|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$123.38
|
|
|
Service Code
|
NDC 00054023524
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.73 |
| Max. Negotiated Rate |
$111.04 |
| Rate for Payer: Aetna Commercial |
$104.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.20
|
| Rate for Payer: Cash Price |
$98.70
|
| Rate for Payer: Cofinity Advantage |
$86.37
|
| Rate for Payer: Cofinity Commercial |
$106.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.70
|
| Rate for Payer: Healthscope Commercial |
$111.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.53
|
| Rate for Payer: PHP Commercial |
$104.87
|
| Rate for Payer: Priority Health SBD |
$77.73
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$623.00
|
|
|
Service Code
|
NDC 67877067001
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$244.84 |
| Max. Negotiated Rate |
$560.70 |
| Rate for Payer: Aetna Commercial |
$529.55
|
| Rate for Payer: Aetna Medicare |
$311.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$404.95
|
| Rate for Payer: BCBS Complete |
$249.20
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Advantage |
$436.10
|
| Rate for Payer: Cofinity Commercial |
$535.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.40
|
| Rate for Payer: Healthscope Commercial |
$560.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$498.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$529.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$467.25
|
| Rate for Payer: PHP Commercial |
$529.55
|
| Rate for Payer: Priority Health SBD |
$392.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.95
|
| Rate for Payer: UHC Core |
$324.58
|
| Rate for Payer: UHC Exchange |
$244.84
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$511.00
|
|
|
Service Code
|
NDC 60687061701
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$321.93 |
| Max. Negotiated Rate |
$459.90 |
| Rate for Payer: Aetna Commercial |
$434.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.15
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Advantage |
$357.70
|
| Rate for Payer: Cofinity Commercial |
$439.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Healthscope Commercial |
$459.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.25
|
| Rate for Payer: PHP Commercial |
$434.35
|
| Rate for Payer: Priority Health SBD |
$321.93
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$511.00
|
|
|
Service Code
|
NDC 60687061701
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$200.82 |
| Max. Negotiated Rate |
$459.90 |
| Rate for Payer: Aetna Commercial |
$434.35
|
| Rate for Payer: Aetna Medicare |
$255.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.15
|
| Rate for Payer: BCBS Complete |
$204.40
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Advantage |
$357.70
|
| Rate for Payer: Cofinity Commercial |
$439.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Healthscope Commercial |
$459.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$408.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.25
|
| Rate for Payer: PHP Commercial |
$434.35
|
| Rate for Payer: Priority Health SBD |
$321.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.15
|
| Rate for Payer: UHC Core |
$266.23
|
| Rate for Payer: UHC Exchange |
$200.82
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$5.11
|
|
|
Service Code
|
NDC 60687061711
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.22 |
| Max. Negotiated Rate |
$4.60 |
| Rate for Payer: Aetna Commercial |
$4.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.32
|
| Rate for Payer: Cash Price |
$4.09
|
| Rate for Payer: Cofinity Advantage |
$3.58
|
| Rate for Payer: Cofinity Commercial |
$4.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.09
|
| Rate for Payer: Healthscope Commercial |
$4.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.83
|
| Rate for Payer: PHP Commercial |
$4.34
|
| Rate for Payer: Priority Health SBD |
$3.22
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$527.10
|
|
|
Service Code
|
NDC 00406511862
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$332.07 |
| Max. Negotiated Rate |
$474.39 |
| Rate for Payer: Aetna Commercial |
$448.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$342.62
|
| Rate for Payer: Cash Price |
$421.68
|
| Rate for Payer: Cofinity Advantage |
$368.97
|
| Rate for Payer: Cofinity Commercial |
$453.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.68
|
| Rate for Payer: Healthscope Commercial |
$474.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$448.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$395.32
|
| Rate for Payer: PHP Commercial |
$448.04
|
| Rate for Payer: Priority Health SBD |
$332.07
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$5.11
|
|
|
Service Code
|
NDC 60687061711
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.01 |
| Max. Negotiated Rate |
$4.60 |
| Rate for Payer: Aetna Commercial |
$4.34
|
| Rate for Payer: Aetna Medicare |
$2.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.32
|
| Rate for Payer: BCBS Complete |
$2.04
|
| Rate for Payer: Cash Price |
$4.09
|
| Rate for Payer: Cofinity Advantage |
$3.58
|
| Rate for Payer: Cofinity Commercial |
$4.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.09
|
| Rate for Payer: Healthscope Commercial |
$4.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.83
|
| Rate for Payer: PHP Commercial |
$4.34
|
| Rate for Payer: Priority Health SBD |
$3.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.32
|
| Rate for Payer: UHC Core |
$2.66
|
| Rate for Payer: UHC Exchange |
$2.01
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$542.50
|
|
|
Service Code
|
NDC 00054023525
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$213.20 |
| Max. Negotiated Rate |
$488.25 |
| Rate for Payer: Aetna Commercial |
$461.12
|
| Rate for Payer: Aetna Medicare |
$271.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.62
|
| Rate for Payer: BCBS Complete |
$217.00
|
| Rate for Payer: Cash Price |
$434.00
|
| Rate for Payer: Cofinity Advantage |
$379.75
|
| Rate for Payer: Cofinity Commercial |
$466.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.00
|
| Rate for Payer: Healthscope Commercial |
$488.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$434.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$406.88
|
| Rate for Payer: PHP Commercial |
$461.12
|
| Rate for Payer: Priority Health SBD |
$341.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.62
|
| Rate for Payer: UHC Core |
$282.64
|
| Rate for Payer: UHC Exchange |
$213.20
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$542.50
|
|
|
Service Code
|
NDC 00054023525
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$341.77 |
| Max. Negotiated Rate |
$488.25 |
| Rate for Payer: Aetna Commercial |
$461.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.62
|
| Rate for Payer: Cash Price |
$434.00
|
| Rate for Payer: Cofinity Advantage |
$379.75
|
| Rate for Payer: Cofinity Commercial |
$466.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.00
|
| Rate for Payer: Healthscope Commercial |
$488.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$406.88
|
| Rate for Payer: PHP Commercial |
$461.12
|
| Rate for Payer: Priority Health SBD |
$341.77
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$5.28
|
|
|
Service Code
|
NDC 00406511823
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.33 |
| Max. Negotiated Rate |
$4.75 |
| Rate for Payer: Aetna Commercial |
$4.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.43
|
| Rate for Payer: Cash Price |
$4.22
|
| Rate for Payer: Cofinity Advantage |
$3.70
|
| Rate for Payer: Cofinity Commercial |
$4.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.22
|
| Rate for Payer: Healthscope Commercial |
$4.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.96
|
| Rate for Payer: PHP Commercial |
$4.49
|
| Rate for Payer: Priority Health SBD |
$3.33
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$5.28
|
|
|
Service Code
|
NDC 00406511823
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.08 |
| Max. Negotiated Rate |
$4.75 |
| Rate for Payer: Aetna Commercial |
$4.49
|
| Rate for Payer: Aetna Medicare |
$2.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.43
|
| Rate for Payer: BCBS Complete |
$2.11
|
| Rate for Payer: Cash Price |
$4.22
|
| Rate for Payer: Cofinity Advantage |
$3.70
|
| Rate for Payer: Cofinity Commercial |
$4.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.22
|
| Rate for Payer: Healthscope Commercial |
$4.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.96
|
| Rate for Payer: PHP Commercial |
$4.49
|
| Rate for Payer: Priority Health SBD |
$3.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.43
|
| Rate for Payer: UHC Core |
$2.75
|
| Rate for Payer: UHC Exchange |
$2.08
|
|
|
MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS
|
Facility
|
IP
|
$227.49
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
30604
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$143.32 |
| Max. Negotiated Rate |
$204.74 |
| Rate for Payer: Aetna Commercial |
$193.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.87
|
| Rate for Payer: Cash Price |
$181.99
|
| Rate for Payer: Cofinity Advantage |
$159.24
|
| Rate for Payer: Cofinity Commercial |
$195.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$181.99
|
| Rate for Payer: Healthscope Commercial |
$204.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$170.62
|
| Rate for Payer: PHP Commercial |
$193.37
|
| Rate for Payer: Priority Health SBD |
$143.32
|
|
|
MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS
|
Facility
|
OP
|
$227.49
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
30604
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$204.74 |
| Rate for Payer: Aetna Commercial |
$193.37
|
| Rate for Payer: Aetna Medicare |
$113.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.87
|
| Rate for Payer: BCBS Complete |
$91.00
|
| Rate for Payer: BCBS Trust/PPO |
$7.61
|
| Rate for Payer: BCN Commercial |
$7.61
|
| Rate for Payer: Cash Price |
$181.99
|
| Rate for Payer: Cash Price |
$181.99
|
| Rate for Payer: Cofinity Advantage |
$159.24
|
| Rate for Payer: Cofinity Commercial |
$195.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$181.99
|
| Rate for Payer: Healthscope Commercial |
$204.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$181.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$170.62
|
| Rate for Payer: PHP Commercial |
$193.37
|
| Rate for Payer: Priority Health SBD |
$143.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$26.76
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.86 |
| Max. Negotiated Rate |
$24.08 |
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$19.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Cash Price |
$18.50
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Advantage |
$16.18
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$19.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Healthscope Commercial |
$20.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: PHP Commercial |
$19.65
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: Priority Health SBD |
$14.57
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$29.77
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.76 |
| Max. Negotiated Rate |
$26.79 |
| Rate for Payer: Aetna Commercial |
$25.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.35
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cofinity Advantage |
$20.84
|
| Rate for Payer: Cofinity Commercial |
$25.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.82
|
| Rate for Payer: Healthscope Commercial |
$26.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.33
|
| Rate for Payer: PHP Commercial |
$25.30
|
| Rate for Payer: Priority Health SBD |
$18.76
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$29.77
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.17 |
| Max. Negotiated Rate |
$26.79 |
| Rate for Payer: Aetna Commercial |
$25.30
|
| Rate for Payer: Aetna Medicare |
$14.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.35
|
| Rate for Payer: BCBS Complete |
$11.91
|
| Rate for Payer: BCBS Trust/PPO |
$16.97
|
| Rate for Payer: BCN Commercial |
$16.97
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cofinity Advantage |
$20.84
|
| Rate for Payer: Cofinity Commercial |
$25.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.82
|
| Rate for Payer: Healthscope Commercial |
$26.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.33
|
| Rate for Payer: PHP Commercial |
$25.30
|
| Rate for Payer: Priority Health SBD |
$18.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.17
|
| Rate for Payer: UHC Core |
$11.17
|
| Rate for Payer: UHC Exchange |
$11.17
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$26.76
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$24.08 |
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$19.65
|
| Rate for Payer: Aetna Medicare |
$11.56
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.03
|
| Rate for Payer: BCBS Complete |
$9.25
|
| Rate for Payer: BCBS Complete |
$10.70
|
| Rate for Payer: BCBS Trust/PPO |
$7.61
|
| Rate for Payer: BCBS Trust/PPO |
$7.61
|
| Rate for Payer: BCN Commercial |
$7.61
|
| Rate for Payer: BCN Commercial |
$7.61
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.50
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.50
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Advantage |
$16.18
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$19.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Healthscope Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.34
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$19.65
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: Priority Health SBD |
$14.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
|
|
MORPHINE 30 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$837.90
|
|
|
Service Code
|
NDC 00054023624
|
| Hospital Charge Code |
5179
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$329.29 |
| Max. Negotiated Rate |
$754.11 |
| Rate for Payer: Aetna Commercial |
$712.22
|
| Rate for Payer: Aetna Medicare |
$418.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.63
|
| Rate for Payer: BCBS Complete |
$335.16
|
| Rate for Payer: Cash Price |
$670.32
|
| Rate for Payer: Cofinity Advantage |
$586.53
|
| Rate for Payer: Cofinity Commercial |
$720.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$670.32
|
| Rate for Payer: Healthscope Commercial |
$754.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$670.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$712.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$628.42
|
| Rate for Payer: PHP Commercial |
$712.22
|
| Rate for Payer: Priority Health SBD |
$527.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$544.63
|
| Rate for Payer: UHC Core |
$436.55
|
| Rate for Payer: UHC Exchange |
$329.29
|
|
|
MORPHINE 30 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$837.90
|
|
|
Service Code
|
NDC 00054023624
|
| Hospital Charge Code |
5179
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$527.88 |
| Max. Negotiated Rate |
$754.11 |
| Rate for Payer: Aetna Commercial |
$712.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.63
|
| Rate for Payer: Cash Price |
$670.32
|
| Rate for Payer: Cofinity Advantage |
$586.53
|
| Rate for Payer: Cofinity Commercial |
$720.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$670.32
|
| Rate for Payer: Healthscope Commercial |
$754.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$712.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$628.42
|
| Rate for Payer: PHP Commercial |
$712.22
|
| Rate for Payer: Priority Health SBD |
$527.88
|
|
|
MORPHINE 30 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$938.00
|
|
|
Service Code
|
NDC 00054023625
|
| Hospital Charge Code |
5179
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$368.63 |
| Max. Negotiated Rate |
$844.20 |
| Rate for Payer: Aetna Commercial |
$797.30
|
| Rate for Payer: Aetna Medicare |
$469.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.70
|
| Rate for Payer: BCBS Complete |
$375.20
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Advantage |
$656.60
|
| Rate for Payer: Cofinity Commercial |
$806.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.40
|
| Rate for Payer: Healthscope Commercial |
$844.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$750.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$703.50
|
| Rate for Payer: PHP Commercial |
$797.30
|
| Rate for Payer: Priority Health SBD |
$590.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$609.70
|
| Rate for Payer: UHC Core |
$488.70
|
| Rate for Payer: UHC Exchange |
$368.63
|
|
|
MORPHINE 30 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$938.00
|
|
|
Service Code
|
NDC 00054023625
|
| Hospital Charge Code |
5179
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$590.94 |
| Max. Negotiated Rate |
$844.20 |
| Rate for Payer: Aetna Commercial |
$797.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.70
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Advantage |
$656.60
|
| Rate for Payer: Cofinity Commercial |
$806.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.40
|
| Rate for Payer: Healthscope Commercial |
$844.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$703.50
|
| Rate for Payer: PHP Commercial |
$797.30
|
| Rate for Payer: Priority Health SBD |
$590.94
|
|
|
MORPHINE 4 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$30.64
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
186563
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.17 |
| Max. Negotiated Rate |
$27.58 |
| Rate for Payer: Aetna Commercial |
$26.04
|
| Rate for Payer: Aetna Medicare |
$15.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.92
|
| Rate for Payer: BCBS Complete |
$12.26
|
| Rate for Payer: BCBS Trust/PPO |
$16.97
|
| Rate for Payer: BCN Commercial |
$16.97
|
| Rate for Payer: Cash Price |
$24.51
|
| Rate for Payer: Cash Price |
$24.51
|
| Rate for Payer: Cofinity Advantage |
$21.45
|
| Rate for Payer: Cofinity Commercial |
$26.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.51
|
| Rate for Payer: Healthscope Commercial |
$27.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.98
|
| Rate for Payer: PHP Commercial |
$26.04
|
| Rate for Payer: Priority Health SBD |
$19.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.17
|
| Rate for Payer: UHC Core |
$11.17
|
| Rate for Payer: UHC Exchange |
$11.17
|
|
|
MORPHINE 4 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$30.64
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
186563
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.30 |
| Max. Negotiated Rate |
$27.58 |
| Rate for Payer: Aetna Commercial |
$26.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.92
|
| Rate for Payer: Cash Price |
$24.51
|
| Rate for Payer: Cofinity Advantage |
$21.45
|
| Rate for Payer: Cofinity Commercial |
$26.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.51
|
| Rate for Payer: Healthscope Commercial |
$27.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.98
|
| Rate for Payer: PHP Commercial |
$26.04
|
| Rate for Payer: Priority Health SBD |
$19.30
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$16.93
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.67 |
| Max. Negotiated Rate |
$15.24 |
| Rate for Payer: Aetna Commercial |
$14.39
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.78
|
| Rate for Payer: Cash Price |
$13.54
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Advantage |
$11.85
|
| Rate for Payer: Cofinity Advantage |
$18.07
|
| Rate for Payer: Cofinity Commercial |
$14.56
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.54
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Healthscope Commercial |
$15.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.36
|
| Rate for Payer: PHP Commercial |
$14.39
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: Priority Health SBD |
$10.67
|
| Rate for Payer: Priority Health SBD |
$16.26
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$26.76
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$24.08 |
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Medicare |
$11.43
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.85
|
| Rate for Payer: BCBS Complete |
$9.14
|
| Rate for Payer: BCBS Complete |
$10.70
|
| Rate for Payer: BCBS Trust/PPO |
$7.61
|
| Rate for Payer: BCBS Trust/PPO |
$7.61
|
| Rate for Payer: BCN Commercial |
$7.61
|
| Rate for Payer: BCN Commercial |
$7.61
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Advantage |
$15.99
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Healthscope Commercial |
$20.57
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: Priority Health SBD |
$14.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
|
