|
HEPARIN 1,000 UNIT/ML FOR FLUSH MIXTURES
|
Facility
|
OP
|
$20.16
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
168888
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$18.14 |
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Medicare |
$10.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.10
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cofinity Advantage |
$14.11
|
| Rate for Payer: Cofinity Commercial |
$17.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.13
|
| Rate for Payer: Healthscope Commercial |
$18.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.12
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: Priority Health SBD |
$12.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN 1,000 UNIT/ML FOR FLUSH MIXTURES
|
Facility
|
OP
|
$22.50
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
168888
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.47 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna Commercial |
$19.12
|
| Rate for Payer: Aetna Medicare |
$11.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.62
|
| Rate for Payer: BCBS Complete |
$9.00
|
| Rate for Payer: BCBS Trust/PPO |
$5.27
|
| Rate for Payer: BCN Commercial |
$5.27
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cofinity Advantage |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$19.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.00
|
| Rate for Payer: Healthscope Commercial |
$20.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.88
|
| Rate for Payer: PHP Commercial |
$19.12
|
| Rate for Payer: Priority Health SBD |
$14.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.47
|
| Rate for Payer: UHC Core |
$3.47
|
| Rate for Payer: UHC Exchange |
$3.47
|
|
|
HEPARIN 1,000 UNIT/ML FOR FLUSH MIXTURES
|
Facility
|
IP
|
$22.50
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
168888
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.18 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna Commercial |
$19.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.62
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cofinity Advantage |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$19.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.00
|
| Rate for Payer: Healthscope Commercial |
$20.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.88
|
| Rate for Payer: PHP Commercial |
$19.12
|
| Rate for Payer: Priority Health SBD |
$14.18
|
|
|
HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS BOLUS ONLY
|
Facility
|
OP
|
$48.00
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
161558
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$43.20 |
| Rate for Payer: Aetna Commercial |
$40.80
|
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Medicare |
$17.38
|
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.59
|
| Rate for Payer: BCBS Complete |
$13.90
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$27.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$27.80
|
| Rate for Payer: Cofinity Advantage |
$33.60
|
| Rate for Payer: Cofinity Advantage |
$24.32
|
| Rate for Payer: Cofinity Commercial |
$41.28
|
| Rate for Payer: Cofinity Commercial |
$29.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.40
|
| Rate for Payer: Healthscope Commercial |
$31.27
|
| Rate for Payer: Healthscope Commercial |
$43.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.06
|
| Rate for Payer: PHP Commercial |
$40.80
|
| Rate for Payer: PHP Commercial |
$29.54
|
| Rate for Payer: Priority Health SBD |
$30.24
|
| Rate for Payer: Priority Health SBD |
$21.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS BOLUS ONLY
|
Facility
|
OP
|
$76.00
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
161558
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.47 |
| Max. Negotiated Rate |
$68.40 |
| Rate for Payer: Aetna Commercial |
$64.60
|
| Rate for Payer: Aetna Medicare |
$38.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.40
|
| Rate for Payer: BCBS Complete |
$30.40
|
| Rate for Payer: BCBS Trust/PPO |
$5.27
|
| Rate for Payer: BCN Commercial |
$5.27
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cofinity Advantage |
$53.20
|
| Rate for Payer: Cofinity Commercial |
$65.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.80
|
| Rate for Payer: Healthscope Commercial |
$68.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.00
|
| Rate for Payer: PHP Commercial |
$64.60
|
| Rate for Payer: Priority Health SBD |
$47.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.47
|
| Rate for Payer: UHC Core |
$3.47
|
| Rate for Payer: UHC Exchange |
$3.47
|
|
|
HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS BOLUS ONLY
|
Facility
|
IP
|
$76.00
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
161558
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$47.88 |
| Max. Negotiated Rate |
$68.40 |
| Rate for Payer: Aetna Commercial |
$64.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.40
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cofinity Advantage |
$53.20
|
| Rate for Payer: Cofinity Commercial |
$65.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.80
|
| Rate for Payer: Healthscope Commercial |
$68.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.00
|
| Rate for Payer: PHP Commercial |
$64.60
|
| Rate for Payer: Priority Health SBD |
$47.88
|
|
|
HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS BOLUS ONLY
|
Facility
|
IP
|
$48.00
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
161558
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$30.24 |
| Max. Negotiated Rate |
$43.20 |
| Rate for Payer: Aetna Commercial |
$40.80
|
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.20
|
| Rate for Payer: Cash Price |
$27.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Advantage |
$24.32
|
| Rate for Payer: Cofinity Advantage |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$41.28
|
| Rate for Payer: Cofinity Commercial |
$29.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.80
|
| Rate for Payer: Healthscope Commercial |
$43.20
|
| Rate for Payer: Healthscope Commercial |
$31.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PHP Commercial |
$29.54
|
| Rate for Payer: PHP Commercial |
$40.80
|
| Rate for Payer: Priority Health SBD |
$30.24
|
| Rate for Payer: Priority Health SBD |
$21.89
|
|
|
HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS ONLY
|
Facility
|
OP
|
$76.50
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
161517
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$68.85 |
| Rate for Payer: Aetna Commercial |
$65.03
|
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Medicare |
$38.25
|
| Rate for Payer: Aetna Medicare |
$17.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.73
|
| Rate for Payer: BCBS Complete |
$30.60
|
| Rate for Payer: BCBS Complete |
$13.90
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$27.80
|
| Rate for Payer: Cash Price |
$27.80
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Advantage |
$24.32
|
| Rate for Payer: Cofinity Advantage |
$53.55
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Cofinity Commercial |
$29.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.80
|
| Rate for Payer: Healthscope Commercial |
$31.27
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.38
|
| Rate for Payer: PHP Commercial |
$65.03
|
| Rate for Payer: PHP Commercial |
$29.54
|
| Rate for Payer: Priority Health SBD |
$21.89
|
| Rate for Payer: Priority Health SBD |
$48.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS ONLY
|
Facility
|
IP
|
$34.75
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
161517
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$21.89 |
| Max. Negotiated Rate |
$31.27 |
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Commercial |
$65.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.73
|
| Rate for Payer: Cash Price |
$27.80
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cofinity Advantage |
$24.32
|
| Rate for Payer: Cofinity Advantage |
$53.55
|
| Rate for Payer: Cofinity Commercial |
$29.89
|
| Rate for Payer: Cofinity Commercial |
$65.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.80
|
| Rate for Payer: Healthscope Commercial |
$68.85
|
| Rate for Payer: Healthscope Commercial |
$31.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.38
|
| Rate for Payer: PHP Commercial |
$29.54
|
| Rate for Payer: PHP Commercial |
$65.03
|
| Rate for Payer: Priority Health SBD |
$21.89
|
| Rate for Payer: Priority Health SBD |
$48.20
|
|
|
HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.83
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
112939
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: Aetna Medicare |
$13.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.44
|
| Rate for Payer: BCBS Complete |
$10.73
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Advantage |
$18.78
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: Priority Health SBD |
$16.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
|
|
HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.83
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
112939
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.90 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.44
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Advantage |
$18.78
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: Priority Health SBD |
$16.90
|
|
|
HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$36.17
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10177
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$32.55 |
| Rate for Payer: Aetna Commercial |
$30.74
|
| Rate for Payer: Aetna Medicare |
$18.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.51
|
| Rate for Payer: BCBS Complete |
$14.47
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$28.94
|
| Rate for Payer: Cash Price |
$28.94
|
| Rate for Payer: Cofinity Advantage |
$25.32
|
| Rate for Payer: Cofinity Commercial |
$31.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.94
|
| Rate for Payer: Healthscope Commercial |
$32.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.13
|
| Rate for Payer: PHP Commercial |
$30.74
|
| Rate for Payer: Priority Health SBD |
$22.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$36.17
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10177
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.79 |
| Max. Negotiated Rate |
$32.55 |
| Rate for Payer: Aetna Commercial |
$30.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.51
|
| Rate for Payer: Cash Price |
$28.94
|
| Rate for Payer: Cofinity Advantage |
$25.32
|
| Rate for Payer: Cofinity Commercial |
$31.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.94
|
| Rate for Payer: Healthscope Commercial |
$32.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.13
|
| Rate for Payer: PHP Commercial |
$30.74
|
| Rate for Payer: Priority Health SBD |
$22.79
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$20.16
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.70 |
| Max. Negotiated Rate |
$18.14 |
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Commercial |
$24.22
|
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Commercial |
$13.34
|
| Rate for Payer: Aetna Commercial |
$19.25
|
| Rate for Payer: Aetna Commercial |
$22.64
|
| Rate for Payer: Aetna Commercial |
$23.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.10
|
| Rate for Payer: Cash Price |
$18.12
|
| Rate for Payer: Cash Price |
$12.55
|
| Rate for Payer: Cash Price |
$13.26
|
| Rate for Payer: Cash Price |
$22.27
|
| Rate for Payer: Cash Price |
$21.31
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Cofinity Advantage |
$19.49
|
| Rate for Payer: Cofinity Advantage |
$11.61
|
| Rate for Payer: Cofinity Advantage |
$10.98
|
| Rate for Payer: Cofinity Advantage |
$14.11
|
| Rate for Payer: Cofinity Advantage |
$15.86
|
| Rate for Payer: Cofinity Advantage |
$18.65
|
| Rate for Payer: Cofinity Advantage |
$19.94
|
| Rate for Payer: Cofinity Commercial |
$17.34
|
| Rate for Payer: Cofinity Commercial |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$19.48
|
| Rate for Payer: Cofinity Commercial |
$22.91
|
| Rate for Payer: Cofinity Commercial |
$24.50
|
| Rate for Payer: Cofinity Commercial |
$13.49
|
| Rate for Payer: Cofinity Commercial |
$23.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.26
|
| Rate for Payer: Healthscope Commercial |
$25.64
|
| Rate for Payer: Healthscope Commercial |
$23.98
|
| Rate for Payer: Healthscope Commercial |
$14.92
|
| Rate for Payer: Healthscope Commercial |
$14.12
|
| Rate for Payer: Healthscope Commercial |
$20.39
|
| Rate for Payer: Healthscope Commercial |
$25.06
|
| Rate for Payer: Healthscope Commercial |
$18.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.77
|
| Rate for Payer: PHP Commercial |
$22.64
|
| Rate for Payer: PHP Commercial |
$24.22
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Commercial |
$19.25
|
| Rate for Payer: PHP Commercial |
$13.34
|
| Rate for Payer: PHP Commercial |
$14.09
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: Priority Health SBD |
$10.45
|
| Rate for Payer: Priority Health SBD |
$17.54
|
| Rate for Payer: Priority Health SBD |
$12.70
|
| Rate for Payer: Priority Health SBD |
$9.88
|
| Rate for Payer: Priority Health SBD |
$17.95
|
| Rate for Payer: Priority Health SBD |
$16.78
|
| Rate for Payer: Priority Health SBD |
$14.27
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$22.50
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.18 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna Commercial |
$19.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.62
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cofinity Advantage |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$19.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.00
|
| Rate for Payer: Healthscope Commercial |
$20.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.88
|
| Rate for Payer: PHP Commercial |
$19.12
|
| Rate for Payer: Priority Health SBD |
$14.18
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$22.50
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.47 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna Commercial |
$19.12
|
| Rate for Payer: Aetna Medicare |
$11.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.62
|
| Rate for Payer: BCBS Complete |
$9.00
|
| Rate for Payer: BCBS Trust/PPO |
$5.27
|
| Rate for Payer: BCN Commercial |
$5.27
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cofinity Advantage |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$19.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.00
|
| Rate for Payer: Healthscope Commercial |
$20.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.88
|
| Rate for Payer: PHP Commercial |
$19.12
|
| Rate for Payer: Priority Health SBD |
$14.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.47
|
| Rate for Payer: UHC Core |
$3.47
|
| Rate for Payer: UHC Exchange |
$3.47
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$22.65
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$20.39 |
| Rate for Payer: Aetna Commercial |
$19.25
|
| Rate for Payer: Aetna Commercial |
$23.66
|
| Rate for Payer: Aetna Commercial |
$24.22
|
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Commercial |
$22.64
|
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Commercial |
$13.34
|
| Rate for Payer: Aetna Medicare |
$8.29
|
| Rate for Payer: Aetna Medicare |
$13.92
|
| Rate for Payer: Aetna Medicare |
$13.32
|
| Rate for Payer: Aetna Medicare |
$11.32
|
| Rate for Payer: Aetna Medicare |
$14.24
|
| Rate for Payer: Aetna Medicare |
$10.08
|
| Rate for Payer: Aetna Medicare |
$7.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.32
|
| Rate for Payer: BCBS Complete |
$9.06
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Complete |
$11.40
|
| Rate for Payer: BCBS Complete |
$10.66
|
| Rate for Payer: BCBS Complete |
$6.28
|
| Rate for Payer: BCBS Complete |
$6.63
|
| Rate for Payer: BCBS Complete |
$11.14
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$18.12
|
| Rate for Payer: Cash Price |
$13.26
|
| Rate for Payer: Cash Price |
$12.55
|
| Rate for Payer: Cash Price |
$12.55
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$13.26
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$18.12
|
| Rate for Payer: Cash Price |
$21.31
|
| Rate for Payer: Cash Price |
$21.31
|
| Rate for Payer: Cash Price |
$22.27
|
| Rate for Payer: Cash Price |
$22.27
|
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Cofinity Advantage |
$11.61
|
| Rate for Payer: Cofinity Advantage |
$15.86
|
| Rate for Payer: Cofinity Advantage |
$14.11
|
| Rate for Payer: Cofinity Advantage |
$10.98
|
| Rate for Payer: Cofinity Advantage |
$19.49
|
| Rate for Payer: Cofinity Advantage |
$19.94
|
| Rate for Payer: Cofinity Advantage |
$18.65
|
| Rate for Payer: Cofinity Commercial |
$22.91
|
| Rate for Payer: Cofinity Commercial |
$19.48
|
| Rate for Payer: Cofinity Commercial |
$24.50
|
| Rate for Payer: Cofinity Commercial |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$13.49
|
| Rate for Payer: Cofinity Commercial |
$17.34
|
| Rate for Payer: Cofinity Commercial |
$23.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.31
|
| Rate for Payer: Healthscope Commercial |
$25.06
|
| Rate for Payer: Healthscope Commercial |
$14.12
|
| Rate for Payer: Healthscope Commercial |
$25.64
|
| Rate for Payer: Healthscope Commercial |
$14.92
|
| Rate for Payer: Healthscope Commercial |
$23.98
|
| Rate for Payer: Healthscope Commercial |
$18.14
|
| Rate for Payer: Healthscope Commercial |
$20.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.88
|
| Rate for Payer: PHP Commercial |
$13.34
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: PHP Commercial |
$19.25
|
| Rate for Payer: PHP Commercial |
$22.64
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Commercial |
$24.22
|
| Rate for Payer: PHP Commercial |
$14.09
|
| Rate for Payer: Priority Health SBD |
$17.54
|
| Rate for Payer: Priority Health SBD |
$9.88
|
| Rate for Payer: Priority Health SBD |
$17.95
|
| Rate for Payer: Priority Health SBD |
$16.78
|
| Rate for Payer: Priority Health SBD |
$14.27
|
| Rate for Payer: Priority Health SBD |
$10.45
|
| Rate for Payer: Priority Health SBD |
$12.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV
|
Facility
|
OP
|
$73.44
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15846
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$66.10 |
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna Commercial |
$87.89
|
| Rate for Payer: Aetna Medicare |
$51.70
|
| Rate for Payer: Aetna Medicare |
$36.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.21
|
| Rate for Payer: BCBS Complete |
$41.36
|
| Rate for Payer: BCBS Complete |
$29.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cofinity Advantage |
$51.41
|
| Rate for Payer: Cofinity Advantage |
$72.38
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Healthscope Commercial |
$93.06
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.55
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: PHP Commercial |
$87.89
|
| Rate for Payer: Priority Health SBD |
$46.27
|
| Rate for Payer: Priority Health SBD |
$65.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV
|
Facility
|
IP
|
$73.44
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15846
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$46.27 |
| Max. Negotiated Rate |
$66.10 |
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna Commercial |
$87.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.74
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Advantage |
$51.41
|
| Rate for Payer: Cofinity Advantage |
$72.38
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Healthscope Commercial |
$93.06
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.55
|
| Rate for Payer: PHP Commercial |
$87.89
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: Priority Health SBD |
$65.14
|
| Rate for Payer: Priority Health SBD |
$46.27
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) INFUSION CUSTOM
|
Facility
|
IP
|
$91.80
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
180233
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$57.83 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Commercial |
$89.33
|
| Rate for Payer: Aetna Commercial |
$87.89
|
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cofinity Advantage |
$53.02
|
| Rate for Payer: Cofinity Advantage |
$51.41
|
| Rate for Payer: Cofinity Advantage |
$64.26
|
| Rate for Payer: Cofinity Advantage |
$72.38
|
| Rate for Payer: Cofinity Advantage |
$73.56
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$94.58
|
| Rate for Payer: Healthscope Commercial |
$93.06
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.85
|
| Rate for Payer: PHP Commercial |
$87.89
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$89.33
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: Priority Health SBD |
$46.27
|
| Rate for Payer: Priority Health SBD |
$66.21
|
| Rate for Payer: Priority Health SBD |
$65.14
|
| Rate for Payer: Priority Health SBD |
$57.83
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) INFUSION CUSTOM
|
Facility
|
OP
|
$91.80
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
180233
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna Commercial |
$89.33
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$87.89
|
| Rate for Payer: Aetna Medicare |
$51.70
|
| Rate for Payer: Aetna Medicare |
$52.55
|
| Rate for Payer: Aetna Medicare |
$36.72
|
| Rate for Payer: Aetna Medicare |
$45.90
|
| Rate for Payer: Aetna Medicare |
$37.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.21
|
| Rate for Payer: BCBS Complete |
$36.72
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: BCBS Complete |
$29.38
|
| Rate for Payer: BCBS Complete |
$41.36
|
| Rate for Payer: BCBS Complete |
$30.30
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Advantage |
$64.26
|
| Rate for Payer: Cofinity Advantage |
$53.02
|
| Rate for Payer: Cofinity Advantage |
$73.56
|
| Rate for Payer: Cofinity Advantage |
$72.38
|
| Rate for Payer: Cofinity Advantage |
$51.41
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.07
|
| Rate for Payer: Healthscope Commercial |
$94.58
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Healthscope Commercial |
$93.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.80
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: PHP Commercial |
$89.33
|
| Rate for Payer: PHP Commercial |
$87.89
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: Priority Health SBD |
$46.27
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$66.21
|
| Rate for Payer: Priority Health SBD |
$65.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN
|
Facility
|
IP
|
$75.74
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15849
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$47.72 |
| Max. Negotiated Rate |
$68.17 |
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$89.33
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.31
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Advantage |
$64.26
|
| Rate for Payer: Cofinity Advantage |
$73.56
|
| Rate for Payer: Cofinity Advantage |
$53.02
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$94.58
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.80
|
| Rate for Payer: PHP Commercial |
$89.33
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: Priority Health SBD |
$66.21
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN
|
Facility
|
OP
|
$105.09
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15849
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$94.58 |
| Rate for Payer: Aetna Commercial |
$89.33
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Medicare |
$52.55
|
| Rate for Payer: Aetna Medicare |
$37.87
|
| Rate for Payer: Aetna Medicare |
$45.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: BCBS Complete |
$36.72
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: BCBS Complete |
$30.30
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCBS Trust/PPO |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: BCN Commercial |
$0.44
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cash Price |
$84.07
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cofinity Advantage |
$53.02
|
| Rate for Payer: Cofinity Advantage |
$73.56
|
| Rate for Payer: Cofinity Advantage |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.07
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Healthscope Commercial |
$94.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.85
|
| Rate for Payer: PHP Commercial |
$89.33
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: Priority Health SBD |
$66.21
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Core |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.30
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$13.87
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.47 |
| Max. Negotiated Rate |
$12.48 |
| Rate for Payer: Aetna Commercial |
$11.79
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.02
|
| Rate for Payer: BCBS Complete |
$5.55
|
| Rate for Payer: BCBS Trust/PPO |
$5.27
|
| Rate for Payer: BCN Commercial |
$5.27
|
| Rate for Payer: Cash Price |
$11.10
|
| Rate for Payer: Cash Price |
$11.10
|
| Rate for Payer: Cofinity Advantage |
$9.71
|
| Rate for Payer: Cofinity Commercial |
$11.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.10
|
| Rate for Payer: Healthscope Commercial |
$12.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.40
|
| Rate for Payer: PHP Commercial |
$11.79
|
| Rate for Payer: Priority Health SBD |
$8.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.47
|
| Rate for Payer: UHC Core |
$3.47
|
| Rate for Payer: UHC Exchange |
$3.47
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$12.55
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$11.29 |
| Rate for Payer: Aetna Commercial |
$10.67
|
| Rate for Payer: Aetna Commercial |
$17.49
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$9.49
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| Rate for Payer: Aetna Commercial |
$14.79
|
| Rate for Payer: Aetna Commercial |
$14.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.34
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$8.94
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$13.96
|
| Rate for Payer: Cash Price |
$13.92
|
| Rate for Payer: Cash Price |
$10.04
|
| Rate for Payer: Cash Price |
$16.46
|
| Rate for Payer: Cofinity Advantage |
$12.21
|
| Rate for Payer: Cofinity Advantage |
$8.11
|
| Rate for Payer: Cofinity Advantage |
$7.82
|
| Rate for Payer: Cofinity Advantage |
$8.79
|
| Rate for Payer: Cofinity Advantage |
$8.90
|
| Rate for Payer: Cofinity Advantage |
$12.18
|
| Rate for Payer: Cofinity Advantage |
$14.41
|
| Rate for Payer: Cofinity Commercial |
$10.79
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Cofinity Commercial |
$17.70
|
| Rate for Payer: Cofinity Commercial |
$9.61
|
| Rate for Payer: Cofinity Commercial |
$15.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.27
|
| Rate for Payer: Healthscope Commercial |
$18.52
|
| Rate for Payer: Healthscope Commercial |
$15.66
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$10.05
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$15.71
|
| Rate for Payer: Healthscope Commercial |
$11.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.38
|
| Rate for Payer: PHP Commercial |
$14.79
|
| Rate for Payer: PHP Commercial |
$17.49
|
| Rate for Payer: PHP Commercial |
$14.83
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: PHP Commercial |
$9.49
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Commercial |
$10.67
|
| Rate for Payer: Priority Health SBD |
$7.30
|
| Rate for Payer: Priority Health SBD |
$10.99
|
| Rate for Payer: Priority Health SBD |
$7.91
|
| Rate for Payer: Priority Health SBD |
$7.04
|
| Rate for Payer: Priority Health SBD |
$12.97
|
| Rate for Payer: Priority Health SBD |
$10.96
|
| Rate for Payer: Priority Health SBD |
$8.01
|
|
