000052601
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$85.05
Rate for Payer: Aetna Commercial	$80.32
Rate for Payer: Aetna Medicare	$47.25
Rate for Payer: Aetna New Business (MI Preferred)	$61.42
Rate for Payer: BCBS Complete	$37.80
Rate for Payer: Cash Price	$75.60
Rate for Payer: Cofinity Commercial	$66.15
Rate for Payer: Cofinity Commercial	$81.27
Rate for Payer: Cofinity Medicare Advantage	$66.15
Rate for Payer: Encore Health Key Benefits Commercial	$75.60
Rate for Payer: Healthscope Commercial	$85.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$80.32
Rate for Payer: PHP Commercial	$80.32
Rate for Payer: Priority Health Cigna Priority Health	$61.42
Rate for Payer: Priority Health SBD	$59.54

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$159.50

Service Code	NDC 60687062201
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$100.48
Max. Negotiated Rate	$143.55
Rate for Payer: Aetna Commercial	$135.58
Rate for Payer: Aetna New Business (MI Preferred)	$103.68
Rate for Payer: Cash Price	$127.60
Rate for Payer: Cofinity Commercial	$111.65
Rate for Payer: Cofinity Commercial	$137.17
Rate for Payer: Cofinity Medicare Advantage	$111.65
Rate for Payer: Encore Health Key Benefits Commercial	$127.60
Rate for Payer: Healthscope Commercial	$143.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.58
Rate for Payer: PHP Commercial	$135.58
Rate for Payer: Priority Health Cigna Priority Health	$103.68
Rate for Payer: Priority Health SBD	$100.48

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$1.60

Service Code	NDC 60687062211
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$1.44
Rate for Payer: Aetna Commercial	$1.36
Rate for Payer: Aetna Medicare	$0.80
Rate for Payer: Aetna New Business (MI Preferred)	$1.04
Rate for Payer: BCBS Complete	$0.64
Rate for Payer: Cash Price	$1.28
Rate for Payer: Cofinity Commercial	$1.12
Rate for Payer: Cofinity Commercial	$1.38
Rate for Payer: Cofinity Medicare Advantage	$1.12
Rate for Payer: Encore Health Key Benefits Commercial	$1.28
Rate for Payer: Healthscope Commercial	$1.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.36
Rate for Payer: PHP Commercial	$1.36
Rate for Payer: Priority Health Cigna Priority Health	$1.04
Rate for Payer: Priority Health SBD	$1.01

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$191.10

Service Code	NDC 67618031060
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$120.39
Max. Negotiated Rate	$171.99
Rate for Payer: Aetna Commercial	$162.44
Rate for Payer: Aetna New Business (MI Preferred)	$124.22
Rate for Payer: Cash Price	$152.88
Rate for Payer: Cofinity Commercial	$133.77
Rate for Payer: Cofinity Commercial	$164.35
Rate for Payer: Cofinity Medicare Advantage	$133.77
Rate for Payer: Encore Health Key Benefits Commercial	$152.88
Rate for Payer: Healthscope Commercial	$171.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$162.44
Rate for Payer: PHP Commercial	$162.44
Rate for Payer: Priority Health Cigna Priority Health	$124.22
Rate for Payer: Priority Health SBD	$120.39

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$191.10

Service Code	NDC 67618031060
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$76.44
Max. Negotiated Rate	$171.99
Rate for Payer: Aetna Commercial	$162.44
Rate for Payer: Aetna Medicare	$95.55
Rate for Payer: Aetna New Business (MI Preferred)	$124.22
Rate for Payer: BCBS Complete	$76.44
Rate for Payer: Cash Price	$152.88
Rate for Payer: Cofinity Commercial	$133.77
Rate for Payer: Cofinity Commercial	$164.35
Rate for Payer: Cofinity Medicare Advantage	$133.77
Rate for Payer: Encore Health Key Benefits Commercial	$152.88
Rate for Payer: Healthscope Commercial	$171.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$162.44
Rate for Payer: PHP Commercial	$162.44
Rate for Payer: Priority Health Cigna Priority Health	$124.22
Rate for Payer: Priority Health SBD	$120.39

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$88.20

Service Code	NDC 09629513881
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$35.28
Max. Negotiated Rate	$79.38
Rate for Payer: Aetna Commercial	$74.97
Rate for Payer: Aetna Medicare	$44.10
Rate for Payer: Aetna New Business (MI Preferred)	$57.33
Rate for Payer: BCBS Complete	$35.28
Rate for Payer: Cash Price	$70.56
Rate for Payer: Cofinity Commercial	$61.74
Rate for Payer: Cofinity Commercial	$75.85
Rate for Payer: Cofinity Medicare Advantage	$61.74
Rate for Payer: Encore Health Key Benefits Commercial	$70.56
Rate for Payer: Healthscope Commercial	$79.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$74.97
Rate for Payer: PHP Commercial	$74.97
Rate for Payer: Priority Health Cigna Priority Health	$57.33
Rate for Payer: Priority Health SBD	$55.57

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$94.50

Service Code	NDC 70000052601
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$59.54
Max. Negotiated Rate	$85.05
Rate for Payer: Aetna Commercial	$80.32
Rate for Payer: Aetna New Business (MI Preferred)	$61.42
Rate for Payer: Cash Price	$75.60
Rate for Payer: Cofinity Commercial	$66.15
Rate for Payer: Cofinity Commercial	$81.27
Rate for Payer: Cofinity Medicare Advantage	$66.15
Rate for Payer: Encore Health Key Benefits Commercial	$75.60
Rate for Payer: Healthscope Commercial	$85.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$80.32
Rate for Payer: PHP Commercial	$80.32
Rate for Payer: Priority Health Cigna Priority Health	$61.42
Rate for Payer: Priority Health SBD	$59.54

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET

Facility

$159.50

Service Code	NDC 60687062201
Hospital Charge Code	24216
Hospital Revenue Code	637
Min. Negotiated Rate	$63.80
Max. Negotiated Rate	$143.55
Rate for Payer: Aetna Commercial	$135.58
Rate for Payer: Aetna Medicare	$79.75
Rate for Payer: Aetna New Business (MI Preferred)	$103.68
Rate for Payer: BCBS Complete	$63.80
Rate for Payer: Cash Price	$127.60
Rate for Payer: Cofinity Commercial	$111.65
Rate for Payer: Cofinity Commercial	$137.17
Rate for Payer: Cofinity Medicare Advantage	$111.65
Rate for Payer: Encore Health Key Benefits Commercial	$127.60
Rate for Payer: Healthscope Commercial	$143.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.58
Rate for Payer: PHP Commercial	$135.58
Rate for Payer: Priority Health Cigna Priority Health	$103.68
Rate for Payer: Priority Health SBD	$100.48

SENNOSIDES 8.6 MG TABLET

Facility

$163.80

Service Code	NDC 51645085101
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$103.19
Max. Negotiated Rate	$147.42
Rate for Payer: Aetna Commercial	$139.23
Rate for Payer: Aetna New Business (MI Preferred)	$106.47
Rate for Payer: Cash Price	$131.04
Rate for Payer: Cofinity Commercial	$114.66
Rate for Payer: Cofinity Commercial	$140.87
Rate for Payer: Cofinity Medicare Advantage	$114.66
Rate for Payer: Encore Health Key Benefits Commercial	$131.04
Rate for Payer: Healthscope Commercial	$147.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.23
Rate for Payer: PHP Commercial	$139.23
Rate for Payer: Priority Health Cigna Priority Health	$106.47
Rate for Payer: Priority Health SBD	$103.19

SENNOSIDES 8.6 MG TABLET

Facility

$299.25

Service Code	NDC 96295013519
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$119.70
Max. Negotiated Rate	$269.32
Rate for Payer: Aetna Commercial	$254.36
Rate for Payer: Aetna Medicare	$149.62
Rate for Payer: Aetna New Business (MI Preferred)	$194.51
Rate for Payer: BCBS Complete	$119.70
Rate for Payer: Cash Price	$239.40
Rate for Payer: Cofinity Commercial	$209.48
Rate for Payer: Cofinity Commercial	$257.36
Rate for Payer: Cofinity Medicare Advantage	$209.48
Rate for Payer: Encore Health Key Benefits Commercial	$239.40
Rate for Payer: Healthscope Commercial	$269.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$254.36
Rate for Payer: PHP Commercial	$254.36
Rate for Payer: Priority Health Cigna Priority Health	$194.51
Rate for Payer: Priority Health SBD	$188.53

SENNOSIDES 8.6 MG TABLET

Facility

$113.40

Service Code	NDC 49483008001
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$45.36
Max. Negotiated Rate	$102.06
Rate for Payer: Aetna Commercial	$96.39
Rate for Payer: Aetna Medicare	$56.70
Rate for Payer: Aetna New Business (MI Preferred)	$73.71
Rate for Payer: BCBS Complete	$45.36
Rate for Payer: Cash Price	$90.72
Rate for Payer: Cofinity Commercial	$79.38
Rate for Payer: Cofinity Commercial	$97.52
Rate for Payer: Cofinity Medicare Advantage	$79.38
Rate for Payer: Encore Health Key Benefits Commercial	$90.72
Rate for Payer: Healthscope Commercial	$102.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$96.39
Rate for Payer: PHP Commercial	$96.39
Rate for Payer: Priority Health Cigna Priority Health	$73.71
Rate for Payer: Priority Health SBD	$71.44

SENNOSIDES 8.6 MG TABLET

Facility

$88.20

Service Code	NDC 57896045101
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$55.57
Max. Negotiated Rate	$79.38
Rate for Payer: Aetna Commercial	$74.97
Rate for Payer: Aetna New Business (MI Preferred)	$57.33
Rate for Payer: Cash Price	$70.56
Rate for Payer: Cofinity Commercial	$61.74
Rate for Payer: Cofinity Commercial	$75.85
Rate for Payer: Cofinity Medicare Advantage	$61.74
Rate for Payer: Encore Health Key Benefits Commercial	$70.56
Rate for Payer: Healthscope Commercial	$79.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$74.97
Rate for Payer: PHP Commercial	$74.97
Rate for Payer: Priority Health Cigna Priority Health	$57.33
Rate for Payer: Priority Health SBD	$55.57

SENNOSIDES 8.6 MG TABLET

Facility

$113.40

Service Code	NDC 49483008001
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$71.44
Max. Negotiated Rate	$102.06
Rate for Payer: Aetna Commercial	$96.39
Rate for Payer: Aetna New Business (MI Preferred)	$73.71
Rate for Payer: Cash Price	$90.72
Rate for Payer: Cofinity Commercial	$79.38
Rate for Payer: Cofinity Commercial	$97.52
Rate for Payer: Cofinity Medicare Advantage	$79.38
Rate for Payer: Encore Health Key Benefits Commercial	$90.72
Rate for Payer: Healthscope Commercial	$102.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$96.39
Rate for Payer: PHP Commercial	$96.39
Rate for Payer: Priority Health Cigna Priority Health	$73.71
Rate for Payer: Priority Health SBD	$71.44

SENNOSIDES 8.6 MG TABLET

Facility

$132.00

Service Code	NDC 00904652261
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$118.80
Rate for Payer: Aetna Commercial	$112.20
Rate for Payer: Aetna Medicare	$66.00
Rate for Payer: Aetna New Business (MI Preferred)	$85.80
Rate for Payer: BCBS Complete	$52.80
Rate for Payer: Cash Price	$105.60
Rate for Payer: Cofinity Commercial	$113.52
Rate for Payer: Cofinity Commercial	$92.40
Rate for Payer: Cofinity Medicare Advantage	$92.40
Rate for Payer: Encore Health Key Benefits Commercial	$105.60
Rate for Payer: Healthscope Commercial	$118.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$112.20
Rate for Payer: PHP Commercial	$112.20
Rate for Payer: Priority Health Cigna Priority Health	$85.80
Rate for Payer: Priority Health SBD	$83.16

SENNOSIDES 8.6 MG TABLET

Facility

$140.00

Service Code	NDC 00904725261
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$126.00
Rate for Payer: Aetna Commercial	$119.00
Rate for Payer: Aetna New Business (MI Preferred)	$91.00
Rate for Payer: Cash Price	$112.00
Rate for Payer: Cofinity Commercial	$120.40
Rate for Payer: Cofinity Commercial	$98.00
Rate for Payer: Cofinity Medicare Advantage	$98.00
Rate for Payer: Encore Health Key Benefits Commercial	$112.00
Rate for Payer: Healthscope Commercial	$126.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$119.00
Rate for Payer: PHP Commercial	$119.00
Rate for Payer: Priority Health Cigna Priority Health	$91.00
Rate for Payer: Priority Health SBD	$88.20

SENNOSIDES 8.6 MG TABLET

Facility

$107.10

Service Code	NDC 57896045401
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$67.47
Max. Negotiated Rate	$96.39
Rate for Payer: Aetna Commercial	$91.04
Rate for Payer: Aetna New Business (MI Preferred)	$69.62
Rate for Payer: Cash Price	$85.68
Rate for Payer: Cofinity Commercial	$74.97
Rate for Payer: Cofinity Commercial	$92.11
Rate for Payer: Cofinity Medicare Advantage	$74.97
Rate for Payer: Encore Health Key Benefits Commercial	$85.68
Rate for Payer: Healthscope Commercial	$96.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$91.04
Rate for Payer: PHP Commercial	$91.04
Rate for Payer: Priority Health Cigna Priority Health	$69.62
Rate for Payer: Priority Health SBD	$67.47

SENNOSIDES 8.6 MG TABLET

Facility

$122.00

Service Code	NDC 96295013289
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$76.86
Max. Negotiated Rate	$109.80
Rate for Payer: Aetna Commercial	$103.70
Rate for Payer: Aetna New Business (MI Preferred)	$79.30
Rate for Payer: Cash Price	$97.60
Rate for Payer: Cofinity Commercial	$104.92
Rate for Payer: Cofinity Commercial	$85.40
Rate for Payer: Cofinity Medicare Advantage	$85.40
Rate for Payer: Encore Health Key Benefits Commercial	$97.60
Rate for Payer: Healthscope Commercial	$109.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$103.70
Rate for Payer: PHP Commercial	$103.70
Rate for Payer: Priority Health Cigna Priority Health	$79.30
Rate for Payer: Priority Health SBD	$76.86

SENNOSIDES 8.6 MG TABLET

Facility

$122.00

Service Code	NDC 96295013289
Hospital Charge Code	11349
Hospital Revenue Code	637
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$109.80
Rate for Payer: Aetna Commercial	$103.70
Rate for Payer: Aetna Medicare	$61.00
Rate for Payer: Aetna New Business (MI Preferred)	$79.30
Rate for Payer: BCBS Complete	$48.80
Rate for Payer: Cash Price	$97.60
Rate for Payer: Cofinity Commercial	$104.92
Rate for Payer: Cofinity Commercial	$85.40
Rate for Payer: Cofinity Medicare Advantage	$85.40
Rate for Payer: Encore Health Key Benefits Commercial	$97.60
Rate for Payer: Healthscope Commercial	$109.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$103.70
Rate for Payer: PHP Commercial	$103.70
Rate for Payer: Priority Health Cigna Priority Health	$79.30
Rate for Payer: Priority Health SBD	$76.86

Know your out-of-pocket cost for care.

All Charges