|
GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$51,110.07
|
|
|
Service Code
|
APR-DRG 8513
|
| Min. Negotiated Rate |
$48,676.26 |
| Max. Negotiated Rate |
$51,110.07 |
| Rate for Payer: BCBS Complete |
$51,110.07
|
| Rate for Payer: Mclaren Medicaid |
$48,676.26
|
| Rate for Payer: Meridian Medicaid |
$51,110.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,676.26
|
| Rate for Payer: UHC Medicaid |
$48,676.26
|
| Rate for Payer: UHCCP Medicaid |
$48,676.26
|
|
|
GENETIC DISORDERS
|
Facility
|
IP
|
$22,895.60
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$21,805.33 |
| Max. Negotiated Rate |
$22,895.60 |
| Rate for Payer: BCBS Complete |
$22,895.60
|
| Rate for Payer: Mclaren Medicaid |
$21,805.33
|
| Rate for Payer: Meridian Medicaid |
$22,895.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,805.33
|
| Rate for Payer: UHC Medicaid |
$21,805.33
|
| Rate for Payer: UHCCP Medicaid |
$21,805.33
|
|
|
GENETIC DISORDERS
|
Facility
|
IP
|
$3,302.28
|
|
|
Service Code
|
APR-DRG 4281
|
| Min. Negotiated Rate |
$3,145.02 |
| Max. Negotiated Rate |
$3,302.28 |
| Rate for Payer: BCBS Complete |
$3,302.28
|
| Rate for Payer: Mclaren Medicaid |
$3,145.02
|
| Rate for Payer: Meridian Medicaid |
$3,302.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,145.02
|
| Rate for Payer: UHC Medicaid |
$3,145.02
|
| Rate for Payer: UHCCP Medicaid |
$3,145.02
|
|
|
GENETIC DISORDERS
|
Facility
|
IP
|
$6,197.55
|
|
|
Service Code
|
APR-DRG 4282
|
| Min. Negotiated Rate |
$5,902.43 |
| Max. Negotiated Rate |
$6,197.55 |
| Rate for Payer: BCBS Complete |
$6,197.55
|
| Rate for Payer: Mclaren Medicaid |
$5,902.43
|
| Rate for Payer: Meridian Medicaid |
$6,197.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,902.43
|
| Rate for Payer: UHC Medicaid |
$5,902.43
|
| Rate for Payer: UHCCP Medicaid |
$5,902.43
|
|
|
GENETIC DISORDERS
|
Facility
|
IP
|
$13,499.89
|
|
|
Service Code
|
APR-DRG 4283
|
| Min. Negotiated Rate |
$12,857.04 |
| Max. Negotiated Rate |
$13,499.89 |
| Rate for Payer: BCBS Complete |
$13,499.89
|
| Rate for Payer: Mclaren Medicaid |
$12,857.04
|
| Rate for Payer: Meridian Medicaid |
$13,499.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,857.04
|
| Rate for Payer: UHC Medicaid |
$12,857.04
|
| Rate for Payer: UHCCP Medicaid |
$12,857.04
|
|
|
GENTAMICIN 0.3 % EYE DROPS
|
Facility
|
OP
|
$18.23
|
|
|
Service Code
|
NDC 60758018805
|
| Hospital Charge Code |
3428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.21 |
| Max. Negotiated Rate |
$16.41 |
| Rate for Payer: Aetna Commercial |
$15.50
|
| Rate for Payer: Aetna Medicare |
$4.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.70
|
| Rate for Payer: BCBS Complete |
$3.37
|
| Rate for Payer: BCBS MAPPO |
$4.56
|
| Rate for Payer: BCBS Trust/PPO |
$14.99
|
| Rate for Payer: BCN Commercial |
$14.99
|
| Rate for Payer: BCN Medicare Advantage |
$4.56
|
| Rate for Payer: Cash Price |
$14.58
|
| Rate for Payer: Cofinity Commercial |
$15.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.56
|
| Rate for Payer: Healthscope Commercial |
$16.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.67
|
| Rate for Payer: Mclaren Medicaid |
$3.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.79
|
| Rate for Payer: Meridian Medicaid |
$3.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.67
|
| Rate for Payer: PACE Senior Care Partners |
$4.33
|
| Rate for Payer: PACE SWMI |
$4.56
|
| Rate for Payer: PHP Commercial |
$15.50
|
| Rate for Payer: PHP Medicare Advantage |
$4.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.86
|
| Rate for Payer: Priority Health Medicare |
$4.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.69
|
| Rate for Payer: Railroad Medicare Medicare |
$4.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.04
|
| Rate for Payer: UHC Core |
$15.22
|
| Rate for Payer: UHC Exchange |
$4.56
|
| Rate for Payer: UHC Medicaid |
$3.21
|
| Rate for Payer: UHC Medicare Advantage |
$4.56
|
| Rate for Payer: UHCCP Medicaid |
$3.21
|
| Rate for Payer: VA VA |
$4.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.67
|
|
|
GENTAMICIN 0.3 % EYE DROPS
|
Facility
|
OP
|
$17.82
|
|
|
Service Code
|
NDC 61314063305
|
| Hospital Charge Code |
3428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.14 |
| Max. Negotiated Rate |
$16.04 |
| Rate for Payer: Aetna Commercial |
$15.15
|
| Rate for Payer: Aetna Medicare |
$4.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.57
|
| Rate for Payer: BCBS Complete |
$3.30
|
| Rate for Payer: BCBS MAPPO |
$4.46
|
| Rate for Payer: BCBS Trust/PPO |
$14.65
|
| Rate for Payer: BCN Commercial |
$14.65
|
| Rate for Payer: BCN Medicare Advantage |
$4.46
|
| Rate for Payer: Cash Price |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$15.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.46
|
| Rate for Payer: Healthscope Commercial |
$16.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.37
|
| Rate for Payer: Mclaren Medicaid |
$3.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.68
|
| Rate for Payer: Meridian Medicaid |
$3.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.15
|
| Rate for Payer: Nomi Health Commercial |
$14.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.37
|
| Rate for Payer: PACE Senior Care Partners |
$4.23
|
| Rate for Payer: PACE SWMI |
$4.46
|
| Rate for Payer: PHP Commercial |
$15.15
|
| Rate for Payer: PHP Medicare Advantage |
$4.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.50
|
| Rate for Payer: Priority Health Medicare |
$4.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.40
|
| Rate for Payer: Railroad Medicare Medicare |
$4.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.68
|
| Rate for Payer: UHC Core |
$14.88
|
| Rate for Payer: UHC Exchange |
$4.46
|
| Rate for Payer: UHC Medicaid |
$3.14
|
| Rate for Payer: UHC Medicare Advantage |
$4.46
|
| Rate for Payer: UHCCP Medicaid |
$3.14
|
| Rate for Payer: VA VA |
$4.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.37
|
|
|
GENTAMICIN 0.3 % EYE DROPS
|
Facility
|
IP
|
$18.23
|
|
|
Service Code
|
NDC 60758018805
|
| Hospital Charge Code |
3428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$12.69 |
| Max. Negotiated Rate |
$16.41 |
| Rate for Payer: Aetna Commercial |
$15.50
|
| Rate for Payer: BCBS Trust/PPO |
$15.06
|
| Rate for Payer: BCN Commercial |
$15.06
|
| Rate for Payer: Cash Price |
$14.58
|
| Rate for Payer: Cofinity Commercial |
$15.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.58
|
| Rate for Payer: Healthscope Commercial |
$16.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.67
|
| Rate for Payer: PHP Commercial |
$15.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.04
|
| Rate for Payer: UHC Core |
$15.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.67
|
|
|
GENTAMICIN 0.3 % EYE DROPS
|
Facility
|
IP
|
$17.82
|
|
|
Service Code
|
NDC 61314063305
|
| Hospital Charge Code |
3428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$16.04 |
| Rate for Payer: Aetna Commercial |
$15.15
|
| Rate for Payer: BCBS Trust/PPO |
$14.72
|
| Rate for Payer: BCN Commercial |
$14.72
|
| Rate for Payer: Cash Price |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$15.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.26
|
| Rate for Payer: Healthscope Commercial |
$16.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.15
|
| Rate for Payer: Nomi Health Commercial |
$14.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.37
|
| Rate for Payer: PHP Commercial |
$15.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.68
|
| Rate for Payer: UHC Core |
$14.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.37
|
|
|
GENTAMICIN 0.3 % EYE DROPS
|
Facility
|
IP
|
$116.24
|
|
|
Service Code
|
NDC 24208058060
|
| Hospital Charge Code |
3428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$80.90 |
| Max. Negotiated Rate |
$104.62 |
| Rate for Payer: Aetna Commercial |
$98.80
|
| Rate for Payer: BCBS Trust/PPO |
$96.00
|
| Rate for Payer: BCN Commercial |
$96.00
|
| Rate for Payer: Cash Price |
$92.99
|
| Rate for Payer: Cofinity Commercial |
$99.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.99
|
| Rate for Payer: Healthscope Commercial |
$104.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.80
|
| Rate for Payer: Nomi Health Commercial |
$95.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.18
|
| Rate for Payer: PHP Commercial |
$98.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$101.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.29
|
| Rate for Payer: UHC Core |
$97.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.18
|
|
|
GENTAMICIN 0.3 % EYE DROPS
|
Facility
|
OP
|
$116.24
|
|
|
Service Code
|
NDC 24208058060
|
| Hospital Charge Code |
3428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$20.49 |
| Max. Negotiated Rate |
$104.62 |
| Rate for Payer: Aetna Commercial |
$98.80
|
| Rate for Payer: Aetna Medicare |
$30.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.33
|
| Rate for Payer: BCBS Complete |
$21.52
|
| Rate for Payer: BCBS MAPPO |
$29.06
|
| Rate for Payer: BCBS Trust/PPO |
$95.56
|
| Rate for Payer: BCN Commercial |
$95.56
|
| Rate for Payer: BCN Medicare Advantage |
$29.06
|
| Rate for Payer: Cash Price |
$92.99
|
| Rate for Payer: Cofinity Commercial |
$99.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.06
|
| Rate for Payer: Healthscope Commercial |
$104.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.18
|
| Rate for Payer: Mclaren Medicaid |
$20.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.51
|
| Rate for Payer: Meridian Medicaid |
$21.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.80
|
| Rate for Payer: Nomi Health Commercial |
$95.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.18
|
| Rate for Payer: PACE Senior Care Partners |
$27.61
|
| Rate for Payer: PACE SWMI |
$29.06
|
| Rate for Payer: PHP Commercial |
$98.80
|
| Rate for Payer: PHP Medicare Advantage |
$29.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$101.13
|
| Rate for Payer: Priority Health Medicare |
$29.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.90
|
| Rate for Payer: Railroad Medicare Medicare |
$29.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.29
|
| Rate for Payer: UHC Core |
$97.06
|
| Rate for Payer: UHC Exchange |
$29.06
|
| Rate for Payer: UHC Medicaid |
$20.49
|
| Rate for Payer: UHC Medicare Advantage |
$29.06
|
| Rate for Payer: UHCCP Medicaid |
$20.49
|
| Rate for Payer: VA VA |
$29.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.18
|
|
|
GENTAMICIN 40 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$34.40
|
|
|
Service Code
|
HCPCS J1580
|
| Hospital Charge Code |
3426
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.06 |
| Max. Negotiated Rate |
$30.96 |
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Medicare |
$8.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.75
|
| Rate for Payer: BCBS Complete |
$6.37
|
| Rate for Payer: BCBS MAPPO |
$8.60
|
| Rate for Payer: BCBS Trust/PPO |
$28.28
|
| Rate for Payer: BCN Commercial |
$28.28
|
| Rate for Payer: BCN Medicare Advantage |
$8.60
|
| Rate for Payer: Cash Price |
$27.52
|
| Rate for Payer: Cofinity Commercial |
$29.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.60
|
| Rate for Payer: Healthscope Commercial |
$30.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.80
|
| Rate for Payer: Mclaren Medicaid |
$6.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.03
|
| Rate for Payer: Meridian Medicaid |
$6.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.24
|
| Rate for Payer: Nomi Health Commercial |
$28.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.80
|
| Rate for Payer: PACE Senior Care Partners |
$8.17
|
| Rate for Payer: PACE SWMI |
$8.60
|
| Rate for Payer: PHP Commercial |
$29.24
|
| Rate for Payer: PHP Medicare Advantage |
$8.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.93
|
| Rate for Payer: Priority Health Medicare |
$8.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.94
|
| Rate for Payer: Railroad Medicare Medicare |
$8.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.27
|
| Rate for Payer: UHC Core |
$28.72
|
| Rate for Payer: UHC Exchange |
$8.60
|
| Rate for Payer: UHC Medicaid |
$6.06
|
| Rate for Payer: UHC Medicare Advantage |
$8.60
|
| Rate for Payer: UHCCP Medicaid |
$6.06
|
| Rate for Payer: VA VA |
$8.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.80
|
|
|
GENTAMICIN 40 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$34.40
|
|
|
Service Code
|
HCPCS J1580
|
| Hospital Charge Code |
3426
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.94 |
| Max. Negotiated Rate |
$30.96 |
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: BCBS Trust/PPO |
$28.41
|
| Rate for Payer: BCN Commercial |
$28.41
|
| Rate for Payer: Cash Price |
$27.52
|
| Rate for Payer: Cofinity Commercial |
$29.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.52
|
| Rate for Payer: Healthscope Commercial |
$30.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.24
|
| Rate for Payer: Nomi Health Commercial |
$28.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.80
|
| Rate for Payer: PHP Commercial |
$29.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.27
|
| Rate for Payer: UHC Core |
$28.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.80
|
|
|
GLIMEPIRIDE 1 MG TABLET
|
Facility
|
IP
|
$204.73
|
|
|
Service Code
|
NDC 50268035815
|
| Hospital Charge Code |
16355
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$142.49 |
| Max. Negotiated Rate |
$184.26 |
| Rate for Payer: Aetna Commercial |
$174.02
|
| Rate for Payer: BCBS Trust/PPO |
$169.09
|
| Rate for Payer: BCN Commercial |
$169.09
|
| Rate for Payer: Cash Price |
$163.78
|
| Rate for Payer: Cofinity Commercial |
$176.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.78
|
| Rate for Payer: Healthscope Commercial |
$184.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.02
|
| Rate for Payer: Nomi Health Commercial |
$167.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.55
|
| Rate for Payer: PHP Commercial |
$174.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$178.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.16
|
| Rate for Payer: UHC Core |
$170.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.55
|
|
|
GLIMEPIRIDE 1 MG TABLET
|
Facility
|
IP
|
$4.10
|
|
|
Service Code
|
NDC 50268035811
|
| Hospital Charge Code |
16355
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.85 |
| Max. Negotiated Rate |
$3.69 |
| Rate for Payer: Aetna Commercial |
$3.48
|
| Rate for Payer: BCBS Trust/PPO |
$3.39
|
| Rate for Payer: BCN Commercial |
$3.39
|
| Rate for Payer: Cash Price |
$3.28
|
| Rate for Payer: Cofinity Commercial |
$3.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.28
|
| Rate for Payer: Healthscope Commercial |
$3.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.48
|
| Rate for Payer: Nomi Health Commercial |
$3.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.08
|
| Rate for Payer: PHP Commercial |
$3.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.61
|
| Rate for Payer: UHC Core |
$3.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.08
|
|
|
GLIMEPIRIDE 1 MG TABLET
|
Facility
|
OP
|
$204.73
|
|
|
Service Code
|
NDC 50268035815
|
| Hospital Charge Code |
16355
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.09 |
| Max. Negotiated Rate |
$184.26 |
| Rate for Payer: Aetna Commercial |
$174.02
|
| Rate for Payer: Aetna Medicare |
$53.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63.98
|
| Rate for Payer: BCBS Complete |
$37.90
|
| Rate for Payer: BCBS MAPPO |
$51.18
|
| Rate for Payer: BCBS Trust/PPO |
$168.31
|
| Rate for Payer: BCN Commercial |
$168.31
|
| Rate for Payer: BCN Medicare Advantage |
$51.18
|
| Rate for Payer: Cash Price |
$163.78
|
| Rate for Payer: Cofinity Commercial |
$176.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.18
|
| Rate for Payer: Healthscope Commercial |
$184.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.55
|
| Rate for Payer: Mclaren Medicaid |
$36.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.74
|
| Rate for Payer: Meridian Medicaid |
$37.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.02
|
| Rate for Payer: Nomi Health Commercial |
$167.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.55
|
| Rate for Payer: PACE Senior Care Partners |
$48.62
|
| Rate for Payer: PACE SWMI |
$51.18
|
| Rate for Payer: PHP Commercial |
$174.02
|
| Rate for Payer: PHP Medicare Advantage |
$51.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$178.12
|
| Rate for Payer: Priority Health Medicare |
$51.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.49
|
| Rate for Payer: Railroad Medicare Medicare |
$51.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.16
|
| Rate for Payer: UHC Core |
$170.95
|
| Rate for Payer: UHC Exchange |
$51.18
|
| Rate for Payer: UHC Medicaid |
$36.09
|
| Rate for Payer: UHC Medicare Advantage |
$51.18
|
| Rate for Payer: UHCCP Medicaid |
$36.09
|
| Rate for Payer: VA VA |
$51.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.55
|
|
|
GLIMEPIRIDE 1 MG TABLET
|
Facility
|
OP
|
$4.10
|
|
|
Service Code
|
NDC 50268035811
|
| Hospital Charge Code |
16355
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.72 |
| Max. Negotiated Rate |
$3.69 |
| Rate for Payer: Aetna Commercial |
$3.48
|
| Rate for Payer: Aetna Medicare |
$1.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.28
|
| Rate for Payer: BCBS Complete |
$0.76
|
| Rate for Payer: BCBS MAPPO |
$1.02
|
| Rate for Payer: BCBS Trust/PPO |
$3.37
|
| Rate for Payer: BCN Commercial |
$3.37
|
| Rate for Payer: BCN Medicare Advantage |
$1.02
|
| Rate for Payer: Cash Price |
$3.28
|
| Rate for Payer: Cofinity Commercial |
$3.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.02
|
| Rate for Payer: Healthscope Commercial |
$3.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.08
|
| Rate for Payer: Mclaren Medicaid |
$0.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.08
|
| Rate for Payer: Meridian Medicaid |
$0.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.48
|
| Rate for Payer: Nomi Health Commercial |
$3.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.08
|
| Rate for Payer: PACE Senior Care Partners |
$0.97
|
| Rate for Payer: PACE SWMI |
$1.02
|
| Rate for Payer: PHP Commercial |
$3.48
|
| Rate for Payer: PHP Medicare Advantage |
$1.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.57
|
| Rate for Payer: Priority Health Medicare |
$1.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.85
|
| Rate for Payer: Railroad Medicare Medicare |
$1.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.61
|
| Rate for Payer: UHC Core |
$3.42
|
| Rate for Payer: UHC Exchange |
$1.02
|
| Rate for Payer: UHC Medicaid |
$0.72
|
| Rate for Payer: UHC Medicare Advantage |
$1.02
|
| Rate for Payer: UHCCP Medicaid |
$0.72
|
| Rate for Payer: VA VA |
$1.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.08
|
|
|
GLIMEPIRIDE 1 MG TABLET
|
Facility
|
OP
|
$195.05
|
|
|
Service Code
|
NDC 16729000101
|
| Hospital Charge Code |
16355
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$34.39 |
| Max. Negotiated Rate |
$175.54 |
| Rate for Payer: Aetna Commercial |
$165.79
|
| Rate for Payer: Aetna Medicare |
$50.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.95
|
| Rate for Payer: BCBS Complete |
$36.10
|
| Rate for Payer: BCBS MAPPO |
$48.76
|
| Rate for Payer: BCBS Trust/PPO |
$160.35
|
| Rate for Payer: BCN Commercial |
$160.35
|
| Rate for Payer: BCN Medicare Advantage |
$48.76
|
| Rate for Payer: Cash Price |
$156.04
|
| Rate for Payer: Cofinity Commercial |
$167.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$156.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.76
|
| Rate for Payer: Healthscope Commercial |
$175.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$146.29
|
| Rate for Payer: Mclaren Medicaid |
$34.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.20
|
| Rate for Payer: Meridian Medicaid |
$36.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$53.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.79
|
| Rate for Payer: Nomi Health Commercial |
$159.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$146.29
|
| Rate for Payer: PACE Senior Care Partners |
$46.32
|
| Rate for Payer: PACE SWMI |
$48.76
|
| Rate for Payer: PHP Commercial |
$165.79
|
| Rate for Payer: PHP Medicare Advantage |
$48.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$169.69
|
| Rate for Payer: Priority Health Medicare |
$49.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.75
|
| Rate for Payer: Railroad Medicare Medicare |
$48.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.64
|
| Rate for Payer: UHC Core |
$162.87
|
| Rate for Payer: UHC Exchange |
$48.76
|
| Rate for Payer: UHC Medicaid |
$34.39
|
| Rate for Payer: UHC Medicare Advantage |
$48.76
|
| Rate for Payer: UHCCP Medicaid |
$34.39
|
| Rate for Payer: VA VA |
$48.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$146.29
|
|
|
GLIMEPIRIDE 1 MG TABLET
|
Facility
|
IP
|
$195.05
|
|
|
Service Code
|
NDC 16729000101
|
| Hospital Charge Code |
16355
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$135.75 |
| Max. Negotiated Rate |
$175.54 |
| Rate for Payer: Aetna Commercial |
$165.79
|
| Rate for Payer: BCBS Trust/PPO |
$161.09
|
| Rate for Payer: BCN Commercial |
$161.09
|
| Rate for Payer: Cash Price |
$156.04
|
| Rate for Payer: Cofinity Commercial |
$167.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$156.04
|
| Rate for Payer: Healthscope Commercial |
$175.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$146.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.79
|
| Rate for Payer: Nomi Health Commercial |
$159.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$146.29
|
| Rate for Payer: PHP Commercial |
$165.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$169.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.64
|
| Rate for Payer: UHC Core |
$162.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$146.29
|
|
|
GLIMEPIRIDE 4 MG TABLET
|
Facility
|
IP
|
$2.97
|
|
|
Service Code
|
NDC 68084032711
|
| Hospital Charge Code |
16357
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.07 |
| Max. Negotiated Rate |
$2.67 |
| Rate for Payer: Aetna Commercial |
$2.52
|
| Rate for Payer: BCBS Trust/PPO |
$2.45
|
| Rate for Payer: BCN Commercial |
$2.45
|
| Rate for Payer: Cash Price |
$2.38
|
| Rate for Payer: Cofinity Commercial |
$2.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.38
|
| Rate for Payer: Healthscope Commercial |
$2.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.52
|
| Rate for Payer: Nomi Health Commercial |
$2.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.23
|
| Rate for Payer: PHP Commercial |
$2.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.61
|
| Rate for Payer: UHC Core |
$2.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.23
|
|
|
GLIMEPIRIDE 4 MG TABLET
|
Facility
|
OP
|
$296.16
|
|
|
Service Code
|
NDC 68084032701
|
| Hospital Charge Code |
16357
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.21 |
| Max. Negotiated Rate |
$266.54 |
| Rate for Payer: Aetna Commercial |
$251.74
|
| Rate for Payer: Aetna Medicare |
$77.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92.55
|
| Rate for Payer: BCBS Complete |
$54.82
|
| Rate for Payer: BCBS MAPPO |
$74.04
|
| Rate for Payer: BCBS Trust/PPO |
$243.47
|
| Rate for Payer: BCN Commercial |
$243.47
|
| Rate for Payer: BCN Medicare Advantage |
$74.04
|
| Rate for Payer: Cash Price |
$236.93
|
| Rate for Payer: Cofinity Commercial |
$254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.04
|
| Rate for Payer: Healthscope Commercial |
$266.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.12
|
| Rate for Payer: Mclaren Medicaid |
$52.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.74
|
| Rate for Payer: Meridian Medicaid |
$54.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$81.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.74
|
| Rate for Payer: Nomi Health Commercial |
$242.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.12
|
| Rate for Payer: PACE Senior Care Partners |
$70.34
|
| Rate for Payer: PACE SWMI |
$74.04
|
| Rate for Payer: PHP Commercial |
$251.74
|
| Rate for Payer: PHP Medicare Advantage |
$74.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.66
|
| Rate for Payer: Priority Health Medicare |
$74.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.13
|
| Rate for Payer: Railroad Medicare Medicare |
$74.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.62
|
| Rate for Payer: UHC Core |
$247.29
|
| Rate for Payer: UHC Exchange |
$74.04
|
| Rate for Payer: UHC Medicaid |
$52.21
|
| Rate for Payer: UHC Medicare Advantage |
$74.04
|
| Rate for Payer: UHCCP Medicaid |
$52.21
|
| Rate for Payer: VA VA |
$74.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.12
|
|
|
GLIMEPIRIDE 4 MG TABLET
|
Facility
|
IP
|
$296.16
|
|
|
Service Code
|
NDC 68084032701
|
| Hospital Charge Code |
16357
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$206.13 |
| Max. Negotiated Rate |
$266.54 |
| Rate for Payer: Aetna Commercial |
$251.74
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$244.60
|
| Rate for Payer: Cash Price |
$236.93
|
| Rate for Payer: Cofinity Commercial |
$254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.93
|
| Rate for Payer: Healthscope Commercial |
$266.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.74
|
| Rate for Payer: Nomi Health Commercial |
$242.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.12
|
| Rate for Payer: PHP Commercial |
$251.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.62
|
| Rate for Payer: UHC Core |
$247.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.12
|
|
|
GLIMEPIRIDE 4 MG TABLET
|
Facility
|
OP
|
$241.30
|
|
|
Service Code
|
NDC 16729000301
|
| Hospital Charge Code |
16357
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$42.54 |
| Max. Negotiated Rate |
$217.17 |
| Rate for Payer: Aetna Commercial |
$205.10
|
| Rate for Payer: Aetna Medicare |
$62.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$75.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$75.41
|
| Rate for Payer: BCBS Complete |
$44.66
|
| Rate for Payer: BCBS MAPPO |
$60.33
|
| Rate for Payer: BCBS Trust/PPO |
$198.37
|
| Rate for Payer: BCN Commercial |
$198.37
|
| Rate for Payer: BCN Medicare Advantage |
$60.33
|
| Rate for Payer: Cash Price |
$193.04
|
| Rate for Payer: Cofinity Commercial |
$207.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$193.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60.33
|
| Rate for Payer: Healthscope Commercial |
$217.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$180.97
|
| Rate for Payer: Mclaren Medicaid |
$42.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63.34
|
| Rate for Payer: Meridian Medicaid |
$44.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$66.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$205.10
|
| Rate for Payer: Nomi Health Commercial |
$197.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.97
|
| Rate for Payer: PACE Senior Care Partners |
$57.31
|
| Rate for Payer: PACE SWMI |
$60.33
|
| Rate for Payer: PHP Commercial |
$205.10
|
| Rate for Payer: PHP Medicare Advantage |
$60.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$209.93
|
| Rate for Payer: Priority Health Medicare |
$60.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$167.94
|
| Rate for Payer: Railroad Medicare Medicare |
$60.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.34
|
| Rate for Payer: UHC Core |
$201.49
|
| Rate for Payer: UHC Exchange |
$60.33
|
| Rate for Payer: UHC Medicaid |
$42.54
|
| Rate for Payer: UHC Medicare Advantage |
$60.33
|
| Rate for Payer: UHCCP Medicaid |
$42.54
|
| Rate for Payer: VA VA |
$60.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$180.97
|
|
|
GLIMEPIRIDE 4 MG TABLET
|
Facility
|
IP
|
$241.30
|
|
|
Service Code
|
NDC 16729000301
|
| Hospital Charge Code |
16357
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$167.94 |
| Max. Negotiated Rate |
$217.17 |
| Rate for Payer: Aetna Commercial |
$205.10
|
| Rate for Payer: BCBS Trust/PPO |
$199.29
|
| Rate for Payer: BCN Commercial |
$199.29
|
| Rate for Payer: Cash Price |
$193.04
|
| Rate for Payer: Cofinity Commercial |
$207.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$193.04
|
| Rate for Payer: Healthscope Commercial |
$217.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$180.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$205.10
|
| Rate for Payer: Nomi Health Commercial |
$197.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.97
|
| Rate for Payer: PHP Commercial |
$205.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$209.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$167.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.34
|
| Rate for Payer: UHC Core |
$201.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$180.97
|
|
|
GLIMEPIRIDE 4 MG TABLET
|
Facility
|
OP
|
$2.97
|
|
|
Service Code
|
NDC 68084032711
|
| Hospital Charge Code |
16357
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$2.67 |
| Rate for Payer: Aetna Commercial |
$2.52
|
| Rate for Payer: Aetna Medicare |
$0.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.93
|
| Rate for Payer: BCBS Complete |
$0.55
|
| Rate for Payer: BCBS MAPPO |
$0.74
|
| Rate for Payer: BCBS Trust/PPO |
$2.44
|
| Rate for Payer: BCN Commercial |
$2.44
|
| Rate for Payer: BCN Medicare Advantage |
$0.74
|
| Rate for Payer: Cash Price |
$2.38
|
| Rate for Payer: Cofinity Commercial |
$2.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.74
|
| Rate for Payer: Healthscope Commercial |
$2.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.23
|
| Rate for Payer: Mclaren Medicaid |
$0.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.78
|
| Rate for Payer: Meridian Medicaid |
$0.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.52
|
| Rate for Payer: Nomi Health Commercial |
$2.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.23
|
| Rate for Payer: PACE Senior Care Partners |
$0.71
|
| Rate for Payer: PACE SWMI |
$0.74
|
| Rate for Payer: PHP Commercial |
$2.52
|
| Rate for Payer: PHP Medicare Advantage |
$0.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.58
|
| Rate for Payer: Priority Health Medicare |
$0.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.07
|
| Rate for Payer: Railroad Medicare Medicare |
$0.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.61
|
| Rate for Payer: UHC Core |
$2.48
|
| Rate for Payer: UHC Exchange |
$0.74
|
| Rate for Payer: UHC Medicaid |
$0.52
|
| Rate for Payer: UHC Medicare Advantage |
$0.74
|
| Rate for Payer: UHCCP Medicaid |
$0.52
|
| Rate for Payer: VA VA |
$0.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.23
|
|
