|
KETOROLAC 15 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$16.90
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
22472
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.65 |
| Max. Negotiated Rate |
$15.21 |
| Rate for Payer: Aetna Commercial |
$14.37
|
| Rate for Payer: Aetna Commercial |
$10.01
|
| Rate for Payer: Aetna Commercial |
$5.53
|
| Rate for Payer: Aetna Commercial |
$11.21
|
| Rate for Payer: Aetna Commercial |
$12.04
|
| Rate for Payer: Aetna Commercial |
$17.59
|
| Rate for Payer: Aetna Commercial |
$13.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.11
|
| Rate for Payer: Cash Price |
$12.44
|
| Rate for Payer: Cash Price |
$5.20
|
| Rate for Payer: Cash Price |
$13.52
|
| Rate for Payer: Cash Price |
$11.33
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$9.42
|
| Rate for Payer: Cash Price |
$10.55
|
| Rate for Payer: Cofinity Advantage |
$10.88
|
| Rate for Payer: Cofinity Advantage |
$14.49
|
| Rate for Payer: Cofinity Advantage |
$4.55
|
| Rate for Payer: Cofinity Advantage |
$9.23
|
| Rate for Payer: Cofinity Advantage |
$11.83
|
| Rate for Payer: Cofinity Advantage |
$9.91
|
| Rate for Payer: Cofinity Advantage |
$8.25
|
| Rate for Payer: Cofinity Commercial |
$5.59
|
| Rate for Payer: Cofinity Commercial |
$11.34
|
| Rate for Payer: Cofinity Commercial |
$10.13
|
| Rate for Payer: Cofinity Commercial |
$12.18
|
| Rate for Payer: Cofinity Commercial |
$17.80
|
| Rate for Payer: Cofinity Commercial |
$13.37
|
| Rate for Payer: Cofinity Commercial |
$14.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.55
|
| Rate for Payer: Healthscope Commercial |
$11.87
|
| Rate for Payer: Healthscope Commercial |
$10.60
|
| Rate for Payer: Healthscope Commercial |
$15.21
|
| Rate for Payer: Healthscope Commercial |
$13.99
|
| Rate for Payer: Healthscope Commercial |
$12.74
|
| Rate for Payer: Healthscope Commercial |
$18.63
|
| Rate for Payer: Healthscope Commercial |
$5.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.53
|
| Rate for Payer: PHP Commercial |
$14.37
|
| Rate for Payer: PHP Commercial |
$11.21
|
| Rate for Payer: PHP Commercial |
$17.59
|
| Rate for Payer: PHP Commercial |
$13.22
|
| Rate for Payer: PHP Commercial |
$5.53
|
| Rate for Payer: PHP Commercial |
$10.01
|
| Rate for Payer: PHP Commercial |
$12.04
|
| Rate for Payer: Priority Health SBD |
$10.65
|
| Rate for Payer: Priority Health SBD |
$8.31
|
| Rate for Payer: Priority Health SBD |
$13.04
|
| Rate for Payer: Priority Health SBD |
$8.92
|
| Rate for Payer: Priority Health SBD |
$4.09
|
| Rate for Payer: Priority Health SBD |
$9.80
|
| Rate for Payer: Priority Health SBD |
$7.42
|
|
|
KETOROLAC 15 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$20.70
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
22472
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$18.63 |
| Rate for Payer: Aetna Commercial |
$17.59
|
| Rate for Payer: Aetna Commercial |
$12.04
|
| Rate for Payer: Aetna Commercial |
$13.22
|
| Rate for Payer: Aetna Commercial |
$14.37
|
| Rate for Payer: Aetna Commercial |
$5.53
|
| Rate for Payer: Aetna Commercial |
$10.01
|
| Rate for Payer: Aetna Commercial |
$11.21
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: Cash Price |
$9.42
|
| Rate for Payer: Cash Price |
$12.44
|
| Rate for Payer: Cash Price |
$9.42
|
| Rate for Payer: Cash Price |
$10.55
|
| Rate for Payer: Cash Price |
$5.20
|
| Rate for Payer: Cash Price |
$5.20
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$10.55
|
| Rate for Payer: Cash Price |
$11.33
|
| Rate for Payer: Cash Price |
$13.52
|
| Rate for Payer: Cash Price |
$11.33
|
| Rate for Payer: Cash Price |
$13.52
|
| Rate for Payer: Cash Price |
$12.44
|
| Rate for Payer: Cofinity Advantage |
$11.83
|
| Rate for Payer: Cofinity Advantage |
$9.23
|
| Rate for Payer: Cofinity Advantage |
$8.25
|
| Rate for Payer: Cofinity Advantage |
$10.88
|
| Rate for Payer: Cofinity Advantage |
$9.91
|
| Rate for Payer: Cofinity Advantage |
$14.49
|
| Rate for Payer: Cofinity Advantage |
$4.55
|
| Rate for Payer: Cofinity Commercial |
$5.59
|
| Rate for Payer: Cofinity Commercial |
$11.34
|
| Rate for Payer: Cofinity Commercial |
$17.80
|
| Rate for Payer: Cofinity Commercial |
$10.13
|
| Rate for Payer: Cofinity Commercial |
$13.37
|
| Rate for Payer: Cofinity Commercial |
$12.18
|
| Rate for Payer: Cofinity Commercial |
$14.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Healthscope Commercial |
$5.85
|
| Rate for Payer: Healthscope Commercial |
$18.63
|
| Rate for Payer: Healthscope Commercial |
$15.21
|
| Rate for Payer: Healthscope Commercial |
$13.99
|
| Rate for Payer: Healthscope Commercial |
$12.74
|
| Rate for Payer: Healthscope Commercial |
$10.60
|
| Rate for Payer: Healthscope Commercial |
$11.87
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.04
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.68
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PHP Commercial |
$12.04
|
| Rate for Payer: PHP Commercial |
$13.22
|
| Rate for Payer: PHP Commercial |
$10.01
|
| Rate for Payer: PHP Commercial |
$14.37
|
| Rate for Payer: PHP Commercial |
$11.21
|
| Rate for Payer: PHP Commercial |
$17.59
|
| Rate for Payer: PHP Commercial |
$5.53
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health SBD |
$9.80
|
| Rate for Payer: Priority Health SBD |
$4.09
|
| Rate for Payer: Priority Health SBD |
$8.31
|
| Rate for Payer: Priority Health SBD |
$8.92
|
| Rate for Payer: Priority Health SBD |
$13.04
|
| Rate for Payer: Priority Health SBD |
$7.42
|
| Rate for Payer: Priority Health SBD |
$10.65
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
|
|
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
|
Facility
|
IP
|
$15.80
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
22473
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.95 |
| Max. Negotiated Rate |
$14.22 |
| Rate for Payer: Aetna Commercial |
$13.43
|
| Rate for Payer: Aetna Commercial |
$6.93
|
| Rate for Payer: Aetna Commercial |
$9.89
|
| Rate for Payer: Aetna Commercial |
$18.79
|
| Rate for Payer: Aetna Commercial |
$21.79
|
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: Aetna Commercial |
$17.66
|
| Rate for Payer: Aetna Commercial |
$9.61
|
| Rate for Payer: Aetna Commercial |
$11.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.30
|
| Rate for Payer: Cash Price |
$12.64
|
| Rate for Payer: Cash Price |
$16.62
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$17.68
|
| Rate for Payer: Cash Price |
$9.30
|
| Rate for Payer: Cash Price |
$9.05
|
| Rate for Payer: Cash Price |
$20.50
|
| Rate for Payer: Cash Price |
$16.78
|
| Rate for Payer: Cash Price |
$10.38
|
| Rate for Payer: Cofinity Advantage |
$11.06
|
| Rate for Payer: Cofinity Advantage |
$7.92
|
| Rate for Payer: Cofinity Advantage |
$14.68
|
| Rate for Payer: Cofinity Advantage |
$8.14
|
| Rate for Payer: Cofinity Advantage |
$14.55
|
| Rate for Payer: Cofinity Advantage |
$9.08
|
| Rate for Payer: Cofinity Advantage |
$17.94
|
| Rate for Payer: Cofinity Advantage |
$5.71
|
| Rate for Payer: Cofinity Advantage |
$15.47
|
| Rate for Payer: Cofinity Commercial |
$10.00
|
| Rate for Payer: Cofinity Commercial |
$19.01
|
| Rate for Payer: Cofinity Commercial |
$17.87
|
| Rate for Payer: Cofinity Commercial |
$13.59
|
| Rate for Payer: Cofinity Commercial |
$22.04
|
| Rate for Payer: Cofinity Commercial |
$18.03
|
| Rate for Payer: Cofinity Commercial |
$11.15
|
| Rate for Payer: Cofinity Commercial |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$9.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.50
|
| Rate for Payer: Healthscope Commercial |
$23.07
|
| Rate for Payer: Healthscope Commercial |
$19.89
|
| Rate for Payer: Healthscope Commercial |
$11.67
|
| Rate for Payer: Healthscope Commercial |
$14.22
|
| Rate for Payer: Healthscope Commercial |
$10.47
|
| Rate for Payer: Healthscope Commercial |
$18.70
|
| Rate for Payer: Healthscope Commercial |
$10.18
|
| Rate for Payer: Healthscope Commercial |
$18.87
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.11
|
| Rate for Payer: PHP Commercial |
$18.79
|
| Rate for Payer: PHP Commercial |
$6.93
|
| Rate for Payer: PHP Commercial |
$21.79
|
| Rate for Payer: PHP Commercial |
$17.82
|
| Rate for Payer: PHP Commercial |
$9.61
|
| Rate for Payer: PHP Commercial |
$11.02
|
| Rate for Payer: PHP Commercial |
$17.66
|
| Rate for Payer: PHP Commercial |
$9.89
|
| Rate for Payer: PHP Commercial |
$13.43
|
| Rate for Payer: Priority Health SBD |
$5.13
|
| Rate for Payer: Priority Health SBD |
$7.33
|
| Rate for Payer: Priority Health SBD |
$7.13
|
| Rate for Payer: Priority Health SBD |
$13.09
|
| Rate for Payer: Priority Health SBD |
$13.92
|
| Rate for Payer: Priority Health SBD |
$13.21
|
| Rate for Payer: Priority Health SBD |
$16.15
|
| Rate for Payer: Priority Health SBD |
$9.95
|
| Rate for Payer: Priority Health SBD |
$8.17
|
|
|
KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
|
Facility
|
OP
|
$22.10
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
22473
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$19.89 |
| Rate for Payer: Aetna Commercial |
$18.79
|
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: Aetna Commercial |
$6.93
|
| Rate for Payer: Aetna Commercial |
$17.66
|
| Rate for Payer: Aetna Commercial |
$21.79
|
| Rate for Payer: Aetna Commercial |
$9.61
|
| Rate for Payer: Aetna Commercial |
$11.02
|
| Rate for Payer: Aetna Commercial |
$13.43
|
| Rate for Payer: Aetna Commercial |
$9.89
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna Medicare |
$0.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.41
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS Complete |
$0.18
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS MAPPO |
$0.33
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Commercial |
$0.81
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.33
|
| Rate for Payer: Cash Price |
$17.68
|
| Rate for Payer: Cash Price |
$9.30
|
| Rate for Payer: Cash Price |
$20.50
|
| Rate for Payer: Cash Price |
$20.50
|
| Rate for Payer: Cash Price |
$12.64
|
| Rate for Payer: Cash Price |
$10.38
|
| Rate for Payer: Cash Price |
$16.78
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$16.78
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$10.38
|
| Rate for Payer: Cash Price |
$16.62
|
| Rate for Payer: Cash Price |
$9.30
|
| Rate for Payer: Cash Price |
$9.05
|
| Rate for Payer: Cash Price |
$12.64
|
| Rate for Payer: Cash Price |
$9.05
|
| Rate for Payer: Cash Price |
$16.62
|
| Rate for Payer: Cash Price |
$17.68
|
| Rate for Payer: Cofinity Advantage |
$15.47
|
| Rate for Payer: Cofinity Advantage |
$14.55
|
| Rate for Payer: Cofinity Advantage |
$9.08
|
| Rate for Payer: Cofinity Advantage |
$14.68
|
| Rate for Payer: Cofinity Advantage |
$5.71
|
| Rate for Payer: Cofinity Advantage |
$17.94
|
| Rate for Payer: Cofinity Advantage |
$11.06
|
| Rate for Payer: Cofinity Advantage |
$7.92
|
| Rate for Payer: Cofinity Advantage |
$8.14
|
| Rate for Payer: Cofinity Commercial |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$13.59
|
| Rate for Payer: Cofinity Commercial |
$17.87
|
| Rate for Payer: Cofinity Commercial |
$10.00
|
| Rate for Payer: Cofinity Commercial |
$11.15
|
| Rate for Payer: Cofinity Commercial |
$9.73
|
| Rate for Payer: Cofinity Commercial |
$19.01
|
| Rate for Payer: Cofinity Commercial |
$18.03
|
| Rate for Payer: Cofinity Commercial |
$22.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.33
|
| Rate for Payer: Healthscope Commercial |
$23.07
|
| Rate for Payer: Healthscope Commercial |
$19.89
|
| Rate for Payer: Healthscope Commercial |
$14.22
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$10.18
|
| Rate for Payer: Healthscope Commercial |
$18.70
|
| Rate for Payer: Healthscope Commercial |
$10.47
|
| Rate for Payer: Healthscope Commercial |
$11.67
|
| Rate for Payer: Healthscope Commercial |
$18.87
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicaid |
$0.17
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Mclaren Medicare |
$0.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: Meridian Medicaid |
$0.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.89
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$0.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.85
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE Medicare |
$0.31
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PACE SWMI |
$0.33
|
| Rate for Payer: PHP Commercial |
$9.89
|
| Rate for Payer: PHP Commercial |
$17.82
|
| Rate for Payer: PHP Commercial |
$9.61
|
| Rate for Payer: PHP Commercial |
$17.66
|
| Rate for Payer: PHP Commercial |
$11.02
|
| Rate for Payer: PHP Commercial |
$18.79
|
| Rate for Payer: PHP Commercial |
$6.93
|
| Rate for Payer: PHP Commercial |
$21.79
|
| Rate for Payer: PHP Commercial |
$13.43
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: PHP Medicare Advantage |
$0.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.95
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health Medicare |
$0.33
|
| Rate for Payer: Priority Health SBD |
$13.92
|
| Rate for Payer: Priority Health SBD |
$16.15
|
| Rate for Payer: Priority Health SBD |
$5.13
|
| Rate for Payer: Priority Health SBD |
$7.13
|
| Rate for Payer: Priority Health SBD |
$13.21
|
| Rate for Payer: Priority Health SBD |
$9.95
|
| Rate for Payer: Priority Health SBD |
$8.17
|
| Rate for Payer: Priority Health SBD |
$7.33
|
| Rate for Payer: Priority Health SBD |
$13.09
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Priority Health Tiered Network |
$0.76
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: Railroad Medicare Medicare |
$0.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Core |
$0.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.33
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHC Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: UHCCP Medicaid |
$0.17
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
| Rate for Payer: VA VA |
$0.33
|
|
|
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$37,497.28
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$13,985.59 |
| Max. Negotiated Rate |
$37,497.28 |
| Rate for Payer: Aetna Medicare |
$15,310.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,402.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,402.09
|
| Rate for Payer: BCBS MAPPO |
$14,721.67
|
| Rate for Payer: BCBS Trust/PPO |
$37,497.28
|
| Rate for Payer: BCN Commercial |
$37,497.28
|
| Rate for Payer: BCN Medicare Advantage |
$14,721.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,721.67
|
| Rate for Payer: Mclaren Medicare |
$14,721.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,457.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,929.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,193.84
|
| Rate for Payer: Nomi Health Commercial |
$23,607.00
|
| Rate for Payer: PACE Medicare |
$13,985.59
|
| Rate for Payer: PACE SWMI |
$14,721.67
|
| Rate for Payer: PHP Medicare Advantage |
$14,721.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,503.52
|
| Rate for Payer: Priority Health Medicare |
$14,721.67
|
| Rate for Payer: Priority Health Tiered Network |
$23,602.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14,721.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,829.00
|
| Rate for Payer: UHC Core |
$24,955.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,721.67
|
| Rate for Payer: UHC Exchange |
$20,380.71
|
| Rate for Payer: VA VA |
$14,721.67
|
|
|
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$67,199.69
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$23,924.91 |
| Max. Negotiated Rate |
$67,199.69 |
| Rate for Payer: Aetna Medicare |
$26,191.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,480.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,480.15
|
| Rate for Payer: BCBS MAPPO |
$25,184.12
|
| Rate for Payer: BCBS Trust/PPO |
$67,199.69
|
| Rate for Payer: BCN Commercial |
$67,199.69
|
| Rate for Payer: BCN Medicare Advantage |
$25,184.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,184.12
|
| Rate for Payer: Mclaren Medicare |
$25,184.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,443.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,961.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$27,702.53
|
| Rate for Payer: Nomi Health Commercial |
$41,071.02
|
| Rate for Payer: PACE Medicare |
$23,924.91
|
| Rate for Payer: PACE SWMI |
$25,184.12
|
| Rate for Payer: PHP Medicare Advantage |
$25,184.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$51,329.67
|
| Rate for Payer: Priority Health Medicare |
$25,184.12
|
| Rate for Payer: Priority Health Tiered Network |
$41,063.73
|
| Rate for Payer: Railroad Medicare Medicare |
$25,184.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,895.94
|
| Rate for Payer: UHC Core |
$43,417.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$25,184.12
|
| Rate for Payer: UHC Exchange |
$35,457.98
|
| Rate for Payer: VA VA |
$25,184.12
|
|
|
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$32,773.54
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$11,943.09 |
| Max. Negotiated Rate |
$32,773.54 |
| Rate for Payer: Aetna Medicare |
$13,074.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,714.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,714.59
|
| Rate for Payer: BCBS MAPPO |
$12,571.67
|
| Rate for Payer: BCBS Trust/PPO |
$32,773.54
|
| Rate for Payer: BCN Commercial |
$32,773.54
|
| Rate for Payer: BCN Medicare Advantage |
$12,571.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,571.67
|
| Rate for Payer: Mclaren Medicare |
$12,571.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,200.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,457.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,828.84
|
| Rate for Payer: Nomi Health Commercial |
$20,018.22
|
| Rate for Payer: PACE Medicare |
$11,943.09
|
| Rate for Payer: PACE SWMI |
$12,571.67
|
| Rate for Payer: PHP Medicare Advantage |
$12,571.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,018.34
|
| Rate for Payer: Priority Health Medicare |
$12,571.67
|
| Rate for Payer: Priority Health Tiered Network |
$20,014.67
|
| Rate for Payer: Railroad Medicare Medicare |
$12,571.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,294.34
|
| Rate for Payer: UHC Core |
$21,161.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,571.67
|
| Rate for Payer: UHC Exchange |
$17,282.40
|
| Rate for Payer: VA VA |
$12,571.67
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$21,543.71
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$10,253.74 |
| Max. Negotiated Rate |
$21,543.71 |
| Rate for Payer: Aetna Medicare |
$11,225.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,491.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,491.76
|
| Rate for Payer: BCBS MAPPO |
$10,793.41
|
| Rate for Payer: BCBS Trust/PPO |
$20,926.75
|
| Rate for Payer: BCN Commercial |
$20,926.75
|
| Rate for Payer: BCN Medicare Advantage |
$10,793.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,793.41
|
| Rate for Payer: Mclaren Medicare |
$10,793.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,333.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,412.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,872.75
|
| Rate for Payer: Nomi Health Commercial |
$17,049.93
|
| Rate for Payer: PACE Medicare |
$10,253.74
|
| Rate for Payer: PACE SWMI |
$10,793.41
|
| Rate for Payer: PHP Medicare Advantage |
$10,793.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,308.63
|
| Rate for Payer: Priority Health Medicare |
$10,793.41
|
| Rate for Payer: Priority Health Tiered Network |
$17,046.90
|
| Rate for Payer: Railroad Medicare Medicare |
$10,793.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,543.71
|
| Rate for Payer: UHC Core |
$18,024.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,793.41
|
| Rate for Payer: UHC Exchange |
$14,719.77
|
| Rate for Payer: VA VA |
$10,793.41
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$41,416.67
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$19,204.88 |
| Max. Negotiated Rate |
$41,416.67 |
| Rate for Payer: Aetna Medicare |
$21,024.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,269.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,269.58
|
| Rate for Payer: BCBS MAPPO |
$20,215.66
|
| Rate for Payer: BCBS Trust/PPO |
$34,711.72
|
| Rate for Payer: BCN Commercial |
$34,711.72
|
| Rate for Payer: BCN Medicare Advantage |
$20,215.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,215.66
|
| Rate for Payer: Mclaren Medicare |
$20,215.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,226.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,248.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$22,237.23
|
| Rate for Payer: Nomi Health Commercial |
$32,777.61
|
| Rate for Payer: PACE Medicare |
$19,204.88
|
| Rate for Payer: PACE SWMI |
$20,215.66
|
| Rate for Payer: PHP Medicare Advantage |
$20,215.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$40,964.75
|
| Rate for Payer: Priority Health Medicare |
$20,215.66
|
| Rate for Payer: Priority Health Tiered Network |
$32,771.79
|
| Rate for Payer: Railroad Medicare Medicare |
$20,215.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,416.67
|
| Rate for Payer: UHC Core |
$34,650.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20,215.66
|
| Rate for Payer: UHC Exchange |
$28,298.00
|
| Rate for Payer: VA VA |
$20,215.66
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$19,379.48
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$8,151.78 |
| Max. Negotiated Rate |
$19,379.48 |
| Rate for Payer: Aetna Medicare |
$8,924.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,726.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,726.02
|
| Rate for Payer: BCBS MAPPO |
$8,580.82
|
| Rate for Payer: BCBS Trust/PPO |
$19,379.48
|
| Rate for Payer: BCN Commercial |
$19,379.48
|
| Rate for Payer: BCN Medicare Advantage |
$8,580.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,580.82
|
| Rate for Payer: Mclaren Medicare |
$8,580.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,009.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,867.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,438.90
|
| Rate for Payer: Nomi Health Commercial |
$13,356.66
|
| Rate for Payer: PACE Medicare |
$8,151.78
|
| Rate for Payer: PACE SWMI |
$8,580.82
|
| Rate for Payer: PHP Medicare Advantage |
$8,580.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,692.86
|
| Rate for Payer: Priority Health Medicare |
$8,580.82
|
| Rate for Payer: Priority Health Tiered Network |
$13,354.29
|
| Rate for Payer: Railroad Medicare Medicare |
$8,580.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,877.02
|
| Rate for Payer: UHC Core |
$14,119.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,580.82
|
| Rate for Payer: UHC Exchange |
$11,531.25
|
| Rate for Payer: VA VA |
$8,580.82
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,829.64
|
|
|
Service Code
|
APR-DRG 4632
|
| Min. Negotiated Rate |
$3,647.28 |
| Max. Negotiated Rate |
$3,829.64 |
| Rate for Payer: BCBS Complete |
$3,829.64
|
| Rate for Payer: Mclaren Medicaid |
$3,647.28
|
| Rate for Payer: Meridian Medicaid |
$3,829.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,647.28
|
| Rate for Payer: UHC Medicaid |
$3,647.28
|
| Rate for Payer: UHCCP Medicaid |
$3,647.28
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,265.27
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$7,871.68 |
| Max. Negotiated Rate |
$8,265.27 |
| Rate for Payer: BCBS Complete |
$8,265.27
|
| Rate for Payer: Mclaren Medicaid |
$7,871.68
|
| Rate for Payer: Meridian Medicaid |
$8,265.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,871.68
|
| Rate for Payer: UHC Medicaid |
$7,871.68
|
| Rate for Payer: UHCCP Medicaid |
$7,871.68
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$5,495.65
|
|
|
Service Code
|
APR-DRG 4633
|
| Min. Negotiated Rate |
$5,233.96 |
| Max. Negotiated Rate |
$5,495.65 |
| Rate for Payer: BCBS Complete |
$5,495.65
|
| Rate for Payer: Mclaren Medicaid |
$5,233.96
|
| Rate for Payer: Meridian Medicaid |
$5,495.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,233.96
|
| Rate for Payer: UHC Medicaid |
$5,233.96
|
| Rate for Payer: UHCCP Medicaid |
$5,233.96
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,066.58
|
|
|
Service Code
|
APR-DRG 4631
|
| Min. Negotiated Rate |
$2,920.55 |
| Max. Negotiated Rate |
$3,066.58 |
| Rate for Payer: BCBS Complete |
$3,066.58
|
| Rate for Payer: Mclaren Medicaid |
$2,920.55
|
| Rate for Payer: Meridian Medicaid |
$3,066.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,920.55
|
| Rate for Payer: UHC Medicaid |
$2,920.55
|
| Rate for Payer: UHCCP Medicaid |
$2,920.55
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$18,912.89
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$9,068.76 |
| Max. Negotiated Rate |
$18,912.89 |
| Rate for Payer: Aetna Medicare |
$9,927.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,932.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,932.58
|
| Rate for Payer: BCBS MAPPO |
$9,546.06
|
| Rate for Payer: BCBS Trust/PPO |
$17,078.48
|
| Rate for Payer: BCN Commercial |
$17,078.48
|
| Rate for Payer: BCN Medicare Advantage |
$9,546.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,546.06
|
| Rate for Payer: Mclaren Medicare |
$9,546.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,023.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,977.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,500.67
|
| Rate for Payer: Nomi Health Commercial |
$14,967.87
|
| Rate for Payer: PACE Medicare |
$9,068.76
|
| Rate for Payer: PACE SWMI |
$9,546.06
|
| Rate for Payer: PHP Medicare Advantage |
$9,546.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,706.52
|
| Rate for Payer: Priority Health Medicare |
$9,546.06
|
| Rate for Payer: Priority Health Tiered Network |
$14,965.21
|
| Rate for Payer: Railroad Medicare Medicare |
$9,546.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,912.89
|
| Rate for Payer: UHC Core |
$15,823.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,546.06
|
| Rate for Payer: UHC Exchange |
$12,922.26
|
| Rate for Payer: VA VA |
$9,546.06
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$13,194.85
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$6,493.25 |
| Max. Negotiated Rate |
$13,194.85 |
| Rate for Payer: Aetna Medicare |
$7,108.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,543.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,543.75
|
| Rate for Payer: BCBS MAPPO |
$6,835.00
|
| Rate for Payer: BCBS Trust/PPO |
$10,812.16
|
| Rate for Payer: BCN Commercial |
$10,812.16
|
| Rate for Payer: BCN Medicare Advantage |
$6,835.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,835.00
|
| Rate for Payer: Mclaren Medicare |
$6,835.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,176.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,860.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,518.50
|
| Rate for Payer: Nomi Health Commercial |
$10,442.55
|
| Rate for Payer: PACE Medicare |
$6,493.25
|
| Rate for Payer: PACE SWMI |
$6,835.00
|
| Rate for Payer: PHP Medicare Advantage |
$6,835.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13,050.87
|
| Rate for Payer: Priority Health Medicare |
$6,835.00
|
| Rate for Payer: Priority Health Tiered Network |
$10,440.70
|
| Rate for Payer: Railroad Medicare Medicare |
$6,835.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,194.85
|
| Rate for Payer: UHC Core |
$11,039.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,835.00
|
| Rate for Payer: UHC Exchange |
$9,015.40
|
| Rate for Payer: VA VA |
$6,835.00
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$6,044.88
|
|
|
Service Code
|
APR-DRG 4612
|
| Min. Negotiated Rate |
$5,757.02 |
| Max. Negotiated Rate |
$6,044.88 |
| Rate for Payer: BCBS Complete |
$6,044.88
|
| Rate for Payer: Mclaren Medicaid |
$5,757.02
|
| Rate for Payer: Meridian Medicaid |
$6,044.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,757.02
|
| Rate for Payer: UHC Medicaid |
$5,757.02
|
| Rate for Payer: UHCCP Medicaid |
$5,757.02
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$15,225.70
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$14,500.67 |
| Max. Negotiated Rate |
$15,225.70 |
| Rate for Payer: BCBS Complete |
$15,225.70
|
| Rate for Payer: Mclaren Medicaid |
$14,500.67
|
| Rate for Payer: Meridian Medicaid |
$15,225.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,500.67
|
| Rate for Payer: UHC Medicaid |
$14,500.67
|
| Rate for Payer: UHCCP Medicaid |
$14,500.67
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,284.11
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$5,032.48 |
| Max. Negotiated Rate |
$5,284.11 |
| Rate for Payer: BCBS Complete |
$5,284.11
|
| Rate for Payer: Mclaren Medicaid |
$5,032.48
|
| Rate for Payer: Meridian Medicaid |
$5,284.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,032.48
|
| Rate for Payer: UHC Medicaid |
$5,032.48
|
| Rate for Payer: UHCCP Medicaid |
$5,032.48
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$8,191.31
|
|
|
Service Code
|
APR-DRG 4613
|
| Min. Negotiated Rate |
$7,801.25 |
| Max. Negotiated Rate |
$8,191.31 |
| Rate for Payer: BCBS Complete |
$8,191.31
|
| Rate for Payer: Mclaren Medicaid |
$7,801.25
|
| Rate for Payer: Meridian Medicaid |
$8,191.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,801.25
|
| Rate for Payer: UHC Medicaid |
$7,801.25
|
| Rate for Payer: UHCCP Medicaid |
$7,801.25
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$19,442.68
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$8,242.82 |
| Max. Negotiated Rate |
$19,442.68 |
| Rate for Payer: Aetna Medicare |
$9,023.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,845.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,845.81
|
| Rate for Payer: BCBS MAPPO |
$8,676.65
|
| Rate for Payer: BCBS Trust/PPO |
$19,442.68
|
| Rate for Payer: BCN Commercial |
$19,442.68
|
| Rate for Payer: BCN Medicare Advantage |
$8,676.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,676.65
|
| Rate for Payer: Mclaren Medicare |
$8,676.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,110.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,978.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,544.32
|
| Rate for Payer: Nomi Health Commercial |
$13,516.62
|
| Rate for Payer: PACE Medicare |
$8,242.82
|
| Rate for Payer: PACE SWMI |
$8,676.65
|
| Rate for Payer: PHP Medicare Advantage |
$8,676.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,892.78
|
| Rate for Payer: Priority Health Medicare |
$8,676.65
|
| Rate for Payer: Priority Health Tiered Network |
$13,514.22
|
| Rate for Payer: Railroad Medicare Medicare |
$8,676.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,079.14
|
| Rate for Payer: UHC Core |
$14,288.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,676.65
|
| Rate for Payer: UHC Exchange |
$11,669.35
|
| Rate for Payer: VA VA |
$8,676.65
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$46,132.49
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$13,792.48 |
| Max. Negotiated Rate |
$46,132.49 |
| Rate for Payer: Aetna Medicare |
$15,099.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,148.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,148.00
|
| Rate for Payer: BCBS MAPPO |
$14,518.40
|
| Rate for Payer: BCBS Trust/PPO |
$46,132.49
|
| Rate for Payer: BCN Commercial |
$46,132.49
|
| Rate for Payer: BCN Medicare Advantage |
$14,518.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,518.40
|
| Rate for Payer: Mclaren Medicare |
$14,518.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,244.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,696.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,970.24
|
| Rate for Payer: Nomi Health Commercial |
$23,267.73
|
| Rate for Payer: PACE Medicare |
$13,792.48
|
| Rate for Payer: PACE SWMI |
$14,518.40
|
| Rate for Payer: PHP Medicare Advantage |
$14,518.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,079.50
|
| Rate for Payer: Priority Health Medicare |
$14,518.40
|
| Rate for Payer: Priority Health Tiered Network |
$23,263.60
|
| Rate for Payer: Railroad Medicare Medicare |
$14,518.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,400.31
|
| Rate for Payer: UHC Core |
$24,597.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,518.40
|
| Rate for Payer: UHC Exchange |
$20,087.81
|
| Rate for Payer: VA VA |
$14,518.40
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,015.75
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$6,352.30 |
| Max. Negotiated Rate |
$16,015.75 |
| Rate for Payer: Aetna Medicare |
$6,954.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,358.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,358.29
|
| Rate for Payer: BCBS MAPPO |
$6,686.63
|
| Rate for Payer: BCBS Trust/PPO |
$16,015.75
|
| Rate for Payer: BCN Commercial |
$16,015.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,686.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,686.63
|
| Rate for Payer: Mclaren Medicare |
$6,686.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,020.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,689.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,355.29
|
| Rate for Payer: Nomi Health Commercial |
$10,194.87
|
| Rate for Payer: PACE Medicare |
$6,352.30
|
| Rate for Payer: PACE SWMI |
$6,686.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,686.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,741.33
|
| Rate for Payer: Priority Health Medicare |
$6,686.63
|
| Rate for Payer: Priority Health Tiered Network |
$10,193.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,686.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,881.89
|
| Rate for Payer: UHC Core |
$10,777.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,686.63
|
| Rate for Payer: UHC Exchange |
$8,801.57
|
| Rate for Payer: VA VA |
$6,686.63
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$10,991.31
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$10,467.91 |
| Max. Negotiated Rate |
$10,991.31 |
| Rate for Payer: BCBS Complete |
$10,991.31
|
| Rate for Payer: Mclaren Medicaid |
$10,467.91
|
| Rate for Payer: Meridian Medicaid |
$10,991.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,467.91
|
| Rate for Payer: UHC Medicaid |
$10,467.91
|
| Rate for Payer: UHCCP Medicaid |
$10,467.91
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$28,486.70
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$27,130.19 |
| Max. Negotiated Rate |
$28,486.70 |
| Rate for Payer: BCBS Complete |
$28,486.70
|
| Rate for Payer: Mclaren Medicaid |
$27,130.19
|
| Rate for Payer: Meridian Medicaid |
$28,486.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,130.19
|
| Rate for Payer: UHC Medicaid |
$27,130.19
|
| Rate for Payer: UHCCP Medicaid |
$27,130.19
|
|
