Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

LOPERAMIDE 2 MG CAPSULE

Facility

$3.22

Service Code	NDC 60687022911
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$2.90
Rate for Payer: Aetna Commercial	$2.74
Rate for Payer: Aetna Medicare	$1.61
Rate for Payer: Aetna New Business (MI Preferred)	$2.09
Rate for Payer: BCBS Complete	$1.29
Rate for Payer: Cash Price	$2.58
Rate for Payer: Cofinity Advantage	$2.25
Rate for Payer: Cofinity Commercial	$2.77
Rate for Payer: Encore Health Key Benefits Commercial	$2.58
Rate for Payer: Healthscope Commercial	$2.90
Rate for Payer: MI Amish Medical Board Commercial	$2.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.74
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.42
Rate for Payer: PHP Commercial	$2.74
Rate for Payer: Priority Health SBD	$2.03
Rate for Payer: UHC All Payor (Choice/PPO)	$2.09
Rate for Payer: UHC Core	$1.68
Rate for Payer: UHC Exchange	$1.27

LOPERAMIDE 2 MG CAPSULE

Facility

$321.12

Service Code	NDC 60687022901
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$126.20
Max. Negotiated Rate	$289.01
Rate for Payer: Aetna Commercial	$272.95
Rate for Payer: Aetna Medicare	$160.56
Rate for Payer: Aetna New Business (MI Preferred)	$208.73
Rate for Payer: BCBS Complete	$128.45
Rate for Payer: Cash Price	$256.90
Rate for Payer: Cofinity Advantage	$224.78
Rate for Payer: Cofinity Commercial	$276.16
Rate for Payer: Encore Health Key Benefits Commercial	$256.90
Rate for Payer: Healthscope Commercial	$289.01
Rate for Payer: MI Amish Medical Board Commercial	$256.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$272.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$240.84
Rate for Payer: PHP Commercial	$272.95
Rate for Payer: Priority Health SBD	$202.31
Rate for Payer: UHC All Payor (Choice/PPO)	$208.73
Rate for Payer: UHC Core	$167.30
Rate for Payer: UHC Exchange	$126.20

LOPERAMIDE 2 MG CAPSULE

Facility

$324.90

Service Code	NDC 00378210001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$127.69
Max. Negotiated Rate	$292.41
Rate for Payer: Aetna Commercial	$276.17
Rate for Payer: Aetna Medicare	$162.45
Rate for Payer: Aetna New Business (MI Preferred)	$211.19
Rate for Payer: BCBS Complete	$129.96
Rate for Payer: Cash Price	$259.92
Rate for Payer: Cofinity Advantage	$227.43
Rate for Payer: Cofinity Commercial	$279.41
Rate for Payer: Encore Health Key Benefits Commercial	$259.92
Rate for Payer: Healthscope Commercial	$292.41
Rate for Payer: MI Amish Medical Board Commercial	$259.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$276.17
Rate for Payer: Opus (Opus Packaging Group) HMA	$243.68
Rate for Payer: PHP Commercial	$276.17
Rate for Payer: Priority Health SBD	$204.69
Rate for Payer: UHC All Payor (Choice/PPO)	$211.19
Rate for Payer: UHC Core	$169.27
Rate for Payer: UHC Exchange	$127.69

LOPERAMIDE 2 MG CAPSULE

Facility

$3.11

Service Code	NDC 51079069001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$2.80
Rate for Payer: Aetna Commercial	$2.64
Rate for Payer: Aetna New Business (MI Preferred)	$2.02
Rate for Payer: Cash Price	$2.49
Rate for Payer: Cofinity Advantage	$2.18
Rate for Payer: Cofinity Commercial	$2.67
Rate for Payer: Encore Health Key Benefits Commercial	$2.49
Rate for Payer: Healthscope Commercial	$2.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.33
Rate for Payer: PHP Commercial	$2.64
Rate for Payer: Priority Health SBD	$1.96

LOPERAMIDE 2 MG CAPSULE

Facility

$324.90

Service Code	NDC 00378210001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$204.69
Max. Negotiated Rate	$292.41
Rate for Payer: Aetna Commercial	$276.17
Rate for Payer: Aetna New Business (MI Preferred)	$211.19
Rate for Payer: Cash Price	$259.92
Rate for Payer: Cofinity Advantage	$227.43
Rate for Payer: Cofinity Commercial	$279.41
Rate for Payer: Encore Health Key Benefits Commercial	$259.92
Rate for Payer: Healthscope Commercial	$292.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$276.17
Rate for Payer: Opus (Opus Packaging Group) HMA	$243.68
Rate for Payer: PHP Commercial	$276.17
Rate for Payer: Priority Health SBD	$204.69

LOPERAMIDE 2 MG CAPSULE

Facility

$310.08

Service Code	NDC 51079069020
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$195.35
Max. Negotiated Rate	$279.07
Rate for Payer: Aetna Commercial	$263.57
Rate for Payer: Aetna New Business (MI Preferred)	$201.55
Rate for Payer: Cash Price	$248.06
Rate for Payer: Cofinity Advantage	$217.06
Rate for Payer: Cofinity Commercial	$266.67
Rate for Payer: Encore Health Key Benefits Commercial	$248.06
Rate for Payer: Healthscope Commercial	$279.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$263.57
Rate for Payer: Opus (Opus Packaging Group) HMA	$232.56
Rate for Payer: PHP Commercial	$263.57
Rate for Payer: Priority Health SBD	$195.35

LOPERAMIDE 2 MG CAPSULE

Facility

$246.24

Service Code	NDC 00904747261
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$221.62
Rate for Payer: Aetna Commercial	$209.30
Rate for Payer: Aetna New Business (MI Preferred)	$160.06
Rate for Payer: Cash Price	$196.99
Rate for Payer: Cofinity Advantage	$172.37
Rate for Payer: Cofinity Commercial	$211.77
Rate for Payer: Encore Health Key Benefits Commercial	$196.99
Rate for Payer: Healthscope Commercial	$221.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$209.30
Rate for Payer: Opus (Opus Packaging Group) HMA	$184.68
Rate for Payer: PHP Commercial	$209.30
Rate for Payer: Priority Health SBD	$155.13

LOPERAMIDE 2 MG CAPSULE

Facility

$310.08

Service Code	NDC 51079069020
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$121.86
Max. Negotiated Rate	$279.07
Rate for Payer: Aetna Commercial	$263.57
Rate for Payer: Aetna Medicare	$155.04
Rate for Payer: Aetna New Business (MI Preferred)	$201.55
Rate for Payer: BCBS Complete	$124.03
Rate for Payer: Cash Price	$248.06
Rate for Payer: Cofinity Advantage	$217.06
Rate for Payer: Cofinity Commercial	$266.67
Rate for Payer: Encore Health Key Benefits Commercial	$248.06
Rate for Payer: Healthscope Commercial	$279.07
Rate for Payer: MI Amish Medical Board Commercial	$248.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$263.57
Rate for Payer: Opus (Opus Packaging Group) HMA	$232.56
Rate for Payer: PHP Commercial	$263.57
Rate for Payer: Priority Health SBD	$195.35
Rate for Payer: UHC All Payor (Choice/PPO)	$201.55
Rate for Payer: UHC Core	$161.55
Rate for Payer: UHC Exchange	$121.86

LOPERAMIDE 2 MG CAPSULE

Facility

$321.12

Service Code	NDC 60687022901
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$202.31
Max. Negotiated Rate	$289.01
Rate for Payer: Aetna Commercial	$272.95
Rate for Payer: Aetna New Business (MI Preferred)	$208.73
Rate for Payer: Cash Price	$256.90
Rate for Payer: Cofinity Advantage	$224.78
Rate for Payer: Cofinity Commercial	$276.16
Rate for Payer: Encore Health Key Benefits Commercial	$256.90
Rate for Payer: Healthscope Commercial	$289.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$272.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$240.84
Rate for Payer: PHP Commercial	$272.95
Rate for Payer: Priority Health SBD	$202.31

LOPERAMIDE 2 MG CAPSULE

Facility

$3.11

Service Code	NDC 51079069001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$2.80
Rate for Payer: Aetna Commercial	$2.64
Rate for Payer: Aetna Medicare	$1.55
Rate for Payer: Aetna New Business (MI Preferred)	$2.02
Rate for Payer: BCBS Complete	$1.24
Rate for Payer: Cash Price	$2.49
Rate for Payer: Cofinity Advantage	$2.18
Rate for Payer: Cofinity Commercial	$2.67
Rate for Payer: Encore Health Key Benefits Commercial	$2.49
Rate for Payer: Healthscope Commercial	$2.80
Rate for Payer: MI Amish Medical Board Commercial	$2.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.33
Rate for Payer: PHP Commercial	$2.64
Rate for Payer: Priority Health SBD	$1.96
Rate for Payer: UHC All Payor (Choice/PPO)	$2.02
Rate for Payer: UHC Core	$1.62
Rate for Payer: UHC Exchange	$1.22

LOPERAMIDE 2 MG CAPSULE

Facility

$3.22

Service Code	NDC 60687022911
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.90
Rate for Payer: Aetna Commercial	$2.74
Rate for Payer: Aetna New Business (MI Preferred)	$2.09
Rate for Payer: Cash Price	$2.58
Rate for Payer: Cofinity Advantage	$2.25
Rate for Payer: Cofinity Commercial	$2.77
Rate for Payer: Encore Health Key Benefits Commercial	$2.58
Rate for Payer: Healthscope Commercial	$2.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.74
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.42
Rate for Payer: PHP Commercial	$2.74
Rate for Payer: Priority Health SBD	$2.03

LORATADINE 10 MG TABLET

Facility

$211.85

Service Code	NDC 00904751161
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$133.47
Max. Negotiated Rate	$190.66
Rate for Payer: Aetna Commercial	$180.07
Rate for Payer: Aetna New Business (MI Preferred)	$137.70
Rate for Payer: Cash Price	$169.48
Rate for Payer: Cofinity Advantage	$148.29
Rate for Payer: Cofinity Commercial	$182.19
Rate for Payer: Encore Health Key Benefits Commercial	$169.48
Rate for Payer: Healthscope Commercial	$190.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$180.07
Rate for Payer: Opus (Opus Packaging Group) HMA	$158.89
Rate for Payer: PHP Commercial	$180.07
Rate for Payer: Priority Health SBD	$133.47

LORATADINE 10 MG TABLET

Facility

$3.19

Service Code	NDC 50268048911
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$2.87
Rate for Payer: Aetna Commercial	$2.71
Rate for Payer: Aetna Medicare	$1.59
Rate for Payer: Aetna New Business (MI Preferred)	$2.07
Rate for Payer: BCBS Complete	$1.28
Rate for Payer: Cash Price	$2.55
Rate for Payer: Cofinity Advantage	$2.23
Rate for Payer: Cofinity Commercial	$2.74
Rate for Payer: Encore Health Key Benefits Commercial	$2.55
Rate for Payer: Healthscope Commercial	$2.87
Rate for Payer: MI Amish Medical Board Commercial	$2.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.71
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.39
Rate for Payer: PHP Commercial	$2.71
Rate for Payer: Priority Health SBD	$2.01
Rate for Payer: UHC All Payor (Choice/PPO)	$2.07
Rate for Payer: UHC Core	$1.66
Rate for Payer: UHC Exchange	$1.25

LORATADINE 10 MG TABLET

Facility

$77.55

Service Code	NDC 70010016201
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$30.48
Max. Negotiated Rate	$69.80
Rate for Payer: Aetna Commercial	$65.92
Rate for Payer: Aetna Medicare	$38.77
Rate for Payer: Aetna New Business (MI Preferred)	$50.41
Rate for Payer: BCBS Complete	$31.02
Rate for Payer: Cash Price	$62.04
Rate for Payer: Cofinity Advantage	$54.28
Rate for Payer: Cofinity Commercial	$66.69
Rate for Payer: Encore Health Key Benefits Commercial	$62.04
Rate for Payer: Healthscope Commercial	$69.80
Rate for Payer: MI Amish Medical Board Commercial	$62.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$58.16
Rate for Payer: PHP Commercial	$65.92
Rate for Payer: Priority Health SBD	$48.86
Rate for Payer: UHC All Payor (Choice/PPO)	$50.41
Rate for Payer: UHC Core	$40.40
Rate for Payer: UHC Exchange	$30.48

LORATADINE 10 MG TABLET

Facility

$232.75

Service Code	NDC 68084024801
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$91.47
Max. Negotiated Rate	$209.47
Rate for Payer: Aetna Commercial	$197.84
Rate for Payer: Aetna Medicare	$116.38
Rate for Payer: Aetna New Business (MI Preferred)	$151.29
Rate for Payer: BCBS Complete	$93.10
Rate for Payer: Cash Price	$186.20
Rate for Payer: Cofinity Advantage	$162.93
Rate for Payer: Cofinity Commercial	$200.16
Rate for Payer: Encore Health Key Benefits Commercial	$186.20
Rate for Payer: Healthscope Commercial	$209.47
Rate for Payer: MI Amish Medical Board Commercial	$186.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$197.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$174.56
Rate for Payer: PHP Commercial	$197.84
Rate for Payer: Priority Health SBD	$146.63
Rate for Payer: UHC All Payor (Choice/PPO)	$151.29
Rate for Payer: UHC Core	$121.26
Rate for Payer: UHC Exchange	$91.47

LORATADINE 10 MG TABLET

Facility

$3.19

Service Code	NDC 50268048911
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$2.87
Rate for Payer: Aetna Commercial	$2.71
Rate for Payer: Aetna New Business (MI Preferred)	$2.07
Rate for Payer: Cash Price	$2.55
Rate for Payer: Cofinity Advantage	$2.23
Rate for Payer: Cofinity Commercial	$2.74
Rate for Payer: Encore Health Key Benefits Commercial	$2.55
Rate for Payer: Healthscope Commercial	$2.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.71
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.39
Rate for Payer: PHP Commercial	$2.71
Rate for Payer: Priority Health SBD	$2.01

LORATADINE 10 MG TABLET

Facility

$77.55

Service Code	NDC 70010016201
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$48.86
Max. Negotiated Rate	$69.80
Rate for Payer: Aetna Commercial	$65.92
Rate for Payer: Aetna New Business (MI Preferred)	$50.41
Rate for Payer: Cash Price	$62.04
Rate for Payer: Cofinity Advantage	$54.28
Rate for Payer: Cofinity Commercial	$66.69
Rate for Payer: Encore Health Key Benefits Commercial	$62.04
Rate for Payer: Healthscope Commercial	$69.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$58.16
Rate for Payer: PHP Commercial	$65.92
Rate for Payer: Priority Health SBD	$48.86

LORATADINE 10 MG TABLET

Facility

$211.85

Service Code	NDC 904685261
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$83.26
Max. Negotiated Rate	$190.66
Rate for Payer: Aetna Commercial	$180.07
Rate for Payer: Aetna Medicare	$105.92
Rate for Payer: Aetna New Business (MI Preferred)	$137.70
Rate for Payer: BCBS Complete	$84.74
Rate for Payer: Cash Price	$169.48
Rate for Payer: Cofinity Advantage	$148.29
Rate for Payer: Cofinity Commercial	$182.19
Rate for Payer: Encore Health Key Benefits Commercial	$169.48
Rate for Payer: Healthscope Commercial	$190.66
Rate for Payer: MI Amish Medical Board Commercial	$169.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$180.07
Rate for Payer: Opus (Opus Packaging Group) HMA	$158.89
Rate for Payer: PHP Commercial	$180.07
Rate for Payer: Priority Health SBD	$133.47
Rate for Payer: UHC All Payor (Choice/PPO)	$137.70
Rate for Payer: UHC Core	$110.37
Rate for Payer: UHC Exchange	$83.26

LORATADINE 10 MG TABLET

Facility

$232.75

Service Code	NDC 51079024620
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$146.63
Max. Negotiated Rate	$209.47
Rate for Payer: Aetna Commercial	$197.84
Rate for Payer: Aetna New Business (MI Preferred)	$151.29
Rate for Payer: Cash Price	$186.20
Rate for Payer: Cofinity Advantage	$162.93
Rate for Payer: Cofinity Commercial	$200.16
Rate for Payer: Encore Health Key Benefits Commercial	$186.20
Rate for Payer: Healthscope Commercial	$209.47
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$197.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$174.56
Rate for Payer: PHP Commercial	$197.84
Rate for Payer: Priority Health SBD	$146.63

LORATADINE 10 MG TABLET

Facility

$159.13

Service Code	NDC 50268048915
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$100.25
Max. Negotiated Rate	$143.22
Rate for Payer: Aetna Commercial	$135.26
Rate for Payer: Aetna New Business (MI Preferred)	$103.43
Rate for Payer: Cash Price	$127.30
Rate for Payer: Cofinity Advantage	$111.39
Rate for Payer: Cofinity Commercial	$136.85
Rate for Payer: Encore Health Key Benefits Commercial	$127.30
Rate for Payer: Healthscope Commercial	$143.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$119.35
Rate for Payer: PHP Commercial	$135.26
Rate for Payer: Priority Health SBD	$100.25

LORATADINE 10 MG TABLET

Facility

$211.85

Service Code	NDC 00904685261
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$83.26
Max. Negotiated Rate	$190.66
Rate for Payer: Aetna Commercial	$180.07
Rate for Payer: Aetna Medicare	$105.92
Rate for Payer: Aetna New Business (MI Preferred)	$137.70
Rate for Payer: BCBS Complete	$84.74
Rate for Payer: Cash Price	$169.48
Rate for Payer: Cofinity Advantage	$148.29
Rate for Payer: Cofinity Commercial	$182.19
Rate for Payer: Encore Health Key Benefits Commercial	$169.48
Rate for Payer: Healthscope Commercial	$190.66
Rate for Payer: MI Amish Medical Board Commercial	$169.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$180.07
Rate for Payer: Opus (Opus Packaging Group) HMA	$158.89
Rate for Payer: PHP Commercial	$180.07
Rate for Payer: Priority Health SBD	$133.47
Rate for Payer: UHC All Payor (Choice/PPO)	$137.70
Rate for Payer: UHC Core	$110.37
Rate for Payer: UHC Exchange	$83.26

LORATADINE 10 MG TABLET

Facility

$232.75

Service Code	NDC 68084024811
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$146.63
Max. Negotiated Rate	$209.47
Rate for Payer: Aetna Commercial	$197.84
Rate for Payer: Aetna New Business (MI Preferred)	$151.29
Rate for Payer: Cash Price	$186.20
Rate for Payer: Cofinity Advantage	$162.93
Rate for Payer: Cofinity Commercial	$200.16
Rate for Payer: Encore Health Key Benefits Commercial	$186.20
Rate for Payer: Healthscope Commercial	$209.47
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$197.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$174.56
Rate for Payer: PHP Commercial	$197.84
Rate for Payer: Priority Health SBD	$146.63

LORATADINE 10 MG TABLET

Facility

$2.33

Service Code	NDC 51079024601
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$2.10
Rate for Payer: Aetna Commercial	$1.98
Rate for Payer: Aetna New Business (MI Preferred)	$1.51
Rate for Payer: Cash Price	$1.86
Rate for Payer: Cofinity Advantage	$1.63
Rate for Payer: Cofinity Commercial	$2.00
Rate for Payer: Encore Health Key Benefits Commercial	$1.86
Rate for Payer: Healthscope Commercial	$2.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.98
Rate for Payer: Opus (Opus Packaging Group) HMA	$1.75
Rate for Payer: PHP Commercial	$1.98
Rate for Payer: Priority Health SBD	$1.47

LORATADINE 10 MG TABLET

Facility

$159.13

Service Code	NDC 50268048915
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$62.54
Max. Negotiated Rate	$143.22
Rate for Payer: Aetna Commercial	$135.26
Rate for Payer: Aetna Medicare	$79.56
Rate for Payer: Aetna New Business (MI Preferred)	$103.43
Rate for Payer: BCBS Complete	$63.65
Rate for Payer: Cash Price	$127.30
Rate for Payer: Cofinity Advantage	$111.39
Rate for Payer: Cofinity Commercial	$136.85
Rate for Payer: Encore Health Key Benefits Commercial	$127.30
Rate for Payer: Healthscope Commercial	$143.22
Rate for Payer: MI Amish Medical Board Commercial	$127.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$119.35
Rate for Payer: PHP Commercial	$135.26
Rate for Payer: Priority Health SBD	$100.25
Rate for Payer: UHC All Payor (Choice/PPO)	$103.43
Rate for Payer: UHC Core	$82.91
Rate for Payer: UHC Exchange	$62.54

LORATADINE 10 MG TABLET

Facility

$2.33

Service Code	NDC 51079024601
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$2.10
Rate for Payer: Aetna Commercial	$1.98
Rate for Payer: Aetna Medicare	$1.17
Rate for Payer: Aetna New Business (MI Preferred)	$1.51
Rate for Payer: BCBS Complete	$0.93
Rate for Payer: Cash Price	$1.86
Rate for Payer: Cofinity Advantage	$1.63
Rate for Payer: Cofinity Commercial	$2.00
Rate for Payer: Encore Health Key Benefits Commercial	$1.86
Rate for Payer: Healthscope Commercial	$2.10
Rate for Payer: MI Amish Medical Board Commercial	$1.86
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1.98
Rate for Payer: Opus (Opus Packaging Group) HMA	$1.75
Rate for Payer: PHP Commercial	$1.98
Rate for Payer: Priority Health SBD	$1.47
Rate for Payer: UHC All Payor (Choice/PPO)	$1.51
Rate for Payer: UHC Core	$1.21
Rate for Payer: UHC Exchange	$0.92

Know your out-of-pocket cost for care.

All Charges