|
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,209.88
|
|
|
Service Code
|
APR-DRG 3421
|
| Min. Negotiated Rate |
$4,009.40 |
| Max. Negotiated Rate |
$4,209.88 |
| Rate for Payer: BCBS Complete |
$4,209.88
|
| Rate for Payer: Mclaren Medicaid |
$4,009.40
|
| Rate for Payer: Meridian Medicaid |
$4,209.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,009.40
|
| Rate for Payer: UHC Medicaid |
$4,009.40
|
| Rate for Payer: UHCCP Medicaid |
$4,009.40
|
|
|
FRAXEL ARMS - BILATERAL
|
Professional
|
Both
|
$1,051.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$420.40 |
| Max. Negotiated Rate |
$788.25 |
| Rate for Payer: Aetna Medicare |
$525.50
|
| Rate for Payer: BCBS Complete |
$420.40
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$788.25
|
|
|
FRAXEL CHEST
|
Professional
|
Both
|
$840.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$336.00 |
| Max. Negotiated Rate |
$630.00 |
| Rate for Payer: Aetna Medicare |
$420.00
|
| Rate for Payer: BCBS Complete |
$336.00
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$630.00
|
|
|
FRAXEL FACE & NECK
|
Professional
|
Both
|
$1,051.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$420.40 |
| Max. Negotiated Rate |
$788.25 |
| Rate for Payer: Aetna Medicare |
$525.50
|
| Rate for Payer: BCBS Complete |
$420.40
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$788.25
|
|
|
FRAXEL FULL FACE
|
Professional
|
Both
|
$630.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$252.00 |
| Max. Negotiated Rate |
$472.50 |
| Rate for Payer: Aetna Medicare |
$315.00
|
| Rate for Payer: BCBS Complete |
$252.00
|
| Rate for Payer: Cash Price |
$504.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$472.50
|
|
|
FRAXEL HANDS
|
Professional
|
Both
|
$368.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$147.20 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Medicare |
$184.00
|
| Rate for Payer: BCBS Complete |
$147.20
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
|
|
FRAXEL LARGE SCAR
|
Professional
|
Both
|
$840.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$336.00 |
| Max. Negotiated Rate |
$630.00 |
| Rate for Payer: Aetna Medicare |
$420.00
|
| Rate for Payer: BCBS Complete |
$336.00
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$630.00
|
|
|
FRAXEL MEDIUM SCAR
|
Professional
|
Both
|
$315.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$126.00 |
| Max. Negotiated Rate |
$236.25 |
| Rate for Payer: Aetna Medicare |
$157.50
|
| Rate for Payer: BCBS Complete |
$126.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
|
|
FRAXEL NECK
|
Professional
|
Both
|
$420.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$168.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Aetna Medicare |
$210.00
|
| Rate for Payer: BCBS Complete |
$168.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.00
|
|
|
FRAXEL NECK & CHEST
|
Professional
|
Both
|
$1,261.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$504.40 |
| Max. Negotiated Rate |
$945.75 |
| Rate for Payer: Aetna Medicare |
$630.50
|
| Rate for Payer: BCBS Complete |
$504.40
|
| Rate for Payer: Cash Price |
$1,008.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$945.75
|
|
|
FRAXEL PARTIAL TREATMENT - BILATERAL EYES
|
Professional
|
Both
|
$315.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$126.00 |
| Max. Negotiated Rate |
$236.25 |
| Rate for Payer: Aetna Medicare |
$157.50
|
| Rate for Payer: BCBS Complete |
$126.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
|
|
FRAXEL PARTIAL TREATMENT - PERI-ORAL
|
Professional
|
Both
|
$525.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$210.00 |
| Max. Negotiated Rate |
$393.75 |
| Rate for Payer: Aetna Medicare |
$262.50
|
| Rate for Payer: BCBS Complete |
$210.00
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$393.75
|
|
|
FRAXEL PARTIAL TREATMENT - UPPER LIP
|
Professional
|
Both
|
$263.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$105.20 |
| Max. Negotiated Rate |
$197.25 |
| Rate for Payer: Aetna Medicare |
$131.50
|
| Rate for Payer: BCBS Complete |
$105.20
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.25
|
|
|
FRAXEL RESTORE
|
Professional
|
Both
|
$263.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$105.20 |
| Max. Negotiated Rate |
$197.25 |
| Rate for Payer: Aetna Medicare |
$131.50
|
| Rate for Payer: BCBS Complete |
$105.20
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.25
|
|
|
FRAXEL SMALL SCAR
|
Professional
|
Both
|
$132.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna Medicare |
$66.00
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.00
|
|
|
FRAXEL STRETCH MARKS - ENTIRE ABDOMEN
|
Professional
|
Both
|
$840.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$336.00 |
| Max. Negotiated Rate |
$630.00 |
| Rate for Payer: Aetna Medicare |
$420.00
|
| Rate for Payer: BCBS Complete |
$336.00
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$630.00
|
|
|
FRAXEL STRETCH MARKS - PERI-UMBILICAL
|
Professional
|
Both
|
$630.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$252.00 |
| Max. Negotiated Rate |
$472.50 |
| Rate for Payer: Aetna Medicare |
$315.00
|
| Rate for Payer: BCBS Complete |
$252.00
|
| Rate for Payer: Cash Price |
$504.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$472.50
|
|
|
FUROSEMIDE 10 MG/ML INJECTION (CODE)
|
Facility
|
OP
|
$28.07
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
163713
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.95 |
| Max. Negotiated Rate |
$25.26 |
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Commercial |
$14.49
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$17.16
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Medicare |
$6.12
|
| Rate for Payer: Aetna Medicare |
$5.12
|
| Rate for Payer: Aetna Medicare |
$4.43
|
| Rate for Payer: Aetna Medicare |
$7.30
|
| Rate for Payer: Aetna Medicare |
$5.25
|
| Rate for Payer: Aetna Medicare |
$6.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.36
|
| Rate for Payer: BCBS Complete |
$3.74
|
| Rate for Payer: BCBS Complete |
$4.71
|
| Rate for Payer: BCBS Complete |
$3.64
|
| Rate for Payer: BCBS Complete |
$3.16
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS Complete |
$4.36
|
| Rate for Payer: BCBS MAPPO |
$5.89
|
| Rate for Payer: BCBS MAPPO |
$7.02
|
| Rate for Payer: BCBS MAPPO |
$6.37
|
| Rate for Payer: BCBS MAPPO |
$4.92
|
| Rate for Payer: BCBS MAPPO |
$4.26
|
| Rate for Payer: BCBS MAPPO |
$5.05
|
| Rate for Payer: BCBS Trust/PPO |
$14.02
|
| Rate for Payer: BCBS Trust/PPO |
$20.94
|
| Rate for Payer: BCBS Trust/PPO |
$16.19
|
| Rate for Payer: BCBS Trust/PPO |
$16.60
|
| Rate for Payer: BCBS Trust/PPO |
$19.36
|
| Rate for Payer: BCBS Trust/PPO |
$23.08
|
| Rate for Payer: BCN Commercial |
$16.60
|
| Rate for Payer: BCN Commercial |
$19.36
|
| Rate for Payer: BCN Commercial |
$14.02
|
| Rate for Payer: BCN Commercial |
$16.19
|
| Rate for Payer: BCN Commercial |
$20.94
|
| Rate for Payer: BCN Commercial |
$23.08
|
| Rate for Payer: BCN Medicare Advantage |
$6.37
|
| Rate for Payer: BCN Medicare Advantage |
$7.02
|
| Rate for Payer: BCN Medicare Advantage |
$5.05
|
| Rate for Payer: BCN Medicare Advantage |
$4.26
|
| Rate for Payer: BCN Medicare Advantage |
$5.89
|
| Rate for Payer: BCN Medicare Advantage |
$4.92
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$17.36
|
| Rate for Payer: Cofinity Commercial |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.92
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Healthscope Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.14
|
| Rate for Payer: Mclaren Medicaid |
$3.47
|
| Rate for Payer: Mclaren Medicaid |
$3.01
|
| Rate for Payer: Mclaren Medicaid |
$3.56
|
| Rate for Payer: Mclaren Medicaid |
$4.15
|
| Rate for Payer: Mclaren Medicaid |
$4.49
|
| Rate for Payer: Mclaren Medicaid |
$4.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.30
|
| Rate for Payer: Meridian Medicaid |
$4.71
|
| Rate for Payer: Meridian Medicaid |
$5.20
|
| Rate for Payer: Meridian Medicaid |
$3.64
|
| Rate for Payer: Meridian Medicaid |
$3.16
|
| Rate for Payer: Meridian Medicaid |
$3.74
|
| Rate for Payer: Meridian Medicaid |
$4.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Nomi Health Commercial |
$16.56
|
| Rate for Payer: Nomi Health Commercial |
$19.31
|
| Rate for Payer: Nomi Health Commercial |
$13.98
|
| Rate for Payer: Nomi Health Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$23.02
|
| Rate for Payer: Nomi Health Commercial |
$16.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: PACE Senior Care Partners |
$4.80
|
| Rate for Payer: PACE Senior Care Partners |
$4.68
|
| Rate for Payer: PACE Senior Care Partners |
$5.59
|
| Rate for Payer: PACE Senior Care Partners |
$6.05
|
| Rate for Payer: PACE Senior Care Partners |
$4.05
|
| Rate for Payer: PACE Senior Care Partners |
$6.67
|
| Rate for Payer: PACE SWMI |
$4.92
|
| Rate for Payer: PACE SWMI |
$5.89
|
| Rate for Payer: PACE SWMI |
$7.02
|
| Rate for Payer: PACE SWMI |
$4.26
|
| Rate for Payer: PACE SWMI |
$6.37
|
| Rate for Payer: PACE SWMI |
$5.05
|
| Rate for Payer: PHP Commercial |
$17.16
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$14.49
|
| Rate for Payer: PHP Medicare Advantage |
$7.02
|
| Rate for Payer: PHP Medicare Advantage |
$4.92
|
| Rate for Payer: PHP Medicare Advantage |
$6.37
|
| Rate for Payer: PHP Medicare Advantage |
$4.26
|
| Rate for Payer: PHP Medicare Advantage |
$5.89
|
| Rate for Payer: PHP Medicare Advantage |
$5.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.42
|
| Rate for Payer: Priority Health Medicare |
$4.31
|
| Rate for Payer: Priority Health Medicare |
$7.09
|
| Rate for Payer: Priority Health Medicare |
$4.97
|
| Rate for Payer: Priority Health Medicare |
$5.95
|
| Rate for Payer: Priority Health Medicare |
$5.10
|
| Rate for Payer: Priority Health Medicare |
$6.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.39
|
| Rate for Payer: Railroad Medicare Medicare |
$4.26
|
| Rate for Payer: Railroad Medicare Medicare |
$6.37
|
| Rate for Payer: Railroad Medicare Medicare |
$5.89
|
| Rate for Payer: Railroad Medicare Medicare |
$4.92
|
| Rate for Payer: Railroad Medicare Medicare |
$5.05
|
| Rate for Payer: Railroad Medicare Medicare |
$7.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.00
|
| Rate for Payer: UHC Core |
$16.86
|
| Rate for Payer: UHC Core |
$21.27
|
| Rate for Payer: UHC Core |
$19.66
|
| Rate for Payer: UHC Core |
$23.44
|
| Rate for Payer: UHC Core |
$14.24
|
| Rate for Payer: UHC Core |
$16.44
|
| Rate for Payer: UHC Exchange |
$4.92
|
| Rate for Payer: UHC Exchange |
$4.26
|
| Rate for Payer: UHC Exchange |
$5.89
|
| Rate for Payer: UHC Exchange |
$5.05
|
| Rate for Payer: UHC Exchange |
$6.37
|
| Rate for Payer: UHC Exchange |
$7.02
|
| Rate for Payer: UHC Medicaid |
$4.49
|
| Rate for Payer: UHC Medicaid |
$4.15
|
| Rate for Payer: UHC Medicaid |
$3.47
|
| Rate for Payer: UHC Medicaid |
$3.56
|
| Rate for Payer: UHC Medicaid |
$3.01
|
| Rate for Payer: UHC Medicaid |
$4.95
|
| Rate for Payer: UHC Medicare Advantage |
$4.92
|
| Rate for Payer: UHC Medicare Advantage |
$6.37
|
| Rate for Payer: UHC Medicare Advantage |
$5.89
|
| Rate for Payer: UHC Medicare Advantage |
$5.05
|
| Rate for Payer: UHC Medicare Advantage |
$4.26
|
| Rate for Payer: UHC Medicare Advantage |
$7.02
|
| Rate for Payer: UHCCP Medicaid |
$4.49
|
| Rate for Payer: UHCCP Medicaid |
$4.15
|
| Rate for Payer: UHCCP Medicaid |
$3.56
|
| Rate for Payer: UHCCP Medicaid |
$3.47
|
| Rate for Payer: UHCCP Medicaid |
$3.01
|
| Rate for Payer: UHCCP Medicaid |
$4.95
|
| Rate for Payer: VA VA |
$5.05
|
| Rate for Payer: VA VA |
$4.92
|
| Rate for Payer: VA VA |
$6.37
|
| Rate for Payer: VA VA |
$5.89
|
| Rate for Payer: VA VA |
$4.26
|
| Rate for Payer: VA VA |
$7.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.14
|
|
|
FUROSEMIDE 10 MG/ML INJECTION (CODE)
|
Facility
|
IP
|
$28.07
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
163713
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.54 |
| Max. Negotiated Rate |
$25.26 |
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$14.49
|
| Rate for Payer: Aetna Commercial |
$17.16
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: BCBS Trust/PPO |
$23.18
|
| Rate for Payer: BCBS Trust/PPO |
$19.45
|
| Rate for Payer: BCBS Trust/PPO |
$21.04
|
| Rate for Payer: BCBS Trust/PPO |
$16.26
|
| Rate for Payer: BCBS Trust/PPO |
$14.08
|
| Rate for Payer: BCBS Trust/PPO |
$16.67
|
| Rate for Payer: BCN Commercial |
$21.04
|
| Rate for Payer: BCN Commercial |
$19.45
|
| Rate for Payer: BCN Commercial |
$14.08
|
| Rate for Payer: BCN Commercial |
$16.67
|
| Rate for Payer: BCN Commercial |
$23.18
|
| Rate for Payer: BCN Commercial |
$16.26
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Cofinity Commercial |
$17.36
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Healthscope Commercial |
$18.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.16
|
| Rate for Payer: Nomi Health Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$13.98
|
| Rate for Payer: Nomi Health Commercial |
$16.15
|
| Rate for Payer: Nomi Health Commercial |
$19.31
|
| Rate for Payer: Nomi Health Commercial |
$16.56
|
| Rate for Payer: Nomi Health Commercial |
$23.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: PHP Commercial |
$14.49
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$17.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.70
|
| Rate for Payer: UHC Core |
$23.44
|
| Rate for Payer: UHC Core |
$16.44
|
| Rate for Payer: UHC Core |
$16.86
|
| Rate for Payer: UHC Core |
$21.27
|
| Rate for Payer: UHC Core |
$19.66
|
| Rate for Payer: UHC Core |
$14.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.79
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$8.15
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
3291
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.67 |
| Max. Negotiated Rate |
$7.33 |
| Rate for Payer: Aetna Commercial |
$6.93
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$14.49
|
| Rate for Payer: Aetna Commercial |
$13.60
|
| Rate for Payer: Aetna Commercial |
$12.49
|
| Rate for Payer: Aetna Commercial |
$17.16
|
| Rate for Payer: Aetna Commercial |
$9.64
|
| Rate for Payer: Aetna Commercial |
$23.96
|
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$8.73
|
| Rate for Payer: Aetna Commercial |
$11.88
|
| Rate for Payer: Aetna Commercial |
$12.88
|
| Rate for Payer: BCBS Trust/PPO |
$8.48
|
| Rate for Payer: BCBS Trust/PPO |
$23.28
|
| Rate for Payer: BCBS Trust/PPO |
$16.67
|
| Rate for Payer: BCBS Trust/PPO |
$23.18
|
| Rate for Payer: BCBS Trust/PPO |
$11.55
|
| Rate for Payer: BCBS Trust/PPO |
$19.45
|
| Rate for Payer: BCBS Trust/PPO |
$13.21
|
| Rate for Payer: BCBS Trust/PPO |
$16.26
|
| Rate for Payer: BCBS Trust/PPO |
$12.51
|
| Rate for Payer: BCBS Trust/PPO |
$12.14
|
| Rate for Payer: BCBS Trust/PPO |
$14.08
|
| Rate for Payer: BCBS Trust/PPO |
$6.73
|
| Rate for Payer: BCBS Trust/PPO |
$21.04
|
| Rate for Payer: BCBS Trust/PPO |
$9.37
|
| Rate for Payer: BCN Commercial |
$12.14
|
| Rate for Payer: BCN Commercial |
$13.21
|
| Rate for Payer: BCN Commercial |
$23.18
|
| Rate for Payer: BCN Commercial |
$11.55
|
| Rate for Payer: BCN Commercial |
$21.04
|
| Rate for Payer: BCN Commercial |
$23.28
|
| Rate for Payer: BCN Commercial |
$16.67
|
| Rate for Payer: BCN Commercial |
$8.48
|
| Rate for Payer: BCN Commercial |
$14.08
|
| Rate for Payer: BCN Commercial |
$19.45
|
| Rate for Payer: BCN Commercial |
$9.37
|
| Rate for Payer: BCN Commercial |
$12.51
|
| Rate for Payer: BCN Commercial |
$16.26
|
| Rate for Payer: BCN Commercial |
$6.73
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$12.12
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cash Price |
$9.07
|
| Rate for Payer: Cash Price |
$11.18
|
| Rate for Payer: Cash Price |
$11.76
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$22.55
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$9.75
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$13.03
|
| Rate for Payer: Cofinity Commercial |
$12.02
|
| Rate for Payer: Cofinity Commercial |
$12.64
|
| Rate for Payer: Cofinity Commercial |
$8.83
|
| Rate for Payer: Cofinity Commercial |
$17.36
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.80
|
| Rate for Payer: Healthscope Commercial |
$13.63
|
| Rate for Payer: Healthscope Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Healthscope Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Healthscope Commercial |
$14.40
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$9.24
|
| Rate for Payer: Healthscope Commercial |
$12.58
|
| Rate for Payer: Healthscope Commercial |
$10.21
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$13.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Nomi Health Commercial |
$19.31
|
| Rate for Payer: Nomi Health Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$16.15
|
| Rate for Payer: Nomi Health Commercial |
$16.56
|
| Rate for Payer: Nomi Health Commercial |
$6.68
|
| Rate for Payer: Nomi Health Commercial |
$12.05
|
| Rate for Payer: Nomi Health Commercial |
$23.12
|
| Rate for Payer: Nomi Health Commercial |
$12.42
|
| Rate for Payer: Nomi Health Commercial |
$13.98
|
| Rate for Payer: Nomi Health Commercial |
$13.12
|
| Rate for Payer: Nomi Health Commercial |
$11.46
|
| Rate for Payer: Nomi Health Commercial |
$23.02
|
| Rate for Payer: Nomi Health Commercial |
$8.42
|
| Rate for Payer: Nomi Health Commercial |
$9.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.14
|
| Rate for Payer: PHP Commercial |
$9.64
|
| Rate for Payer: PHP Commercial |
$11.88
|
| Rate for Payer: PHP Commercial |
$6.93
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$14.49
|
| Rate for Payer: PHP Commercial |
$23.96
|
| Rate for Payer: PHP Commercial |
$12.49
|
| Rate for Payer: PHP Commercial |
$8.73
|
| Rate for Payer: PHP Commercial |
$12.88
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$17.16
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$13.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.70
|
| Rate for Payer: UHC Core |
$12.27
|
| Rate for Payer: UHC Core |
$8.58
|
| Rate for Payer: UHC Core |
$11.67
|
| Rate for Payer: UHC Core |
$19.66
|
| Rate for Payer: UHC Core |
$9.47
|
| Rate for Payer: UHC Core |
$13.36
|
| Rate for Payer: UHC Core |
$21.27
|
| Rate for Payer: UHC Core |
$16.44
|
| Rate for Payer: UHC Core |
$23.44
|
| Rate for Payer: UHC Core |
$6.81
|
| Rate for Payer: UHC Core |
$23.54
|
| Rate for Payer: UHC Core |
$12.65
|
| Rate for Payer: UHC Core |
$14.24
|
| Rate for Payer: UHC Core |
$16.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.48
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$11.34
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
3291
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$10.21 |
| Rate for Payer: Aetna Commercial |
$9.64
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Commercial |
$12.88
|
| Rate for Payer: Aetna Commercial |
$12.49
|
| Rate for Payer: Aetna Commercial |
$8.73
|
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Commercial |
$13.60
|
| Rate for Payer: Aetna Commercial |
$11.88
|
| Rate for Payer: Aetna Commercial |
$23.96
|
| Rate for Payer: Aetna Commercial |
$6.93
|
| Rate for Payer: Aetna Commercial |
$17.16
|
| Rate for Payer: Aetna Commercial |
$14.49
|
| Rate for Payer: Aetna Medicare |
$7.33
|
| Rate for Payer: Aetna Medicare |
$4.43
|
| Rate for Payer: Aetna Medicare |
$2.95
|
| Rate for Payer: Aetna Medicare |
$2.67
|
| Rate for Payer: Aetna Medicare |
$5.12
|
| Rate for Payer: Aetna Medicare |
$6.62
|
| Rate for Payer: Aetna Medicare |
$4.16
|
| Rate for Payer: Aetna Medicare |
$3.94
|
| Rate for Payer: Aetna Medicare |
$3.82
|
| Rate for Payer: Aetna Medicare |
$3.63
|
| Rate for Payer: Aetna Medicare |
$2.12
|
| Rate for Payer: Aetna Medicare |
$5.25
|
| Rate for Payer: Aetna Medicare |
$7.30
|
| Rate for Payer: Aetna Medicare |
$6.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.15
|
| Rate for Payer: BCBS Complete |
$3.74
|
| Rate for Payer: BCBS Complete |
$3.64
|
| Rate for Payer: BCBS Complete |
$5.22
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: BCBS Complete |
$3.16
|
| Rate for Payer: BCBS Complete |
$4.71
|
| Rate for Payer: BCBS Complete |
$1.51
|
| Rate for Payer: BCBS Complete |
$2.59
|
| Rate for Payer: BCBS Complete |
$2.72
|
| Rate for Payer: BCBS Complete |
$1.90
|
| Rate for Payer: BCBS Complete |
$2.10
|
| Rate for Payer: BCBS Complete |
$4.36
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS Complete |
$2.96
|
| Rate for Payer: BCBS MAPPO |
$3.67
|
| Rate for Payer: BCBS MAPPO |
$5.05
|
| Rate for Payer: BCBS MAPPO |
$2.04
|
| Rate for Payer: BCBS MAPPO |
$3.79
|
| Rate for Payer: BCBS MAPPO |
$4.92
|
| Rate for Payer: BCBS MAPPO |
$7.05
|
| Rate for Payer: BCBS MAPPO |
$3.50
|
| Rate for Payer: BCBS MAPPO |
$4.00
|
| Rate for Payer: BCBS MAPPO |
$7.02
|
| Rate for Payer: BCBS MAPPO |
$2.83
|
| Rate for Payer: BCBS MAPPO |
$2.57
|
| Rate for Payer: BCBS MAPPO |
$5.89
|
| Rate for Payer: BCBS MAPPO |
$6.37
|
| Rate for Payer: BCBS MAPPO |
$4.26
|
| Rate for Payer: BCBS Trust/PPO |
$20.94
|
| Rate for Payer: BCBS Trust/PPO |
$23.08
|
| Rate for Payer: BCBS Trust/PPO |
$23.17
|
| Rate for Payer: BCBS Trust/PPO |
$14.02
|
| Rate for Payer: BCBS Trust/PPO |
$9.32
|
| Rate for Payer: BCBS Trust/PPO |
$19.36
|
| Rate for Payer: BCBS Trust/PPO |
$6.70
|
| Rate for Payer: BCBS Trust/PPO |
$12.08
|
| Rate for Payer: BCBS Trust/PPO |
$11.49
|
| Rate for Payer: BCBS Trust/PPO |
$13.15
|
| Rate for Payer: BCBS Trust/PPO |
$16.19
|
| Rate for Payer: BCBS Trust/PPO |
$16.60
|
| Rate for Payer: BCBS Trust/PPO |
$12.45
|
| Rate for Payer: BCBS Trust/PPO |
$8.44
|
| Rate for Payer: BCN Commercial |
$6.70
|
| Rate for Payer: BCN Commercial |
$11.49
|
| Rate for Payer: BCN Commercial |
$13.15
|
| Rate for Payer: BCN Commercial |
$8.44
|
| Rate for Payer: BCN Commercial |
$9.32
|
| Rate for Payer: BCN Commercial |
$16.19
|
| Rate for Payer: BCN Commercial |
$20.94
|
| Rate for Payer: BCN Commercial |
$23.08
|
| Rate for Payer: BCN Commercial |
$12.45
|
| Rate for Payer: BCN Commercial |
$16.60
|
| Rate for Payer: BCN Commercial |
$12.08
|
| Rate for Payer: BCN Commercial |
$19.36
|
| Rate for Payer: BCN Commercial |
$23.17
|
| Rate for Payer: BCN Commercial |
$14.02
|
| Rate for Payer: BCN Medicare Advantage |
$7.05
|
| Rate for Payer: BCN Medicare Advantage |
$7.02
|
| Rate for Payer: BCN Medicare Advantage |
$3.67
|
| Rate for Payer: BCN Medicare Advantage |
$2.83
|
| Rate for Payer: BCN Medicare Advantage |
$3.79
|
| Rate for Payer: BCN Medicare Advantage |
$2.04
|
| Rate for Payer: BCN Medicare Advantage |
$6.37
|
| Rate for Payer: BCN Medicare Advantage |
$5.05
|
| Rate for Payer: BCN Medicare Advantage |
$5.89
|
| Rate for Payer: BCN Medicare Advantage |
$4.00
|
| Rate for Payer: BCN Medicare Advantage |
$3.50
|
| Rate for Payer: BCN Medicare Advantage |
$2.57
|
| Rate for Payer: BCN Medicare Advantage |
$4.26
|
| Rate for Payer: BCN Medicare Advantage |
$4.92
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cash Price |
$22.55
|
| Rate for Payer: Cash Price |
$9.07
|
| Rate for Payer: Cash Price |
$11.76
|
| Rate for Payer: Cash Price |
$11.18
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$12.12
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cofinity Commercial |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$12.64
|
| Rate for Payer: Cofinity Commercial |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$8.83
|
| Rate for Payer: Cofinity Commercial |
$9.75
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$17.36
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$13.03
|
| Rate for Payer: Cofinity Commercial |
$12.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.00
|
| Rate for Payer: Healthscope Commercial |
$14.40
|
| Rate for Payer: Healthscope Commercial |
$12.58
|
| Rate for Payer: Healthscope Commercial |
$13.63
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$10.21
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Healthscope Commercial |
$9.24
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$13.23
|
| Rate for Payer: Healthscope Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.79
|
| Rate for Payer: Mclaren Medicaid |
$4.95
|
| Rate for Payer: Mclaren Medicaid |
$4.97
|
| Rate for Payer: Mclaren Medicaid |
$3.01
|
| Rate for Payer: Mclaren Medicaid |
$1.44
|
| Rate for Payer: Mclaren Medicaid |
$4.15
|
| Rate for Payer: Mclaren Medicaid |
$2.82
|
| Rate for Payer: Mclaren Medicaid |
$3.56
|
| Rate for Payer: Mclaren Medicaid |
$4.49
|
| Rate for Payer: Mclaren Medicaid |
$2.00
|
| Rate for Payer: Mclaren Medicaid |
$1.81
|
| Rate for Payer: Mclaren Medicaid |
$2.67
|
| Rate for Payer: Mclaren Medicaid |
$3.47
|
| Rate for Payer: Mclaren Medicaid |
$2.59
|
| Rate for Payer: Mclaren Medicaid |
$2.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.37
|
| Rate for Payer: Meridian Medicaid |
$2.59
|
| Rate for Payer: Meridian Medicaid |
$2.10
|
| Rate for Payer: Meridian Medicaid |
$1.90
|
| Rate for Payer: Meridian Medicaid |
$5.20
|
| Rate for Payer: Meridian Medicaid |
$3.16
|
| Rate for Payer: Meridian Medicaid |
$2.80
|
| Rate for Payer: Meridian Medicaid |
$2.96
|
| Rate for Payer: Meridian Medicaid |
$3.74
|
| Rate for Payer: Meridian Medicaid |
$2.72
|
| Rate for Payer: Meridian Medicaid |
$4.36
|
| Rate for Payer: Meridian Medicaid |
$5.22
|
| Rate for Payer: Meridian Medicaid |
$1.51
|
| Rate for Payer: Meridian Medicaid |
$3.64
|
| Rate for Payer: Meridian Medicaid |
$4.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.49
|
| Rate for Payer: Nomi Health Commercial |
$13.12
|
| Rate for Payer: Nomi Health Commercial |
$9.30
|
| Rate for Payer: Nomi Health Commercial |
$20.89
|
| Rate for Payer: Nomi Health Commercial |
$19.31
|
| Rate for Payer: Nomi Health Commercial |
$11.46
|
| Rate for Payer: Nomi Health Commercial |
$12.42
|
| Rate for Payer: Nomi Health Commercial |
$12.05
|
| Rate for Payer: Nomi Health Commercial |
$13.98
|
| Rate for Payer: Nomi Health Commercial |
$23.02
|
| Rate for Payer: Nomi Health Commercial |
$6.68
|
| Rate for Payer: Nomi Health Commercial |
$16.15
|
| Rate for Payer: Nomi Health Commercial |
$23.12
|
| Rate for Payer: Nomi Health Commercial |
$16.56
|
| Rate for Payer: Nomi Health Commercial |
$8.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: PACE Senior Care Partners |
$6.67
|
| Rate for Payer: PACE Senior Care Partners |
$1.94
|
| Rate for Payer: PACE Senior Care Partners |
$3.80
|
| Rate for Payer: PACE Senior Care Partners |
$6.70
|
| Rate for Payer: PACE Senior Care Partners |
$2.44
|
| Rate for Payer: PACE Senior Care Partners |
$5.59
|
| Rate for Payer: PACE Senior Care Partners |
$4.68
|
| Rate for Payer: PACE Senior Care Partners |
$4.80
|
| Rate for Payer: PACE Senior Care Partners |
$3.32
|
| Rate for Payer: PACE Senior Care Partners |
$2.69
|
| Rate for Payer: PACE Senior Care Partners |
$4.05
|
| Rate for Payer: PACE Senior Care Partners |
$3.60
|
| Rate for Payer: PACE Senior Care Partners |
$3.49
|
| Rate for Payer: PACE Senior Care Partners |
$6.05
|
| Rate for Payer: PACE SWMI |
$2.04
|
| Rate for Payer: PACE SWMI |
$3.50
|
| Rate for Payer: PACE SWMI |
$7.02
|
| Rate for Payer: PACE SWMI |
$5.89
|
| Rate for Payer: PACE SWMI |
$2.57
|
| Rate for Payer: PACE SWMI |
$4.00
|
| Rate for Payer: PACE SWMI |
$3.67
|
| Rate for Payer: PACE SWMI |
$4.26
|
| Rate for Payer: PACE SWMI |
$2.83
|
| Rate for Payer: PACE SWMI |
$7.05
|
| Rate for Payer: PACE SWMI |
$4.92
|
| Rate for Payer: PACE SWMI |
$6.37
|
| Rate for Payer: PACE SWMI |
$5.05
|
| Rate for Payer: PACE SWMI |
$3.79
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$13.60
|
| Rate for Payer: PHP Commercial |
$23.96
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$17.16
|
| Rate for Payer: PHP Commercial |
$9.64
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$6.93
|
| Rate for Payer: PHP Commercial |
$12.88
|
| Rate for Payer: PHP Commercial |
$14.49
|
| Rate for Payer: PHP Commercial |
$12.49
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: PHP Commercial |
$11.88
|
| Rate for Payer: PHP Commercial |
$8.73
|
| Rate for Payer: PHP Medicare Advantage |
$6.37
|
| Rate for Payer: PHP Medicare Advantage |
$4.92
|
| Rate for Payer: PHP Medicare Advantage |
$3.79
|
| Rate for Payer: PHP Medicare Advantage |
$2.57
|
| Rate for Payer: PHP Medicare Advantage |
$5.89
|
| Rate for Payer: PHP Medicare Advantage |
$7.02
|
| Rate for Payer: PHP Medicare Advantage |
$4.00
|
| Rate for Payer: PHP Medicare Advantage |
$3.50
|
| Rate for Payer: PHP Medicare Advantage |
$4.26
|
| Rate for Payer: PHP Medicare Advantage |
$3.67
|
| Rate for Payer: PHP Medicare Advantage |
$5.05
|
| Rate for Payer: PHP Medicare Advantage |
$7.05
|
| Rate for Payer: PHP Medicare Advantage |
$2.04
|
| Rate for Payer: PHP Medicare Advantage |
$2.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.53
|
| Rate for Payer: Priority Health Medicare |
$2.59
|
| Rate for Payer: Priority Health Medicare |
$4.31
|
| Rate for Payer: Priority Health Medicare |
$4.97
|
| Rate for Payer: Priority Health Medicare |
$4.04
|
| Rate for Payer: Priority Health Medicare |
$5.10
|
| Rate for Payer: Priority Health Medicare |
$3.83
|
| Rate for Payer: Priority Health Medicare |
$5.95
|
| Rate for Payer: Priority Health Medicare |
$3.71
|
| Rate for Payer: Priority Health Medicare |
$6.43
|
| Rate for Payer: Priority Health Medicare |
$3.53
|
| Rate for Payer: Priority Health Medicare |
$7.09
|
| Rate for Payer: Priority Health Medicare |
$2.86
|
| Rate for Payer: Priority Health Medicare |
$7.12
|
| Rate for Payer: Priority Health Medicare |
$2.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.54
|
| Rate for Payer: Railroad Medicare Medicare |
$2.83
|
| Rate for Payer: Railroad Medicare Medicare |
$4.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7.02
|
| Rate for Payer: Railroad Medicare Medicare |
$5.89
|
| Rate for Payer: Railroad Medicare Medicare |
$4.92
|
| Rate for Payer: Railroad Medicare Medicare |
$3.67
|
| Rate for Payer: Railroad Medicare Medicare |
$3.50
|
| Rate for Payer: Railroad Medicare Medicare |
$7.05
|
| Rate for Payer: Railroad Medicare Medicare |
$2.57
|
| Rate for Payer: Railroad Medicare Medicare |
$5.05
|
| Rate for Payer: Railroad Medicare Medicare |
$3.79
|
| Rate for Payer: Railroad Medicare Medicare |
$4.00
|
| Rate for Payer: Railroad Medicare Medicare |
$2.04
|
| Rate for Payer: Railroad Medicare Medicare |
$6.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.77
|
| Rate for Payer: UHC Core |
$13.36
|
| Rate for Payer: UHC Core |
$16.86
|
| Rate for Payer: UHC Core |
$16.44
|
| Rate for Payer: UHC Core |
$12.27
|
| Rate for Payer: UHC Core |
$21.27
|
| Rate for Payer: UHC Core |
$23.54
|
| Rate for Payer: UHC Core |
$9.47
|
| Rate for Payer: UHC Core |
$6.81
|
| Rate for Payer: UHC Core |
$12.65
|
| Rate for Payer: UHC Core |
$19.66
|
| Rate for Payer: UHC Core |
$14.24
|
| Rate for Payer: UHC Core |
$23.44
|
| Rate for Payer: UHC Core |
$11.67
|
| Rate for Payer: UHC Core |
$8.58
|
| Rate for Payer: UHC Exchange |
$4.00
|
| Rate for Payer: UHC Exchange |
$3.79
|
| Rate for Payer: UHC Exchange |
$2.04
|
| Rate for Payer: UHC Exchange |
$3.50
|
| Rate for Payer: UHC Exchange |
$3.67
|
| Rate for Payer: UHC Exchange |
$7.02
|
| Rate for Payer: UHC Exchange |
$4.92
|
| Rate for Payer: UHC Exchange |
$2.83
|
| Rate for Payer: UHC Exchange |
$6.37
|
| Rate for Payer: UHC Exchange |
$2.57
|
| Rate for Payer: UHC Exchange |
$4.26
|
| Rate for Payer: UHC Exchange |
$5.05
|
| Rate for Payer: UHC Exchange |
$7.05
|
| Rate for Payer: UHC Exchange |
$5.89
|
| Rate for Payer: UHC Medicaid |
$3.56
|
| Rate for Payer: UHC Medicaid |
$2.82
|
| Rate for Payer: UHC Medicaid |
$1.44
|
| Rate for Payer: UHC Medicaid |
$2.59
|
| Rate for Payer: UHC Medicaid |
$4.95
|
| Rate for Payer: UHC Medicaid |
$4.97
|
| Rate for Payer: UHC Medicaid |
$3.01
|
| Rate for Payer: UHC Medicaid |
$1.81
|
| Rate for Payer: UHC Medicaid |
$2.00
|
| Rate for Payer: UHC Medicaid |
$4.15
|
| Rate for Payer: UHC Medicaid |
$4.49
|
| Rate for Payer: UHC Medicaid |
$3.47
|
| Rate for Payer: UHC Medicaid |
$2.67
|
| Rate for Payer: UHC Medicaid |
$2.46
|
| Rate for Payer: UHC Medicare Advantage |
$4.00
|
| Rate for Payer: UHC Medicare Advantage |
$3.67
|
| Rate for Payer: UHC Medicare Advantage |
$5.89
|
| Rate for Payer: UHC Medicare Advantage |
$6.37
|
| Rate for Payer: UHC Medicare Advantage |
$3.50
|
| Rate for Payer: UHC Medicare Advantage |
$2.04
|
| Rate for Payer: UHC Medicare Advantage |
$4.26
|
| Rate for Payer: UHC Medicare Advantage |
$7.02
|
| Rate for Payer: UHC Medicare Advantage |
$2.83
|
| Rate for Payer: UHC Medicare Advantage |
$5.05
|
| Rate for Payer: UHC Medicare Advantage |
$2.57
|
| Rate for Payer: UHC Medicare Advantage |
$3.79
|
| Rate for Payer: UHC Medicare Advantage |
$7.05
|
| Rate for Payer: UHC Medicare Advantage |
$4.92
|
| Rate for Payer: UHCCP Medicaid |
$3.01
|
| Rate for Payer: UHCCP Medicaid |
$2.67
|
| Rate for Payer: UHCCP Medicaid |
$1.81
|
| Rate for Payer: UHCCP Medicaid |
$3.47
|
| Rate for Payer: UHCCP Medicaid |
$2.46
|
| Rate for Payer: UHCCP Medicaid |
$2.00
|
| Rate for Payer: UHCCP Medicaid |
$4.95
|
| Rate for Payer: UHCCP Medicaid |
$3.56
|
| Rate for Payer: UHCCP Medicaid |
$1.44
|
| Rate for Payer: UHCCP Medicaid |
$2.82
|
| Rate for Payer: UHCCP Medicaid |
$2.59
|
| Rate for Payer: UHCCP Medicaid |
$4.49
|
| Rate for Payer: UHCCP Medicaid |
$4.15
|
| Rate for Payer: UHCCP Medicaid |
$4.97
|
| Rate for Payer: VA VA |
$6.37
|
| Rate for Payer: VA VA |
$7.02
|
| Rate for Payer: VA VA |
$4.26
|
| Rate for Payer: VA VA |
$3.50
|
| Rate for Payer: VA VA |
$3.79
|
| Rate for Payer: VA VA |
$2.83
|
| Rate for Payer: VA VA |
$2.04
|
| Rate for Payer: VA VA |
$3.67
|
| Rate for Payer: VA VA |
$2.57
|
| Rate for Payer: VA VA |
$5.89
|
| Rate for Payer: VA VA |
$7.05
|
| Rate for Payer: VA VA |
$4.00
|
| Rate for Payer: VA VA |
$4.92
|
| Rate for Payer: VA VA |
$5.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$129.72
|
|
|
Service Code
|
NDC 00054329446
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$90.29 |
| Max. Negotiated Rate |
$116.75 |
| Rate for Payer: Aetna Commercial |
$110.26
|
| Rate for Payer: BCBS Trust/PPO |
$107.14
|
| Rate for Payer: BCN Commercial |
$107.14
|
| Rate for Payer: Cash Price |
$103.78
|
| Rate for Payer: Cofinity Commercial |
$111.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.78
|
| Rate for Payer: Healthscope Commercial |
$116.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.26
|
| Rate for Payer: Nomi Health Commercial |
$106.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.29
|
| Rate for Payer: PHP Commercial |
$110.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$112.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.15
|
| Rate for Payer: UHC Core |
$108.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.29
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$129.72
|
|
|
Service Code
|
NDC 00054329446
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.87 |
| Max. Negotiated Rate |
$116.75 |
| Rate for Payer: Aetna Commercial |
$110.26
|
| Rate for Payer: Aetna Medicare |
$33.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40.54
|
| Rate for Payer: BCBS Complete |
$24.01
|
| Rate for Payer: BCBS MAPPO |
$32.43
|
| Rate for Payer: BCBS Trust/PPO |
$106.64
|
| Rate for Payer: BCN Commercial |
$106.64
|
| Rate for Payer: BCN Medicare Advantage |
$32.43
|
| Rate for Payer: Cash Price |
$103.78
|
| Rate for Payer: Cofinity Commercial |
$111.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.43
|
| Rate for Payer: Healthscope Commercial |
$116.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.29
|
| Rate for Payer: Mclaren Medicaid |
$22.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.05
|
| Rate for Payer: Meridian Medicaid |
$24.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$35.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.26
|
| Rate for Payer: Nomi Health Commercial |
$106.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.29
|
| Rate for Payer: PACE Senior Care Partners |
$30.81
|
| Rate for Payer: PACE SWMI |
$32.43
|
| Rate for Payer: PHP Commercial |
$110.26
|
| Rate for Payer: PHP Medicare Advantage |
$32.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$112.86
|
| Rate for Payer: Priority Health Medicare |
$32.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.29
|
| Rate for Payer: Railroad Medicare Medicare |
$32.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.15
|
| Rate for Payer: UHC Core |
$108.32
|
| Rate for Payer: UHC Exchange |
$32.43
|
| Rate for Payer: UHC Medicaid |
$22.87
|
| Rate for Payer: UHC Medicare Advantage |
$32.43
|
| Rate for Payer: UHCCP Medicaid |
$22.87
|
| Rate for Payer: VA VA |
$32.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.29
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$2.21
|
|
|
Service Code
|
NDC 09900000335
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.54 |
| Max. Negotiated Rate |
$1.99 |
| Rate for Payer: Aetna Commercial |
$1.88
|
| Rate for Payer: BCBS Trust/PPO |
$1.83
|
| Rate for Payer: BCN Commercial |
$1.83
|
| Rate for Payer: Cash Price |
$1.77
|
| Rate for Payer: Cofinity Commercial |
$1.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.77
|
| Rate for Payer: Healthscope Commercial |
$1.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.88
|
| Rate for Payer: Nomi Health Commercial |
$1.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.66
|
| Rate for Payer: PHP Commercial |
$1.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.94
|
| Rate for Payer: UHC Core |
$1.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.66
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$2.21
|
|
|
Service Code
|
NDC 09900000335
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$1.99 |
| Rate for Payer: Aetna Commercial |
$1.88
|
| Rate for Payer: Aetna Medicare |
$0.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.69
|
| Rate for Payer: BCBS Complete |
$0.41
|
| Rate for Payer: BCBS MAPPO |
$0.55
|
| Rate for Payer: BCBS Trust/PPO |
$1.82
|
| Rate for Payer: BCN Commercial |
$1.82
|
| Rate for Payer: BCN Medicare Advantage |
$0.55
|
| Rate for Payer: Cash Price |
$1.77
|
| Rate for Payer: Cofinity Commercial |
$1.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.55
|
| Rate for Payer: Healthscope Commercial |
$1.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.66
|
| Rate for Payer: Mclaren Medicaid |
$0.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.58
|
| Rate for Payer: Meridian Medicaid |
$0.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.88
|
| Rate for Payer: Nomi Health Commercial |
$1.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.66
|
| Rate for Payer: PACE Senior Care Partners |
$0.52
|
| Rate for Payer: PACE SWMI |
$0.55
|
| Rate for Payer: PHP Commercial |
$1.88
|
| Rate for Payer: PHP Medicare Advantage |
$0.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1.92
|
| Rate for Payer: Priority Health Medicare |
$0.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.54
|
| Rate for Payer: Railroad Medicare Medicare |
$0.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.94
|
| Rate for Payer: UHC Core |
$1.85
|
| Rate for Payer: UHC Exchange |
$0.55
|
| Rate for Payer: UHC Medicaid |
$0.39
|
| Rate for Payer: UHC Medicare Advantage |
$0.55
|
| Rate for Payer: UHCCP Medicaid |
$0.39
|
| Rate for Payer: VA VA |
$0.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.66
|
|
